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Days 2-5 Medication Stem-Cell Transplantation CASLAMB NCT00148148

1 forms  
Datum
Description

Datum

Datum Medikation Tag 1
Description

Medication

Data type

date

liposomales Amphotericin
Description

liposomales Amphotericin

liposomales Amphotericin B
Description

liposomales Amphotericin B

Data type

boolean

Target dose (3 mg / kg body weight)
Description

Target dose (3 mg / kg body weight)

Data type

float

absolute dose
Description

absolute dose

Data type

float

start of the infusion
Description

start of the infusion

Data type

time

end of infusion
Description

end of infusion

Data type

time

Caspofungin
Description

Caspofungin

caspofungin
Description

caspofungin

Data type

boolean

Absolut-Dosis
Description

Absolut-Dosis

Data type

float

start of the infusion
Description

start of the infusion

Data type

time

end of infusion
Description

end of infusion

Data type

time

Concomitant Medication
Description

Concomitant Medication

Concomitant medication log and Adverse Event Log filled?
Description

Concomitant medication log and Adverse Event Log filled?

Data type

boolean

Fulfilled termination criteria?
Description

Fulfilled termination criteria?

Data type

boolean

Day 4: Blood samples for the analysis of plasma concentrations
Description

Day 4: Blood samples for the analysis of plasma concentrations

Blood sample 1
Description

Blood sample 1

Data type

time

Blood sample 2
Description

Blood sample 2

Data type

time

Blood sample 3
Description

Blood sample 3

Data type

time

Blood sample 4
Description

Blood sample 4

Data type

time

Blood sample 5
Description

Blood sample 5

Data type

time

Date and signature
Description

Date and signature

Date, signature
Description

Date, signature

Data type

text

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Days 2-5 Medication Stem-Cell Transplantation CASLAMB NCT00148148

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Datum
Medication
Item
Datum Medikation Tag 1
date
liposomales Amphotericin B
Item
boolean
Target dose (3 mg / kg body weight)
Item
float
absolute dose
Item
float
start of the infusion
Item
time
end of infusion
Item
time
Item Group
caspofungin
Item
boolean
Absolut-Dosis
Item
float
start of the infusion
Item
time
end of infusion
Item
time
Concomitant medication log and Adverse Event Log filled?
Item
boolean
Fulfilled termination criteria?
Item
boolean
Blood sample 1
Item
time
Blood sample 2
Item
time
Blood sample 3
Item
time
Blood sample 4
Item
time
Blood sample 5
Item
time
Date, signature
Item
text
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