ID

27028

Beschrijving

Study to Evaluate the Effect of Sulforaphane in Broccoli Sprout Extract on Breast Tissue; ODM derived from: https://clinicaltrials.gov/show/NCT00982319

Link

https://clinicaltrials.gov/show/NCT00982319

Trefwoorden

Versies (1)
  1. 29-10-17 29-10-17 -
Houder van rechten

See clinicaltrials.gov

Geüploaded op

29 oktober 2017

DOI

Voor een aanvraag inloggen.

Licentie

Creative Commons BY 4.0
Model Commentaren :

Hier kunt u commentaar leveren op het model. U kunt de tekstballonnen bij de itemgroepen en items gebruiken om er specifiek commentaar op te geven.

Terug naar het model Commentaren
Itemgroep Commentaren voor :

Item Commentaren voor :

U moet ingelogd zijn om formulieren te downloaden. AUB inloggen of schrijf u gratis in.

Eligibility Breast Cancer NCT00982319

Engels

Eligibility Breast Cancer NCT00982319

1 Formulieren  
Inclusion Criteria
Beschrijving

Inclusion Criteria

Alias
UMLS CUI
C1512693
female 18 + years of age
Beschrijving

Gender | Age

Datatype

boolean

Alias
UMLS CUI [1]
C0079399
UMLS CUI [2]
C0001779
confirmed diagnosis of dcis on core or excisional/incisional biopsy and scheduled for definitive surgery
Beschrijving

DCIS Core needle biopsy | DCIS Excision biopsy | DCIS Incisional biopsy | Operative Surgical Procedures Definitive Scheduled

Datatype

boolean

Alias
UMLS CUI [1,1]
C0007124
UMLS CUI [1,2]
C1318309
UMLS CUI [2,1]
C0007124
UMLS CUI [2,2]
C0184921
UMLS CUI [3,1]
C0007124
UMLS CUI [3,2]
C0184922
UMLS CUI [4,1]
C0543467
UMLS CUI [4,2]
C0443196
UMLS CUI [4,3]
C0205539
pre or post menopausal women reporting no use of hormone replacement therapy, tamoxifen or raloxifene within the prior 6 months to eligibility screening
Beschrijving

Premenopausal state | Postmenopausal state | Hormone replacement therapy Absent | Tamoxifen Absent | Raloxifene Absent

Datatype

boolean

Alias
UMLS CUI [1]
C0232969
UMLS CUI [2]
C0232970
UMLS CUI [3,1]
C0282402
UMLS CUI [3,2]
C0332197
UMLS CUI [4,1]
C0039286
UMLS CUI [4,2]
C0332197
UMLS CUI [5,1]
C0244404
UMLS CUI [5,2]
C0332197
agree to avoid cruciferous vegetable/condiment intake for 14 days
Beschrijving

Avoidance Cruciferous vegetable -

Datatype

boolean

Alias
UMLS CUI [1,1]
C0870186
UMLS CUI [1,2]
C0453113
agree to sign an informed consent and allow use of some tissue (slides) from biopsy and definitive surgery for research purposes
Beschrijving

Informed Consent | Biopsy Tissue specimen Availabile | Operative Surgical Procedures Tissue specimen Available | Research Purpose

Datatype

boolean

Alias
UMLS CUI [1]
C0021430
UMLS CUI [2,1]
C0005558
UMLS CUI [2,2]
C1292533
UMLS CUI [2,3]
C0470187
UMLS CUI [3,1]
C0543467
UMLS CUI [3,2]
C1292533
UMLS CUI [3,3]
C0470187
UMLS CUI [4,1]
C0035168
UMLS CUI [4,2]
C1285529
Exclusion Criteria
Beschrijving

Exclusion Criteria

Alias
UMLS CUI
C0680251
prior cancer diagnosis other than non-melanomatous skin cancer or cervical carcinoma in-situ
Beschrijving

Malignant Neoplasms | Exception Skin carcinoma | Exception Carcinoma in situ of uterine cervix

Datatype

boolean

Alias
UMLS CUI [1]
C0006826
UMLS CUI [2,1]
C1705847
UMLS CUI [2,2]
C0699893
UMLS CUI [3,1]
C1705847
UMLS CUI [3,2]
C0851140
used hormone replacement therapy, tamoxifen or raloxifene within the past 6 months prior to eligibility screening
Beschrijving

Hormone replacement therapy | Tamoxifen | Raloxifene

Datatype

boolean

Alias
UMLS CUI [1]
C0282402
UMLS CUI [2]
C0039286
UMLS CUI [3]
C0244404
used antibiotics within 10 days prior to beginning cruciferous free diet (day -14 prior to surgery)
Beschrijving

Antibiotics | Diet Cruciferous vegetables Free of

Datatype

boolean

Alias
UMLS CUI [1]
C0003232
UMLS CUI [2,1]
C0012159
UMLS CUI [2,2]
C0453113
UMLS CUI [2,3]
C0332296
smoked within the past 12 months prior to eligibility screening;
Beschrijving

Tobacco use

Datatype

boolean

Alias
UMLS CUI [1]
C0543414
active infection or inflammation of the breast at time of eligibility screening
Beschrijving

Breast infection | Inflammatory disorder of breast

Datatype

boolean

Alias
UMLS CUI [1]
C0392317
UMLS CUI [2]
C3495439
has baseline comprehensive metabolic panel (cmp) [glucose, calcium, albumin, serum total protein (tp), sodium, potassium, carbon dioxide, chloride, blood urea nitrogen (bun), creatinine, alkaline phosphatase (alp), alanine amino transferase (ast), aspartate amino transferase (sgot), and bilirubin], prothrombin time (pt) and , complete blood count (cbc) values that are 1.5 times in either direction the reported normal range
Beschrijving

Comprehensive metabolic panel | Glucose measurement | Calcium measurement | Albumin measurement | Serum total protein measurement | Sodium measurement | Potassium measurement | Carbon dioxide measurement | Chloride measurement | Blood urea nitrogen measurement | Creatinine measurement, serum | Alkaline phosphatase measurement | Alanine aminotransferase measurement | Aspartate aminotransferase measurement | Serum total bilirubin measurement | Prothrombin time assay | Complete Blood Count

Datatype

boolean

Alias
UMLS CUI [1]
C0519825
UMLS CUI [2]
C0337438
UMLS CUI [3]
C0201925
UMLS CUI [4]
C0201838
UMLS CUI [5]
C0036836
UMLS CUI [6]
C0337443
UMLS CUI [7]
C0202194
UMLS CUI [8]
C0201930
UMLS CUI [9]
C0201952
UMLS CUI [10]
C0005845
UMLS CUI [11]
C0201976
UMLS CUI [12]
C0201850
UMLS CUI [13]
C0201836
UMLS CUI [14]
C0201899
UMLS CUI [15]
C1278039
UMLS CUI [16]
C0033707
UMLS CUI [17]
C0009555
Terug naar het begin van de pagina

Similar models

Eligibility Breast Cancer NCT00982319

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
C1512693 (UMLS CUI)
Gender | Age
Item
female 18 + years of age
boolean
C0079399 (UMLS CUI [1])
C0001779 (UMLS CUI [2])
DCIS Core needle biopsy | DCIS Excision biopsy | DCIS Incisional biopsy | Operative Surgical Procedures Definitive Scheduled
Item
confirmed diagnosis of dcis on core or excisional/incisional biopsy and scheduled for definitive surgery
boolean
C0007124 (UMLS CUI [1,1])
C1318309 (UMLS CUI [1,2])
C0007124 (UMLS CUI [2,1])
C0184921 (UMLS CUI [2,2])
C0007124 (UMLS CUI [3,1])
C0184922 (UMLS CUI [3,2])
C0543467 (UMLS CUI [4,1])
C0443196 (UMLS CUI [4,2])
C0205539 (UMLS CUI [4,3])
Premenopausal state | Postmenopausal state | Hormone replacement therapy Absent | Tamoxifen Absent | Raloxifene Absent
Item
pre or post menopausal women reporting no use of hormone replacement therapy, tamoxifen or raloxifene within the prior 6 months to eligibility screening
boolean
C0232969 (UMLS CUI [1])
C0232970 (UMLS CUI [2])
C0282402 (UMLS CUI [3,1])
C0332197 (UMLS CUI [3,2])
C0039286 (UMLS CUI [4,1])
C0332197 (UMLS CUI [4,2])
C0244404 (UMLS CUI [5,1])
C0332197 (UMLS CUI [5,2])
Avoidance Cruciferous vegetable -
Item
agree to avoid cruciferous vegetable/condiment intake for 14 days
boolean
C0870186 (UMLS CUI [1,1])
C0453113 (UMLS CUI [1,2])
Informed Consent | Biopsy Tissue specimen Availabile | Operative Surgical Procedures Tissue specimen Available | Research Purpose
Item
agree to sign an informed consent and allow use of some tissue (slides) from biopsy and definitive surgery for research purposes
boolean
C0021430 (UMLS CUI [1])
C0005558 (UMLS CUI [2,1])
C1292533 (UMLS CUI [2,2])
C0470187 (UMLS CUI [2,3])
C0543467 (UMLS CUI [3,1])
C1292533 (UMLS CUI [3,2])
C0470187 (UMLS CUI [3,3])
C0035168 (UMLS CUI [4,1])
C1285529 (UMLS CUI [4,2])
Item Group
C0680251 (UMLS CUI)
Malignant Neoplasms | Exception Skin carcinoma | Exception Carcinoma in situ of uterine cervix
Item
prior cancer diagnosis other than non-melanomatous skin cancer or cervical carcinoma in-situ
boolean
C0006826 (UMLS CUI [1])
C1705847 (UMLS CUI [2,1])
C0699893 (UMLS CUI [2,2])
C1705847 (UMLS CUI [3,1])
C0851140 (UMLS CUI [3,2])
Hormone replacement therapy | Tamoxifen | Raloxifene
Item
used hormone replacement therapy, tamoxifen or raloxifene within the past 6 months prior to eligibility screening
boolean
C0282402 (UMLS CUI [1])
C0039286 (UMLS CUI [2])
C0244404 (UMLS CUI [3])
Antibiotics | Diet Cruciferous vegetables Free of
Item
used antibiotics within 10 days prior to beginning cruciferous free diet (day -14 prior to surgery)
boolean
C0003232 (UMLS CUI [1])
C0012159 (UMLS CUI [2,1])
C0453113 (UMLS CUI [2,2])
C0332296 (UMLS CUI [2,3])
Tobacco use
Item
smoked within the past 12 months prior to eligibility screening;
boolean
C0543414 (UMLS CUI [1])
Breast infection | Inflammatory disorder of breast
Item
active infection or inflammation of the breast at time of eligibility screening
boolean
C0392317 (UMLS CUI [1])
C3495439 (UMLS CUI [2])
Comprehensive metabolic panel | Glucose measurement | Calcium measurement | Albumin measurement | Serum total protein measurement | Sodium measurement | Potassium measurement | Carbon dioxide measurement | Chloride measurement | Blood urea nitrogen measurement | Creatinine measurement, serum | Alkaline phosphatase measurement | Alanine aminotransferase measurement | Aspartate aminotransferase measurement | Serum total bilirubin measurement | Prothrombin time assay | Complete Blood Count
Item
has baseline comprehensive metabolic panel (cmp) [glucose, calcium, albumin, serum total protein (tp), sodium, potassium, carbon dioxide, chloride, blood urea nitrogen (bun), creatinine, alkaline phosphatase (alp), alanine amino transferase (ast), aspartate amino transferase (sgot), and bilirubin], prothrombin time (pt) and , complete blood count (cbc) values that are 1.5 times in either direction the reported normal range
boolean
C0519825 (UMLS CUI [1])
C0337438 (UMLS CUI [2])
C0201925 (UMLS CUI [3])
C0201838 (UMLS CUI [4])
C0036836 (UMLS CUI [5])
C0337443 (UMLS CUI [6])
C0202194 (UMLS CUI [7])
C0201930 (UMLS CUI [8])
C0201952 (UMLS CUI [9])
C0005845 (UMLS CUI [10])
C0201976 (UMLS CUI [11])
C0201850 (UMLS CUI [12])
C0201836 (UMLS CUI [13])
C0201899 (UMLS CUI [14])
C1278039 (UMLS CUI [15])
C0033707 (UMLS CUI [16])
C0009555 (UMLS CUI [17])
Terug naar het begin van de pagina 

Contact

Gebruik dit formulier voor feedback, vragen en verbeteringsvoorstellen.

Velden gemarkeerd met een * zijn verplicht.

Help

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial