ID

1276

Beskrivning

E3200 Toxicity Form 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=A16F9E6C-1B8C-6C02-E034-080020C9C0E0

Länk

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A16F9E6C-1B8C-6C02-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

27 augusti 2012

DOI

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Licens

Creative Commons BY-NC 3.0 Legacy

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Colorectal Cancer NCT00025337 Toxicity - E3200 Toxicity Form - 2036570v3.0

No Instruction available.

  1. StudyEvent: E3200 Toxicity Form
    1. No Instruction available.
Unnamed1
Beskrivning

Unnamed1

Date of data transfer
Beskrivning

Dateofdatatransfer

Datatyp

text

Transfer Method
Beskrivning

TransferMethod

Datatyp

text

Specify other transfer method
Beskrivning

Specifyothertransfermethod

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

CTC Adverse Event Report Begin Date
Beskrivning

CTCAdverseEventReportBeginDate

Datatyp

date

CTC Adverse Event Report End Date
Beskrivning

CTCAdverseEventReportEndDate

Datatyp

date

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
Specify Adverse Event Term
Beskrivning

SpecifyAdverseEventTerm

Datatyp

text

CTC Adverse Event Term
Beskrivning

CTCAdverseEventTerm

Datatyp

text

CTC Adverse Event Term
Beskrivning

CTCAdverseEventTerm

Datatyp

text

CTC Adverse Event Term
Beskrivning

CTCAdverseEventTerm

Datatyp

text

CTC Adverse Event Term
Beskrivning

CTCAdverseEventTerm

Datatyp

text

CTC Adverse Event Grade
Beskrivning

CTCAdverseEventGrade

Datatyp

text

CTC Adverse Event Grade
Beskrivning

CTCAdverseEventGrade

Datatyp

text

CTC Adverse Event Grade
Beskrivning

CTCAdverseEventGrade

Datatyp

text

CTC Adverse Event Grade
Beskrivning

CTCAdverseEventGrade

Datatyp

text

Comments
Beskrivning

Comments

Datatyp

text

Comments2
Beskrivning

Comments2

Datatyp

text

CTC Code
Beskrivning

CTCCode

Datatyp

text

Similar models

No Instruction available.

  1. StudyEvent: E3200 Toxicity Form
    1. No Instruction available.
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Unnamed1
Dateofdatatransfer
Item
Date of data transfer
text
TransferMethod
Item
Transfer Method
text
Specifyothertransfermethod
Item
Specify other transfer method
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
CTCAdverseEventReportBeginDate
Item
CTC Adverse Event Report Begin Date
date
CTCAdverseEventReportEndDate
Item
CTC Adverse Event Report End Date
date
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)
SpecifyAdverseEventTerm
Item
Specify Adverse Event Term
text
CTCAdverseEventTerm
Item
CTC Adverse Event Term
text
CTCAdverseEventTerm
Item
CTC Adverse Event Term
text
CTCAdverseEventTerm
Item
CTC Adverse Event Term
text
CTCAdverseEventTerm
Item
CTC Adverse Event Term
text
CTCAdverseEventGrade
Item
CTC Adverse Event Grade
text
CTCAdverseEventGrade
Item
CTC Adverse Event Grade
text
CTCAdverseEventGrade
Item
CTC Adverse Event Grade
text
CTCAdverseEventGrade
Item
CTC Adverse Event Grade
text
Comments
Item
Comments
text
Comments2
Item
Comments2
text
CTCCode
Item
CTC Code
text

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