ID

13494

Description

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: Autologous Transplant Form

Keywords

Versions (3)
  1. 11/8/15 11/8/15 -
  2. 12/28/15 12/28/15 -
  3. 2/11/16 2/11/16 -
Uploaded on

February 11, 2016

DOI

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License

Creative Commons BY-NC 3.0
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Autologous Transplant Form HOVON 132 AML/SAKK 30/13 EudraCT 2013-002843-26

English

Autologous Transplant Form

1 forms  
Conditioning
Description

Conditioning

Alias
UMLS CUI-1
C0376450
Date Start
Description

Date Start

Data type

date

Measurement units
  • dd/mm/yyyy
Alias
UMLS CUI [1,1]
C0376450
UMLS CUI [1,2]
C0808070
dd/mm/yyyy
Remission status
Description

Remission status

Data type

integer

Alias
UMLS CUI [1]
C1704632
Patient weight
Description

Weight

Data type

float

Measurement units
  • kg
Alias
UMLS CUI [1]
C0005910
kg
Drug
Description

Drug

Alias
UMLS CUI-1
C0013227
Busulfan total dose
Description

Busulfan total dose

Data type

float

Measurement units
  • mg
Alias
UMLS CUI [1,1]
C0006463
UMLS CUI [1,2]
C2986497
mg
Busilvex total dose
Description

Busilvex total dose

Data type

float

Measurement units
  • mg
Alias
UMLS CUI [1,1]
C0006463
UMLS CUI [1,2]
C2986497
mg
Cyclophosphamide total dose
Description

Cyclophosphamide total dose

Data type

float

Measurement units
  • mg
Alias
UMLS CUI [1,1]
C0010583
UMLS CUI [1,2]
C2986497
mg
Phenytoin total dose
Description

Phenytoin total dose

Data type

float

Measurement units
  • mg
Alias
UMLS CUI [1,1]
C0031507
UMLS CUI [1,2]
C2986497
mg
Other chemotherapy
Description

Other chemotherapy

Data type

boolean

Alias
UMLS CUI [1]
C2114510
Other chemotherapy, specify
Description

Other chemotherapy specify

Data type

text

Alias
UMLS CUI [1]
C0003392
Transplant
Description

Transplant

Alias
UMLS CUI-1
C0472699
Source of stem cells (actually infused)
Description

Source of stem cells

Data type

integer

Alias
UMLS CUI [1]
C0018956
Transplant date
Description

Transplant date

Data type

date

Measurement units
  • dd/mm/yyyy
Alias
UMLS CUI [1,1]
C0472699
UMLS CUI [1,2]
C0011008
dd/mm/yyyy
Number of nucleated cells infused
Description

Number of nucleated cells infused

Data type

float

Measurement units
  • 10^8/kg
Alias
UMLS CUI [1,1]
C1180059
UMLS CUI [1,2]
C0750480
10^8/kg
Number of CD34+ cells infused
Description

Number of CD34+ cells infused

Data type

float

Measurement units
  • 10^6/kg
Alias
UMLS CUI [1,1]
C0882849
UMLS CUI [1,2]
C0750480
10^6/kg
Comments
Description

Comments

Comments
Description

Comments

Data type

text

Alias
UMLS CUI [1]
C0947611
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Similar models

Autologous Transplant Form

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Conditioning
C0376450 (UMLS CUI-1)
Date Start
Item
Date Start
date
C0376450 (UMLS CUI [1,1])
C0808070 (UMLS CUI [1,2])
Item
Remission status
integer
C1704632 (UMLS CUI [1])
Remission status
Code List
Remission status
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)
Weight
Item
Patient weight
float
C0005910 (UMLS CUI [1])
Item Group
Drug
C0013227 (UMLS CUI-1)
Busulfan total dose
Item
Busulfan total dose
float
C0006463 (UMLS CUI [1,1])
C2986497 (UMLS CUI [1,2])
Busilvex total dose
Item
Busilvex total dose
float
C0006463 (UMLS CUI [1,1])
C2986497 (UMLS CUI [1,2])
Cyclophosphamide total dose
Item
Cyclophosphamide total dose
float
C0010583 (UMLS CUI [1,1])
C2986497 (UMLS CUI [1,2])
Phenytoin total dose
Item
Phenytoin total dose
float
C0031507 (UMLS CUI [1,1])
C2986497 (UMLS CUI [1,2])
Other chemotherapy
Item
Other chemotherapy
boolean
C2114510 (UMLS CUI [1])
Other chemotherapy specify
Item
Other chemotherapy, specify
text
C0003392 (UMLS CUI [1])
Item Group
Transplant
C0472699 (UMLS CUI-1)
Item
Source of stem cells (actually infused)
integer
C0018956 (UMLS CUI [1])
Source of stem cells
Code List
Source of stem cells (actually infused)
CL Item
bone marrow  (1)
C0005953 (UMLS CUI-1)
CL Item
peripheral blood (2)
C0229664 (UMLS CUI-1)
CL Item
BM + PB (3)
Transplant date
Item
Transplant date
date
C0472699 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Number of nucleated cells infused
Item
Number of nucleated cells infused
float
C1180059 (UMLS CUI [1,1])
C0750480 (UMLS CUI [1,2])
Number of CD34+ cells infused
Item
Number of CD34+ cells infused
float
C0882849 (UMLS CUI [1,1])
C0750480 (UMLS CUI [1,2])
Item Group
Comments
Comments
Item
Comments
text
C0947611 (UMLS CUI [1])
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