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Pancreatic Cancer NCT00058149 Quality of Life - Brief Pain Inventory - 2031356v3.0 - Brief Pain Inventory

- 2015-01-09 - 1 Formulär, 2 Item-grupper, 23 Dataelement, 1 Språk
Item-grupper: Header, CCRR MODULE
Brief Pain Inventory A Phase III, Randomized Study of Gemcitabine (Fixed-Dose Rate Infusion) and Oxaliplatin (NSC 266046) Versus Gemcitabine (Fixed-Dose Rate Infusion) Versus Gemcitabine (30-Minute Infusion) in Pancreatic Carcinoma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=AE65F8E1-704E-30A0-E034-0003BA12F5E7

Pancreatic Cancer NCT00058149 Follow-Up - Hematology/Chemistry Form - 2048132v3.0 - Hematology/Chemistry Form

- 2015-01-21 - 1 Formulär, 2 Item-grupper, 31 Dataelement, 1 Språk
Item-grupper: Header, Hematology and Chemistry
Hematology/Chemistry Form A Phase III, Randomized Study of Gemcitabine (Fixed-Dose Rate Infusion) and Oxaliplatin (NSC 266046) Versus Gemcitabine (Fixed-Dose Rate Infusion) Versus Gemcitabine (30-Minute Infusion) in Pancreatic Carcinoma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A65D4877-9B57-427A-E034-0003BA0B1A09

Eligibility NCT00844064 Pancreatic Neoplasms, Melanoma, Colorectal Neoplasms - Eligibility

- 2021-09-20 - 1 Formulär, 2 Item-grupper, 33 Dataelement, 2 Språk
Item-grupper: Inclusion Criteria, Exclusion Criteria
ODM derived from http://clinicaltrials.gov/show/NCT00844064

Pancreatic Cancer NCT00733746 Registration - ACOSOG-Z5041 Registration Worksheet - 2921129v1.0 - ACOSOG-Z5041 Registration Worksheet

- 2021-09-20 - 1 Formulär, 4 Item-grupper, 34 Dataelement, 1 Språk
Item-grupper: Header Module, Eligibility Criteria, Diagnosis and Therapy, Specimen Banking Consent
ACOSOG-Z5041 Registration Worksheet Gemcitabine and Erlotinib Before and After Surgery in Treating Patients With Pancreatic Cancer That Can Be Removed by Surgery Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=6F3D4C5B-FB42-7755-E040-BB89AD432E97

SOUTHWEST ONCOLOGY GROUP S0205 BASELINE PHYSICAL EXAMINATION FORM NCT00075686

- 2021-09-20 - 1 Formulär, 2 Item-grupper, 23 Dataelement, 1 Språk
Item-grupper: Header, Physical examination
SOUTHWEST ONCOLOGY GROUP S0205 BASELINE PHYSICAL EXAMINATION FORM NCT00075686 S0205 Gemcitabine With or Without Cetuximab as First-Line Therapy in Treating Patients With Locally Advanced Unresectable or Metastatic Adenocarcinoma of the Pancreas Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=F2FD44E4-4DFA-66A0-E034-0003BA3F9857

On-Study Form NCT00058149

- 2021-09-20 - 1 Formulär, 8 Item-grupper, 74 Dataelement, 1 Språk
Item-grupper: ECOG clinical trial administrative data, Patient vital status, Disease Description, Site(s) of Involvement, Baseline Hematology/Chemistry, Prior Therapy, CCRR MODULE, Footer module
On-Study Form NCT00058149 A Phase III, Randomized Study of Gemcitabine (Fixed-Dose Rate Infusion) and Oxaliplatin (NSC 266046) Versus Gemcitabine (Fixed-Dose Rate Infusion) Versus Gemcitabine (30-Minute Infusion) in Pancreatic Carcinoma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A65D6B91-79C6-4288-E034-0003BA0B1A09

Pancreatic Symptom Index NCT00058149

- 2021-09-20 - 1 Formulär, 3 Item-grupper, 22 Dataelement, 1 Språk
Item-grupper: ECOG clinical trial administrative data, Symptom assessment, CCRR MODULE
Pancreatic Symptom Index NCT00058149 A Phase III, Randomized Study of Gemcitabine (Fixed-Dose Rate Infusion) and Oxaliplatin (NSC 266046) Versus Gemcitabine (Fixed-Dose Rate Infusion) Versus Gemcitabine (30-Minute Infusion) in Pancreatic Carcinoma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A65D73CD-6E86-428A-E034-0003BA0B1A09

On-Study Form NCT00057876

- 2021-09-20 - 1 Formulär, 6 Item-grupper, 33 Dataelement, 1 Språk
Item-grupper: ECOG clinical trial administrative data, Vital status, Anatomic Description of Disease, Staging, Site(s) of Involvement, CCRR MODULE
On-Study Form NCT00057876 Gemcitabine With or Without Radiation Therapy in Treating Patients With Pancreatic Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A670D091-E97C-4BF1-E034-0003BA0B1A09

S0205 Registration Form NCT00075686

- 2021-09-20 - 1 Formulär, 4 Item-grupper, 29 Dataelement, 1 Språk
Item-grupper: SWOG clinical trial administrative data, Patient demographics, Comments, CCRR MODULE
S0205 Registration Form NCT00075686 S0205 Gemcitabine With or Without Cetuximab as First-Line Therapy in Treating Patients With Locally Advanced Unresectable or Metastatic Adenocarcinoma of the Pancreas Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A11C9703-C8D4-1BF2-E034-080020C9C0E0

FACT-HEP (Version 4) NCT00057876

- 2021-09-20 - 1 Formulär, 3 Item-grupper, 56 Dataelement, 1 Språk
Item-grupper: ECOG clinical trial administrative data, Assessment of Quality of Life, CCRR MODULE
FACT-HEP (Version 4) NCT00057876 Gemcitabine With or Without Radiation Therapy in Treating Patients With Pancreatic Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A65F5E36-2E67-453E-E034-0003BA0B1A09

On-Study - Curative Treatment for Head and Neck Cancer - On-Study Form - 2268312v3.0 - Curative Treatment for Head and Neck Cancer - On-Study Form

- 2021-09-20 - 1 Formulär, 5 Item-grupper, 48 Dataelement, 1 Språk
Item-grupper: CRF Header, Head & Neck: Form Administration, Head & Neck: Patient Assessment, Head & Neck: Disease Description, Head & Neck: Prior Health History - Curative
Curative Treatment for Head and Neck Cancer - On-Study Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=D4976276-569A-5CEB-E034-0003BA12F5E7

Pancreatic Cancer NCT00733746 Registration - Z5041 - OPEN Enrollment Form - 3013792v1.0 - Z5041 - OPEN Enrollment Form

- 2021-09-17 - 1 Formulär, 3 Item-grupper, 44 Dataelement, 1 Språk
Item-grupper: Demography Section, General Information, Eligibility Checklist
Z5041 - OPEN Enrollment Form Gemcitabine and Erlotinib Before and After Surgery in Treating Patients With Pancreatic Cancer That Can Be Removed by Surgery Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=7FFA1514-8347-A58F-E040-BB89AD4376E5

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