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HIV HPV Vaccine NCT00513526 AMC-052 - Screen Failure Predictor Variables Survey

- 2017-07-19 - 1 Formulär, 2 Item-grupper, 11 Dataelement, 1 Språk
Item-grupper: Verbal Consent, Viral load
Infection NCT00513526 Registration - AMC-052 Screen Failure Predictor Variables Survey Form - 2958715v1.0 AMC-052 Screen Failure Predictor Variables Survey Form Human Papillomavirus Vaccine Therapy in Treating Men With HIV-1 Infection Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=77B9D50C-53A6-8752-E040-BB89AD4320A2

AMC-052 Missed Visit Form (F35) NCT00513526

- 2015-06-03 - 1 Formulär, 2 Item-grupper, 6 Dataelement, 1 Språk
Item-grupper: Missed Visit data, Comments
AMC-052 Missed Visit Form (F35) NCT00513526 Human Papillomavirus Vaccine Therapy in Treating Men With HIV-1 Infection Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=395422A0-6061-42B3-E044-0003BA3F9857

AMC-052 Eligibility Checklist Segment B NCT00513526

- 2015-06-03 - 1 Formulär, 2 Item-grupper, 3 Dataelement, 1 Språk
Item-grupper: Inclusion Criteria, Exclusion Criteria
AMC-052 Eligibility Checklist Segment B NCT00513526 Human Papillomavirus Vaccine Therapy in Treating Men With HIV-1 Infection Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=3BAEF387-E2CE-2E35-E044-0003BA3F9857

AMC-052 Histology Result Form 2676563v1.0

- 2015-06-03 - 1 Formulär, 2 Item-grupper, 7 Dataelement, 1 Språk
Item-grupper: Header module, Anal histology results
AMC-052 Histology Result Form 2676563v1.0 Human Papillomavirus Vaccine Therapy in Treating Men With HIV-1 Infection Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=3950D614-2D53-3AAB-E044-0003BA3F9857

Infection NCT00513526 On-Study - AMC-052 On Study Form (F02) - 2676644v1.0 - AMC-052 On Study Form (F02)

- 2015-01-09 - 1 Formulär, 6 Item-grupper, 19 Dataelement, 1 Språk
Item-grupper: Header, HIV History, History of Malignancy for study, HIstory of Other Malignancy, Antiretroviral Therapy, Comments
AMC-052 On Study Form (F02) Human Papillomavirus Vaccine Therapy in Treating Men With HIV-1 Infection Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=3952E724-40D1-361E-E044-0003BA3F9857

Infection NCT00513526 Off Treatment - AMC-052 Off Protocol Treatment Summary Form (F05) - 2676943v1.0 - AMC-052 Off Protocol Treatment Summary Form (F05)

- 2015-01-08 - 1 Formulär, 1 Item-grupp, 4 Dataelement, 1 Språk
Item-grupp: Header
AMC-052 Off Protocol Treatment Summary Form (F05) Human Papillomavirus Vaccine Therapy in Treating Men With HIV-1 Infection Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=395422A0-6033-42B3-E044-0003BA3F9857

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