Description:

E2905 Non-Protocol Therapy Form NCT00843882 Lenalidomide With or Without Epoetin Alfa in Treating Patients With Myelodysplastic Syndrome and Anemia Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=0EAAC4E1-8B9B-7470-E044-0003BA3F9857

Link:
https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=0EAAC4E1-8B9B-7470-E044-0003BA3F9857
Keywords:
  1. 9/19/12 9/19/12 -
  2. 1/9/15 1/9/15 - Martin Dugas
  3. 6/16/15 6/16/15 -
Uploaded on:

June 16, 2015

DOI:
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License :
Creative Commons BY-NC 3.0 Legacy
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E2905 Non-Protocol Therapy Form NCT00843882

INSTRUCTIONS: Use this form to capture the first occurrence of non-protocol anti-tumor therapy per registration step

Header
Reporting Period
Patient demographics
Data amendment
Non-Protocol Therapy
Non-protocol Chemotherapy (Types of first non-protocol therapy - which includes any cancer therapy that is not part of the planned regimen.)
Non-protocol Hormonal Therapy
Non-protocol Immunotherapy (Biological Response Modifiers)
Non-protocol High Dose Chemotherapy/Stem Cell Transplant (Autologous or Allogeneic)
Non-protocol Surgery
Non-protocol Radiation Therapy
Other Non-protocol Therapy
Was the non-protocol therapy given for the disease of this protocol (NOTE: Treatment for a second primary in the same organ site would not be considered therapy for disease of this protocol.)
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