Description:

CALGB: HER-2/NEU Status Form NCT00053339 Trastuzumab With or Without Tamoxifen in Treating Women With Progressive Stage IV Breast Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A73D12AD-990B-4739-E034-0003BA0B1A09

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A73D12AD-990B-4739-E034-0003BA0B1A09

Keywords:
Versions (3) ▾
  1. 8/26/12
  2. 5/22/15
  3. 6/3/15
Uploaded on:

June 3, 2015

DOI:
No DOI assigned. To request one pleaselog in.
License:
Creative Commons BY-NC 3.0 Legacy
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CALGB: HER-2/NEU Status Form NCT00053339

INSTRUCTIONS: Complete and submit this form as required by the protocol. Information in the upper right box must be completed for this form to be accepted. Do not leave any entries blank. Enter -1 to indicate that an answer in unknown, unobtainable, not applicable, or not done. Retain a copy for your records and submit ORIGINAL to the CALGB Data Management Center.

CALGB Information
Amended data?
Patient clinical trial data
Sample Data
Could the tissue sample be evaluated?
Testing Data
Tumor site tested
Staining antibody used for IHC
Serum ECD test
Method of testing
Kit used for FISH
Testing Results
Her-2/neu Status
IHC Lab value
Ccrr Module For Calgb: Her-2/neu Status Form