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E5508 Off-Treatment Form NCT01107626 - E5508 Off-Treatment Form NCT01107626

- 16-06-15 - 1 Formulier, 7 Itemgroepen, 23 Data-elementen, 1 Taal
Itemgroepen: Header Module, Patient demographics, Data amendment, Vital Status, Section I, Section II, Comments
E5508 Off-Treatment Form NCT01107626 Bevacizumab or Pemetrexed Disodium Alone or In Combination After Induction Therapy in Treating Patients With Advanced Non-Squamous Non-Small Cell Lung Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=6D41D0A3-B031-13D4-E040-BB89AD430599

North Central Cancer Treatment Group N0723 End Of Active Treatment/Cancel Notification Form NCT00738881

- 08-06-15 - 1 Formulier, 2 Itemgroepen, 16 Data-elementen, 1 Taal
Itemgroepen: Header Module, Preregistration Screening Failure
North Central Cancer Treatment Group N0723 End Of Active Treatment/Cancel Notification Form NCT00738881 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=46AC6BB1-F9DF-4B4C-E044-0003BA3F9857

Lung Cancer NCT00049543 Off Treatment - Off Treatment Form - 2034390v3.0 - Off Treatment Form

- 09-01-15 - 1 Formulier, 9 Itemgroepen, 36 Data-elementen, 1 Taal
Itemgroepen: 1. PATIENT INFORMATION, 2. OFF PROTOCOL THERAPY, NCIC CTG use only2, NCIC CTG use only, Header, 3. UNBLINDING, 4. COMMENTS, 5. INVESTIGATOR SIGNATURE, CCRR MODULE
Off Treatment Form Gefitinib in Treating Patients With Non-Small Cell Lung Cancer That Has Been Surgically Removed Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A069F1F1-C7BA-50DA-E034-080020C9C0E0

Lung Cancer NCT00049543 Off Treatment - Emergency Unblinding Form - 2279706v3.0 - Emergency Unblinding Form

- 09-01-15 - 1 Formulier, 3 Itemgroepen, 14 Data-elementen, 1 Taal
Itemgroepen: 1. Patient Information, 2. Unblinding Information, 3. Signature
Emergency Unblinding Form Gefitinib in Treating Patients With Non-Small Cell Lung Cancer That Has Been Surgically Removed Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=D98AA788-C380-49AB-E034-0003BA12F5E7

Lung Cancer NCT01336894 Off Treatment - ACOSOG-Z4099 End of Intervention Form - 3178441v1.0 - ACOSOG-Z4099 End of Intervention Form

- 09-01-15 - 1 Formulier, 2 Itemgroepen, 15 Data-elementen, 1 Taal
Itemgroepen: Header Module, Off-Treatment Reason
ACOSOG-Z4099 End of Intervention Form Surgery With or Without Internal Radiation Therapy Compared With Stereotactic Body Radiation Therapy in Treating Patients With High-Risk Stage I Non-Small Cell Lung Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=9869A599-BCAB-139E-E040-BB89AD432862

Lung Cancer NCT00107172 Off Treatment - Z4032 End of Intervention Period - 2306382v3.0 - Z4032 End of Intervention Period

- 08-01-15 - 1 Formulier, 3 Itemgroepen, 10 Data-elementen, 1 Taal
Itemgroepen: Header Module, Header, Footer Module
Z4032 End of Intervention Period Surgery With or Without Internal Radiation Therapy in Treating Patients With Stage I Non-Small Cell Lung Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=F20E8F7F-CB09-6BD0-E034-0003BA3F9857

Off-Treatment Form Lung Cancer (NCT00324805)

- 07-01-15 - 1 Formulier, 3 Itemgroepen, 24 Data-elementen, 1 Taal
Itemgroepen: Header, Vital Status, Treatment
ECOG-E1505 Off-Treatment Form Chemotherapy With or Without Bevacizumab in Treating Patients With Stage IB, Stage II, or Stage IIIA Non-Small Lung Cancer That Was Removed By Surgery NCT00324805 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=07459D41-1B93-4F16-E044-0003BA3F9857

Off-Treatment Form Kidney Cancer (NCT00326898)

- 07-01-15 - 1 Formulier, 3 Itemgroepen, 24 Data-elementen, 1 Taal
Itemgroepen: Header, Vital Status, Treatment
E2805 Off-Treatment Form Sunitinib or Sorafenib in Treating Patients With Kidney Cancer That Was Removed By Surgery NCT00326898 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=054AD4FB-BA76-2822-E044-0003BA3F9857

HIV Cidovir High-Grade Squamous Intraepithelial Lesions NCT00550589 AMC-046 - Off-Study Summary Form (F50)

- 09-06-17 - 1 Formulier, 1 Itemgroep, 4 Data-elementen, 1 Taal
Itemgroep: Off-Study Summary
AMC-046 Off-Study Summary Form (F50) Cidofovir in Treating HIV-Infected Patients With High-Grade Squamous Intraepithelial Lesions of the Skin Near the Anus https://clinicaltrials.gov/ct2/show/NCT00550589

AMC-045 Off Study Summary Form (F50)

- 24-05-17 - 1 Formulier, 1 Itemgroep, 4 Data-elementen, 1 Taal
Itemgroep: Off-Study Summary
AMC-045 Off Study Summary Form (F50) Cisplatin, Fluorouracil, Cetuximab, and Radiation Therapy in Treating Patients With HIV and Stage I, Stage II, or Stage III Anal Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=7284A0F2-BE74-FDEC-E040-BB89AD43537B

Anal Cancer NCT00550589 Off Treatment - AMC-046 Off-Protocol Treatment Summary Form (F05) - 2989512v1.0 - AMC-046 Off-Protocol Treatment Summary Form (F05)

- 08-01-15 - 1 Formulier, 1 Itemgroep, 4 Data-elementen, 1 Taal
Itemgroep: Off-Protocol Treatment Summary
AMC-046 Off-Protocol Treatment Summary Form (F05) Cidofovir in Treating HIV-Infected Patients With High-Grade Squamous Intraepithelial Lesions of the Skin Near the Anus Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=7D8985E5-2F13-08A5-E040-BB89AD434A3B

Anal Cancer NCT00324415 Off Treatment - AMC-045 Off Protocol Treatment Summary Form (F05) - 2936946v1.0 - AMC-045 Off Protocol Treatment Summary Form (F05)

- 08-01-15 - 1 Formulier, 1 Itemgroep, 4 Data-elementen, 1 Taal
Itemgroep: Off-Protocol Treatment Summary
AMC-045 Off Protocol Treatment Summary Form (F05) Cisplatin, Fluorouracil, Cetuximab, and Radiation Therapy in Treating Patients With HIV and Stage I, Stage II, or Stage III Anal Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=7284A0F2-BE44-FDEC-E040-BB89AD43537B

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