ID
2120
Description
E2906 Acute Graft vs. Host Disease Form - Arm G Clofarabine or Daunorubicin Hydrochloride and Cytarabine Followed By Decitabine or Observation in Treating Older Patients With Newly Diagnosed Acute Myeloid Leukemia Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=758358AD-52B1-2ABE-E040-BB89AD430F03
Link
Keywords
Versions (2)
- 9/19/12 9/19/12 -
- 1/9/15 1/9/15 - Martin Dugas
Uploaded on
September 19, 2012
DOI
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License
Creative Commons BY-NC 3.0 Legacy
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Leukemia NCT01041703 Treatment - E2906 Acute Graft vs. Host Disease Form - Arm G - 2951629v1.0
INSTRUCTIONS: Complete at 100 days and 1 year post transplant . Submit original to the ECOG Coordinating Center. Keep a copy for your files
- StudyEvent: E2906 Acute Graft vs. Host Disease Form - Arm G
Description
On Treatment
Description
ReportingEvaluationPeriodType
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus ObjectClass
- C25214
- UMLS 2011AA ObjectClass
- C0220825
- NCI Thesaurus Property
- C25616
- UMLS 2011AA Property
- C1948053
- NCI Thesaurus ObjectClass
- C25651
- UMLS 2011AA ObjectClass
- C0700287
Description
Unnamed2
Description
DataAmendedText
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS 2011AA ValueDomain
- C1527021
- NCI Thesaurus ObjectClass
- C25474
- UMLS 2011AA ObjectClass
- C1511726
- NCI Thesaurus Property
- C25416
- UMLS 2011AA Property
- C1691222
Description
DataAmendedDate
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ObjectClass
- C25474
- UMLS 2011AA ObjectClass
- C1511726
- NCI Thesaurus Property
- C25416
- UMLS 2011AA Property
- C1691222
- NCI Thesaurus ValueDomain
- C25367
Description
Gvhd Information
Description
TransplantAcuteGVHDOccurrenceInd
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25180
- UMLS 2011AA ValueDomain
- C1522602
- NCI Thesaurus ObjectClass
- C12981
- UMLS 2011AA ObjectClass
- C0332835
- NCI Thesaurus Property
- C14140
- UMLS 2011AA Property
- C0205178
- NCI Metathesaurus Property
- C0018133
Description
TransplantAcuteGVHDBeginDate
Data type
date
Alias
- NCI Thesaurus ObjectClass
- C12981
- UMLS 2011AA ObjectClass
- C0332835
- NCI Thesaurus Property
- C14140
- UMLS 2011AA Property
- C0205178
- NCI Metathesaurus Property
- C0018133
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ValueDomain
- C25431
- UMLS 2011AA ValueDomain
- C0439659
Description
TransplantAcuteGVHDEndDate
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ObjectClass
- C12981
- UMLS 2011AA ObjectClass
- C0332835
- NCI Thesaurus Property
- C14140
- UMLS 2011AA Property
- C0205178
- NCI Metathesaurus Property
- C0018133
Description
Gvhd Prophylaxis
Description
MedicationGraftVersusHostDiseaseAdministeredType
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus ObjectClass
- C459
- UMLS 2011AA ObjectClass
- C0013227
- NCI Thesaurus Property
- C25382
- UMLS 2011AA Property
- C1521801
- NCI Metathesaurus ObjectClass
- C0018133
Description
AcuteGraftVersusHostDIseaseTransplantTreatmentText
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C14140
- UMLS 2011AA ObjectClass
- C0205178
- NCI Metathesaurus ObjectClass
- C0018133
- NCI Thesaurus Property
- C12981
- UMLS 2011AA Property
- C0332835
- NCI Thesaurus Property
- C15368
- NCI Thesaurus ValueDomain
- C25704
- UMLS 2011AA ValueDomain
- C1527021
Description
AgentName
Data type
text
Alias
- NCI Thesaurus Property
- C25364
- UMLS 2011AA Property
- C0600091
- NCI Thesaurus ObjectClass
- C1708
- UMLS 2011AA ObjectClass
- C0450442
- NCI Thesaurus ValueDomain
- C1708
- UMLS 2011AA ValueDomain
- C0450442
- NCI Thesaurus ValueDomain
- C42614
- UMLS 2011AA ValueDomain
- C0027365
Description
AgentAdministeredDate
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ValueDomain
- C25367
- NCI Thesaurus ObjectClass
- C1708
- UMLS 2011AA ObjectClass
- C0450442
- NCI Thesaurus Property
- C25382
- UMLS 2011AA Property
- C1521801
Description
AgentAdministeredDose
Data type
double
Alias
- NCI Thesaurus ValueDomain
- C25488
- UMLS 2011AA ValueDomain
- C0178602
- NCI Thesaurus ObjectClass
- C1708
- UMLS 2011AA ObjectClass
- C0450442
- NCI Thesaurus ValueDomain
- C1708
- UMLS 2011AA ValueDomain
- C0450442
- NCI Thesaurus Property
- C25382
- UMLS 2011AA Property
- C1521801
Description
Comments
Description
InvestigatorSignatureText
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS 2011AA ValueDomain
- C1527021
- NCI Thesaurus Property
- C25678
- UMLS 2011AA Property
- C1519316
- NCI Thesaurus ObjectClass
- C17089
- UMLS 2011AA ObjectClass
- C0035173
Description
InvestigatorSignatureDate
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus Property
- C25678
- UMLS 2011AA Property
- C1519316
- NCI Thesaurus ValueDomain
- C25367
- NCI Thesaurus ObjectClass
- C17089
- UMLS 2011AA ObjectClass
- C0035173
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INSTRUCTIONS: Complete at 100 days and 1 year post transplant . Submit original to the ECOG Coordinating Center. Keep a copy for your files
- StudyEvent: E2906 Acute Graft vs. Host Disease Form - Arm G
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C1547383 (UMLS 2011AA ValueDomain)
C21541 (NCI Thesaurus ValueDomain)
C0018704 (UMLS 2011AA ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C25214 (NCI Thesaurus ObjectClass)
C0220825 (UMLS 2011AA ObjectClass)
C25616 (NCI Thesaurus Property)
C1948053 (UMLS 2011AA Property)
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C0700287 (UMLS 2011AA ObjectClass)
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C0332835 (UMLS 2011AA ObjectClass)
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C0332307 (UMLS 2011AA ValueDomain)
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C0450442 (UMLS 2011AA ObjectClass)
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C0450442 (UMLS 2011AA ValueDomain)
C25382 (NCI Thesaurus Property)
C1521801 (UMLS 2011AA Property)
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