Description:

NSABP PROTOCOL R-04: TREATMENT FORM - 2082638v3.0 Radiation Therapy and Either Capecitabine or Fluorouracil With or Without Oxaliplatin Before Surgery in Treating Patients With Resectable Rectal Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B7822823-8FBF-24ED-E034-0003BA12F5E7

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B7822823-8FBF-24ED-E034-0003BA12F5E7

Keywords:
Versions (3) ▾
  1. 8/27/12
  2. 1/9/15
  3. 9/24/15
Uploaded on:

September 24, 2015

DOI:
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License:
Creative Commons BY-NC 3.0 Legacy
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Treatment form Colorectal Cancer NSABP R-04 NCT00058474

No Instruction available.

  1. StudyEvent: NSABP PROTOCOL R-04: TREATMENT FORM
    1. No Instruction available.
Treatment
Are Data Amended?
Reason 5-FU or Capecitabine was discontinued or never started
Were any treatments delayed or skipped?
What was the reason for the treatment modification?
Specify type of toxicity
Was epoetin alfa discontinued while the patient was still receiving chemotherapy or radiation?
If yes, mark reason
mg/dL
mg/dL
U/L
U/L
U/L
U/L
mg/dL
mg/dL
mg/dl
/ul
/ul
1000/uL
1000/ul
g/dL
g/dL

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