Description:

NCT00127205 SOUTHWEST ONCOLOGY GROUP S0307 TREATMENT SUMMARY FORM Zoledronate, Clodronate, or Ibandronate in Treating Women Who Have Undergone Surgery for Stage I, Stage II, or Stage III Breast Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=DEC8DDEA-4CD8-1431-E034-0003BA12F5E7

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=DEC8DDEA-4CD8-1431-E034-0003BA12F5E7

Keywords:
Versions (4) ▾
  1. 8/26/12
  2. 1/8/15
  3. 1/9/15
  4. 7/5/15
Uploaded on:

July 5, 2015

DOI:
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License:
Creative Commons BY-NC 3.0 Legacy
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NCT00127205 SOUTHWEST ONCOLOGY GROUP S0307 TREATMENT SUMMARY FORM

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  1. StudyEvent: SOUTHWEST ONCOLOGY GROUP S0307 TREATMENT SUMMARY FORM
    1. No Instruction available.
Header
Interval
Disease Status
Vital Status
Treatment Status
Assigned Treatment Arm
Was the patient treated on the assigned arm during this interval?
Were there any dose modifications or additions/omissions to protocol treatment during this interval?
Has the patient received any chemotherapy during this interval?
Has the patient received radiation therapy during this interval?
Has the patient received any hormone therapy during this interval?
If yes
Is the patient currently taking a statin (atorvastatin Lipitor, pravastatin Pravachol, simvastatin Zocor, lovastatin Mevacor, fluvastatin Lescol, rosuvastatin Crestor?)
Fracture status
Has the patient had a fracture since submission of the last follow-up form?
indicate site
Was the fracture traumatic (from greater than standing height?)
Has the patient had osteonecrosis or osteomyelitis of the jaw since submission of the last follow-up form? (If yes, submit S0307 Osteonecrotic Jaw Lesion Form)
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