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Treatment - Lymphoma - Transplant Treatment Form - 2269914v3.0 - Lymphoma - Transplant Treatment Form

- 9/17/21 - 1 form, 6 itemgroups, 65 items, 1 language
Itemgroups: CRF Header, Lymphoma: Form Administration, Lymphoma Transplant: Treatment Plan, Lymphoma Transplant: Donor Lymphocyte Infusions, Lymphoma Transplant: Allogeneic - Donor Information, Comments
Lymphoma - Transplant Treatment Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=D5EA8AC6-6F28-703F-E034-0003BA12F5E7

Iodine-131 Anti-B1 Antibody for Patients With Previously Treated Non Hodgkin's Lymphoma NCT00992758 - Patient Enrollment/ Patient Eligibility - Demographics; General Medical History; Prior Therapy; History of Lymphoma

- 3/18/21 - 1 form, 13 itemgroups, 46 items, 1 language
Itemgroups: Administrative, Demographics (Enrollment), Investigator Signature, For Coulter Use Only, Demographics (General Medical History), Medical History Date, General Medical History, Prior Therapy, Prior Radiation Therapy, History of Lymphoma, Lymphoma Cell Type, Lymphoma Grade , History of Lymphoma
Study ID: 104512 Clinical Study ID: 104512 Study Title: Phase I, Dose-Escalation Study of Iodine-131 Anti-B1 Antibody for Patients With Previously Treated Non Hodgkin's Lymphoma With More Than 25% Bone Marrow Involvement Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00992758 Sponsor: GlaxoSmithKline Phase: Phase 1 Study Recruitment Status: Completed Generic Name: Iodine-131 Anti-B1 Antibody Trade Name: Tositumomab Study Indication: Lymphoma, Non-Hodgkin

Lymphoma NCT00981097 Off Treatment - AMC-064 Off-Study Summary Form (F50) - 2983033v1.0 - AMC-064 Off-Study Summary Form (F50)

- 8/24/17 - 1 form, 1 itemgroup, 4 items, 1 language
Itemgroup: Off-Study Summary
AMC-064 Off-Study Summary Form (F50) Study of Blood and Tissue Samples From Patients With Aggressive Non-Hodgkin B-Cell Lymphoma or Hodgkin Lymphoma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=7C993962-288D-EDFE-E040-BB89AD43562B

Treatment - Lymphoma - Systemic Treatment By Cycle Form - 2269265v3.0 - Lymphoma - Systemic Treatment By Cycle Form

- 1/9/15 - 1 form, 7 itemgroups, 47 items, 1 language
Itemgroups: CRF Header, Lymphoma: Treatment Reporting Interval, Lymphoma: Chemotherapy Cycle Information, Lymphoma: Immunotherapy Cycle Information, Lymphoma: Immuno-radiolabeled Therapy Cycle Information, Lymphoma: Vaccine Therapy Cycle Information, Comments
Lymphoma - Systemic Treatment By Cycle Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=D4BFF450-9917-0FD6-E034-0003BA12F5E7

Treatment - Lymphoma - Transplant Engraftment Form - 2269377v3.0 - Lymphoma - Transplant Engraftment Form

- 1/9/15 - 1 form, 4 itemgroups, 26 items, 1 language
Itemgroups: CRF Header, Lymphoma: Form Administration, Lymphoma Transplant: Engraftment, Comments
Lymphoma - Transplant Engraftment Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=D4C10C9D-17DD-11CF-E034-0003BA12F5E7

Treatment - Lymphoma - Treatment Summary Form - 2269116v3.0 - Lymphoma - Treatment Summary Form

- 1/9/15 - 1 form, 3 itemgroups, 32 items, 1 language
Itemgroups: CRF Header, Lymphoma: Treatment Plan, Lymphoma: Treatment Schedule - Non-Protocol Therapy
Lymphoma - Treatment Summary Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=D4BE6408-A222-699D-E034-0003BA12F5E7

Treatment - Lymphoma - Transplant Graft Vs. Host Disease Form - 2271273v3.0 - Lymphoma - Transplant Graft Vs. Host Disease Form

- 1/9/15 - 1 form, 5 itemgroups, 26 items, 1 language
Itemgroups: CRF Header, Lymphoma: Form Administration, Lymphoma Transplant: Allogeneic - Acute Graft vs. Host Disease, Lymphoma Transplant: Allogeneic - Chronic Graft vs. Host Disease, Comments
Lymphoma - Transplant Graft Vs. Host Disease Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=D5EC8620-1084-0D3B-E034-0003BA12F5E7

Treatment - Lymphoma - Radiation Therapy Form - 2269197v3.0 - Lymphoma - Radiation Therapy Form

- 1/9/15 - 1 form, 4 itemgroups, 24 items, 1 language
Itemgroups: CRF Header, Lymphoma: Radiation Therapy Reporting Interval, Lymphoma: Treatment Schedule - Radiation Therapy, Comments
Lymphoma - Radiation Therapy Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=D4BFD3C1-F527-0D6F-E034-0003BA12F5E7

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