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On-Study - Metastatic Brain Cancer - On-Study Form - 2287553v3.0 - Metastatic Brain Cancer - On-Study Form

- 2015-01-09 - 1 Formulär, 10 Item-grupper, 64 Dataelement, 1 Språk
Item-grupper: CRF Header, Brain: Form Administration, Non-CNS: Initial Disease Description, Brain: Current Disease Description, Brain: Concomitant Medications, Metastatic Brain: Prior Health History, Metastatic Brain: Prior Treatment, Brain: Prior Treatment - Systemic Regimens, Brain: Prior Treatment - CNS RT, Brain: Prior Treatment - CNS Surgery
Metastatic Brain Cancer - On-Study Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=EF3A8ACE-5457-4C56-E034-0003BA3F9857

Eligibility Brain Cancer NCT01065805

- 2019-08-20 - 1 Formulär, 2 Item-grupper, 13 Dataelement, 1 Språk
Item-grupper: Inclusion Criteria, Exclusion Criteria
A Study to Demonstrate the Safety and Preliminary Efficacy of 18F-FLT in Patients With Solid Tumours or Lymphoma; ODM derived from: https://clinicaltrials.gov/show/NCT01065805

On-Study - Primary Brain Cancer - On-Study Form Recurrent Treatment - 2293986v3.0 - Primary Brain Cancer - On-Study Form Recurrent Treatment

- 2015-01-09 - 1 Formulär, 9 Item-grupper, 62 Dataelement, 1 Språk
Item-grupper: CRF Header, Brain: Form Administration, Brain: Recurrent Disease Description, Brain: Neurologic Function, Brain: Concomitant Medications, Brain: Prior Health History, Brain: Prior Treatment, Brain: Prior Treatment - Systemic Regimens, Comments
Primary Brain Cancer - On-Study Form Recurrent Treatment Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=E51DA7FB-264B-3B94-E034-0003BA3F9857

On-Study - Primary Brain Cancer - On-Study Form Newly Diagnosed Patients - 2293729v3.0 - Primary Brain Cancer - On-Study Form Newly Diagnosed Patients

- 2015-01-09 - 1 Formulär, 7 Item-grupper, 45 Dataelement, 1 Språk
Item-grupper: CRF Header, Brain: Form Administration, Brain: Disease Description, Brain: Neurologic Function, Brain: Prior Health History, Brain: Concomitant Medications, Brain: Prior Surgical Treatment for Primary Site
Primary Brain Cancer - On-Study Form Newly Diagnosed Patients Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=E51E77B9-7E48-3A03-E034-0003BA3F9857

Follow-Up - Brain Cancer - Event Monitoring Form - 2287724v3.0 - Brain Cancer - Event Monitoring Form

- 2015-01-09 - 1 Formulär, 7 Item-grupper, 29 Dataelement, 1 Språk
Item-grupper: CRF Header, Brain: Vital Status, Brain: Off Study Reason, Brain: Disease Follow-Up Status, Brain: Notice of Progression, Brain: Notice of New Primary, Brain: Long-Term Toxicity
Brain Cancer - Event Monitoring Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=E51DD029-A8BB-3E76-E034-0003BA3F9857

TEST Study - ODM-Form

- 2021-09-01 - 1 Formulär, 2 Item-grupper, 5 Dataelement, 1 Språk
Item-grupper: Lab Identification Log, Physical Examination
TEST Study

ACNS0122 On Study Worksheet NCT00047320

- 2015-07-05 - 1 Formulär, 8 Item-grupper, 37 Dataelement, 1 Språk
Item-grupper: Header, Miscellaneous Patient Information, PRE-STUDY NEUROSURGERIES, PRE-TREATMENT IMAGING STUDIES, TUMOR LOCATION, PRIMARY DISEASE, Comments, CCRR MODULE
ACNS0122 On Study Worksheet NCT00047320 Neoadjuvant Chemotherapy With or Without Second-Look Surgery Followed by Radiation Therapy With or Without Peripheral Stem Cell Transplantation in Treating Patients With Intracranial Germ Cell Tumors Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=BD40A64A-F8D7-0B76-E034-0003BA12F5E7

On-Study Form Glioma N0577 NCT00626990

- 2015-07-25 - 1 Formulär, 7 Item-grupper, 25 Dataelement, 1 Språk
Item-grupper: Header Module, Disease History, Maximum Diameter of Tumor on Pre-Operative Scan, Extent of Resection, Location of Primary Neoplasm, Side of Primary Tumor, Descriptive Factors
On-Study Form Glioma N0577 NCT00626990 Brain and Central Nervous System Tumors NCT00887146 On-Study - North Central Cancer Treatment Group N0577 On-Study Form - 2746076v1.0 Radiation Therapy or Radiation Therapy and Temozolomide or Temozolomide Alone in Treating Patients With Newly Diagnosed Anaplastic Glioma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=4C0A6585-AD37-120A-E044-0003BA3F9857

ADVL0212: On Study Worksheet [reload] NCT00053963

- 2015-07-05 - 1 Formulär, 7 Item-grupper, 42 Dataelement, 1 Språk
Item-grupper: Header, Treatment related information, Diagnosis, Hemogram, Chemistries, Comments, CCRR MODULE
ADVL0212: On Study Worksheet [reload] NCT00053963 FR901228 in Treating Children With Refractory or Recurrent Solid Tumors or Leukemia Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B304C5F5-C7EC-0452-E034-0003BA12F5E7

E3F05 Brain On-Study Form NCT00978458

- 2015-06-16 - 1 Formulär, 8 Item-grupper, 43 Dataelement, 1 Språk
Item-grupper: Header Module, Patient demographics, Data amendment, Patient Description Pre-Registration Hematology/Chemistry, Prior Brain Surgery, Motivation for Study Entry, Adverse Events present at time of registration (pre-treatment), Comments
E3F05 Brain On-Study Form NCT00978458 Radiation Therapy With or Without Temozolomide in Treating Patients With Low-Grade Glioma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=6C76FF0A-A556-4EDB-E040-BB89AD4325FA

Brain and Central Nervous System Tumors NCT00890747 On-Study - AMC-061 On Study Form (F02) - 2935131v1.0 - AMC-061 On Study Form (F02)

- 2015-01-09 - 1 Formulär, 6 Item-grupper, 46 Dataelement, 1 Språk
Item-grupper: Header Module, HIV History, History of Malignancy for study, HIstory of Other Malignancy, Antiretroviral Therapy, Comments
AMC-061 On Study Form (F02) Sunitinib Malate in Treating HIV-Positive Patients With Cancer Undergoing Highly Active Antiretroviral Therapy Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=71988CF7-F9B0-68F0-E040-BB89AD4358A1

ADVL0212: On Study Worksheet (Leukemia) NCT00053963

- 2015-07-05 - 1 Formulär, 6 Item-grupper, 45 Dataelement, 1 Språk
Item-grupper: Patient demographics, Bone Marrow, Hemogram, Chemistries, Comments, CCRR MODULE
ADVL0212: On Study Worksheet (Leukemia) NCT00053963 FR901228 in Treating Children With Refractory or Recurrent Solid Tumors or Leukemia Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=C10238B2-42BD-142E-E034-0003BA12F5E7

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