E2804 Registration Worsksheet Bevacizumab, Sorafenib, and Temsirolimus in Treating Patients With Metastatic Kidney Cancer Source Form: NCI FormBuilder:

  1. 9/19/12 9/19/12 -
  2. 1/9/15 1/9/15 - Martin Dugas
  3. 9/17/21 9/17/21 -
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September 17, 2021

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Creative Commons BY-NC 3.0 Legacy
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Kidney Cancer NCT00378703 Eligibility - E2804 Registration Worsksheet - 2680170v1.0

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  1. StudyEvent: E2804 Registration Worsksheet
    1. No Instruction available.
Has the eligibility checklist been completed
In the opinion of the investigator, is the patient eligible?
Has written informed consent been obtained
Has HIPAA authorization been obtained
Prior Therapy Type
Motzer risk status
My specimens may be kept for use in research to learn about, prevent, treat, or cure cancer.
I agree to participate in the protein and DNA studies that are being done as part of this clinical trial.
I agree to participate in the drug level studies that are being done as part of this clinical trial.
My specimens may be kept for use in research about other health problems (for example: causes of diabetes, Alzheimer's disease, or heart disease)
Someone from this institution may contact me in the future to ask me to take part in more research.
Patient Demographics / Pre-treatment Characteristics
Patient's Sex
Patient's Race
Patient Ethnicity
Method of payment (check one)
I Have Reviewed The Above Data And Agree The Date Are Accurate And Correct

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