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Treatment Form Liver Cancer CALGB 80802

- 1/3/15 - 1 form, 2 itemgroups, 32 items, 1 language
Itemgroups: Header Module, Treatment Data
CALGB: 80802 Treatment Form Sorafenib Tosylate With or Without Doxorubicin Hydrochloride in Treating Patients With Locally Advanced or Metastatic Liver Cancer NCT01015833 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=741A6270-CE1B-C531-E040-BB89AD431F2C

CALGB: 80203 TREATMENT FORM NCT00077233

- 6/9/15 - 1 form, 4 itemgroups, 21 items, 1 language
Itemgroups: Header, Patient demographics, Assessment of medication, CCRR MODULE
CALGB: 80203 TREATMENT FORM NCT00077233 Fluorouracil and Leucovorin Plus Either Irinotecan or Oxaliplatin With or Without Cetuximab in Treating Patients With Previously Untreated Metastatic Adenocarcinoma of the Colon or Rectum Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B4C3AA7D-9032-06AE-E034-0003BA12F5E7

Colorectal Cancer NCT00268463 Treatment - NSABP PROTOCOL C-09: Report of Arterial Catheter Flow Form - 2319723v3.0 - NSABP PROTOCOL C-09: Report of Arterial Catheter Flow Form

- 1/9/15 - 1 form, 1 itemgroup, 10 items, 1 language
Itemgroup: Header
NSABP PROTOCOL C-09: Report of Arterial Catheter Flow Form Oxaliplatin and Capecitabine With or Without an Hepatic Arterial Infusion With Floxuridine in Treating Patients Who Are Undergoing Surgery and/or Ablation for Liver Metastases Due to Colorectal Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=FC806838-F009-67DB-E034-0003BA3F9857

Colorectal Cancer NCT01150045 Treatment - CALGB 80702 Treatment Form - 2969857v1.0 - CALGB 80702 Treatment Form

- 1/9/15 - 1 form, 7 itemgroups, 25 items, 1 language
Itemgroups: Header Module, Header, Cycle/Dosing Information, Agent/Agent Dose, Dose Modifications, Off Treatment, Footer Module
CALGB 80702 Treatment Form Oxaliplatin, Leucovorin Calcium, and Fluorouracil With or Without Celecoxib in Treating Patients With Stage III Colon Cancer Previously Treated With Surgery Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=7AD9B90F-EC60-48A2-E040-BB89AD430CF4

NSABP PROTOCOL C-09: Treatment Form for Group 2 Patients NCT00268463

- 6/3/15 - 1 form, 3 itemgroups, 31 items, 1 language
Itemgroups: Header module, Assessment of Chemotherapy, TREATMENT GROUP 2. Complications Related to HAI Catheter or Pump
NSABP PROTOCOL C-09: Treatment Form for Group 2 Patients NCT00268463 Oxaliplatin and Capecitabine With or Without an Hepatic Arterial Infusion With Floxuridine in Treating Patients Who Are Undergoing Surgery and/or Ablation for Liver Metastases Due to Colorectal Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=FCBE35C9-1452-58D9-E034-0003BA3F9857

NSABP PROTOCOL C-09: Treatment Form for Group 1 Patients NCT00268463

- 6/3/15 - 1 form, 2 itemgroups, 19 items, 1 language
Itemgroups: Header module, Assessment of Chemotherapy
NSABP PROTOCOL C-09: Treatment Form for Group 1 Patients NCT00268463 Oxaliplatin and Capecitabine With or Without an Hepatic Arterial Infusion With Floxuridine in Treating Patients Who Are Undergoing Surgery and/or Ablation for Liver Metastases Due to Colorectal Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=FCBE2AD1-8223-57D3-E034-0003BA3F9857

Colorectal Cancer NCT00079274 Treatment - NCCTG Study N0147 Operative Report Submission Form - 2542352v1.0 - NCCTG Study N0147 Operative Report Submission Form

- 1/9/15 - 1 form, 1 itemgroup, 13 items, 1 language
Itemgroup: Coversheet Module
NCCTG Study N0147 Operative Report Submission Form Comparison of Combination Chemotherapy Regimens With or Without Cetuximab in Treating Patients Who Have Undergone Surgery For Stage III Colon Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=224ECF5F-44CA-491F-E044-0003BA3F9857

Colorectal Cancer NCT00079274 Treatment - NCCTG Study N0147 Colonoscopy Report Submission Form - 2542336v1.0 - NCCTG Study N0147 Colonoscopy Report Submission Form

- 1/9/15 - 1 form, 1 itemgroup, 12 items, 1 language
Itemgroup: Coversheet Module
NCCTG Study N0147 Colonoscopy Report Submission Form Comparison of Combination Chemotherapy Regimens With or Without Cetuximab in Treating Patients Who Have Undergone Surgery For Stage III Colon Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=224EC566-3DBB-4732-E044-0003BA3F9857

Colorectal Cancer NCT00303628 - Treatment Summary Form Colorectal Cancer E5204 NCT00303628

- 3/23/15 - 1 form, 3 itemgroups, 31 items, 1 language
Itemgroups: Header, Patient data, Therapy
E5204 Treatment Summary 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=089A3135-DAA8-2A7E-E044-0003BA3F9857

Pancreatic Cancer NCT00075686 Treatment - S0205 PAIN MEDICATION LOG - 2291766v3.0 - S0205 PAIN MEDICATION LOG

- 1/9/15 - 1 form, 2 itemgroups, 14 items, 1 language
Itemgroups: Administrative documentation, Analgesics
S0205 PAIN MEDICATION LOG S0205 Gemcitabine With or Without Cetuximab as First-Line Therapy in Treating Patients With Locally Advanced Unresectable or Metastatic Adenocarcinoma of the Pancreas Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=E30D7C36-2312-0722-E034-0003BA12F5E7

Adenocarcinoma of the Gastroesophageal Junction NCT01196390 Treatment - RTOG 1010 Surgery Form (S1) - 3104579v1.0 - RTOG 1010 Surgery Form (S1)

- 1/9/15 - 1 form, 4 itemgroups, 25 items, 1 language
Itemgroups: Header Module, Endoscopy/Biopsy, Surgical Resection, Footer Module
RTOG 1010 Surgery Form (S1) Radiation Therapy, Paclitaxel, and Carboplatin With or Without Trastuzumab in Treating Patients With Esophageal Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=87FDA2A8-3F52-6C0D-E040-BB89AD433137

NCI Cooperative Group Arm G Patients Only Colorectal Cancer - Adjuvant Disease Treatment Summary Form NCT00079274

- 6/8/15 - 1 form, 4 itemgroups, 16 items, 1 language
Itemgroups: Clinical trial administrative data, Treatment Summary Interval - End of Treatment ALL Patients, Colorectal: Treatment Schedule - Systemic Therapy, Comments
NCI Cooperative Group Arm G Patients Only Colorectal Cancer - Adjuvant Disease Treatment Summary Form NCT00079274 Comparison of Combination Chemotherapy Regimens With or Without Cetuximab in Treating Patients Who Have Undergone Surgery For Stage III Colon Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=53BD5FD0-1911-70FC-E044-0003BA3F9857

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