Unnamed3
Unnamed2
Patient Initials
text
Protocol Number ECOG
text
Patient ID ECOG
text
Study Number Participating Group
text
Institution Name
text
Trial subject ID Participating Group
text
Unnamed Module 3a
Data amended
text
Data amended date
date
Arm A And Arm B
SystemicTherapyAdministeredBeginDate
date
SystemicTherapyAdministeredEndDate
date
Vital Status
Patient Status
text
Date last contact
date
Primary Cause of Death
text
Cause of Death, specify
text
Therapy Administered - Chemotherapy
ChemotherapyAdministeredInd
text
ChemotherapyFirstCycleAgentName
text
ChemotherapySecondCycleAgentName
text
ChemotherapyThirdCycleAgentName
text
ChemotherapyAgentSpecify
text
Therapy Administered - Hormone Therapy
HormoneTherapyReportPeriodAdministeredInd-3
boolean
EndocrineTherapyFirstCycleAgentName
text
EndocrineTherapySecondCycleAgentName
text
EndocrineTherapyThirdCycleAgentName
text
EndocrineTherapyAgentSpecify
text
Therapy Administered - New Progression
DiseaseNewProgressionInd-2
boolean
DiseaseorDisorderNewDiseaseProgressionDiagnosisType
text
DiseaseProgressionDate
date
Comments
Investigator Signature
text
Investigator Signature Date
date