ID

23036

Descrizione

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

collegamento

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

Keywords

  1. 26/08/12 26/08/12 -
  2. 20/06/17 20/06/17 - Martin Dugas
Caricato su

20 giugno 2017

DOI

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Licenza

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
Descrizione

Off-Study Summary

Alias
UMLS CUI-1
C1518546 (Off Study)
UMLS CUI-2
C1706244 (Summary (document))
LOINC
LP73428-2
Off Study Date
Descrizione

Off-Treatment Study Follow-Up Date

Tipo di dati

date

Unità di misura
  • mm/dd/yyyy
Alias
NCI Thesaurus ValueDomain
C25164 (undefined)
NCI Thesaurus ObjectClass
C25601 (undefined)
NCI Thesaurus ObjectClass-2
C15206 (undefined)
NCI Thesaurus Property
C25275 (undefined)
UMLS CUI [1,1]
C1518544 (Off Treatment)
UMLS CUI [1,2]
C0011008 (Date in time)
SNOMED
410671006
mm/dd/yyyy
Off Study Reason (select the primary reason)
Descrizione

Off Study Reason

Tipo di dati

integer

Alias
NCI Thesaurus ValueDomain
C25638 (undefined)
NCI Thesaurus Property
C16033 (undefined)
NCI Thesaurus ObjectClass
C25601 (undefined)
NCI Thesaurus ObjectClass-2
C15206 (undefined)
UMLS CUI [1,1]
C1518544 (Off Treatment)
UMLS CUI [1,2]
C0566251 (Reason and justification)
SNOMED
288830005
Other, specify
Descrizione

Off-Treatment Follow-Up

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25685 (undefined)
NCI Thesaurus Property
C16033 (undefined)
NCI Thesaurus ObjectClass
C25601 (undefined)
NCI Thesaurus ObjectClass-2
C15206 (undefined)
UMLS CUI [1,1]
C1518544 (Off Treatment)
UMLS CUI [1,2]
C1521902 (To specify)
Comments
Descrizione

Research Comments

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25704 (undefined)
NCI Thesaurus ObjectClass
C15319 (undefined)
NCI Thesaurus Property
C25393 (undefined)
UMLS CUI [1]
C0947611 (Comment)
LOINC
LP72293-1

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
genere
Description | Question | Decode (Coded Value)
Tipo di dati
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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