Description:

SOUTHWEST ONCOLOGY GROUP Post-Consolidation Treatment Summary Form:Maintenance Chemotherapy (S0521) Combination Chemotherapy With or Without Gemtuzumab Followed By Tretinoin, Mercaptopurine, and Methotrexate or Observation in Treating Patients With Acute Promyelocytic Leukemia Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=02DF9FE4-284E-05F8-E044-0003BA3F9857

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=02DF9FE4-284E-05F8-E044-0003BA3F9857

Keywords:
Versions (2) ▾
  1. 9/19/12
  2. 1/8/15
Uploaded on:

January 8, 2015

DOI:
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License:
Creative Commons BY-NC 3.0 Legacy
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Leukemia NCT00492856 Treatment - SOUTHWEST ONCOLOGY GROUP Post-Consolidation Treatment Summary Form: Maintenance Chemotherapy (S0521) - 2416411v1.0

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  1. StudyEvent: SOUTHWEST ONCOLOGY GROUP Post-Consolidation Treatment Summary Form: Maintenance Chemotherapy (S0521)
    1. No Instruction available.
Header
Participating Group Name
Patient And Disease Description
Vital Status
Physical
Kg
Treatment: Atra
Did the patient receive ATRA during this reporting period?
Treatment: 6-mp
Did the patient receive 6-MP during this reporting period?
Treatment: Methotrexate
Did the patient receive methotrexate during this reporting period?
Treatment: Growth Factors
If yes,
Was growth factor permanently discontined during this reporting period?
Was growth factor permanently discontined during this reporting period?
Treatment: Other Therapy
Did the patient receive other therapy during this reporting period? (If yes, give start and end dates and describe the other therapy in the Comments section.)
Dose Modifications
Were there any dose modifications or additions/omissions to protocol treatment?
Comments

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