Description:

Southwest Oncology Group S0904 Registration Worksheet for OPEN - Step 2 Docetaxel With or Without Vandetanib in Treating Patients With Persistent or Recurrent Ovarian Epithelial Cancer, Fallopian Tube Cancer, or Primary Peritoneal Cancer NCT00872989 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=7C965708-98F3-5904-E040-BB89AD432C8B

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=7C965708-98F3-5904-E040-BB89AD432C8B

Keywords:
Versions (2) ▾
  1. 9/19/12
  2. 5/20/15
Uploaded on:

May 20, 2015

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License:
Creative Commons BY-NC 3.0 Legacy
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Ovarian Cancer Registration SWOG S0904 NCT00872989

INSTRUCTIONS: All of the information on this Registration Worksheet and the Protocol Eligibility Section must be answered appropriately for a patient to be considered eligible for registration. This Registration Worksheet must be entirely filled out and referred to during the registration. Do NOT submit this worksheet as part of the patient data.

SWOG Patient ID
Patient Information
Has the Southwest Oncology Group Registration Worksheet been completed entirely and is the patient eligible according to the current version of protocol section 5.0

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