ID

31176

Description

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

Keywords

Versions (1)
  1. 7/25/18 7/25/18 -
Copyright Holder

see clinicaltrials.gov

Uploaded on

July 25, 2018

DOI

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License

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

English

Notification of Patient Death

1 forms  
Administrative Data
Description

Administrative Data

Alias
UMLS CUI-1
C1320722 (Administrative documentation)
SNOMED
405624007
Site Number
Description

Site number

Data type

text

Alias
UMLS CUI [1,1]
C0018704 (Health care facility)
SNOMED
257622000
LOINC
LA30302-6
UMLS CUI [1,2]
C0600091 (Identifier)
SNOMED
118522005
LOINC
LP31795-5
Patient Number
Description

Patient Number

Data type

text

Alias
UMLS CUI [1]
C1830427 (undefined)
Patient Initials
Description

Patient Initials

Data type

text

Alias
UMLS CUI [1]
C2986440 (Person Initials)
Patient Death
Description

Patient Death

Alias
UMLS CUI-1
C0011065 (Cessation of life)
SNOMED
419620001
Date of death
Description

Date of death

Data type

date

Alias
UMLS CUI [1]
C1148348 (Date of death)
SNOMED
399753006
LOINC
MTHU014693
Cause of death (check one)
Description

Cause of death

Data type

text

Alias
UMLS CUI [1]
C0007465 (Cause of Death)
SNOMED
16100001
LOINC
LA10595-9
If cause of death was related to complications of treatment, please describe or reference forms on which information was recorded.
Description

Complications of treatment

Data type

text

Alias
UMLS CUI [1,1]
C0087111 (Therapeutic procedure)
SNOMED
277132007
LOINC
LP21090-3
UMLS CUI [1,2]
C0009566 (Complication)
SNOMED
116223007
Relations of study drug to patients death
Description

Study drug relation to death

Data type

text

Alias
UMLS CUI [1,1]
C0011065 (Cessation of life)
SNOMED
419620001
UMLS CUI [1,2]
C0304229 (Experimental drug)
Source of information concerning death of patient (check all that apply)
Description

Patient death; Source of Information

Data type

text

Alias
UMLS CUI [1,1]
C0011065 (Cessation of life)
SNOMED
419620001
UMLS CUI [1,2]
C1955348 (Patient Information)
UMLS CUI [1,3]
C0449416 (Source)
SNOMED
260753009
LOINC
LP21212-3
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Similar models

Notification of Patient Death

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
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])
Item Group
Patient Death
C0011065 (UMLS CUI-1)
Date of death
Item
Date of death
date
C1148348 (UMLS CUI [1])
Item
Cause of death (check one)
text
C0007465 (UMLS CUI [1])
Cause of death
Code List
Cause of death (check one)
CL Item
Progression of lymphoma (Progression of lymphoma)
CL Item
Complications related to drug (complete adverse Experiences form) (Complications related to drug (complete adverse Experiences form))
CL Item
Other (specify) (Other (specify))
Complications of treatment
Item
If cause of death was related to complications of treatment, please describe or reference forms on which information was recorded.
text
C0087111 (UMLS CUI [1,1])
C0009566 (UMLS CUI [1,2])
Item
Relations of study drug to patients death
text
C0011065 (UMLS CUI [1,1])
C0304229 (UMLS CUI [1,2])
Study drug relation
Code List
Relations of study drug to patients death
CL Item
None (None)
CL Item
Remote (Remote)
CL Item
Possible (Possible)
CL Item
Probable (Probable)
Item
Source of information concerning death of patient (check all that apply)
text
C0011065 (UMLS CUI [1,1])
C1955348 (UMLS CUI [1,2])
C0449416 (UMLS CUI [1,3])
Patient death; Source of Information
Code List
Source of information concerning death of patient (check all that apply)
CL Item
Hospital physician (Hospital physician)
CL Item
Patient's physician (Patient's physician)
CL Item
Family (Family)
CL Item
Newspaper (obituary) (Newspaper (obituary))
CL Item
Tumor registry (Tumor registry)
CL Item
Other (specify) (Other (specify))
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