Description:

CALGB: 10603 Registration Worksheet For Non-North American Sites 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=7456F79A-F2F6-BFB6-E040-BB89AD436544

Link:
https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=7456F79A-F2F6-BFB6-E040-BB89AD436544
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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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License :
Creative Commons BY-NC 3.0 Legacy
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Leukemia DRKS00003845 NCT00651261 Registration - CALGB: 10603 Registration Worksheet For Non-North American Sites - 2945236v1.0

English
Details

A Randomized Phase III Trial to Evaluate the Potential Utility of a Genomic Prognostic Model to Identify Stage I Non-Small Cell Lung Cancer NSCLC) Patients as Candidates for Adjuvant Chemotherapy

1 forms  
Header Module
Protocol Administration
Patient Demographics/pre-treatment Characteristics
Gender
Patient Demographics/pre-treatment Characteristics2
Performance Status (ECOG/Zubrod scale)
cm
Kg
m2
Method of Payment (USA only Mark one)
7 more items in the detailed view.
Certification Of Eligibility And Protocol Design
In the opinion of the investigator, is the patient eligible?
Protocol Design
Stratification factors
Initial Patient Consent For Specimen Use
Patient's Initial Consent given for specimen use for research on the patient's cancer
Patient's Initial Consent given for specimen kept for future use in research to learn about, prevent, or treat cancer
Patient's Initial Consent given for tissue specimen use for research unrelated to the patient's cancer?
My doctor or someone from CALGB may contact me in the future to ask me to take part in more research
My doctor or someone from CALGB may contact me in the future to ask me to take part in more research
Registration Information
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