Description:

S0502 Advanced GIST PreStudy Form NCT00324987 S0502 Imatinib Mesylate With or Without Bevacizumab in Treating Patients With Metastatic or Unresectable Gastrointestinal Stromal Tumor Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=FCBF6A0D-F933-70F8-E034-0003BA3F9857

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=FCBF6A0D-F933-70F8-E034-0003BA3F9857

Keywords:
Versions (4) ▾
  1. 9/19/12
  2. 8/8/14
  3. 1/9/15
  4. 6/12/15
Uploaded on:

June 12, 2015

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License:
Creative Commons BY-NC 3.0 Legacy
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S0502 Advanced GIST PreStudy Form NCT00324987

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  1. StudyEvent: S0502 Advanced GIST PreStudy Form
    1. No Instruction available.
Header
Eligibility Verification
Performance Status
g/dL
1000/uL
Liver metastases (Hepatic)
mg/dL
seconds
mg/dL
mg/dL
Cardiovascular/ Gastrointestinal Event
Current Disease Status
Site(s) of Disease (recommend to replace SWOG term "Fill in the box for each involved site" select all that apply)
Was a complete resection done? (recommend to replace SWOG term "Was primary completely resected?")
Recurrent disease?
Tumor Grade
Distant metastases present?
Sarcoma Histologic Category
cm
Patient History
Does patient have history of adrenal cancer (Patient History indicative of Carney's triad)
Prior Treatment Related To This Cancer
Prior Therapy Type (s select ALL that apply)
Setting of prior agent targeting VEGF, VEGFR, or PDGFR
Setting of prior imatinib (select all that apply)
Was patient restaged after initiation of imatinib therapy
Does patient have clinical evidence of progressive disease
Comments

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