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
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Versions (3)
  1. 8/27/12 8/27/12 -
  2. 1/9/15 1/9/15 - Martin Dugas
  3. 9/24/15 9/24/15 - Martin Dugas
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September 24, 2015

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

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Details

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1 forms  
  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
6 more items in the detailed view.
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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