Description:

AMC-061 Off Study Summary Form (F50) Sunitinib Malate in Treating HIV-Positive Patients With Cancer Undergoing Highly Active Antiretroviral Therapy Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=71988CF7-F883-68F0-E040-BB89AD4358A1

Link:
https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=71988CF7-F883-68F0-E040-BB89AD4358A1
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  1. 8/26/12 8/26/12 -
  2. 6/20/17 6/20/17 - Martin Dugas
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August 26, 2012

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Creative Commons BY-NC 3.0
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Brain and Central Nervous System Tumors NCT00890747 Off Treatment - AMC-061 Off Study Summary Form (F50) - 2934990v1.0

Please submit this form if the subject has (at least one of the following): 1) completed the post treatment follow-up period per protocol 2) been lost to follow-up 3) has refused follow-up 4) withdrew consent 5) has died. (Note: If all follow-up for a subject has been completed, all subjects (except those never initiating protocol therapy) must have both an Off Protocol Treatment Summary form and Off Study Summary form submitted.)

Ccrr Module For Off Study Summary - Rf50
Off Study Reason (select the primary reason)

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