Admininstrative data
Subject ID
text
Page
integer
Adverse events
adverse event number
Adverse event
Serious adverse event
Study termination
Start date
date
Stop date
Ongoing adverse event at End of Treatment
boolean
Maximum CTCAE grade
Causality with Obinutuzumab
Causality with Pixantrone
Action taken with Obinutuzumab
Action taken with Pixantrone
Treatment
Treatment Outcome
I have reviewed the AEs on this page and have assessed them for seriousness, causality, severity and outcome and confirm that, to the best of my knowledge, they accurately reflect the study information obtained for this patient.
Data correct
Date of signature
Name of investigator