Description:

E2902 Treatment (Observation) Form - Arm B - Form 2052 NCT00093470 Tipifarnib in Treating Patients With Acute Myeloid Leukemia in Remission Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=DC08F7A4-CBE4-0CF3-E034-0003BA12F5E7

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=DC08F7A4-CBE4-0CF3-E034-0003BA12F5E7

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Versions (4) ▾
  1. 9/19/12
  2. 1/8/15
  3. 1/9/15
  4. 7/5/15
Uploaded on:

July 5, 2015

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License:
Creative Commons BY-NC 3.0 Legacy
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E2902 Treatment (Observation) Form - Arm B - Form 2052 NCT00093470

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  1. StudyEvent: E2902 Treatment (Observation) Form - Arm B - Form 2052
    1. No Instruction available.
Header
Observation Report Period (Choose one)
Are data amended
Vital Status
Patient Vital Status
Primary Cause of Death (if applicable)
Report Period Information
Performance status (Evaluation closest to start of Report Period)
Non-protocol Therapy
Was any non-protocol therapy given (not previously reported)
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