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ACNS0122 Surgical Checklist Worksheet NCT00047320

- 20.09.21 - 1 Formular, 7 Itemgruppen, 22 Datenelemente, 1 Sprache

Itemgruppen: Header, Primary Surgery, REASON FOR SURGERY, CNS PERI-OPERATIVE COMPLICATIONS, POST-OP STEROIDS USED, Comments, CCRR MODULE

ACNS0122 Surgical Checklist Worksheet NCT00047320 Neoadjuvant Chemotherapy With or Without Second-Look Surgery Followed by Radiation Therapy With or Without Peripheral Stem Cell Transplantation in Treating Patients With Intracranial Germ Cell Tumors Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=BD7B6161-4826-29D3-E034-0003BA12F5E7

Brain and Central Nervous System Tumors NCT00887146 Pathology - North Central Cancer Treatment Group N0577 Pathology Submission Form - 2745984v1.0 - North Central Cancer Treatment Group N0577 Pathology Submission Form

- 20.09.21 - 1 Formular, 4 Itemgruppen, 20 Datenelemente, 1 Sprache

Itemgruppen: Header, Header, Institution Contact Information (Please Print), Footer Module

North Central Cancer Treatment Group N0577 Pathology Submission Form Radiation Therapy or Radiation Therapy and Temozolomide or Temozolomide Alone in Treating Patients With Newly Diagnosed Anaplastic Glioma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=4C08FC47-BFC6-632C-E044-0003BA3F9857

Pathology Reporting Form - Brain Tumor N0577

- 20.09.21 - 1 Formular, 4 Itemgruppen, 34 Datenelemente, 1 Sprache

Itemgruppen: Header, I. CRA/RN, II. Completed by the NCCTG Pathology reviewer, Comments and Pathology Reporting

North Central Cancer Treatment Group N0577 Pathology Reporting Form - Brain Tumor Radiation Therapy or Radiation Therapy and Temozolomide or Temozolomide Alone in Treating Patients With Newly Diagnosed Anaplastic Glioma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=4CA85A1E-6D87-49C3-E044-0003BA3F9857

Brain and Central Nervous System Tumors NCT00884741 On-Study - RTOG 0825: QOL M.D. Anderson Symptom Inventory - 2800871v1.0 - RTOG 0825: QOL M.D. Anderson Symptom Inventory

- 20.09.21 - 1 Formular, 4 Itemgruppen, 50 Datenelemente, 1 Sprache

Itemgruppen: Header Module, QOL Cover Sheet, Part I. M.D. Anderson Symptom Inventory (MDASI-BT), Part II

RTOG 0825: QOL M.D. Anderson Symptom Inventory Temozolomide and Radiation Therapy With or Without Bevacizumab in Treating Patients With Newly Diagnosed Glioblastoma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=5BABD9A9-3DF8-0152-E044-0003BA3F9857

HIV Cancer Sunitinib NCT00890747 AMC-061 - Response Evaluation Form (R61)

- 24.06.17 - 1 Formular, 7 Itemgruppen, 35 Datenelemente, 1 Sprache

Itemgruppen: Header Module, Complete Response, Morphologic Complete Remission, Complete Response, Unconfirmed, Complete Response with Incomplete Bone Marrow Recovery, PR, Progressive Disease

AMC-061 Response Evaluation Form (R61) Sunitinib Malate in Treating HIV-Positive Patients With Cancer Undergoing Highly Active Antiretroviral Therapy https://clinicaltrials.gov/ct2/show/NCT00890747

HIV Cancer Sunitinib NCT00890747 AMC-061 - Pharmacokinetics Form (P61)

- 12.06.17 - 1 Formular, 2 Itemgruppen, 5 Datenelemente, 1 Sprache

Itemgruppen: Header Module, Pharmacodynamics

AMC-061 Pharmacokinetics Form (P61) Sunitinib Malate in Treating HIV-Positive Patients With Cancer Receiving Antiretroviral Therapy https://clinicaltrials.gov/ct2/show/NCT00890747

HIV Cancer Sunitinib NCT00890747 AMC-061 - Protocol Deviation Form (DEV)

- 12.06.17 - 1 Formular, 2 Itemgruppen, 10 Datenelemente, 1 Sprache

Itemgruppen: Header Module, Protocol Deviation

AMC-061 Protocol Deviation Form (DEV) Sunitinib Malate in Treating HIV-Positive Patients With Cancer Receiving Antiretroviral Therapy https://clinicaltrials.gov/ct2/show/NCT00890747

HIV Cancer Sunitinib NCT00890747 AMC-061 - Missed Visit Form (F35)

- 12.06.17 - 1 Formular, 2 Itemgruppen, 6 Datenelemente, 1 Sprache

Itemgruppen: Header Module, Missed Visit Information

AMC-061 Missed Visit Form (F35) Sunitinib Malate in Treating HIV-Positive Patients With Cancer Undergoing Highly Active Antiretroviral Therapy https://clinicaltrials.gov/ct2/show/NCT00890747

Registration Brain and Central Nervous System Tumors COG ADVL0912 NCT00939770

- 24.09.15 - 1 Formular, 6 Itemgruppen, 61 Datenelemente, 1 Sprache

Itemgruppen: Stratification, Inclusion Criteria, Organ Function - Hematological, Organ Function - Non Hematological, Exclusion Criteria, Consents

COG ADVL0912 OPEN Registration Worksheet NCT00939770 Crizotinib in Treating Young Patients With Relapsed or Refractory Solid Tumors or Anaplastic Large Cell Lymphoma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A54DD196-B288-B398-E040-BB89AD432E23

RTOG 0825 Phase III GBM Initial Evaluation Form (I1)

- 04.08.15 - 1 Formular, 10 Itemgruppen, 86 Datenelemente, 1 Sprache

Itemgruppen: Header Module, General Information, DISEASE INFORMATION, PRE-STUDY SCANS, PRE-STUDY SCANS1, LOCATION OF PRIMARY, Baseline Lab Values, Systemic Treatment, SEVERE ACTIVE COMORBIDITY, Footer Module

RTOG 0825 Phase III GBM Initial Evaluation Form (I1) Temozolomide and Radiation Therapy With or Without Bevacizumab in Treating Patients With Newly Diagnosed Glioblastoma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=5AE2A23C-8AD1-6A8B-E044-0003BA3F9857

Induction Worksheet Intracranial Germ Cell Tumors NCT00047320

- 25.07.15 - 1 Formular, 10 Itemgruppen, 58 Datenelemente, 1 Sprache

Itemgruppen: Header, Treatment period, TUMOR EVALUATION, DISEASE STATUS, EVALUATIONS, SECOND LOOK SURGERY, SIGNIFICANT EVENTS DURING THIS REPORTING PERIOD, TREATMENT PLAN AFTER THIS TREATMENT PERIOD, TOXICITIES, Comments

ACNS0122 Induction Worksheet NCT00047320 Neoadjuvant Chemotherapy With or Without Second-Look Surgery Followed by Radiation Therapy With or Without Peripheral Stem Cell Transplantation in Treating Patients With Intracranial Germ Cell Tumors Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=BD8F3A15-A2D2-0385-E034-0003BA12F5E7

On-Study Form Glioma N0577 NCT00626990

- 25.07.15 - 1 Formular, 7 Itemgruppen, 25 Datenelemente, 1 Sprache

Itemgruppen: Header Module, Disease History, Maximum Diameter of Tumor on Pre-Operative Scan, Extent of Resection, Location of Primary Neoplasm, Side of Primary Tumor, Descriptive Factors

On-Study Form Glioma N0577 NCT00626990 Brain and Central Nervous System Tumors NCT00887146 On-Study - North Central Cancer Treatment Group N0577 On-Study Form - 2746076v1.0 Radiation Therapy or Radiation Therapy and Temozolomide or Temozolomide Alone in Treating Patients With Newly Diagnosed Anaplastic Glioma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=4C0A6585-AD37-120A-E044-0003BA3F9857

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