ID

30262

Beskrivning

https://clinicaltrials.gov/show/NCT00989664 Worksheet #3 - Gamma Camera Whole Body Dosimetry Daily Data Sheet Study ID: 104504 Clinical Study ID: BEX104504 Study Title: Multicenter, Pivotal Phase III Study of Iodine-131 Anti-B1 Antibody (Murine) Radioimmunotherapy for Chemotherapy Refractory Low Grade B Cell Lymphomas and Low Grade Lymphomas that have Transformed to Higher Grade Histologies Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00989664 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 2 Study Recruitment Status: Completed Generic Name: tositumomab Trade Name: Bexxar Study Indication: Lymphoma, Non-Hodgkin

Länk

https://clinicaltrials.gov/show/NCT00989664

Nyckelord

Versioner (1)
  1. 2018-05-25 2018-05-25 -
Rättsinnehavare

GlaxoSmithKline (GSK)

Uppladdad den

25 maj 2018

DOI

För en begäran logga in.

Licens

Creative Commons BY-NC 3.0
Modellkommentarer :

Här kan du kommentera modellen. Med hjälp av pratbubblor i Item-grupperna och Item kan du lägga in specifika kommentarer.

Tillbaka till modellkommentarer
Itemgroup-kommentar för :

Item-kommentar för :

Du måste vara inloggad för att kunna ladda ner formulär. Var vänlig logga in eller registrera dig utan kostnad.

Multicenter, Pivotal Phase III Study of Iodine-131 Anti-B1 Antibody (Murine) Radioimmunotherapy NCT00989664

Engelsk

Worksheet #3 - Gamma Camera Whole Body Dosimetry Daily Data Sheet

1 Formulär  
Patient Information
Beskrivning

Patient Information

Alias
UMLS CUI-1
C1955348
Patient Identification Number:
Beskrivning

Patient Identification Number

Datatyp

integer

Alias
UMLS CUI [1,1]
C0030705
UMLS CUI [1,2]
C1300638
Patient Initials:
Beskrivning

Patient Initials

Datatyp

text

Alias
UMLS CUI [1]
C2986440
Dosimetric Dose:
Beskrivning

Dosimetric Dose

Datatyp

integer

Alias
UMLS CUI [1]
C3174092
Prepared Activity:
Beskrivning

Prepared Activity

Datatyp

integer

Måttenheter
  • mCi
Alias
UMLS CUI [1]
C0013227
mCi
Date & Time of Infusion Start:
Beskrivning

Date & Time of Infusion Start

Datatyp

datetime

Alias
UMLS CUI [1,1]
C0574032
UMLS CUI [1,2]
C0808070
UMLS CUI [2,1]
C0574032
UMLS CUI [2,2]
C1301880
Residual Activity (Infusion system):
Beskrivning

Residual Activity (Infusion system)

Datatyp

integer

Måttenheter
  • mCi
Alias
UMLS CUI [1,1]
C0574032
UMLS CUI [1,2]
C1609982
mCi
Net Administered Activity:
Beskrivning

Net Administered Activity

Datatyp

integer

Måttenheter
  • mCi
Alias
UMLS CUI [1]
C0013227
mCi
End of Infusion (including Flushing):
Beskrivning

End of Infusion

Datatyp

datetime

Alias
UMLS CUI [1,1]
C0574032
UMLS CUI [1,2]
C0806020
UMLS CUI [2,1]
C0574032
UMLS CUI [2,2]
C1522314
Camera Name:
Beskrivning

Camera name

Datatyp

text

Alias
UMLS CUI [1,1]
C0179533
UMLS CUI [1,2]
C0027365
Patient height:
Beskrivning

Patient height

Datatyp

integer

Måttenheter
  • ft/cm
Alias
UMLS CUI [1]
C0005890
ft/cm
Patient weight
Beskrivning

Patient weight

Datatyp

float

Måttenheter
  • lb/kg
Alias
UMLS CUI [1]
C0005910
lb/kg
Patient gender:
Beskrivning

Patient gender

Datatyp

integer

Alias
UMLS CUI [1]
C0079399
Patient wt limit:
Beskrivning

Patient wt limit

Datatyp

float

Måttenheter
  • kg
Alias
UMLS CUI [1]
C0005910
kg
Is Patient above Limit?
Beskrivning

Patient above limit

Datatyp

boolean

Alias
UMLS CUI [1]
C0005910
Post Administration of Dosimetric Dose
Beskrivning

Post Administration of Dosimetric Dose

Alias
UMLS CUI-1
C0043299
UMLS CUI-2
C0439568
Date
Beskrivning

Day of Examination

Datatyp

integer

Alias
UMLS CUI [1]
C2826643
Time
Beskrivning

Time

Datatyp

time

Alias
UMLS CUI [1]
C0040223
Gamma Camera Height From Table (cm)
Beskrivning

Gamma Camera Height From Table

Datatyp

integer

Måttenheter
  • cm
Alias
UMLS CUI [1,1]
C0810610
UMLS CUI [1,2]
C0443288
cm
Whole Body Scan Field of View (cm)
Beskrivning

Whole Body Scan Field of View

Datatyp

integer

Måttenheter
  • cm
Alias
UMLS CUI [1]
C0412583
cm
Whole Body Gamma Camera Counts
Beskrivning

Whole Body Gamma Camera Counts

Datatyp

integer

Alias
UMLS CUI [1,1]
C0810610
UMLS CUI [1,2]
C0444584
Background Counts
Beskrivning

Background Counts

Datatyp

integer

Alias
UMLS CUI [1]
C0810610
Time started
Beskrivning

Time started

Datatyp

time

Alias
UMLS CUI [1]
C1301880
Total Counts: Anterior (Cpa)
Beskrivning

Total Counts: Anterior

Datatyp

integer

Alias
UMLS CUI [1,1]
C0205094
UMLS CUI [1,2]
C0810610
Total Counts: Posterior (Cpa)
Beskrivning

Total Counts: Posterior

Datatyp

integer

Alias
UMLS CUI [1,1]
C0810610
UMLS CUI [1,2]
C0205095
Patient total body counts
Beskrivning

Patient total body counts

Datatyp

integer

Alias
UMLS CUI [1,1]
C0444584
UMLS CUI [1,2]
C0810610
Time started
Beskrivning

Time started

Datatyp

time

Alias
UMLS CUI [1]
C1301880
Total Counts: Anterior (Cpa)
Beskrivning

Total Counts: Anterior

Datatyp

integer

Alias
UMLS CUI [1,1]
C0205094
UMLS CUI [1,2]
C0810610
Total Counts: Posterior (Cpa)
Beskrivning

Total Counts: Posterior

Datatyp

integer

Alias
UMLS CUI [1,1]
C0810610
UMLS CUI [1,2]
C0205095
Time from Start of I-131 Anti-B1 Infusion to Start of Patient Image Acquisition
Beskrivning

Start of I-131 Anti-B1 Infusion

Datatyp

time

Måttenheter
  • hr
Alias
UMLS CUI [1,1]
C0768182
UMLS CUI [1,2]
C0574032
UMLS CUI [1,3]
C0810610
hr
Time from Start of I-131 Anti-B1 Infusion to Start of Patient Image Acquisition
Beskrivning

Start of I-131 Anti-B1 Infusion

Datatyp

time

Måttenheter
  • hr
Alias
UMLS CUI [1,1]
C0768182
UMLS CUI [1,2]
C0574032
UMLS CUI [1,3]
C0810610
hr
Tillbaka till toppen

Similar models

Worksheet #3 - Gamma Camera Whole Body Dosimetry Daily Data Sheet

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Patient Information
C1955348 (UMLS CUI-1)
Patient Identification Number
Item
Patient Identification Number:
integer
C0030705 (UMLS CUI [1,1])
C1300638 (UMLS CUI [1,2])
Patient Initials
Item
Patient Initials:
text
C2986440 (UMLS CUI [1])
Dosimetric Dose
Item
Dosimetric Dose:
integer
C3174092 (UMLS CUI [1])
Prepared Activity
Item
Prepared Activity:
integer
C0013227 (UMLS CUI [1])
Date & Time of Infusion Start
Item
Date & Time of Infusion Start:
datetime
C0574032 (UMLS CUI [1,1])
C0808070 (UMLS CUI [1,2])
C0574032 (UMLS CUI [2,1])
C1301880 (UMLS CUI [2,2])
Residual Activity (Infusion system)
Item
Residual Activity (Infusion system):
integer
C0574032 (UMLS CUI [1,1])
C1609982 (UMLS CUI [1,2])
Net Administered Activity
Item
Net Administered Activity:
integer
C0013227 (UMLS CUI [1])
End of Infusion
Item
End of Infusion (including Flushing):
datetime
C0574032 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
C0574032 (UMLS CUI [2,1])
C1522314 (UMLS CUI [2,2])
Camera name
Item
Camera Name:
text
C0179533 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
Patient height
Item
Patient height:
integer
C0005890 (UMLS CUI [1])
Patient weight
Item
Patient weight
float
C0005910 (UMLS CUI [1])
Item
Patient gender:
integer
C0079399 (UMLS CUI [1])
Patient gender
Code List
Patient gender:
CL Item
M (1)
CL Item
F (2)
Patient wt limit
Item
Patient wt limit:
float
C0005910 (UMLS CUI [1])
Patient above limit
Item
Is Patient above Limit?
boolean
C0005910 (UMLS CUI [1])
Item Group
Post Administration of Dosimetric Dose
C0043299 (UMLS CUI-1)
C0439568 (UMLS CUI-2)
Item
Date
integer
C2826643 (UMLS CUI [1])
Day of Examination
Code List
Date
CL Item
Day 0 (1)
CL Item
Day 2 (2)
CL Item
Day 3 (3)
CL Item
Day 4 (4)
CL Item
Day 6 (5)
CL Item
Day 7 (6)
Time
Item
Time
time
C0040223 (UMLS CUI [1])
Gamma Camera Height From Table
Item
Gamma Camera Height From Table (cm)
integer
C0810610 (UMLS CUI [1,1])
C0443288 (UMLS CUI [1,2])
Whole Body Scan Field of View
Item
Whole Body Scan Field of View (cm)
integer
C0412583 (UMLS CUI [1])
Whole Body Gamma Camera Counts
Item
Whole Body Gamma Camera Counts
integer
C0810610 (UMLS CUI [1,1])
C0444584 (UMLS CUI [1,2])
Background Counts
Item
Background Counts
integer
C0810610 (UMLS CUI [1])
Time started
Item
Time started
time
C1301880 (UMLS CUI [1])
Total Counts: Anterior
Item
Total Counts: Anterior (Cpa)
integer
C0205094 (UMLS CUI [1,1])
C0810610 (UMLS CUI [1,2])
Total Counts: Posterior
Item
Total Counts: Posterior (Cpa)
integer
C0810610 (UMLS CUI [1,1])
C0205095 (UMLS CUI [1,2])
Patient total body counts
Item
Patient total body counts
integer
C0444584 (UMLS CUI [1,1])
C0810610 (UMLS CUI [1,2])
Time started
Item
Time started
time
C1301880 (UMLS CUI [1])
Total Counts: Anterior
Item
Total Counts: Anterior (Cpa)
integer
C0205094 (UMLS CUI [1,1])
C0810610 (UMLS CUI [1,2])
Total Counts: Posterior
Item
Total Counts: Posterior (Cpa)
integer
C0810610 (UMLS CUI [1,1])
C0205095 (UMLS CUI [1,2])
Start of I-131 Anti-B1 Infusion
Item
Time from Start of I-131 Anti-B1 Infusion to Start of Patient Image Acquisition
time
C0768182 (UMLS CUI [1,1])
C0574032 (UMLS CUI [1,2])
C0810610 (UMLS CUI [1,3])
Start of I-131 Anti-B1 Infusion
Item
Time from Start of I-131 Anti-B1 Infusion to Start of Patient Image Acquisition
time
C0768182 (UMLS CUI [1,1])
C0574032 (UMLS CUI [1,2])
C0810610 (UMLS CUI [1,3])
Tillbaka till toppen 

Kontakt

Använd detta formulär för feedback, frågor och förslag på förbättringar.

Fält markerade med * är obligatoriska.

Hjälp

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