E4805 Registration Worsksheet - Step 1 VEGF Trap in Treating Patients With Metastatic or Unresectable Kidney Cancer Source Form: NCI FormBuilder:


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  4. 9/20/21
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September 20, 2021

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Kidney Cancer NCT00357760 Eligibility - E4805 Registration Worsksheet - Step 1 - 3056754v1.0

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  1. StudyEvent: E4805 Registration Worsksheet - Step 1
    1. No Instruction available.
Has the eligibility checklist been completed?
In the opinion of the investigator, is the patient eligible?
Has written informed consent been obtained?
Has HIPAA authorization been obtained?
MSKCC risk status
Prior cytokine therapy (interleukin 2 and interferon alpha only)
I agree to participate in the laboratory research studies that are being done as part of this clinical trial.
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: causes of diabetes, Alzheimer's disease, or heart disease)
Someone from this institution may contact me in the future to ask me to take part in more research.
Patient Demographics / Pre-treatment Characteristics
Patient's Sex
Patient's Race
Patient Ethnicity
Method of payment (check one)
Country of residence
I Have Reviewed The Above Data And Agree The Date Are Accurate And Correct

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