ID

13485

Beskrivning

Randomized study with a run-in dose-selection phase to assess the added value of Lenalidomide in combination with standard remission-induction chemotherapy and post-remission treatment in patients aged 18-65 years with previously untreated acute myeloid leukemia (AML) or high risk myelodysplasia (MDS) (IPSS-R risk score> 4.5) Form Description: Second Randomization Form

Nyckelord

  1. 2015-11-09 2015-11-09 -
  2. 2015-12-28 2015-12-28 -
  3. 2016-02-11 2016-02-11 -
Uppladdad den

11 februari 2016

DOI

För en begäran logga in.

Licens

Creative Commons BY-NC 3.0

Modellkommentarer :

Här kan du kommentera modellen. Med hjälp av pratbubblor i Item-grupperna och Item kan du lägga in specifika kommentarer.

Itemgroup-kommentar för :

Item-kommentar för :

Du måste vara inloggad för att kunna ladda ner formulär. Var vänlig logga in eller registrera dig utan kostnad.

Second Randomization Form HOVON 132 AML/SAKK 30/13 EudraCT 2013-002843-26

Second Randomization Form

Default Itemgroup
Beskrivning

Default Itemgroup

Caller
Beskrivning

Caller

Datatyp

text

Alias
UMLS CUI [1]
C0557514
Last treatment
Beskrivning

Last treatment

Datatyp

integer

Alias
UMLS CUI [1,1]
C1276413
UMLS CUI [1,2]
C2348792
Date start last treatment
Beskrivning

Date start last treatment

Datatyp

date

Måttenheter
  • dd/mm/yyyy
Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C0808070
dd/mm/yyyy
Eligibility (See Protocol Section 8)
Beskrivning

Eligibility (See Protocol Section 8)

Alias
UMLS CUI-1
C1516637
Patient in CR(i)
Beskrivning

Patient in CR(i)

Datatyp

integer

Alias
UMLS CUI [1]
C1704632
ANC
Beskrivning

Neutrophil count

Datatyp

float

Måttenheter
  • 10^9/L
Alias
UMLS CUI [1]
C0948762
10^9/L
Platelets
Beskrivning

Platelets

Datatyp

float

Måttenheter
  • 10^9/L
Alias
UMLS CUI [1]
C0005821
10^9/L
Serum Creatinine Clearance
Beskrivning

Creatinine Clearance

Datatyp

float

Måttenheter
  • mL/min
Alias
UMLS CUI [1]
C0373595
mL/min
Total bilirubin
Beskrivning

Bilirubin

Datatyp

float

Måttenheter
  • mg/dL
Alias
UMLS CUI [1]
C0201913
mg/dL
Bilirubin ULN
Beskrivning

Bilirubin, Total ULN

Datatyp

float

Måttenheter
  • mg/dL
Alias
UMLS CUI [1,1]
C0201913
UMLS CUI [1,2]
C1519815
mg/dL
AST
Beskrivning

AST

Datatyp

float

Måttenheter
  • U/L
Alias
UMLS CUI [1]
C0201899
U/L
AST (SGOT) ULN
Beskrivning

AST ULN

Datatyp

float

Måttenheter
  • U/L
Alias
UMLS CUI [1,1]
C0201899
UMLS CUI [1,2]
C1519815
U/L
ALT
Beskrivning

ALT

Datatyp

float

Måttenheter
  • U/L
Alias
UMLS CUI [1]
C0201836
U/L
ALT ULN
Beskrivning

ALT ULN

Datatyp

float

Måttenheter
  • U/L
Alias
UMLS CUI [1,1]
C0201836
UMLS CUI [1,2]
C1519815
U/L
Severe cardiac dysfunction (see appendix G)
Beskrivning

Severe cardiac dysfunction

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0009488
UMLS CUI [1,2]
C0018801
Severe pulmonary dysfunction (see appendix F)
Beskrivning

Severe pulmonary dysfunction

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0009488
UMLS CUI [1,2]
C1709770
UMLS CUI [1,3]
C0205082
Severe neurological or psychiatric disease
Beskrivning

Severe neurological or psychiatric disease

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0009488
UMLS CUI [1,2]
C0027765
Serious active infections
Beskrivning

Active infections

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0009488
UMLS CUI [1,2]
C3714514
Previous serious toxicities related to the use of lenalidomide
Beskrivning

Previous serious toxicities related to the use of lenalidomide

Datatyp

integer

Alias
UMLS CUI [1,1]
C0020517
UMLS CUI [1,2]
C1144149
CMV reactivation, which is not responsive to first line valganciclovir
Beskrivning

CMV reactivation, which is not responsive to first line valganciclovir

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0582172
UMLS CUI [1,2]
C1142560
UMLS CUI [1,3]
C0909381
Data from HOVON data center
Beskrivning

Data from HOVON data center

Date of Randomization
Beskrivning

Date of Randomization

Datatyp

date

Måttenheter
  • dd/mm/yyyy
Alias
UMLS CUI [1,1]
C0034656
UMLS CUI [1,2]
C0011008
dd/mm/yyyy
Treatment arm allocated
Beskrivning

Treatment arm allocated

Datatyp

integer

Alias
UMLS CUI [1]
C1522541

Similar models

Second Randomization Form

Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Caller
Item
Caller
text
C0557514 (UMLS CUI [1])
Item
Last treatment
integer
C1276413 (UMLS CUI [1,1])
C2348792 (UMLS CUI [1,2])
Code List
Last treatment
CL Item
post induction cycle III (3)
C3179010 (UMLS CUI-1)
CL Item
autoHSCT (4)
C0472699 (UMLS CUI-1)
Date start last treatment
Item
Date start last treatment
date
C0087111 (UMLS CUI [1,1])
C0808070 (UMLS CUI [1,2])
Item Group
Eligibility (See Protocol Section 8)
C1516637 (UMLS CUI-1)
Item
Patient in CR(i)
integer
C1704632 (UMLS CUI [1])
Code List
Patient in CR(i)
CL Item
no CR(i) (0)
C3844738 (UMLS CUI-1)
CL Item
CR  (1)
C0677874 (UMLS CUI-1)
CL Item
CRi (2)
C3538993 (UMLS CUI-1)
Neutrophil count
Item
ANC
float
C0948762 (UMLS CUI [1])
Platelets
Item
Platelets
float
C0005821 (UMLS CUI [1])
Creatinine Clearance
Item
Serum Creatinine Clearance
float
C0373595 (UMLS CUI [1])
Bilirubin
Item
Total bilirubin
float
C0201913 (UMLS CUI [1])
Bilirubin, Total ULN
Item
Bilirubin ULN
float
C0201913 (UMLS CUI [1,1])
C1519815 (UMLS CUI [1,2])
AST
Item
AST
float
C0201899 (UMLS CUI [1])
AST ULN
Item
AST (SGOT) ULN
float
C0201899 (UMLS CUI [1,1])
C1519815 (UMLS CUI [1,2])
ALT
Item
ALT
float
C0201836 (UMLS CUI [1])
ALT ULN
Item
ALT ULN
float
C0201836 (UMLS CUI [1,1])
C1519815 (UMLS CUI [1,2])
Severe cardiac dysfunction
Item
Severe cardiac dysfunction (see appendix G)
boolean
C0009488 (UMLS CUI [1,1])
C0018801 (UMLS CUI [1,2])
Severe pulmonary dysfunction
Item
Severe pulmonary dysfunction (see appendix F)
boolean
C0009488 (UMLS CUI [1,1])
C1709770 (UMLS CUI [1,2])
C0205082 (UMLS CUI [1,3])
Severe neurological or psychiatric disease
Item
Severe neurological or psychiatric disease
boolean
C0009488 (UMLS CUI [1,1])
C0027765 (UMLS CUI [1,2])
Active infections
Item
Serious active infections
boolean
C0009488 (UMLS CUI [1,1])
C3714514 (UMLS CUI [1,2])
Item
Previous serious toxicities related to the use of lenalidomide
integer
C0020517 (UMLS CUI [1,1])
C1144149 (UMLS CUI [1,2])
Code List
Previous serious toxicities related to the use of lenalidomide
CL Item
no  (0)
C1298908 (UMLS CUI-1)
CL Item
yes  (1)
C1705108 (UMLS CUI-1)
CL Item
NA (2)
CMV reactivation, which is not responsive to first line valganciclovir
Item
CMV reactivation, which is not responsive to first line valganciclovir
boolean
C0582172 (UMLS CUI [1,1])
C1142560 (UMLS CUI [1,2])
C0909381 (UMLS CUI [1,3])
Date of Randomization
Item
Date of Randomization
date
C0034656 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
Treatment arm allocated
integer
C1522541 (UMLS CUI [1])
Code List
Treatment arm allocated
CL Item
Arm A: Observation only (1)
C0009932 (UMLS CUI-1)
CL Item
Arm B: Maintenance with Lenalidomide (2)
C0304231 (UMLS CUI-1)
C1144149 (UMLS CUI-2)

Använd detta formulär för feedback, frågor och förslag på förbättringar.

Fält markerade med * är obligatoriska.

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial