Non-hodgkin Lymphoma/ Acute Lymphoma Leukemia

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* 1. If you match a study and are interested in pursuing financial compensation for such please fill out the following contact information.

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 2. Are you 18 years or older.?

Yes

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* 3. Are you currently on effective contraception? If yes would willing to continue it 3 months past study? If no please answer no.

Yes

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* 4. Have you been diagnosed with Non-hodgkin Lymphoma?

Yes

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* 5. Are you free of allergies or intolerance to duvelisib or P13K inhibitors

Yes

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* 6. Are you currently free of active bacterial, viral and/or fungal infections?

Yes

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* 7. Are you currently free of Tuberculosis and have been for at least 2 years?

Yes

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* 8. Are you free of HIV infection?

Yes

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* 9. Are you free of untreated Hepatitis B or C infection?

Yes

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* 10. Are you free of immunologic/autoimmune disease affecting the CNS that is not related to Non-hodgkin Lymphoma?

Yes

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* 11. If you have a h/o deep vein thrombosis (DVT) or pulmonary embolism (PE) has it been greater than 3 months since diagnosed?

Yes

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* 12. Are you free of significant pulmonary disease?

Yes

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* 13. If you have heart disease, has it been referred to as "stable" and/or greater than 6 months since an acute event?

Yes

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* 14. Are you currently pregnant?

Yes

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* 15. Are you able to swallow medication?

Yes

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* 16. Are you free of previous gastric surgery that would affect absorption?

Yes

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* 17. Are you free of significant liver disease (LFT's< 3 times normal)?

Yes

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* 18. If there is a history of alcohol abuse, has it been greater than 6 months since abstinence?

Yes

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* 19. Are you free of treatment for any other malignancy for at least two years?

Yes