Description:

ANHL01P1: On Study NCT00057811 Rituximab, Rasburicase, and Combination Chemotherapy in Treating Young Patients With Newly Diagnosed Advanced B-Cell Leukemia or Lymphoma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=BA4755F9-8909-46E4-E034-0003BA12F5E7

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=BA4755F9-8909-46E4-E034-0003BA12F5E7

Keywords:
Versions (4) ▾
  1. 8/27/12
  2. 5/28/15
  3. 6/3/15
  4. 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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ANHL01P1: On Study NCT00057811

No Instruction available.

  1. StudyEvent: ANHL01P1: On Study
    1. No Instruction available.
Header Module
Treatment administrative data
Method of Payment (Required field)
Does patient have any baseline abnormalities noted during the initial history and physical examination? (Required field)
Diagnosis related information
Imaging Studies prior to start of therapy (Required field)
Unnamed question [results of imaging studies]
Was echocardiogram obtained prior to beginning therapy? (Required field)
Was a bone marrow evaluation done prior to study entry? (Required field.)
%
Interpretation of BM results (Required field)
Interpretation of BM results (Required field)
Does patient have malignant blasts in peripheral blood? (Can be yes or no)
Does patient have CNS involvement? (Can be yes or no.)
please check all sites of CNS involvement (If patient has CNS involvement,)
Was cerebrospinal fluid cell count done? (Required if CNS involvement yes)
ul
Were total number of cells counted in the cytocentrifuge? (Required if CNS involvement yes)
Ccrr Module For Anhl01p1: On Study

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