Unnamed2
PatientInitialsName
text
ProtocolECOGIdentifierNumber
text
PatientECOGIdentifierNumber
text
ProtocolParticipatingIdentifierNumber
text
CombinedInstitutionName
text
PatientParticipatingIdentifierNumber
text
Unnamed3
DataAmendedText
text
DataAmendedDate
date
On Treatment
TreatmentEvaluationPeriodType
text
Off Treatment
PersonOff-TreatmentTimePeriodType
text
Unnamed4
AdverseEventCurrentAssessmentInd
text
CTCAdverseEventReportBeginDate
date
CTCAdverseEventReportEndDate
date
Unnamed5
CommonToxicityCriteriaAdverseEventTermType
text
CommonToxicityCriteriaAdverseEventGrade
double
CTCAdverseEventAttributionScale
text
Unnamed6
CommonToxicityCriteriaAdverseEventTermType
text
CommonToxicityCriteriaAdverseEventGrade
double
CTCAdverseEventAttributionScale
text
Iii. Infections
CommonToxicityCriteriaAdverseEventGrade
double
CommonToxicityCriteriaAdverseEventShortNameType
text
CTCAdverseEventAttributionScale
text
CTCAdverseEventSpecifiedTermType
text
Other Adverse Events
CommonToxicityCriteriaAdverseEventGrade
double
CTCAdverseEventAttributionScale
text
CTCAdverseEventTermSpecify
text
CTCAdverseEventClassificationSpecify
text
Comments
InvestigatorSignatureText
text
InvestigatorSignatureDate
date