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Outline

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HQ must receive proper notification via CW form to close case and suppress ... CW Form. www.rtog.org. 15. CW Form. Signed or initialed by the patient ... – PowerPoint PPT presentation

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Title: Outline


1
Outline
  • Case Status Types
  • Data Submission
  • Eligibility Types
  • Withdrawal of Consent

2
Case Status
  • Case status has two parts
  • Data submission requirements
  • Eligibility status

Open - Eligible
Eligibility status
Data submission
3
Data Submission
  • Open status
  • Requires data submission per patient calendar
  • Closed status
  • Requires no further data submission
  • Change to Closed is generally due to patient death

4
Eligibility Types
  • Eligible
  • Ineligible
  • No Protocol Treatment
  • Pending

5
Eligible
  • Eligibility requirements met
  • Patient has received treatment
  • Default status
  • Case status Open Eligible

6
Ineligible
  • Eligibility requirement(s) not met
  • Phase III Studies
  • Patients will continue to be followed per
    protocol
  • Case status Open Ineligible
  • Phase I or II Studies
  • No further data submission is necessary once
    ineligibility is confirmed and all outstanding
    data on the patient calendar has been received
  • Case status Closed Ineligible

7
No Protocol Treatment
  • Patient did not receive ANY protocol treatment
  • Phase III Studies
  • Patients will continue to be followed per
    protocol
  • Case status Open No Prot RX
  • Phase I or II Studies
  • Case will be closed once I1 is received
  • Case status Closed No Prot RX


8
Pending
  • Patient appears to be ineligible
  • HQ sends institution query
  • Institution answers query in a timely fashion
  • If response not received within 6 months
  • The case is made ineligible
  • Response can still be sent
  • Eligibility status can be changed back to
    eligible
  • Submit data as usual (regardless of Phase)
  • Case status Open Pending


9
Withdrawal of Consent
  • Patient has right to withdraw consent at any time
    and for any reason
  • Withdrawal of consent does not apply in the
    following situations
  • Patient refuses protocol treatment at any time
  • Patient does not want to come back for follow up
  • Patient leaves institution

10
Withdrawal of Consent
  • HQ must receive proper notification via CW form
    to close case and suppress further data
    collection
  • Once all outstanding data is received, the case
    will be closed
  • Case status Closed Eligible


11
Withdrawal of Consent
12
Withdrawal of Consent
13
CW Form Instructions
14
CW Form
15
CW Form
  • Signed or initialed by the patient
  • Witnessed by an institutional staff member or
    third party
  • Signed by the PI

16
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