Description:

CALGB-10501 Two Month Post First Treatment Restaging Form NCT00513747 Early or Delayed Fludarabine and Rituximab in Treating Patients With Previously Untreated Chronic Lymphocytic Leukemia Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=3410113C-154F-25BC-E044-0003BA3F9857

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=3410113C-154F-25BC-E044-0003BA3F9857

Keywords:
Versions (3) ▾
  1. 9/19/12
  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-10501 Two Month Post First Treatment Restaging Form NCT00513747

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. Mark an X in the appropriate box for fields with a choice

Header
Are data amended
Patient demographics
Blood test results
1000/uL
g/dL
1000/uL
assessment of splenomegaly/hepatomegaly
Palpable splenomegaly
Palpable hepatomegaly
Coomb's Data
Coomb's Test (Mark one with an X.)
Coomb's Indirect Test (Mark one with an X.)
Overall Response

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