Description:

CALGB: 80203 ADVERSE EVENT FORM NCT00077233 Fluorouracil and Leucovorin Plus Either Irinotecan or Oxaliplatin With or Without Cetuximab in Treating Patients With Previously Untreated Metastatic Adenocarcinoma of the Colon or Rectum Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B4C3B499-D669-0736-E034-0003BA12F5E7

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B4C3B499-D669-0736-E034-0003BA12F5E7

Keywords:
Versions (4) ▾
  1. 8/27/12
  2. 1/9/15
  3. 1/9/15
  4. 7/8/15
Uploaded on:

July 8, 2015

DOI:
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License:
Creative Commons BY-NC 3.0 Legacy
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CALGB: 80203 ADVERSE EVENT FORM NCT00077233

Details

No Instruction available.

  1. StudyEvent: CALGB: 80203 ADVERSE EVENT FORM
    1. No Instruction available.
Header
Are data amended?
Patient demographics
AER/ADR filed?
Was an AER/ADR filed with Central Office based on an event reported below?
Expected Adverse Events
Treatment Related
Ccrr Module For Calgb: 80203 Adverse Event Form
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