Description:

CALGB 40601 ON-STUDY 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=39F0C5FF-8DFB-6139-E044-0003BA3F9857

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=39F0C5FF-8DFB-6139-E044-0003BA3F9857

Keywords:
Versions (3) ▾
  1. 8/27/12
  2. 1/9/15
  3. 6/9/15
Uploaded on:

June 9, 2015

DOI:
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License:
Creative Commons BY-NC 3.0 Legacy
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CALGB 40601 ON-STUDY FORM NCT00770809

INSTRUCTIONS: Complete all information on this form. Submit within one week of registration along with the On-Study Form.

Header
Amended Data
Patient demographics
Menopausal Status
Menopausal Status
Disease Description
Tumor Laterality
Receptor Status, ER
Receptor Status, PgR
Histologic Grade
Histologic Type
Type of Biopsy Procedure
Clinical Disease Assessment
Method of Evaluation
Clinical T Stage
Clinical N Stage
Clinical M Stage
Comments
1000/uL
%
mg/dL
Required Laboratory Values
Footer Module

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