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I will be informed of any new findings developed during the course of this clinical research study which 
may relate to my willingness to continue in the study. 
I understand that the Food and Drug Administration and Genetic Therapy, Inc., a collaborating drug 
company, may inspect records relating to my participation in this study. Therefore, my identity will 
be known to those agencies and company. I understand that no information which identifies me will 
be released without my separate consent as specifically required by law. 
I understand that I or my insurance company may be charged for any procedure or test that is medically 
indicated. I may discuss this and ask any questions regarding billing before I consent to treatment. 
Neither the vaccine nor any tests or procedures that are of an investigative nature will be my financial 
responsibility. 
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. 
I understand that cells obtained from my 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. 
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 I will be followed for life by the Protocol Chairman Dr. James S. Economou. I also 
understand that shoud I die, a postmortem examination will be requested from my family. 
I understand that if I have further questions, comments or concerns about the study or the informed 
consent process, I may write or call the Office of the Vice Chancellor-Research Programs, 3134 
Murphy Hall, UCLA, Los Angeles, CA 90024, (310) 825-8714. 
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) in the 
Department of Surgery, UCLA Medical Center. He will answer any questions at any time regarding 
details 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. 
In signing this form, I acknowledge receipt of a copy of the form as well as a copy of the Subject’s Bill 
of Rights. 
Recombinant DNA Research, Volume 18 
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