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Cancer Therapy Evaluation Program (CTEP)
Last Updated: 04/01/15

CTEP Forms, Templates and Documents

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Investigator Registration (1572) Form

Form Title Adobe Acrobat (.pdf)
FDA Form 1572 for Investigator Registration [Download FDA 1572 Form]
Supplemental Form for Investigator Registration [Download Supplemental Form]
Financial Disclosure Form for Investigator Registration [Download Financial Disclosure Form]

Protocol Development and Assembly

Form Title Adobe Acrobat (.pdf) MS Word (.doc) Excel (.xls)
Letter of Intent (LOI) Submission Form v2.0   [Download LOI Form]  
Career Development LOI Instructions   [Download LOI Instructions]  
Cost Estimate Worksheet     [Download LOI Form]
Concept Submission Form   [Download Concept Submission Form]  
AE Template Phase I Single Agent v1.1   [Download Phase I Single Agent Form]  
AE Template Phase I Combination v1.1   [Download Phase I Combination Form]  
AE Template Phase II Single Agent v1.1   [Download Phase II Single Agent Form]  
AE Template Phase II Combination v1.1   [Download Phase II Combination Form]  
NCI Informed Consent Templates   [Download NCIIC Form]  
CTCAE v3.0 and Lay Term Mapping Document   [Download NCIIC Form] [Download NCIIC Form]
Protocol Submission Worksheet v4.5   [Download Form]  
CTC Generic Data Collection Form [Download  Form] [Download  Form]  
Protocol Status Update   [Download Protocol Status Update Form]  
Amendment Request Submission Checklist   [Download Amendment Request Submission Checklist]  

Requisition of Agents

Form Title Adobe Acrobat (.pdf)
NCI Investigational Agent Accountability Record Form for Oral Agents [Download NCI Investigational Agent Accountability Record Form for Oral Agents]
NCI Investigational Agent Accountability Record Form [Download NCI Investigational Agent Accountability Record form]
NCI Transfer Investigational Agent Form [Download NCI Transfer Investigational Agent Form]
NCI Return Investigational Agent Form [Download NCI Return Investigational Agent Form]
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