VI. INFORMED CONSENT DOCUMENT: 
Informed Consent 
BAYLOR COLLEGE OF MEDICINE CENTER FOR GENE THERAPY 
CONSENT FORM FOR PARTICIPATION IN RESEARCH OR CLINICAL 
INVESTIGATIONS 
(To be read by patient and explained by his or her physician). 
Title of Protocol: 
Principal Investigator: 
Telephone Number: 
Co-Principal Investigator: 
Telephone Number: 
Co-Investigators: 
Phase I Study of Adenoviral Vector Delivery of the HSV- 
tk Gene and the Intravenous Administration of 
Ganciclovir in Adults with Malignant Tumors of the 
Central Nervous System 
Robert G. Grossman, M.D. 
(713) 798-4696 
Savio L.C. Woo, Ph.D. 
(713) 798-6080 
H. David Shine, Ph.D. 
J. Clay Goodman, M.D. 
Estuardo Aguilar-Cordova, Ph.D. 
Gayle Rettig, Ph.D. 
Shu-Hsai Chen, Ph.D. 
David Poplack, M.D. 
Marc E. Horowitz, M.D. 
Charles Contant, Ph.D. 
Participating Departments: 
Department of Neurosurgery 
Department of Cell Biology 
Department of Pathology 
Department of Pediatrics 
Protocol Number: Date: 
Patient Name: 
[740] 
Recombinant DNA Research, Volume 20 
