PACCT-1 TAILORx Material Submission 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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June 18, 2015

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PACCT-1 TAILORx Material Submission Form NCT00310180

Institution Instructions: Sample Collection and Shipment: Samples are to be collected prior to beginning treatment and submitted on dry ice within 4 days of collection as described in Section 10.0.

Reporting Period
Patient demographics
Completed by Submitting Institutions
Shipped to
Informed consent signed?
Specimen Type (s)
Timing of material collection
Frozen Tumor Tissue
Completed By Central Lab
Condition of Specimen (s)

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