Description:

AMC-046 Off-Protocol Treatment Summary Form (F05) Cidofovir in Treating HIV-Infected Patients With High-Grade Squamous Intraepithelial Lesions of the Skin Near the Anus Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=7D8985E5-2F13-08A5-E040-BB89AD434A3B

Link:
https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=7D8985E5-2F13-08A5-E040-BB89AD434A3B
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  1. 8/26/12 8/26/12 -
  2. 1/8/15 1/8/15 - Martin Dugas
Uploaded on:

August 26, 2012

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Creative Commons BY-NC 3.0 Legacy
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Anal Cancer NCT00550589 Off Treatment - AMC-046 Off-Protocol Treatment Summary Form (F05) - 2989512v1.0

Please submit this form if the subject has completed study treatment or discontinued study treatment prematurely. Note: Submission of this form DOES NOT mean the subject is necessarily off study. Please check the protocol for any post treatment follow-up requirements

Ccrr Module For Off Protocol Treatment Summary - Rf05b
Reason Treatment Ended (select the primary reason)

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