ID

10265

Descrição

CALGB: 49808 TREATMENT SUMMARY FORM PACLITAXEL + HERCEPTIN (T+H) Combination Chemotherapy, Surgery, and Radiation Therapy With or Without Dexrazoxane and Trastuzumab in Treating Women With Stage III or Stage IV Breast Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=9E35395C-8B6D-227A-E034-080020C9C0E0

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=9E35395C-8B6D-227A-E034-080020C9C0E0

Palavras-chave

  1. 26/08/2012 26/08/2012 -
  2. 22/05/2015 22/05/2015 -
  3. 03/06/2015 03/06/2015 -
Transferido a

22 de maio de 2015

DOI

Para um pedido faça login.

Licença

Creative Commons BY-NC 3.0 Legacy

Comentários do modelo :

Aqui pode comentar o modelo. Pode comentá-lo especificamente através dos balões de texto nos grupos de itens e itens.

Comentários do grupo de itens para :

Comentários do item para :

Para descarregar formulários, precisa de ter uma sessão iniciada. Por favor faça login ou registe-se gratuitamente.

CALGB: 49808 TREATMENT SUMMARY FORM PACLITAXEL + HERCEPTIN (T+H)

No Instruction available.

  1. StudyEvent: CALGB: 49808 TREATMENT SUMMARY FORM PACLITAXEL + HERCEPTIN (T+H)
    1. No Instruction available.
CALGB Information
Amended data?
Patient clinical trial data
Treatment Plan
Initial dose of week 1 or week 7 (Total dose in mg)
Reason Treatment Ended (mark one with an X)
Treatment Schedule - Systemic Therapy
Were there any dose modifications or additions/ omissions to protocol treatment? (mark one with an X)
Treatment Schedule - Other Therapy
Were any optional protocol therapies given?
Were any non-protocol therapies given during protocol treatment?
Concurrent Non-Protocol Chemotherapy?
Concurrent Non-Protocol Hormonal Therapy?
Concurrent Non-Protocol Biologic Response Modifier Therapy?
Concurrent Non-Protocol Radiation Therapy?
Concurrent Non-Protocol High Dose Chemotherapy/Autologous Stem Cell Transplant?
Comments

Similar models

Use este formulário para feedback, perguntas e sugestões de aperfeiçoamento.

Campos marcados com * são obrigatórios.

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial