Description:

E3200 Treatment Summary Form NCT00025337 Combination Chemotherapy With or Without Bevacizumab Compared With Bevacizumab Alone in Treating Patients With Advanced or Metastatic Colorectal Cancer That Has Been Previously Treated Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A16FACD4-477B-6CEF-E034-080020C9C0E0

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A16FACD4-477B-6CEF-E034-080020C9C0E0

Keywords:

Colorectal Neoplasms

Clinical Trial

Treatment Form

Versions (3) ▾

12/18/14
6/2/15
6/3/15

Uploaded on:

June 3, 2015

DOI:

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License:

Creative Commons BY-NC 3.0 Legacy

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E3200 Treatment Summary Form NCT00025337

Details

No Instruction available.

StudyEvent: E3200 Treatment Summary Form
1. No Instruction available.

Treatment Summary

Date of data transfer

Transfer Method

Specify other transfer method

Step No.

Patient Name

Particip. Group Protocol Number

Patient Study ID, Participating Group

Institution Name

Affiliate Name

Amended Data Ind

Treatment Arm Number

Treatment Begin Date

Treatment End Date

Off Treatment Reason

Off Treatment Reason, Complicating Disease

Off Treatment Reason, Other

Total Course Number

Dose Modification (Change)

Therapy Modification Name

Therapy Modification Type

Therapy Modification Reason

Comments

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