Description:

GOG-0218 Follow-Up Form Carboplatin and Paclitaxel With or Without Bevacizumab in Treating Patients With Stage III or Stage IV Ovarian Epithelial, Primary Peritoneal Cancer, or Fallopian Tube Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=F0E07E6F-7EF7-42B7-E034-0003BA3F9857

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=F0E07E6F-7EF7-42B7-E034-0003BA3F9857

Keywords:
Versions (3) ▾
  1. 9/19/12
  2. 1/9/15
  3. 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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Fallopian Tube Cancer NCT00262847 Follow-Up - GOG-0218 Follow-Up Form - 2303387v3.0

No Instruction available.

  1. StudyEvent: GOG-0218 Follow-Up Form
    1. No Instruction available.
Header Module
Vital Status
Patient's vital status
Primary cause of death
Is the patient lost to follow-up
Disease Follow-up Status
Has the patient had a documented clinical assessment for this cancer since submission of the previous follow-up form
Method of assessment (s)
Notice Of Progression/recurrence
Has the patient been diagnosed with a new progression
What was the method used to determine progression
Ca125 And Other Biomarkers
Marker Name (s)
Notice Of New Primary
Has a new primary cancer or MDS been diagnosed that has not been previously reported (myelodysplastic syndrome)
Late Adverse Event
Has the patient experienced any toxicity that has not been previously reported (prior to diagnosis of recurrence or second primary)
CTC adverse event attribution code (*)
Non-protocol Therapy
Is the patient receiving any non-protocol cancer therapy not previously reported
Comments
Footer Module

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