ID

21480

Beschrijving

HD16 NCT Nr.: NCT00736320 HD16 for Early Stages - Treatment Optimization Trial in the First-line Treatment of Early Stage Hodgkin Lymphoma; Treatment Stratification by Means of FDG-PET. This study is designed to test the non-inferiority of the experimental arm compared to the standard arm in terms of Progression free survival (PFS). HD17 NCT Nr.: NCT01356680 HD17 for Intermediate Stages - Treatment Optimization Trial in the First-Line Treatment of Intermediate Stage Hodgkin Lymphoma.This study is designed to test the non-inferiority of the experimental arm compared to the standard arm in terms of progression free survival (PFS). HD18 NCT Nr.: NCT00515554 HD18 for Advanced Stages in Hodgkins Lymphoma. This study is designed to test: in patients with negative positron-emission tomography (PET) after 2 cycles of BEACOPPesc chemotherapy: whether the number of cycles can be reduced without compromising progression free survival (PFS) (2 further cycles vs. 6 further cycles) for patients with positive PET after 2 cycles: whether intensifying BEACOPPesc chemotherapy by adding Rituximab improves PFS. Permission granted by: Andreas Engert, M.D. Chairman, German Hodgkin Study Group Professor for Internal Medicine Hematology & Oncology University Hospital of Cologne Department of Internal Medicine I Kerpener Str. 62 D-50924 Köln Phone: +49-221-478-5933/5966 Fax: +49-221-478-3778 a.engert@uni-koeln.de

Trefwoorden

  1. 24-04-17 24-04-17 -
  2. 03-05-17 03-05-17 -
  3. 01-11-18 01-11-18 - Sarah Riepenhausen
Geüploaded op

24 april 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.

Itemgroep Commentaren voor :

Item Commentaren voor :

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

German Hodgkin Study Group Study HD16/HD17/HD18 Final Report

Deutsche Hodgkin Studiengruppe: Abschlussbogen

Formularkopf
Beschrijving

Formularkopf

Stempel des einsendenden Instituts
Beschrijving

Stamp of participating institution

Datatype

text

Alias
UMLS CUI [1]
C2347449
Telefonnummer des einsendenden Instituts (bitte mit Durchwahl)
Beschrijving

Phone number of participating institution

Datatype

integer

Alias
UMLS CUI [1,1]
C2347449
UMLS CUI [1,2]
C1515258
Adresse der verantwortlichen Studienzentrale
Beschrijving

Address of responsible study center

Datatype

text

Patientenname
Beschrijving

Patient Name

Datatype

text

Alias
UMLS CUI [1]
C1299487
Geburtsname
Beschrijving

Patient birth name

Datatype

text

Alias
UMLS CUI [1]
C1549652
Geburtsdatum
Beschrijving

Birth Date

Datatype

date

Alias
UMLS CUI [1]
C0421451
Adresse des Patienten
Beschrijving

Patient address

Datatype

text

Alias
UMLS CUI [1]
C0421449
Datum des histologischen Befundes
Beschrijving

Histology report date

Datatype

date

Alias
UMLS CUI [1,1]
C0807321
UMLS CUI [1,2]
C011008
Studien ID
Beschrijving

Study ID

Datatype

integer

Alias
UMLS CUI [1]
C2826693
Bogen ID
Beschrijving

CRF Indentificator

Datatype

integer

Alias
UMLS CUI [1,1]
C1516308
UMLS CUI [1,2]
C0600091
Case ID
Beschrijving

Case ID

Datatype

integer

Alias
UMLS CUI [1,1]
C1698493
UMLS CUI [1,2]
C0600091
Patient verstorben
Beschrijving

Patient verstorben

Todesdatum
Beschrijving

Date of Death

Datatype

date

Alias
UMLS CUI [1]
C1148348
Todesursache
Beschrijving

Freitext s.u.

Datatype

integer

Alias
UMLS CUI [1]
C0007465
Sektion durchgeführt
Beschrijving

Autopsy done

Datatype

boolean

Alias
UMLS CUI [1,1]
C0004398
UMLS CUI [1,2]
C0884358
Sektion durchgeführt am
Beschrijving

Autopsy date

Datatype

date

Alias
UMLS CUI [1]
C3864942
Sektionsergebnis
Beschrijving

Autopsy result

Datatype

integer

Alias
UMLS CUI [1]
C0332145
Wo wurde der Tumor aufgefunden?
Beschrijving

Neoplasm found

Datatype

text

Alias
UMLS CUI [1]
C0332145
Hat eine Sekundärneoplasie vorgelegen?
Beschrijving

Second primary

Datatype

boolean

Alias
UMLS CUI [1]
C0751623
Art der Sekundärneoplasie
Beschrijving

Second primary

Datatype

integer

Alias
UMLS CUI [1]
C0751623
Diagnosedatum der Sekundärneoplasie
Beschrijving

Second primary date of diagnosis

Datatype

date

Alias
UMLS CUI [1,1]
C0751623
UMLS CUI [1,2]
C2316983
Detaillierte Information zur Todesursache
Beschrijving

Bitte Kopie des letzten Arztbriefes beifügen

Datatype

text

Alias
UMLS CUI [1,1]
C1533716
UMLS CUI [1,2]
C0007465
Datum
Beschrijving

Date of completion

Datatype

date

Alias
UMLS CUI [1]
C0011008
Unterschrift
Beschrijving

Signature

Datatype

text

Alias
UMLS CUI [1]
C1519316

Similar models

Deutsche Hodgkin Studiengruppe: Abschlussbogen

Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Formularkopf
Stamp of participating institution
Item
Stempel des einsendenden Instituts
text
C2347449 (UMLS CUI [1])
Phone number of participating institution
Item
Telefonnummer des einsendenden Instituts (bitte mit Durchwahl)
integer
C2347449 (UMLS CUI [1,1])
C1515258 (UMLS CUI [1,2])
Address of responsible study center
Item
Adresse der verantwortlichen Studienzentrale
text
Patient Name
Item
Patientenname
text
C1299487 (UMLS CUI [1])
Patient birth name
Item
Geburtsname
text
C1549652 (UMLS CUI [1])
Birth Date
Item
Geburtsdatum
date
C0421451 (UMLS CUI [1])
Patient address
Item
Adresse des Patienten
text
C0421449 (UMLS CUI [1])
Histology report date
Item
Datum des histologischen Befundes
date
C0807321 (UMLS CUI [1,1])
C011008 (UMLS CUI [1,2])
Item
Studien ID
integer
C2826693 (UMLS CUI [1])
Code List
Studien ID
CL Item
HD16 (1)
CL Item
HD17 (2)
CL Item
HD18 (3)
CRF Indentificator
Item
Bogen ID
integer
C1516308 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Case ID
Item
Case ID
integer
C1698493 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Item Group
Patient verstorben
Date of Death
Item
Todesdatum
date
C1148348 (UMLS CUI [1])
Item
Todesursache
integer
C0007465 (UMLS CUI [1])
Code List
Todesursache
CL Item
Tumorbedingt (1)
CL Item
Therapiebedingt (2)
CL Item
Sekundärneoplasie (3)
CL Item
Unfall (4)
CL Item
Suizid (5)
CL Item
Sonstige (6)
Autopsy done
Item
Sektion durchgeführt
boolean
C0004398 (UMLS CUI [1,1])
C0884358 (UMLS CUI [1,2])
Autopsy date
Item
Sektion durchgeführt am
date
C3864942 (UMLS CUI [1])
Item
Sektionsergebnis
integer
C0332145 (UMLS CUI [1])
Code List
Sektionsergebnis
CL Item
Tumor nicht auffindbar  (1)
CL Item
Tumor auffindbar (2)
Item
Wo wurde der Tumor aufgefunden?
text
C0332145 (UMLS CUI [1])
Code List
Wo wurde der Tumor aufgefunden?
Second primary
Item
Hat eine Sekundärneoplasie vorgelegen?
boolean
C0751623 (UMLS CUI [1])
Item
Art der Sekundärneoplasie
integer
C0751623 (UMLS CUI [1])
Code List
Art der Sekundärneoplasie
CL Item
Leukämie,MDS (1)
CL Item
NHL (2)
CL Item
Solider Tumor (3)
Second primary date of diagnosis
Item
Diagnosedatum der Sekundärneoplasie
date
C0751623 (UMLS CUI [1,1])
C2316983 (UMLS CUI [1,2])
Detailed information cause of death
Item
Detaillierte Information zur Todesursache
text
C1533716 (UMLS CUI [1,1])
C0007465 (UMLS CUI [1,2])
Date of completion
Item
Datum
date
C0011008 (UMLS CUI [1])
Signature
Item
Unterschrift
text
C1519316 (UMLS CUI [1])

Gebruik dit formulier voor feedback, vragen en verbeteringsvoorstellen.

Velden gemarkeerd met een * zijn verplicht.

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