KCCOP Protocol Summary

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The summary below serves as a brief review of the treatment plan and eligibility for the protocol.
This summary is not intended to be used in place of the full eligibility & treatment information in the protocol.
Please follow the "Full Protocol" link or contact KCCOP for complete protocol information.

 

Full Protocol

(members only)

 

Consent Form

 

HIPAA

CTSU CCCWF 97609 - "Impact of Genomics and Exposures on Disparities in Breast Cancer Radiosensitivity"

 

NOTES

1) Effective April 25, 2012 - Non-hispanic, white enrollment has met its accrual goal and this arm of the study has closed.  All other arms are still open.

2) CTSU sites are exempt from photograph requirement.

3) Register w/i 5 days of lab sample collection & other baseline procedures.  RT must begin /wi 4 wks post-regist.

 

Treatment Plan    (Supplied Drug:  N/A)

 

BASELINE LABS & QUESTIONNAIRES

Baseline Breast Cancer Risk Study Questionnaire

FACT-B

Modified Skindex-16

B-39 QOL Questionnaire

Blood & Urine samples

ONS Criteria for Acute Radiation-Induced Skin Reaction

Data Submission Checklist

Flow Sheet / Addenda

 

LAST DAY OF RT

Follow-up Breast Cancer Risk Study Questionnaire

FACT-B

Modified Skindex-16

B-39 QOL Questionnaire

Blood & Urine samples

ONS Criteria for Acute Radiation-Induced Skin Reaction

Breast/Chest Wall RT Completion Form

Data Submission Checklist

Flow Sheet / Addenda

 

1 MO POST-RT

FACT-B

Modified Skindex-16

B-39 QOL Questionnaire

Follow-up Breast Cancer Risk Study Questionnaire

ONS Criteria for Acute Radiation-Induced Skin Reaction

Data Submission Checklist

Flow Sheet / Addenda

 

2 MOS POST-RT

ONS Criteria for Acute Radiation-Induced Skin Reaction

Data Submission Checklist

Flow Sheet / Addenda

 

6 MOS & 12 MOS POST-RT

FACT-B

Modified Skindex-16

B-39 QOL Questionnaire & Functioning Metric

Follow-up Breast Cancer Risk Study Questionnaire

RTOG SOMA Criteria for RT-Induced Breast/Chest Wall Late Skin Toxicity

Data Submission Checklist

Flow Sheet / Addenda

 

Eligibility