Description:

CALGB 40601 FOLLOW-UP SOLID TUMOR EVALUATION FORM NCT00770809 Paclitaxel and Trastuzumab With or Without Lapatinib in Treating Patients With Stage II or Stage III Breast Cancer That Can Be Removed by Surgery Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=3CB30144-0173-5B57-E044-0003BA3F9857

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=3CB30144-0173-5B57-E044-0003BA3F9857

Keywords:
Versions (3) ▾
  1. 8/27/12
  2. 1/8/15
  3. 6/3/15
Uploaded on:

June 3, 2015

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License:
Creative Commons BY-NC 3.0 Legacy
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CALGB 40601 FOLLOW-UP SOLID TUMOR EVALUATION FORM NCT00770809

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. For optimal accuracy use black ink.

CALGB clinical trial administrative data
Are data amended
Reporting Period
Target Lesion Site
Method of Evaluation (**)
cm
Response Status at This Assessment, Target Lesion (s)
Non-target Lesion(s) Follow-up Evaluation
Nontarget Lesion
Nontarget Lesion Site
F/U Response Status (Use response status codes below.)
Response Status at This Assessment, Non-Target Lesion (s)
New Lesion(s) At Follow-up Evaluation
Was the appearance of any new lesions documented
Were any of the new lesion(s) in a previously reported anatomic site
Was the lesion in a new anatomic site
Lesion in previously reported site
New Lesion Site
Target Lesion
Overall Response

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