Descrizione:

E1900 Cover Page for Adverse Event Form Combination Chemotherapy With or Without Monoclonal Antibody Therapy Followed by Stem Cell Transplant in Treating Patients With Acute Myeloid Leukemia Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B19AAD35-91C7-25DB-E034-0003BA12F5E7

collegamento:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B19AAD35-91C7-25DB-E034-0003BA12F5E7

Keywords:

Klinische Studie [Dokumenttyp]

25/05/12 25/05/12 -
09/01/15 09/01/15 - Martin Dugas

Caricato su:

9 gennaio 2015

DOI:

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Licenza :

Creative Commons BY-NC 3.0 Legacy

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Leukemia NCT00049517 Toxicity - E1900 Cover Page for Adverse Event Form - 2075062v3.0

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StudyEvent: E1900 Cover Page for Adverse Event Form
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Header

DCI Name

Patient Initials

ECOG Protocol Number

ECOG Protocol Number

ECOG Protocol Number

ECOG Patient ID

ECOG Patient ID

Participating Group Protocol No.

Participating Group Patient ID

Institution/Affiliate

On Treatment

On Treatment Time Period

Induction (Induction)

Induction, Additional Forms (Induction, additional Forms)

Consolidation (Consolidation)

Post-transplant (Post-Transplant)

Off Treatment

Off Treatment Time Period

3 Months (3 months)

6 Months (6 months)

9 Months (9 months)

12 Months (12 months)

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