ID

20951

Beschrijving

This study is a prospective, interventional, open-label, multi-center early access program for the use of Ra-223 Cl2 in HRPC/CRPC (Hormone refractory prostate cancer / Castrate resistant prostate cancer) patients diagnosed with bone metastasis and to collect additional short and long term safety data on the product. NCT01618370

Trefwoorden

Versies (1)
  1. 30-03-17 30-03-17 -
Geüploaded op

30 maart 2017

DOI

Voor een aanvraag inloggen.

Licentie

Creative Commons BY-NC 3.0
Model Commentaren :

Hier kunt u commentaar leveren op het model. U kunt de tekstballonnen bij de itemgroepen en items gebruiken om er specifiek commentaar op te geven.

Terug naar het model Commentaren
Itemgroep Commentaren voor :

Item Commentaren voor :

U moet ingelogd zijn om formulieren te downloaden. AUB inloggen of schrijf u gratis in.

Radium-223 Dichloride (Alpharadin) DRKS00006460 NCT01618370 in Castration-Resistant (Hormone-Refractory) Prostate Cancer Patients With Bone Metastases (Unscheduled Procedures)

Engels

Radium 223 Dichloride (Alpharadin) - Unscheduled Procedures

1 Formulieren  
Hematology (with DBC), unscheduled
Beschrijving

Hematology (with DBC), unscheduled

Date of specimen collection
Beschrijving

Date of specimen collection

Datatype

date

Alias
UMLS CUI [1,1]
C0032976
UMLS CUI [1,2]
C0011008
Hematocrit
Beschrijving

Hematocrit

Datatype

float

Alias
UMLS CUI [1]
C0518014
Hemoglobin
Beschrijving

Hemoglobin

Datatype

float

Alias
UMLS CUI [1]
C0019046
RBC
Beschrijving

RBC

Datatype

float

Alias
UMLS CUI [1]
C0014772
WBC
Beschrijving

WBC

Datatype

float

Alias
UMLS CUI [1]
C0023508
Platelets
Beschrijving

Platelets

Datatype

float

Alias
UMLS CUI [1]
C0005821
Neutrophils absolute count
Beschrijving

Neutrophils absolute count

Datatype

integer

Alias
UMLS CUI [1]
C0948762
Lymphocytes absolute count
Beschrijving

Lymphocytes absolute count

Datatype

float

Alias
UMLS CUI [1]
C3544087
Monocytes absolute count
Beschrijving

Monocytes absolute count

Datatype

float

Alias
UMLS CUI [1]
C0200637
Eosinophils absolute count
Beschrijving

Eosinophils absolute count

Datatype

float

Alias
UMLS CUI [1,1]
C0200638
UMLS CUI [1,2]
C1820736
Basophils absolute count
Beschrijving

Basophils absolute count

Datatype

float

Alias
UMLS CUI [1,1]
C0200641
UMLS CUI [1,2]
C1820736
Neutrophils total
Beschrijving

Neutrophils total

Datatype

float

Maateenheden
  • %
Alias
UMLS CUI [1]
C0200633
%
Lymphocytes
Beschrijving

Lymphocytes

Datatype

float

Maateenheden
  • %
Alias
UMLS CUI [1]
C0024264
%
Monocytes
Beschrijving

Monocytes

Datatype

float

Maateenheden
  • %
Alias
UMLS CUI [1]
C0026473
%
Eosinophils
Beschrijving

Eosinophils

Datatype

float

Maateenheden
  • %
Alias
UMLS CUI [1]
C0945354
%
Basophils
Beschrijving

Basophils

Datatype

float

Maateenheden
  • %
Alias
UMLS CUI [1]
C0200641
%
General Chemistry - Serum, unscheduled
Beschrijving

General Chemistry - Serum, unscheduled

Date of specimen collection
Beschrijving

Date of specimen collection

Datatype

date

Alias
UMLS CUI [1,1]
C0032976
UMLS CUI [1,2]
C0011008
Sodium
Beschrijving

Sodium

Datatype

float

Alias
UMLS CUI [1]
C0337443
Creatinine
Beschrijving

Creatinine

Datatype

float

Alias
UMLS CUI [1]
C0201976
SGOT/AST
Beschrijving

SGOT/AST

Datatype

integer

Alias
UMLS CUI [1]
C0201899
SGPT/ALT
Beschrijving

SGPT/ALT

Datatype

integer

Alias
UMLS CUI [1]
C0201836
Alkaline Phosphatase
Beschrijving

Alkaline Phosphatase

Datatype

float

Alias
UMLS CUI [1]
C0201850
Bilirubin, total
Beschrijving

Bilirubin, total

Datatype

float

Alias
UMLS CUI [1]
C0201913
Prostate Specific Antigen
Beschrijving

Prostate Specific Antigen

Datatype

integer

Alias
UMLS CUI [1]
C0201544
Vital Signs, unscheduled
Beschrijving

Vital Signs, unscheduled

Date of Vital Signs
Beschrijving

Date of Vital Signs

Datatype

date

Alias
UMLS CUI [1]
C2826644
Weight
Beschrijving

Weight

Datatype

text

Maateenheden
  • kg
Alias
UMLS CUI [1]
C0005910
kg
BPI-SF, unscheduled
Beschrijving

BPI-SF, unscheduled

Date of assessment
Beschrijving

Date of assessment

Datatype

date

Alias
UMLS CUI [1]
C2985720
Throughout our lives, most of us have had pain from time to time (such as minor headaches, sprains, and toothaches). Have you had pain other than these everyday kinds of pain today?
Beschrijving

Current pain

Datatype

boolean

Alias
UMLS CUI [1]
C0030193
Please rate your pain by circling the one number that best describes your pain at its worst in the last 24 hours.
Beschrijving

BPI

Datatype

text

Alias
UMLS CUI [1,1]
C2732532
UMLS CUI [1,2]
C3898741
Please rate your pain by circling the one number that best describes your pain at its least in the last 24 hours.
Beschrijving

BPI

Datatype

text

Alias
UMLS CUI [1,1]
C2732532
UMLS CUI [1,2]
C3828673
Please rate your pain by circling the one number that best describes your pain on the average.
Beschrijving

BPI

Datatype

text

Alias
UMLS CUI [1,1]
C0042815
UMLS CUI [1,2]
C3641836
Please rate your pain by circling the one number that tells how much pain you have right now.
Beschrijving

BPI

Datatype

text

Alias
UMLS CUI [1,1]
C2732532
UMLS CUI [1,2]
C3840282
Circle the one number that describes how, during the past 24 hours, pain has interfered with your:
Beschrijving

BPI

Datatype

text

Alias
UMLS CUI [1,1]
C2732532
UMLS CUI [1,2]
C0030193
UMLS CUI [1,3]
C0521102
General Activity
Beschrijving

Pain interfered with General Activity

Datatype

text

Alias
UMLS CUI [1,1]
C0030193
UMLS CUI [1,2]
C0521102
UMLS CUI [1,3]
C0441655
Mood
Beschrijving

Pain interfered with Mood

Datatype

text

Alias
UMLS CUI [1,1]
C0030193
UMLS CUI [1,2]
C0521102
UMLS CUI [1,3]
C0026516
Walking Ability
Beschrijving

Pain interfered with Walking Ability

Datatype

text

Alias
UMLS CUI [1,1]
C0030193
UMLS CUI [1,2]
C0521102
UMLS CUI [1,3]
C0559964
Normal Work (includes both work outside the home and housework)
Beschrijving

Pain interfered with Normal Work

Datatype

text

Alias
UMLS CUI [1,1]
C0030193
UMLS CUI [1,2]
C0521102
UMLS CUI [1,3]
C3898033
Relations with other people
Beschrijving

Pain interfered with Relations with other people

Datatype

text

Alias
UMLS CUI [1,1]
C0030193
UMLS CUI [1,2]
C0521102
UMLS CUI [1,3]
C0021797
Sleep
Beschrijving

Pain interfered with Sleep

Datatype

text

Alias
UMLS CUI [1,1]
C0030193
UMLS CUI [1,2]
C0521102
UMLS CUI [1,3]
C0037313
Enjoyment of life
Beschrijving

Pain interfered with Enjoyment of life

Datatype

text

Alias
UMLS CUI [1,1]
C0030193
UMLS CUI [1,2]
C0521102
UMLS CUI [1,3]
C0424131
ECOG Performance Status, unscheduled
Beschrijving

ECOG Performance Status, unscheduled

Date of performance status
Beschrijving

Date of performance status

Datatype

date

Alias
UMLS CUI [1]
C2985720
Performance status
Beschrijving

Performance status

Datatype

integer

Alias
UMLS CUI [1]
C1520224
Terug naar het begin van de pagina

Similar models

Radium 223 Dichloride (Alpharadin) - Unscheduled Procedures

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Hematology (with DBC), unscheduled
Date of specimen collection
Item
Date of specimen collection
date
C0032976 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Hematocrit
Item
Hematocrit
float
C0518014 (UMLS CUI [1])
Hemoglobin
Item
Hemoglobin
float
C0019046 (UMLS CUI [1])
RBC
Item
RBC
float
C0014772 (UMLS CUI [1])
WBC
Item
WBC
float
C0023508 (UMLS CUI [1])
Platelets
Item
Platelets
float
C0005821 (UMLS CUI [1])
Neutrophils absolute count
Item
Neutrophils absolute count
integer
C0948762 (UMLS CUI [1])
Lymphocytes absolute count
Item
Lymphocytes absolute count
float
C3544087 (UMLS CUI [1])
Monocytes absolute count
Item
Monocytes absolute count
float
C0200637 (UMLS CUI [1])
Eosinophils absolute count
Item
Eosinophils absolute count
float
C0200638 (UMLS CUI [1,1])
C1820736 (UMLS CUI [1,2])
Basophils absolute count
Item
Basophils absolute count
float
C0200641 (UMLS CUI [1,1])
C1820736 (UMLS CUI [1,2])
Neutrophils total
Item
Neutrophils total
float
C0200633 (UMLS CUI [1])
Lymphocytes
Item
Lymphocytes
float
C0024264 (UMLS CUI [1])
Monocytes
Item
Monocytes
float
C0026473 (UMLS CUI [1])
Eosinophils
Item
Eosinophils
float
C0945354 (UMLS CUI [1])
Basophils
Item
Basophils
float
C0200641 (UMLS CUI [1])
Item Group
General Chemistry - Serum, unscheduled
Date of specimen collection
Item
Date of specimen collection
date
C0032976 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Sodium
Item
Sodium
float
C0337443 (UMLS CUI [1])
Creatinine
Item
Creatinine
float
C0201976 (UMLS CUI [1])
SGOT/AST
Item
SGOT/AST
integer
C0201899 (UMLS CUI [1])
SGPT/ALT
Item
SGPT/ALT
integer
C0201836 (UMLS CUI [1])
Alkaline Phosphatase
Item
Alkaline Phosphatase
float
C0201850 (UMLS CUI [1])
Bilirubin, total
Item
Bilirubin, total
float
C0201913 (UMLS CUI [1])
Prostate Specific Antigen
Item
Prostate Specific Antigen
integer
C0201544 (UMLS CUI [1])
Item Group
Vital Signs, unscheduled
Date of Vital Signs
Item
Date of Vital Signs
date
C2826644 (UMLS CUI [1])
Weight
Item
Weight
text
C0005910 (UMLS CUI [1])
Item Group
BPI-SF, unscheduled
Date of assessment
Item
Date of assessment
date
C2985720 (UMLS CUI [1])
Current pain
Item
Throughout our lives, most of us have had pain from time to time (such as minor headaches, sprains, and toothaches). Have you had pain other than these everyday kinds of pain today?
boolean
C0030193 (UMLS CUI [1])
BPI
Item
Please rate your pain by circling the one number that best describes your pain at its worst in the last 24 hours.
text
C2732532 (UMLS CUI [1,1])
C3898741 (UMLS CUI [1,2])
BPI
Item
Please rate your pain by circling the one number that best describes your pain at its least in the last 24 hours.
text
C2732532 (UMLS CUI [1,1])
C3828673 (UMLS CUI [1,2])
BPI
Item
Please rate your pain by circling the one number that best describes your pain on the average.
text
C0042815 (UMLS CUI [1,1])
C3641836 (UMLS CUI [1,2])
BPI
Item
Please rate your pain by circling the one number that tells how much pain you have right now.
text
C2732532 (UMLS CUI [1,1])
C3840282 (UMLS CUI [1,2])
BPI
Item
Circle the one number that describes how, during the past 24 hours, pain has interfered with your:
text
C2732532 (UMLS CUI [1,1])
C0030193 (UMLS CUI [1,2])
C0521102 (UMLS CUI [1,3])
Pain interfered with General Activity
Item
General Activity
text
C0030193 (UMLS CUI [1,1])
C0521102 (UMLS CUI [1,2])
C0441655 (UMLS CUI [1,3])
Pain interfered with Mood
Item
Mood
text
C0030193 (UMLS CUI [1,1])
C0521102 (UMLS CUI [1,2])
C0026516 (UMLS CUI [1,3])
Pain interfered with Walking Ability
Item
Walking Ability
text
C0030193 (UMLS CUI [1,1])
C0521102 (UMLS CUI [1,2])
C0559964 (UMLS CUI [1,3])
Pain interfered with Normal Work
Item
Normal Work (includes both work outside the home and housework)
text
C0030193 (UMLS CUI [1,1])
C0521102 (UMLS CUI [1,2])
C3898033 (UMLS CUI [1,3])
Pain interfered with Relations with other people
Item
Relations with other people
text
C0030193 (UMLS CUI [1,1])
C0521102 (UMLS CUI [1,2])
C0021797 (UMLS CUI [1,3])
Pain interfered with Sleep
Item
Sleep
text
C0030193 (UMLS CUI [1,1])
C0521102 (UMLS CUI [1,2])
C0037313 (UMLS CUI [1,3])
Pain interfered with Enjoyment of life
Item
Enjoyment of life
text
C0030193 (UMLS CUI [1,1])
C0521102 (UMLS CUI [1,2])
C0424131 (UMLS CUI [1,3])
Item Group
ECOG Performance Status, unscheduled
Date of performance status
Item
Date of performance status
date
C2985720 (UMLS CUI [1])
Item
Performance status
integer
C1520224 (UMLS CUI [1])
Performance status
Code List
Performance status
CL Item
Fully active, able to carry on all pre-disease performance without restriction. (0 )
CL Item
Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature ( eg light housework, office work). (1 )
CL Item
Ambulatory and capable of all self-care but unable to carry out any work activities. Up and about more than 50% of waking hours. (2 )
CL Item
Capable of only limited self-care, confined to bed or chair more than 50% ofwaking hours. (3 )
CL Item
Completely disabled. Cannot carry on any self-care. Totally confined to bed or chair. (4 )
Terug naar het begin van de pagina 

Contact

Gebruik dit formulier voor feedback, vragen en verbeteringsvoorstellen.

Velden gemarkeerd met een * zijn verplicht.

Help

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