Description:

E3108 Registration Worksheet (step 1) Tamoxifen Citrate in Treating Patients With Metastatic or Recurrent Breast Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=8EBE5DB9-5474-798F-E040-BB89AD430AFF

Link:
https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=8EBE5DB9-5474-798F-E040-BB89AD430AFF
Keywords:
  1. 8/27/12 8/27/12 -
  2. 1/9/15 1/9/15 - Martin Dugas
  3. 1/9/15 1/9/15 - Martin Dugas
Uploaded on:

January 9, 2015

DOI:
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License :
Creative Commons BY-NC 3.0 Legacy
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Breast Cancer NCT01124695 Eligibility - E3108 Registration Worksheet (step 1) - 3133390v1.0

No Instruction available.

  1. StudyEvent: E3108 Registration Worksheet (step 1)
    1. No Instruction available.
Eligibility
Has the eligibility checklist been completed
In the opinion of the investigator, is the patient eligible?
Has written informed consent been obtained
Has HIPAA authorization been obtained
Patient's simplified disease code
I agree to provide additional specimens for research
May your coded samples and related coded information be kept for use in research to learn about, prevent, find or treat cancer? This may also include research on inherited traits (genes passed on in families).
May your coded samples and related coded information be kept for use in research to learn about, prevent, find or treat other health problems (for example: diabetes, Alzheimer's disease, or heart disease)? This may also include research on inherited traits (genes passed on in families).
Someone from my hospital or the Eastern Cooperative Oncology Group may contact me in the future to ask me to take part in more research.

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