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Follow-Up - Brain Cancer - Event Monitoring Form - 2287724v3.0 - Brain Cancer - Event Monitoring Form

- 09-01-15 - 1 Formulier, 7 Itemgroepen, 29 Data-elementen, 1 Taal
Itemgroepen: CRF Header, Brain: Vital Status, Brain: Off Study Reason, Brain: Disease Follow-Up Status, Brain: Notice of Progression, Brain: Notice of New Primary, Brain: Long-Term Toxicity
Brain Cancer - Event Monitoring Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=E51DD029-A8BB-3E76-E034-0003BA3F9857

Follow-Up - Follow-Up Brain Tumor Evaluation Form - 2290890v3.0 - Follow-Up Brain Tumor Evaluation Form

- 09-01-15 - 1 Formulier, 8 Itemgroepen, 44 Data-elementen, 1 Taal
Itemgroepen: CRF Header, Brain: Follow-up Form Administration, Brain: Baseline Status, Brain: Measurable Lesion(s) Follow-up Evaluation, Brain: Non-measureable/evaluable Lesion(s) Follow-up Evaluation, Brain: New Lesion(s) at Follow-up Evaluation, Brain: Evaluation Summary, Comments
Follow-Up Brain Tumor Evaluation Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=E12EA69C-FEB7-54BA-E034-0003BA12F5E7

RTOG 0825 Phase III GBM Follow-Up Form (F1) NCT00884741

- 08-07-15 - 1 Formulier, 7 Itemgroepen, 65 Data-elementen, 1 Taal
Itemgroepen: RTOG clinical trial administrative data, Patient status assessment, RECURRENCE OR PROGRESSION, Non-Protocol Therapy, Protocol Specific Adverse Event Evaluation1, Protocol Specific Adverse Event Evaluation2, Comments
RTOG 0825 Phase III GBM Follow-Up Form (F1) NCT00884741 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=5A7D0D0E-5E03-3FE7-E044-0003BA3F9857

ADVL0212: Secondary Malignancy Report Worksheet NCT00053963

- 05-07-15 - 1 Formulier, 3 Itemgroepen, 12 Data-elementen, 1 Taal
Itemgroepen: Header, Secondary Malignancy, CCRR MODULE
ADVL0212: Secondary Malignancy Report Worksheet NCT00053963 FR901228 in Treating Children With Refractory or Recurrent Solid Tumors or Leukemia Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B1EADE06-A88A-30BB-E034-0003BA12F5E7

ADVL0212: Relapse/Progression Worksheet NCT00053963

- 05-07-15 - 1 Formulier, 3 Itemgroepen, 16 Data-elementen, 1 Taal
Itemgroepen: Header, Relapse/Progression, CCRR MODULE
ADVL0212: Relapse/Progression Worksheet NCT00053963 FR901228 in Treating Children With Refractory or Recurrent Solid Tumors or Leukemia Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B1EAD72E-7E69-3077-E034-0003BA12F5E7

ACNS0122 Death Worksheet NCT00047320

- 05-07-15 - 1 Formulier, 4 Itemgroepen, 15 Data-elementen, 1 Taal
Itemgroepen: Header, Death Assessment, Comments, CCRR MODULE
ACNS0122 Death 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=BD40BB6B-6EA3-0C19-E034-0003BA12F5E7

RTOG-0525 F1: Follow-Up Form NCT00304031

- 16-06-15 - 1 Formulier, 6 Itemgroepen, 45 Data-elementen, 1 Taal
Itemgroepen: Clinical trial administrative data, Assessment, Disease Progression, Non-Protocol Therapy, Non-Protocol Therapy To Brain, Footer
RTOG-0525 F1: Follow-Up Form NCT00304031 Radiation Therapy and Temozolomide in Treating Patients With Newly Diagnosed Glioblastoma or Gliosarcoma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=FD9AAA90-325E-6D58-E034-0003BA3F9857

ACNS0122 Follow-up Worksheet NCT00047320

- 16-06-15 - 1 Formulier, 6 Itemgroepen, 29 Data-elementen, 1 Taal
Itemgroepen: Header, FOLLOW-UP STUDIES, DISEASE STATUS, EVALUATIONS, SIGNIFICANT EVENTS DURING THIS REPORTING PERIOD, CCRR MODULE
ACNS0122 Follow-up 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=BD7AAA29-31DD-2A8B-E034-0003BA12F5E7

ACNS0122: Relapse/Progression Worksheet NCT00047320

- 16-06-15 - 1 Formulier, 6 Itemgroepen, 29 Data-elementen, 1 Taal
Itemgroepen: Header, Date of relapse or progression, TYPE OF RECURRENCE/PROGRESSION, SITES OF INVOLVEMENT, Comments, CCRR MODULE
ACNS0122: Relapse/Progression 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=C3107FBD-6347-26E8-E034-0003BA12F5E7

Recurring cancer children (ADVL0212 NCT00053963) - Reporting Period Worksheet cancer (NCT00053963)

- 22-03-15 - 1 Formulier, 5 Itemgroepen, 58 Data-elementen, 1 Taal
Itemgroepen: Header, Patient characteristics, Concomitant Medication, Patient status, Adverse event
ADVL0212: Reporting Period Worksheet FR901228 in Treating Children With Refractory or Recurrent Solid Tumors or Leukemia NCT00053963 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B1EC15B1-1989-311F-E034-0003BA12F5E7

Brain and Central Nervous System Tumors NCT00884741 Transmittal - RTOG 0825 Phase III GBM Code Breaking Form (CX) - 2797360v1.0 - RTOG 0825 Phase III GBM Code Breaking Form (CX)

- 09-01-15 - 1 Formulier, 4 Itemgroepen, 14 Data-elementen, 1 Taal
Itemgroepen: Header Module, RECURRENCE OR PROGRESSION, CONTACT INFORMATION FOR TREATING PHYSICIAN, Footer Module
RTOG 0825 Phase III GBM Code Breaking Form (CX) 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=5AE1E7F4-0A01-483F-E044-0003BA3F9857

Brain and Central Nervous System Tumors NCT00978458 Follow-Up - E3F05 Primary Brain Tumor Follow-Up Disease Evaluation Form - 2902962v1.0 - E3F05 Primary Brain Tumor Follow-Up Disease Evaluation Form

- 08-01-15 - 1 Formulier, 16 Itemgroepen, 94 Data-elementen, 1 Taal
Itemgroepen: Header Module, Header, ON TREATMENT, OFF TREATMENT, Section I, Section II MEASURABLE LESIONS, T2/FLAIR, T1/Contrast, Section III - Lesions Reported as Non-Measurable at Baseline, T2/FLAIR , T1/Contrast, Section IV New CNS Lesions/New Enhancement of Previously Reported Lesions, T2/FLAIR, T1/Contrast, Section V Progression, Comments
E3F05 Primary Brain Tumor Follow-Up Disease Evaluation Form Radiation Therapy With or Without Temozolomide in Treating Patients With Low-Grade Glioma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=6CB91C46-8BDC-9A0D-E040-BB89AD433170

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