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Who is the person interested in participating in this study?
—
Myself
A loved one
Is this person at least 18 years old?
—
Yes
No
Has this person been diagnosed with anaplastic astrocytoma?
—
Yes
No
Don't Know
Has this person been treated with radiation and a chemotherapy drug called temozolomide (also known as Temodar®)?
—
Yes
No
Don't Know
Has this person's tumor recurred (come back) or progressed (grown or changed) within the past 6 months?
—
Yes
No
Don't Know
Has this person completed radiation therapy more than 6 months ago?
—
Yes
No
Don't Know
Country:
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United States
Canada
Belgium
France
Germany
Italy
Netherlands
United Kingdom
Best time to contact you by phone:
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8am - Noon
Noon - 2pm
2pm - 5pm
Approximate distance willing to travel
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Up to 150 miles
Up to 500 miles
Greater than 500 miles
Yes, please contact me.
I hereby agree to the electronic collection, processing, and forwarding of my personal information/data to study centers by Orbus Therapeutics Inc. and I agree Orbus Therapeutics Inc. and/or research study center employees may contact me by phone and by email.
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