University of Pittsburgh Cancer Institute (UPCI)

Data Safety Monitoring Committee

Data Submission Guidelines

Data must be submitted according to the protocol requirements for all patients registered to UPCI clinical trials.

Data forms, including registration forms, status change forms, and case report forms for UPCI protocols are available for download as a zip file.

Registration and status change forms should be submitted by fax within seven days of patient registration or status change. All other data forms should be submitted within 14 days of study visit.

Completed data forms should be submitted to:
Clare Grzejka, RN, BSN
Program Manager, Data & Quality Improvement
Hillman Cancer Center
Suite A410.11
5115 Centre Avenue
Pittsburgh, PA 15232-1305
Fax: 412-647-0949

For more information on data submission, please contact Clare Grzejka at or by phone at 412-623-4891.