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:


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  3. 6/18/15
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June 18, 2015

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PACCT-1 TAILORx Non-Protocol Therapy Form NCT00310180

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  1. StudyEvent: PACCT-1 TAILORx Non-Protocol Therapy Form
    1. No Instruction available.
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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