Description:

NSABP Protocol B-42 - Grade 2 and 3 Adverse Event (AE) Report Form Worksheet Letrozole in Treating Postmenopausal Women Who Have Received Hormone Therapy for Hormone Receptor-Positive Breast Cancer NCT00382070 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=17ADF05F-DB75-341D-E044-0003BA3F9857

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=17ADF05F-DB75-341D-E044-0003BA3F9857

Keywords:
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  2. 1/8/15
  3. 1/9/15
  4. 3/31/15
  5. 4/1/15
  6. 9/20/21
Uploaded on:

September 20, 2021

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License:
Creative Commons BY-NC 3.0 Legacy
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Breast Cancer Adverse Event NCT00382070

This paper worksheet may be completed to faciliate the entry of the information in NSABP Coordinator Online. Partially completed forms may be saved in Coordinator Online. DO NOT SUBMIT THIS WORKSHEET VIA FAX OR MAIL.

Header
Adverse event
Has the patient experienced any of the following? Any of the listed Grade 2 AEs OR Any Grade 3 AEs not involving hospitalization OR Any Grade 3 AEs involving hospitalization that are unrelated or unlikely to be related to letrozole (Since the previous AE report)
Adverse Event
Grade

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