Description:

S0337 Disease Assessment and Follow Up Form Gemcitabine After Surgery in Treating Patients With Newly Diagnosed or Recurrent Bladder Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=FE24E804-D667-471E-E034-0003BA3F9857

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=FE24E804-D667-471E-E034-0003BA3F9857

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Versions (2) ▾
  1. 8/26/12
  2. 1/9/15
Uploaded on:

January 9, 2015

DOI:
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License:
Creative Commons BY-NC 3.0 Legacy
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Bladder Cancer NCT00445601 Follow-Up - S0337 Disease Assessment and Follow Up Form - 2388951v1.0

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  1. StudyEvent: S0337 Disease Assessment and Follow Up Form
    1. No Instruction available.
Header
Vital Status
Vital Status
Has the patient had a documented clinical assessment for this cancer (since submission of the previous follow-up form)
Has the patient developed a recurrence that has not been previously reported
Stage of Recurrence
Grade of Recurrence
Has the patient been diagnosed with progression that has not been previously reported (muscle invasive disease per section 10 of the protocol)
Stage of Progression
Has a new primary cancer or MDS been diagnosed that has not been previously reported? (myelodysplastic syndrome)
Has the patient received any non-protocol cancer therapy not previously reported? (prior to progression/relapse)
Has the patient experienced any severe long term toxicity that has not been previously reported? (prior to treatment for progression or relapse or a second primary, and prior to non-protocol treatment grade >=3)
Has the patient received a cystectomy that has not been previously reported
Comments