Description:

NCI Cooperative Group Not for Arm G Patients Colorectal Ca - Adjuvant Disease Treatment Summary Form NCT00079274 Comparison of Combination Chemotherapy Regimens With or Without Cetuximab in Treating Patients Who Have Undergone Surgery For Stage III Colon Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=DFAA3B47-A18B-66D4-E034-0003BA12F5E7

Link:
https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=DFAA3B47-A18B-66D4-E034-0003BA12F5E7
Keywords:
  1. 8/27/12 8/27/12 -
  2. 1/8/15 1/8/15 - Martin Dugas
  3. 6/3/15 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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NCI Cooperative Group Not for Arm G Patients Colorectal Ca - Adjuvant Disease Treatment Summary Form NCT00079274

Visit: Off Treatment

  1. StudyEvent: NCI Cooperative Group Not for Arm G Patients Colorectal Ca - Adjuvant Disease Treatment Summary Form
    1. Visit: Off Treatment
Header module
Are data amended? (If data are amended, please circle in red when using paper form)
Colorectal: Treatment Summary Interval - End Of Treatment
Reason Treatment Ended (check one)
Colorectal: Treatment Schedule - Systemic Therapy
Were there any dose modifications or additions/omissions to protocol treatment? (decreases/increases)
Was agent modified (decreased/increased) or omitted?
Was agent modified (decreased/increased) or omitted?
Was agent modified (decreased/increased) or omitted?
Reason(s) Modified (If yes, [C225] decreased/increased/omitted [Reasons modified are based on Dose Modification Table in protocol section 8.0])
Reason(s) Modified (If yes, [C225] decreased/increased/omitted [Reasons modified are based on Dose Modification Table in protocol section 8.0])
Reason(s) Modified (If yes, [C225] decreased/increased/omitted [Reasons modified are based on Dose Modification Table in protocol section 8.0])
Disease Evaluation
Response Status at This Assessment
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