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ID
2241
Description
OFF TREATMENT NOTICE S0023: Combination Chemo Plus RT With or Without Gefitinib in Treating Patients With Unresectable Stage III NSCLC Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=9CA62D43-4EE1-361C-E034-080020C9C0E0
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Versions (2)
- 9/19/12 9/19/12 -
- 4/30/15 4/30/15 - Martin Dugas
Uploaded on
September 19, 2012
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License
Creative Commons BY-NC 3.0 Legacy
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Lung Cancer NCT00020709 Off Treatment - OFF TREATMENT NOTICE - 2030406v3.0
No Instruction available.
- StudyEvent: OFF TREATMENT NOTICE
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- StudyEvent: OFF TREATMENT NOTICE
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
SWOGPatientID
Item
SWOG Patient ID
text
SWOGStudyNo.
Item
SWOG Study No.
text
RegistrationStep
Item
Registration Step
text
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C16154 (NCI Thesaurus ValueDomain)
C1704379 (UMLS 2011AA ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C16154 (NCI Thesaurus ValueDomain)
C1704379 (UMLS 2011AA ValueDomain)
PatientInitials
Item
Patient Initials (L, F,M)
text
Institution/Affiliate
Item
Institution / Affiliate
text
Physician
Item
Physician
text
GroupName
Item
Group Name (Groups other than SWOG )
text
StudyNo.
Item
Study No. (Groups other than SWOG )
double
Pt.ID
Item
Pt. ID (Groups other than SWOG )
text
TreatmentStartDate
Item
Treatment Start Date
date
TreatmentEndDate
Item
Treatment End Date
date
RegimenorProcedureorSite(s)
Item
Regimen or Procedure or Site(s)
text
CL Item
Treatment completed per protocol criteria (Treatment completed per protocol criteria)
CL Item
Medically required, due to toxicity, specify (Medically required, due to toxicity, specify)
CL Item
Pt_refused_due_to_toxic2006857 (Patient refused, due to toxicity, specify)
CL Item
Pt_refused_oth_than_tox2006859 (Patient refused, other than toxicity, specify)
CL Item
Prog_or_relapse_sites_2006860 (Progression or relapse. Sites)
CL Item
Death_attach_notice_of_2006862 (Death (attach Notice of Death form))
CL Item
Other_specify_2006863 (Other, specify)
Other,specify:
Item
Other, specify
text
Dateofcompletion,progression,deathordecisiontodiscontinuetherapy:
Item
Date of completion, progression, death or decision to discontinue therapy (Off Treatment Date)
text
CL Item
No (No)
CL Item
Yes, specify (Yes, specify)
CL Item
Unknown (Unknown)
DateofLastContact(ordeath):
Item
Date of Last Contact (or death)
text
CL Item
Alive (Alive)
CL Item
Dead (Dead)
Notes
Item
Notes
text