Description:

Southwest Oncology Group Registration Form (S0307) NCT00127205 Zoledronate, Clodronate, or Ibandronate in Treating Women Who Have Undergone Surgery for Stage I, Stage II, or Stage III Breast Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=DEA4C71E-40E2-1358-E034-0003BA12F5E7

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=DEA4C71E-40E2-1358-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:
No DOI assigned. To request one please log in.
License:
Creative Commons BY-NC 3.0 Legacy
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Southwest Oncology Group Registration Form (S0307) NCT00127205

No Instruction available.

  1. StudyEvent: Southwest Oncology Group Registration Form (S0307)
    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 specimens may be kept for use in research to learn about, prevent, treat, or cure cancer.
My specimens 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.
I agree to allow my study doctor, or someone approved by my study doctor, to contact me regard future research involving my participation in this study
I agree to submit a tissue specimen for analysis of the substance parathyroid hormone related protein (PTHrP) to see if this predicts the risk of my breast cancer spreading to the bones
I agree to submit a blood specimen for analysis of the substance n-telopeptide to see if high levels predict the risk of my breast cancer spreading to the bones
I agree to submit a whole blood sample for genetic studies related to the development of side-effects to the kinds of drugs used in this study

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