E2902 On-Study Form - Form 2050 NCT00093470 Tipifarnib in Treating Patients With Acute Myeloid Leukemia in Remission Source Form: NCI FormBuilder:

  1. 9/19/12 9/19/12 -
  2. 1/9/15 1/9/15 - Martin Dugas
  3. 6/9/15 6/9/15 -
  4. 9/20/21 9/20/21 -
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September 20, 2021

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Creative Commons BY-NC 3.0 Legacy
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E2902 On-Study Form - Form 2050 NCT00093470

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  1. StudyEvent: E2902 On-Study Form - Form 2050
    1. No Instruction available.
Report Period (Place ID Label Here)
Are data amended
Evaluation of Disease/Cancer
Leukemia Classification
Peripheral Nervous System
Gingival Hypertrophy
Mediastinal Mass
Skin (cutaneous)
Current Remission
Type of post remission therapy
Current Cr Confirmation
Bone Marrow Biopsy/aspirate
Marrow Cellularity Status
At Any Time
Has the patient had a prior autologous transplant?
Has the patient had a prior allo transplant?
Current Performance Status
Performance status (ECC use only)
Baseline Abnormalities

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