ID

31172

Beschrijving

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

Trefwoorden

Versies (1)
  1. 25-07-18 25-07-18 -
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see clinicaltrials.gov

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25 juli 2018

DOI

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Licentie

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

Engels

Physical Examination - Week 13

1 Formulieren  
Administrative Data
Beschrijving

Administrative Data

Alias
UMLS CUI-1
C1320722
Site number
Beschrijving

Site number

Datatype

text

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

Patient Number

Datatype

text

Alias
UMLS CUI [1]
C1830427
Patient Initials
Beschrijving

Patient Initials

Datatype

text

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

Physical Examination Date

Datatype

date

Alias
UMLS CUI [1]
C2826643
B-symptoms
Beschrijving

B-symptoms

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

B-Symptoms current

Datatype

boolean

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

B-Symptoms current

Datatype

text

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

Physical Examination

Alias
UMLS CUI-1
C0031809
Weight
Beschrijving

Body Weight

Datatype

float

Maateenheden
  • kg
Alias
UMLS CUI [1]
C0005910
kg
Karnofsky Status
Beschrijving

Karnofsky Performance Status

Datatype

integer

Maateenheden
  • %
Alias
UMLS CUI [1]
C0206065
%
Respirations
Beschrijving

Respiration

Datatype

integer

Maateenheden
  • breaths/min
Alias
UMLS CUI [1]
C0035203
breaths/min
Blood Pressure
Beschrijving

Blood Pressure

Datatype

integer

Maateenheden
  • mmHg
Alias
UMLS CUI [1]
C0005823
mmHg
Pulse
Beschrijving

Pulse Rate

Datatype

integer

Maateenheden
  • bpm
Alias
UMLS CUI [1]
C0232117
bpm
Temperature
Beschrijving

Temperature

Datatype

float

Maateenheden
  • °C
Alias
UMLS CUI [1]
C0039476
°C
Physical Examination Body Systems
Beschrijving

Physical Examination Body Systems

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

Organ System

Datatype

text

Alias
UMLS CUI [1]
C0678852
Not done
Beschrijving

Not done

Datatype

boolean

Alias
UMLS CUI [1]
C1272696
Normal
Beschrijving

Normal

Datatype

boolean

Alias
UMLS CUI [1]
C0205307
Abnormal
Beschrijving

Abnormal

Datatype

boolean

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

Abnormality specification

Datatype

text

Alias
UMLS CUI [1,1]
C1704258
UMLS CUI [1,2]
C2348235
Terug naar het begin van de pagina

Similar models

Physical Examination - Week 13

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
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 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])
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