Description:

E4805 Registration Worsksheet - Step 1 VEGF Trap in Treating Patients With Metastatic or Unresectable Kidney Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=83D1F61D-EFC6-FE74-E040-BB89AD436539

Link:
https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=83D1F61D-EFC6-FE74-E040-BB89AD436539
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Versions (4)
  1. 9/19/12 9/19/12 -
  2. 1/9/15 1/9/15 - Martin Dugas
  3. 1/9/15 1/9/15 - Martin Dugas
  4. 9/20/21 9/20/21 -
Uploaded on:

September 20, 2021

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Creative Commons BY-NC 3.0 Legacy
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Kidney Cancer NCT00357760 Eligibility - E4805 Registration Worsksheet - Step 1 - 3056754v1.0

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Details

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1 forms  
  1. StudyEvent: E4805 Registration Worsksheet - Step 1
    1. No Instruction available.
Eligibility
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
3 more items in the detailed view.
Patient Ethnicity
Method of payment (check one)
8 more items in the detailed view.
Country of residence
243 more items in the detailed view.
I Have Reviewed The Above Data And Agree The Date Are Accurate And Correct
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