Folder (Visit) or Form Name Requirements Recommended Date to Enter for Event Date
Enrollment Folder Event Date entered Date subject entered screening in RTSM
Screening Folder Field “Did both recipient and donor meet study eligibility criteria” is answered Yes on Enrollment Confirmation form and Screening event date is entered Screening Date
NOTE: This date may be the same as the subject enrollment date
Conditioning Regimen Folder Field “Did both recipient and donor meet study eligibility criteria” is answered Yes on Enrollment Confirmation form and Conditioning Regimen event date is entered Start date of Conditioning regimen
Day 0 Folder Field “Date study ICF signed” on Informed Consent form is not blank and field “Did both recipient and donor meet study eligibility criteria” is answered Yes on Enrollment Confirmation form and Day 0 event date is entered Date of PBSC Infusion
Day 7 Folder Field “Date of infusion” is not blank on PBSC Infusion form and GVHD Prophylaxis and Treatment event date is entered and Day 7 event date is entered Date of Day 7 follow-up visit
Day 14 Folder Day 7 event date is entered and Day 14 event date is entered Date of Day 14 follow-up visit
Day 21 Folder Day 14 event date is entered and Day 21 event date is entered Date of Day 21 follow-up visit
Day 28 Folder Day 21 event date is entered and Day 28 event date is entered Date of Day 28 follow-up visit
Day 35 Folder Day 28 event date is entered and Day 35 event date is entered Date of Day 35 follow-up visit
Day 42 Folder Day 35 event date is entered and Day 42 event date is entered Date of Day 42 follow-up visit
Day 49 Folder Day 42 event date is entered and Day 49 event date is entered Date of Day 49 follow-up visit
Day 56 Folder Day 42 event date is entered and Day 56 event date is entered Date of Day 56 follow-up visit
Day 63 Folder Day 56 event date is entered and Day 63 event date is entered Date of Day 63 follow-up visit
Day 70 Folder Day 63 event date is entered and Day 70 event date is entered Date of Day 70 follow-up visit
Day 77 Folder Day 70 event date is entered and Day 77 event date is entered Date of Day 77 follow-up visit
Day 84 Folder Day 77 event date is entered and Day 84 event date is entered Date of Day 84 follow-up visit
Day 91 Folder Day 84 event date is entered and Day 91 event date is entered Date of Day 91 follow-up visit
Day 100 Folder Day 91 event date is entered and Day 100 event date is entered Date of Day 100 follow-up visit
Day 180 Folder Day 100 event date is entered and Day 180 event date is entered Date of Day 180 follow-up visit
Day 270 Day 180 event date is entered and Day 270 event date is entered Date of Day 365 follow-up visit
Day 365 Folder Day 270 event date is entered and Day 365 event date is entered Date of Day 365 follow-up visit
Event Forms (Common Forms)
• Adverse Events
• Concomitant Medications
• Unanticipated Problem
• Re-consent
• Off Protocol
• Study Exit / Study Completion
• Medical History
• Protocol Deviation
• Death Data
• Tacrolimus Administration
• Mycophenolate mofetil (MMF) Administration
• Abatacept Administration
• Ruxolitinib Administration
• Infection
• Cytokine Release Syndrome
Field “Date study ICF signed” on Informed Consent form is not blank and both Subject and Donor are eligible for the study N/A – No Event Date for Common Forms

CCG v1.0 | CRF v1.3

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