ID
10093
Description
E2603 Concomitant Medication Form Form No. 2169 Carboplatin and Paclitaxel With or Without Sorafenib in Treating Patients With Unresectable Stage III or Stage IV Melanoma NCT00110019 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=E7D649ED-D8C9-54BD-E034-0003BA3F9857
Link
Keywords
Versions (7)
- 9/19/12 9/19/12 -
- 11/26/14 11/26/14 - Martin Dugas
- 11/26/14 11/26/14 - Martin Dugas
- 1/8/15 1/8/15 - Martin Dugas
- 1/9/15 1/9/15 - Martin Dugas
- 1/9/15 1/9/15 - Martin Dugas
- 3/26/15 3/26/15 - Martin Dugas
Uploaded on
March 26, 2015
DOI
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License
Creative Commons BY-NC 3.0 Legacy
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Melanoma Concomitant Medication NCT00110019
No Instruction available.
- StudyEvent: E2603 Concomitant Medication Form Form No. 2169
Description
Concomitant Medication
Alias
- UMLS CUI-1
- C2347852
Description
Cycle number
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS CUI-1
- C2045829
- NCI Thesaurus Property
- C25214
- NCI Thesaurus Property-2
- C25616
- NCI Thesaurus ObjectClass
- C15368
Description
Were concomitant medications used during this reporting period?
Data type
boolean
Alias
- NCI Thesaurus ValueDomain
- C38147
- NCI Thesaurus ObjectClass
- C1708
- NCI Thesaurus ObjectClass-2
- C25730
- NCI Thesaurus Property
- C25382
- UMLS CUI-1
- C2347852
Description
Chemotherapy cycle
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C15368
- NCI Thesaurus Property
- C25214
- UMLS CUI-1
- C1302181
- NCI Thesaurus Property-2
- C25616
- NCI Thesaurus ValueDomain
- C25685
- NCI Thesaurus ValueDomain-2
- C25472
- NCI Thesaurus ValueDomain-3
- C25275
Description
Agent
Data type
text
Alias
- NCI Thesaurus Property
- C25364
- UMLS CUI-1
- C1521826
- NCI Thesaurus ObjectClass
- C1708
- NCI Thesaurus ValueDomain
- C1708
- NCI Thesaurus ValueDomain-2
- C42614
Description
Medication Dose
Data type
float
Alias
- NCI Thesaurus ValueDomain
- C25488
- UMLS CUI-1
- C3174092
- NCI Thesaurus ObjectClass
- C1708
- NCI Thesaurus ValueDomain-2
- C1708
- NCI Thesaurus Property
- C25382
Description
Units (*)
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C1708
- NCI Thesaurus Property
- C25730
- NCI Thesaurus Property-2
- C25409
- NCI Thesaurus ValueDomain
- C25709
- UMLS CUI-1
- C1519795
Description
ECOGMedicationUOMSpecify
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- NCI Thesaurus ObjectClass
- C25491
- NCI Thesaurus ObjectClass-2
- C459
- NCI Thesaurus Property
- C25365
- UMLS CUI-1
- C1519795
Description
Frequency (**)
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C1708
- NCI Thesaurus ValueDomain
- C25515
- NCI Thesaurus Property
- C25382
- UMLS CUI-1
- C3476109
Description
Medication frequency
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- UMLS CUI-1
- C3476109
- NCI Thesaurus ObjectClass
- C1708
- NCI Thesaurus ObjectClass-2
- C25409
- NCI Thesaurus Property
- C25275
Description
Route (***)
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- NCI Thesaurus ObjectClass
- C459
- NCI Thesaurus ObjectClass-2
- C25409
- NCI Thesaurus Property
- C25169
- UMLS CUI-1
- C0013153
Description
MedicationAdministrationRouteSpecify
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- NCI Thesaurus ObjectClass
- C459
- NCI Thesaurus ObjectClass-2
- C25409
- NCI Thesaurus Property
- C25169
- UMLS CUI-1
- C0013153
Description
Agent Start Date (Leave blank if continuing from a prior report period)
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- NCI Thesaurus ValueDomain-2
- C25431
- NCI Thesaurus ObjectClass
- C1708
- NCI Thesaurus Property
- C25275
- UMLS CUI-1
- C2826734
Description
Is this medication continuing?
Data type
boolean
Alias
- NCI Thesaurus ValueDomain
- C38147
- NCI Thesaurus ObjectClass
- C459
- NCI Thesaurus Property
- C25409
- NCI Metathesaurus Property
- C0750536
- UMLS CUI-1
- C0013227
- UMLS CUI-2
- C0549178
Description
Agent End Date (Leave blank if continuing)
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- NCI Thesaurus ObjectClass
- C1708
- NCI Thesaurus Property
- C25275
- UMLS CUI-1
- C2826744
Similar models
No Instruction available.
- StudyEvent: E2603 Concomitant Medication Form Form No. 2169
C3274381 (UMLS CUI-1)
C25320 (NCI Thesaurus ObjectClass)
C1512162 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
C25491 (NCI Thesaurus Property-2)
C2348585 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C1512162 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
C25491 (NCI Thesaurus Property-2)
C3242750 (UMLS CUI-1)
C19464 (NCI Thesaurus Property)
C25474 (NCI Thesaurus ObjectClass)
C25452 (NCI Thesaurus ObjectClass-2)
C1514821 (UMLS CUI-1)
C25646 (NCI Thesaurus ObjectClass)
C0237753 (UMLS CUI-2)
C16154 (NCI Thesaurus Property)
C16154 (NCI Thesaurus ValueDomain-2)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
C3274381 (UMLS CUI-1)
C25320 (NCI Thesaurus ObjectClass)
C2347449 (UMLS CUI-2)
C25608 (NCI Thesaurus Property)
C25364 (NCI Thesaurus Property-2)
C1301943 (UMLS CUI-1)
C21541 (NCI Thesaurus ObjectClass-2)
C25364 (NCI Thesaurus Property)
C25191 (NCI Thesaurus ValueDomain)
C21541 (NCI Thesaurus ValueDomain-2)
C2348585 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C2347449 (UMLS CUI-2)
C25608 (NCI Thesaurus Property)
C25364 (NCI Thesaurus Property-2)
C0680532 (UMLS CUI-1)
C25474 (NCI Thesaurus ObjectClass)
C25416 (NCI Thesaurus Property)
C0680532 (UMLS CUI-1)
C25474 (NCI Thesaurus ObjectClass)
C0011008 (UMLS CUI-2)
C25416 (NCI Thesaurus Property)
C25367 (NCI Thesaurus ValueDomain-2)
C25616 (NCI Thesaurus Property)
C2361257 (UMLS CUI-1)
C25651 (NCI Thesaurus Property-2)
C25164 (NCI Thesaurus ValueDomain)
C25431 (NCI Thesaurus ValueDomain-2)
C2361259 (UMLS CUI-1)
C25616 (NCI Thesaurus Property)
C15368 (NCI Thesaurus ObjectClass)
C25651 (NCI Thesaurus Property-2)
C0947611 (UMLS CUI-1)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
C25678 (NCI Thesaurus Property)
C17089 (NCI Thesaurus ObjectClass)
C2346576 (UMLS CUI-1)
C2346576 (UMLS CUI-1)
C25678 (NCI Thesaurus Property)
C0011008 (UMLS CUI-2)
C25367 (NCI Thesaurus ValueDomain-2)
C17089 (NCI Thesaurus ObjectClass)
C2045829 (UMLS CUI-1)
C25214 (NCI Thesaurus Property)
C25616 (NCI Thesaurus Property-2)
C15368 (NCI Thesaurus ObjectClass)
C1442488 (UMLS 2011AA)
C25213 (NCI Thesaurus-3)
C1442488 (UMLS 2011AA-4)
C1708 (NCI Thesaurus ObjectClass)
C25730 (NCI Thesaurus ObjectClass-2)
C25382 (NCI Thesaurus Property)
C2347852 (UMLS CUI-1)
C25214 (NCI Thesaurus Property)
C1302181 (UMLS CUI-1)
C25616 (NCI Thesaurus Property-2)
C25685 (NCI Thesaurus ValueDomain)
C25472 (NCI Thesaurus ValueDomain-2)
C25275 (NCI Thesaurus ValueDomain-3)
C1521826 (UMLS CUI-1)
C1708 (NCI Thesaurus ObjectClass)
C1708 (NCI Thesaurus ValueDomain)
C42614 (NCI Thesaurus ValueDomain-2)
C3174092 (UMLS CUI-1)
C1708 (NCI Thesaurus ObjectClass)
C1708 (NCI Thesaurus ValueDomain-2)
C25382 (NCI Thesaurus Property)
C25730 (NCI Thesaurus Property)
C25409 (NCI Thesaurus Property-2)
C25709 (NCI Thesaurus ValueDomain)
C1519795 (UMLS CUI-1)
C0439208 (UMLS CUI-1)
C2347093 (UMLS CUI-1)
C0439204 (UMLS CUI-1)
C0439209 (UMLS CUI-1)
C0439210 (UMLS CUI-1)
C0439242 (UMLS CUI-1)
C0439218 (UMLS CUI-1)
C0439148 (UMLS CUI-1)
C0205394 (UMLS CUI-1)
C25491 (NCI Thesaurus ObjectClass)
C459 (NCI Thesaurus ObjectClass-2)
C25365 (NCI Thesaurus Property)
C1519795 (UMLS CUI-1)
C25515 (NCI Thesaurus ValueDomain)
C25382 (NCI Thesaurus Property)
C3476109 (UMLS CUI-1)
C0205394 (UMLS CUI-1)
C3476109 (UMLS CUI-1)
C1708 (NCI Thesaurus ObjectClass)
C25409 (NCI Thesaurus ObjectClass-2)
C25275 (NCI Thesaurus Property)
C459 (NCI Thesaurus ObjectClass)
C25409 (NCI Thesaurus ObjectClass-2)
C25169 (NCI Thesaurus Property)
C0013153 (UMLS CUI-1)
C25311 (NCI Thesaurus-3)
C0442027 (UMLS CUI-1)
C13353 (NCI Thesaurus-3)
C0443315 (UMLS CUI-1)
C27974 (NCI Thesaurus-3)
C0442117 (UMLS CUI-1)
X-MO-6794 (MGED-2)
C0348016 (UMLS CUI-1)
C0205052 (UMLS CUI-1)
C13344 (NCI Thesaurus-3)
C0332237 (UMLS CUI-1)
C0028429 (UMLS CUI-1)
C0694643 (UMLS CUI-1)
C0001565 (UMLS CUI-1)
C0150647 (UMLS CUI-1)
C0205394 (UMLS CUI-1)
C459 (NCI Thesaurus ObjectClass)
C25409 (NCI Thesaurus ObjectClass-2)
C25169 (NCI Thesaurus Property)
C0013153 (UMLS CUI-1)
C25431 (NCI Thesaurus ValueDomain-2)
C1708 (NCI Thesaurus ObjectClass)
C25275 (NCI Thesaurus Property)
C2826734 (UMLS CUI-1)
C459 (NCI Thesaurus ObjectClass)
C25409 (NCI Thesaurus Property)
C0750536 (NCI Metathesaurus Property)
C0013227 (UMLS CUI-1)
C0549178 (UMLS CUI-2)
C1708 (NCI Thesaurus ObjectClass)
C25275 (NCI Thesaurus Property)
C2826744 (UMLS CUI-1)