Description:

ADVL0212: On Study Worksheet (Leukemia) NCT00053963 FR901228 in Treating Children With Refractory or Recurrent Solid Tumors or Leukemia Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=C10238B2-42BD-142E-E034-0003BA12F5E7

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=C10238B2-42BD-142E-E034-0003BA12F5E7

  1. 8/26/12 8/26/12 -
  2. 1/9/15 1/9/15 - Martin Dugas
  3. 7/5/15 7/5/15 -
Uploaded on:

July 5, 2015

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License :
Creative Commons BY-NC 3.0 Legacy
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ADVL0212: On Study Worksheet (Leukemia) NCT00053963

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  1. StudyEvent: ADVL0212: On Study Worksheet (Leukemia)
    1. No Instruction available.
Patient demographics
Method of Payment
Bone Marrow
Is measurable disease present?
Did patient have a bone marrow evaluation just prior to study entry?
does patient have bone marrow involvement?
Has patient had radiation therapy delivered to 20% or more of her or his bone marrow?
1000/uL
%
%
1000/uL
Was patient's ejection fraction determined by MUGA?
Hemogram
g/dL
Assessment Lab (unit of measure)
%
%
Was red cell transfusion given?
Chemistries
mg/dL
mg/dL
mg/dL
mg/dL
Comments
Ccrr Module For Advl0212: On Study Worksheet (leukemia)

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