Description:

E2905 Registration Worksheet (step 2) Lenalidomide With or Without Epoetin Alfa in Treating Patients With Myelodysplastic Syndrome and Anemia Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=532EF76D-D605-140D-E044-0003BA3F9857

Link:
https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=532EF76D-D605-140D-E044-0003BA3F9857
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Versions (3)
  1. 9/19/12 9/19/12 -
  2. 1/9/15 1/9/15 - Martin Dugas
  3. 9/17/21 9/17/21 -
Uploaded on:

September 17, 2021

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License :
Creative Commons BY-NC 3.0 Legacy
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Leukemia NCT00843882 Eligibility - E2905 Registration Worksheet (step 2) - 2769504v1.0

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1 forms  
  1. StudyEvent: E2905 Registration Worksheet (step 2)
    1. No Instruction available.
Eligibility
Has the eligibility checklist been completed
In the opinion of the investigator, is the patient eligible?
Which treatment arm did the patient receive on step 1 of treatment
Patient Demographics / Pre-treatment Characteristics
Patient's Sex
Patient Race (check all that applyU.S. and Canada only)
3 more items in the detailed view.
Patient Ethnicity
Method of payment (check one)
9 more items in the detailed view.
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