Description:

CALGB 80802 Registration Worksheet Form Sorafenib Tosylate With or Without Doxorubicin Hydrochloride in Treating Patients With Locally Advanced or Metastatic Liver Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=73B6D8AE-48AF-7324-E040-BB89AD43648A

Link:
https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=73B6D8AE-48AF-7324-E040-BB89AD43648A
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  1. 9/19/12 9/19/12 -
  2. 1/9/15 1/9/15 - Martin Dugas
  3. 1/9/15 1/9/15 - Martin Dugas
  4. 9/17/21 9/17/21 -
Uploaded on:

September 17, 2021

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Creative Commons BY-NC 3.0 Legacy
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Liver Cancer NCT01015833 Registration - CALGB 80802 Registration Worksheet Form - 2940585v1.0

A Randomized Phase III Trial to Evaluate the Potential Utility of a Genomic Prognostic Model to Identify Stage I Non-Small Cell Lung Cancer NSCLC) Patients as Candidates for Adjuvant Chemotherapy

Header Module
Protocol Administration
Patient Demographics/pre-treatment Characteristics
Gender
Patient Demographics/pre-treatment Characteristics2
Race (Mark all that apply)
Ethnicity (Mark one)
Performance Status (ECOG/Zubrod scale)
cm
Kg
m2
Method of Payment (USA only Mark one)
Patient Demographics/pre-treatment Characteristics3
Certification Of Eligibility And Protocol Design
In the opinion of the investigator, is the patient eligible?
Protocol Design
Hepatitis status
Extent of disease
Assigned Treatment Arm
Protocol Design
Did the patient agree to participate in the CT imaging study
Patient's Initial Consent given for specimen use for research on the patient's cancer
Patient's initial consent given for blood specimen use for genetic research on patient's cancer?
Patient's Initial Consent given for specimen kept for future use in research to learn about, prevent, or treat cancer
Patient's Initial Consent given for specimen use for research unrelated to the patient's cancer?
Patient's initial consent given for further contact regarding specimen?
Registration Information
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