ID
10905
Description
CALGB: 80303 ON-STUDY FORM NCT00088894 Gemcitabine With or Without Bevacizumab in Treating Patients With Locally Advanced or Metastatic Pancreatic Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=D6006B65-CAFE-728C-E034-0003BA12F5E7
Link
Keywords
Versions (3)
- 9/19/12 9/19/12 -
- 1/9/15 1/9/15 - Martin Dugas
- 6/12/15 6/12/15 -
Uploaded on
June 12, 2015
DOI
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License
Creative Commons BY-NC 3.0 Legacy
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CALGB: 80303 ON-STUDY FORM NCT00088894
No Instruction available.
- StudyEvent: CALGB: 80303 ON-STUDY FORM
Description
Patient demographics
Description
Patient Initials
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25191
- UMLS CUI-1
- C2986440
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C25536
Description
Participating Group
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25191
- UMLS CUI-1
- C2347449
- NCI Thesaurus ObjectClass
- C25608
- NCI Thesaurus ObjectClass-2
- C17005
- NCI Thesaurus Property
- C25364
Description
Medical Record Number
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25337
- UMLS CUI-1
- C1301894
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C25261
- NCI Thesaurus Property-2
- C25198
Description
Study Number Participating Group
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25337
- UMLS CUI-1
- C3274381
- NCI Thesaurus ObjectClass
- C25320
- UMLS CUI-2
- C2347449
- NCI Thesaurus Property
- C25608
- NCI Thesaurus Property-2
- C25364
Description
Institution Name
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C25454
- UMLS CUI-1
- C1301943
- NCI Thesaurus ObjectClass-2
- C21541
- NCI Thesaurus Property
- C25364
- NCI Thesaurus ValueDomain
- C25191
- NCI Thesaurus ValueDomain-2
- C21541
Description
Trial subject ID Participating Group
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25337
- UMLS CUI-1
- C2348585
- NCI Thesaurus ObjectClass
- C16960
- UMLS CUI-2
- C2347449
- NCI Thesaurus Property
- C25608
- NCI Thesaurus Property-2
- C25364
Description
Treatment begin
Description
Patient Description
Description
Patient Height
Data type
float
Measurement units
- cm
Alias
- NCI Thesaurus ValueDomain
- C25209
- UMLS CUI-1
- C0489786
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C25347
Description
Patient Weight
Data type
float
Measurement units
- Kg
Alias
- NCI Thesaurus ValueDomain
- C25209
- UMLS CUI-1
- C0005910
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C25208
Description
Body Surface Area
Data type
float
Alias
- NCI Thesaurus ValueDomain
- C25209
- UMLS CUI-1
- C0005902
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C25157
Description
PerformanceStatusScale
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus ObjectClass
- C25361
- UMLS 2011AA ObjectClass
- C0597198
- NCI Thesaurus Property
- C25365
- UMLS 2011AA Property
- C0678257
Description
PriorCancerDiagnosisInd-3
Data type
boolean
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
- NCI Thesaurus ObjectClass
- C9305
- UMLS 2011AA ObjectClass
- C0006826
- NCI Thesaurus ObjectClass-2
- C25629
- UMLS 2011AA ObjectClass-2
- C0332152
- NCI Thesaurus Property
- C15220
- UMLS 2011AA Property
- C0011900
Description
PriorCancerType
Data type
text
Description
PriorCancerDiagnosisDate
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ObjectClass
- C9305
- UMLS 2011AA ObjectClass
- C0006826
- NCI Thesaurus ObjectClass-2
- C25629
- UMLS 2011AA ObjectClass-2
- C0332152
- NCI Thesaurus Property
- C15220
- UMLS 2011AA Property
- C0011900
Description
Laboratory Data At Study Entry
Description
Neutrophil count
Data type
float
Alias
- NCI Thesaurus ObjectClass
- C25294
- UMLS CUI-1
- C0200633
- NCI Thesaurus Property
- C12533
- NCI Thesaurus Property-2
- C20200
- NCI Thesaurus ValueDomain
- C25304
- NCI Thesaurus ValueDomain-2
- C25712
Description
Platelets
Data type
float
Measurement units
- 1000/uL
Alias
- NCI Thesaurus Property
- C20200
- UMLS CUI-1
- C0005821
- NCI Thesaurus Property-2
- C12520
- NCI Thesaurus ObjectClass
- C25294
- NCI Thesaurus ValueDomain
- C25712
Description
LaboratoryProcedureTotalBilirubinResultSpecifiedValue
Data type
float
Measurement units
- 1000/uL
Alias
- NCI Thesaurus ObjectClass
- C25294
- UMLS 2011AA ObjectClass
- C0022885
- NCI Thesaurus Property
- C20200
- UMLS 2011AA Property
- C1274040
- NCI Thesaurus Property-2
- C38037
- UMLS 2011AA Property-2
- C0201913
- NCI Thesaurus ValueDomain
- C25712
- UMLS 2011AA ValueDomain
- C1522609
- NCI Thesaurus ValueDomain-2
- C38024
- UMLS 2011AA ValueDomain-2
- C0205369
Description
HepaticBilirubinLabUpperLimitNormalValue
Data type
float
Alias
- NCI Thesaurus ObjectClass
- C25294
- UMLS 2011AA ObjectClass
- C0022885
- NCI Thesaurus Property
- C20200
- UMLS 2011AA Property
- C1274040
- NCI Thesaurus Property-2
- C305
- UMLS 2011AA Property-2
- C0005437
- NCI Thesaurus ValueDomain
- C25712
- UMLS 2011AA ValueDomain
- C1522609
- NCI Thesaurus ValueDomain-2
- C25706
- UMLS 2011AA ValueDomain-2
- C1519815
Description
SGOT (AST)
Data type
float
Measurement units
- U/L
Alias
- NCI Thesaurus Property
- C25202
- UMLS CUI-1
- C0201899
- NCI Thesaurus Property-2
- C20200
- NCI Thesaurus ObjectClass
- C25294
- NCI Thesaurus ValueDomain
- C25712
Description
LaboratoryProcedureSerumGlutamicOxaloaceticTransferaseResultUnspecifiedUpperLimitofNormalValue
Data type
float
Alias
- NCI Thesaurus ObjectClass
- C25294
- UMLS 2011AA ObjectClass
- C0022885
- NCI Thesaurus Property
- C25202
- UMLS 2011AA Property
- C0242192
- NCI Thesaurus Property-2
- C20200
- UMLS 2011AA Property-2
- C1274040
- NCI Thesaurus ValueDomain
- C25712
- UMLS 2011AA ValueDomain
- C1522609
- NCI Thesaurus ValueDomain-2
- C25706
- UMLS 2011AA ValueDomain-2
- C1519815
Description
INR
Data type
float
Alias
- NCI Thesaurus Property
- C20200
- UMLS CUI-1
- C0525032
- NCI Thesaurus ObjectClass
- C25294
- NCI Thesaurus Property-2
- C25352
- NCI Thesaurus ValueDomain
- C25712
Description
RenalCreatinineLabSpecifiedValue
Data type
float
Measurement units
- mg/dL
Alias
- NCI Thesaurus ObjectClass
- C25225
- UMLS 2011AA ObjectClass
- C0022646
- NCI Thesaurus Property
- C399
- UMLS 2011AA Property
- C0010294
- NCI Thesaurus Property-2
- C25294
- UMLS 2011AA Property-2
- C0022885
- NCI Thesaurus ValueDomain
- C25712
- UMLS 2011AA ValueDomain
- C1522609
Description
TumorMarkerCA-19-9TestValue
Data type
float
Alias
- NCI Thesaurus Property
- C25294
- UMLS 2011AA Property
- C0022885
- NCI Thesaurus ObjectClass
- C17220
- UMLS 2011AA ObjectClass
- C0041365
- NCI Thesaurus ValueDomain
- C25712
- UMLS 2011AA ValueDomain
- C1522609
- NCI Thesaurus Property-2
- C327
- UMLS 2011AA Property-2
- C0006613
Description
UrineProtein
Data type
text
Alias
- NCI Thesaurus Property
- C37984
- UMLS 2011AA Property
- C0022877
- NCI Thesaurus ObjectClass
- C17243
- UMLS 2011AA ObjectClass
- C0042077
Description
LaboratoryProcedureTotalUrineProteinOutcomeUnspecifiedValue
Data type
float
Alias
- NCI Thesaurus ObjectClass
- C25294
- UMLS 2011AA ObjectClass
- C0022885
- NCI Thesaurus Property
- C25304
- UMLS 2011AA Property
- C0439810
- NCI Thesaurus Property-2
- C13283
- UMLS 2011AA Property-2
- C0042036
- NCI Thesaurus Property-3
- C20200
- UMLS 2011AA Property-3
- C1274040
- NCI Thesaurus Property-4
- C17021
- UMLS 2011AA Property-4
- C0033684
- NCI Thesaurus ValueDomain
- C25712
- UMLS 2011AA ValueDomain
- C1522609
Description
Examination Data At Study Entry
Description
Evaluation method
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- NCI Thesaurus ObjectClass
- C20989
- NCI Thesaurus Property
- C16847
- UMLS CUI-1
- C2911685
Description
Evaluation method, specify
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- UMLS CUI-1
- C2911685
- NCI Thesaurus ObjectClass
- C20989
- UMLS CUI-2
- C1521902
- NCI Thesaurus Property
- C16847
Description
Prior Therapy Data
Description
Hasthepatienthadpriorchemotherapyorimmunotherapyforthefollowingtargetareas?Pancreaticcancer
Data type
text
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 End Date
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS CUI-1
- C1521826
- NCI Thesaurus ObjectClass
- C1708
- UMLS CUI-2
- C0806020
- NCI Thesaurus Property
- C25275
Description
Hasthepatienthadpriorchemotherapyorimmunotherapyforthefollowingtargetareas?Resected
Data type
text
Description
Hasthepatienthadpriorchemotherapyorimmunotherapyforthefollowingtargetareas?Metastaticdisease-unresected
Data type
text
Description
Hasthepatienthadpriorchemotherapyorimmunotherapyforthefollowingtargetareas?Othercancer,specify
Data type
text
Description
Othercancer,specify
Data type
text
Description
Hasthepatienthadpriorradiotherapyforthefollowingtargetareas?Pancreaticcancer
Data type
text
Description
Hasthepatienthadpriorradiotherapyforthefollowingtargetareas?Resected
Data type
text
Description
Hasthepatienthadpriorradiotherapyforthefollowingtargetareas?Metastaticdisease-unresected
Data type
text
Description
Yes,specify
Data type
text
Description
Enddate
Data type
text
Description
Hasthepatienthadpriorradiotherapyforthefollowingtargetareas?Othercancer,specify
Data type
text
Description
Yes,specify
Data type
text
Description
Othercancer,specify
Data type
text
Description
Enddate
Data type
text
Description
Hasthepatienthadanyinvasivesurgicalprocedures?
Data type
boolean
Description
specifydate
Data type
text
Description
Isthepatientonfull-doseanticoagulants?
Data type
boolean
Description
specifyreason
Data type
text
Description
Hasthepatienttakenathrombolyticagentwithin1monthpriortoregistration?
Data type
boolean
Description
Patient Medical History
Description
Doesthepatienthaveclinicallysignificantcardiovasculardisease?
Data type
boolean
Description
Doesthepatienthaveaseriousornon-healingwound,ulcerorbonefracture?
Data type
boolean
Description
Doesthepatienthaveanactiveinfectionrequiringparentalantibiotics?
Data type
boolean
Description
Completedby
Data type
text
Description
Dateformcompleted
Data type
text
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C0006826 (UMLS 2011AA ObjectClass)
C25629 (NCI Thesaurus ObjectClass-2)
C0332152 (UMLS 2011AA ObjectClass-2)
C15220 (NCI Thesaurus Property)
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C0200633 (UMLS CUI-1)
C12533 (NCI Thesaurus Property)
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C25304 (NCI Thesaurus ValueDomain)
C25712 (NCI Thesaurus ValueDomain-2)
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C38037 (NCI Thesaurus Property-2)
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C1522609 (UMLS 2011AA ValueDomain)
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C17021 (NCI Thesaurus Property-4)
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C16847 (NCI Thesaurus Property)
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