Description:

Southwest Oncology Group Registration Form (S0347) NCT00103233 Vinorelbine With or Without Trastuzumab in Treating Women With Progressive Metastatic Breast Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=DE0362CF-1A71-1531-E034-0003BA12F5E7

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=DE0362CF-1A71-1531-E034-0003BA12F5E7

Keywords:
Versions (5) ▾
  1. 8/26/12
  2. 1/9/15
  3. 1/9/15
  4. 6/27/15
  5. 9/20/21
Uploaded on:

September 20, 2021

DOI:
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License:
Creative Commons BY-NC 3.0 Legacy
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Southwest Oncology Group Registration Form (S0347) NCT00103233

No Instruction available.

  1. StudyEvent: Southwest Oncology Group Registration Form (S0347)
    1. No Instruction available.
Header
Patient demographics
Patient Gender
Method of Payment
Patient's Ethnicity
Patient's Race (select all that apply)
Miscellaneous Patient Information
My tissue and blood may be kept for use in research to learn about, prevent, treat, or cure cancer.
My tissue and blood may be kept for research about other health problems (for example: causes of diabetes, Alzheimer's disease, and heart disease).
Someone from the Southwest Oncology Group may contact me in the future to ask me to take part in more research.

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