Page 5 of 6 
11. I understand that I will not be charged for any procedure or test of an investigational 
nature. The drugs and immune cells will also be provided free of charge. I understand 
that I may discuss this and ask any questions regarding billing before I consent to 
treatment. 
12. I understand that cells obtained from my blood or tumor may be used to establish a cell 
line which may be shared in the future with other researchers and which may be of 
commercial value. A cell line is one which will grow indefinitely in the laboratory. Cell 
lines may be useful because of the characteristics of the cells and/or products they may 
produce. 
13. The study and its procedures have been explained to me by . 
I understand that if I have any questions, I may contact Dr. James Economou (310-825- 
2644) or Dr. Arie Belldegrun (310-206-1434) in the Department of Surgery, UCLA 
Medical Center. They will answer any questions at any time regarding any aspect of this 
study. If the study design or the use of the information is to be changed, I will be so 
informed and my consent will be reobtained. 
14. I understand that the possible benefit of this study is the stimulation of the immune 
response and potential shrinkage of my tumor. Although these treatments may be 
helpful, these are experimental treatments and therefore it is not possible to determine the 
likelihood of benefit at this time. I understand that my tumor may progress and my 
condition may become worse in spite of receiving this experimental treatment. 
I understand that if I am injured as a direct result of research procedures not done 
primarily for my own benefit, I will receive medical treatment at no cost. The University 
of California does not provide any other form of compensation for injury. 
HSPC #91-10-442 
Date of expiration 
[558] 
Recombinant DNA Research, Volume 15 
