Description:

ECOG-E1505 Off-Treatment Form Chemotherapy With or Without Bevacizumab in Treating Patients With Stage IB, Stage II, or Stage IIIA Non-Small Lung Cancer That Was Removed By Surgery NCT00324805 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=07459D41-1B93-4F16-E044-0003BA3F9857

Link:
https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=07459D41-1B93-4F16-E044-0003BA3F9857
Keywords:
  1. 9/19/12 9/19/12 -
  2. 1/7/15 1/7/15 - Martin Dugas
Uploaded on:

January 7, 2015

DOI:
To request one please log in.
License :
Creative Commons BY-NC 3.0 Legacy
Model comments :

You can comment on the data model here. Via the speech bubbles at the itemgroups and items you can add comments to those specificially.

Itemgroup comments for :

Item comments for :

In order to download data models you must be logged in. Please log in or register for free.

Off-Treatment Form Lung Cancer (NCT00324805)

INSTRUCTIONS (Single-step studies): Complete this form either after patient has completed protocol treatment for this study or when patient is stopping early or never started protocol treatment. Complete this form and submit original

Header
Reporting Period
Please mark if data have been amended
Vital Status
Patient's Vital Status
Primary Cause of Death (if applicable)
Treatment
Did patient receive protocol therapy (This form is required regardless of whether patient started protocol treatment.)
Reason Treatment Ended
Reason treatment never started

Similar models

Please use this form for feedback, questions and suggestions for improvements.

Fields marked with * are required.

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial