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Colorectal cancer metastases (NCT00268463) - Quality of Life Form Colorectal Cancer (NSABP C-09 NCT00268463)

- 9/20/21 - 1 form, 8 itemgroups, 94 items, 1 language
Itemgroups: Header, Treatment satisfaction, PHYSICAL WELL-BEING, Social and family well being, EMOTIONAL WELL-BEING, Functional Health, ADDITIONAL CONCERNS, Activity
NSABP Protocol C-09: Quality of Life Form Oxaliplatin and Capecitabine With or Without an Hepatic Arterial Infusion With Floxuridine in Treating Patients Who Are Undergoing Surgery and/or Ablation for Liver Metastases Due to Colorectal Cancer NCT00268463 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=FC7E0FCB-064A-58CD-E034-0003BA3F9857

Breast Cancer (NCT00053898) - Quality of Life Questionnaire Breast Cancer (NCT00053898)

- 9/20/21 - 1 form, 6 itemgroups, 70 items, 1 language
Itemgroups: Header, Symptom frequency, Problems past 4 weeks, Overall health, Mood, Sexual activity
Quality of Life Questionnaire Anastrozole or Tamoxifen in Treating Postmenopausal Women With Ductal Carcinoma in Situ Who Are Undergoing Lumpectomy and Radiation Therapy NCT00053898 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A0E240A0-FD2A-46A0-E034-080020C9C0E0

Breast Cancer (NCT00024102) - HEALTH Questionnaire Breast Cancer (CALGB 49907 FORM C NCT00024102)

- 9/20/21 - 1 form, 4 itemgroups, 123 items, 1 language
Itemgroups: Header, Patient characteristics, Counseling, Medication
Comparison of Combination Chemotherapy Regimens in Treating Older Women Who Have Undergone Surgery for Breast Cancer NCT00024102 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A55B50C6-E69C-4D72-E034-080020C9C0E0

Pancreatic Cancer NCT00058149 Quality of Life - Brief Pain Inventory - 2031356v3.0 - Brief Pain Inventory

- 1/9/15 - 1 form, 2 itemgroups, 23 items, 1 language
Itemgroups: Header, CCRR MODULE
Brief Pain Inventory A Phase III, Randomized Study of Gemcitabine (Fixed-Dose Rate Infusion) and Oxaliplatin (NSC 266046) Versus Gemcitabine (Fixed-Dose Rate Infusion) Versus Gemcitabine (30-Minute Infusion) in Pancreatic Carcinoma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=AE65F8E1-704E-30A0-E034-0003BA12F5E7

Pancreatic Cancer NCT00088894 - EQ-5D FORM Pancreatic Cancer CALGB NCT00088894

- 7/2/17 - 1 form, 2 itemgroups, 13 items, 1 language
Itemgroups: Header, EQ-5D
CALGB: EQ-5D FORM Gemcitabine With or Without Bevacizumab in Treating Patients With Locally Advanced or Metastatic Pancreatic Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=D602C703-1CB1-3D8F-E034-0003BA12F5E7

Breast Cancer NCT00024102 - ADHERENCE QUESTIONNAIRE FORM (FOLLOW-UP) Breast Cancer Breast Cancer CALGB NCT00024102

- 3/24/15 - 1 form, 2 itemgroups, 26 items, 1 language
Itemgroups: Header, Adherence
CALGB: ADHERENCE QUESTIONNAIRE FORM (FOLLOW-UP) Comparison of Combination Chemotherapy Regimens in Treating Older Women Who Have Undergone Surgery for Breast Cancer NCT00024102 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A50CC350-FC34-364B-E034-080020C9C0E0

Breast Cancer NCT00024102 - SOCIAL SUPPORT FORM Breast Cancer CALGB NCT00024102

- 3/23/15 - 1 form, 2 itemgroups, 33 items, 1 language
Itemgroups: Header, Social support
CALGB: SOCIAL SUPPORT FORM Comparison of Combination Chemotherapy Regimens in Treating Older Women Who Have Undergone Surgery for Breast Cancer NCT00024102 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A50BF99D-12AE-2D64-E034-080020C9C0E0

Breast Cancer Chemotherapy (NCT00087178) - Quality of Life Questionnaire (NSABP Protocol B-36 NCT00087178)

- 9/20/21 - 1 form, 2 itemgroups, 94 items, 1 language
Itemgroups: Header, Quality of life
NSABP Protocol B-36 Quality of Life Questionnaire (English Version) Comparison of Two Combination Chemotherapy Regimens in Treating Women With Breast Cancer NCT00087178 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=C907A026-1DAB-1D7C-E034-0003BA12F5E7

Breast Cancer CALGB NCT00024102 - NEUROBEHAVOIRAL SCALES FORM Breast Cancer CALGB NCT00024102

- 3/23/15 - 1 form, 2 itemgroups, 31 items, 1 language
Itemgroups: Header, neurobehavioral problems
CALGB: NEUROBEHAVOIRAL SCALES FORM Comparison of Combination Chemotherapy Regimens in Treating Older Women Who Have Undergone Surgery for Breast Cancer Breast Cancer NCT00024102 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A50CD25E-BDE1-371E-E034-080020C9C0E0

Breast Cancer NCT00520975 Quality of Life - Quality of Life Assessment Form Breast Cancer E1105 NCT00520975

- 3/25/15 - 1 form, 2 itemgroups, 24 items, 1 language
Itemgroups: Header, quality of life
E1105 Quality of Life Assessment Form First-Line Chemotherapy and Trastuzumab With or Without Bevacizumab in Treating Patients With Metastatic Breast Cancer That Overexpresses HER-2/NEU NCT00520975 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=1736308A-3F51-3856-E044-0003BA3F9857

Breast Cancer combination chemotherapies (NCT00024102) - ORIENTATION-MEMORY-CONCENTRATION TEST FORM (CALGB, NCT00024102)

- 3/18/15 - 1 form, 2 itemgroups, 19 items, 1 language
Itemgroups: Header, Orientation-memory-concentration Test
Comparison of Combination Chemotherapy Regimens in Treating Older Women Who Have Undergone Surgery for Breast Cancer NCT00024102 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A50D6435-FF10-3254-E034-080020C9C0E0

QUALITY OF LIFE Roche H0650g Breast Cancer - QUALITY OF LIFE

- 5/29/17 - 1 form, 1 itemgroup, 1 item, 1 language
Itemgroup: form quality of life
Study part: Quality of Life. A phase III multinational, randomized, single-blind study of recombinant humanized anti-p185HER2 monoclonal antibody (rhuMAb HER2) in patients with HER2/neu overexpression who have not received prior cytotoxic chemotherapy for metastatic breast cancer. "Terms of use: You may not use this document or the information contained herein to a regulatory authority in connection with an application for a marketing authorization or any other regulatory submission without the express written consent of Roche"

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