Patient clinical trial data
Patient'sName
text
ParticipatingGroup
text
PatientHospitalNumber
text
ParticipatingGroupProtocolNo.
text
AffiliateName
text
ParticipatingGroupPatientID
text
MenopausalStatus
text
Advanced Disease Description
ERStatus
text
ERTiming,Other
text
PgRStatus
text
ReceptorStatusTiming
text
ReceptorStatusTiming
text
PgRTiming,Other
text
FirstPositiveBiopsyDate
date
RecurrenceDate
date
Sites Of Progression
ProgressionSite
text
ProgressionSite,Other
text
Priorsystemictherapy
text
PriorTreatmentRegimenName(s)
text
PriorTreatmentRegimenBeginDate
date
PriorTreatmentRegimenEndDate
date
PriorTreatmentRegimenType
text
Laboratory
Lab,Hematology,GranulocyteCount
double
Lab,Hepatic,Bilirubin
double
Lab,Renal,Creatinine
double
Lab,Hematology,Platelets
double
Bilirubin(mg/dl),ULN
double
Lab,Cardiovascular,LVEF
text
Lab,Hepatic,AlkalinePhosphatase
double
Lab,Hepatic,SGOT
double
Lab,Hepatic,SGPT
double
PersonCompletingForm,FirstName
text
FormCompletionDate,Original
date
%LowerlimitofinstitutionalnormalLVEF
text
Ccrr Module For Calgb: 49903 Advanced Disease On-study Form