0 Ratings

ID

22902

Description

Randomized, Open Label Multi-Center Study Comparing Cabazitaxel at 20 mg/m² and at 25 mg/m² Every 3 Weeks in Combination With Prednisone for the Treatment of Metastatic Castration Resistant Prostate Cancer Previously Treated With a Docetaxel-Containing Regimen Other drug name: Jevtana® Study Source & Descriptions: https://clinicaltrials.gov/ct2/show/NCT01308580 Sponsor: Sanofi

Link

https://clinicaltrials.gov/ct2/show/NCT01308580

Keywords

  1. 6/15/17 6/15/17 -
Uploaded on

June 15, 2017

DOI

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License

Creative Commons BY 4.0

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    CRFs Cabazitaxel Prostate Cancer DRKS00006520 NCT01308580 Additional

    CRFs Cabazitaxel Prostate Cancer NCT01308580 Additional

    Laboratory Tests Hematology
    Description

    Laboratory Tests Hematology

    Alias
    UMLS CUI-1
    C0022885
    UMLS CUI-2
    C0474523
    Date
    Description

    Laboratory Test Date

    Data type

    date

    Measurement units
    • dd-mmm-yyyy
    Alias
    UMLS CUI [1]
    C2826641
    dd-mmm-yyyy
    Hemoglobin
    Description

    Hemoglobin

    Data type

    float

    Measurement units
    • g/dL
    Alias
    UMLS CUI [1]
    C0019046
    g/dL
    Platelet Count (Thrombocyte Count)
    Description

    Platelets

    Data type

    float

    Measurement units
    • 10^9/L
    Alias
    UMLS CUI [1]
    C0005821
    10^9/L
    White Blood Cell Count (Leukocyte Count)
    Description

    White Blood Cell Count

    Data type

    float

    Measurement units
    • 10^9/L
    Alias
    UMLS CUI [1]
    C0023508
    10^9/L
    Neutrophils
    Description

    Neutrophils

    Data type

    float

    Measurement units
    • 10^9/L
    Alias
    UMLS CUI [1]
    C0948762
    10^9/L
    Lymphocytes
    Description

    Lymphocytes

    Data type

    float

    Measurement units
    • 10^9/L
    Alias
    UMLS CUI [1]
    C0024264
    10^9/L
    Monocytes
    Description

    Monocytes

    Data type

    float

    Measurement units
    • 10^9/L
    Alias
    UMLS CUI [1]
    C0026473
    10^9/L
    Eosinophils
    Description

    Eosinophils

    Data type

    float

    Measurement units
    • 10^9/L
    Alias
    UMLS CUI [1]
    C0200638
    10^9/L
    Basophils
    Description

    Basophils

    Data type

    float

    Measurement units
    • 10^9/L
    Alias
    UMLS CUI [1]
    C0200641
    10^9/L
    Laboratory Tests Biochemistry
    Description

    Laboratory Tests Biochemistry

    Alias
    UMLS CUI-1
    C0022885
    UMLS CUI-2
    C0005477
    Date
    Description

    Laboratory Test Biochemistry Date

    Data type

    date

    Measurement units
    • dd-mmm-yyyy
    Alias
    UMLS CUI [1,1]
    C2826641
    UMLS CUI [1,2]
    C0005477
    dd-mmm-yyyy
    Sodium
    Description

    Sodium

    Data type

    float

    Measurement units
    • mmol/L
    Alias
    UMLS CUI [1]
    C0337443
    mmol/L
    Potassium
    Description

    Potassium

    Data type

    float

    Measurement units
    • mmol/L
    Alias
    UMLS CUI [1]
    C0202194
    mmol/L
    Calcium
    Description

    Calcium

    Data type

    float

    Measurement units
    • mmol/L
    Alias
    UMLS CUI [1]
    C0201925
    mmol/L
    Phosphorus
    Description

    Phosphorus

    Data type

    float

    Measurement units
    • mmol/L
    Alias
    UMLS CUI [1]
    C0031705
    mmol/L
    Blood urea nitrogen
    Description

    Blood Urea Nitrogen

    Data type

    float

    Measurement units
    • mmol/L
    Alias
    UMLS CUI [1]
    C0005845
    mmol/L
    Magnesium
    Description

    Magnesium

    Data type

    float

    Measurement units
    • mmol/L
    Alias
    UMLS CUI [1]
    C0373675
    mmol/L
    Total Proteins
    Description

    Total Proteins

    Data type

    float

    Measurement units
    • g/L
    Alias
    UMLS CUI [1]
    C0555903
    g/L
    Albumin
    Description

    Albumin

    Data type

    float

    Measurement units
    • g/L
    Alias
    UMLS CUI [1]
    C0201838
    g/L
    Glucose
    Description

    Blood Glucose

    Data type

    float

    Measurement units
    • mmol/L
    Alias
    UMLS CUI [1]
    C0202042
    mmol/L
    AST (SGOT - ASAT)
    Description

    AST

    Data type

    float

    Measurement units
    • U/L
    Alias
    UMLS CUI [1]
    C0201899
    U/L
    AST (SGOT - ASAT): Normal Range - Upper Limit
    Description

    AST: Upper Limit

    Data type

    float

    Measurement units
    • U/L
    Alias
    UMLS CUI [1,1]
    C0201899
    UMLS CUI [1,2]
    C1519815
    U/L
    ALT (SGPT - ALAT)
    Description

    ALT

    Data type

    float

    Measurement units
    • U/L
    Alias
    UMLS CUI [1]
    C0201836
    U/L
    ALT (SGPT - ALAT): Normal Range - Upper Limit
    Description

    ALT: Upper Limit

    Data type

    float

    Measurement units
    • U/L
    Alias
    UMLS CUI [1,1]
    C0201836
    UMLS CUI [1,2]
    C1519815
    U/L
    Alkaline Phosphatase
    Description

    Alkaline Phosphatase

    Data type

    float

    Measurement units
    • U/L
    Alias
    UMLS CUI [1]
    C0201850
    U/L
    Alkaline Phosphatase: Normal Range - Upper Limit
    Description

    Alkaline Phosphatase: Upper Limit

    Data type

    float

    Measurement units
    • U/L
    Alias
    UMLS CUI [1,1]
    C0201850
    UMLS CUI [1,2]
    C1519815
    U/L
    Total Bilirubin
    Description

    Total Bilirubin

    Data type

    float

    Measurement units
    • umol/L
    Alias
    UMLS CUI [1]
    C0201913
    umol/L
    Total Bilirubin: Normal Range - Upper Limit
    Description

    Total Bilirubin: Upper Limit

    Data type

    float

    Measurement units
    • umol/L
    Alias
    UMLS CUI [1,1]
    C0201913
    UMLS CUI [1,2]
    C1519815
    umol/L
    Creatinine
    Description

    Creatinine

    Data type

    float

    Measurement units
    • umol/L
    Alias
    UMLS CUI [1]
    C0201976
    umol/L
    Creatinine: Normal Range - Upper Limit
    Description

    Creatinine: Upper Limit

    Data type

    float

    Measurement units
    • umol/L
    Alias
    UMLS CUI [1,1]
    C0201976
    UMLS CUI [1,2]
    C1519815
    umol/L
    Lactate Dehydrogenase
    Description

    Lactate Dehydrogenase

    Data type

    float

    Measurement units
    • U/L
    Alias
    UMLS CUI [1]
    C0202113
    U/L
    Lactate Dehydrogenase: Normal Range - Upper Limit
    Description

    Lactate Dehydrogenase: Upper Limit

    Data type

    float

    Measurement units
    • U/L
    Alias
    UMLS CUI [1,1]
    C0202113
    UMLS CUI [1,2]
    C1519815
    U/L
    Laboratory Tests Urinanalysis
    Description

    Laboratory Tests Urinanalysis

    Alias
    UMLS CUI-1
    C0042014
    Sodium (Urine)
    Description

    Urine Sodium

    Data type

    float

    Measurement units
    • mmol/L
    Alias
    UMLS CUI [1]
    C1256585
    mmol/L
    Potassium (Urine)
    Description

    Urine Potassium

    Data type

    float

    Measurement units
    • mmol/L
    Alias
    UMLS CUI [1]
    C0202195
    mmol/L
    Calcium (Urine)
    Description

    Urine Calcium

    Data type

    float

    Measurement units
    • mmol/L
    Alias
    UMLS CUI [1]
    C0428303
    mmol/L
    Cholride (Urine)
    Description

    Urine Chloride

    Data type

    float

    Measurement units
    • mmol/L
    Alias
    UMLS CUI [1]
    C0201953
    mmol/L
    White Blood Cell Count (Urine)
    Description

    Urine White Blood Cell Count

    Data type

    float

    Measurement units
    • /mm3
    Alias
    UMLS CUI [1]
    C0919738
    /mm3
    Eosinophils (Urine)
    Description

    Urine Eosinophils

    Data type

    float

    Measurement units
    • /mm3
    Alias
    UMLS CUI [1]
    C1141979
    /mm3
    Red Blood Cells (Urine)
    Description

    Macroscopic Hematuria

    Data type

    float

    Measurement units
    • /mm3
    Alias
    UMLS CUI [1]
    C0473237
    /mm3
    Urea (Urine)
    Description

    Urine Urea

    Data type

    float

    Measurement units
    • mmol/L
    Alias
    UMLS CUI [1]
    C0428278
    mmol/L
    Total Proteins (Urine)
    Description

    Proteinuria

    Data type

    float

    Measurement units
    • mg/dL
    Alias
    UMLS CUI [1]
    C0033687
    mg/dL
    Creatinine (Urine)
    Description

    Urine Creatinine

    Data type

    float

    Measurement units
    • mg/dL
    Alias
    UMLS CUI [1]
    C0236441
    mg/dL
    Tumor Markers - to follow until PSA progression
    Description

    Tumor Markers - to follow until PSA progression

    Alias
    UMLS CUI-1
    C0041365
    Test: PSA
    Description

    Tumor Markers: PSA Test

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0041365
    UMLS CUI [1,2]
    C0201544
    Date of evaluation
    Description

    Tumor Markers: Assessment Date

    Data type

    date

    Measurement units
    • dd-mmm-yyyy
    Alias
    UMLS CUI [1,1]
    C0041365
    UMLS CUI [1,2]
    C2985720
    dd-mmm-yyyy
    PSA Test Value
    Description

    Tumor Markers: PSA Test Value

    Data type

    float

    Alias
    UMLS CUI [1,1]
    C0041365
    UMLS CUI [1,2]
    C0201544
    UMLS CUI [1,3]
    C1275372
    PSA Test: Unit
    Description

    Tumor Markers: PSA Test Unit

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0041365
    UMLS CUI [1,2]
    C0201544
    UMLS CUI [1,3]
    C1519795
    PSA Test: Normal Range - Lower Limit
    Description

    Tumor Markers: PSA Test Lower Limit

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0041365
    UMLS CUI [1,2]
    C0201544
    UMLS CUI [1,3]
    C1518030
    PSA Test: Normal Range - Upper Limit
    Description

    Tumor Markers: PSA Test Upper Limit

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0041365
    UMLS CUI [1,2]
    C0201544
    UMLS CUI [1,3]
    C1519815
    Laboratory Tests Unplanned
    Description

    Laboratory Tests Unplanned

    Alias
    UMLS CUI-1
    C0022885
    UMLS CUI-2
    C3854240
    Date
    Description

    Unplanned Laboratory Test Date

    Data type

    date

    Measurement units
    • dd-mmm-yyyy
    Alias
    UMLS CUI [1,1]
    C2826641
    UMLS CUI [1,2]
    C3854240
    dd-mmm-yyyy
    Test
    Description

    Unplanned Laboratory Test

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0022885
    UMLS CUI [1,2]
    C3854240
    Value
    Description

    Unplanned Laboratory Test Value

    Data type

    float

    Alias
    UMLS CUI [1,1]
    C0022885
    UMLS CUI [1,2]
    C3854240
    UMLS CUI [1,3]
    C1522609
    Unit
    Description

    Unplanned Laboratory Test Unit

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0022885
    UMLS CUI [1,2]
    C3854240
    UMLS CUI [1,3]
    C1519795
    Unplanned Laboratory Test: Normal Range - Lower Limit
    Description

    Unplanned Laboratory Test Lower Limit

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0022885
    UMLS CUI [1,2]
    C3854240
    UMLS CUI [1,3]
    C1518030
    Unplanned Laboratory Test: Normal Range - Upper Limit
    Description

    Unplanned Laboratory Test Upper Limit

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0022885
    UMLS CUI [1,2]
    C3854240
    UMLS CUI [1,3]
    C1519815
    Vital Signs (Additional)
    Description

    Vital Signs (Additional)

    Alias
    UMLS CUI-1
    C0518766
    Date performed:
    Description

    Assessment Date

    Data type

    date

    Measurement units
    • dd-mmm-yyyy
    Alias
    UMLS CUI [1]
    C2985720
    dd-mmm-yyyy
    Weight
    Description

    Weight

    Data type

    float

    Measurement units
    • kg
    Alias
    UMLS CUI [1]
    C0005910
    kg
    Blood Pressure: Systolic
    Description

    Systolic Blood Pressure

    Data type

    float

    Measurement units
    • mmHg
    Alias
    UMLS CUI [1]
    C0871470
    mmHg
    Blood Pressure: Diastolic
    Description

    Diastolic Blood Pressure

    Data type

    float

    Measurement units
    • mmHg
    Alias
    UMLS CUI [1]
    C0428883
    mmHg
    Heart rate
    Description

    Heart Rate

    Data type

    float

    Measurement units
    • bpm
    Alias
    UMLS CUI [1]
    C0018810
    bpm
    Temperature
    Description

    Body Temperature

    Data type

    float

    Measurement units
    • Celsius
    Alias
    UMLS CUI [1]
    C0005903
    Celsius
    Performance Status: ECOG
    Description

    ECOG Performance Status

    Data type

    integer

    Alias
    UMLS CUI [1]
    C1520224
    Electrocardiogram (12 Lead) (Additional)
    Description

    Electrocardiogram (12 Lead) (Additional)

    Alias
    UMLS CUI-1
    C0013798
    Date performed:
    Description

    ECG Date

    Data type

    date

    Measurement units
    • dd-mmm-yyyy
    Alias
    UMLS CUI [1]
    C2826640
    dd-mmm-yyyy
    Interpretation
    Description

    ECG finding

    Data type

    text

    Alias
    UMLS CUI [1]
    C0438154
    Interpretation - If abnormal, clinically significant?
    Description

    If abnormal, clinically significant, record on the AE Form.

    Data type

    boolean

    Alias
    UMLS CUI [1,1]
    C0438154
    UMLS CUI [1,2]
    C2826279
    Dipstick Urinanalysis - Complete this page only if microscopic urinanalysis is not possible.
    Description

    Dipstick Urinanalysis - Complete this page only if microscopic urinanalysis is not possible.

    Alias
    UMLS CUI-1
    C0430370
    Date of sampling
    Description

    Collection date

    Data type

    date

    Measurement units
    • dd-mmm-yyyy
    Alias
    UMLS CUI [1]
    C1317250
    dd-mmm-yyyy
    White Blood Cells (qualitative)
    Description

    Urine Dipstick: White Blood Cells

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0023508
    UMLS CUI [1,2]
    C0430370
    Red Blood Cells (qualitative)
    Description

    Urine Dipstick: Red Blood Cells

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0014772
    UMLS CUI [1,2]
    C0430370
    Proteins (qualitative)
    Description

    Urine Dipstick: Proteins

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0033684
    UMLS CUI [1,2]
    C0430370
    Glucose (qualitiatve)
    Description

    Urine Dipstick: Glucose

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0017725
    UMLS CUI [1,2]
    C0430370
    Other Urine Dipstick Test
    Description

    Urine Dipstick: Other

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0205394
    UMLS CUI [1,2]
    C0430370
    Result of other Urine Dipstick Test:
    Description

    Urine Dipstick: Other Specification

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0205394
    UMLS CUI [1,2]
    C2348235
    UMLS CUI [1,3]
    C0430370
    Medication - Prior and Concomitant (Record all medications that the subject has taken within 21 days prior randomization and any medication taken during study)
    Description

    Medication - Prior and Concomitant (Record all medications that the subject has taken within 21 days prior randomization and any medication taken during study)

    Alias
    UMLS CUI-1
    C2826257
    UMLS CUI-3
    C2347852
    Drug/Medication (Brand or generic name)
    Description

    Medication

    Data type

    text

    Alias
    UMLS CUI [1]
    C0013227
    Reason
    Description

    Indication

    Data type

    text

    Alias
    UMLS CUI [1]
    C3146298
    Route
    Description

    Administration Route

    Data type

    text

    Alias
    UMLS CUI [1]
    C0013153
    Start Date
    Description

    Medication Start Date

    Data type

    date

    Measurement units
    • dd-mmm-yyyy
    Alias
    UMLS CUI [1]
    C3173309
    dd-mmm-yyyy
    End Date
    Description

    Medication End Date

    Data type

    date

    Measurement units
    • dd-mmm-yyyy
    Alias
    UMLS CUI [1]
    C2826744
    dd-mmm-yyyy
    OR Ongoing
    Description

    Medication Ongoing

    Data type

    boolean

    Alias
    UMLS CUI [1]
    C2826666
    Radiation Therapy: Concomitant - Post Treatment
    Description

    Radiation Therapy: Concomitant - Post Treatment

    Alias
    UMLS CUI-1
    C1522449
    Location
    Description

    Radiation Therapy: Location

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C1515974
    UMLS CUI [1,2]
    C1522449
    Start Date
    Description

    Radiation Therapy: Start Date

    Data type

    date

    Measurement units
    • dd-mmm-yyyy
    Alias
    UMLS CUI [1,1]
    C0808070
    UMLS CUI [1,2]
    C1522449
    dd-mmm-yyyy
    Stop Date
    Description

    Radtiation Therapy: Stop Date

    Data type

    date

    Measurement units
    • dd-mmm-yyyy
    Alias
    UMLS CUI [1,1]
    C0806020
    UMLS CUI [1,2]
    C1522449
    dd-mmm-yyyy
    Total Dose
    Description

    Radiation Therapy: Total Dose

    Data type

    float

    Alias
    UMLS CUI [1,1]
    C2986497
    UMLS CUI [1,2]
    C1522449
    Unit
    Description

    Radiation Therapy: Unit

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C1519795
    UMLS CUI [1,2]
    C1522449
    Intent
    Description

    Radiation Therapy: Intention

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C1283828
    UMLS CUI [1,2]
    C1522449
    Anti-Cancer Therapy: Concomitant - Post Systemic Therapies
    Description

    Anti-Cancer Therapy: Concomitant - Post Systemic Therapies

    Alias
    UMLS CUI-1
    C0920425
    Regimen No.
    Description

    Regimen Number

    Data type

    float

    Alias
    UMLS CUI [1,1]
    C0040808
    UMLS CUI [1,2]
    C0237753
    Drug Per Regimen
    Description

    Chemotherapy Regimen

    Data type

    text

    Alias
    UMLS CUI [1]
    C0392920
    Previously Reported
    Description

    Previously Reported

    Data type

    boolean

    Alias
    UMLS CUI [1]
    C0205309
    Therapy Type
    Description

    Therapy Type

    Data type

    text

    Alias
    UMLS CUI [1]
    C0087111
    Anti-Cancer Therapy: Start Date
    Description

    Anti-Cancer Therapy: Start Date

    Data type

    date

    Measurement units
    • dd-mmm-yyyy
    Alias
    UMLS CUI [1,1]
    C0808070
    UMLS CUI [1,2]
    C0920425
    dd-mmm-yyyy
    End Date
    Description

    Anti-Cancer Therapy: End Date

    Data type

    date

    Measurement units
    • dd-mmm-yyyy
    Alias
    UMLS CUI [1,1]
    C0806020
    UMLS CUI [1,2]
    C0920425
    dd-mmm-yyyy
    Ongoing
    Description

    Anti-Cancer Therapy: Ongoing

    Data type

    boolean

    Alias
    UMLS CUI [1,1]
    C0549178
    UMLS CUI [1,2]
    C0920425
    Surgery for Prostate Cancer: Concomitant - Post Treatment (Record relevant surgery information)
    Description

    Surgery for Prostate Cancer: Concomitant - Post Treatment (Record relevant surgery information)

    Alias
    UMLS CUI-1
    C0194790
    Surgery
    Description

    Operation on prostate

    Data type

    text

    Alias
    UMLS CUI [1]
    C0194790
    Surgery Date
    Description

    Date of operation on prostate

    Data type

    date

    Measurement units
    • dd-mmm-yyyy
    Alias
    UMLS CUI [1,1]
    C0194790
    UMLS CUI [1,2]
    C3258210
    dd-mmm-yyyy
    Other Procedures - Only for additional procedures related or performed as a result of an adverse event or for additional procedures not planned in the protocol but of interest to support safety analysis in the protocol.)
    Description

    Other Procedures - Only for additional procedures related or performed as a result of an adverse event or for additional procedures not planned in the protocol but of interest to support safety analysis in the protocol.)

    Alias
    UMLS CUI-1
    C0393107
    Procedure Description
    Description

    Procedure Description

    Data type

    text

    Alias
    UMLS CUI [1]
    C0807506
    Procedure Date
    Description

    Procedure Date

    Data type

    date

    Measurement units
    • dd-mmm-yyyy
    Alias
    UMLS CUI [1]
    C2584899
    dd-mmm-yyyy
    Outcome
    Description

    Outcome

    Data type

    text

    Alias
    UMLS CUI [1]
    C0085415
    If abnormal, Clinical significant?
    Description

    Abnormal Outcome

    Data type

    boolean

    Alias
    UMLS CUI [1,1]
    C0205161
    UMLS CUI [1,2]
    C0085415
    If YES, Specify:
    Description

    Abnormal Outcome Specification

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0205161
    UMLS CUI [1,2]
    C0085415
    UMLS CUI [1,3]
    C2348235
    Renal Failure Investigation
    Description

    Renal Failure Investigation

    Alias
    UMLS CUI-1
    C0035078
    UMLS CUI-2
    C0220825
    Procedure Description: Nephrological Examination - performed
    Description

    Nephrological Examination

    Data type

    boolean

    Alias
    UMLS CUI [1]
    C1696488
    Procedure Description: Kidney Biopsy - Performed?
    Description

    Kidney Biopsy

    Data type

    boolean

    Alias
    UMLS CUI [1]
    C0194073
    Procedure Date
    Description

    Renal Failure: Procedure Date

    Data type

    date

    Measurement units
    • dd-mmm-yyyy
    Alias
    UMLS CUI [1,1]
    C2584899
    UMLS CUI [1,2]
    C0035078
    dd-mmm-yyyy
    Outcome
    Description

    Renal Failure: Outcome

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0085565
    UMLS CUI [1,2]
    C0035078
    If Abnormal, Specify:
    Description

    Renal Failure: Outcome Specification

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0085565
    UMLS CUI [1,2]
    C0035078
    UMLS CUI [1,3]
    C2348235
    Procedures - Cystoscopy
    Description

    Procedures - Cystoscopy

    Alias
    UMLS CUI-1
    C0010702
    Procedure Description: Cystoscopy - Performed?
    Description

    Cystoscopy

    Data type

    boolean

    Alias
    UMLS CUI [1]
    C0010702
    Procedure Description: Bladder Biopsy - Performed?
    Description

    Bladder Biopsy

    Data type

    boolean

    Alias
    UMLS CUI [1]
    C0194379
    Procedure Date
    Description

    Cystoscopy: Procedure Date

    Data type

    date

    Measurement units
    • dd-mmm-yyyy
    Alias
    UMLS CUI [1,1]
    C2584899
    UMLS CUI [1,2]
    C0010702
    dd-mmm-yyyy
    Outcome
    Description

    Cystoscopy: Outcome

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0085565
    UMLS CUI [1,2]
    C0010702
    If Abnormal, Specify:
    Description

    Specification

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0085565
    UMLS CUI [1,2]
    C0010702
    UMLS CUI [1,3]
    C2348235
    Symptomatic Deterioration (To be filled in only in case of symptomatic deterioration without documented objective progression on tumor assessment, PSA and/or pain as defined in the protocol.)
    Description

    Symptomatic Deterioration (To be filled in only in case of symptomatic deterioration without documented objective progression on tumor assessment, PSA and/or pain as defined in the protocol.)

    Alias
    UMLS CUI-1
    C4086879
    Date
    Description

    Symptomatic Deterioration: Date

    Data type

    date

    Measurement units
    • dd-mmm-yyyy
    Alias
    UMLS CUI [1,1]
    C0011008
    UMLS CUI [1,2]
    C4086879
    dd-mmm-yyyy
    Subject Status
    Description

    Subject Status

    Alias
    UMLS CUI-1
    C3891295
    Date of last available information*:
    Description

    *In case of failing to recontact the patient, please use the information from the last actual contact for date of last available information.

    Data type

    date

    Measurement units
    • dd-mmm-yyyy
    Alias
    UMLS CUI [1,1]
    C0011008
    UMLS CUI [1,2]
    C1533716
    dd-mmm-yyyy
    Method of contact:
    Description

    Method of Contact

    Data type

    text

    Alias
    UMLS CUI [1]
    C1997600
    If Other, Specify:
    Description

    Method of Contact Specification

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C1997600
    UMLS CUI [1,2]
    C2348235
    Subject Status
    Description

    *In case of failing to recontact the patient, please use the information from the last actual contact for date of last available information. **If the patient died, please complete a DEATH report form

    Data type

    text

    Alias
    UMLS CUI [1]
    C3891295
    Consent withdrawn
    Description

    Informed Consent

    Data type

    boolean

    Alias
    UMLS CUI [1]
    C0021430
    If ticked, specify reason:
    Description

    Informed Consent Specification

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0021430
    UMLS CUI [1,2]
    C2348235

    Similar models

    CRFs Cabazitaxel Prostate Cancer NCT01308580 Additional

    Name
    Type
    Description | Question | Decode (Coded Value)
    Data type
    Alias
    Item Group
    Laboratory Tests Hematology
    C0022885 (UMLS CUI-1)
    C0474523 (UMLS CUI-2)
    Laboratory Test Date
    Item
    Date
    date
    C2826641 (UMLS CUI [1])
    Hemoglobin
    Item
    Hemoglobin
    float
    C0019046 (UMLS CUI [1])
    Platelets
    Item
    Platelet Count (Thrombocyte Count)
    float
    C0005821 (UMLS CUI [1])
    White Blood Cell Count
    Item
    White Blood Cell Count (Leukocyte Count)
    float
    C0023508 (UMLS CUI [1])
    Neutrophils
    Item
    Neutrophils
    float
    C0948762 (UMLS CUI [1])
    Lymphocytes
    Item
    Lymphocytes
    float
    C0024264 (UMLS CUI [1])
    Monocytes
    Item
    Monocytes
    float
    C0026473 (UMLS CUI [1])
    Eosinophils
    Item
    Eosinophils
    float
    C0200638 (UMLS CUI [1])
    Basophils
    Item
    Basophils
    float
    C0200641 (UMLS CUI [1])
    Item Group
    Laboratory Tests Biochemistry
    C0022885 (UMLS CUI-1)
    C0005477 (UMLS CUI-2)
    Laboratory Test Biochemistry Date
    Item
    Date
    date
    C2826641 (UMLS CUI [1,1])
    C0005477 (UMLS CUI [1,2])
    Sodium
    Item
    Sodium
    float
    C0337443 (UMLS CUI [1])
    Potassium
    Item
    Potassium
    float
    C0202194 (UMLS CUI [1])
    Calcium
    Item
    Calcium
    float
    C0201925 (UMLS CUI [1])
    Phosphorus
    Item
    Phosphorus
    float
    C0031705 (UMLS CUI [1])
    Blood Urea Nitrogen
    Item
    Blood urea nitrogen
    float
    C0005845 (UMLS CUI [1])
    Magnesium
    Item
    Magnesium
    float
    C0373675 (UMLS CUI [1])
    Total Proteins
    Item
    Total Proteins
    float
    C0555903 (UMLS CUI [1])
    Albumin
    Item
    Albumin
    float
    C0201838 (UMLS CUI [1])
    Blood Glucose
    Item
    Glucose
    float
    C0202042 (UMLS CUI [1])
    AST
    Item
    AST (SGOT - ASAT)
    float
    C0201899 (UMLS CUI [1])
    AST: Upper Limit
    Item
    AST (SGOT - ASAT): Normal Range - Upper Limit
    float
    C0201899 (UMLS CUI [1,1])
    C1519815 (UMLS CUI [1,2])
    ALT
    Item
    ALT (SGPT - ALAT)
    float
    C0201836 (UMLS CUI [1])
    ALT: Upper Limit
    Item
    ALT (SGPT - ALAT): Normal Range - Upper Limit
    float
    C0201836 (UMLS CUI [1,1])
    C1519815 (UMLS CUI [1,2])
    Alkaline Phosphatase
    Item
    Alkaline Phosphatase
    float
    C0201850 (UMLS CUI [1])
    Alkaline Phosphatase: Upper Limit
    Item
    Alkaline Phosphatase: Normal Range - Upper Limit
    float
    C0201850 (UMLS CUI [1,1])
    C1519815 (UMLS CUI [1,2])
    Total Bilirubin
    Item
    Total Bilirubin
    float
    C0201913 (UMLS CUI [1])
    Total Bilirubin: Upper Limit
    Item
    Total Bilirubin: Normal Range - Upper Limit
    float
    C0201913 (UMLS CUI [1,1])
    C1519815 (UMLS CUI [1,2])
    Creatinine
    Item
    Creatinine
    float
    C0201976 (UMLS CUI [1])
    Creatinine: Upper Limit
    Item
    Creatinine: Normal Range - Upper Limit
    float
    C0201976 (UMLS CUI [1,1])
    C1519815 (UMLS CUI [1,2])
    Lactate Dehydrogenase
    Item
    Lactate Dehydrogenase
    float
    C0202113 (UMLS CUI [1])
    Lactate Dehydrogenase: Upper Limit
    Item
    Lactate Dehydrogenase: Normal Range - Upper Limit
    float
    C0202113 (UMLS CUI [1,1])
    C1519815 (UMLS CUI [1,2])
    Item Group
    Laboratory Tests Urinanalysis
    C0042014 (UMLS CUI-1)
    Urine Sodium
    Item
    Sodium (Urine)
    float
    C1256585 (UMLS CUI [1])
    Urine Potassium
    Item
    Potassium (Urine)
    float
    C0202195 (UMLS CUI [1])
    Urine Calcium
    Item
    Calcium (Urine)
    float
    C0428303 (UMLS CUI [1])
    Urine Chloride
    Item
    Cholride (Urine)
    float
    C0201953 (UMLS CUI [1])
    Urine White Blood Cell Count
    Item
    White Blood Cell Count (Urine)
    float
    C0919738 (UMLS CUI [1])
    Urine Eosinophils
    Item
    Eosinophils (Urine)
    float
    C1141979 (UMLS CUI [1])
    Macroscopic Hematuria
    Item
    Red Blood Cells (Urine)
    float
    C0473237 (UMLS CUI [1])
    Urine Urea
    Item
    Urea (Urine)
    float
    C0428278 (UMLS CUI [1])
    Proteinuria
    Item
    Total Proteins (Urine)
    float
    C0033687 (UMLS CUI [1])
    Urine Creatinine
    Item
    Creatinine (Urine)
    float
    C0236441 (UMLS CUI [1])
    Item Group
    Tumor Markers - to follow until PSA progression
    C0041365 (UMLS CUI-1)
    Item
    Test: PSA
    text
    C0041365 (UMLS CUI [1,1])
    C0201544 (UMLS CUI [1,2])
    Code List
    Test: PSA
    CL Item
    PSA (PSA)
    Tumor Markers: Assessment Date
    Item
    Date of evaluation
    date
    C0041365 (UMLS CUI [1,1])
    C2985720 (UMLS CUI [1,2])
    Tumor Markers: PSA Test Value
    Item
    PSA Test Value
    float
    C0041365 (UMLS CUI [1,1])
    C0201544 (UMLS CUI [1,2])
    C1275372 (UMLS CUI [1,3])
    Tumor Markers: PSA Test Unit
    Item
    PSA Test: Unit
    text
    C0041365 (UMLS CUI [1,1])
    C0201544 (UMLS CUI [1,2])
    C1519795 (UMLS CUI [1,3])
    Tumor Markers: PSA Test Lower Limit
    Item
    PSA Test: Normal Range - Lower Limit
    text
    C0041365 (UMLS CUI [1,1])
    C0201544 (UMLS CUI [1,2])
    C1518030 (UMLS CUI [1,3])
    Tumor Markers: PSA Test Upper Limit
    Item
    PSA Test: Normal Range - Upper Limit
    text
    C0041365 (UMLS CUI [1,1])
    C0201544 (UMLS CUI [1,2])
    C1519815 (UMLS CUI [1,3])
    Item Group
    Laboratory Tests Unplanned
    C0022885 (UMLS CUI-1)
    C3854240 (UMLS CUI-2)
    Unplanned Laboratory Test Date
    Item
    Date
    date
    C2826641 (UMLS CUI [1,1])
    C3854240 (UMLS CUI [1,2])
    Unplanned Laboratory Test
    Item
    Test
    text
    C0022885 (UMLS CUI [1,1])
    C3854240 (UMLS CUI [1,2])
    Unplanned Laboratory Test Value
    Item
    Value
    float
    C0022885 (UMLS CUI [1,1])
    C3854240 (UMLS CUI [1,2])
    C1522609 (UMLS CUI [1,3])
    Unplanned Laboratory Test Unit
    Item
    Unit
    text
    C0022885 (UMLS CUI [1,1])
    C3854240 (UMLS CUI [1,2])
    C1519795 (UMLS CUI [1,3])
    Unplanned Laboratory Test Lower Limit
    Item
    Unplanned Laboratory Test: Normal Range - Lower Limit
    text
    C0022885 (UMLS CUI [1,1])
    C3854240 (UMLS CUI [1,2])
    C1518030 (UMLS CUI [1,3])
    Unplanned Laboratory Test Upper Limit
    Item
    Unplanned Laboratory Test: Normal Range - Upper Limit
    text
    C0022885 (UMLS CUI [1,1])
    C3854240 (UMLS CUI [1,2])
    C1519815 (UMLS CUI [1,3])
    Item Group
    Vital Signs (Additional)
    C0518766 (UMLS CUI-1)
    Assessment Date
    Item
    Date performed:
    date
    C2985720 (UMLS CUI [1])
    Weight
    Item
    Weight
    float
    C0005910 (UMLS CUI [1])
    Systolic Blood Pressure
    Item
    Blood Pressure: Systolic
    float
    C0871470 (UMLS CUI [1])
    Diastolic Blood Pressure
    Item
    Blood Pressure: Diastolic
    float
    C0428883 (UMLS CUI [1])
    Heart Rate
    Item
    Heart rate
    float
    C0018810 (UMLS CUI [1])
    Body Temperature
    Item
    Temperature
    float
    C0005903 (UMLS CUI [1])
    Item
    Performance Status: ECOG
    integer
    C1520224 (UMLS CUI [1])
    Code List
    Performance Status: ECOG
    CL Item
    0 (1)
    CL Item
    1 (2)
    CL Item
    2 (3)
    CL Item
    3 (4)
    CL Item
    4 (5)
    Item Group
    Electrocardiogram (12 Lead) (Additional)
    C0013798 (UMLS CUI-1)
    ECG Date
    Item
    Date performed:
    date
    C2826640 (UMLS CUI [1])
    Item
    Interpretation
    text
    C0438154 (UMLS CUI [1])
    Code List
    Interpretation
    CL Item
    Abnormal (Abnormal)
    CL Item
    Normal (Normal)
    ECG finding abnormal
    Item
    Interpretation - If abnormal, clinically significant?
    boolean
    C0438154 (UMLS CUI [1,1])
    C2826279 (UMLS CUI [1,2])
    Item Group
    Dipstick Urinanalysis - Complete this page only if microscopic urinanalysis is not possible.
    C0430370 (UMLS CUI-1)
    Collection date
    Item
    Date of sampling
    date
    C1317250 (UMLS CUI [1])
    Item
    White Blood Cells (qualitative)
    text
    C0023508 (UMLS CUI [1,1])
    C0430370 (UMLS CUI [1,2])
    Code List
    White Blood Cells (qualitative)
    CL Item
    Absent (Absent)
    CL Item
    + (+)
    CL Item
    ++ (++)
    CL Item
    +++ (+++)
    CL Item
    Not evalubale (Not evalubale)
    CL Item
    Not done (Not done)
    Item
    Red Blood Cells (qualitative)
    text
    C0014772 (UMLS CUI [1,1])
    C0430370 (UMLS CUI [1,2])
    Code List
    Red Blood Cells (qualitative)
    CL Item
    Absent (Absent)
    CL Item
    + (+)
    CL Item
    ++ (++)
    CL Item
    +++ (+++)
    CL Item
    Not evalubale (Not evalubale)
    CL Item
    Not done (Not done)
    Item
    Proteins (qualitative)
    text
    C0033684 (UMLS CUI [1,1])
    C0430370 (UMLS CUI [1,2])
    Code List
    Proteins (qualitative)
    CL Item
    Absent (Absent)
    CL Item
    + (+)
    CL Item
    ++ (++)
    CL Item
    +++ (+++)
    CL Item
    Not evalubale (Not evalubale)
    CL Item
    Not done (Not done)
    Item
    Glucose (qualitiatve)
    text
    C0017725 (UMLS CUI [1,1])
    C0430370 (UMLS CUI [1,2])
    Code List
    Glucose (qualitiatve)
    CL Item
    Absent (Absent)
    CL Item
    + (+)
    CL Item
    ++ (++)
    CL Item
    +++ (+++)
    CL Item
    Not evalubale (Not evalubale)
    CL Item
    Not done (Not done)
    Urine Dipstick: Other
    Item
    Other Urine Dipstick Test
    text
    C0205394 (UMLS CUI [1,1])
    C0430370 (UMLS CUI [1,2])
    Item
    Result of other Urine Dipstick Test:
    text
    C0205394 (UMLS CUI [1,1])
    C2348235 (UMLS CUI [1,2])
    C0430370 (UMLS CUI [1,3])
    Code List
    Result of other Urine Dipstick Test:
    CL Item
    Absent (Absent)
    CL Item
    + (+)
    CL Item
    ++ (++)
    CL Item
    +++ (+++)
    CL Item
    Not evalubale (Not evalubale)
    CL Item
    Not done (Not done)
    Item Group
    Medication - Prior and Concomitant (Record all medications that the subject has taken within 21 days prior randomization and any medication taken during study)
    C2826257 (UMLS CUI-1)
    C2347852 (UMLS CUI-3)
    Medication
    Item
    Drug/Medication (Brand or generic name)
    text
    C0013227 (UMLS CUI [1])
    Indication
    Item
    Reason
    text
    C3146298 (UMLS CUI [1])
    Administration Route
    Item
    Route
    text
    C0013153 (UMLS CUI [1])
    Medication Start Date
    Item
    Start Date
    date
    C3173309 (UMLS CUI [1])
    Medication End Date
    Item
    End Date
    date
    C2826744 (UMLS CUI [1])
    Medication Ongoing
    Item
    OR Ongoing
    boolean
    C2826666 (UMLS CUI [1])
    Item Group
    Radiation Therapy: Concomitant - Post Treatment
    C1522449 (UMLS CUI-1)
    Radiation Therapy: Location
    Item
    Location
    text
    C1515974 (UMLS CUI [1,1])
    C1522449 (UMLS CUI [1,2])
    Radiation Therapy: Start Date
    Item
    Start Date
    date
    C0808070 (UMLS CUI [1,1])
    C1522449 (UMLS CUI [1,2])
    Radtiation Therapy: Stop Date
    Item
    Stop Date
    date
    C0806020 (UMLS CUI [1,1])
    C1522449 (UMLS CUI [1,2])
    Radiation Therapy: Total Dose
    Item
    Total Dose
    float
    C2986497 (UMLS CUI [1,1])
    C1522449 (UMLS CUI [1,2])
    Item
    Unit
    text
    C1519795 (UMLS CUI [1,1])
    C1522449 (UMLS CUI [1,2])
    CL Item
    Grays (Grays)
    CL Item
    Rads (Rads)
    Item
    Intent
    text
    C1283828 (UMLS CUI [1,1])
    C1522449 (UMLS CUI [1,2])
    CL Item
    Palliative (Palliative)
    CL Item
    Curative (Curative)
    Item Group
    Anti-Cancer Therapy: Concomitant - Post Systemic Therapies
    C0920425 (UMLS CUI-1)
    Regimen Number
    Item
    Regimen No.
    float
    C0040808 (UMLS CUI [1,1])
    C0237753 (UMLS CUI [1,2])
    Chemotherapy Regimen
    Item
    Drug Per Regimen
    text
    C0392920 (UMLS CUI [1])
    Previously Reported
    Item
    Previously Reported
    boolean
    C0205309 (UMLS CUI [1])
    Therapy Type
    Item
    Therapy Type
    text
    C0087111 (UMLS CUI [1])
    Anti-Cancer Therapy: Start Date
    Item
    date
    C0808070 (UMLS CUI [1,1])
    C0920425 (UMLS CUI [1,2])
    Anti-Cancer Therapy: End Date
    Item
    End Date
    date
    C0806020 (UMLS CUI [1,1])
    C0920425 (UMLS CUI [1,2])
    Anti-Cancer Therapy: Ongoing
    Item
    Ongoing
    boolean
    C0549178 (UMLS CUI [1,1])
    C0920425 (UMLS CUI [1,2])
    Item Group
    Surgery for Prostate Cancer: Concomitant - Post Treatment (Record relevant surgery information)
    C0194790 (UMLS CUI-1)
    Operation on prostate
    Item
    Surgery
    text
    C0194790 (UMLS CUI [1])
    Date of operation on prostate
    Item
    Surgery Date
    date
    C0194790 (UMLS CUI [1,1])
    C3258210 (UMLS CUI [1,2])
    Item Group
    Other Procedures - Only for additional procedures related or performed as a result of an adverse event or for additional procedures not planned in the protocol but of interest to support safety analysis in the protocol.)
    C0393107 (UMLS CUI-1)
    Procedure Description
    Item
    Procedure Description
    text
    C0807506 (UMLS CUI [1])
    Procedure Date
    Item
    Procedure Date
    date
    C2584899 (UMLS CUI [1])
    Item
    Outcome
    text
    C0085415 (UMLS CUI [1])
    Code List
    Outcome
    CL Item
    Not applicable (Not applicable)
    CL Item
    Normal (Normal)
    CL Item
    Abnormal (Abnormal)
    Abnormal Outcome
    Item
    If abnormal, Clinical significant?
    boolean
    C0205161 (UMLS CUI [1,1])
    C0085415 (UMLS CUI [1,2])
    Abnormal Outcome Specification
    Item
    If YES, Specify:
    text
    C0205161 (UMLS CUI [1,1])
    C0085415 (UMLS CUI [1,2])
    C2348235 (UMLS CUI [1,3])
    Item Group
    Renal Failure Investigation
    C0035078 (UMLS CUI-1)
    C0220825 (UMLS CUI-2)
    Nephrological Examination
    Item
    Procedure Description: Nephrological Examination - performed
    boolean
    C1696488 (UMLS CUI [1])
    Kidney Biopsy
    Item
    Procedure Description: Kidney Biopsy - Performed?
    boolean
    C0194073 (UMLS CUI [1])
    Renal Failure: Procedure Date
    Item
    Procedure Date
    date
    C2584899 (UMLS CUI [1,1])
    C0035078 (UMLS CUI [1,2])
    Item
    Outcome
    text
    C0085565 (UMLS CUI [1,1])
    C0035078 (UMLS CUI [1,2])
    Code List
    Outcome
    CL Item
    Normal (Normal)
    CL Item
    Abnormal (Abnormal)
    Renal Failure: Outcome Specification
    Item
    If Abnormal, Specify:
    text
    C0085565 (UMLS CUI [1,1])
    C0035078 (UMLS CUI [1,2])
    C2348235 (UMLS CUI [1,3])
    Item Group
    Procedures - Cystoscopy
    C0010702 (UMLS CUI-1)
    Cystoscopy
    Item
    Procedure Description: Cystoscopy - Performed?
    boolean
    C0010702 (UMLS CUI [1])
    Bladder Biopsy
    Item
    Procedure Description: Bladder Biopsy - Performed?
    boolean
    C0194379 (UMLS CUI [1])
    Cystoscopy: Procedure Date
    Item
    Procedure Date
    date
    C2584899 (UMLS CUI [1,1])
    C0010702 (UMLS CUI [1,2])
    Item
    Outcome
    text
    C0085565 (UMLS CUI [1,1])
    C0010702 (UMLS CUI [1,2])
    Code List
    Outcome
    CL Item
    Normal (Normal)
    CL Item
    Abnormal (Abnormal)
    Specification
    Item
    If Abnormal, Specify:
    text
    C0085565 (UMLS CUI [1,1])
    C0010702 (UMLS CUI [1,2])
    C2348235 (UMLS CUI [1,3])
    Item Group
    Symptomatic Deterioration (To be filled in only in case of symptomatic deterioration without documented objective progression on tumor assessment, PSA and/or pain as defined in the protocol.)
    C4086879 (UMLS CUI-1)
    Symptomatic Deterioration: Date
    Item
    Date
    date
    C0011008 (UMLS CUI [1,1])
    C4086879 (UMLS CUI [1,2])
    Item Group
    Subject Status
    C3891295 (UMLS CUI-1)
    Date of Last Information
    Item
    Date of last available information*:
    date
    C0011008 (UMLS CUI [1,1])
    C1533716 (UMLS CUI [1,2])
    Item
    Method of contact:
    text
    C1997600 (UMLS CUI [1])
    Code List
    Method of contact:
    CL Item
    Scheduled Visit (Scheduled Visit)
    CL Item
    Phone (Phone)
    CL Item
    Other (Other)
    Method of Contact Specification
    Item
    If Other, Specify:
    text
    C1997600 (UMLS CUI [1,1])
    C2348235 (UMLS CUI [1,2])
    Item
    Subject Status
    text
    C3891295 (UMLS CUI [1])
    Code List
    Subject Status
    CL Item
    Alive  (Alive )
    CL Item
    Lost to follow-up* (Lost to follow-up*)
    CL Item
    Dead** (Dead**)
    Informed Consent
    Item
    Consent withdrawn
    boolean
    C0021430 (UMLS CUI [1])
    Informed Consent Specification
    Item
    If ticked, specify reason:
    text
    C0021430 (UMLS CUI [1,1])
    C2348235 (UMLS CUI [1,2])

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