Description:

Registration Form, Form R, GOG-0219 Cisplatin and Radiation Therapy With or Without Tirapazamine in Treating Patients With Cervical Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=EF899EC7-4E6D-0D91-E034-0003BA3F9857

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=EF899EC7-4E6D-0D91-E034-0003BA3F9857

Keywords:
Versions (3) ▾
  1. 8/27/12
  2. 1/9/15
  3. 7/29/15
Uploaded on:

July 29, 2015

DOI:
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License:
Creative Commons BY-NC 3.0 Legacy
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Registration Cervical Cancer NCT00262821

No Instruction available.

  1. StudyEvent: Registration Form, Form R, GOG-0219
    1. No Instruction available.
Header Module
DD.MM.YYYY
DD.MM.YYYY
Tracking Information
DD.MM.YYYY
Demographic Information
Patient race (mark all that apply)
Patient ethnicity (check one)
Method of payment
cm
kg
Performance status (Zubrod)
Has the patient had any prior cancer diagnosed?
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