Infection NCT00513526 Registration - AMC-052 Screen Failure Predictor Variables Survey Form - 2958715v1.0 AMC-052 Screen Failure Predictor Variables Survey Form Human Papillomavirus Vaccine Therapy in Treating Men With HIV-1 Infection Source Form: NCI FormBuilder:

  1. 9/19/12 9/19/12 -
  2. 7/19/17 7/19/17 - Martin Dugas
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July 19, 2017

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Creative Commons BY-NC 3.0
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HIV HPV Vaccine NCT00513526 AMC-052

Please provide responses to all questions below. Only data which was previously collected by the research staff should be reported

Verbal Consent
Was verbal consent obtained from the subject
Results of the most recent viral load assay
Results of HIV viral load assay
Method of detection
HIV viral load assay type

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