Description:

NCT01196390 RTOG 1010 Concurrent Treatment Summary Form (TF) Radiation Therapy, Paclitaxel, and Carboplatin With or Without Trastuzumab in Treating Patients With Esophageal Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=870670E5-419D-C79B-E040-BB89AD431B2F

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=870670E5-419D-C79B-E040-BB89AD431B2F

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

July 8, 2015

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License:
Creative Commons BY-NC 3.0 Legacy
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NCT01196390 RTOG 1010 Concurrent Treatment Summary Form (TF)

INSTRUCTIONS: Form is submitted 1 week after completion or termination of systemic treatment. All 6 pages of the form must be submitted. Dates are mm-dd-yyyy unless specified otherwise

RTOG clinical trial administrative data
Assessment
cm
Kg
m2
Treatment Summary
Therapy Modification
Toxicities
Protocol Specific Adverse Event Evaluation
Protocol Specific Adverse Event Evaluation
Protocol Specific Adverse Event Evaluation
Protocol Specific Adverse Event Evaluation
Protocol Specific Adverse Event Evaluation
Protocol Specific Adverse Event Evaluation
Comments