Unnamed2
PatientInitialsName
text
ProtocolECOGIdentifierNumber
text
PatientECOGIdentifierNumber
text
ProtocolParticipatingIdentifierNumber
text
PatientParticipatingIdentifierNumber
text
CombinedInstitutionName
text
Unnamed3
DataAmendedText
text
DataAmendedDate
date
Unnamed Module 4
TreatmentEvaluationPeriodType
text
TreatmentEvaluationPeriodType
text
Off Treatment Reporting Period
PersonOff-TreatmentTimePeriodType
text
Unnamed4
AdverseEventCurrentAssessmentInd
text
CTCAdverseEventReportBeginDate
date
CTCAdverseEventReportEndDate
date
Unnamed5
CommonToxicityCriteriaAdverseEventTermType
text
CommonToxicityCriteriaAdverseEventGrade
double
CTCAdverseEventAttributionScale
text
DoseChemotherapyAdverseEventModificationStatus
text
DoseBevacizumabAdverseEventModificationStatus
text
Unnamed5
CommonToxicityCriteriaAdverseEventTermType
text
CommonToxicityCriteriaAdverseEventShortNameType
text
CTCAdverseEventSpecifiedTermType
text
CommonToxicityCriteriaAdverseEventGrade
double
CTCAdverseEventAttributionScale
text
DoseChemotherapyAdverseEventModificationStatus
text
DoseBevacizumabAdverseEventModificationStatus
text
Unnamed5
CommonToxicityCriteriaAdverseEventTermType
text
CommonToxicityCriteriaAdverseEventGrade
double
CTCAdverseEventAttributionScale
text
DoseChemotherapyAdverseEventModificationStatus
text
DoseBevacizumabAdverseEventModificationStatus
text
Iii. Infections
CommonToxicityCriteriaAdverseEventShortNameType
text
CTCAdverseEventSpecifiedTermType
text
CommonToxicityCriteriaAdverseEventGrade
double
CTCAdverseEventAttributionScale
text
DoseChemotherapyAdverseEventModificationStatus
text
DoseBevacizumabAdverseEventModificationStatus
text
Iii. Infections
CommonToxicityCriteriaAdverseEventShortNameType
text
CTCAdverseEventSpecifiedTermType
text
CommonToxicityCriteriaAdverseEventGrade
double
CTCAdverseEventAttributionScale
text
DoseChemotherapyAdverseEventModificationStatus
text
DoseBevacizumabAdverseEventModificationStatus
text
Comments
InvestigatorSignatureText
text
InvestigatorSignatureDate
date