Description:

SOUTHWEST ONCOLOGY GROUP S0230 FOLLOW UP FORM NCT00068601 Goserelin in Preventing Ovarian Failure in Women Receiving Chemotherapy for Breast Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=BEA9E0F7-8786-2E1B-E034-0003BA12F5E7

Link:
https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=BEA9E0F7-8786-2E1B-E034-0003BA12F5E7
Keywords:
  1. 8/26/12 8/26/12 -
  2. 1/9/15 1/9/15 - Martin Dugas
  3. 1/9/15 1/9/15 - Martin Dugas
  4. 7/5/15 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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SOUTHWEST ONCOLOGY GROUP S0230 FOLLOW UP FORM NCT00068601

No Instruction available.

  1. StudyEvent: SOUTHWEST ONCOLOGY GROUP S0230 FOLLOW UP FORM
    1. No Instruction available.
Header
Vital Status
Vital Status
Disease Follow Up Status
Has the patient had a documented clinical assessment for this cancer since submission of the previous follow-up form?
Notice Of First Relapse Or Progression
Has the patient developed a first relapse or progression that has not been previously reported
Notice Of New Primary
Has a new primary cancer or myelodysplastic syndrome (MDS) been diagnosed that has not been previously reported?
Non-protocol Treatment
Has the patient received any non-protocol cancer therapy not previously reported?
Long Term Toxicity
Has the patient experienced (prior to treatment for progression or relapse or a second primary, and prior to non-protocol treatment) any severe (grade >= 3) long term toxicity that has not been previously reported?
Comments
Ccrr Module For Southwest Oncology Group S0230 Follow Up Form

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