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Vital Signs Anal Cancer NCT00324415

- 7/31/15 - 1 form, 3 itemgroups, 13 items, 1 language
Itemgroups: 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 NCT00324415 Toxicity - AMC-045 Type III Adverse Event Reporting Form (TAE) - 2516535v1.0 - AMC-045 Type III Adverse Event Reporting Form (TAE)

- 4/13/21 - 1 form, 3 itemgroups, 7 items, 1 language
Itemgroups: Administrative, Severe Adverse Event (Grade 3), Comments
AMC-045 Type III Adverse Event Reporting Form (TAE) 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=1C146B28-823F-583B-E044-0003BA3F9857

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

- 6/9/17 - 1 form, 1 itemgroup, 4 items, 1 language
Itemgroup: 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)

- 5/24/17 - 1 form, 1 itemgroup, 4 items, 1 language
Itemgroup: 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

AMC-076 Dysplasia Treatment Form (DYS) NCT01164722

- 7/8/15 - 1 form, 3 itemgroups, 10 items, 1 language
Itemgroups: Header Module, Dysplasia Treatment, Comments
AMC-076 Dysplasia Treatment Form (DYS) NCT01164722 Infrared Coagulator Ablation or Observation in Preventing Anal Cancer in HIV-Positive Patients With Anal Neoplasia Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A8216D81-B789-F026-E040-BB89AD436DD3

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

- 5/20/15 - 1 form, 1 itemgroup, 8 items, 1 language
Itemgroup: 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

Anal Cancer NCT00324415 On-Study - AMC-045 History of AIDS Defining Disease Form (F03) - 2937261v1.0 - History of AIDS Defining Disease Form (F03, AMC-045 NCT00324415 )

- 3/14/15 - 1 form, 2 itemgroups, 6 items, 1 language
Itemgroups: Header Module, History of AIDS Defining Disease
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=72873427-47DC-3052-E040-BB89AD43686C

Anal Cancer NCT00324415 Response - AMC-045 Response Assessment Forms (RA1; RA2) - 2514651v1.0 - Response Assessment Forms (RA1; RA2 AMC-045)

- 3/12/15 - 1 form, 5 itemgroups, 21 items, 1 language
Itemgroups: Header, Target Lesions (RA1), Nontarget Lesions (RA1), Response Assessment Form (RA2), Comments
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=1BB34737-57FC-61F2-E044-0003BA3F9857

Anal Cancer NCT01249443 Toxicity - AMC-078 Adverse Events Form (ADV) - 3184680v1.0 - AMC-078 Adverse Events Form (ADV)

- 1/9/15 - 1 form, 4 itemgroups, 19 items, 1 language
Itemgroups: Adverse Event Information, Adverse Event Information1, Adverse Event Information2, Comments
AMC-078 Adverse Events Form (ADV) Vorinostat in Combination With Paclitaxel and Carboplatin in Treating Patients With Metastatic or Recurrent Solid Tumors and HIV Infection Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=9A357A24-85C8-31A4-E040-BB89AD4314CA

Anal Cancer NCT00550589 Treatment - AMC-046 Concomitant Medication Form (MED) - 2989341v1.0 - AMC-046 Concomitant Medication Form (MED)

- 1/9/15 - 1 form, 2 itemgroups, 12 items, 1 language
Itemgroups: Concomitant Medications, Comments
AMC-046 Concomitant Medication Form (MED) 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=7D8985E5-2DD3-08A5-E040-BB89AD434A3B

Anal Cancer NCT00550589 Treatment - AMC-046 Cidofovir Administration Form (SD6) - 2769716v1.0 - AMC-046 Cidofovir Administration Form (SD6)

- 1/9/15 - 1 form, 3 itemgroups, 8 items, 1 language
Itemgroups: Header Module, Cidofovir Administration, Comments
AMC-046 Cidofovir Administration Form (SD6) 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=5353F4EF-C96C-5488-E044-0003BA3F9857

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

- 1/8/15 - 1 form, 1 itemgroup, 4 items, 1 language
Itemgroup: 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

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