Descrição:

E3F05 Off-Treatment Form NCT00978458 Radiation Therapy With or Without Temozolomide in Treating Patients With Low-Grade Glioma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=6C1889F9-CF7D-5474-E040-BB89AD431A23

Link:
https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=6C1889F9-CF7D-5474-E040-BB89AD431A23
Palavras-chave:
  1. 26/08/2012 26/08/2012 -
  2. 09/01/2015 09/01/2015 - Martin Dugas
  3. 12/06/2015 12/06/2015 -
Transferido a:

12 de junho de 2015

DOI:
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Licença :
Creative Commons BY-NC 3.0 Legacy
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E3F05 Off-Treatment Form NCT00978458

INSTRUCTIONS : Complete one Off-Treatment Form. After patient has completed protocol treatment, complete this form and submit original to the ECOG Coordinating Center. Keep a copy for your files

Header
Reporting Period
Patient demographics
Data amendment
Vital Status
Patient's Vital Status
Primary Cause of Death (if applicable)
Protocol treatment
Did patient receive protocol therapy
Section I
Reason Treatment Ended
Section Ii
Reason treatment never started
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