Description:

PACCT-1 TAILORx Non-Protocol Therapy Form NCT00310180 Hormone Therapy With or Without Combination Chemotherapy in Treating Women Who Have Undergone Surgery for Node-Negative Breast Cancer (The TAILORx Trial) Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=06183E11-630F-7413-E044-0003BA3F9857

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=06183E11-630F-7413-E044-0003BA3F9857

Keywords:
Versions (3) ▾
  1. 8/26/12
  2. 1/9/15
  3. 6/18/15
Uploaded on:

June 18, 2015

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License:
Creative Commons BY-NC 3.0 Legacy
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PACCT-1 TAILORx Non-Protocol Therapy Form NCT00310180

No Instruction available.

  1. StudyEvent: PACCT-1 TAILORx Non-Protocol Therapy Form
    1. No Instruction available.
Header
Reporting Period
Non-Protocol Therapy
Non-Protocol Chemotherapy
Non-Protocol Hormonal Therapy? (/Biological Response Modifiers)
Non-Protocol Immunotherapy?
Non-protocol high dose chemotherapy/stem cell transplant (Autologous or Allogeneic)
Non-Protocol Surgery?
Non-protocol radiation therapy to primary
Other Non-Protocol Therapy
Was any non-protocol therapy given during protocol treatment? (NOTE: Treatment for a second primary in the same organ site would not be considered therapy for disease of this protocol. - NOTE: Submit PACCT-1 Second Primary Form if applicable.)
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