Effect of Monazite Sands in Patients With Osteoarthritis of the Knee
Phase: NA
Conditions: Osteo Arthritis Knee
Sponsor: University Vila Velha

 
 
Documente date: May 3rd , 2019
Effect of Monazite Sands in Patients with Osteoarthritis of the Knee   
Ethical committee Protocol No: 3.160.891     
Withdrawal_log  
 

        
 
SUBJECT WITHDRAWAL/TERMINATION LOG 
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                           Page 1 of 2 
 
Study brief Title: 
Effects of Sand Treatment on Osteoarthritis   
Official Title: Effect of Monazite Sands in Patients With Osteoarthritis of the Knee   
Ethical committee Protocol No:  3.160.891    
                         
Unique Protocol ID:   T015-M02-2019AF002                                         
 
S.No 
Subject ID 
Date of withdrawal/ 
termination 
(dd/mm/yyyy) 
Reason for withdrawal/ 
termination1 
Notified date 
(dd/mm/yyyy) 
Investigator 
Initials and Date 
Comments 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Legend: 1. Reasons for removal of patients from the study: (A) Underwent knee surgery during the course of the research; (B) 
Subjected to joint infiltration with   corticoids or any other type of intra-articular medication; (C) Failure to attend more than 3 
consecutive exposures; (D) Intolerance to heat or any type of discomfort during exposure to sand. 
 
Signature of the Principal Investigator: 
 
 
 
 
 
 
     
 
Date: