ID
11660
Descrição
CALGB 90601: Treatment Form Gemcitabine Hydrochloride and Cisplatin With or Without Bevacizumab in Treating Patients With Advanced Urinary Tract Cancer NCT00942331 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=65402ABE-C4AA-902C-E040-BB89AD435D5A
Link
Palavras-chave
Versões (3)
- 26/08/2012 26/08/2012 -
- 08/01/2015 08/01/2015 - Martin Dugas
- 25/07/2015 25/07/2015 - Martin Dugas
Transferido a
25 de julho de 2015
DOI
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Licença
Creative Commons BY-NC 3.0 Legacy
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Treatment Form Bladder Cancer CALGB 90601 NCT00942331
INSTRUCTIONS: Complete and submit this form as required by the protocol. Information in the upper right box must be completed for this form to be accepted. For optimal accuracy use black ink. Mark an X in the appropriate box for fields with a choice.
Descrição
Clinical Data
Alias
- UMLS CUI-1
- C1516606
Descrição
Cycle Number Chemotherapeutics
Tipo de dados
integer
Alias
- NCI Thesaurus ValueDomain
- C25337
- UMLS CUI-1
- C2045829
- NCI Thesaurus Property
- C25471
- NCI Thesaurus ObjectClass
- C15368
- NCI Thesaurus Property-2
- C25379
Descrição
Height
Tipo de dados
float
Unidades de medida
- cm
Alias
- NCI Thesaurus ValueDomain
- C25209
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C25347
- UMLS CUI-1
- C0005890
Descrição
Body weight
Tipo de dados
float
Unidades de medida
- kg
Alias
- NCI Thesaurus ValueDomain
- C25209
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C25208
- UMLS CUI-1
- C0005910
Descrição
Body surface area
Tipo de dados
float
Unidades de medida
- m²
Alias
- NCI Thesaurus ObjectClass
- C25190
- NCI Thesaurus ValueDomain
- C25712
- NCI Thesaurus Property
- C25157
- UMLS CUI-1
- C0005902
Descrição
Gemcitabine
Alias
- UMLS CUI-1
- C0045093
Descrição
Agent
Tipo de dados
text
Alias
- NCI Thesaurus Property
- C25364
- NCI Thesaurus ObjectClass
- C1708
- NCI Thesaurus ValueDomain
- C1708
- NCI Thesaurus ValueDomain-2
- C42614
- UMLS CUI-1
- C1521826
Descrição
AgentFirstCourseTotalDose
Tipo de dados
float
Alias
- NCI Thesaurus ObjectClass
- C1708
- UMLS 2011AA ObjectClass
- C0450442
- NCI Thesaurus Property
- C25509
- UMLS 2011AA Property
- C1279901
- NCI Thesaurus Property-2
- C25379
- UMLS 2011AA Property-2
- C0750729
- NCI Thesaurus ValueDomain
- C25304
- UMLS 2011AA ValueDomain
- C0439810
- NCI Thesaurus ValueDomain-2
- C25488
- UMLS 2011AA ValueDomain-2
- C0178602
Descrição
Dose Modification Status
Tipo de dados
text
Alias
- NCI Thesaurus ObjectClass
- C25488
- UMLS CUI-1
- C1707811
- NCI Thesaurus ValueDomain
- C25688
- NCI Thesaurus Property
- C25572
Descrição
Dose Modification Reason
Tipo de dados
text
Alias
- NCI Thesaurus ValueDomain
- C25638
- UMLS CUI-1
- C1707811
- NCI Thesaurus ObjectClass
- C25488
- UMLS CUI-2
- C0392360
- NCI Thesaurus Property
- C25572
Descrição
Dose Modification Reason, other
Tipo de dados
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- UMLS CUI-1
- C1707811
- NCI Thesaurus ObjectClass
- C25488
- UMLS CUI-2
- C3840932
- NCI Thesaurus Property
- C25572
Descrição
Cisplatin
Alias
- UMLS CUI-1
- C0008838
Descrição
Agent
Tipo de dados
text
Alias
- NCI Thesaurus Property
- C25364
- NCI Thesaurus ObjectClass
- C1708
- NCI Thesaurus ValueDomain
- C1708
- NCI Thesaurus ValueDomain-2
- C42614
- UMLS CUI-1
- C1521826
Descrição
AgentFirstCourseTotalDose
Tipo de dados
float
Alias
- NCI Thesaurus ObjectClass
- C1708
- UMLS 2011AA ObjectClass
- C0450442
- NCI Thesaurus Property
- C25509
- UMLS 2011AA Property
- C1279901
- NCI Thesaurus Property-2
- C25379
- UMLS 2011AA Property-2
- C0750729
- NCI Thesaurus ValueDomain
- C25304
- UMLS 2011AA ValueDomain
- C0439810
- NCI Thesaurus ValueDomain-2
- C25488
- UMLS 2011AA ValueDomain-2
- C0178602
Descrição
Dose Modification Status
Tipo de dados
text
Alias
- NCI Thesaurus ObjectClass
- C25488
- UMLS CUI-1
- C1707811
- NCI Thesaurus ValueDomain
- C25688
- NCI Thesaurus Property
- C25572
Descrição
Dose Modification Reason
Tipo de dados
text
Alias
- NCI Thesaurus ValueDomain
- C25638
- UMLS CUI-1
- C1707811
- NCI Thesaurus ObjectClass
- C25488
- UMLS CUI-2
- C0392360
- NCI Thesaurus Property
- C25572
Descrição
Dose Modification Reason, other
Tipo de dados
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- UMLS CUI-1
- C1707811
- NCI Thesaurus ObjectClass
- C25488
- UMLS CUI-2
- C3840932
- NCI Thesaurus Property
- C25572
Descrição
Bevacizumab/placebo
Descrição
Agent
Tipo de dados
text
Alias
- NCI Thesaurus Property
- C25364
- NCI Thesaurus ObjectClass
- C1708
- NCI Thesaurus ValueDomain
- C1708
- NCI Thesaurus ValueDomain-2
- C42614
- UMLS CUI-1
- C1521826
Descrição
AgentPlaceboAdministeredInd-2
Tipo de dados
boolean
Alias
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
- NCI Thesaurus Property
- C753
- UMLS 2011AA Property
- C0032042
- NCI Thesaurus ObjectClass
- C1708
- UMLS 2011AA ObjectClass
- C0450442
- NCI Thesaurus Property-2
- C25382
- UMLS 2011AA Property-2
- C1521801
Descrição
Dose Modification Status
Tipo de dados
text
Alias
- NCI Thesaurus ObjectClass
- C25488
- UMLS CUI-1
- C1707811
- NCI Thesaurus ValueDomain
- C25688
- NCI Thesaurus Property
- C25572
Descrição
Dose Modification Reason
Tipo de dados
text
Alias
- NCI Thesaurus ValueDomain
- C25638
- UMLS CUI-1
- C1707811
- NCI Thesaurus ObjectClass
- C25488
- UMLS CUI-2
- C0392360
- NCI Thesaurus Property
- C25572
Descrição
Dose Modification Reason, other
Tipo de dados
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- UMLS CUI-1
- C1707811
- NCI Thesaurus ObjectClass
- C25488
- UMLS CUI-2
- C3840932
- NCI Thesaurus Property
- C25572
Descrição
Drug treatment discontinued during chemotherapy cycle
Tipo de dados
boolean
Alias
- NCI Thesaurus ObjectClass
- C15368
- NCI Thesaurus Property
- C25471
- UMLS CUI-1
- C0558681
- NCI Thesaurus Property-2
- C25472
- UMLS CUI-2
- C0347984
- NCI Thesaurus Property-3
- C25484
- UMLS CUI-3
- C1302181
- NCI Thesaurus ValueDomain
- C38147
Descrição
Off Treatment Reason
Tipo de dados
text
Alias
- NCI Thesaurus ValueDomain
- C25638
- UMLS CUI-1
- C1518544
- NCI Thesaurus ObjectClass
- C25601
- UMLS CUI-2
- C0566251
- NCI Thesaurus Property
- C25365
Descrição
Off Treatment Reason, specify
Tipo de dados
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- UMLS CUI-1
- C1518544
- NCI Thesaurus ObjectClass
- C25601
- UMLS CUI-2
- C0566251
- NCI Thesaurus Property
- C25365
- UMLS CUI-3
- C1521902
Descrição
ChemotherapyTotalCycleCompleteCount
Tipo de dados
float
Alias
- NCI Thesaurus ObjectClass
- C15632
- UMLS 2011AA ObjectClass
- C0392920
- NCI Thesaurus Property
- C25250
- UMLS 2011AA Property
- C0205197
- NCI Thesaurus Property-2
- C25304
- UMLS 2011AA Property-2
- C0439810
- NCI Thesaurus Property-3
- C25472
- UMLS 2011AA Property-3
- C1511572
- NCI Thesaurus ValueDomain
- C25463
- UMLS 2011AA ValueDomain
- C0750480
Descrição
LastDoseDate
Tipo de dados
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ObjectClass
- C25488
- UMLS 2011AA ObjectClass
- C0178602
- NCI Thesaurus ObjectClass-2
- C25551
- UMLS 2011AA ObjectClass-2
- C1517741
- NCI Thesaurus Property
- C25275
- UMLS 2011AA Property
- C2745955
Descrição
Gemcitabine/Cisplatin
Descrição
Drug treatment discontinued during chemotherapy cycle
Tipo de dados
boolean
Alias
- NCI Thesaurus ObjectClass
- C15368
- NCI Thesaurus Property
- C25471
- UMLS CUI-1
- C0558681
- NCI Thesaurus Property-2
- C25472
- UMLS CUI-2
- C0347984
- NCI Thesaurus Property-3
- C25484
- UMLS CUI-3
- C1302181
- NCI Thesaurus ValueDomain
- C38147
Descrição
Off Treatment Reason
Tipo de dados
text
Alias
- NCI Thesaurus ValueDomain
- C25638
- UMLS CUI-1
- C1518544
- NCI Thesaurus ObjectClass
- C25601
- UMLS CUI-2
- C0566251
- NCI Thesaurus Property
- C25365
Descrição
Off Treatment Reason, specify
Tipo de dados
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- UMLS CUI-1
- C1518544
- NCI Thesaurus ObjectClass
- C25601
- UMLS CUI-2
- C0566251
- NCI Thesaurus Property
- C25365
- UMLS CUI-3
- C1521902
Descrição
ChemotherapyTotalCycleCompleteCount
Tipo de dados
float
Alias
- NCI Thesaurus ObjectClass
- C15632
- UMLS 2011AA ObjectClass
- C0392920
- NCI Thesaurus Property
- C25250
- UMLS 2011AA Property
- C0205197
- NCI Thesaurus Property-2
- C25304
- UMLS 2011AA Property-2
- C0439810
- NCI Thesaurus Property-3
- C25472
- UMLS 2011AA Property-3
- C1511572
- NCI Thesaurus ValueDomain
- C25463
- UMLS 2011AA ValueDomain
- C0750480
Descrição
LastDoseDate
Tipo de dados
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ObjectClass
- C25488
- UMLS 2011AA ObjectClass
- C0178602
- NCI Thesaurus ObjectClass-2
- C25551
- UMLS 2011AA ObjectClass-2
- C1517741
- NCI Thesaurus Property
- C25275
- UMLS 2011AA Property
- C2745955
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INSTRUCTIONS: Complete and submit this form as required by the protocol. Information in the upper right box must be completed for this form to be accepted. For optimal accuracy use black ink. Mark an X in the appropriate box for fields with a choice.
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C1521826 (UMLS CUI-1)
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