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Breast Cancer NCT00433589 Treatment - Endocrine therapy - 2498727v1.0 - Endocrine therapy

- 1/9/15 - 1 form, 3 itemgroups, 14 items, 1 language
Itemgroups: Header, Endocrine therapy, Footer Module
Endocrine therapy Genetic Testing or Clinical Assessment in Determining the Need for Chemotherapy in Women With Breast Cancer That Involves No More Than 3 Lymph Nodes Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=19677A9A-FFBD-2E6F-E044-0003BA3F9857

Radiation Therapy Oncology Group Initial Follow-up Form Phase III Lung Prophylactic Cranial RT NCT00048997

- 9/20/21 - 1 form, 3 itemgroups, 46 items, 1 language
Itemgroups: Header Module, Medical history, Comments
Radiation Therapy Oncology Group Initial Follow-up Form Phase III Lung Prophylactic Cranial RT Radiation Therapy in Preventing CNS Metastases in Patients With Non-Small Cell Lung Cancer NCT00048997 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=9EC372A6-7094-05D5-E034-080020C9C0E0

ECOG 4599 Treatment Form

- 5/28/15 - 1 form, 1 itemgroup, 30 items, 1 language
Itemgroup: ECOG treatment data
ECOG 4599 Toxicity Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A16E9DCC-CE6C-6087-E034-080020C9C0E0

CALGB: 80101 TREATMENT FORM NCT00052910

- 6/3/15 - 1 form, 2 itemgroups, 21 items, 1 language
Itemgroups: CALGB clinical trial administrative data, Treatment Summary
CALGB: 80101 TREATMENT FORM Chemotherapy and Radiation Therapy After Surgery in Treating Patients With Stomach or Esophageal Cancer NCT00052910 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=9DA6CD3D-F968-5976-E034-080020C9C0E0

Bladder Cancer NCT01224665 Treatment - S1011 Intra-Op Surgical Assessment Form Standard Versus Extended LND (#10689) - 3153877v1.0 - S1011 Intra-Op Surgical Assessment Form Standard Versus Extended LND (#10689)

- 1/9/15 - 1 form, 7 itemgroups, 43 items, 1 language
Itemgroups: Header Module, INTRA-OPERATIVE EXTENT-OF-DISEASE ASSESSMENT, SURGICAL ASSESSMENT OF NODAL DISSECTION, DESCRIPTION OF HOW NODAL PACKETS WERE SUBMITTED TO YOUR PATHOLOGIST, RECONSTRUCTION, OPERATIVE INFORMATION, Comments
S1011 Intra-Op Surgical Assessment Form Standard Versus Extended LND (#10689) Standard or Extended Pelvic Lymphadenectomy in Treating Patients Undergoing Surgery for Invasive Bladder Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=940453E3-434E-BBC7-E040-BB89AD431F9F

Bladder Cancer NCT01224665 Treatment - S1011 Surgeon's 90-Day Assessment Form Standard Versus Extended LND (#5223) - 3153915v1.0 - S1011 Surgeon's 90-Day Assessment Form Standard Versus Extended LND (#5223)

- 1/9/15 - 1 form, 4 itemgroups, 25 items, 1 language
Itemgroups: Header Module, SURGICAL COMPLICATIONS, ADJUVANT TREATMENT RELATED TO THIS BLADDER CANCER, Comments
S1011 Surgeon's 90-Day Assessment Form Standard Versus Extended LND (#5223) Standard or Extended Pelvic Lymphadenectomy in Treating Patients Undergoing Surgery for Invasive Bladder Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=940453E3-43A8-BBC7-E040-BB89AD431F9F

Bladder Cancer NCT00014534 Treatment - NCI Cooperative Group Treatment Summary Form (CALGB-90104) - 2055978v3.0 - NCI Cooperative Group Treatment Summary Form (CALGB-90104)

- 1/8/15 - 1 form, 5 itemgroups, 21 items, 1 language
Itemgroups: MSKCC 00-138; CALGB-90104; ECOG, Form Administration, Treatment Schedule - Chemotherapy, Off-Treatment and Modifications, CCRR MODULE
NCI Cooperative Group Treatment Summary Form (CALGB-90104) Combination Chemotherapy in Treating Patients With Bladder Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A9C02140-B193-2659-E034-0003BA12F5E7

Treatment Summary NSCLC Stage III RTOG NCT00533949

- 9/20/21 - 1 form, 3 itemgroups, 36 items, 1 language
Itemgroups: RTOG clinical trial administrative data, Assessment of Chemotherapy, REPORT ALL CONTINUING OR NEW ADVERSE EVENTS
NCT00533949 TF: Radiation Therapy Oncology Group Phase III High-dose Vs Standard-dose Conformal XRT with Chemotherapy Treatment Summary Form High-Dose or Standard-Dose Radiation Therapy and Chemotherapy With or Without Cetuximab in Treating Patients With Newly Diagnosed Stage III Non-Small Cell Lung Cancer That Cannot Be Removed by Surgery Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=24FB4F78-9A8F-669C-E044-0003BA3F9857

CALGB: Thoracic Lymph Node Sampling Report NCT00499330

- 9/20/21 - 1 form, 7 itemgroups, 24 items, 1 language
Itemgroups: Header, Patient demographics, Surgical Approach Right Sided Nodes, Right Sided Nodes, Surgical Approach Left Sided Nodes, Left Sided Nodes, Footer module
CALGB: Thoracic Lymph Node Sampling Report NCT00499330 Comparison of Different Types of Surgery in Treating Patients With Stage IA Non-Small Cell Lung Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=225E819D-890F-6685-E044-0003BA3F9857

Lung Cancer NCT00738881 On-Study - North Central Cancer Treatment Group N0723 On-Study Form - 2731649v1.0 - North Central Cancer Treatment Group N0723 On-Study Form

- 9/20/21 - 1 form, 8 itemgroups, 35 items, 1 language
Itemgroups: Header Module, Description of Primary Disease, Chronology of Diagnoses, Metastatic Site(s), Previous Surgery Related To The Tumor, Prior Radiation Therapy, Prior systemic therapy, Descriptive Factors
North Central Cancer Treatment Group N0723 On-Study Form Pemetrexed or Erlotinib as Second-Line Therapy in Treating Patients With Advanced Non-Small Cell Lung Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=46FF63E8-1055-1831-E044-0003BA3F9857

Treatment and Response Form Lung Cancer (CALGB 30607)

- 9/20/21 - 1 form, 4 itemgroups, 32 items, 1 language
Itemgroups: Header Section, Survival Status, Treatment, Response
CALGB: 30607 Treatment and Response Form Sunitinib as Maintenance Therapy in Treating Patients With Stage III or Stage IV Non-Small Cell Lung Cancer Previously Treated With Combination Chemotherapy NCT00693992 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=35681A7B-54DB-54F0-E044-0003BA3F9857

Treatment - Bone Sarcoma - Definitive Surgery Form - 2288645v3.0 - Bone Sarcoma - Definitive Surgery Form

- 1/9/15 - 1 form, 6 itemgroups, 44 items, 1 language
Itemgroups: CRF Header, Sarcoma: Form Administration, Bone Sarcoma: Summary of Definitive Surgery, Bone Sarcoma: Surgical Pathology Microscopic Description, Bone Sarcoma: Surgical-Pathology Result, Comments
Bone Sarcoma - Definitive Surgery Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=E2A31F0C-C2AC-1196-E034-0003BA12F5E7

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