E2906 Engraftment Form - Arm G Clofarabine or Daunorubicin Hydrochloride and Cytarabine Followed By Decitabine or Observation in Treating Older Patients With Newly Diagnosed Acute Myeloid Leukemia Source Form: NCI FormBuilder:

  1. 9/19/12 9/19/12 -
  2. 1/8/15 1/8/15 - Martin Dugas
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January 8, 2015

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Creative Commons BY-NC 3.0 Legacy
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Leukemia NCT01041703 Treatment - E2906 Engraftment Form - Arm G - 2951586v1.0

INSTRUCTIONS: Complete this form after the allogeneic transplant (30 days post transplant and 100 days post transplant). Submit original to the ECOG Coordinating Center; keep a copy for your files

On Treatment
On Treatment Reporting Period
Vital Status
Patient's Vital Status
Primary Cause of Death (if applicable)
Did patient engraft neutrophils (ANC >= 500 x 2 consecutive days)
Did patient reconstitute platelets where the patient did not receive platelet transfusion for the next 7 days (PLT >= 20K x 2 consecutive days)
Did patient achieve PLT >= 100K without transfusion

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