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

- 09-01-15 - 1 Formulier, 2 Itemgroepen, 14 Data-elementen, 1 Taal
Itemgroepen: 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

Pancreatic Cancer NCT00075686 Treatment - SOUTHWEST ONCOLOGY GROUP S0205 TREATMENT SUMMARY FORM - 2307260v3.0 - SOUTHWEST ONCOLOGY GROUP S0205 TREATMENT SUMMARY FORM

- 09-01-15 - 1 Formulier, 7 Itemgroepen, 30 Data-elementen, 1 Taal
Itemgroepen: Header, STATUS, TREATMENT, GEMCITABINE USE, CETUXIMAB USE: For Arm 1 patients only, Hospitalization, Comments
SOUTHWEST ONCOLOGY GROUP S0205 TREATMENT SUMMARY FORM 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=F2EB277F-E272-2226-E034-0003BA3F9857

Pancreatic Cancer NCT01013649 Treatment - RTOG 0848: Phase III Pancreas-Resected + Adjuvant Treatment Radiotherapy Form (T1) - 2866961v1.0 - RTOG 0848: Phase III Pancreas-Resected + Adjuvant Treatment Radiotherapy Form (T1)

- 09-01-15 - 1 Formulier, 1 Itemgroep, 21 Data-elementen, 1 Taal
Itemgroep: MODULE 1
RTOG 0848: Phase III Pancreas-Resected + Adjuvant Treatment Radiotherapy Form (T1) Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=69073BF6-D406-B01F-E040-BB89AD4319AC

Pancreatic Cancer NCT01013649 Treatment - RTOG 0848: Phase III Pancreas-Resected + Adjuvant Treatment Additional Systemic Treatment Summary Form (AT) - 2891794v1.0 - RTOG 0848: Phase III Pancreas-Resected + Adjuvant Treatment Additional Systemic Treatment Summary Form (AT)

- 09-01-15 - 1 Formulier, 6 Itemgroepen, 33 Data-elementen, 1 Taal
Itemgroepen: Header Module, Header, Summary of Systemic Treatment, Treatment Summary, Adverse Events, Footer Module
RTOG 0848: Phase III Pancreas-Resected + Adjuvant Treatment Additional Systemic Treatment Summary Form (AT) Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=6AFC2AE9-5C38-1FC0-E040-BB89AD4334D1

Pancreatic Cancer NCT01013649 Treatment - RTOG 0848: Phase III Pancreas-Resected + Adjuvant Treatment Systemic Treatment Summary Form (SF) - 2867004v1.0 - RTOG 0848: Phase III Pancreas-Resected + Adjuvant Treatment Systemic Treatment Summary Form (SF)

- 09-01-15 - 1 Formulier, 6 Itemgroepen, 33 Data-elementen, 1 Taal
Itemgroepen: Header Module, Header, Summary of Systemic Treatment, Treatment Summary, Adverse Events, Footer Module
RTOG 0848: Phase III Pancreas-Resected + Adjuvant Treatment Systemic Treatment Summary Form (SF) Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=690785CE-F693-0044-E040-BB89AD432A23

Pancreatic Cancer NCT01013649 Quality of Life - RTOG 0848 Phase III Pancreas-Resected + Adjuvant Treatment FACIT - Fatigue Cover Sheet (FA) - 2865273v1.0 - RTOG 0848 Phase III Pancreas-Resected + Adjuvant Treatment FACIT - Fatigue Cover Sheet (FA)

- 09-01-15 - 1 Formulier, 4 Itemgroepen, 36 Data-elementen, 1 Taal
Itemgroepen: Header Module, Header, QOL Cover Sheet, FACIT-Fatigue Subscale
RTOG 0848 Phase III Pancreas-Resected + Adjuvant Treatment FACIT - Fatigue Cover Sheet (FA) Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=68B33AD0-8068-FF39-E040-BB89AD430ECB

Pancreatic Cancer NCT01013649 On-Study - RTOG 0848: Phase III Pancreas-Resected + Adjuvant Treatment Post ARM 1 or 2 Tumor Status Form (F3) - 2865008v1.0 - RTOG 0848: Phase III Pancreas-Resected + Adjuvant Treatment Post ARM 1 or 2 Tumor Status Form (F3)

- 09-01-15 - 1 Formulier, 2 Itemgroepen, 17 Data-elementen, 1 Taal
Itemgroepen: Header Module, Header
RTOG 0848: Phase III Pancreas-Resected + Adjuvant Treatment Post ARM 1 or 2 Tumor Status Form (F3) Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=68A15631-F4DE-4C22-E040-BB89AD431280

Pancreatic Cancer NCT01013649 Quality of Life - RTOG 0848 Phase III Pancreas-Resected + Adjuvant Treatment PROMIS Fatigue Short Form-1 Cover Sheet (PR) - 2865750v1.0 - RTOG 0848 Phase III Pancreas-Resected + Adjuvant Treatment PROMIS Fatigue Short Form-1 Cover Sheet (PR)

- 09-01-15 - 1 Formulier, 4 Itemgroepen, 30 Data-elementen, 1 Taal
Itemgroepen: Header Module, Header, QOL Cover Sheet, PROMIS Fatigue Short Form 1
RTOG 0848 Phase III Pancreas-Resected + Adjuvant Treatment PROMIS Fatigue Short Form-1 Cover Sheet (PR) Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=68B36F4B-6CF7-CD4B-E040-BB89AD4309CF

NCT01013649 RTOG 0848 Phase III Pancreas-Resected + Adjuvant Treatment Systemic Treatment Summary Form (TF)

- 08-07-15 - 1 Formulier, 7 Itemgroepen, 93 Data-elementen, 1 Taal
Itemgroepen: RTOG clinical trial administrative data, Summary of Systemic Treatment, Treatment Summary, Adverse Events, Laboratory Values, Lab results, Comments
NCT01013649 RTOG 0848 Phase III Pancreas-Resected + Adjuvant Treatment Systemic Treatment Summary Form (TF) Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=689F0A8D-3BC3-3BA7-E040-BB89AD434E50

RTOG 0848: Phase III Pancreas-Resected + Adjuvant Treatment Surgery Form (S1) NCT01013649

- 21-06-15 - 1 Formulier, 5 Itemgroepen, 57 Data-elementen, 1 Taal
Itemgroepen: Header module, Gastro intestinal Surgical Procedure, Other organs resected, Tumor invasion, Additional Pathologic Findings
RTOG 0848: Phase III Pancreas-Resected + Adjuvant Treatment Surgery Form (S1) NCT01013649 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=68B36F4B-6F1B-CD4B-E040-BB89AD4309CF

Concomitant Medication Form NCT00058149

- 03-07-15 - 1 Formulier, 4 Itemgroepen, 29 Data-elementen, 1 Taal
Itemgroepen: ECOG clinical trial administrative data, Concomitant Medication, Comments, CCRR MODULE
Concomitant Medication Form NCT00058149 A Phase III, Randomized Study of Gemcitabine (Fixed-Dose Rate Infusion) and Oxaliplatin (NSC 266046) Versus Gemcitabine (Fixed-Dose Rate Infusion) Versus Gemcitabine (30-Minute Infusion) in Pancreatic Carcinoma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A6277C4D-6BBD-3D79-E034-0003BA0B1A09

E6201 Pharmacokinetic Sampling Form NCT00058149

- 16-06-15 - 1 Formulier, 2 Itemgroepen, 25 Data-elementen, 1 Taal
Itemgroepen: ECOG clinical trial administrative data, Pharmacokinetic Sampling
E6201 Pharmacokinetic Sampling Form NCT00058149 A Phase III, Randomized Study of Gemcitabine (Fixed-Dose Rate Infusion) and Oxaliplatin (NSC 266046) Versus Gemcitabine (Fixed-Dose Rate Infusion) Versus Gemcitabine (30-Minute Infusion) in Pancreatic Carcinoma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=E4B30695-CCF7-392C-E034-0003BA3F9857

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