CALGB: 10201 FOLLOW-UP FORM Daunorubicin and Cytarabine With or Without Oblimersen in Treating Older Patients With Previously Untreated Acute Myeloid Leukemia Source Form: NCI FormBuilder:

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

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Creative Commons BY-NC 3.0 Legacy
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Leukemia NCT00085124 Follow-Up - CALGB: 10201 FOLLOW-UP FORM - 2031846v3.0

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  1. StudyEvent: CALGB: 10201 FOLLOW-UP FORM
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Calgb Form
Vital Status
Patient's vital status
Cause of Death (if dead)
Disease Follow-up Status
Has the patient had a documented clinical assessment for this cancer during this reporting period?
Did the patient achieve a complete response according to clinical/hematologic criteria during this reporting period?
Notice Of Progression
Has the patient developed a first progression or relapse that has not been previously reported?
Type of non-marrow relapse (mark all that apply with an X)
Was the patient hospitalized other than for chemotherapy administration? (If yes, )
Did the patient require IV antibiotics/antifungals (in or out patient)?
Did the patient require platlet transfusions?
Did the patient require red blood cell (RBC) transfusions? (If yes, )
Transplant Treatment Plan
Did the patient receive a transplant?
Type of bone marrow or peripheral blood stem cell (PBSC) transplant (mark one with X)
Ccrr Module For Calgb: 10201 Follow-up Form

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