ID

9010

Description

E2408 Registration Worksheet (step 2) Bendamustine Hydrochloride and Rituximab With or Without Bortezomib Followed by Rituximab With or Without Lenalidomide in Treating Patients With High-Risk Stage II, Stage III, or Stage IV Follicular Lymphoma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=8E95E365-24C3-A131-E040-BB89AD431C79

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=8E95E365-24C3-A131-E040-BB89AD431C79

Keywords

Versions (2)
  1. 9/19/12 9/19/12 -
  2. 1/9/15 1/9/15 - Martin Dugas
Uploaded on

January 9, 2015

DOI

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License

Creative Commons BY-NC 3.0 Legacy
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Lymphoma NCT01216683 Eligibility - E2408 Registration Worksheet (step 2) - 3132466v1.0

English

No Instruction available.

1 forms  
  1. StudyEvent: E2408 Registration Worksheet (step 2)
    1. No Instruction available.
Eligibility
Description

Eligibility

Has the eligibility checklist been completed
Description

EligibilityDeterminationChecklistCompleteEligibilityInd-2

Data type

boolean

Alias
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
NCI Thesaurus Property
C25250
UMLS 2011AA Property
C0205197
NCI Thesaurus ObjectClass
C25171
UMLS 2011AA ObjectClass
C0013893
NCI Thesaurus Property-2
C49073
UMLS 2011AA Property-2
C1707357
In the opinion of the investigator, is the patient eligible?
Description

Eligibility for trial

Data type

boolean

Alias
NCI Thesaurus ValueDomain
C38148
UMLS CUI-1
C1302261
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25171
Note: The Ecog Registration Program Uses This Field To Store The Induction Treatment The Patient Was Assigned. Patient Stratification Is Based On This Value.
Description

Note: The Ecog Registration Program Uses This Field To Store The Induction Treatment The Patient Was Assigned. Patient Stratification Is Based On This Value.

Note: The Ecog Registration Program Uses This Field To Store The Ecog Patient Id.
Description

Note: The Ecog Registration Program Uses This Field To Store The Ecog Patient Id.

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Similar models

No Instruction available.

1 forms
  1. StudyEvent: E2408 Registration Worksheet (step 2)
    1. No Instruction available.
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Eligibility
EligibilityDeterminationChecklistCompleteEligibilityInd-2
Item
Has the eligibility checklist been completed
boolean
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C25250 (NCI Thesaurus Property)
C0205197 (UMLS 2011AA Property)
C25171 (NCI Thesaurus ObjectClass)
C0013893 (UMLS 2011AA ObjectClass)
C49073 (NCI Thesaurus Property-2)
C1707357 (UMLS 2011AA Property-2)
Eligibility for trial
Item
In the opinion of the investigator, is the patient eligible?
boolean
C38148 (NCI Thesaurus ValueDomain)
C1302261 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25171 (NCI Thesaurus Property)
Item Group
Note: The Ecog Registration Program Uses This Field To Store The Induction Treatment The Patient Was Assigned. Patient Stratification Is Based On This Value.
Item Group
Note: The Ecog Registration Program Uses This Field To Store The Ecog Patient Id.
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