Description:

Southwest Oncology Group S0600 Prestudy Form Irinotecan and Cetuximab With or Without Bevacizumab in Treating Patients With Metastatic Colorectal Cancer That Progressed During First-Line Therapy Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=153FB385-1447-52C3-E044-0003BA3F9857

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=153FB385-1447-52C3-E044-0003BA3F9857

Keywords:
Versions (4) ▾
  1. 8/27/12
  2. 8/8/14
  3. 1/9/15
  4. 8/5/15
Uploaded on:

August 5, 2015

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License:
Creative Commons BY-NC 3.0 Legacy
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Pre-Study Form Colorectal Cancer SWOG S0600 NCT00499369

No Instruction available.

  1. StudyEvent: Southwest Oncology Group S0600 Prestudy Form
    1. No Instruction available.
Header
Disease Description
Performance Status
Site of Involvement (s - select all that apply for current disease:)
Laboratory Values
1000/ul
/ul
1000/uL
1000/ul
g/dL
g/dL
Patient receiving full-dose anticoagulants
Liver metastases (Hepatic:)
mg/dL
mg/dL
U/L
U/L
U/L
U/L
mg/dL
mg/dL
mL/min
mL/min
g/24 hours
mmol/L
mmol/L
mmol/l
mmol/l
mmol/L
mmol/l
mmol/L
mmol/l
mmol/l
mmol/l
mmol/L
mmol/L
mmol/L
mmol/L
mmHg
mmHg
Prior Treatment Related To This Cancer
Prior Therapy Type (select ALL that apply)
Front-line chemotherapy regimen (select one)

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