Combination Chemotherapy, Surgery, and Radiation Therapy With or Without Dexrazoxane and Trastuzumab in Treating Women With Stage III or Stage IV Breast Cancer NCT00016276 Source Form: NCI FormBuilder:


  1. 8/26/12 8/26/12 -
  2. 3/12/15 3/12/15 - Martin Dugas
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March 12, 2015

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Creative Commons BY-NC 3.0 Legacy
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Breast Cancer NCT00016276 Treatment - CALGB: 49808 TREATMENT SUMMARY FORM HERCEPTIN VS OBSERVATION - 2032660v3.0

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Amended data?
Treatment Plan
Is patient taking Herceptin?
Reason Treatment Ended (mark one with an X)
Treatment Schedule - Systemic Therapy
Were there any dose modifications or additions/ omissions to protocol treatment? (mark one with an X)
Were any optional protocol therapies given?
Were any non-protocol therapies given during protocol treatment?
Concurrent Non-Protocol Chemotherapy?
Concurrent Non-Protocol Hormonal Therapy?
Concurrent Non-Protocol Biologic Response Modifier Therapy?
Concurrent Non-Protocol Radiation Therapy?
Concurrent Non-Protocol High Dose Chemotherapy/Autologous Stem Cell Transplant?
Did this patient receive any tamoxifen?
Did patient begin taking tamoxifen during this reporting period? (If Yes)
Is the patient still receiving tamoxifen?

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