Description:

E5103 Treatment Form - Step 1 NCT00433511 Doxorubicin, Cyclophosphamide, and Paclitaxel With or Without Bevacizumab in Treating Patients With Lymph Node-Positive or High-Risk, Lymph Node-Negative Breast Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=22B13531-DF02-6120-E044-0003BA3F9857

Link:
https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=22B13531-DF02-6120-E044-0003BA3F9857
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Versions (3)
  1. 8/26/12 8/26/12 -
  2. 1/8/15 1/8/15 - Martin Dugas
  3. 6/3/15 6/3/15 -
Uploaded on:

June 3, 2015

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License :
Creative Commons BY-NC 3.0 Legacy
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E5103 Treatment Form - Step 1 NCT00433511

English
Details

INSTRUCTIONS: Complete this form at the end of each cycle (1 cycle =3 weeks). Submit original to the ECOG Coordinating Center. Keep a copy for your files. Refer to forms packet for submission schedule

1 forms  
ECOG clinical trial administrative data
Reporting Period (x)
Reporting Period
On Treatment Report Period
4 more items in the detailed view.
Therapy Administered
Treatment Regimen
m2
Kg
Dose modification
Dose Modification Reason
3 more items in the detailed view.
Adverse Event
3 more items in the detailed view.
Adverse Event
6 more items in the detailed view.
Non-protocol Therapy
Was any non-protocol cancer therapy given during protocol treatment (not previously reported)
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