DUKE UNIVERSITY MEDICAL CENTER 
A PHASE I TRIAL of HUMAN GAMMA 
INTERFERON TRANSDUCED AUTOLOGOUS 
TUMOR CELLS in PATIENTS with 
DISSEMINATED MALIGNANT MELANOMA 
(Page 5 of 5 ) 
IRB# 1456 92-12 
In the event of your death, even if it is unrelated to your cancer 
(e.g. accident or other illness) , an autopsy will be requested. 
You can advise your next of kin of your wishes and you or your 
family have the right to refuse without interferring with your 
participation in this research project or needed medical care. 
"I have read the above and have been given the opportunity to 
discuss it and to ask questions. I have been informed that I may 
contact Dr. Seigler at (919)684-3942 to answer any questions that 
I may have during the investigation. I agree to participate as a 
research subject and certify that I have been informed of the 
purposes, procedures, risks and possible benefits of this study. 
I agree to participate with the understanding that I may refuse to 
participate and may withdraw at any time without interfering with 
my regular medical care." 
Signature of Patient 
Date 
Signature of person obtaining consent 
Date 
Recombinant DNA Research, Volume 17 
[653] 
