Description:

Z1041: Adverse Events Form Combination Chemotherapy and Paclitaxel Plus Trastuzumab in Treating Women With Palpable Breast Cancer That Can Be Removed by Surgery NCT00513292 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=20CBBAAC-DEE9-0764-E044-0003BA3F9857

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=20CBBAAC-DEE9-0764-E044-0003BA3F9857

Keywords:
Versions (5) ▾
  1. 8/26/12
  2. 1/9/15
  3. 1/9/15
  4. 2/5/19
  5. 2/27/19
Copyright Holder:
NCI
Uploaded on:

February 27, 2019

DOI:
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License:
Creative Commons BY-NC 3.0
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Adverse Events Form Toxicity Breast Cancer (NCT00513292)

No Instruction available.

  1. StudyEvent: Z1041: Adverse Events Form
    1. No Instruction available.
Header Module
Visit
Instructions
Was patient hospitalized during this reporting interval
Has an Adverse Event Expedited (AdEERS) Report been submitted
Ae Module
CTC Adverse Event Term
CTC AE Attribution Code (see above)
Were any additional adverse events experienced by the patient

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