Description:

NSABP PROTOCOL C-08 ADVERSE EVENT FORM Fluorouracil, Leucovorin, and Oxaliplatin With or Without Bevacizumab in Treating Patients Who Have Undergone Surgery for Stage II or Stage III Colon Cancer NCT00096278 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=EF511EA4-0C5D-199B-E034-0003BA3F9857

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=EF511EA4-0C5D-199B-E034-0003BA3F9857

Keywords:
Versions (4) ▾
  1. 8/27/12
  2. 1/8/15
  3. 1/9/15
  4. 3/23/15
Uploaded on:

March 23, 2015

DOI:
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License:
Creative Commons BY-NC 3.0 Legacy
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Colorectal Cancer (NSABP NCT00096278)

Fax to 412-622-2111

  1. StudyEvent: NSABP PROTOCOL C-08 ADVERSE EVENT FORM
    1. Fax to 412-622-2111
Header
Are data amended? (check box if yes, and circle amended items)
Adverse event
Type of Report
Was patient hospitalized for 24 hours or more?
Any grade 3, 4, or 5 adverse event (AE) or any grade >= 2 neurologic AE?

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