Descrizione:

CALGB 90601: Supplemental Adverse Event Form (Thromboembolic Events) NCT00942331 Gemcitabine Hydrochloride and Cisplatin With or Without Bevacizumab in Treating Patients With Advanced Urinary Tract Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=65940F04-CD97-54E2-E040-BB89AD435A8C

collegamento:
https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=65940F04-CD97-54E2-E040-BB89AD435A8C
Keywords:
  1. 26/08/12 26/08/12 -
  2. 08/01/15 08/01/15 - Martin Dugas
  3. 03/06/15 03/06/15 -
Caricato su:

3 giugno 2015

DOI:
Per favore, per richiedere un accesso.
Licenza :
Creative Commons BY-NC 3.0 Legacy
Commenti del modello :

Puoi commentare il modello dati qui. Tramite i fumetti nei gruppi di articoli e articoli è possibile aggiungere commenti a quelli in modo specifico.

Commenti del gruppo di articoli per :

Commenti dell'articolo per :

Per scaricare i modelli di dati devi essere registrato. Per favore accesso o registrati GRATIS.

CALGB 90601: Supplemental Adverse Event Form (Thromboembolic Events) NCT00942331

INSTRUCTIONS: Complete and submit this form as required by the protocol. Information in the upper right box must be completed for this form to be accepted.

Header
Are data amended
Patient demographics
Assessment of medication
Medications received during this reporting period (Mark one with an X)
Which of the following arterial thrombotic events (ATEs) occurred during this reporting period? (Mark one with an X)
Treatment for ATE (Mark one with an X)
Outcome of ATE (Mark one with an X)
Which of the following venous thrombotic events (VTEs) occurred during this reporting period? (Mark one with an X)
Specify status
Treatment for VTE (Mark one with an X)
Outcome of VTE (Mark one with an X)

Similar models

Si prega di utilizzare questo modulo per feedback, domande e suggerimenti per miglioramenti.

I campi contrassegnati da * sono obbligatori.

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