Description:

E2805 Renal Cell Carcinoma On-Study Form NCT00326898 Sunitinib or Sorafenib in Treating Patients With Kidney Cancer That Was Removed By Surgery Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=053ADDEA-1681-66BC-E044-0003BA3F9857

Link:
https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=053ADDEA-1681-66BC-E044-0003BA3F9857
Keywords:
  1. 12/18/14 12/18/14 - Martin Dugas
  2. 1/9/15 1/9/15 - Martin Dugas
  3. 6/16/15 6/16/15 -
  4. 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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E2805 Renal Cell Carcinoma On-Study Form NCT00326898

INSTRUCTIONS: Complete this form at the end of each cycle (1 cycle = 3 weeks), and at required follow-ups if specified by the Long-Term Follow-Up Form (to report late adverse events).

Header
Reporting Period
Data amendment
Patient demographics
ECOG Performance Status (Prior to Surgery)
History Of Disease
Does the patient have a history of thromboembolic events
Does the patient have a history of cardiovascular disease
Descriptionof Primary Disease
Clinical T Stage
Clinical N Stage
Clinical M Stage
Description Of Current Disease
How was disease discovered
Current Disease Symptoms
Hematuria (Disease symptoms present prior to surgery)
Dyspnea (Disease symptoms present prior to surgery)
Pain (Disease symptoms present prior to surgery)
Chills (Disease symptoms present prior to surgery)
Fatigue (Disease symptoms present prior to surgery)
Fever >38 degrees C or 100 degrees F (Disease symptoms present prior to surgery)
Night sweats (Disease symptoms present prior to surgery)
Weight loss >= 10% (Disease symptoms present prior to surgery)
Elevated LDH (Disease symptoms present prior to surgery)
Low hemoglobin (Disease symptoms present prior to surgery)
Elevated serum calcium (Disease symptoms present prior to surgery)
Other symptoms (Disease symptoms present prior to surgery)
Hematuria (Disease symptoms present after surgery)
Dyspnea (Disease symptoms present after surgery)
Pain (Disease symptoms present after surgery)
Chills (Disease symptoms present after surgery)
Fatigue (Disease symptoms present after surgery)
Fever >38 degrees C or 100 degrees F (Disease symptoms present after surgery)
Night sweats (Disease symptoms present after surgery)
Weight loss >= 10% (Disease symptoms present after surgery)
Elevated LDH (Disease symptoms present after surgery)
Low hemoglobin (Disease symptoms present after surgery)
Elevated serum calcium (Disease symptoms present after surgery)
Other symptoms (Disease symptoms present after surgery)
Muga Scanning
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