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ID

23036

Description

AMC-061 Off Study Summary Form (F50) Sunitinib Malate in Treating HIV-Positive Patients With Cancer Undergoing Highly Active Antiretroviral Therapy https://clinicaltrials.gov/ct2/show/NCT00890747

Lien

https://clinicaltrials.gov/ct2/show/NCT00890747

Mots-clés

  1. 26/08/2012 26/08/2012 -
  2. 20/06/2017 20/06/2017 - Martin Dugas
Téléchargé le

20 juin 2017

DOI

Pour une demande vous connecter.

Licence

Creative Commons BY 4.0

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    Sunitinib in HIV with Cancer NCT00890747 AMC-061

    Please submit this form if the subject has (at least one of the following): 1) completed the post treatment follow-up period per protocol 2) been lost to follow-up 3) has refused follow-up 4) withdrew consent 5) has died. (Note: If all follow-up for a subject has been completed, all subjects (except those never initiating protocol therapy) must have both an Off Protocol Treatment Summary form and Off Study Summary form submitted.)

    Off-Study Summary
    Description

    Off-Study Summary

    Alias
    UMLS CUI-1
    C1518546
    UMLS CUI-2
    C1706244
    Off Study Date
    Description

    Off-Treatment Study Follow-Up Date

    Type de données

    date

    Unités de mesure
    • mm/dd/yyyy
    Alias
    NCI Thesaurus ValueDomain
    C25164
    NCI Thesaurus ObjectClass
    C25601
    NCI Thesaurus ObjectClass-2
    C15206
    NCI Thesaurus Property
    C25275
    UMLS CUI [1,1]
    C1518544
    UMLS CUI [1,2]
    C0011008
    mm/dd/yyyy
    Off Study Reason (select the primary reason)
    Description

    Off Study Reason

    Type de données

    integer

    Alias
    NCI Thesaurus ValueDomain
    C25638
    NCI Thesaurus Property
    C16033
    NCI Thesaurus ObjectClass
    C25601
    NCI Thesaurus ObjectClass-2
    C15206
    UMLS CUI [1,1]
    C1518544
    UMLS CUI [1,2]
    C0566251
    Other, specify
    Description

    Off-Treatment Follow-Up

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    NCI Thesaurus Property
    C16033
    NCI Thesaurus ObjectClass
    C25601
    NCI Thesaurus ObjectClass-2
    C15206
    UMLS CUI [1,1]
    C1518544
    UMLS CUI [1,2]
    C1521902
    Comments
    Description

    Research Comments

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25704
    NCI Thesaurus ObjectClass
    C15319
    NCI Thesaurus Property
    C25393
    UMLS CUI [1]
    C0947611

    Similar models

    Please submit this form if the subject has (at least one of the following): 1) completed the post treatment follow-up period per protocol 2) been lost to follow-up 3) has refused follow-up 4) withdrew consent 5) has died. (Note: If all follow-up for a subject has been completed, all subjects (except those never initiating protocol therapy) must have both an Off Protocol Treatment Summary form and Off Study Summary form submitted.)

    Name
    Type
    Description | Question | Decode (Coded Value)
    Type de données
    Alias
    Item Group
    Off-Study Summary
    C1518546 (UMLS CUI-1)
    C1706244 (UMLS CUI-2)
    Off-Treatment Study Follow-Up Date
    Item
    Off Study Date
    date
    C25164 (NCI Thesaurus ValueDomain)
    C25601 (NCI Thesaurus ObjectClass)
    C15206 (NCI Thesaurus ObjectClass-2)
    C25275 (NCI Thesaurus Property)
    C1518544 (UMLS CUI [1,1])
    C0011008 (UMLS CUI [1,2])
    Item
    Off Study Reason (select the primary reason)
    integer
    C25638 (NCI Thesaurus ValueDomain)
    C16033 (NCI Thesaurus Property)
    C25601 (NCI Thesaurus ObjectClass)
    C15206 (NCI Thesaurus ObjectClass-2)
    C1518544 (UMLS CUI [1,1])
    C0566251 (UMLS CUI [1,2])
    Code List
    Off Study Reason (select the primary reason)
    CL Item
    Protocol-defined Follow-up Completed (1)
    C1522577 (UMLS CUI-1)
    C0205197 (UMLS CUI-2)
    CL Item
    Patient lost to follow-up (2)
    C2348579 (UMLS CUI-1)
    CL Item
    Patient refused follow-up (3)
    C0580699 (UMLS CUI-1)
    CL Item
    Death (4)
    C0011065 (UMLS CUI-1)
    CL Item
    Adverse Event/Side Effects/Complications (5)
    C0877248 (UMLS CUI-1)
    CL Item
    Other (6)
    C0205394 (UMLS CUI-1)
    Off-Treatment Follow-Up
    Item
    Other, specify
    text
    C25685 (NCI Thesaurus ValueDomain)
    C16033 (NCI Thesaurus Property)
    C25601 (NCI Thesaurus ObjectClass)
    C15206 (NCI Thesaurus ObjectClass-2)
    C1518544 (UMLS CUI [1,1])
    C1521902 (UMLS CUI [1,2])
    Research Comments
    Item
    Comments
    text
    C25704 (NCI Thesaurus ValueDomain)
    C15319 (NCI Thesaurus ObjectClass)
    C25393 (NCI Thesaurus Property)
    C0947611 (UMLS CUI [1])

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