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Colorectal Cancer Non-Protocol Therapy NCT00303628 - Non-Protocol Therapy Colorectal Cancer NCT00303628 E5204

- 25-03-15 - 1 Formulier, 2 Itemgroepen, 25 Data-elementen, 1 Taal
Itemgroepen: Header, Non-Protocol Therapy
E5204 Non-Protocol Therapy Form Combination Chemotherapy With or Without Bevacizumab in Treating Patients Who Have Had Surgery for Stage II or Stage III Rectal Cancer NCT00303628 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=089B4967-A7D1-3905-E044-0003BA3F9857

Treatment form Colorectal Cancer NSABP R-04 NCT00058474

- 24-09-15 - 1 Formulier, 1 Itemgroep, 49 Data-elementen, 1 Taal
Itemgroep: Treatment
NSABP PROTOCOL R-04: TREATMENT FORM - 2082638v3.0 Radiation Therapy and Either Capecitabine or Fluorouracil With or Without Oxaliplatin Before Surgery in Treating Patients With Resectable Rectal Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B7822823-8FBF-24ED-E034-0003BA12F5E7

E5202 Non-Protocol Therapy Form

- 28-07-15 - 1 Formulier, 4 Itemgroepen, 25 Data-elementen, 1 Taal
Itemgroepen: Header, Patient details, Treatment details, Comments
E5202 Non-Protocol Therapy Form Oxaliplatin, Leucovorin, and Fluorouracil With or Without Bevacizumab in Treating Patients Who Have Undergone Surgery for Stage II Colon Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=EF10CFF6-E73E-7106-E034-0003BA3F9857

NCT00070122 SOUTHWEST ONCOLOGY GROUP OFF TREATMENT NOTICE (S0303)

- 05-07-15 - 1 Formulier, 7 Itemgroepen, 22 Data-elementen, 1 Taal
Itemgroepen: Header, Reporting period, Off-protocol treatment, Further treatment, Vital status, Comments, CCRR MODULE
NCT00070122 SOUTHWEST ONCOLOGY GROUP OFF TREATMENT NOTICE (S0303) Combination Chemotherapy and Bevacizumab in Treating Patients With Locally Advanced, Metastatic, or Recurrent Colorectal Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=BC630F99-24B7-10CE-E034-0003BA12F5E7

E3201 Off-Treatment Form NCT00068692

- 05-07-15 - 1 Formulier, 4 Itemgroepen, 21 Data-elementen, 1 Taal
Itemgroepen: Header, Vital Status, Comments, CCRR MODULE
E3201 Off-Treatment Form NCT00068692 Comparison of Adjuvant Chemotherapy Regimens in Treating Patients With Stage II or Stage III Rectal Cancer Who Are Receiving Radiation Therapy and Fluorouracil Before or After Surgery Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B55228B2-AF79-6DA3-E034-0003BA12F5E7

NSABP PROTOCOL R-04 Radiation Therapy Report NCT00058474 - NSABP PROTOCOL R-04 Radiation Therapy Report NCT00058474

- 03-07-15 - 1 Formulier, 2 Itemgroepen, 26 Data-elementen, 1 Taal
Itemgroepen: Header module, Radiation Therapy Report
NSABP PROTOCOL R-04 Radiation Therapy Report NCT00058474 Radiation Therapy and Either Capecitabine or Fluorouracil With or Without Oxaliplatin Before Surgery in Treating Patients With Resectable Rectal Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B782329A-7D15-2500-E034-0003BA12F5E7

USMCI 8214/Z6091: Off Treatment Form NCT01167725

- 21-06-15 - 1 Formulier, 2 Itemgroepen, 12 Data-elementen, 1 Taal
Itemgroepen: Header Module, Protocol Design
USMCI 8214/Z6091: Off Treatment Form NCT01167725 Standard Therapy With or Without Surgery and Mitomycin C in Treating Patients With Advanced Limited Peritoneal Dissemination of Colon Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=6A5AE56E-244B-4E28-E040-BB89AD4362AC

Z6051 Peri-Operative Data Form (POD) NCT00726622

- 21-06-15 - 1 Formulier, 6 Itemgroepen, 31 Data-elementen, 1 Taal
Itemgroepen: Header Module, Miscellaneous Patient OP Assessment, Early Complications, Additional Adverse Events Module, Pre-operative Ostomy Education, Footer Module
Z6051 Peri-Operative Data Form (POD) NCT00726622 Laparoscopic-Assisted Resection or Open Resection in Treating Patients With Stage IIA, Stage IIIA, or Stage IIIB Rectal Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=42E9B163-4B1E-2A67-E044-0003BA3F9857

CALGB: 80405 SURGICAL RESECTION FORM NCT00265850

- 18-06-15 - 1 Formulier, 4 Itemgroepen, 23 Data-elementen, 1 Taal
Itemgroepen: Header, Patient demographics, Sites of resection, SURGICAL COMPLICATIONS AND MORBIDITIES
CALGB: 80405 SURGICAL RESECTION FORM NCT00265850 Cetuximab and/or Bevacizumab Combined With Combination Chemotherapy in Treating Patients With Metastatic Colorectal Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=F39D5B9C-C840-63E9-E034-0003BA3F9857

NSABP PROTOCOL C-08: BEVACIZUMAB TREATMENT FORM NCT00096278

- 16-06-15 - 1 Formulier, 3 Itemgroepen, 15 Data-elementen, 1 Taal
Itemgroepen: Header, BEVACIZUMAB TREATMENT, Comments
NSABP PROTOCOL C-08: BEVACIZUMAB TREATMENT FORM NCT00096278 Fluorouracil, Leucovorin, and Oxaliplatin With or Without Bevacizumab in Treating Patients Who Have Undergone Surgery for Stage II or Stage III Colon Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=D7F6B84C-2C3E-4583-E034-0003BA12F5E7

E3201 Group I Treatment Form - Concurrent Chemo/RT NCT00068692

- 16-06-15 - 1 Formulier, 3 Itemgroepen, 18 Data-elementen, 1 Taal
Itemgroepen: Header, Assessment of Chemotherapy, CCRR MODULE
E3201 Group I Treatment Form - Concurrent Chemo/RT NCT00068692 Comparison of Adjuvant Chemotherapy Regimens in Treating Patients With Stage II or Stage III Rectal Cancer Who Are Receiving Radiation Therapy and Fluorouracil Before or After Surgery Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B552598D-825C-6E3D-E034-0003BA12F5E7

E3201 Surgery Form NCT00068692

- 16-06-15 - 1 Formulier, 5 Itemgroepen, 45 Data-elementen, 1 Taal
Itemgroepen: Header, Surgery assessment, Tumor Staging, Comments, CCRR MODULE
E3201 Surgery Form NCT00068692 Comparison of Adjuvant Chemotherapy Regimens in Treating Patients With Stage II or Stage III Rectal Cancer Who Are Receiving Radiation Therapy and Fluorouracil Before or After Surgery Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B5522261-773C-6D97-E034-0003BA12F5E7

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