ID

27833

Descrição

NCT02499003 The GOAL Trial: Rescue Treatment With the Monoclonal Anti CD20-antibody Obinutuzumab (GA101) in Combination With Pixantrone for the Treatment of Patients With Relapsed Aggressive B-cell Lymphoma Source: Prof. Dr. med. Georg Heß Universitätsmedizin Mainz

Palavras-chave

  1. 30/11/2017 30/11/2017 -
  2. 02/01/2018 02/01/2018 -
Titular dos direitos

Prof. Dr. med. Georg Heß

Transferido a

30 de novembro de 2017

DOI

Para um pedido faça login.

Licença

Creative Commons BY-NC 3.0

Comentários do modelo :

Aqui pode comentar o modelo. Pode comentá-lo especificamente através dos balões de texto nos grupos de itens e itens.

Comentários do grupo de itens para :

Comentários do item para :

Para descarregar formulários, precisa de ter uma sessão iniciada. Por favor faça login ou registe-se gratuitamente.

Screening Lymphoma GOAL Trial B-cell Lymphoma NCT02499003

Screening Lymphoma Trial B-cell Lymphoma NCT02499003

Admininstrative data
Descrição

Admininstrative data

Subject ID
Descrição

Subject ID

Tipo de dados

text

Lymphoma Characteristics
Descrição

Lymphoma Characteristics

Stage at first diagnosis
Descrição

Stage at first diagnosis

Tipo de dados

text

Current stage
Descrição

Current stage

Tipo de dados

text

Histology at first diagnosis?
Descrição

Histology at first diagnosis

Tipo de dados

boolean

If "yes": Date of histology
Descrição

Date of histology at first diagnosis

Tipo de dados

date

CD20 positive disease?
Descrição

CD20 positive disease first diagnosis

Tipo de dados

boolean

Entity at first diagnosis?
Descrição

Entity at first diagnosis

Tipo de dados

text

If "other", please specify
Descrição

Other entity at first diagnosis

Tipo de dados

text

If diffuse large B-cell lymphoma: IPI score at first diagnosis
Descrição

IPI score at first diagnosis

Tipo de dados

integer

If diffuse large B-cell lymphoma: aaIPI score at first diagnosis
Descrição

aaIPI score at first diagnosis

Tipo de dados

integer

If follicular lymphoma: FLIPI score at first diagnosis
Descrição

FLIPI score at first diagnosis

Tipo de dados

integer

If mantle cell lymphoma: MIPI score at first diagnosis
Descrição

MIPI score at first diagnosis

Tipo de dados

float

Histology at screening?
Descrição

Histology at screening

Tipo de dados

boolean

If "yes": Date of histology
Descrição

Date of histology at screening

Tipo de dados

date

CD20 positive disease?
Descrição

CD20 positive disease screening

Tipo de dados

boolean

Entity at screening?
Descrição

Entity at screening

Tipo de dados

text

If "transformed": Date of transformation
Descrição

Date of transformation

Tipo de dados

date

If (transformed) diffuse large B-cell lymphoma: Secondary IPI score (at screening)
Descrição

Secondary IPI score

Tipo de dados

integer

If (transformed) diffuse large B-cell lymphoma: Secondary aaIPI score (at screening)
Descrição

Secondary aaIPI score

Tipo de dados

integer

If (transformed) follicular lymphoma grade IIIB: Current FLIPI score
Descrição

Current FLIPI score

Tipo de dados

integer

If (transformed) follicular lymphoma grade IIIB: FLIPI grade
Descrição

FLIPI grade

Tipo de dados

text

B Symptoms
Descrição

B Symptoms

Fever
Descrição

Fever

Tipo de dados

boolean

Night sweats
Descrição

Night sweats

Tipo de dados

boolean

Weight loss
Descrição

Weight loss

Tipo de dados

boolean

Similar models

Screening Lymphoma Trial B-cell Lymphoma NCT02499003

Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
Item Group
Admininstrative data
Subject ID
Item
Subject ID
text
Item Group
Lymphoma Characteristics
Item
Stage at first diagnosis
text
Code List
Stage at first diagnosis
CL Item
Stage I (Stage I)
CL Item
Stage II (Stage II)
CL Item
Stage III (Stage III)
CL Item
Stage IV (Stage IV)
Item
Current stage
text
Code List
Current stage
CL Item
Stage I (Stage I)
CL Item
Stage II (Stage II)
CL Item
Stage III (Stage III)
CL Item
Stage IV (Stage IV)
Histology at first diagnosis
Item
Histology at first diagnosis?
boolean
Date of histology at first diagnosis
Item
If "yes": Date of histology
date
CD20 positive disease first diagnosis
Item
CD20 positive disease?
boolean
Item
Entity at first diagnosis?
text
Code List
Entity at first diagnosis?
CL Item
Diffuse large B-cell lymphoma (Diffuse large B-cell lymphoma)
CL Item
Follicular lymphoma grade IIIB (Follicular lymphoma grade IIIB)
CL Item
Follicular lymphoma grade IIIA (Follicular lymphoma grade IIIA)
CL Item
Follicular lymphoma grade II (Follicular lymphoma grade II)
CL Item
Follicular lymphoma grade I (Follicular lymphoma grade I)
CL Item
Mantle cell lymphoma (Mantle cell lymphoma)
CL Item
Hairy cell lymphoma (Hairy cell lymphoma)
CL Item
Marginal zone lymphoma (Marginal zone lymphoma)
CL Item
Waldenström's macroglobulinemia (Waldenström's macroglobulinemia)
CL Item
Other (Other)
Other entity at first diagnosis
Item
If "other", please specify
text
IPI score at first diagnosis
Item
If diffuse large B-cell lymphoma: IPI score at first diagnosis
integer
aaIPI score at first diagnosis
Item
If diffuse large B-cell lymphoma: aaIPI score at first diagnosis
integer
FLIPI score at first diagnosis
Item
If follicular lymphoma: FLIPI score at first diagnosis
integer
MIPI score at first diagnosis
Item
If mantle cell lymphoma: MIPI score at first diagnosis
float
Histology at screening
Item
Histology at screening?
boolean
Date of histology at screening
Item
If "yes": Date of histology
date
CD20 positive disease screening
Item
CD20 positive disease?
boolean
Item
Entity at screening?
text
Code List
Entity at screening?
CL Item
Diffuse large B-cell lymphoma (Diffuse large B-cell lymphoma)
CL Item
Follicular lymphoma grade IIIB (Follicular lymphoma grade IIIB)
CL Item
Transformed to DLBCL (Transformed to DLBCL)
CL Item
Transformed to FL3B (Transformed to FL3B)
Date of transformation
Item
If "transformed": Date of transformation
date
Secondary IPI score
Item
If (transformed) diffuse large B-cell lymphoma: Secondary IPI score (at screening)
integer
Secondary aaIPI score
Item
If (transformed) diffuse large B-cell lymphoma: Secondary aaIPI score (at screening)
integer
Current FLIPI score
Item
If (transformed) follicular lymphoma grade IIIB: Current FLIPI score
integer
Item
If (transformed) follicular lymphoma grade IIIB: FLIPI grade
text
Code List
If (transformed) follicular lymphoma grade IIIB: FLIPI grade
CL Item
I (I)
CL Item
II (II)
CL Item
IIIA (IIIA)
CL Item
IIIB (IIIB)
Item Group
B Symptoms
Fever
Item
Fever
boolean
Night sweats
Item
Night sweats
boolean
Weight loss
Item
Weight loss
boolean

Use este formulário para feedback, perguntas e sugestões de aperfeiçoamento.

Campos marcados com * são obrigatórios.

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