ID

522

Description

AMC-046 HPV On-Study Form (ONS) 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=7D8985E5-2FE1-08A5-E040-BB89AD434A3B

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=7D8985E5-2FE1-08A5-E040-BB89AD434A3B

Keywords

  1. 8/26/12 8/26/12 -
  2. 3/16/15 3/16/15 - Martin Dugas
  3. 9/20/21 9/20/21 -
Uploaded on

August 26, 2012

DOI

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License

Creative Commons BY-NC 3.0 Legacy

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Anal Cancer NCT00550589 On-Study - AMC-046 HPV On-Study Form (ONS) - 2989612v1.0

No Instruction available.

  1. StudyEvent: AMC-046 HPV On-Study Form (ONS)
    1. No Instruction available.
Unnamed1
Hiv History
CDC HIV Risk Group
Prior systemic chemotherapy or radiation therapy
Personal Medical History
Anal canal
Perianal
Penile
Scrotal
Vulvar
Cervical
Vaginal
Ccrr Module For On Study Form - Rf02b
Prior Treatment? (If "Yes", Check below)
Prior Cautery
Prior trichloroacetic acid (TCA)
Prior Surgery
Prior cryotherapy
Prior topical/intralesional therapy
Other Prior Therapy (e.g. Hyperthermia, etc.)
Other Prior Therapy (e.g. Hyperthermia, etc.)
Comments

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