Description:

Southwest Oncology Group Registration Form (S0500) NCT00382018 Treatment Decision Making Based on Blood Levels of Tumor Cells in Women With Metastatic Breast Cancer Receiving Chemotherapy Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=07BE67DB-E4E8-6CBC-E044-0003BA3F9857

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=07BE67DB-E4E8-6CBC-E044-0003BA3F9857

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 (S0500) NCT00382018

No Instruction available.

  1. StudyEvent: Southwest Oncology Group Registration Form (S0500)
    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 use in research about other health problems (for example: diabetes, Alzheimer's disease, or heart disease).
Someone may contact me in the future to ask me to allow other uses of my specimens
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
Stratification Factors
HER-2 Status
Disease Type

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