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RTOG 0617 T1: Radiation Therapy Oncology Group Phase III High-dose Vs Standard-dose Conformal XRT with Chemotherapy Radiotherapy Form NCT00533949

- 21-06-15 - 1 Formulier, 3 Itemgroepen, 22 Data-elementen, 1 Taal
Itemgroepen: RTOG clinical trial administrative data, Radiation Therapy, Comments
RTOG 0617 T1: Radiation Therapy Oncology Group Phase III High-dose Vs Standard-dose Conformal XRT with Chemotherapy Radiotherapy Form NCT00533949 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=24AC4268-6E7A-0EA0-E044-0003BA3F9857

CALGB: Post-Operative Chest CT Scan Form NCT00499330

- 21-06-15 - 1 Formulier, 7 Itemgroepen, 36 Data-elementen, 1 Taal
Itemgroepen: Header, Patient demographics, Technique Factors, Evaluation of lesions, Lymph Nodes, PET Scan Data, Footer
CALGB: Post-Operative Chest CT Scan Form 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=2221FAA3-582D-4F78-E044-0003BA3F9857

CALGB: 140503 Surgical Resection Form NCT00499330

- 21-06-15 - 1 Formulier, 5 Itemgroepen, 32 Data-elementen, 1 Taal
Itemgroepen: Header, Patient demographics, Operative Data, Pathologic T-N-M Staging, Footer Module
CALGB: 140503 Surgical Resection Form 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=218D55B1-930A-6505-E044-0003BA3F9857

CALGB: 140503 Imaging Form NCT00499330

- 21-06-15 - 1 Formulier, 5 Itemgroepen, 24 Data-elementen, 1 Taal
Itemgroepen: Header, Patient demographics, Preoperative Imaging Data, Post-Operative Imaging Data, Footer
CALGB: 140503 Imaging Form 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=46856687-F39F-1DA6-E044-0003BA3F9857

CALGB: Preoperative Imaging Form NCT00499330

- 18-06-15 - 1 Formulier, 9 Itemgroepen, 44 Data-elementen, 1 Taal
Itemgroepen: Header, Patient demographics, Technique Factors, Tumor Features, Tumor Features (cont), Tumor Appearance, Lymph Nodes, PET Scan Results, Footer module
CALGB: Preoperative Imaging Form 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-88A9-6685-E044-0003BA3F9857

ECOG-E1505 Chemotherapy Treatment Form NCT00324805

- 16-06-15 - 1 Formulier, 12 Itemgroepen, 37 Data-elementen, 1 Taal
Itemgroepen: Header, Patient demographics, Arm A and Arm B, VITAL STATUS, Agent Name: Cisplatin (Regimen 1, 2, 3,&4), Agent Name: Vinorelbine (Regimen 1), Agent Name: Docetaxel (Regimen 2), Agent Name: Gemcitabine (Regimen 3), Agent Name: Pemetrexed (Regimen 4), Chemotherapy Dose Modifications, Non-Protocol Therapy, Comments
ECOG-E1505 Chemotherapy Treatment Form NCT00324805 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 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=0792E7F9-9EC5-424E-E044-0003BA3F9857

E5508 Baseline Disease Evaluation Form (RECIST 1.1) NCT01107626

- 16-06-15 - 1 Formulier, 7 Itemgroepen, 26 Data-elementen, 1 Taal
Itemgroepen: Header Module, Data amendment, TARGET LESIONS, TARGET LESIONS - NON NODAL, TARGET LESIONS - NODAL, NONTARGET LESIONS, Comments
E5508 Baseline Disease Evaluation Form (RECIST 1.1) 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=6D42B202-CDD6-89E9-E040-BB89AD430258

ECOG-E1505 Bevicizumab Treatment Form

- 16-06-15 - 1 Formulier, 8 Itemgroepen, 32 Data-elementen, 1 Taal
Itemgroepen: Header, Patient demographics, ARM B ONLY, VITAL STATUS, Therapy Administered - Agent Name: Bevicizumab, Chemotherapy Dose Modifications, Non-Protocol Therapy, Footer Module
ECOG-E1505 Bevicizumab 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 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=07960353-2F29-55A4-E044-0003BA3F9857

ECOG-E1505 Cardiac History Form NCT00324805

- 16-06-15 - 1 Formulier, 5 Itemgroepen, 41 Data-elementen, 1 Taal
Itemgroepen: Header, Patient demographics, Data amendment, Patient History, Comments
ECOG-E1505 Cardiac History Form NCT00324805 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 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=109F5E08-51E4-23CB-E044-0003BA3F9857

E5508 Second Primary Form NCT01107626

- 16-06-15 - 1 Formulier, 4 Itemgroepen, 19 Data-elementen, 1 Taal
Itemgroepen: Header Module, Patient demographics, Second primary cancer assessment, Footer Module
E5508 Second Primary 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-ADCA-13D4-E040-BB89AD430599

ECOG-E1505 Non-Protocol Therapy Form NCT00324805

- 16-06-15 - 1 Formulier, 5 Itemgroepen, 30 Data-elementen, 1 Taal
Itemgroepen: Header, Patient demographics, Data amendment, Non-Protocol Therapy, Comments
ECOG-E1505 Non-Protocol Therapy Form NCT00324805 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 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=07459985-9AA6-4ED3-E044-0003BA3F9857

ECOG-E1505 Source Document Tracking Cover Sheet NCT00324805

- 16-06-15 - 1 Formulier, 3 Itemgroepen, 14 Data-elementen, 1 Taal
Itemgroepen: Header, Patient demographics, Footer module
ECOG-E1505 Source Document Tracking Cover Sheet NCT00324805 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 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=080E4673-1BE3-69B1-E044-0003BA3F9857

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