Questions 13-14: Specify the disease / study for which non-cellular therapy was given

Indicate the disease or study for why the non-cellular therapy was given.

If the recipient is participating in the BMT CTN 17-02 study, select BMT CTN.

If the recipient is receiving the non-cellular therapy as treatment for disease, specify the disease.

If the recipient is enrolled in a study or receiving therapy for a disease that is not on the form, specify the disease or study.

Question 15: Enrollment date (date of consent)

Report the date of consent for enrollment on the non-cellular therapy protocol.

Section Updates:

Question Number Date of Change Add/Remove/Modify Description Reasoning (If applicable)
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Last modified: Jul 29, 2024

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