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Vital Signs Anal Cancer NCT00324415

- 31.07.15 - 1 Formular, 3 Itemgruppen, 13 Datenelemente, 1 Sprache
Itemgruppen: Header module, Vital Signs, Comments
Anal Cancer NCT00324415 On-Study - AMC-045 Vital Signs Form (F20) - 2937179v1.0 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=7285E88F-E0EF-C8EB-E040-BB89AD437ABB

Anal Cancer NCT01164722 AMC-076 - On-Study Form (ONS) Anal Cancer NCT01164722

- 20.05.15 - 1 Formular, 4 Itemgruppen, 12 Datenelemente, 1 Sprache
Itemgruppen: Header Module, HIV, Condyloma, CD4
AMC-076 HPV On-Study Form (ONS) Infrared Coagulator Ablation or Observation in Preventing Anal Cancer in HIV-Positive Patients With Anal Neoplasia NCT01164722 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A80C062E-17BA-F42E-E040-BB89AD432F38

Death Form (F04) Anal Cancer (NCT00324415)

- 08.01.15 - 1 Formular, 1 Itemgruppe, 10 Datenelemente, 1 Sprache
Itemgruppe: Death Information
AMC-045 Death Form (F04) Cisplatin, Fluorouracil, Cetuximab, and Radiation Therapy in Treating Patients With HIV and Stage I, Stage II, or Stage III Anal Cancer NCT00324415 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=72844558-61AB-0B0B-E040-BB89AD4314AD

Death Form (F04) Anal Cancer (NCT00550589)

- 08.01.15 - 1 Formular, 1 Itemgruppe, 10 Datenelemente, 1 Sprache
Itemgruppe: Death Information
AMC-046 Death Form (F04) Cidofovir in Treating HIV-Infected Patients With High-Grade Squamous Intraepithelial Lesions of the Skin Near the Anus NCT00550589 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=7D8985E5-2EC8-08A5-E040-BB89AD434A3B

HIV Anal Cancer Therapy NCT00324415 AMC-045 - Chemistries, LFTs (F23)

- 09.06.17 - 1 Formular, 2 Itemgruppen, 19 Datenelemente, 1 Sprache
Itemgruppen: Header Module, Lab Values
AMC-045 Chemistries, LFT's (F23) Combined Modality Therapy for Patients With With HIV and Stage I, Stage II, or Stage III Anal Cancer https://clinicaltrials.gov/ct2/show/NCT00324415

Anal Cancer Screen Failure AMC-076 NCT01164722 - Screen Failure Form (SFF) Anals Cancer NCT01164722

- 20.05.15 - 1 Formular, 1 Itemgruppe, 8 Datenelemente, 1 Sprache
Itemgruppe: Screen Failure
AMC-076 Screen Failure Form (SFF) Infrared Coagulator Ablation or Observation in Preventing Anal Cancer in HIV-Positive Patients With Anal Neoplasia NCT01164722 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A80D02C4-02DA-DA36-E040-BB89AD436D9D

Enrollment Form HIV Anal Cancer AMC-045 NCT00324415

- 04.08.15 - 1 Formular, 5 Itemgruppen, 14 Datenelemente, 1 Sprache
Itemgruppen: General information, Inclusion Criteria, Exclusion Criteria, Consent For The Use Of Tissue Specimens, Comments
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=1CB5F031-5BC1-01E3-E044-0003BA3F9857

Anal Cancer NCT00324415 Demographic - AMC-045 Demographic Form (DEM) - 2937136v1.0 - Demographic Form AMC-045

- 24.03.14 - 1 Formular, 1 Itemgruppe, 7 Datenelemente, 1 Sprache
Itemgruppe: Demographics
AMC-045 Demographic Form (DEM) 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=72857762-35A6-7AF0-E040-BB89AD434241

Anal Cancer HIV Cisplatin, Fluorouracil, Cetuximab, and Radiation NCT00324415 AMC-045 - Anal Cancer Initial Evaluation Form

- 28.07.17 - 1 Formular, 4 Itemgruppen, 31 Datenelemente, 1 Sprache
Itemgruppen: Header Module, Tumor Characteristics, Procedures, TNM classification before treatment
AMC-045 Anal Cancer Initial Evaluation Form (IEF) NCT00324415 Pre-Study - AMC-045 Anal Cancer Initial Evaluation Form (IEF) - 2516530v1.0 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=1C146420-B4DA-57A0-E044-0003BA3F9857

Anal Cancer NCT00324415 On-Study - AMC-045 On Study Form (F02) - 2936986v1.0 - AMC-045 On Study Form (F02)

- 09.01.15 - 1 Formular, 6 Itemgruppen, 45 Datenelemente, 1 Sprache
Itemgruppen: Header Module, HIV History, History of Malignancy for study, HIstory of Other Malignancy, Antiretroviral Therapy, Comments
AMC-045 On Study Form (F02) 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-BE97-FDEC-E040-BB89AD43537B

Anal Cancer NCT00324415 Lab - AMC-045 Hematology Form (F22) - 2720666v1.0 - AMC-045 Hematology Form (F22)

- 09.01.15 - 1 Formular, 3 Itemgruppen, 19 Datenelemente, 1 Sprache
Itemgruppen: Header Module, Lab Values, Comments
AMC-045 Hematology Form (F22) 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=43C69839-22BB-1EAA-E044-0003BA3F9857

Anal Cancer NCT00550589 On-Study - AMC-046 HPV On-Study Form (ONS) - 2989612v1.0 - On-Study Form (ONS) AMC-046 HPV

- 20.09.21 - 1 Formular, 4 Itemgruppen, 25 Datenelemente, 1 Sprache
Itemgruppen: Header Module, HIV History, Does the participant have a history of high grade dysplasia, Prior Therapy
Cidofovir in Treating HIV-Infected Patients With High-Grade Squamous Intraepithelial Lesions of the Skin Near the Anus NCT00550589 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=7D8985E5-2FE1-08A5-E040-BB89AD434A3B

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