Description:

CALGB: 10603 On-Study Form Daunorubicin, Cytarabine, and Midostaurin in Treating Patients With Newly Diagnosed Acute Myeloid Leukemia Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=437820BA-0A20-2BB7-E044-0003BA3F9857

Link:
https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=437820BA-0A20-2BB7-E044-0003BA3F9857
Keywords:
  1. 9/19/12 9/19/12 -
  2. 1/9/15 1/9/15 - Martin Dugas
  3. 9/20/21 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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Leukemia DRKS00003845 NCT00651261 On-Study - CALGB: 10603 On-Study Form - 2719613v1.0

No Instruction available.

  1. StudyEvent: CALGB: 10603 On-Study Form
    1. No Instruction available.
Header
Are data amended
Ccrr Module For Calgb 90202: Prostate Specific Antigen Form
Patient Description
Leukemia Classification (who/fab)
WHO Diagnosis
Leukemia Classification (FAB)
Clinical Onset Of Aml
Clinical Onset of AML
Prior treatment for leukemia or myelodysplasia
Did the patient receive cytotoxic treatment for the MDS (If the patient had antecedent MDS,)
Extramedullary Disease Involvement
Extramedullary Disease Involvement
Are auer rods present?
Organ Involvement
Palpable splenomegaly
Splenomegaly by scan (or X-ray)
Palpable hepatomegaly
Hepatomegaly by scan (or X-ray)
Palpable lymphadenopathy
Lymphadenopathy by scan
Current Symptoms
Current Infection
Bleeding/Hemorrage
Lab Data At Study Entry
Chest X-Ray Result
mg/dL
EKG result
%
Method to determine ejection fraction
Overall Response

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