Description:

E1305 Material Submission Form NCT00588770 Chemotherapy With or Without Bevacizumab in Treating Patients With Recurrent or Metastatic Head and Neck Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=1A0A35C2-22E0-420A-E044-0003BA3F9857

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=1A0A35C2-22E0-420A-E044-0003BA3F9857

Keywords:
Versions (4) ▾
  1. 9/19/12
  2. 1/9/15
  3. 1/9/15
  4. 7/3/15
Uploaded on:

July 3, 2015

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License:
Creative Commons BY-NC 3.0 Legacy
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E1305 Material Submission Form NCT00588770

Complete the indicated sections of this form. All samples must be listed, thus multiple forms may be completed per patient. Submit the forms WITH the material(s) to the central laboratory indicated in the protocol.

Header
Reporting Period
Completed By Submitting Institutions
Shipped to
Informed consent signed?
Tissue/material type
Timing of material collection
Completed By Central Lab
Condition of Specimen (s)
Contacts
Comments

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