Professional Documents
Culture Documents
Services Manual
AstraZeneca UK Limited
Protocol: D361EC00001
Manual Created:
22 January 2022
524790_TMEA Manual Created: 22 Jan 22 Page 1 Manual Revised: N/A Version 1.0.0
TABLE OF CONTENTS
History of Change
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524790_TMEA Manual Created: 22 Jan 22 Page 2 Manual Revised: N/A Version 1.0.0
IN F ORM A TI ON N O T IC E
LAB C OR P C EN TR A L L AB OR AT OR Y S ER VI C ES
E FF E CT IV E J UN E 2 02 1
As we entered 2021, we announced our plans to transition from Covance to the Labcorp brand name —
showcasing our unique combination of drug development and diagnostic capabilities through one
powerful, unified brand. Beginning in the end of June 2021, Covance by Labcorp will be known globally as
Labcorp Drug Development.
Although our name is changing, your studies will continue to be delivered by the same talented,
committed teams, on the same scientific instruments, with the same tireless commitment to patients.
As our new branding and name is deployed, we will be phasing out any remaining items that have the
Covance name and logo. During this transition period, you may still receive some items with the Covance
name and logo in combination with our new Labcorp Drug Development branding and logo. This includes
but is not limited to collection, packaging, and shipping materials, your investigator manual, and other
training documents. As such, some investigator manuals and other training documents created before the
name change may bear the Covance name and branding while the translation of those same materials
may bear the new name and branding if they were completed after the name change. Over time, new
items will fully transition to the new branding and bear the new name and logo.
Have additional questions? Contact our Investigator Support team by using the number for your location
that can be found in this manual.
Please retain a copy of this notice in your study files for documentation purposes.
labcorp.com
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524790_TMEA Manual Created: 22 Jan 22 Page 4 Manual Revised: N/A Version 1.0.0
DATA PRIVACY NOTICE AND OPT OUT FOR FUTURE STUDIES
IMPORTANT: The policy and actions below pertain only to future clinical studies managed by Labcorp Central
Laboratory Services’s clinical development division. All other inquiries should be directed to the Labcorp Central
Laboratory Services Contact Numbers, listed towards the end of this manual. For Kit ordering, kit questions, and
kit inventory updates, please go to http://www.drugdevelopment.labcorp.com/kitordering.
If you do not wish for Labcorp Central Laboratory Services to retain your personal information for evaluation purposes
(see disclaimer below), please complete and send the below form to Labcorp Central Laboratory Services via e-mail
at xkb@Labcorp.com, via fax to [609.419.2840,] or via mail to [Labcorp Central Laboratory Services, 210 Carnegie
Center, Princeton, New Jersey 08540-6233 USA, c/o General Counsel]. Please note that this e-mail address should
not be used to contact Labcorp Central Laboratory Services for general inquiries, it is only used for the purpose
of managing your data for future studies. You may also contact Labcorp Central Laboratory Services via this e-mail
address if you: i) want to confirm the accuracy of the personal information Labcorp Central Laboratory Services has
retained about you; ii) would like to update your personal information; and/or iii) have any complaint regarding
Labcorp Central Laboratory Services’s use of your personal information.
I do NOT wish to be considered for future clinical studies, and I do NOT wish to be contacted by Labcorp
Central Laboratory Services for other clinical trials in the future.
* Investigator Name:
Institution Name (if applicable):
* Address:
* Town/City: * State/Province/Region:
* Postal Code: * Country:
* Telephone: * E-mail:
* - Required
I would like to UPDATE my personal information below, where I may be considered and contacted for
future clinical studies.
* Investigator Name:
Institution Name (if applicable):
* Address:
* Town/City: * State/Province/Region:
* Postal Code: * Country:
* Telephone: * E-mail:
* - Required
Disclaimer: Information about investigator performance in connection with the use and/or return of materials in any laboratory test kit will be
collected and used by Labcorp Central Laboratory Services and/or its affiliates to help evaluate clinical studies, investigators, and institutions for
future clinical studies. This information may be included in databases of Labcorp Central Laboratory Services and/or its affiliates for the purpose of
identifying skills, facilities and other information relevant to the performance of services for clinical trials. Labcorp Central Laboratory Services will
take reasonable steps to protect the security of such personal information retained; however such personal information may be transferred outside
of your country (including countries which may not have been assessed as having adequate privacy laws). Nevertheless, Labcorp Central Laboratory
Services takes reasonable steps to ensure that its affiliates, agents, subsidiaries and suppliers comply with its standards of privacy regardless of their
location.
English_LabPrivacy_Update: 20210625 Copyright ©2021 Laboratory Corporation of America® Holdings. All rights reserved.
524790_TMEA Manual Created: 22 Jan 22 Page 5 Manual Revised: N/A Version 1.0.0
LABCORP LABORATORY MANUAL VERSION RATIONALE
Labcorp Central Laboratory Services has a three digit version system in place for our laboratory manuals.
Third digit
First digit
Second digit
This version system takes sponsor requested updates, internally requested updates, and standard page
updates into account.
First Digit:
Sponsor requested updates: this occurs when the sponsor requests a change to the manual. As this digit
increases it will return the subsequent two digits to zero.
Second Digit:
Internal requested updates: this occurs with a Labcorp Central Laboratory Services related change to manual.
This digit will increase with each Labcorp Central Laboratory Services related change or return to zero with a
Sponsor requested change.
Third Digit:
Standard page updates: this occurs with a standard page change. This digit will increase with each standard
page related change or return to zero with a Sponsor requested change.
All changes will be accompanied by a Manual Revised date change. This information will be present on the cover of the
manual as well as the footer on all pages of the manual.
English_Version_Explanation_Update: 20210625 Copyright ©2021 Laboratory Corporation of America® Holdings. All rights reserved.
524790_TMEA Manual Created: 22 Jan 22 Page 6 Manual Revised: N/A Version 1.0.0
SECTION BREAK
524790_TMEA Manual Created: 22 Jan 22 Page 7 Manual Revised: N/A Version 1.0.0
L AB CO RP CENTRALL AB O R ATO RY SER VI CES
Access
1. NewuserswillreceiveaWelcomeEmailcontainingalinktothePasswordManager.
2. Newuserscanusethe“Clickhere”linkfromyourWelcomeEmailorgotoLoginScreenonXcellerateLab
InvestigatorPortalat:https://invp.covance.com
3. Entertherequiredfieldstoreceiveanemailcontainingalinktoreset/createyourpassword.
*Note:Thelinkisonlyvalidfor30minutesonceemailisreceived.
4. Entertherequiredfieldstocreateneworresetyourpassword.
x Minimumlength:8
x Maximumlength:32
x Atleastoneuppercaseletter
x Atleastonelowercaseletter
x Atleastonenumericcharacter
x Atleastonespecialcharacter
x Shouldnotcontainuser’sname
5. PasswordManagerwillsendaPasswordResetSuccessfulNotificationemail.
*Note:Passwordsexpirein90daycycles.YoucanreturntothePasswordManageratanygiventimein
thefuturetoresetyourpassword.
Training
XcellerateLabInvestigatorPortalusershaveavarietyoftrainingoptionsavailabletothemincludinggeneral
navigationtraining,quickreferenceguides,andarecordedlivedemo.Thesetrainingtoolsarelocatedunderthe
ApplicationTrainingtabwithintheportal.Reviewthisinformationinpreparationforyourfirstsubjectvisits.
NavigatingtheSystem
HomePage/Dashboard
ThehomepageprovidesaccesstostudyͲspecificdataanddocumentsviastudycards.TherearealsononͲ
studyspecificlinksatthetopofthepageforGeneralCommunications,GeneralLabManuals,GeneralTraining
MaterialsandApplicationTraining.UserSettingscanbereviewedormodifiedfromthedropͲdownmenuon
thehomepage.Lastly,linkstoimportantAnnouncementsandCommonLinksareavailableontherightsideof
thehomepage.
labcorp.com
524790_TMEA Manual Created: 22 Jan 22 Page 8 Manual Revised: N/A Version 1.0.0
StudyCards
EachstudycardprovideslinkstodocumentsincludingLabreports(alsoincludesResultAlerts,DataRevisions
andCancellations),LabManuals,SiteActions,Communications,TrainingMaterialsandeQueries.Foreach
category,thenumberofunreaddocumentswilldisplayonthestudycard.Clickingonthelinkwilltakeyou
directlytotheselectedcategorytab.Onceinthetab,youwillseeamenuontheleftsideofthescreenwhere
youcannavigatetothevariouscategoriesofstudyspecificinformation.
SetYourPreferencesinUserSettings
Whendocumentsarepostedtotheapplication,anemailisgenerated;preferencesbydefaultareIMMEDIATE
forResultAlertsandeQueries,andDAILYforallotherdocumenttypes.Threeemailpreferencesareavailable
foreachdocumenttype:Immediate,Daily,andNone.WerecommendthatyousetthepreferencetoDaily
withtheexceptionofResultAlertsandeQueriesinordertominimizethenumberofemailsreceived.
YoucanalsochooseyourdocumentlanguagepreferencesintheGeneraltabofUserSettings.Pleasenote
thatnotalldocumentsaretranslated;however,ifyouselectalanguageotherthanEnglish,anydocuments
translatedinyourselectedlanguagewillbedisplayedasyourdefault.
View,Filter,andPrintDocuments
Whenyouareinacategorypage(i.e.LabReports,LabManuals,etc.)unreaddocumentswillbeboldedand
theStatuswillbeunchecked.Ifanyuseratyoursitehasreadadocument,theStatuswillbechecked,butit
willremainboldeduntilyoureadit.Youcanhoveroveracheckmarkinthestatuscolumntoseewhoatyour
sitehasreadadocument.Youhavetheabilitytofilterforunreaddocumentsonly.Onceyoudownloada
document,theStatusischeckedandthelineisnolongerbolded.
Thereareoptionstoselectoneormultipledocumentsandtosaveorprinttheminbatches.More
informationisavailableinthenavigationtraining.
*Note:UsingthePreviewbutton(eyeicon)toreviewalabreportwillnotcountthedocumentasa“read”
report.Youmustdownloadthereporttocountasread.
OnͲScreenResults
ThisfeatureallowsaStandardTestResultview,SubjectviewandMicrobiologyviewofnearrealͲtimeaccess
tolabresultsinadditiontocustomizedtrendchartstoshowtrendsovertime.Whilethisfeaturedoesnot
replacetheLabReportsandAlertsandshouldnotbeusedforregulatorysubmission,itoffersaquickviewof
testresultsforefficientstudymanagement.
eQueries
Thisnewfeatureprovidestheabilityforsitestoreceiveandrespondtoquerieswithintheapplication
allowingforquickerissueresolution.Thenumberindicatoronthestudycardindicatesanyunresolved
queriesforyourstudy.AnImmediateemailnotificationwillbesenttoyoursitewhenaneweQueryis
opened.Forfurtherdetails,refertotheeQueryQuickReferenceGuidefoundwithintheApplicationTraining
tab.
Support
Needhelpwithtoolnavigation,contentinformation,usernameandpasswordresetsupport?Theseandmany
othertipscanbefoundintheApplicationTrainingtabatthetopofeveryscreen.Ifyoustillneedsupport,contact
theInvestigatorSupportTeam.
English_XcellerateWelcomeLetter_Update:20210810
524790_TMEA Manual Created: 22 Jan 22 Page 9 Manual Revised: N/A Version 1.0.0
HOLIDAY CONSIDERATIONS
Important considerations
Local courier service (pickup and delivery) may be limited prior to, during and following observed holidays
in the country to which you are shipping specimens. It is imperative that you check local service schedules in
advance of the holiday. Listed below are important considerations when planning your patient visits during
the holidays.
- Your courier service reserves the right to observe earlier than usual pick-up times during the holidays. Call your
courier service for local pick-up schedules.
- During the December/National holidays, schedule your pickups in advance of the holiday where possible.
- When a holiday is observed on Monday, avoid laboratory collections on the preceding Saturday (i.e. Labor Day). (Not
applicable to Japan)
- Frozen specimens should NOT be shipped on the day before the observed holiday.
Send frozen specimens on the next available business day. (Not applicable to Japan)
- If shipping specimens on Friday, mark airway bill for Saturday delivery. (Not applicable for Japan)
- Specimens with short stabilities (eg. lymphocyte subsets, reticulocyte counts, etc.) should not be collected on the
day prior to the holiday. (Not applicable to Japan)
- For sites with 24 hours delivery time to Labcorp Central Laboratory Services, do not schedule any shipment 24 hours
before one of the dates on the next pages. (Not applicable for Japan)
- For sites with 48 hours delivery time to Labcorp Central Laboratory Services, do not schedule any shipment 48 hours
before one of the dates on the next pages. (Not applicable for Japan)
Holiday reminders are also available on the Labcorp Central Laboratory Services website:
https://drugdevelopment.labcorp.com/content/dam/covance/pdf/holidays.pdf
English_Custom Closed/Public Holidays North America 1/2_Update: 20210625 Copyright ©2021 Laboratory Corporation of America® Holdings. All rights reserved.
524790_TMEA Manual Created: 22 Jan 22 Page 10 Manual Revised: N/A Version 1.0.0
LABCORP CENTRAL LABORATORY SERVICES OBSERVED HOLIDAYS
1
Limited operations within Labcorp Central Laboratory Services this day due to Thanksgiving period.
English_Custom Closed/Public Holidays North America 2/2_Update: 20210625 Copyright ©2021 Laboratory Corporation of America® Holdings. All rights reserved.
524790_TMEA Manual Created: 22 Jan 22 Page 11 Manual Revised: N/A Version 1.0.0
CONTACT NUMBERS TO CALL LABCORP CENTRAL LABORATORY SERVICES
To call Labcorp Central Laboratory Services in Indianapolis from:
Monday: 07:00 am EST - 07:00 pm EST (Indianapolis time GMT-4)
Tuesday - Friday: 07:00 am EST - 08:00 pm EST (Indianapolis time GMT-4)
Saturday: 11:00 am EST - 07:00 pm EST (Indianapolis time GMT-4)
Courier Contact information can be found on the Investigator & Study Staff Website, along with Dangerous Goods
Training requirements and other important information:
https://drugdevelopment.labcorp.com/customers/investigators/investigator-study-team.html
English_Labcorp Central Laboratory Services Contact Numbers NorthAm_Update: 20210625 Copyright ©2021 Laboratory Corporation of America® Holdings. All rights reserved.
524790_TMEA Manual Created: 22 Jan 22 Page 12 Manual Revised: N/A Version 1.0.0
KIT INFORMATION
NOTE: To obtain the highest quality specimens possible, it is recommended all collection supplies
! be stored between 4°C to 25°C (39°F to 77°F). If an incident occurs where the storage conditions
for a lab kit are in question, contact your study Monitor or CRA. If you need to replace kits, contact
Covance Central Labs.
.LWV DUH SURWRFRO LQYHVWLJDWRU DQG YLVLW VSHFL¿F
Select the correct kit accordingly.
524790_TMEA Manual Created: 22 Jan 22 Page 13 Manual Revised: N/A Version 1.0.0
SUPPLY/RESUPPLY
In your initial shipment, you will receive a start-up supply of collection kits and shipping boxes/documents specific to your site and this
trial. A protocol-specific investigator manual can be found digitally on our Xcellence Investigator Portal.
For studies with automatic resupply
Required Scheduled Visits
When you use the first collection kit and complete the requisition, this becomes a patient-specific kit.
ۈ+*)
*-+ )/-'
*-/*-4 -1$ .њ.- $+/*! #*!4*0-+/$ )/.њݦ-./1$.$/&$/Ѷ.(+' .я*0-0/*(/$- .0++'4.4./ (
sets up a future kit resupply schedule based on the visit testing schedule provided to us by your sponsor.
ۈThis schedule is set up to “trigger” a resupply of kits approximately 21 days prior to the need at your site. This will allow for production
and delivery time (within 7 days of visit) to your site.
ۈThe auto resupply system reviews our record of your site inventory each day for any activity, (e.g., kits sent in or kits shipped out).
• Accurate site inventory in the Labcorp Central Laboratory Services database is vital for optimal automatic resupply success.
• Important that you keep Labcorp Central Laboratory Services informed of inventory changes such as lost, damaged or
expired kits.
• Visits that contain all frozen batch shipped samples (e.g., monthly or end of study, instead of day of collection)should be
monitored closely. The Labcorp Central Laboratory Services database does not recognize that the kit has been used until
it is received at Labcorp Central Laboratory Services.
Other visits
Some kits cannot be automatically re-supplied based on the visit test schedule.
ۈ3(+' .- 1$.$/./#/*0-2$/#$)/# ݦ-./2 &*!/# ./04*-/#*. /#/- 0).# 0' ѐ / ./*--'4 -($)/$*)&$/.ю
ۈThese visits would be resupplied based on a minimum/maximum schedule.
• *- 3(+' $.$/У*0' )ݦ2$/#($)$(0(*!Х)(3$(0(*!Чю
• #$.( )./#/2# )4*0-.$/ $)1 )/*-4!*-$.$/У!''. '*2Х&$/.in our database, the auto resupply system would generate
ћ/-$"" -ќ*- -/*0$'4*0-$)1 )/*-4&0+/*Чю
# +- ȍ ͖) ' 1 '. ) 0./*($5 !*- 4*0- .$/ 4 *)//$)" /#
)1 ./$"/*- 0++*-/ )/ - /
*-+ )/-'
*-/*-4
-1$ .Ǹ
!4*0-.$/ $.#$"# )-*'' -*-.'*2 )-*'' -ǹ2 )%0.//# - .0++'4/*2*-&(*- ƙ$$ )/'4!*-4*0-) .Ǹ
Investigator sites need to actively monitor inventory of kits and shipping materials. Shipping supplies are not automatically
resupplied and must be ordered.
*- ,0 ./$/$*)'.0++'$ .я+' . *)///# ++-*+-$/ $/
)1 )/*-4 )/ -'$./ '*2ѐ
For sites in US, Canada, and Puerto Rico contact Kit Inventory Center in Indianapolis
.0++'4Ѱ+- ! -- ( /#*ѱѐ#//+.ѐѶѶ-0" 1 '*+( )/ю'*-+ю*(Ѷ&$/*- -$)"
#*) ѐ' . - ! -/* /$*)УѰ*''- *)//0( -.ѱ*!/#$.
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**PLEASE NOTE: The preferred method of communication for all kit ordering, questions and kit inventory updates
included, is through the website. Go to the above link, select your region, complete ALL of Section A, comment box (for
questions) and security check. Section B only needs to be completed for kit orders. Labcorp Central Laboratory Services
is able to reply to your comments within the web based tool. **
English_Supply Resupply NorthAm_Update: 20210625 Copyright ©2021 Laboratory Corporation of America® Holdings. All rights reserved.
524790_TMEA Manual Created: 22 Jan 22 Page 14 Manual Revised: N/A Version 1.0.0
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524790_TMEA Manual Created: 22 Jan 22 Page 15 Manual Revised: N/A Version 1.0.0
INVESTIGATOR ORDER NOTIFICATION SERVICE
Email Notifications
For each kit order, either from our automatic resupply system or via a site request, a notification email will be sent to the receiving
site’s supply recipient at the following times:
ݦ)* ۈ-(/$*)/#/)*- -#. )- / ю This email will provide a listing of the materials included in the order.
ݦ)* ۈ-(/$*) /#/ ) *- - #. ) .#$++ !-*(
*-+ )/-'
*-/*-4 -1$ .ю This email will include courier
information that will allow tracking of the shipment.
* ۈ-+)$/ .ѐ*)ݦ-(/$*) ($')*/$ݦ/$*).2$''*)'4 be sent for - -.- / and - -.) '' .
If kits are sent to your site via an import broker, the shipment confirmation e-mail will not be sent to you; shipment details will be
communicated from the broker.
Order Cancellation
In the event that an order is cancelled, a notification email will also be sent. Please note, the Investigator Order Notification emails as
well as other important Labcorp Central Laboratory Services communications will arrive in your inbox from Labcorp Central
Laboratory Services Communications@labcorp.com. This is not a monitored email box so any questions should be directed to your
local Labcorp Central Laboratory Services Investigator Support Team.
Opt-out Option
Additionally, the notification system has been designed with an opt-out option, which will allow recipients to decline receipt of the
emails if not wanted. If you do not wish to receive these email notifications in the future, please send an email to:
OrderNotificationOptOut@labcorp.com.
Please be aware that the mailbox is designed .*' '4 for stopping emails from being sent to a particular email recipient. The mailbox is not
monitored for questions.
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524790_TMEA Manual Created: 22 Jan 22 Page 16 Manual Revised: N/A Version 1.0.0
SECTION BREAK
524790_TMEA Manual Created: 22 Jan 22 Page 17 Manual Revised: N/A Version 1.0.0
LABORATORY VISIT SCHEDULE FOR PROTOCOL D361EC00001
AstraZeneca UK Limited
Mandatory FFPE
Mandatory FFPE Mandatory FFPE Optional Tumor
VISIT NAME Screening Slides 6-30 Cycle 1 Day 1 GX Cycle 1 Day 2
Block Slides 1-5 (IHC) Biopsy
(NGS)
VISIT TYPE
RQ U U U U RQ U RQ
(RQ=Required, Opt=Optional, U=Unscheduled)
X Mandatory testing
C Conditional testing
524790_TMEA Manual Created: 22 Jan 22 Page 18 Manual Revised: N/A Version 1.0.0
LABORATORY VISIT SCHEDULE FOR PROTOCOL D361EC00001
AstraZeneca UK Limited
Every 16
CTC Epic Disease
VISIT NAME Cycle 1 Day 12 Cycle 2 Day 1 Cycle 3 Day 1 Cycle 5 Day 1 Weeks from Discontinuation
NA/LATAM Progression
D1C1
VISIT TYPE
RQ RQ RQ RQ U U U U
(RQ=Required, Opt=Optional, U=Unscheduled)
Day 12 (± 2 Day 22 (± 2 Day 64 (± 2 Day 85 (± 2
OCCURRENCE - - - -
days) days) days) days)
KIT TYPE 4 5 6 7 T-4 T-8 T-5 T
ctDNA blood samples Specimen Type
CTDNA PROCESSING BASELINE Whole Blood
CTDNA PROCESSING NON-BASELINE Whole Blood X X X X X X X
SM02/ CTDNA BASELINE Whole Blood
SM03/ CTDNA NON-BASELINE Whole Blood X X X X X X X
CTC blood sample 1 (CellSearch)
CTC CELLSEARCH Whole Blood X X
CTC blood sample 2 (EPIC Sciences)
CTC EPIC NA/LATAM Whole Blood X
Capivasertib PK blood samples
AZD5363 PK 1HR POST Plasma
AZD5363 PK 2HR POST Plasma
AZD5363 PK 4HR POST Plasma
AZD5363 PK PRE-DOSE Plasma X X X
Circulating soluble factors blood sample
SM08/ CIRCULAT SOLUBLE FACTOR Plasma X X X X X X
Whole blood DNA sample (genomic markers)
SM06/ WHOLE BLOOD DNA Whole Blood X X X X X X
Whole blood RNA sample
SM07/ WHOLE BLOOD RNA PAXgene Blood RNA X X X X X X
Mandatory tumour sample for exploratory analysis
SM04/ ARCH/NEW FFPE H&E SLIDE Slides
SM09/ ARCH/NEW FFPE BLOCK Block
SM10/ ARCH/NEW FFPE SLIDES 1-5 Slides
SM11/ PATHOLOGY REPORT Pathology Report
SM16/ ARCH/NEW FFPE SLD 6-30 Slides
Optional tumour biopsy
SM12/ SINGLE BIOPSY BLOCK Block
SM13/ SINGLE BIOPSY SNAP Snap Biopsy
Optional paired biopsy
SM14/ PAIRED BIOPSY BLOCK Block
SM15/ PAIRED BIOPSY SNAP Snap Biopsy
Genomics Initiative optional, exploratory genetic sample
SM01/ GX SAMPLE Whole Blood
APH Administrative Questions
BIOPSY / RESECTION COLLECTION
BLOCK ID
COLLECTION METHOD?
DATE OF SLIDE SECTIONING
DIAGNOSIS?
FIXATIVE USED?
FORMALIN FIXATION TIME
HOW MANY BLOCKS SUBMITTED?
HOW MANY SLIDES SUBMITTED?
METASTATIC TUMOR LOCATION?
PRIMARY TUMOR LOCATION
SECTION MICRON THICKNESS?
TUMOR TYPE (BLOCK)
TUMOR TYPE (SLIDES)
X Mandatory testing
C Conditional testing
524790_TMEA Manual Created: 22 Jan 22 Page 19 Manual Revised: N/A Version 1.0.0
LABORATORY VISIT SCHEDULE FOR PROTOCOL D361EC00001
AstraZeneca UK Limited
<ŝƚͲ'ĞŶĞƟĐ;'yͿ
dŚŝƐŬŝƚŝƐƵƐĞĚƚŽĐŽůůĞĐƚƚŚĞŽƉƟŽŶĂů'ĞŶĞƟĐƐĂŵƉůĞĂƚLJĐůĞϭĂLJϭ͘
Kit - DISCONTNUATION
dŚŝƐŬŝƚŝƐƵƐĞĚĂƚĚŝƐĐŽŶƟŶƵĂƟŽŶ͘
^ƉŽŶƐŽƌŝƐĐŽůůĞĐƟŶŐϬϭͲ:ƵůĂŶĚƚŚĞƐƵďũĞĐƚ͛ƐďŝƌƚŚLJĞĂƌĂƐƚŚĞĚĂƚĞŽĨďŝƌƚŚ;KͿĨŽƌĂůůƐƵďũĞĐƚƐŝŶƚŚŝƐƐƚƵĚLJ͘>ĂďŽƌƉ>^ƌĞĨĞƌĞŶĐĞ
ƌĂŶŐĞƐ͕ĂůĞƌƚƐ͕ŇĂŐƐĂŶĚĂŐĞͲĚĞƉĞŶĚĞŶƚĐĂůĐƵůĂƟŽŶƐǁŝůůďĞďĂƐĞĚŽŶƚŚĞŐĞŶĞƌŝĐKƉƌŽǀŝĚĞĚďLJƚŚĞŝŶǀĞƐƟŐĂƚŽƌ͘/ƚŝƐƚŚĞƌĞƐƉŽŶƐŝďŝůŝƚLJ
ŽĨƚŚĞŝŶǀĞƐƟŐĂƚŽƌƚŽĞŶƐƵƌĞƚŚĞƐĞƉĂƌĂŵĞƚĞƌƐĂƌĞĂůŝŐŶĞĚǁŝƚŚƚŚĞƌĞĂůƐƵďũĞĐƚĂŐĞĂŶĚƚŚĂƚƚŚĞƐƵďũĞĐƚŵĞĞƚƐƚŚĞĂŐĞƌĞƋƵŝƌĞŵĞŶƚ
for the study.
^DϬϭͬ'Ed/;'yͿďůŽŽĚƐĂŵƉůĞĐĂŶďĞĐŽůůĞĐƚĞĚĂƚLJĐůĞϭĂLJϭ͕ŽƌĂŶLJǀŝƐŝƚƵŶƟůƚŚĞůĂƐƚƐƚƵĚLJǀŝƐŝƚ͘
524790_TMEA Manual Created: 22 Jan 22 Page 20 Manual Revised: N/A Version 1.0.0
SPECIMEN COLLECTION PROCEDURES FOR PROTOCOL D361EC00001
AstraZeneca UK Limited
Some immunoassay tests may exhibit interference when samples are collected from a person who is consuming a supplement with
ĂŚŝŐŚĚŽƐĞŽĨďŝŽƟŶ;ĂůƐŽƚĞƌŵĞĚĂƐǀŝƚĂŵŝŶϳŽƌϴ͕ǀŝƚĂŵŝŶ,͕ŽƌĐŽĞŶnjLJŵĞZͿ͘/ƚŝƐƌĞĐŽŵŵĞŶĚĞĚƚŽĂƐŬƉĂƟĞŶƚƐĂďŽƵƚďŝŽƟŶ
ƐƵƉƉůĞŵĞŶƚĂƟŽŶ͘WŚLJƐŝĐŝĂŶƐƐŚŽƵůĚďĞĂǁĂƌĞƚŚĂƚŚŝŐŚůĞǀĞůƐŽĨďŝŽƟŶƐƵƉƉůĞŵĞŶƚĂƟŽŶŵĂLJŚĂǀĞĂŶŝŵƉĂĐƚŽǀĞƌĂƉĞƌŝŽĚŽĨĂƚ
ůĞĂƐƚϳϮŚŽƵƌƐ͘^ĞĞƚŚĞůŝƐƚŽĨĂƐƐĂLJƐǁŝƚŚƉŽƚĞŶƟĂůŝŶƚĞƌĨĞƌĞŶĐĞŝŵŵĞĚŝĂƚĞůLJĨŽůůŽǁŝŶŐƚŚĞƐƉĞĐŝŵĞŶĐŽůůĞĐƟŽŶƉƌŽĐĞĚƵƌĞƐ͘
PLASMA
ϭ͘ &ŽůůŽǁŝŶŐĐŽůůĞĐƟŽŶ͕ŐĞŶƚůLJŝŶǀĞƌƚƚŚĞƐĂŵƉůĞƐϭϬƟŵĞƐĂŶĚŝŵŵĞĚŝĂƚĞůLJƉůĂĐĞŽŶŝĐĞ͘
^ĂŵƉůĞWƌŽĐĞƐƐŝŶŐ͘
Ϯ͘ tŝƚŚŝŶϯϬŵŝŶƵƚĞƐŽĨďůŽŽĚĐŽůůĞĐƟŽŶĐĞŶƚƌŝĨƵŐĞĂƚϭϱϬϬŐ͕ĂƚϰΣĨŽƌϭϬŵŝŶƵƚĞƐ;ŝĨƌĞĨƌŝŐĞƌĂƚĞĚĐĞŶƚƌŝĨƵŐĞŝƐƵŶĂǀĂŝůĂďůĞ͕ŽŬ
ƚŽĐĞŶƚƌŝĨƵŐĞĂƚƌŽŽŵƚĞŵƉĞƌĂƚƵƌĞͿ͘&ƌŽŵĞĂĐŚϮŵ>ďůŽŽĚƐĂŵƉůĞ͕ƚƌĂŶƐĨĞƌƚŚĞƌĞƐŝĚƵĂůƉůĂƐŵĂŝŶƚŽĂϮŵ>ƐĐƌĞǁͲĐĂƉĐƌLJŽǀŝĂů
ƵƐŝŶŐĂĚŝƐƉŽƐĂďůĞƉŽůLJƉƌŽƉLJůĞŶĞƉŝƉĞƩĞ͘
ϯ͘ ^ƚŽƌĞƉůĂƐŵĂƐĂŵƉůĞƐĂƚͲϮϬΣŝŶĂŶƵƉƌŝŐŚƚƉŽƐŝƟŽŶǁŝƚŚŝŶϯϬŵŝŶƵƚĞƐŽĨƉůĂƐŵĂƉƌĞƉĂƌĂƟŽŶĂŶĚŬĞĞƉĨƌŽnjĞŶĂƚƚŚŝƐƚĞŵƉĞƌĂƚƵƌĞ
ƵŶƟůƐŚŝƉŵĞŶƚƚŽ>^;ŝĨͲϮϬΣĨƌĞĞnjĞƌŝƐƵŶĂǀĂŝůĂďůĞ͕ŽŬƚŽĨƌĞĞnjĞĂƚͲϳϬͬͲϴϬΣƵŶƟůƐŚŝƉŵĞŶƚƚŽ>ĂďŽƌƉͿ͘
ϰ͘ ^ŚŝƉƐĂŵƉůĞƐĨƌŽnjĞŶŽŶĚƌLJŝĐĞƚŽ>ĂďŽƌƉ>^ŵŽŶƚŚůLJ͘
PLASMA
PLASMA
ΎKƉƟŽŶĂůͬŽŶĚŝƟŽŶĂůƚĞƐƟŶŐŽƌůůƚĞƐƟŶŐKƉƟŽŶĂůͬŽŶĚŝƟŽŶĂůĂƚsŝƐŝƚ͖ΎΎZĞŇĞdžƚĞƐƟŶŐ
ŶŐůŝƐŚͺ^ƉĞĐŝŵĞŶŽůůĞĐƟŽŶWƌŽĐĞĚƵƌĞƐͺhƉĚĂƚĞ͗ϮϬϮϮϬϭϮϮ ŽƉLJƌŝŐŚƚΞϮϬϮϭ>ĂďŽƌĂƚŽƌLJŽƌƉŽƌĂƟŽŶŽĨŵĞƌŝĐĂΠ,ŽůĚŝŶŐƐ͘ůůƌŝŐŚƚƐƌĞƐĞƌǀĞĚ͘
524790_TMEA Manual Created: 22 Jan 22 Page 21 Manual Revised: N/A Version 1.0.0
SPECIMEN COLLECTION PROCEDURES FOR PROTOCOL D361EC00001
AstraZeneca UK Limited
t,K>>KK
t,K>>KK
ΎKƉƟŽŶĂůͬŽŶĚŝƟŽŶĂůƚĞƐƟŶŐŽƌůůƚĞƐƟŶŐKƉƟŽŶĂůͬŽŶĚŝƟŽŶĂůĂƚsŝƐŝƚ͖ΎΎZĞŇĞdžƚĞƐƟŶŐ
ŶŐůŝƐŚͺ^ƉĞĐŝŵĞŶŽůůĞĐƟŽŶWƌŽĐĞĚƵƌĞƐͺhƉĚĂƚĞ͗ϮϬϮϮϬϭϮϮ ŽƉLJƌŝŐŚƚΞϮϬϮϭ>ĂďŽƌĂƚŽƌLJŽƌƉŽƌĂƟŽŶŽĨŵĞƌŝĐĂΠ,ŽůĚŝŶŐƐ͘ůůƌŝŐŚƚƐƌĞƐĞƌǀĞĚ͘
524790_TMEA Manual Created: 22 Jan 22 Page 22 Manual Revised: N/A Version 1.0.0
SPECIMEN COLLECTION PROCEDURES FOR PROTOCOL D361EC00001
AstraZeneca UK Limited
t,K>>KK
WƌĞǀĞŶƟŽŶŽĨĂĐŬŇŽǁ͗
^ŝŶĐĞ^ƚƌĞĐŬĞůůͲ&ƌĞĞEdƚƵďĞƐĐŽŶƚĂŝŶĐŚĞŵŝĐĂůĂĚĚŝƟǀĞƐ͕ŝƚŝƐŝŵƉŽƌƚĂŶƚƚŽĂǀŽŝĚƉŽƐƐŝďůĞďĂĐŬŇŽǁĨƌŽŵƚŚĞƚƵďĞ͘dŽŐƵĂƌĚ
ĂŐĂŝŶƐƚďĂĐŬŇŽǁ͕ŽďƐĞƌǀĞƚŚĞĨŽůůŽǁŝŶŐƉƌĞĐĂƵƟŽŶƐ͗
- <ĞĞƉƉĂƟĞŶƚ͛ƐĂƌŵŝŶƚŚĞĚŽǁŶǁĂƌĚƉŽƐŝƟŽŶĚƵƌŝŶŐƚŚĞĐŽůůĞĐƟŽŶƉƌŽĐĞĚƵƌĞ͘
- ,ŽůĚƚŚĞƚƵďĞǁŝƚŚƚŚĞƐƚŽƉƉĞƌƵƉƉĞƌŵŽƐƚ͘
- ZĞůĞĂƐĞƚŽƵƌŶŝƋƵĞƚŽŶĐĞƚŚĞďůŽŽĚƐƚĂƌƚƐƚŽŇŽǁŝŶƚŽƚŚĞƚƵďĞ͕ŽƌǁŝƚŚŝŶϮŵŝŶƵƚĞƐŽĨĂƉƉůŝĐĂƟŽŶ͘
- dƵďĞĐŽŶƚĞŶƚƐƐŚŽƵůĚŶŽƚƚŽƵĐŚƐƚŽƉƉĞƌŽƌƚŚĞĞŶĚŽĨƚŚĞŶĞĞĚůĞĚƵƌŝŶŐƚŚĞĐŽůůĞĐƟŽŶƉƌŽĐĞĚƵƌĞ͘
ůŽŽĚŽůůĞĐƟŽŶ/ŶƐƚƌƵĐƟŽŶƐ͗
ΎΎ^ĐŚĞĚƵůĞĐŽƵƌŝĞƌĨŽƌƐĂŵĞͲĚĂLJƐĂŵƉůĞƉŝĐŬͲƵƉƉƌŝŽƌƚŽĐŽůůĞĐƟŽŶ
- ŽŶĮƌŵďůŽŽĚƚƵďĞŝƐŶŽƚĞdžƉŝƌĞĚ͘džƉŝƌĞĚƚƵďĞƐƐŚŽƵůĚŶŽƚďĞƵƐĞĚĨŽƌďůŽŽĚĐŽůůĞĐƟŽŶ͘
- ƌĂǁǁŚŽůĞďůŽŽĚƐĂŵƉůĞŝŶƚŽϭϬŵ>^ƚƌĞĐŬĞůůͲ&ƌĞĞEdƚƵďĞ;ΎƐĞĞŶŽƚĞƌĞŐĂƌĚŝŶŐƉƌĞǀĞŶƟŽŶŽĨďĂĐŬŇŽǁͿ͘&ŝůůƚƵďĞ
ƵŶƟůďůŽŽĚŇŽǁƐƚŽƉƐ͘
- EKd͗ƉŝĐƌĞƋƵŝƌĞƐĂŵŝŶŝŵƵŵŽĨϰŵ>ďůŽŽĚƉĞƌƐĂŵƉůĞ͕ďƵƚĂĨƵůůϭϬŵ>ƚƵďĞŽĨďůŽŽĚƐŚŽƵůĚďĞƉƌŽǀŝĚĞĚǁŚĞŶƉŽƐƐŝďůĞ͘
- ZĞŵŽǀĞ ƚƵďĞ ĨƌŽŵ ĂĚĂƉƚĞƌ ĂŶĚ ŝŵŵĞĚŝĂƚĞůLJ ŵŝdž ďLJ ŐĞŶƚůĞ ŝŶǀĞƌƐŝŽŶ ϴ ƚŽ ϭϬ ƟŵĞƐ͘ dƵďĞ ŝŶǀĞƌƐŝŽŶ ƉƌĞǀĞŶƚƐ ĐůŽƫŶŐ͘
/ŶĂĚĞƋƵĂƚĞŽƌĚĞůĂLJĞĚŵŝdžŝŶŐŵĂLJƌĞƐƵůƚŝŶŝŶĂĐĐƵƌĂƚĞƚĞƐƚƌĞƐƵůƚƐ͘
- >ĂďĞůƚŚĞƚƵďĞǁŝƚŚƐƵďũĞĐƚ͛ƐŝĚĞŶƟĮĐĂƟŽŶĂŶĚĚĂƚĞĂŶĚƟŵĞŽĨďůŽŽĚĚƌĂǁ͘hŶůĂďĞůĞĚďůŽŽĚƚƵďĞƐŵĂLJŶŽƚďĞƉƌŽĐĞƐƐĞĚ͘
- <ĞĞƉƐĂŵƉůĞĂƚƌŽŽŵƚĞŵƉĞƌĂƚƵƌĞĂŶĚƐŚŝƉŽŶĚĂLJŽĨĐŽůůĞĐƟŽŶŝŶƐŚŝƉƉĞƌĂƚĂŵďŝĞŶƚƚĞŵƉĞƌĂƚƵƌĞ͘
^ƚŽƌĞĂŵďŝĞŶƚƵŶƟůƐŚŝƉŵĞŶƚ͘
^ŚŝƉƚŽƉŝĐ^ĐŝĞŶĐĞƐŽŶƚŚĞĚĂLJŽĨĐŽůůĞĐƟŽŶ͘
Email: partners@epicsciences.com
ΎKƉƟŽŶĂůͬŽŶĚŝƟŽŶĂůƚĞƐƟŶŐŽƌůůƚĞƐƟŶŐKƉƟŽŶĂůͬŽŶĚŝƟŽŶĂůĂƚsŝƐŝƚ͖ΎΎZĞŇĞdžƚĞƐƟŶŐ
ŶŐůŝƐŚͺ^ƉĞĐŝŵĞŶŽůůĞĐƟŽŶWƌŽĐĞĚƵƌĞƐͺhƉĚĂƚĞ͗ϮϬϮϮϬϭϮϮ ŽƉLJƌŝŐŚƚΞϮϬϮϭ>ĂďŽƌĂƚŽƌLJŽƌƉŽƌĂƟŽŶŽĨŵĞƌŝĐĂΠ,ŽůĚŝŶŐƐ͘ůůƌŝŐŚƚƐƌĞƐĞƌǀĞĚ͘
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t,K>>KK
WƌĞǀĞŶƟŽŶŽĨĂĐŬŇŽǁͲ^ŝŶĐĞĞůůͲ&ƌĞĞEdĐŽŶƚĂŝŶƐĐŚĞŵŝĐĂůĂĚĚŝƟǀĞƐ͕ŝƚŝƐŝŵƉŽƌƚĂŶƚƚŽĂǀŽŝĚƉŽƐƐŝďůĞďĂĐŬŇŽǁĨƌŽŵ
ƚŚĞƚƵďĞ͘
dŽŐƵĂƌĚĂŐĂŝŶƐƚďĂĐŬŇŽǁ͕ŽďƐĞƌǀĞƚŚĞĨŽůůŽǁŝŶŐƉƌĞĐĂƵƟŽŶƐ͗
Ă͘ <ĞĞƉƉĂƟĞŶƚ͛ƐĂƌŵŝŶƚŚĞĚŽǁŶǁĂƌĚƉŽƐŝƟŽŶĚƵƌŝŶŐƚŚĞĐŽůůĞĐƟŽŶƉƌŽĐĞĚƵƌĞ͘
ď͘ ,ŽůĚƚŚĞƚƵďĞǁŝƚŚƚŚĞƐƚŽƉƉĞƌŝŶƚŚĞƵƉƉĞƌŵŽƐƚƉŽƐŝƟŽŶƐŽƚŚĂƚƚŚĞƚƵďĞĐŽŶƚĞŶƚƐĚŽŶŽƚƚŽƵĐŚƚŚĞƐƚŽƉƉĞƌŽƌƚŚĞĞŶĚ
ŽĨƚŚĞŶĞĞĚůĞĚƵƌŝŶŐƐĂŵƉůĞĐŽůůĞĐƟŽŶ͘
Đ͘ ZĞůĞĂƐĞƚŽƵƌŶŝƋƵĞƚŽŶĐĞďůŽŽĚƐƚĂƌƚƐƚŽŇŽǁŝŶƚŚĞƚƵďĞ͕ŽƌǁŝƚŚŝŶϮŵŝŶƵƚĞƐŽĨĂƉƉůŝĐĂƟŽŶ͘
Ϯ͘ &ŽůůŽǁƌĞĐŽŵŵĞŶĚĂƟŽŶƐĨŽƌŽƌĚĞƌŽĨĚƌĂǁ͘
ĞůůͲ&ƌĞĞEdƐŚŽƵůĚďĞĚƌĂǁŶĂŌĞƌƚŚĞdƚƵďĞĂŶĚďĞĨŽƌĞƚŚĞŇƵŽƌŝĚĞŽdžĂůĂƚĞ;ŐůLJĐŽůLJƟĐŝŶŚŝďŝƚŽƌͿƚƵďĞ͘
/ĨĂĞůůͲ&ƌĞĞEdƚƵďĞŝŵŵĞĚŝĂƚĞůLJĨŽůůŽǁƐĂŚĞƉĂƌŝŶƚƵďĞŝŶƚŚĞĚƌĂǁŽƌĚĞƌ͕^ƚƌĞĐŬƌĞĐŽŵŵĞŶĚƐĐŽůůĞĐƟŶŐĂŶŽŶͲ
ĂĚĚŝƟǀĞŽƌdƚƵďĞĂƐĂǁĂƐƚĞƚƵďĞƉƌŝŽƌƚŽĐŽůůĞĐƟŽŶŝŶƚŚĞĞůůͲ&ƌĞĞEd͘
ϯ͘ ϯ͘&ŝůůƚŚĞƚƵďĞĐŽŵƉůĞƚĞůLJ͘^ƚƌĞĐŬĞůůͲ&ƌĞĞEdƚƵďĞƐŚĂǀĞĂůŽǁĞƌǀĂĐƵƵŵƚŚĂŶƐŽŵĞŽƚŚĞƌƚƵďĞƚLJƉĞƐĂŶĚƚŚƵƐŵĂLJƚĂŬĞ
ůŽŶŐĞƌƚŽĮůů͘ŽŵƉůĞƚĞĮůůŝŶŐŽĨƚŚĞƚƵďĞŝƐŝŵƉŽƌƚĂŶƚƚŽĞŶƐƵƌĞĐŽƌƌĞĐƚďůŽŽĚƚŽĂĚĚŝƟǀĞƌĂƟŽ͘
ϰ͘ ϰ͘ZĞŵŽǀĞƚƵďĞĨƌŽŵĂĚĂƉƚĞƌ͕ŚŽůĚƚŚĞƚƵďĞĂŶĚŝŵŵĞĚŝĂƚĞůLJŵŝdžďLJŐĞŶƚůĞŝŶǀĞƌƐŝŽŶϭϬƟŵĞƐ͘/ŶĂĚĞƋƵĂƚĞŽƌĚĞůĂLJĞĚŵŝdžŝŶŐ
ŵĂLJƌĞƐƵůƚŝŶŝŶĂĐĐƵƌĂƚĞƚĞƐƚƌĞƐƵůƚƐ͘KŶĞŝŶǀĞƌƐŝŽŶŝƐĂĐŽŵƉůĞƚĞƚƵƌŶŽĨƚŚĞǁƌŝƐƚ͕ϭϴϬĚĞŐƌĞĞƐ͕ĂŶĚďĂĐŬ͘
^ƚŽƌĞĂƚŵďŝĞŶƚƚĞŵƉͲŽEKdĨƌĞĞnjĞƚŚĞďůŽŽĚƐĂŵƉůĞŽƌƐƚŽƌĞďĞůŽǁϲΣ͘
^ŚŝƉƐĂŵƉůĞŝŶƐƵƉƉůŝĞĚƉĂĐŬĂŐŝŶŐĂƚĂŵďŝĞŶƚƚĞŵƉƚŽ>ĂďŽƌƉ;ĞŶƚƌĂů>ĂďͿĂƐƐŽŽŶĂƐƉŽƐƐŝďůĞ;ƐĂŵĞĚĂLJŽƌĨŽůůŽǁŝŶŐĚĂLJͿ͘
ΎKƉƟŽŶĂůͬŽŶĚŝƟŽŶĂůƚĞƐƟŶŐŽƌůůƚĞƐƟŶŐKƉƟŽŶĂůͬŽŶĚŝƟŽŶĂůĂƚsŝƐŝƚ͖ΎΎZĞŇĞdžƚĞƐƟŶŐ
ŶŐůŝƐŚͺ^ƉĞĐŝŵĞŶŽůůĞĐƟŽŶWƌŽĐĞĚƵƌĞƐͺhƉĚĂƚĞ͗ϮϬϮϮϬϭϮϮ ŽƉLJƌŝŐŚƚΞϮϬϮϭ>ĂďŽƌĂƚŽƌLJŽƌƉŽƌĂƟŽŶŽĨŵĞƌŝĐĂΠ,ŽůĚŝŶŐƐ͘ůůƌŝŐŚƚƐƌĞƐĞƌǀĞĚ͘
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ΎKƉƟŽŶĂůͬŽŶĚŝƟŽŶĂůƚĞƐƟŶŐŽƌůůƚĞƐƟŶŐKƉƟŽŶĂůͬŽŶĚŝƟŽŶĂůĂƚsŝƐŝƚ͖ΎΎZĞŇĞdžƚĞƐƟŶŐ
ŶŐůŝƐŚͺ^ƉĞĐŝŵĞŶŽůůĞĐƟŽŶWƌŽĐĞĚƵƌĞƐͺhƉĚĂƚĞ͗ϮϬϮϮϬϭϮϮ ŽƉLJƌŝŐŚƚΞϮϬϮϭ>ĂďŽƌĂƚŽƌLJŽƌƉŽƌĂƟŽŶŽĨŵĞƌŝĐĂΠ,ŽůĚŝŶŐƐ͘ůůƌŝŐŚƚƐƌĞƐĞƌǀĞĚ͘
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SPECIMEN COLLECTION PROCEDURES FOR PROTOCOL D361EC00001
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FFPE BLOCK
ϭdžϲϬŵ>LJĞůůŽǁĐĂƉƐƉĞĐŝŵĞŶĐŽŶƚĂŝŶĞƌ͕
ϭdžƐůŝĚĞŵĂŝůĞƌ͕ϮdžůĂďĞůƐǁŝƚŚWĂƌ
dŚĞŵŽƐƚƌĞĐĞŶƚůLJĐŽůůĞĐƚĞĚƚƵŵŽƌƟƐƐƵĞ͕ĨƌŽŵƉƌŝŵĂƌLJŽƌƌĞĐƵƌƌĞŶƚĐĂŶĐĞƌŝƐƌĞƋƵŝƌĞĚ͘
&ŽƌŵĂůŝŶĮdžĞĚƉĂƌĂĸŶĞŵďĞĚĚĞĚƟƐƐƵĞ;&&WͿďůŽĐŬƐĂƌĞƐƚƌŽŶŐůLJƉƌĞĨĞƌƌĞĚ͘
dƵŵŽƌďůŽĐŬƐĂŶĚƐůŝĚĞƐŵĞĞƟŶŐĂŶLJŽĨƚŚĞĐƌŝƚĞƌŝĂďĞůŽǁĂƌĞŶŽƚĂĐĐĞƉƚĞĚ͗
• LJƚŽůŽŐLJƐĂŵƉůĞƐĂŶĚĮŶĞŶĞĞĚůĞĂƐƉŝƌĂƚĞƐ͘
• ĞůůƵůĂƌĂƐƉŝƌĂƚĞƐ͕ǁŚŝĐŚĐŽŵƉƌŝƐĞůŽŽƐĞĐĞůůƵůĂƌĐŽŶƚĞŶƚǁŝƚŚŶŽŝŶƚĞŐƌŝƚLJĂŶĚƐƚƌƵĐƚƵƌĂůŵŽƌƉŚŽůŽŐLJ͕ĂƌĞŶŽƚĂĐĐĞƉƚĂďůĞ͘
• ^ĂŵƉůĞƐƚŚĂƚŚĂǀĞƵŶĚĞƌŐŽŶĞĚĞĐĂůĐŝĮĐĂƟŽŶ;ŝ͘Ğ͘ƚƌĞĂƚŵĞŶƚǁŝƚŚŵŝŶĞƌĂůĂĐŝĚƐŽƌŽƌŐĂŶŝĐĂĐŝĚƐͿ͘
ŽůůĞĐƟŽŶŵĞƚŚŽĚ͗
• WƌŽǀŝĚĞƚŚĞŵŽƐƚƌĞĐĞŶƚůLJĐŽůůĞĐƚĞĚƚƵŵŽƌƐĂŵƉůĞ͘
• &&WƐƉĞĐŝŵĞŶƐ͕ŝŶĐůƵĚŝŶŐƚƵŵŽƌƌĞƐĞĐƟŽŶƐĂŶĚĐŽƌĞŶĞĞĚůĞďŝŽƉƐŝĞƐĂƌĞĂĐĐĞƉƚĂďůĞ͘
• DƵůƟƉůĞĐŽƌĞƐĞŵďĞĚĚĞĚŝŶĂƐŝŶŐůĞďůŽĐŬĂƌĞƉƌĞĨĞƌƌĞĚĨŽƌďŝŽƉƐŝĞƐ͘
^ĂŵƉůĞƉƌĞƉĂƌĂƟŽŶĂŶĚĮdžĂƟŽŶ͘
• ϭϬйŶĞƵƚƌĂůͲďƵīĞƌĞĚĨŽƌŵĂůŝŶĨŽƌϲͲϳϮŚŽƵƌƐŝƐŝŶĚƵƐƚƌLJƐƚĂŶĚĂƌĚ͘
Note: njŝŶĐďƵīĞƌĞĚĨŽƌŵĂůŝŶŶŽƚĂĐĐĞƉƚĂďůĞ͘ ŽŶŽƚƵƐĞŽƚŚĞƌĮdžĂƟǀĞƐ;ŽƵŝŶƐ͕ϱ͕,ŽůůĂŶĚ͛Ɛ͕ĞƚĐ͘Ϳ͘
• ŽŶŽƚ͚ďĂŬĞ͛ƚŚĞƐůŝĚĞƐĚƵƌŝŶŐƉƌĞƉĂƌĂƟŽŶ͕ƚŚŝƐůĞĂĚƐƚŽƐƵďͲŽƉƟŵĂůƟƐƐƵĞƌĞĐŽǀĞƌLJĨŽƌEĞdžƚƌĂĐƟŽŶ͘
• ǀŽŝĚƐĂŵƉůĞĐŽŶƚĂŵŝŶĂƟŽŶǁŚĞƌĞƉŽƐƐŝďůĞ͘
ĞƐƚWƌĂĐƟĐĞƐĨŽƌWƌĞǀĞŶƟŶŐƌŽƐƐͲŽŶƚĂŵŝŶĂƟŽŶďĞƚǁĞĞŶ^ĂŵƉůĞƐ͘
ƵƌŝŶŐƚƵŵŽƵƌƟƐƐƵĞƐĞĐƟŽŶŝŶŐƚŚĞŵŝĐƌŽƚŽŵĞŵƵƐƚďĞĐůĞĂŶĞĚǁŝƚŚĂƐŽůǀĞŶƚďĂƐĞĚĐůĞĂŶĞƌƐƵĐŚĂƐ͞WĂƌĂŐƵĂƌĚ͕͟ƚŽƌĞŵŽǀĞ
ƟƐƐƵĞŝŶƉĂƌĂĸŶĨƌŽŵƚŚĞŵŝĐƌŽƚŽŵĞďůĂĚĞĂŶĚĂƌŽƵŶĚƚŚĞŵŝĐƌŽƚŽŵĞ͗
- ůĞĂŶĨƌŽŶƚΘďĞŚŝŶĚƚŚĞŬŶŝĨĞŚŽůĚĞƌďĂƐĞĂŶĚƚŚĞƐĞĐƟŽŶĐŽůůĞĐƟŽŶƚƌĂLJ͘
- ϳϬйĞƚŚĂŶŽůƐŽůƵƟŽŶĐĂŶďĞƵƐĞĚƚŽĐůĞĂŶƐƵƌĨĂĐĞƐ͘
- DŝĐƌŽƚŽŵĞďůĂĚĞŵƵƐƚďĞĐŚĂŶŐĞĚďĞƚǁĞĞŶƚƵŵŽƵƌƐĂŵƉůĞƐ͘
- dŽŽůƐŵƵƐƚďĞĐůĞĂŶĞĚďĞƚǁĞĞŶƐĂŵƉůĞƐ͘
- ůůƐŚĂǀŝŶŐƐŵƵƐƚďĞƌĞŵŽǀĞĚĂŶĚĐůĞĂŶĞĚĨƌŽŵƚŚĞŵŝĐƌŽƚŽŵĞďĞƚǁĞĞŶƐĂŵƉůĞƐ͘
- ŝƐƉŽƐĂďůĞƉůĂƐƟĐǁĂƌĞƐŚŽƵůĚďĞƵƐĞĚƚŽƚƌĂŶƐĨĞƌƐĞĐƟŽŶƐƚŽŐůĂƐƐƐůŝĚĞƐ͘
- dŚĞƵƐĞŽĨǁĂƚĞƌďĂƚŚƐƚŽƐƚƌĞƚĐŚƐĞĐƟŽŶƐĐĂŶďĞĂǀŽŝĚĞĚďLJƵƐŝŶŐĂĚƌŽƉůĞƚŽĨWZƋƵĂůŝƚLJǁĂƚĞƌŽŶŐůĂƐƐƐůŝĚĞƐ͘
- ĂƌĞƐŚŽƵůĚďĞƚĂŬĞŶƚŚĂƚĚĞĐŽŶƚĂŵŝŶĂƟŽŶƉƌŽĐĞĚƵƌĞƐĚŽŶŽƚƌĞĚƵĐĞEŽƌZEůĞǀĞůƐƌĞƋƵŝƌĞĚĨŽƌĚŽǁŶƐƚƌĞĂŵƉƌŽĐĞƐƐŝŶŐ
ǁŚĞŶĐƵƫŶŐƐĞĐƟŽŶƐ͘
͘Ő͘ƵƐĞŽĨEnjĂƉǁŝƉĞƐŽŶŵŝĐƌŽƚŽŵĞďůĂĚĞƐŝŵŵĞĚŝĂƚĞůLJďĞĨŽƌĞĐƵƫŶŐƐĞĐƟŽŶƐĐĂŶƌĞĚƵĐĞEůĞǀĞůƐƐƵďƐƚĂŶƟĂůůLJĂŶĚƐŚŽƵůĚ
ďĞĂǀŽŝĚĞĚ͘
dŚĞƵƐĞŽĨƐƵďƐƚĂŶĐĞƐůŝŬĞůLJƚŽŝŶŚŝďŝƚWZƐŚŽƵůĚĂůƐŽďĞĂǀŽŝĚĞĚ͘
Minimum sample size:
• &Žƌ&&WďůŽĐŬ͗ƉƌŽǀŝĚĞĂďůŽĐŬƚŽƚĂůŝŶŐŵŝŶŝŵƵŵϭϬϬʅŵŽĨ&&WƟƐƐƵĞ͘
DŝŶŝŵƵŵƚƵŵŽƌĂƩƌŝďƵƚĞƐ͗
• шϯϬйƚƵŵŽƌŶƵĐůĞŝƉƌĞĨĞƌƌĞĚ͘
• шϮϬйƚƵŵŽƌŶƵĐůĞŝŝƐĂĐĐĞƉƚĂďůĞ͘
• &&WƚƵŵŽƌďůŽĐŬнϭŽƌŝŐŝŶĂů;ŶŽƚƌĞĐƵƚͿ,ΘƐůŝĚĞŝĨĂǀĂŝůĂďůĞ͘
• ^ŝƚĞƐƐŚŽƵůĚƐĞůĞĐƚƚŚĞŽƉƟŵƵŵďůŽĐŬ;ƚŚĞůĂƌŐĞƐƚƟƐƐƵĞƐĂŵƉůĞǁŝƚŚƚŚĞŚŝŐŚĞƐƚƚƵŵŽƌĐŽŶƚĞŶƚʹŝĨƵŶƐƵƌĞŵƵůƟƉůĞďůŽĐŬƐ
ĐĂŶďĞƐĞŶƚƉĞƌƉĂƟĞŶƚ;DĂdžŝŵƵŵϯďůŽĐŬƐŽŶůLJнŽŶĞĐŽŵƉůĞƚĞĚƌĞƋƵŝƐŝƟŽŶĨŽƌŵƉĞƌďůŽĐŬͿ͘
• DĂdžŝŵƵŵƐŝnjĞŽĨďůŽĐŬ͗ϮϱdžϮϱŵŵ͘
• WůĂĐĞ&&WďůŽĐŬŝŶƐŝĚĞƵŶůĂďĞůĞĚϲϬŵ>LJĞůůŽǁĐƵƉĐŽŶƚĂŝŶĞƌƉƌŽǀŝĚĞĚǁŝƚŚŝŶƚŚĞŬŝƚ͘
• WůĂĐĞƚŚĞ,ΘƐůŝĚĞ͕ŝĨĂǀĂŝůĂďůĞ͕ŝŶƚŚĞϭƐůŝĚĞƐůŽƚƐůŝĚĞŵĂŝůĞƌ͘
• ^ƟĐŬƚŚĞůĂďĞůŽŶƚŚĞϲϬŵ>LJĞůůŽǁĐƵƉĐŽŶƚĂŝŶĞƌĂŶĚ͕ŝĨŶĞĞĚĞĚ͕ŽŶƚŚĞϭƐůŝĚĞƐůŽƚƐůŝĚĞŵĂŝůĞƌ͘EŽƚĞ͗ĞŶƐƵƌĞƚŚĂƚĂĐŽƌƌĞĐƚ
ůĂďĞůŝƐƉůĂĐĞĚŽŶƚŚĞĐŽŶƚĂŝŶĞƌ͊
• dƵŵŽƌ ďůŽĐŬƐ ƐŚŽƵůĚ ďĞ ƐƚŽƌĞĚ Ăƚ ĂŵďŝĞŶƚ ƚĞŵƉĞƌĂƚƵƌĞ ĂŶĚ ƉƌŽƚĞĐƚĞĚ ĨƌŽŵ ůŝŐŚƚ ƵŶƟů ƐŚŝƉŵĞŶƚ ďLJ ĐŽƵƌŝĞƌ Ăƚ ĂŵďŝĞŶƚ
ƚĞŵƉĞƌĂƚƵƌĞĚĂLJŽĨĐŽůůĞĐƟŽŶ͘
^ŚŝƉƚŚĞƐĂŵƉůĞĂŵďŝĞŶƚǁŝƚŚƚŚĞĐŽŵƉůĞƚĞĚƌĞƋƵŝƐŝƟŽŶĨŽƌŵĂŶĚƚŚĞƉĂƚŚŽůŽŐLJƌĞƉŽƌƚƚŽ>ĂďŽƌƉĚĂLJŽĨĐŽůůĞĐƟŽŶ͘
ΎKƉƟŽŶĂůͬŽŶĚŝƟŽŶĂůƚĞƐƟŶŐŽƌůůƚĞƐƟŶŐKƉƟŽŶĂůͬŽŶĚŝƟŽŶĂůĂƚsŝƐŝƚ͖ΎΎZĞŇĞdžƚĞƐƟŶŐ
ŶŐůŝƐŚͺ^ƉĞĐŝŵĞŶŽůůĞĐƟŽŶWƌŽĐĞĚƵƌĞƐͺhƉĚĂƚĞ͗ϮϬϮϮϬϭϮϮ ŽƉLJƌŝŐŚƚΞϮϬϮϭ>ĂďŽƌĂƚŽƌLJŽƌƉŽƌĂƟŽŶŽĨŵĞƌŝĐĂΠ,ŽůĚŝŶŐƐ͘ůůƌŝŐŚƚƐƌĞƐĞƌǀĞĚ͘
524790_TMEA Manual Created: 22 Jan 22 Page 26 Manual Revised: N/A Version 1.0.0
SPECIMEN COLLECTION PROCEDURES FOR PROTOCOL D361EC00001
AstraZeneca UK Limited
PATHOLOGY REPORT
1 x envelope, 1 x label
ϭ͘ ĐŽƌƌĞƐƉŽŶĚŝŶŐƉĂƚŚŽůŽŐLJƌĞƉŽƌƚƐŚŽƵůĚďĞƐĞŶƚǁŝƚŚďůŽĐŬŽƌƐůŝĚĞƐ͘
Ϯ͘ ŽŶĮƌŵƚŚĞƉĂƟĞŶƚ͛ƐŶĂŵĞĂŶĚĂůůƉĞƌƐŽŶĂůŝĚĞŶƟĮĞƌƐ;K͕ĚĚƌĞƐƐ͕^Ğdž͕ĞƚĐ͙ͿĂƌĞŶŽƚƌĞĐŽƌĚĞĚƚŽĞŶƐƵƌĞĐŽŶĮĚĞŶƟĂůŝƚLJ
;ďůĂĐŬŽƵƚƉĂƟĞŶƚŶĂŵĞŽŶWĂƚŚŽůŽŐLJZĞƉŽƌƚͿ͘
ϯ͘ ƐĂƉƉůŝĐĂďůĞ͕ƉůĞĂƐĞƌĞƚĂŝŶĂŶLJŝŶƐƟƚƵƟŽŶĂůĐŽĚĞƐůŝŶŬŝŶŐƚŚĞƉĂƚŚŽůŽŐLJƌĞƉŽƌƚƚŽƚŚĞĐŽƌƌĞƐƉŽŶĚŝŶŐďůŽĐŬŽƌƐůŝĚĞƐ͘
ϰ͘ /ŶĐůƵĚĞƚŚĞĚĞͲŝĚĞŶƟĮĞĚƉĂƚŚŽůŽŐLJƌĞƉŽƌƚŝŶƚŚĞĞŶǀĞůŽƉĞƉƌŽǀŝĚĞĚ͘dŚŝƐŝƐƚŽŵĂŝŶƚĂŝŶƐƉĞĐŝŵĞŶŝĚĞŶƟĮĐĂƟŽŶĨŽƌƉƌŽĐĞƐƐŝŶŐ͘
ϱ͘ ^ŚŝƉƚŚĞƉĂƚŚŽůŽŐLJƌĞƉŽƌƚĂŵďŝĞŶƚǁŝƚŚŝŶƚŚĞĞŶǀĞůŽƉĞƉƌŽǀŝĚĞĚƚŽŐĞƚŚĞƌǁŝƚŚƚŚĞďůŽĐŬͬƐůŝĚĞƐƚŽ>ĂďŽƌƉ>^͘
PAXGENE RNA
ΎKƉƟŽŶĂůͬŽŶĚŝƟŽŶĂůƚĞƐƟŶŐŽƌůůƚĞƐƟŶŐKƉƟŽŶĂůͬŽŶĚŝƟŽŶĂůĂƚsŝƐŝƚ͖ΎΎZĞŇĞdžƚĞƐƟŶŐ
ŶŐůŝƐŚͺ^ƉĞĐŝŵĞŶŽůůĞĐƟŽŶWƌŽĐĞĚƵƌĞƐͺhƉĚĂƚĞ͗ϮϬϮϮϬϭϮϮ ŽƉLJƌŝŐŚƚΞϮϬϮϭ>ĂďŽƌĂƚŽƌLJŽƌƉŽƌĂƟŽŶŽĨŵĞƌŝĐĂΠ,ŽůĚŝŶŐƐ͘ůůƌŝŐŚƚƐƌĞƐĞƌǀĞĚ͘
524790_TMEA Manual Created: 22 Jan 22 Page 27 Manual Revised: N/A Version 1.0.0
SPECIMEN COLLECTION PROCEDURES FOR PROTOCOL D361EC00001
AstraZeneca UK Limited
SLIDES
^DϭϬͬZ,ͬEt&&W DĂŶĚĂƚŽƌLJ&&W
^>/^ϭͲϱ ^ůŝĚĞƐϭͲϱ;/,Ϳ
TO: LABCORP CLS
ϭdžϮϱƐůŝĚĞƐĞŵƉƚLJƐŽůŝĚƉůĂƐƟĐďŽdž͕ϭdžŵŝĐƌŽƐĐŽƉĞƐůŝĚĞ͕
ϭdžůĂďĞůǁŝƚŚWĂƌ
dŚĞŵŽƐƚƌĞĐĞŶƚůLJĐŽůůĞĐƚĞĚƚƵŵŽƌƟƐƐƵĞ͕ĨƌŽŵƉƌŝŵĂƌLJŽƌƌĞĐƵƌƌĞŶƚĐĂŶĐĞƌŝƐƌĞƋƵŝƌĞĚ͘
EŽƚůĞƐƐƚŚĂŶϱĨƌĞƐŚůLJĐƵƚƵŶƐƚĂŝŶĞĚƐĞƌŝĂůƚƵŵŽƌƟƐƐƵĞƐĞĐƟŽŶƐƐŚŽƵůĚďĞƐƵďŵŝƩĞĚ͘
dƵŵŽƌďůŽĐŬƐĂŶĚƐůŝĚĞƐŵĞĞƟŶŐĂŶLJŽĨƚŚĞĐƌŝƚĞƌŝĂďĞůŽǁĂƌĞŶŽƚĂĐĐĞƉƚĞĚ͗
• LJƚŽůŽŐLJƐĂŵƉůĞƐĂŶĚĮŶĞŶĞĞĚůĞĂƐƉŝƌĂƚĞƐ͘
• ĞůůƵůĂƌĂƐƉŝƌĂƚĞƐ͕ǁŚŝĐŚĐŽŵƉƌŝƐĞůŽŽƐĞĐĞůůƵůĂƌĐŽŶƚĞŶƚǁŝƚŚŶŽŝŶƚĞŐƌŝƚLJĂŶĚƐƚƌƵĐƚƵƌĂůŵŽƌƉŚŽůŽŐLJ͕ĂƌĞŶŽƚĂĐĐĞƉƚĂďůĞ͘
• ^ĂŵƉůĞƐƚŚĂƚŚĂǀĞƵŶĚĞƌŐŽŶĞĚĞĐĂůĐŝĮĐĂƟŽŶ;ŝ͘Ğ͘ƚƌĞĂƚŵĞŶƚǁŝƚŚŵŝŶĞƌĂůĂĐŝĚƐŽƌŽƌŐĂŶŝĐĂĐŝĚƐͿ͘
ŽůůĞĐƟŽŶŵĞƚŚŽĚ͗
• WƌŽǀŝĚĞƚŚĞŵŽƐƚƌĞĐĞŶƚůLJĐŽůůĞĐƚĞĚƚƵŵŽƌƐĂŵƉůĞ͘
• &&WƐƉĞĐŝŵĞŶƐ͕ŝŶĐůƵĚŝŶŐƚƵŵŽƌƌĞƐĞĐƟŽŶƐĂŶĚĐŽƌĞŶĞĞĚůĞďŝŽƉƐŝĞƐĂƌĞĂĐĐĞƉƚĂďůĞ͘
• DƵůƟƉůĞĐŽƌĞƐĞŵďĞĚĚĞĚŝŶĂƐŝŶŐůĞďůŽĐŬĂƌĞƉƌĞĨĞƌƌĞĚĨŽƌďŝŽƉƐŝĞƐ͘
^ĂŵƉůĞƉƌĞƉĂƌĂƟŽŶĂŶĚĮdžĂƟŽŶ͘
• ϭϬйŶĞƵƚƌĂůͲďƵīĞƌĞĚĨŽƌŵĂůŝŶĨŽƌϲͲϳϮŚŽƵƌƐŝƐŝŶĚƵƐƚƌLJƐƚĂŶĚĂƌĚ͘
Note: njŝŶĐďƵīĞƌĞĚĨŽƌŵĂůŝŶŶŽƚĂĐĐĞƉƚĂďůĞ͘ ŽŶŽƚƵƐĞŽƚŚĞƌĮdžĂƟǀĞƐ;ŽƵŝŶƐ͕ϱ͕,ŽůůĂŶĚ͛Ɛ͕ĞƚĐ͘Ϳ͘
• ŽŶŽƚ͚ďĂŬĞ͛ƚŚĞƐůŝĚĞƐĚƵƌŝŶŐƉƌĞƉĂƌĂƟŽŶ͕ƚŚŝƐůĞĂĚƐƚŽƐƵďͲŽƉƟŵĂůƟƐƐƵĞƌĞĐŽǀĞƌLJĨŽƌEĞdžƚƌĂĐƟŽŶ͘
• ǀŽŝĚƐĂŵƉůĞĐŽŶƚĂŵŝŶĂƟŽŶǁŚĞƌĞƉŽƐƐŝďůĞ͘
ĞƐƚWƌĂĐƟĐĞƐĨŽƌWƌĞǀĞŶƟŶŐƌŽƐƐͲŽŶƚĂŵŝŶĂƟŽŶďĞƚǁĞĞŶ^ĂŵƉůĞƐ͘
ƵƌŝŶŐƚƵŵŽƵƌƟƐƐƵĞƐĞĐƟŽŶŝŶŐƚŚĞŵŝĐƌŽƚŽŵĞŵƵƐƚďĞĐůĞĂŶĞĚǁŝƚŚĂƐŽůǀĞŶƚďĂƐĞĚĐůĞĂŶĞƌƐƵĐŚĂƐ͞WĂƌĂŐƵĂƌĚ͕͟ƚŽƌĞŵŽǀĞ
ƟƐƐƵĞŝŶƉĂƌĂĸŶĨƌŽŵƚŚĞŵŝĐƌŽƚŽŵĞďůĂĚĞĂŶĚĂƌŽƵŶĚƚŚĞŵŝĐƌŽƚŽŵĞ͗
- ůĞĂŶĨƌŽŶƚΘďĞŚŝŶĚƚŚĞŬŶŝĨĞŚŽůĚĞƌďĂƐĞĂŶĚƚŚĞƐĞĐƟŽŶĐŽůůĞĐƟŽŶƚƌĂLJ͘
- ϳϬйĞƚŚĂŶŽůƐŽůƵƟŽŶĐĂŶďĞƵƐĞĚƚŽĐůĞĂŶƐƵƌĨĂĐĞƐ͘
- DŝĐƌŽƚŽŵĞďůĂĚĞŵƵƐƚďĞĐŚĂŶŐĞĚďĞƚǁĞĞŶƚƵŵŽƵƌƐĂŵƉůĞƐ͘
- dŽŽůƐŵƵƐƚďĞĐůĞĂŶĞĚďĞƚǁĞĞŶƐĂŵƉůĞƐ͘
- ůůƐŚĂǀŝŶŐƐŵƵƐƚďĞƌĞŵŽǀĞĚĂŶĚĐůĞĂŶĞĚĨƌŽŵƚŚĞŵŝĐƌŽƚŽŵĞďĞƚǁĞĞŶƐĂŵƉůĞƐ͘
- ŝƐƉŽƐĂďůĞƉůĂƐƟĐǁĂƌĞƐŚŽƵůĚďĞƵƐĞĚƚŽƚƌĂŶƐĨĞƌƐĞĐƟŽŶƐƚŽŐůĂƐƐƐůŝĚĞƐ͘
- dŚĞƵƐĞŽĨǁĂƚĞƌďĂƚŚƐƚŽƐƚƌĞƚĐŚƐĞĐƟŽŶƐĐĂŶďĞĂǀŽŝĚĞĚďLJƵƐŝŶŐĂĚƌŽƉůĞƚŽĨWZƋƵĂůŝƚLJǁĂƚĞƌŽŶŐůĂƐƐƐůŝĚĞƐ͘
- ĂƌĞƐŚŽƵůĚďĞƚĂŬĞŶƚŚĂƚĚĞĐŽŶƚĂŵŝŶĂƟŽŶƉƌŽĐĞĚƵƌĞƐĚŽŶŽƚƌĞĚƵĐĞEŽƌZEůĞǀĞůƐƌĞƋƵŝƌĞĚĨŽƌĚŽǁŶƐƚƌĞĂŵƉƌŽĐĞƐƐŝŶŐ
ǁŚĞŶĐƵƫŶŐƐĞĐƟŽŶƐ͘
͘Ő͘ƵƐĞŽĨEnjĂƉǁŝƉĞƐŽŶŵŝĐƌŽƚŽŵĞďůĂĚĞƐŝŵŵĞĚŝĂƚĞůLJďĞĨŽƌĞĐƵƫŶŐƐĞĐƟŽŶƐĐĂŶƌĞĚƵĐĞEůĞǀĞůƐƐƵďƐƚĂŶƟĂůůLJĂŶĚƐŚŽƵůĚ
ďĞĂǀŽŝĚĞĚ͘
dŚĞƵƐĞŽĨƐƵďƐƚĂŶĐĞƐůŝŬĞůLJƚŽŝŶŚŝďŝƚWZƐŚŽƵůĚĂůƐŽďĞĂǀŽŝĚĞĚ͘
• dŝƐƐƵĞƐĞĐƟŽŶƐƐŚŽƵůĚďĞŵŽƵŶƚĞĚŽŶƚŽƉŽƐŝƟǀĞůLJĐŚĂƌŐĞĚƐůŝĚĞƐ͘
Minimum sample size:
• &Žƌ&&WƐůŝĚĞƐ͗шϮϱŵŵϮƐƵƌĨĂĐĞĂƌĞĂƉĞƌƐĞĐƟŽŶ͘
WƌĞƉĂƌĞƐĞĐƟŽŶƐϰŵŝĐƌŽŶƐƚŚŝĐŬƵƐŝŶŐƐƵƉĞƌĨƌŽƐƚƉŽƐŝƟǀĞůLJĐŚĂƌŐĞĚƐůŝĚĞƐ
DŝŶŝŵƵŵƚƵŵŽƌĂƩƌŝďƵƚĞƐ͗
• шϯϬйƚƵŵŽƌŶƵĐůĞŝƉƌĞĨĞƌƌĞĚ͘
• шϮϬйƚƵŵŽƌŶƵĐůĞŝŝƐĂĐĐĞƉƚĂďůĞ͘
^ŚŝƉƚŚĞƐůŝĚĞƐĂŵďŝĞŶƚǁŝƚŚƚŚĞĐŽŵƉůĞƚĞĚƌĞƋƵŝƐŝƟŽŶĨŽƌŵĂŶĚƚŚĞƉĂƚŚŽůŽŐLJƌĞƉŽƌƚƚŽ>ĂďŽƌƉĚĂLJŽĨĐŽůůĞĐƟŽŶ͘
ΎKƉƟŽŶĂůͬŽŶĚŝƟŽŶĂůƚĞƐƟŶŐŽƌůůƚĞƐƟŶŐKƉƟŽŶĂůͬŽŶĚŝƟŽŶĂůĂƚsŝƐŝƚ͖ΎΎZĞŇĞdžƚĞƐƟŶŐ
ŶŐůŝƐŚͺ^ƉĞĐŝŵĞŶŽůůĞĐƟŽŶWƌŽĐĞĚƵƌĞƐͺhƉĚĂƚĞ͗ϮϬϮϮϬϭϮϮ ŽƉLJƌŝŐŚƚΞϮϬϮϭ>ĂďŽƌĂƚŽƌLJŽƌƉŽƌĂƟŽŶŽĨŵĞƌŝĐĂΠ,ŽůĚŝŶŐƐ͘ůůƌŝŐŚƚƐƌĞƐĞƌǀĞĚ͘
524790_TMEA Manual Created: 22 Jan 22 Page 28 Manual Revised: N/A Version 1.0.0
SPECIMEN COLLECTION PROCEDURES FOR PROTOCOL D361EC00001
AstraZeneca UK Limited
SLIDES
^DϭϲͬZ,ͬEt&&W DĂŶĚĂƚŽƌLJ&&W
^>ϲͲϯϬ ^ůŝĚĞƐϲͲϯϬ;E'^Ϳ
TO: LABCORP CLS
ϭdžϮϱƐůŝĚĞƐĞŵƉƚLJƐŽůŝĚƉůĂƐƟĐďŽdž͕ϭdžŵŝĐƌŽƐĐŽƉĞƐůŝĚĞ͕
ϭdžůĂďĞůǁŝƚŚWĂƌ
dŚĞŵŽƐƚƌĞĐĞŶƚůLJĐŽůůĞĐƚĞĚƚƵŵŽƌƟƐƐƵĞ͕ĨƌŽŵƉƌŝŵĂƌLJŽƌƌĞĐƵƌƌĞŶƚĐĂŶĐĞƌŝƐƌĞƋƵŝƌĞĚ͘
Ϯϱ;ŵŝŶŝŵƵŵϮϬͿĨƌĞƐŚůLJĐƵƚƵŶƐƚĂŝŶĞĚƐĞƌŝĂůƚƵŵŽƌƟƐƐƵĞƐĞĐƟŽŶƐƐŚŽƵůĚďĞƐƵďŵŝƩĞĚ͘
dƵŵŽƌďůŽĐŬƐĂŶĚƐůŝĚĞƐŵĞĞƟŶŐĂŶLJŽĨƚŚĞĐƌŝƚĞƌŝĂďĞůŽǁĂƌĞŶŽƚĂĐĐĞƉƚĞĚ͗
• LJƚŽůŽŐLJƐĂŵƉůĞƐĂŶĚĮŶĞŶĞĞĚůĞĂƐƉŝƌĂƚĞƐ͘
• ĞůůƵůĂƌĂƐƉŝƌĂƚĞƐ͕ǁŚŝĐŚĐŽŵƉƌŝƐĞůŽŽƐĞĐĞůůƵůĂƌĐŽŶƚĞŶƚǁŝƚŚŶŽŝŶƚĞŐƌŝƚLJĂŶĚƐƚƌƵĐƚƵƌĂůŵŽƌƉŚŽůŽŐLJ͕ĂƌĞŶŽƚĂĐĐĞƉƚĂďůĞ͘
• ^ĂŵƉůĞƐƚŚĂƚŚĂǀĞƵŶĚĞƌŐŽŶĞĚĞĐĂůĐŝĮĐĂƟŽŶ;ŝ͘Ğ͘ƚƌĞĂƚŵĞŶƚǁŝƚŚŵŝŶĞƌĂůĂĐŝĚƐŽƌŽƌŐĂŶŝĐĂĐŝĚƐͿ͘
ŽůůĞĐƟŽŶŵĞƚŚŽĚ͗
• WƌŽǀŝĚĞƚŚĞŵŽƐƚƌĞĐĞŶƚůLJĐŽůůĞĐƚĞĚƚƵŵŽƌƐĂŵƉůĞ͘
• &&WƐƉĞĐŝŵĞŶƐ͕ŝŶĐůƵĚŝŶŐƚƵŵŽƌƌĞƐĞĐƟŽŶƐĂŶĚĐŽƌĞŶĞĞĚůĞďŝŽƉƐŝĞƐĂƌĞĂĐĐĞƉƚĂďůĞ͘
• DƵůƟƉůĞĐŽƌĞƐĞŵďĞĚĚĞĚŝŶĂƐŝŶŐůĞďůŽĐŬĂƌĞƉƌĞĨĞƌƌĞĚĨŽƌďŝŽƉƐŝĞƐ͘
^ĂŵƉůĞƉƌĞƉĂƌĂƟŽŶĂŶĚĮdžĂƟŽŶ͘
• ϭϬйŶĞƵƚƌĂůͲďƵīĞƌĞĚĨŽƌŵĂůŝŶĨŽƌϲͲϳϮŚŽƵƌƐŝƐŝŶĚƵƐƚƌLJƐƚĂŶĚĂƌĚ͘
Note: njŝŶĐďƵīĞƌĞĚĨŽƌŵĂůŝŶŶŽƚĂĐĐĞƉƚĂďůĞ͘ ŽŶŽƚƵƐĞŽƚŚĞƌĮdžĂƟǀĞƐ;ŽƵŝŶƐ͕ϱ͕,ŽůůĂŶĚ͛Ɛ͕ĞƚĐ͘Ϳ͘
• ŽŶŽƚ͚ďĂŬĞ͛ƚŚĞƐůŝĚĞƐĚƵƌŝŶŐƉƌĞƉĂƌĂƟŽŶ͕ƚŚŝƐůĞĂĚƐƚŽƐƵďͲŽƉƟŵĂůƟƐƐƵĞƌĞĐŽǀĞƌLJĨŽƌEĞdžƚƌĂĐƟŽŶ͘
• ǀŽŝĚƐĂŵƉůĞĐŽŶƚĂŵŝŶĂƟŽŶǁŚĞƌĞƉŽƐƐŝďůĞ͘
ĞƐƚWƌĂĐƟĐĞƐĨŽƌWƌĞǀĞŶƟŶŐƌŽƐƐͲŽŶƚĂŵŝŶĂƟŽŶďĞƚǁĞĞŶ^ĂŵƉůĞƐ͘
ƵƌŝŶŐƚƵŵŽƵƌƟƐƐƵĞƐĞĐƟŽŶŝŶŐƚŚĞŵŝĐƌŽƚŽŵĞŵƵƐƚďĞĐůĞĂŶĞĚǁŝƚŚĂƐŽůǀĞŶƚďĂƐĞĚĐůĞĂŶĞƌƐƵĐŚĂƐ͞WĂƌĂŐƵĂƌĚ͕͟ƚŽƌĞŵŽǀĞ
ƟƐƐƵĞŝŶƉĂƌĂĸŶĨƌŽŵƚŚĞŵŝĐƌŽƚŽŵĞďůĂĚĞĂŶĚĂƌŽƵŶĚƚŚĞŵŝĐƌŽƚŽŵĞ͗
- ůĞĂŶĨƌŽŶƚΘďĞŚŝŶĚƚŚĞŬŶŝĨĞŚŽůĚĞƌďĂƐĞĂŶĚƚŚĞƐĞĐƟŽŶĐŽůůĞĐƟŽŶƚƌĂLJ͘
- ϳϬйĞƚŚĂŶŽůƐŽůƵƟŽŶĐĂŶďĞƵƐĞĚƚŽĐůĞĂŶƐƵƌĨĂĐĞƐ͘
- DŝĐƌŽƚŽŵĞďůĂĚĞŵƵƐƚďĞĐŚĂŶŐĞĚďĞƚǁĞĞŶƚƵŵŽƵƌƐĂŵƉůĞƐ͘
- dŽŽůƐŵƵƐƚďĞĐůĞĂŶĞĚďĞƚǁĞĞŶƐĂŵƉůĞƐ͘
- ůůƐŚĂǀŝŶŐƐŵƵƐƚďĞƌĞŵŽǀĞĚĂŶĚĐůĞĂŶĞĚĨƌŽŵƚŚĞŵŝĐƌŽƚŽŵĞďĞƚǁĞĞŶƐĂŵƉůĞƐ͘
- ŝƐƉŽƐĂďůĞƉůĂƐƟĐǁĂƌĞƐŚŽƵůĚďĞƵƐĞĚƚŽƚƌĂŶƐĨĞƌƐĞĐƟŽŶƐƚŽŐůĂƐƐƐůŝĚĞƐ͘
- dŚĞƵƐĞŽĨǁĂƚĞƌďĂƚŚƐƚŽƐƚƌĞƚĐŚƐĞĐƟŽŶƐĐĂŶďĞĂǀŽŝĚĞĚďLJƵƐŝŶŐĂĚƌŽƉůĞƚŽĨWZƋƵĂůŝƚLJǁĂƚĞƌŽŶŐůĂƐƐƐůŝĚĞƐ͘
- ĂƌĞƐŚŽƵůĚďĞƚĂŬĞŶƚŚĂƚĚĞĐŽŶƚĂŵŝŶĂƟŽŶƉƌŽĐĞĚƵƌĞƐĚŽŶŽƚƌĞĚƵĐĞEŽƌZEůĞǀĞůƐƌĞƋƵŝƌĞĚĨŽƌĚŽǁŶƐƚƌĞĂŵƉƌŽĐĞƐƐŝŶŐ
ǁŚĞŶĐƵƫŶŐƐĞĐƟŽŶƐ͘
͘Ő͘ƵƐĞŽĨEnjĂƉǁŝƉĞƐŽŶŵŝĐƌŽƚŽŵĞďůĂĚĞƐŝŵŵĞĚŝĂƚĞůLJďĞĨŽƌĞĐƵƫŶŐƐĞĐƟŽŶƐĐĂŶƌĞĚƵĐĞEůĞǀĞůƐƐƵďƐƚĂŶƟĂůůLJĂŶĚƐŚŽƵůĚ
ďĞĂǀŽŝĚĞĚ͘
dŚĞƵƐĞŽĨƐƵďƐƚĂŶĐĞƐůŝŬĞůLJƚŽŝŶŚŝďŝƚWZƐŚŽƵůĚĂůƐŽďĞĂǀŽŝĚĞĚ͘
• dŝƐƐƵĞƐĞĐƟŽŶƐƐŚŽƵůĚďĞŵŽƵŶƚĞĚŽŶƚŽƉŽƐŝƟǀĞůLJĐŚĂƌŐĞĚƐůŝĚĞƐ͘
Minimum sample size:
• &Žƌ&&WƐůŝĚĞƐ͗шϮϱŵŵϮƐƵƌĨĂĐĞĂƌĞĂƉĞƌƐĞĐƟŽŶƉƌĞĨĞƌƌĞĚ͘
DŝŶŝŵƵŵƚƵŵŽƌĂƩƌŝďƵƚĞƐ͗
• шϯϬйƚƵŵŽƌŶƵĐůĞŝƉƌĞĨĞƌƌĞĚ͘
• шϮϬйƚƵŵŽƌŶƵĐůĞŝŝƐĂĐĐĞƉƚĂďůĞ͘
^ŚŝƉƚŚĞƐůŝĚĞƐĂŵďŝĞŶƚǁŝƚŚƚŚĞĐŽŵƉůĞƚĞĚƌĞƋƵŝƐŝƟŽŶĨŽƌŵĂŶĚƚŚĞƉĂƚŚŽůŽŐLJƌĞƉŽƌƚƚŽ>ĂďŽƌƉĚĂLJŽĨĐŽůůĞĐƟŽŶ͘
ΎKƉƟŽŶĂůͬŽŶĚŝƟŽŶĂůƚĞƐƟŶŐŽƌůůƚĞƐƟŶŐKƉƟŽŶĂůͬŽŶĚŝƟŽŶĂůĂƚsŝƐŝƚ͖ΎΎZĞŇĞdžƚĞƐƟŶŐ
ŶŐůŝƐŚͺ^ƉĞĐŝŵĞŶŽůůĞĐƟŽŶWƌŽĐĞĚƵƌĞƐͺhƉĚĂƚĞ͗ϮϬϮϮϬϭϮϮ ŽƉLJƌŝŐŚƚΞϮϬϮϭ>ĂďŽƌĂƚŽƌLJŽƌƉŽƌĂƟŽŶŽĨŵĞƌŝĐĂΠ,ŽůĚŝŶŐƐ͘ůůƌŝŐŚƚƐƌĞƐĞƌǀĞĚ͘
524790_TMEA Manual Created: 22 Jan 22 Page 29 Manual Revised: N/A Version 1.0.0
CENTRIFUGE INSTRUCTIONS
Radius Speed
SCALE A SCALE B
g
SCALE C
The distance measured from the rotor axis to the tip of the liquid inside the tubes at the greatest horizontal distance
from the rotor axis is the rotating tip radius. The radius is listed for your convenience in the speed and force tables.
Rotating Axis
English_Centrifuge Instructions_Update: 20210625 Copyright ©2021 Laboratory Corporation of America® Holdings. All rights reserved.
524790_TMEA Manual Created: 22 Jan 22 Page 30 Manual Revised: N/A Version 1.0.0
Order of Draw
The following provides the recommended order of draw according to the Clinical and Laboratory
Standards Institute (CLSI H3-A6, Vol 27, No 26, 8.10)
Blood Cultures
Citrate Tube*
Ѻ# )0.$)"2$)" '***'' /$*). /Ѱ0// -ݧ4) ' 2$/#/#
attached tubing) for venipuncture and a coagulation (citrate) tube is
/# ݦ-.//0 ) яݦ-./-2$.-/0 0.$)")*)$/$1
/0 ю# $.-/0 ) )*/ (* ''ݦ+' / '4ю
Serum Tube
Heparin Tube
EDTA
Note: Always follow your facility’s recommendation or SOP for order of draw should they differ from the
above.
English_DrawOrder_Update: 20210625 Copyright ©2021 Laboratory Corporation of America® Holdings. All rights reserved.
524790_TMEA Manual Created: 22 Jan 22 Page 31 Manual Revised: N/A Version 1.0.0
SINGLE USE NEEDLE PROTECTION DEVICE INSTRUCTIONS
Holding both pink shield and While holding the needle firmly, a) Rotate pink safety shield back
green cap, twist and remove screw holder onto needle until it toward the holder.
white cap. fits securely. b) Twist and pull green needle
cap straight off.
Perform venipuncture according Immediately after removing DO NOT remove needle from
to your facility’s established needle from vein, cover needle holder. Dispose of the needle
procedures. by pushing pink safety shield and holder as one unit into
forward with thumb until an nearest sharps container. DO
audible click is heard. DO NOT NOT REUSE.
attempt to engage shield by
pressing against hard surface.
English_Venipuncture Needle Protection Device_Update: 20210625 Copyright ©2021 Laboratory Corporation of America® Holdings. All rights reserved.
524790_TMEA Manual Created: 22 Jan 22 Page 32 Manual Revised: N/A Version 1.0.0
BIOTIN INTERFERENCE
Biotin (Vitamin B7) May Interfere with Lab Tests
Labcorp Central Laboratory Services would like to make Clinicians aware that some assays can be affected by high levels of biotin
in a patient’s serum/plasma. High dose biotin may be prescribed in the treatment of multiple sclerosis or dermatologic conditions.
Thinking it is a contributor to keratin, some people take biotin supplements hoping to improve their hair, skin and nails. Over-the-
counter formulations are available under a variety of names including Vitamin B7, Vitamin H and coenzyme R. These may contain
nearly 1,000 times the Institute of Medicine-recommended daily dose of 30 mcg.
Many laboratory immunoassays utilize the interaction of biotin with streptavidin. Patient samples with high levels of biotin can
interfere with these tests, causing falsely high or falsely low results depending on the assay mechanism. Physicians should be
aware that high levels of biotin supplementation may have an impact over a period of at least 72 hours.
The following are some recommendations for Health Care Providers from the FDA Safety Communication on Biotin:
• Talk to your patients about any biotin supplements they may be taking, including supplements marketed for hair, skin, and
nail growth.
• Be aware that many lab tests, including but not limited to cardiovascular diagnostic tests and hormone tests, that use biotin
/ #)*'*"4- +*/ )/$''4Ȃ / я)$)*-- // ./- .0'/.(4 " ) -/ $!/# - $.$*/$)$)/# +/$ )/њ..+ $( )ю
• If a lab test result doesn’t match the clinical presentation of your patient, consider biotin interference as a possible source of
error.
• Know that biotin is found in multivitamins, including prenatal multivitamins, biotin supplements, and dietary supplements
for hair, skin, and nail growth in levels that may interfere with lab tests.
• Report to the lab test manufacturer and the FDA if you become aware of a patient experiencing an adverse event following
potentially incorrect laboratory test results due to biotin interference.
Immunoassy tests with potential interference by Biotin Supplimentation
Note: This list is subject to change as new assays are validated.
Assay Assay
Adrenocorticotropic hormone (ACTH) Hepatitis C Antibody (HCV)
Amyloid beta 1-42 HIV Ag/Ab combo (cHIV)
anti-cyclic citrullinated peptides (CCP) Homocysteine
Anti-Hepatitis B e-antigen (a-Hbe) Human Chorionic Gonadotropin (beta-hCG)
Anti-Mullerian Hormone (AMH) Inhibin A
Anti-thyroglobulin antibody, quantitative (ATG) Insulin
Anti-thyroid peroxidase (ATPO), quant Insulin-Like Growth Factor 1 ( IGF-1)
Beta2 Microglobulin Insulin-Like Growth Factor Binding Protein 3 (IGFBP-3)
Beta-crosslaps Interleukin-6 (IL-6)
CA 19-9 N Terminal ProBNP (NT proBNP)
CA15-3 Osteocalcin
CA19-9 Parathyroid Hormone (PTH),Intact
Calcitonin Placental Growth Factor (PIGF)
C-peptide Procalcitonin
Creatine Kinase (CK)MB Procollagen I Intact N-Terminal (P1NP)
Direct Renin Prolactin
Estradiol Sex hormone-binding globulin (SHBG)
Free T4 Soluble fms-like tyrosine kinase-1 (sFlt-1)
Gastrin Thyroglobulin
Hepatitis A antibody Total (HAVT) Total T3
Hepatitis B core Antibody (HBc Ab) Total Tau
Hepatitis B Core IgM Antibody (HBc IgM Ab) Troponin I Ultra
Hepatitis B e Antigen (HBe Ag) Troponin T
Hepatitis B surface Antibody Qual (anti-HBs II ) Troponin T, Gen 5
Hepatitis B surface Antibody Quant (HBs Ab Quant) Troponin T-hs
Hepatitis B Surface Antigen (HBs Ag)
English_Biotin Interference_Update: 20120430 Copyright ©2021 Laboratory Corporation of America® Holdings. All rights reserved.
524790_TMEA Manual Created: 22 Jan 22 Page 33 Manual Revised: N/A Version 1.0.0
INSTRUCTIONS FOR COMPLETING REQUISITION FORMS
Please complete all the required information with a blue or black ball point pen. Improper Requisition Notations:
#$.$)!*-(/$*)$.- ,0$- !*-+/$ )/$ )/$ݦ/$*))- .0'/- +*-/$)"ю
Make sure and use the correct format or 2# )(-&$)"/# # &*3 .ѓ
Proper Requisition Notations:
Instructions:
Complete year
0 1 J AN 2. Birthdate
Complete all boxes on this requisition with a blue or Male Female
Sex
black ball point pen. Failure to complete all boxes will
delay reports. 8 2. Sex (Check appropriate box)
COLLECTION INFO
ORMATION
Please check that all patient identifiers are complete,
consistent and correct, and that each container has the Collection Date Day Month Year 3 Specimen Collection Date
Complete month field in English
same accession number, when packing specimens for (Example: 01 JAN 2001)
shipment!
3. Specimen Collection Time
24 Hour Clock
Collection Time
(Record Midnight as 23:59) :
THIS SECTION TO BE COMPLETED BY SITE PERSONNEL ONLY
Requisition Completed by Name and phone number of the person
Full name in capital letters
Phone number completing the requisition
Of the person completing the requisition
Patient weight:
kg Write in appropriate number
(Mandatory)
(if applicable to your site)
Collection Date Collection Time Not
XXX
XXX
«Bar_req» «Label_6» ADDITIONAL TESTING IS NOT ALLOWED «Bar_req» For Labcorp Central Laboratory
1 XXXXXX PLEASE DO NOT RETURN EMPTY CONTAINERS TO LABCORP. XX XXXXXX Services internal use only. Please do
not write in this section.
Optional Testing:
Please check the box (es) to ensure proper ordering of optional test(s)! If you fail to mark the checkbox, testing may be ordered per Labcorp
Central Laboratory Services policy without investigator notification. If you initially mark the requisition to order the optional test and would
like to cancel, please draw a single line through the marked test then initial, date, and note that the “test was marked in error”.
English_Instructions for Completing Requisition Forms_Update: 20210625 Copyright ©2021 Laboratory Corporation of America® Holdings. All rights reserved.
524790_TMEA Manual Created: 22 Jan 22 Page 34 Manual Revised: N/A Version 1.0.0
Accession No. THE ACCESSION NUMBER IS THE
«Requisition_n»»
REFERENCE NUMBER FOR
COMMUNICATION WITH LABCORP.
«Bar_req»
Labcorp Central Laboratory Services LP
8211 SciCor Dr.
Indianapolis, IN 46214-2985
Tel: 866.762.6209
524790_TMEA Manual Created: 22 Jan 22 Page 35 Manual Revised: N/A Version 1.0.0
Accession No. THE ACCESSION NUMBER IS THE
«Requisition_n»»
REFERENCE NUMBER FOR
COMMUNICATION WITH LABCORP.
«Bar_req»
Labcorp Central Laboratory Services LP
8211 SciCor Dr.
Indianapolis, IN 46214-2985
Tel: 866.762.6209
Instructions:
8
Complete all boxes on this requisition with a blue or black COLLECTION INFORMATIO
ON
ball point pen. Failure to complete all boxes will delay Collection Date Day Month Year
Phone Number
Of the person completing the
requisition
Comment
524790_TMEA Manual Created: 22 Jan 22 Page 36 Manual Revised: N/A Version 1.0.0
Accession No. THE ACCESSION NUMBER IS THE
«Requisition_n»»
REFERENCE NUMBER FOR
COMMUNICATION WITH LABCORP.
«Bar_req»
Labcorp Central Laboratory Services LP
8211 SciCor Dr.
Indianapolis, IN 46214-2985
Tel: 866.762.6209
SM04/ ARCH/NEW FFPE H&E SLIDE* 1 x 60 mL yellow cap specimen container, 1 x slide mailer, 2 x labels with AP Bar Ambient
SM09/ ARCH/NEW FFPE BLOCK 1 x 60 mL yellow cap specimen container, 1 x slide mailer, 2 x labels with AP Bar Ambient
SM11/ PATHOLOGY REPORT* 1 x envelope, 1 x label Ambient
* Conditional
In order to comply with the General Data Protection Regulation (GDPR), it is MANDATORY to redact all personal identifiable
information when submitting Anatomic Pathology samples and/or pathology reports.
Please enter “01 Jan 2000” for “Original Collection Date” if actual collection date is unknown.
524790_TMEA Manual Created: 22 Jan 22 Page 37 Manual Revised: N/A Version 1.0.0
Accession No. THE ACCESSION NUMBER IS THE
«Requisition_n»»
REFERENCE NUMBER FOR
COMMUNICATION WITH LABCORP.
«Bar_req»
Labcorp Central Laboratory Services LP
8211 SciCor Dr.
Indianapolis, IN 46214-2985
Tel: 866.762.6209
Instructions:
8
Complete all boxes on this requisition with a blue or black COLLECTION INFORMATIO
ON
ball point pen. Failure to complete all boxes will delay Requisition Completion Date Day Month Year
Phone Number
Of the person completing the
requisition
524790_TMEA Manual Created: 22 Jan 22 Page 38 Manual Revised: N/A Version 1.0.0
Accession No. THE ACCESSION NUMBER IS THE
«Requisition_n»»
REFERENCE NUMBER FOR
COMMUNICATION WITH LABCORP.
«Bar_req»
Labcorp Central Laboratory Services LP
8211 SciCor Dr.
Indianapolis, IN 46214-2985
Tel: 866.762.6209
Prostate
Primary Tumor Location?
Other_________________
N/A (metastatic Tumor submitted)
N/A (primary
Liver
Lung
Tumour
Metastatic Tumor Location? submitted)
Lymph Node
Prostate Gland
Skin
Spleen
Other_________________
Tissue Biopsy
Collection Method?
Excision/Resection Biopsy
Fixative used??
10% Neutral Buffered Formalin (NBF)
(Continued on next page)
524790_TMEA Manual Created: 22 Jan 22 Page 39 Manual Revised: N/A Version 1.0.0
Accession No. THE ACCESSION NUMBER IS THE
«Requisition_n»»
REFERENCE NUMBER FOR
COMMUNICATION WITH LABCORP.
«Bar_req»
Labcorp Central Laboratory Services LP
8211 SciCor Dr.
Indianapolis, IN 46214-2985
Tel: 866.762.6209
Comment
524790_TMEA Manual Created: 22 Jan 22 Page 40 Manual Revised: N/A Version 1.0.0
Accession No. THE ACCESSION NUMBER IS THE
«Requisition_n»»
REFERENCE NUMBER FOR
COMMUNICATION WITH LABCORP.
«Bar_req»
Labcorp Central Laboratory Services LP
8211 SciCor Dr.
Indianapolis, IN 46214-2985
Tel: 866.762.6209
SM10/ ARCH/NEW FFPE SLIDES 1-5 1x 25 slides empty solid plastic box, 1 x microscope slide, 1 x label with AP Bar Ambient
SM11/ PATHOLOGY REPORT* 1 x envelope, 1 x label Ambient
* Conditional
In order to comply with the General Data Protection Regulation (GDPR), it is MANDATORY to redact all personal identifiable
information when submitting Anatomic Pathology samples and/or pathology reports.
Please enter “01 Jan 2000” for “Original Collection Date” if actual collection date is unknown.
524790_TMEA Manual Created: 22 Jan 22 Page 41 Manual Revised: N/A Version 1.0.0
Accession No. THE ACCESSION NUMBER IS THE
«Requisition_n»»
REFERENCE NUMBER FOR
COMMUNICATION WITH LABCORP.
«Bar_req»
Labcorp Central Laboratory Services LP
8211 SciCor Dr.
Indianapolis, IN 46214-2985
Tel: 866.762.6209
Return this page with Samples VISIT: MANDATORY FFPE SLIDES 1-5
5 (IHC)
SUBJECT/PATIENT INFOR
RMATION
APH Ecode E «Inv_n»
Laboratory Requisition Form Site Number Subject Number
Page 2 of 4
AstraZeneca UK Limited Birthdate Day Month Year
2-part 0 1 J U L
Protocol: D361EC00001
Investigator: «Inv_n» Sex Male
Instructions:
8
Complete all boxes on this requisition with a blue or black COLLECTION INFORMATIO
ON
ball point pen. Failure to complete all boxes will delay Requisition Completion Date Day Month Year
Phone Number
Of the person completing the
requisition
524790_TMEA Manual Created: 22 Jan 22 Page 42 Manual Revised: N/A Version 1.0.0
Accession No. THE ACCESSION NUMBER IS THE
«Requisition_n»»
REFERENCE NUMBER FOR
COMMUNICATION WITH LABCORP.
«Bar_req»
Labcorp Central Laboratory Services LP
8211 SciCor Dr.
Indianapolis, IN 46214-2985
Tel: 866.762.6209
Tissue Biopsy
Collection Method?
Excision/Resection Biopsy
Fixative used??
10% Neutral Buffered Formalin (NBF)
(Continued on next page)
524790_TMEA Manual Created: 22 Jan 22 Page 43 Manual Revised: N/A Version 1.0.0
Accession No. THE ACCESSION NUMBER IS THE
«Requisition_n»»
REFERENCE NUMBER FOR
COMMUNICATION WITH LABCORP.
«Bar_req»
Labcorp Central Laboratory Services LP
8211 SciCor Dr.
Indianapolis, IN 46214-2985
Tel: 866.762.6209
If a pathology report is available for the embedded Slides, the report should be sent to LabCorp.
PATHOLOGY REPORT
Mark this box if SM11/ PATHOLOGY REPORT sample is submitted.
Comment
524790_TMEA Manual Created: 22 Jan 22 Page 44 Manual Revised: N/A Version 1.0.0
Accession No. THE ACCESSION NUMBER IS THE
«Requisition_n»»
REFERENCE NUMBER FOR
COMMUNICATION WITH LABCORP.
«Bar_req»
Labcorp Central Laboratory Services LP
8211 SciCor Dr.
Indianapolis, IN 46214-2985
Tel: 866.762.6209
SM16/ ARCH/NEW FFPE SLD 6-30 1x 25 slides empty solid plastic box, 1 x microscope slide, 1 x label with AP Bar Ambient
SM11/ PATHOLOGY REPORT* 1 x envelope, 1 x label Ambient
* Conditional
In order to comply with the General Data Protection Regulation (GDPR), it is MANDATORY to redact all personal identifiable
information when submitting Anatomic Pathology samples and/or pathology reports.
Please enter “01 Jan 2000” for “Original Collection Date” if actual collection date is unknown.
524790_TMEA Manual Created: 22 Jan 22 Page 45 Manual Revised: N/A Version 1.0.0
Accession No. THE ACCESSION NUMBER IS THE
«Requisition_n»»
REFERENCE NUMBER FOR
COMMUNICATION WITH LABCORP.
«Bar_req»
Labcorp Central Laboratory Services LP
8211 SciCor Dr.
Indianapolis, IN 46214-2985
Tel: 866.762.6209
Return this page with Samples VISIT: MANDATORY FFPE SLIDES 6-3
30 (NGS)
SUBJECT/PATIENT INFOR
RMATION
APH Ecode E «Inv_n»
Laboratory Requisition Form Site Number Subject Number
Page 2 of 4
AstraZeneca UK Limited Birthdate Day Month Year
2-part 0 1 J U L
Protocol: D361EC00001
Investigator: «Inv_n» Sex Male
Instructions:
8
Complete all boxes on this requisition with a blue or black COLLECTION INFORMATIO
ON
ball point pen. Failure to complete all boxes will delay Requisition Completion Date Day Month Year
Phone Number
Of the person completing the
requisition
524790_TMEA Manual Created: 22 Jan 22 Page 46 Manual Revised: N/A Version 1.0.0
Accession No. THE ACCESSION NUMBER IS THE
«Requisition_n»»
REFERENCE NUMBER FOR
COMMUNICATION WITH LABCORP.
«Bar_req»
Labcorp Central Laboratory Services LP
8211 SciCor Dr.
Indianapolis, IN 46214-2985
Tel: 866.762.6209
Tissue Biopsy
Collection Method?
Excision/Resection Biopsy
Fixative used??
10% Neutral Buffered Formalin (NBF)
(Continued on next page)
524790_TMEA Manual Created: 22 Jan 22 Page 47 Manual Revised: N/A Version 1.0.0
Accession No. THE ACCESSION NUMBER IS THE
«Requisition_n»»
REFERENCE NUMBER FOR
COMMUNICATION WITH LABCORP.
«Bar_req»
Labcorp Central Laboratory Services LP
8211 SciCor Dr.
Indianapolis, IN 46214-2985
Tel: 866.762.6209
If a pathology report is available for the embedded Slides, the report should be sent to LabCorp.
PATHOLOGY REPORT
Mark this box if SM11/ PATHOLOGY REPORT sample is submitted.
Comment
524790_TMEA Manual Created: 22 Jan 22 Page 48 Manual Revised: N/A Version 1.0.0
Accession No. THE ACCESSION NUMBER IS THE
«Requisition_n»»
REFERENCE NUMBER FOR
COMMUNICATION WITH LABCORP.
«Bar_req»
Labcorp Central Laboratory Services LP
8211 SciCor Dr.
Indianapolis, IN 46214-2985
Tel: 866.762.6209
* Conditional
In order to comply with the General Data Protection Regulation (GDPR), it is MANDATORY to redact all personal identifiable
information when submitting Anatomic Pathology samples and/or pathology reports.
524790_TMEA Manual Created: 22 Jan 22 Page 49 Manual Revised: N/A Version 1.0.0
Accession No. THE ACCESSION NUMBER IS THE
«Requisition_n»»
REFERENCE NUMBER FOR
COMMUNICATION WITH LABCORP.
«Bar_req»
Labcorp Central Laboratory Services LP
8211 SciCor Dr.
Indianapolis, IN 46214-2985
Tel: 866.762.6209
Phone Number
Of the person completing the
requisition
524790_TMEA Manual Created: 22 Jan 22 Page 50 Manual Revised: N/A Version 1.0.0
Accession No. THE ACCESSION NUMBER IS THE
«Requisition_n»»
REFERENCE NUMBER FOR
COMMUNICATION WITH LABCORP.
«Bar_req»
Labcorp Central Laboratory Services LP
8211 SciCor Dr.
Indianapolis, IN 46214-2985
Tel: 866.762.6209
Comment
524790_TMEA Manual Created: 22 Jan 22 Page 51 Manual Revised: N/A Version 1.0.0
Accession No. THE ACCESSION NUMBER IS THE
«Requisition_n»»
REFERENCE NUMBER FOR
COMMUNICATION WITH LABCORP.
«Bar_req»
Labcorp Central Laboratory Services LP
8211 SciCor Dr.
Indianapolis, IN 46214-2985
Tel: 866.762.6209
Please usee the GX kit to collect the optional Genetic (GX) sample for patients who have provided informed consent.
524790_TMEA Manual Created: 22 Jan 22 Page 52 Manual Revised: N/A Version 1.0.0
Accession No. THE ACCESSION NUMBER IS THE
«Requisition_n»»
REFERENCE NUMBER FOR
COMMUNICATION WITH LABCORP.
«Bar_req»
Labcorp Central Laboratory Services LP
8211 SciCor Dr.
Indianapolis, IN 46214-2985
Tel: 866.762.6209
Instructions:
8
Complete all boxes on this requisition with a blue or black COLLECTION INFORMATIO
ON
ball point pen. Failure to complete all boxes will delay Collection Date Day Month Year
Phone Number
Of the person completing the
requisition
Comment
524790_TMEA Manual Created: 22 Jan 22 Page 53 Manual Revised: N/A Version 1.0.0
Accession No. THE ACCESSION NUMBER IS THE
«Requisition_n»»
REFERENCE NUMBER FOR
COMMUNICATION WITH LABCORP.
«Bar_req»
Labcorp Central Laboratory Services LP
8211 SciCor Dr.
Indianapolis, IN 46214-2985
Tel: 866.762.6209
This sample should ONLY be collected for patients who have provided informed consent for the optional genetic research sample..
524790_TMEA Manual Created: 22 Jan 22 Page 54 Manual Revised: N/A Version 1.0.0
Accession No. THE ACCESSION NUMBER IS THE
«Requisition_n»»
REFERENCE NUMBER FOR
COMMUNICATION WITH LABCORP.
«Bar_req»
Labcorp Central Laboratory Services LP
8211 SciCor Dr.
Indianapolis, IN 46214-2985
Tel: 866.762.6209
Instructions:
8
Complete all boxes on this requisition with a blue or black COLLECTION INFORMATION
ball point pen. Failure to complete all boxes will delay Collection Date Day Month Year
Phone Number
Of the person completing the
requisition
Comment
524790_TMEA Manual Created: 22 Jan 22 Page 55 Manual Revised: N/A Version 1.0.0
Accession No. THE ACCESSION NUMBER IS THE
«Requisition_n»»
REFERENCE NUMBER FOR
COMMUNICATION WITH LABCORP.
«Bar_req»
Labcorp Central Laboratory Services LP
8211 SciCor Dr.
Indianapolis, IN 46214-2985
Tel: 866.762.6209
AZD5363 PK 1HR POST 1 x 2.0 mL lavender top EDTA tube 1 x cryovial Frozen
AZD5363 PK 2HR POST 1 x 2.0 mL lavender top EDTA tube 1 x cryovial Frozen
AZD5363 PK 4HR POST 1 x 2.0 mL lavender top EDTA tube 1 x cryovial Frozen
524790_TMEA Manual Created: 22 Jan 22 Page 56 Manual Revised: N/A Version 1.0.0
Accession No. THE ACCESSION NUMBER IS THE
«Requisition_n»»
REFERENCE NUMBER FOR
COMMUNICATION WITH LABCORP.
«Bar_req»
Labcorp Central Laboratory Services LP
8211 SciCor Dr.
Indianapolis, IN 46214-2985
Tel: 866.762.6209
Instructions:
8
Complete all boxes on this requisition with a blue or black COLLECTION INFORMATIO
ON
ball point pen. Failure to complete all boxes will delay Collection Date Day Month Year
Phone Number
Of the person completing the
requisition
AZD5363 PK
Collection Date Collection Time Not
(DD-MMM-YYYY) (24 hr clock) Collected
1H : X
2H : X
4H : X
Mark the Not Collected box when the time point was not able to be collected.
Comment
524790_TMEA Manual Created: 22 Jan 22 Page 57 Manual Revised: N/A Version 1.0.0
Accession No. THE ACCESSION NUMBER IS THE
«Requisition_n»»
REFERENCE NUMBER FOR
COMMUNICATION WITH LABCORP.
«Bar_req»
Labcorp Central Laboratory Services LP
8211 SciCor Dr.
Indianapolis, IN 46214-2985
Tel: 866.762.6209
524790_TMEA Manual Created: 22 Jan 22 Page 58 Manual Revised: N/A Version 1.0.0
Accession No. THE ACCESSION NUMBER IS THE
«Requisition_n»»
REFERENCE NUMBER FOR
COMMUNICATION WITH LABCORP.
«Bar_req»
Labcorp Central Laboratory Services LP
8211 SciCor Dr.
Indianapolis, IN 46214-2985
Tel: 866.762.6209
Instructions:
8
Complete all boxes on this requisition with a blue or black COLLECTION INFORMATIO
ON
ball point pen. Failure to complete all boxes will delay Collection Date Day Month Year
Phone Number
Of the person completing the
requisition
AZD5363 PK
Collection Date Collection Time Not
(DD-MMM-YYYY) (24 hr clock) Collected
Pre : X
Mark the Not Collected box when the time point was not able to be collected.
Comment
524790_TMEA Manual Created: 22 Jan 22 Page 59 Manual Revised: N/A Version 1.0.0
Accession No. THE ACCESSION NUMBER IS THE
«Requisition_n»»
REFERENCE NUMBER FOR
COMMUNICATION WITH LABCORP.
«Bar_req»
Labcorp Central Laboratory Services LP
8211 SciCor Dr.
Indianapolis, IN 46214-2985
Tel: 866.762.6209
524790_TMEA Manual Created: 22 Jan 22 Page 60 Manual Revised: N/A Version 1.0.0
Accession No. THE ACCESSION NUMBER IS THE
«Requisition_n»»
REFERENCE NUMBER FOR
COMMUNICATION WITH LABCORP.
«Bar_req»
Labcorp Central Laboratory Services LP
8211 SciCor Dr.
Indianapolis, IN 46214-2985
Tel: 866.762.6209
Instructions:
8
Complete all boxes on this requisition with a blue or black COLLECTION INFORMATIO
ON
ball point pen. Failure to complete all boxes will delay Collection Date Day Month Year
Phone Number
Of the person completing the
requisition
AZD5363 PK
Collection Date Collection Time Not
(DD-MMM-YYYY) (24 hr clock) Collected
Pre : X
Mark the Not Collected box when the time point was not able to be collected.
Comment
524790_TMEA Manual Created: 22 Jan 22 Page 61 Manual Revised: N/A Version 1.0.0
Accession No. THE ACCESSION NUMBER IS THE
«Requisition_n»»
REFERENCE NUMBER FOR
COMMUNICATION WITH LABCORP.
«Bar_req»
Labcorp Central Laboratory Services LP
8211 SciCor Dr.
Indianapolis, IN 46214-2985
Tel: 866.762.6209
524790_TMEA Manual Created: 22 Jan 22 Page 62 Manual Revised: N/A Version 1.0.0
Accession No. THE ACCESSION NUMBER IS THE
«Requisition_n»»
REFERENCE NUMBER FOR
COMMUNICATION WITH LABCORP.
«Bar_req»
Labcorp Central Laboratory Services LP
8211 SciCor Dr.
Indianapolis, IN 46214-2985
Tel: 866.762.6209
Instructions:
8
Complete all boxes on this requisition with a blue or black COLLECTION INFORMATIO
ON
ball point pen. Failure to complete all boxes will delay Collection Date Day Month Year
Phone Number
Of the person completing the
requisition
AZD5363 PK
Collection Date Collection Time Not
(DD-MMM-YYYY) (24 hr clock) Collected
Pre : X
Mark the Not Collected box when the time point was not able to be collected.
Comment
524790_TMEA Manual Created: 22 Jan 22 Page 63 Manual Revised: N/A Version 1.0.0
Accession No. THE ACCESSION NUMBER IS THE
«Requisition_n»»
REFERENCE NUMBER FOR
COMMUNICATION WITH LABCORP.
«Bar_req»
Labcorp Central Laboratory Services LP
8211 SciCor Dr.
Indianapolis, IN 46214-2985
Tel: 866.762.6209
524790_TMEA Manual Created: 22 Jan 22 Page 64 Manual Revised: N/A Version 1.0.0
Accession No. THE ACCESSION NUMBER IS THE
«Requisition_n»»
REFERENCE NUMBER FOR
COMMUNICATION WITH LABCORP.
«Bar_req»
Labcorp Central Laboratory Services LP
8211 SciCor Dr.
Indianapolis, IN 46214-2985
Tel: 866.762.6209
Instructions:
8
Complete all boxes on this requisition with a blue or black COLLECTION INFORMATIO
ON
ball point pen. Failure to complete all boxes will delay Collection Date Day Month Year
Phone Number
Of the person completing the
requisition
Comment
524790_TMEA Manual Created: 22 Jan 22 Page 65 Manual Revised: N/A Version 1.0.0
Accession No. THE ACCESSION NUMBER IS THE
«Requisition_n»»
REFERENCE NUMBER FOR
COMMUNICATION WITH LABCORP.
«Bar_req»
Labcorp Central Laboratory Services LP
8211 SciCor Dr.
Indianapolis, IN 46214-2985
Tel: 866.762.6209
524790_TMEA Manual Created: 22 Jan 22 Page 66 Manual Revised: N/A Version 1.0.0
Accession No. THE ACCESSION NUMBER IS THE
«Requisition_n»»
REFERENCE NUMBER FOR
COMMUNICATION WITH LABCORP.
«Bar_req»
Labcorp Central Laboratory Services LP
8211 SciCor Dr.
Indianapolis, IN 46214-2985
Tel: 866.762.6209
Return this page with Samples VISIT: EVERY 16 WEEKS FROM D1C1
VISIT (CHECK ONE ; OR :)
Cycle _ _ Day _ _ (PVC=C_ _ D_ _)
Laboratory Requisition Form SUBJECT/PATIENT INFOR
RMATION
Page 2 of 2
AstraZeneca UK Limited
2-part Ecode E «Inv_n»
Protocol: D361EC00001 Site Number Subject Number
Investigator: «Inv_n» Day Month Year
Birthdate
Instructions: 0 1 J U L
Complete all boxes on this requisition with a blue or black Male
Sex
ball point pen. Failure to complete all boxes will delay
8
reports.
COLLECTION INFORMATIO
ON
Day Month Year
Please check that all patient identifiers are complete, Collection Date
consistent and correct, and that each container has the Complete month field in English
(Example: 01 JAN 2001)
same accession number, when packing specimens for
24 Hour Clock
shipment! Collection Time
(Record Midnight as 23:59) :
THIS SECTION TO BE COMPLETED BY SITE PERSONNELL ONLY
Requisition Completed By
Full name in capital letters
Phone Number
Of the person completing the
requisition
Comment
524790_TMEA Manual Created: 22 Jan 22 Page 67 Manual Revised: N/A Version 1.0.0
Accession No. THE ACCESSION NUMBER IS THE
«Requisition_n»»
REFERENCE NUMBER FOR
COMMUNICATION WITH LABCORP.
«Bar_req»
524790_TMEA Manual Created: 22 Jan 22 Page 68 Manual Revised: N/A Version 1.0.0
Accession No. THE ACCESSION NUMBER IS THE
«Requisition_n»»
REFERENCE NUMBER FOR
COMMUNICATION WITH LABCORP.
«Bar_req»
VISIT: CTC EPIC NA/LATAM
Do NOT Return to Labcorp VISIT (CHECK ONE ; OR :)
CTC EPIC Cycle 1 Day 1 (PVC=C1D1)
Laboratory Requisition Form
CTC EPIC PROGRESSION (PVC=PROGRESS)
Page 2 of 2
AstraZeneca UK Limited SUBJECT/PATIENT INFOR
RMATION
2-part
Protocol: D361EC00001 Ecode E «Inv_n»
Investigator: «Inv_n» Site Number Subject Number
reports. 8
COLLECTION INFORMATIO
ON
Please check that all patient identifiers are complete,
Day Month Year
consistent and correct, and that each container has the Collection Date
Complete month field in English
same accession number, when packing specimens for
(Example: 01 JAN 2001)
shipment! 24 Hour Clock
Collection Time
(Record Midnight as 23:59) :
THIS SECTION TO BE COMPLETED BY SITE PERSONNEL ONLY
Requisition Completed By
Full name in capital letters
Phone Number
Of the person completing the
requisition
Comment
524790_TMEA Manual Created: 22 Jan 22 Page 69 Manual Revised: N/A Version 1.0.0
Accession No. THE ACCESSION NUMBER IS THE
«Requisition_n»»
REFERENCE NUMBER FOR
COMMUNICATION WITH LABCORP.
«Bar_req»
Labcorp Central Laboratory Services LP
8211 SciCor Dr.
Indianapolis, IN 46214-2985
Tel: 866.762.6209
524790_TMEA Manual Created: 22 Jan 22 Page 70 Manual Revised: N/A Version 1.0.0
Accession No. THE ACCESSION NUMBER IS THE
«Requisition_n»»
REFERENCE NUMBER FOR
COMMUNICATION WITH LABCORP.
«Bar_req»
Labcorp Central Laboratory Services LP
8211 SciCor Dr.
Indianapolis, IN 46214-2985
Tel: 866.762.6209
Instructions:
8
Complete all boxes on this requisition with a blue or black COLLECTION INFORMATIO
ON
ball point pen. Failure to complete all boxes will delay Collection Date Day Month Year
Phone Number
Of the person completing the
requisition
Comment
524790_TMEA Manual Created: 22 Jan 22 Page 71 Manual Revised: N/A Version 1.0.0
Accession No. THE ACCESSION NUMBER IS THE
«Requisition_n»»
REFERENCE NUMBER FOR
COMMUNICATION WITH LABCORP.
«Bar_req»
Labcorp Central Laboratory Services LP
8211 SciCor Dr.
Indianapolis, IN 46214-2985
Tel: 866.762.6209
524790_TMEA Manual Created: 22 Jan 22 Page 72 Manual Revised: N/A Version 1.0.0
Accession No. THE ACCESSION NUMBER IS THE
«Requisition_n»»
REFERENCE NUMBER FOR
COMMUNICATION WITH LABCORP.
«Bar_req»
Labcorp Central Laboratory Services LP
8211 SciCor Dr.
Indianapolis, IN 46214-2985
Tel: 866.762.6209
Instructions:
8
Complete all boxes on this requisition with a blue or black COLLECTION INFORMATIO
ON
ball point pen. Failure to complete all boxes will delay Collection Date Day Month Year
Phone Number
Of the person completing the
requisition
Comment
524790_TMEA Manual Created: 22 Jan 22 Page 73 Manual Revised: N/A Version 1.0.0
SECTION BREAK
524790_TMEA Manual Created: 22 Jan 22 Page 74 Manual Revised: N/A Version 1.0.0
GENERAL INFORMATION FOR PACKAGING AND SHIPPING
Labcorp Central Laboratory Services shipping material is designed in accordance with IATA
! regulations!
Air waybills and shipping labels may only be used one time!
Please be sure to inquire about your local service schedules and the latest time of day that you can call to arrange
for a pick-up. Timely pick-ups will ensure samples are shipped within stability for testing.
While most samples are specified to be shipped day of collection, we realize there are times when circum-stances
do not permit this to occur.
•
/ ȅ -)**).(+' *'' /$*)ȅ -'./''ѣ$)*-+$&ѣ0+1$'$'$/4!*-*0-$ -. -1$
• Dry ice may not be available the same day as frozen sample collection
• Pick-up is missed by courier service
In the event that samples cannot be shipped the day of collection, they should be stored under the condition they
are to be shipped. These samples should then be shipped to Labcorp Central Laboratory Services the very next day
of availability.
• AMBIENT samples should remain at ambient temperature – Do not refrigerate
• REFRIGERATED samples should remain between 2°C and 8°C
• FROZEN samples should remain frozen at the appropriate temperature
For Latin America, Australia, New Zealand and Asia (except Japan):
When contacting courier, also inquire about local export requirements.
Shipping boxes (Countries except Japan when BML takes care of the sample pick-up)
Containers must be securely packed in their shipping box. Please check by gently shaking the box after packaging.
If the containers are loose, repack the box by filling the empty spaces with paper.
English_General Information for Packaging and Shipping_Update: 20210625 Copyright ©2021 Laboratory Corporation of America® Holdings. All rights reserved.
524790_TMEA Manual Created: 22 Jan 22 Page 75 Manual Revised: N/A Version 1.0.0
PACKAGING PROCEDURES - CONSOLIDATING SHIPMENTS
Send samples for more than one patient and/or more than one sponsor or
protocol in a single shipment.
Key points:
Always consolidate patient sample shipments by condition: ambient, refrigerated, or frozen.
Be sure each patient’s samples and the completed requisition for that patient are packaged together in their own
Specimen Collection Bag, by shipping condition.
The Ambient shipping box will hold 2 to 4 lab kits containing ambient samples.
The Frozen shipping box will hold 1 to 2 Specimen Collection Bags of samples per frozen shipment.
Be sure to allow ample space for dry ice in your frozen shipments as you will need 3 kgs of dry ice per shipment
(2 Kg for North America) when using &RYDQFH supplied packaging. Use of courier supplied packaging may require more
dry ice. Please follow your courier recommendation for the amount of dry ice to use.
Use the appropriate air waybill depending on sample condition (ambient/refrigerated or frozen).
Please ensure the outer packaging used for transport of any Biological Substance, Category B material is marked and
labeled according to the ICAO/IATA requirements.
Sponsor #1
Sponsor #3
Sponsor #2
Note: Contact &RYDQFH to inquire about special packaging designed to send large numbers
of samples per shipment if you are participating in a study with high daily patient volume.
English_Packaging Procedure Consolidated Shipments_Update: 20131118 ©2012 &RYDQFH CLS
524790_TMEA Manual Created: 22 Jan 22 Page 76 Manual Revised: N/A Version 1.0.0
PACKAGING PROCEDURES - ALL COUNTRIES
AMBIENT
BIOLOGICAL SUBSTANCE, CATEGORY B
!
Notify your courier of your shipment!
Problems/questions concerning packaging procedures? Call us using our toll-free number.
1. Insert the tube(s) into the 2. Fold the white copy of the 3. 7DNH D *HO 3DN DQG ¿OO LW WR
Specimen Collection Bag completed requisition form and the indicator line with cool tap
containing an absorbent pack. place it into the pocket on the water. Seal the bag.
3ODFH EDJ RQ ÀDW VXUIDFH WR reverse side of the Specimen
minimize wrinkles, especially at Collection Bag. The bar code
adhesive sealing area. Remove must be visible.
tape liner to expose adhesive.
Fold along bag opening so star
is inside of box shape. Press
from center to edge to seal.
Do NOT place sharps into
collection bag.
4. Lightly press the absorbent 5. Place the Specimen Collection 6. Place the Gel Pak into the white
pack to expel its contents. Bag on top of the Gel Pak. kit box. Do NOT ship sharps to
Massage the bag until water Wrap the Gel Pak around the Covance.
has been absorbed and a gel Specimen Collection Bag,
material has formed. sandwiching the specimens
Expel the air from the Gel Pak in the middle. Do not insert
and reseal. the specimen containers
directly into the Gel Pak!
Important: Ensure the Hema-
tology sample is placed in
the fold of the Gel Pak.
524790_TMEA Manual Created: 22 Jan 22 Page 77 Manual Revised: N/A Version 1.0.0
PACKAGING PROCEDURES - ALL COUNTRIES
AMBIENT
BIOLOGICAL SUBSTANCE, CATEGORY B
Note:
If the kit box is too large to place
in the ambient shipping carton,
wrap a rubberband around the Gel
Pak. Place the Gel Pak containing
the specimen collection bag inside
the large zip bag.
7. Insert the kit into the zip bag. 8. Place the zip bag into the Place the zip bag into the shipping
shipping carton. Fill empty carton. Fill empty spaces with
spaces with cushioning material cushioning material (i.e. paper).
(i.e. paper).
524790_TMEA Manual Created: 22 Jan 22 Page 78 Manual Revised: N/A Version 1.0.0
GEL PAK SAFETY TIPS
Please take the specimen collection bag and WRAP the Gel Pak AROUND the specimen
place it on the Gel Pak. collection bag.
CAUTION:
DO NOT put the specimen collection bag DO NOT put the tubes DIRECTLY INTO
INTO the Gel Pak! the Gel Pak!
524790_TMEA Manual Created: 22 Jan 22 Page 79 Manual Revised: N/A Version 1.0.0
PACKAGING PROCEDURES - ALL COUNTRIES
FROZEN
BIOLOGICAL SUBSTANCE, CATEGORY B
! Ship no more than 120 mL in a Specimen Collection bag and no more than two Specimen
Collection bags per 2.0 kilograms of dry ice!
1. Insert the tube(s) into the 2. )ROG WKH ZKLWH FRS\ RI WKH 3. )LOO KDOI RI WKH VW\URIRDP
Specimen Collection Bag FRPSOHWHGUHTXLVLWLRQIRUPDQG container with dry ice and
containing an absorbent pack. place it into the pocket on the insert the Specimen Collection
3ODFH EDJ RQ ÀDW VXUIDFH WR UHYHUVH VLGH RI WKH 6SHFLPHQ %DJV7KHQFRPSOHWHO\¿OOWKH
minimize wrinkles, especially at Collection Bag. The bar code VW\URIRDP FRQWDLQHU ZLWK GU\
adhesive sealing area. Remove must be visible. ice.
tape liner to expose adhesive. 'R 127 VKLS VKDUSV WR
Fold along bag opening so star &RYDQFH.
LV LQVLGH RI ER[ VKDSH 3UHVV
IURPFHQWHUWRHGJHWRVHDO'R
NOT place sharps into collection
bag.
4. 5HSODFHWKHVW\URIRDPOLG
524790_TMEA Manual Created: 22 Jan 22 Page 80 Manual Revised: N/A Version 1.0.0
PACKAGING PROCEDURES - ALL COUNTRIES
FROZEN
BIOLOGICAL SUBSTANCE, CATEGORY B
FRQWLQXHGIURPSUHYLRXVSDJH
5. Seal the shipping carton securely. $ႈ[ WKH 6. US domestic shipments: &RPSOHWH DQG Dႈ[ WKH
label with your address on the box as indicated shipping document to the designated spot on the box.
on the picture above. Rest of world: Insert the shipping documentation into
Note: Your shipment may be delayed if the the transparent pouch ensuring that the airway bill
label is not affixed to the box. UHPDLQVYLVLEOH$IIL[WKHSRXFKWRWKHFDUGERDUGER[
on the “Shipping documents” section.
524790_TMEA Manual Created: 22 Jan 22 Page 81 Manual Revised: N/A Version 1.0.0
PACKAGING PROCEDURES - ALL COUNTRIES EXCEPT
ASIA PACIFIC/LATIN AMERICA
COMBINED AMBIENT-FROZEN
BIOLOGICAL SUBSTANCE, CATEGORY B
Notify your courier of your shipment!
! Problems/questions concerning packaging procedures? Call us using our toll-free number.
US/Canada/Puerto Rico: Ship no more than 10 specimens per 2.0 kilograms of dry ice!
Rest of World: Ship no more than 10 specimens per 3 kilograms of dry ice!
1. Place the tube(s) into a 2. Fill half of the styrofoam 3. Replace the styrofoam lid.
Specimen Collection Bag container with dry ice and
containing an absorbent pack. insert the Specimen Collection
3ODFH EDJ RQ ÀDW VXUIDFH WR %DJV 7KHQ FRPSOHWHO\ ILOO WKH
minimize wrinkles, especially styrofoam container with dry ice.
at adhesive sealing area.
Remove tape liner to expose Do NOT ship sharps to &RYDQFH.
adhesive. Fold along bag
opening so star is inside of
box shape. Press from center
to edge to seal. Do NOT place
sharps into collection bag.
4. Place the cardboard spacer 5. For the ambient tubes, repeat 6. 7DNHD*HO3DNDQG¿OOLWWRWKH
on top of the styrofoam. step 1. Then fold the white copy indicator line with cool tap water.
of the completed requisition form Seal the bag.
and place it into the pocket on
the reverse side of the Specimen
Collection Bag. The bar code
must be visible.
English_Packaging Procedure Combo Ambient Frozen_Update: 20200402 ©2003 - 2020 &RYDQFH CLS
524790_TMEA Manual Created: 22 Jan 22 Page 82 Manual Revised: N/A Version 1.0.0
PACKAGING PROCEDURES - ALL COUNTRIES EXCEPT
ASIA PACIFIC/LATIN AMERICA
COMBINED AMBIENT-FROZEN
BIOLOGICAL SUBSTANCE, CATEGORY B
...continued from previous page.
9. Place the specimen collection 10. Insert the kit into the zip bag. 11. Place the zip bag into the
bag wrapped in the Gel Pak into cardboard box. Fill empty
the white kit box. Do NOT ship spaces with cushioning
sharps to &RYDQFH. material (i.e. paper).
Note:
If the kit box is too large to place
in the shipping carton, wrap a
rubber band around the Gel Pak.
Place the Gel Pak containing the
specimen collection bag inside the
large zip bag.
Place the zip bag into the shipping
carton. Fill empty spaces with
cushioning material (i.e. paper).
12. 6HDO WKH VKLSSLQJ FDUWRQ VHFXUHO\ $ႈ[ WKH 13. US domestic shipments: &RPSOHWH DQG Dႈ[ WKH
label with your address on the box as indicated airway bill to the designated spot on the box.
on the picture above. Rest of world: Insert the shipping documentation
Note: Your shipment may be delayed if into the transparent pouch ensuring that the airway
the label is not affixed to the box. bill remains visible. Affix the pouch to the cardboard
Verify the amount of dry ice in kilograms on box on the “Shipping documents” section.
the UN1845 label.
English_Packaging Procedure Combo Ambient Frozen_Update: 20200402 ©2003 - 2020 &RYDQFH CLS
524790_TMEA Manual Created: 22 Jan 22 Page 83 Manual Revised: N/A Version 1.0.0
SHIPPING DOCUMENTS
ARE PROVIDED IN LARGE COLOR-CODED ENVELOPES
The protocol specific shipping documents are provided in the appropriate envelope with the start-up
! material. They are not automatically resupplied.
Order additional envelopes by using the web address/link http://www.covance.com/kitordering or
by contacting Covance CLS.
524790_TMEA Manual Created: 22 Jan 22 Page 84 Manual Revised: N/A Version 1.0.0
SHIPPING DOCUMENTS - USA
ALL TEMPERATURES
Biological Substance Category B
NOTE: Calling UPS at 1-866-961-3790 to schedule your pick-up and the special routing address
allows UPS to provide the highest level of service and ensures the safety and stability of
samples.
6SHFLDO
5RXWLQJ
$GGUHVVIRU
&RYDQFH
6KLSPHQWV
ple
am
Ex
Sites can create and print the Covance UPS Express Critical shipping labels on-demand via the web at
https://www.covance.com/customers/investigators/investigator-tools-and-resources/ups-express.html.
Please Note: This new service to print UPS labels is only applicable for shipments going to Covance Central
Laboratory Services in the USA.
x &RPSOHWHWKHUHTXLUHGFRQWDFWLQIRUPDWLRQ¿HOGV
x 6HOHFWWKHDSSURSULDWH³5HWXUQ7\SH´IURPWKHGURSGRZQOLVWWKHZHLJKW¿HOGZLOODXWRSRSXODWHEDVHGRQ
the “return type” chosen.
x :KHQ¿QLVKHGVHOHFW³3URFHVV6KLSPHQW´DWWKHERWWRPRIWKHVFUHHQ3ULQWD836VKLSSLQJODEHODQGDI¿[
VHFXUHO\WRWKHER[VRLWFDQQRWEHWRUQRUULSSHGZKLOHLQWUDQVLWDQGEHLQJFDUHIXOQRWWRFRYHUDQ\SUH
printed marking or label on the box.
Creation of the UPS shipping label does NOT automatically schedule sample pick-up. You must contact
the UPS Clinical Trials Support Center to schedule pickup at 866-961-3790. Inform the UPS Call Center
Representative that your package is an URGENT COVANCE MEDICAL SHIPMENT.
,I\RXKDYHTXHVWLRQVDERXWVKLSSLQJ\RXUSDFNDJHRUQHHGKHOSZLWKDQ\FRXULHUUHODWHGLVVXHSOHDVHFRQWDFW
the Covance Site Support Services team at 1-866-762-6209.
English_US Shipping Documents UPS_Update: 20171013 ©2008-2017 Covance CLS
524790_TMEA Manual Created: 22 Jan 22 Page 85 Manual Revised: N/A Version 1.0.0
SHIPPING DOCUMENTS - CANADA
When calling to schedule your pick-up, inform the call center agent that your package is an URGENT
COVANCE MEDICAL SHIPMENT.
(QJOLVKB866KLSSLQJ'RFXPHQWV6SHFLPHQV$PELHQW)HG([&DQDGDB8SGDWH
English_US Shipping Documents Specimens Ambient FedEx Canada_Update: 20070807 ©2003 - 2020 Covance CLS
524790_TMEA Manual Created: 22 Jan 22 Page 86 Manual Revised: N/A Version 1.0.0
SHIPPING DOCUMENTS - CANADA
AMBIENT / REFRIGERATED / COMBINED AMBIENT-REFRIGERATED
BIOLOGICAL SUBSTANCE, CATEGORY B
ress
ic add
site specif
with
inted
Prepr
L E
B
M P
X A
E
C D E
<RXPXVWHQWHU
C Signature of shipper
D Printed Name
E Date
(QJOLVKB&DQDGD&RPPHUFLDO,QYRLFH$PELHQW6SHFLPHQVB8SGDWH ©2003 - 2020 Covance CLS
524790_TMEA Manual Created: 22 Jan 22 Page 87 Manual Revised: N/A Version 1.0.0
SHIPPING DOCUMENTS - CANADA
FROZEN / COMBINED AMBIENT-FROZEN
BIOLOGICAL SUBSTANCE, CATEGORY B
When calling to schedule your pick-up, inform the call center agent that your package is an URGENT
COVANCE MEDICAL SHIPMENT.
English_US Shipping Documents Frozen Combined FedEx Canada_Update: 20200617 ©2003 - 2020 Covance CLS
524790_TMEA Manual Created: 22 Jan 22 Page 88 Manual Revised: N/A Version 1.0.0
SHIPPING DOCUMENTS - CANADA
FROZEN / COMBINED AMBIENT-FROZEN
BIOLOGICAL SUBSTANCE, CATEGORY B
s
ddres
specific a
ite
with s
inted
Prepr
L E
P
B
A M
E X
C D E
You must enter:
C Signature of shipper
D Name Printed
E Date
English_US Shipping Documents Frozen Combined FedEx Canada_Update: 20070807 ©2003 - 2020 Covance CLS
524790_TMEA Manual Created: 22 Jan 22 Page 89 Manual Revised: N/A Version 1.0.0
SECTION BREAK
524790_TMEA Manual Created: 22 Jan 22 Page 90 Manual Revised: N/A Version 1.0.0
REFERENCE RANGES/ALERTS AND FLAGS
The reference ranges are age, gender specific and represent a heterogeneous clinical trials patient population. Flags are
indicated in the laboratory report.
The unstated word “to” is implied by the “dash” appearing in age specific reference ranges. A range such as “0-59 years”
and “59-150 years” means: “0 up to but not including 59 years” and “59 up to but not including 150 years”.
The “H” and “L” flags will always be printed. Your sponsor may request different or additional flags than the ones listed
below. Notification of the sponsor flags will occur only if requested by the sponsor.
Note: Reference ranges and alert flags included in the Investigator Manual are for reference purposes only. Reference
ranges and alert flags which are sex and/or age specific can change during the course of a clinical trial. Therefore,
reference ranges and alert flags that print on the Labcorp Central Laboratory Services report should be used for
patient management.
H High Flag Patient’s result is outside of the No Notification Beyond H/L on Report
L Low Flag reference range.
HT High Telefacsimile Patient’s result is outside of the Available on eSite Access, check
LT Low Telefacsimile reference range significantly online. Also, Sponsor May Request
enough to warrant notification. Telephone Notification.
HP High Panic Patient’s result is outside of the Available on eSite Access, check
LP Low Panic reference range with potentially online and Telephone Notification to
critical implications for the Investigator Site (and Sponsor if
patient. requested).
Reporting holds
Your laboratory reports will be held for data clarification when:
- Patient data on the requisition form is missing, incomplete, or inconsistent with previous records.
- Additional data requested on the requisition form is missing.
- A kit refers to a visit that has been received earlier or to a visit out of sequence.
When the issue has been clarified, the laboratory report will be released. In case of a clinically important alert, the
investigator in question will be contacted immediately.
English_Reference Ranges/Alerts and Flags_eSA_Update: 20210625 Copyright ©2021 Laboratory Corporation of America® Holdings. All rights reserved.
524790_TMEA Manual Created: 22 Jan 22 Page 91 Manual Revised: N/A Version 1.0.0
Run:26ŞJanŞ22 ReferenceRangeReport(Clinical)Page:1
9:59AM Reportedin:ConventionalUnitsProject:524790
Group:TISSUEBLOCKPROCNF30
TestEthnicSexAgeRangeAlertFlagsEffectiveDate
____________________________________________________________________________________________________________________________________________________________________________
10ŞAugŞ2010
BlkProNF30(HTT247)Both0YŞ150Y
____________________________________________________________________________________________________________________________________________________________________________
10ŞAugŞ2010
BlkID(HTT248)Both0YŞ150Y
____________________________________________________________________________________________________________________________________________________________________________
10ŞAugŞ2010
QCFFPE(HTT250)Both0YŞ150Y
____________________________________________________________________________________________________________________________________________________________________________
10ŞAugŞ2010
RptReview(HTT249)Both0YŞ150Y
____________________________________________________________________________________________________________________________________________________________________________
19ŞAugŞ2010
PathCase#(HTT305)Both0YŞ150Y
____________________________________________________________________________________________________________________________________________________________________________
10ŞAugŞ2010
#Unst+Slid(HTT254)Both0YŞ150Y
____________________________________________________________________________________________________________________________________________________________________________
10ŞAugŞ2010
D.UnstPrep(HTT260)Both0YŞ150Y
____________________________________________________________________________________________________________________________________________________________________________
10ŞAugŞ2010
FFPECom.(HTT251)Both0YŞ150Y
____________________________________________________________________________________________________________________________________________________________________________
19ŞAugŞ2010
#BlksPt(HTT306)Both0YŞ150Y
LabcorpCLSLP8211SciCorDrive,Indianapolis,INUSA46214Ş2985(317)271Ş1200FAX(317)616Ş2351
Run:26ŞJanŞ22 ReferenceRangeReport(Clinical)Page:1
9:59AM Reportedin:ConventionalUnitsProject:524790
Group:CTDNAPROCESSINGBASELINE
TestEthnicSexAgeRangeAlertFlagsEffectiveDate
____________________________________________________________________________________________________________________________________________________________________________
14ŞFebŞ2020
WBVolRecvd(TCT8738)Both0YŞ150YmLNoRefRng
____________________________________________________________________________________________________________________________________________________________________________
14ŞNovŞ2019
Plasma(TCT7264)Both0YŞ150YmLNoRefRng
____________________________________________________________________________________________________________________________________________________________________________
14ŞNovŞ2019
Plasma(TCT7265)Both0YŞ150YmLNoRefRng
____________________________________________________________________________________________________________________________________________________________________________
14ŞNovŞ2019
Plasma(TCT7266)Both0YŞ150YmLNoRefRng
____________________________________________________________________________________________________________________________________________________________________________
14ŞNovŞ2019
Plasma(TCT7267)Both0YŞ150YmLNoRefRng
____________________________________________________________________________________________________________________________________________________________________________
14ŞNovŞ2019
Plasma(TCT7268)Both0YŞ150YmLNoRefRng
____________________________________________________________________________________________________________________________________________________________________________
14ŞNovŞ2019
Plasma(TCT7269)Both0YŞ150YmLNoRefRng
____________________________________________________________________________________________________________________________________________________________________________
14ŞNovŞ2019
Plasma(TCT7270)Both0YŞ150YmLNoRefRng
____________________________________________________________________________________________________________________________________________________________________________
14ŞNovŞ2019
Plasma(TCT7271)Both0YŞ150YmLNoRefRng
____________________________________________________________________________________________________________________________________________________________________________
14ŞNovŞ2019
Plasma(TCT7272)Both0YŞ150YmLNoRefRng
____________________________________________________________________________________________________________________________________________________________________________
14ŞNovŞ2019
Plasma(TCT7273)Both0YŞ150YmLNoRefRng
____________________________________________________________________________________________________________________________________________________________________________
14ŞNovŞ2019
BuffyCoat(TCT7274)Both0YŞ150YmLNoRefRng
____________________________________________________________________________________________________________________________________________________________________________
14ŞNovŞ2019
BuffyCoat(TCT7275)Both0YŞ150YmLNoRefRng
____________________________________________________________________________________________________________________________________________________________________________
14ŞNovŞ2019
Date(TCT7276)Both0YŞ150Y
____________________________________________________________________________________________________________________________________________________________________________
14ŞNovŞ2019
Comment(TCT7278)Both0YŞ150Y
LabcorpCLSLP8211SciCorDrive,Indianapolis,INUSA46214Ş2985(317)271Ş1200FAX(317)616Ş2351
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Run:26ŞJanŞ22 ReferenceRangeReport(Clinical)Page:1
9:59AM Reportedin:ConventionalUnitsProject:524790
Group:CTDNAPROCESSINGNONŞBASELINE
TestEthnicSexAgeRangeAlertFlagsEffectiveDate
____________________________________________________________________________________________________________________________________________________________________________
29ŞNovŞ2021
WBVolRecvd(TCT21371)Both0YŞ150YmLNoRefRng
____________________________________________________________________________________________________________________________________________________________________________
29ŞNovŞ2021
Plasma(TCT21372)Both0YŞ150YmLNoRefRng
____________________________________________________________________________________________________________________________________________________________________________
29ŞNovŞ2021
Plasma(TCT21373)Both0YŞ150YmLNoRefRng
____________________________________________________________________________________________________________________________________________________________________________
29ŞNovŞ2021
Plasma(TCT21374)Both0YŞ150YmLNoRefRng
____________________________________________________________________________________________________________________________________________________________________________
29ŞNovŞ2021
Plasma(TCT21375)Both0YŞ150YmLNoRefRng
____________________________________________________________________________________________________________________________________________________________________________
29ŞNovŞ2021
Plasma(TCT21376)Both0YŞ150YmLNoRefRng
____________________________________________________________________________________________________________________________________________________________________________
29ŞNovŞ2021
Date(TCT21377)Both0YŞ150Y
____________________________________________________________________________________________________________________________________________________________________________
29ŞNovŞ2021
Time(TCT21378)Both0YŞ150Y
____________________________________________________________________________________________________________________________________________________________________________
29ŞNovŞ2021
Comment(TCT21379)Both0YŞ150Y
LabcorpCLSLP8211SciCorDrive,Indianapolis,INUSA46214Ş2985(317)271Ş1200FAX(317)616Ş2351
Run:26ŞJanŞ22 ReferenceRangeReport(Clinical)Page:1
9:59AM Reportedin:ConventionalUnitsProject:524790
Group:CTCCELLSEARCH
TestEthnicSexAgeRangeAlertFlagsEffectiveDate
____________________________________________________________________________________________________________________________________________________________________________
28ŞJulŞ2017
CTCEnumer(WFT2275)Both0YŞ150YCTC/7.5mLblood
NoRefRng
LabcorpCLSLP8211SciCorDrive,Indianapolis,INUSA46214Ş2985(317)271Ş1200FAX(317)616Ş2351
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524790_TMEA Manual Created: 22 Jan 22 Page 95 Manual Revised: N/A Version 1.0.0
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524790_TMEA Manual Created: 22 Jan 22 Page 98 Manual Revised: N/A Version 1.0.0
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524790_TMEA Manual Created: 22 Jan 22 Page 99 Manual Revised: N/A Version 1.0.0
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524790_TMEA Manual Created: 22 Jan 22 Page 100 Manual Revised: N/A Version 1.0.0
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524790_TMEA Manual Created: 22 Jan 22 Page 101 Manual Revised: N/A Version 1.0.0
*-/*-4 -/$ݦ/$*).ЪѶУУѭ+/ ѐФТФУУТФЫ Copyright ©2021 Laboratory Corporation of America® Holdings. All rights reserved.
524790_TMEA Manual Created: 22 Jan 22 Page 102 Manual Revised: N/A Version 1.0.0
*-/*-4 -/$ݦ/$*).ЫѶУУѭ+/ ѐФТФУУТФЫ Copyright ©2021 Laboratory Corporation of America® Holdings. All rights reserved.
524790_TMEA Manual Created: 22 Jan 22 Page 103 Manual Revised: N/A Version 1.0.0
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524790_TMEA Manual Created: 22 Jan 22 Page 104 Manual Revised: N/A Version 1.0.0
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1
524790_TMEA Manual Created: 22 Jan 22 Page 110 Manual Revised: N/A Version 1.0.0
Central Laboratory Services
Indianapolis Shanghai
8211 SciCor Drive Building 9, No.338 Jialilue Road
Indianapolis, IN 46214-2985 USA Zhangjiang Hi-Tech Park
Tel. (317) 271-1200 (local calls) Shanghai 201203
Fax: (317) 616-2362 China Tel: +86 21 6192 6100
Fax: +86 21 6104 1530
Geneva
Rue Moïse-Marcinhes 7 Tokyo
1217 Meyrin/Genève-CH CB Lab c/o BML General Laboratory
Tel: 0041 58 822 7901 1361-1 Matoba Kawagoe-shi
Fax: 0041 58 822 7521 Saitama 350-1101 Japan
Japan Toll free: 0120-123-905
Singapore Direct line: +81-3-6837-9536
1 International Business Park Fax: +81-3-6220-3667
The Synergy, #04-14
Singapore 609917
Tel. 65-6560-8793
Fax. 65-6565-5901
524790_TMEA Manual Created: 22 Jan 22 Page 111 Manual Revised: N/A Version 1.0.0