ID

31025

Descripción

Study ID: 104505 Clinical Study ID: BEX104505 Study Title: Phase II Study of Iodine 131 Anti B1 Antibody for 1st or 2nd Relapsed Indolent B-Cell Lymphomas or B-Cell Lymphomas That Have Transformed to a More Aggressive Histology Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00950755 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 2 Study Recruitment Status: Completed Generic Name: tositumomab Trade Name: Bexxar Study Indication: Lymphoma, Non-Hodgkin

Palabras clave

Versiones (1)
  1. 12/7/18 12/7/18 -
Titular de derechos de autor

see clinicaltrials.gov

Subido en

12 de julio de 2018

DOI

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Licencia

Creative Commons BY 4.0
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Iodine 131 B1 Antibody for B-Cell Lymphomas NCT00950755

Inglés

Physical Examination - Follow-Up

1 formularios  
Administrative Data
Descripción

Administrative Data

Alias
UMLS CUI-1
C1320722
Site number
Descripción

Site number

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0018704
UMLS CUI [1,2]
C0600091
Patient Number
Descripción

Patient Number

Tipo de datos

text

Alias
UMLS CUI [1]
C1830427
Patient Initials
Descripción

Patient Initials

Tipo de datos

text

Alias
UMLS CUI [1]
C2986440
Date of physical examination
Descripción

Physical Examination Date

Tipo de datos

date

Alias
UMLS CUI [1]
C2826643
B-symptoms
Descripción

B-symptoms

Alias
UMLS CUI-1
C1706867
Does the patient currently have evidence of B-symptoms?
Descripción

B-Symptoms current

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C1706867
UMLS CUI [1,2]
C0521116
If yes, please check current B-symptoms.
Descripción

B-Symptoms current

Tipo de datos

text

Alias
UMLS CUI [1,1]
C1706867
UMLS CUI [1,2]
C0521116
Physical Examination
Descripción

Physical Examination

Alias
UMLS CUI-1
C0031809
Height
Descripción

Body Height

Tipo de datos

integer

Unidades de medida
  • cm
Alias
UMLS CUI [1]
C0005890
cm
Weight
Descripción

Body Weight

Tipo de datos

float

Unidades de medida
  • kg
Alias
UMLS CUI [1]
C0005910
kg
Karnofsky Status
Descripción

Karnofsky Performance Status

Tipo de datos

integer

Unidades de medida
  • %
Alias
UMLS CUI [1]
C0206065
%
Respirations
Descripción

Respiration

Tipo de datos

integer

Unidades de medida
  • breaths/min
Alias
UMLS CUI [1]
C0035203
breaths/min
Blood Pressure
Descripción

Blood Pressure

Tipo de datos

integer

Unidades de medida
  • mmHg
Alias
UMLS CUI [1]
C0005823
mmHg
Pulse
Descripción

Pulse Rate

Tipo de datos

integer

Unidades de medida
  • bpm
Alias
UMLS CUI [1]
C0232117
bpm
Temperature
Descripción

Temperature

Tipo de datos

float

Unidades de medida
  • °C
Alias
UMLS CUI [1]
C0039476
°C
Physical Examination Body Systems
Descripción

Physical Examination Body Systems

Alias
UMLS CUI-1
C0031809
UMLS CUI-2
C0678852
Organ System
Descripción

Organ System

Tipo de datos

text

Alias
UMLS CUI [1]
C0678852
Not done
Descripción

Not done

Tipo de datos

boolean

Alias
UMLS CUI [1]
C1272696
Normal
Descripción

Normal

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0205307
Abnormal
Descripción

Abnormal

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0205161
If abnormal, specify
Descripción

Abnormality specification

Tipo de datos

text

Alias
UMLS CUI [1,1]
C1704258
UMLS CUI [1,2]
C2348235
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Similar models

Physical Examination - Follow-Up

1 formularios
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
Site number
Item
Site number
text
C0018704 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Patient Number
Item
Patient Number
text
C1830427 (UMLS CUI [1])
Patient Initials
Item
Patient Initials
text
C2986440 (UMLS CUI [1])
Physical Examination Date
Item
Date of physical examination
date
C2826643 (UMLS CUI [1])
Item Group
B-symptoms
C1706867 (UMLS CUI-1)
B-Symptoms current
Item
Does the patient currently have evidence of B-symptoms?
boolean
C1706867 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
Item
If yes, please check current B-symptoms.
text
C1706867 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
B-Symptoms current
Code List
If yes, please check current B-symptoms.
CL Item
Night sweats (Night sweats)
CL Item
intermittent fevers (intermittent fevers)
CL Item
Weight loss (Weight loss)
Item Group
Physical Examination
C0031809 (UMLS CUI-1)
Body Height
Item
Height
integer
C0005890 (UMLS CUI [1])
Body Weight
Item
Weight
float
C0005910 (UMLS CUI [1])
Karnofsky Performance Status
Item
Karnofsky Status
integer
C0206065 (UMLS CUI [1])
Respiration
Item
Respirations
integer
C0035203 (UMLS CUI [1])
Blood Pressure
Item
Blood Pressure
integer
C0005823 (UMLS CUI [1])
Pulse Rate
Item
Pulse
integer
C0232117 (UMLS CUI [1])
Temperature
Item
Temperature
float
C0039476 (UMLS CUI [1])
Item Group
Physical Examination Body Systems
C0031809 (UMLS CUI-1)
C0678852 (UMLS CUI-2)
Item
Organ System
text
C0678852 (UMLS CUI [1])
Organ System
Code List
Organ System
CL Item
General Appearance (1)
CL Item
Skin (2)
CL Item
HEENT (3)
CL Item
Neck (4)
CL Item
Lymph Nodes (5)
CL Item
Lungs (6)
CL Item
Heart (7)
CL Item
Neurological (8)
CL Item
Genitoutinary (9)
CL Item
Abdomen (10)
CL Item
Musculoskeletal (11)
CL Item
Other (12)
Not done
Item
Not done
boolean
C1272696 (UMLS CUI [1])
Normal
Item
Normal
boolean
C0205307 (UMLS CUI [1])
Abnormal
Item
Abnormal
boolean
C0205161 (UMLS CUI [1])
Abnormality specification
Item
If abnormal, specify
text
C1704258 (UMLS CUI [1,1])
C2348235 (UMLS CUI [1,2])
Volver a la parte superior de la página 

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