ID
2577
Description
AMC-053 Lymphoma Response Form (LYR) Bortezomib, Ifosfamide, Carboplatin, and Etoposide, With or Without Rituximab, in Treating Patients With Relapsed or Refractory AIDS-Related Non-Hodgkin Lymphoma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=8B73192C-C1AD-46D4-E040-BB89AD433800
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Keywords
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- 9/19/12 9/19/12 -
- 8/28/17 8/28/17 -
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September 19, 2012
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Creative Commons BY-NC 3.0 Legacy
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NCT00598169 Response - AMC-053 Lymphoma Response Form (LYR) - 3122916v1.0
This form is to be updated at each response assessment time point defined in the protocol. Please see protocol for guidelines for response evaluation using International Lymphoma Response Criteria Guidelines (J Clin Oncol 17:1244-1253, 1999)
Description
Extra Nodal Involvement Evaluation
Description
CompleteResponseFirstObservedInd-2
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C25755
- UMLS 2011AA ObjectClass
- C0871261
- NCI Thesaurus ObjectClass
- C25250
- UMLS 2011AA ObjectClass
- C0205197
- NCI Thesaurus Property
- C25509
- UMLS 2011AA Property
- C1279901
- NCI Thesaurus Property
- C25599
- UMLS 2011AA Property
- C1441672
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
Description
CompleteResponseFirstObservedDate
Data type
date
Alias
- NCI Thesaurus ObjectClass
- C25755
- UMLS 2011AA ObjectClass
- C0871261
- NCI Thesaurus ObjectClass
- C25250
- UMLS 2011AA ObjectClass
- C0205197
- NCI Thesaurus Property
- C25509
- UMLS 2011AA Property
- C1279901
- NCI Thesaurus Property
- C25599
- UMLS 2011AA Property
- C1441672
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ValueDomain
- C25367
Description
CompleteResponseConfirmedInd-3
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
- NCI Thesaurus ObjectClass
- C25755
- UMLS 2011AA ObjectClass
- C0871261
- NCI Thesaurus ObjectClass
- C25250
- UMLS 2011AA ObjectClass
- C0205197
- NCI Thesaurus Property
- C25458
- UMLS 2011AA Property
- C0750484
Description
CompleteResponseConfirmedDate
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ObjectClass
- C25755
- UMLS 2011AA ObjectClass
- C0871261
- NCI Thesaurus ObjectClass
- C25250
- UMLS 2011AA ObjectClass
- C0205197
- NCI Thesaurus Property
- C25458
- UMLS 2011AA Property
- C0750484
Description
Extra Nodal Involvement Evaluation
Description
NegationConfirmedCompleteResponseFirstObservedInd-2
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C25755
- UMLS 2011AA ObjectClass
- C0871261
- NCI Thesaurus ObjectClass
- C25250
- UMLS 2011AA ObjectClass
- C0205197
- NCI Thesaurus ObjectClass
- C25458
- UMLS 2011AA ObjectClass
- C0750484
- NCI Thesaurus ObjectClass
- C25594
- UMLS 2011AA ObjectClass
- C1518422
- NCI Thesaurus Property
- C25509
- UMLS 2011AA Property
- C1279901
- NCI Thesaurus Property
- C25599
- UMLS 2011AA Property
- C1441672
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
Description
NegationConfirmedCompleteResponseFirstObservedDate
Data type
date
Alias
- NCI Thesaurus ObjectClass
- C25755
- UMLS 2011AA ObjectClass
- C0871261
- NCI Thesaurus ObjectClass
- C25250
- UMLS 2011AA ObjectClass
- C0205197
- NCI Thesaurus ObjectClass
- C25458
- UMLS 2011AA ObjectClass
- C0750484
- NCI Thesaurus ObjectClass
- C25594
- UMLS 2011AA ObjectClass
- C1518422
- NCI Thesaurus Property
- C25509
- UMLS 2011AA Property
- C1279901
- NCI Thesaurus Property
- C25599
- UMLS 2011AA Property
- C1441672
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
Description
NegationConfirmedCompleteResponseConfirmedInd-2
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C25755
- UMLS 2011AA ObjectClass
- C0871261
- NCI Thesaurus ObjectClass
- C25250
- UMLS 2011AA ObjectClass
- C0205197
- NCI Thesaurus ObjectClass
- C25458
- UMLS 2011AA ObjectClass
- C0750484
- NCI Thesaurus ObjectClass
- C25594
- UMLS 2011AA ObjectClass
- C1518422
- NCI Thesaurus Property
- C25458
- UMLS 2011AA Property
- C0750484
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
Description
NegationConfirmedCompleteResponseConfirmedDate
Data type
date
Alias
- NCI Thesaurus ObjectClass
- C25755
- UMLS 2011AA ObjectClass
- C0871261
- NCI Thesaurus ObjectClass
- C25250
- UMLS 2011AA ObjectClass
- C0205197
- NCI Thesaurus ObjectClass
- C25458
- UMLS 2011AA ObjectClass
- C0750484
- NCI Thesaurus ObjectClass
- C25594
- UMLS 2011AA ObjectClass
- C1518422
- NCI Thesaurus Property
- C25458
- UMLS 2011AA Property
- C0750484
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
Description
Extra Nodal Involvement Evaluation
Description
PartialResponseFirstObservedInd-2
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C25755
- UMLS 2011AA ObjectClass
- C0871261
- NCI Thesaurus ObjectClass
- C25378
- UMLS 2011AA ObjectClass
- C0728938
- NCI Thesaurus Property
- C25509
- UMLS 2011AA Property
- C1279901
- NCI Thesaurus Property
- C25599
- UMLS 2011AA Property
- C1441672
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
Description
PartialResponseFirstObservedDate
Data type
date
Alias
- NCI Thesaurus ObjectClass
- C25755
- UMLS 2011AA ObjectClass
- C0871261
- NCI Thesaurus ObjectClass
- C25378
- UMLS 2011AA ObjectClass
- C0728938
- NCI Thesaurus Property
- C25509
- UMLS 2011AA Property
- C1279901
- NCI Thesaurus Property
- C25599
- UMLS 2011AA Property
- C1441672
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ValueDomain
- C25367
Description
PartialResponseConfirmedInd-3
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C25755
- UMLS 2011AA ObjectClass
- C0871261
- NCI Thesaurus ObjectClass
- C25378
- UMLS 2011AA ObjectClass
- C0728938
- NCI Thesaurus Property
- C25458
- UMLS 2011AA Property
- C0750484
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
- NCI Thesaurus ValueDomain
- C25755
- UMLS 2011AA ValueDomain
- C0871261
Description
PartialResponseConfirmedDate
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ObjectClass
- C25755
- UMLS 2011AA ObjectClass
- C0871261
- NCI Thesaurus Property
- C25458
- UMLS 2011AA Property
- C0750484
- NCI Thesaurus ObjectClass
- C25378
- UMLS 2011AA ObjectClass
- C0728938
Description
Extra Nodal Involvement Evaluation
Description
DiseaseNewProgressionInd-2
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
- NCI Thesaurus Property
- C25586
- UMLS 2011AA Property
- C0205314
- NCI Thesaurus Property
- C25331
- NCI Thesaurus ObjectClass
- C2991
- UMLS 2011AA ObjectClass
- C0012634
Description
ProgressionFirstObservedDate
Data type
date
Alias
- NCI Thesaurus ObjectClass
- C25331
- NCI Thesaurus Property
- C25509
- UMLS 2011AA Property
- C1279901
- NCI Thesaurus Property
- C25599
- UMLS 2011AA Property
- C1441672
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ValueDomain
- C25367
Description
DiseaseProgressionSite
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C13717
- UMLS 2011AA ValueDomain
- C1515974
- NCI Thesaurus Property
- C25331
- NCI Thesaurus ObjectClass
- C2991
- UMLS 2011AA ObjectClass
- C0012634
Description
CentralNervousSystemProgressionInd-3
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
- NCI Thesaurus Property
- C25331
- NCI Thesaurus ObjectClass
- C12438
- UMLS 2011AA ObjectClass
- C0927232
Description
LeptomeningesCNSInvolvedInd-3
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
- NCI Thesaurus ObjectClass
- C12438
- UMLS 2011AA ObjectClass
- C0927232
- NCI Thesaurus Property
- C25547
- NCI Thesaurus ObjectClass
- C32979
- UMLS 2011AA ObjectClass
- C0228126
Description
BrainParenchymalInvolvedInd-3
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
- NCI Thesaurus ObjectClass
- C12439
- UMLS 2011AA ObjectClass
- C0006104
- NCI Thesaurus Property
- C25547
- NCI Thesaurus Property
- C74601
- UMLS 2011AA Property
- C0933845
Description
ResearchCommentsText
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS 2011AA ValueDomain
- C1527021
- NCI Thesaurus ObjectClass
- C15319
- NCI Thesaurus Property
- C25393
- UMLS 2011AA Property
- C0282411
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This form is to be updated at each response assessment time point defined in the protocol. Please see protocol for guidelines for response evaluation using International Lymphoma Response Criteria Guidelines (J Clin Oncol 17:1244-1253, 1999)
C0006826 (UMLS 2011AA ObjectClass)
C16033 (NCI Thesaurus Property)
C1522577 (UMLS 2011AA Property)
C25365 (NCI Thesaurus Property)
C0678257 (UMLS 2011AA Property)
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C25250 (NCI Thesaurus ObjectClass)
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C0750484 (UMLS 2011AA ObjectClass)
C25594 (NCI Thesaurus ObjectClass)
C1518422 (UMLS 2011AA ObjectClass)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)
C25599 (NCI Thesaurus Property)
C1441672 (UMLS 2011AA Property)
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C1298908 (UMLS 2011AA)
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C0750484 (UMLS 2011AA ObjectClass)
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C1518422 (UMLS 2011AA ObjectClass)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)
C25599 (NCI Thesaurus Property)
C1441672 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C0871261 (UMLS 2011AA ObjectClass)
C25250 (NCI Thesaurus ObjectClass)
C0205197 (UMLS 2011AA ObjectClass)
C25458 (NCI Thesaurus ObjectClass)
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C1512698 (UMLS 2011AA ValueDomain)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0871261 (UMLS 2011AA ObjectClass)
C25378 (NCI Thesaurus ObjectClass)
C0728938 (UMLS 2011AA ObjectClass)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)
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C1441672 (UMLS 2011AA Property)
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C0750484 (UMLS 2011AA Property)
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C1512699 (UMLS 2011AA ValueDomain)
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C0871261 (UMLS 2011AA ValueDomain)
C1705108 (UMLS 2011AA)
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C25755 (NCI Thesaurus ObjectClass)
C0871261 (UMLS 2011AA ObjectClass)
C25458 (NCI Thesaurus Property)
C0750484 (UMLS 2011AA Property)
C25378 (NCI Thesaurus ObjectClass)
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C1512698 (UMLS 2011AA ValueDomain)
C25586 (NCI Thesaurus Property)
C0205314 (UMLS 2011AA Property)
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C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)
C25599 (NCI Thesaurus Property)
C1441672 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25367 (NCI Thesaurus ValueDomain)
C1515974 (UMLS 2011AA ValueDomain)
C25331 (NCI Thesaurus Property)
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C0012634 (UMLS 2011AA ObjectClass)
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C12438 (NCI Thesaurus ObjectClass)
C0927232 (UMLS 2011AA ObjectClass)
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C1298908 (UMLS 2011AA)
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C0228126 (UMLS 2011AA ObjectClass)
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