ID

10604

Beskrivning

ECOG 3200 On-Study Form NCT00025337 Combination Chemotherapy With or Without Bevacizumab Compared With Bevacizumab Alone in Treating Patients With Advanced or Metastatic Colorectal Cancer That Has Been Previously Treated Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A1706D40-4AAF-6AB7-E034-080020C9C0E0

Länk

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A1706D40-4AAF-6AB7-E034-080020C9C0E0

Nyckelord

  1. 2012-08-27 2012-08-27 -
  2. 2015-05-23 2015-05-23 -
  3. 2015-06-03 2015-06-03 -
Uppladdad den

3 juni 2015

DOI

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Licens

Creative Commons BY-NC 3.0 Legacy

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ECOG 3200 On-Study Form NCT00025337

No Instruction available.

  1. StudyEvent: ECOG 3200 On-Study Form
    1. No Instruction available.
COG On-Study Form
Beskrivning

COG On-Study Form

Date of data transfer
Beskrivning

Dateofdatatransfer

Datatyp

text

Transfer Method
Beskrivning

TransferMethod

Datatyp

text

Specify other transfer method
Beskrivning

Specifyothertransfermethod

Datatyp

text

Step No.
Beskrivning

StepNo.

Datatyp

text

Patient Name
Beskrivning

PatientName

Datatyp

text

Particip. Group Protocol Number
Beskrivning

Particip.GroupProtocolNumber

Datatyp

double

Patient Study ID, Participating Group
Beskrivning

PatientStudyID,ParticipatingGroup

Datatyp

text

Institution Name
Beskrivning

InstitutionName

Datatyp

text

Affiliate Name
Beskrivning

AffiliateName

Datatyp

text

Amended Data Ind
Beskrivning

AmendedDataInd

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C25474
UMLS 2011AA ObjectClass
C1511726
NCI Thesaurus Property
C25416
UMLS 2011AA Property
C1691222
Amended Data Ind
Beskrivning

AmendedDataInd

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C25474
UMLS 2011AA ObjectClass
C1511726
NCI Thesaurus Property
C25416
UMLS 2011AA Property
C1691222
Primary Site Ind
Beskrivning

PrimarySiteInd

Datatyp

text

Regional Lymph Node(s) Ind
Beskrivning

RegionalLymphNode(s)Ind

Datatyp

text

Distant Lymph Node(s) Ind
Beskrivning

DistantLymphNode(s)Ind

Datatyp

text

Lung Site Ind
Beskrivning

LungSiteInd

Datatyp

text

Liver Site Ind
Beskrivning

LiverSiteInd

Datatyp

text

Other Abdominal Ind
Beskrivning

OtherAbdominalInd

Datatyp

text

Bone Site Ind
Beskrivning

BoneSiteInd

Datatyp

text

Brain Site Ind
Beskrivning

BrainSiteInd

Datatyp

text

Distant Skin/Subcutaneous Tissue Ind
Beskrivning

DistantSkin/SubcutaneousTissueInd

Datatyp

text

Other Site Ind
Beskrivning

OtherSiteInd

Datatyp

text

Other Site Name
Beskrivning

OtherSiteName

Datatyp

text

Advanced Disease Registration Status
Beskrivning

AdvancedDiseaseRegistrationStatus

Datatyp

text

Prior Surgery Ind
Beskrivning

PriorSurgeryInd

Datatyp

text

Prior Adjuvant Chemotherapy Ind
Beskrivning

PriorAdjuvantChemotherapyInd

Datatyp

text

Prior Adjuvant Immunotherapy Ind
Beskrivning

PriorAdjuvantImmunotherapyInd

Datatyp

text

Prior RT Ind
Beskrivning

PriorRTInd

Datatyp

text

Sites of prior RT
Beskrivning

SitesofpriorRT

Datatyp

text

Prior RT End Date
Beskrivning

PriorRTEndDate

Datatyp

date

Performance Status
Beskrivning

PerformanceStatus

Datatyp

text

Date CEA obtained
Beskrivning

CarcinoembryonicAntigenSpecimenCollectionDate

Datatyp

text

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ObjectClass
C25159
UMLS 2011AA ObjectClass
C0007082
NCI Thesaurus Property
C25453
UMLS 2011AA Property
C1516698
NCI Thesaurus ObjectClass
C19157
UMLS 2011AA ObjectClass
C0370003
CEA
Beskrivning

CEA

Datatyp

text

CEA ULN
Beskrivning

LaboratoryProcedureCarcinoembryonicAntigenOutcomeUpperLimitNormalValue

Datatyp

double

Alias
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C25159
UMLS 2011AA Property
C0007082
NCI Thesaurus Property
C20200
UMLS 2011AA Property
C1274040
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
NCI Thesaurus ValueDomain
C25706
UMLS 2011AA ValueDomain
C1519815
CTC Code
Beskrivning

CTCCode

Datatyp

text

CTC Adverse Event Term
Beskrivning

CTCAdverseEventTerm

Datatyp

text

CTC Adverse Event Grade
Beskrivning

CTCAdverseEventGrade

Datatyp

text

Comments
Beskrivning

Comments

Datatyp

text

Comments2
Beskrivning

Comments2

Datatyp

text

Similar models

No Instruction available.

  1. StudyEvent: ECOG 3200 On-Study Form
    1. No Instruction available.
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
COG On-Study Form
Dateofdatatransfer
Item
Date of data transfer
text
TransferMethod
Item
Transfer Method
text
Specifyothertransfermethod
Item
Specify other transfer method
text
StepNo.
Item
Step No.
text
PatientName
Item
Patient Name
text
Particip.GroupProtocolNumber
Item
Particip. Group Protocol Number
double
PatientStudyID,ParticipatingGroup
Item
Patient Study ID, Participating Group
text
InstitutionName
Item
Institution Name
text
AffiliateName
Item
Affiliate Name
text
AmendedDataInd
Item
Amended Data Ind
text
C25474 (NCI Thesaurus ObjectClass)
C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)
AmendedDataInd
Item
Amended Data Ind
text
C25474 (NCI Thesaurus ObjectClass)
C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)
PrimarySiteInd
Item
Primary Site Ind
text
RegionalLymphNode(s)Ind
Item
Regional Lymph Node(s) Ind
text
DistantLymphNode(s)Ind
Item
Distant Lymph Node(s) Ind
text
LungSiteInd
Item
Lung Site Ind
text
LiverSiteInd
Item
Liver Site Ind
text
OtherAbdominalInd
Item
Other Abdominal Ind
text
BoneSiteInd
Item
Bone Site Ind
text
BrainSiteInd
Item
Brain Site Ind
text
DistantSkin/SubcutaneousTissueInd
Item
Distant Skin/Subcutaneous Tissue Ind
text
OtherSiteInd
Item
Other Site Ind
text
OtherSiteName
Item
Other Site Name
text
AdvancedDiseaseRegistrationStatus
Item
Advanced Disease Registration Status
text
PriorSurgeryInd
Item
Prior Surgery Ind
text
PriorAdjuvantChemotherapyInd
Item
Prior Adjuvant Chemotherapy Ind
text
PriorAdjuvantImmunotherapyInd
Item
Prior Adjuvant Immunotherapy Ind
text
PriorRTInd
Item
Prior RT Ind
text
SitesofpriorRT
Item
Sites of prior RT
text
PriorRTEndDate
Item
Prior RT End Date
date
PerformanceStatus
Item
Performance Status
text
CarcinoembryonicAntigenSpecimenCollectionDate
Item
Date CEA obtained
text
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25159 (NCI Thesaurus ObjectClass)
C0007082 (UMLS 2011AA ObjectClass)
C25453 (NCI Thesaurus Property)
C1516698 (UMLS 2011AA Property)
C19157 (NCI Thesaurus ObjectClass)
C0370003 (UMLS 2011AA ObjectClass)
CEA
Item
CEA
text
LaboratoryProcedureCarcinoembryonicAntigenOutcomeUpperLimitNormalValue
Item
CEA ULN
double
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C25159 (NCI Thesaurus Property)
C0007082 (UMLS 2011AA Property)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C25706 (NCI Thesaurus ValueDomain)
C1519815 (UMLS 2011AA ValueDomain)
CTCCode
Item
CTC Code
text
CTCAdverseEventTerm
Item
CTC Adverse Event Term
text
CTCAdverseEventGrade
Item
CTC Adverse Event Grade
text
Comments
Item
Comments
text
Comments2
Item
Comments2
text

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