E2902 Material Submission Form - Form 1845 NCT00093470 Tipifarnib in Treating Patients With Acute Myeloid Leukemia in Remission Source Form: NCI FormBuilder:

  1. 9/19/12 9/19/12 -
  2. 1/9/15 1/9/15 - Martin Dugas
  3. 6/16/15 6/16/15 -
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June 16, 2015

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Creative Commons BY-NC 3.0 Legacy
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E2902 Material Submission Form - Form 1845 NCT00093470

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  1. StudyEvent: E2902 Material Submission Form - Form 1845
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Report Period (Place ID Label Here)
Completed By Submitting Institutions
Shipped to
Informed consent signed?
Sample No.
Tissue/material type
Type of collection/stain/process
Timing of material collection
Completed By Central Lab
Condition of specimen
Aliquots of sample made

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