ID

31176

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 -
Houder van rechten

see clinicaltrials.gov

Geüploaded op

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

Notification of Patient Death

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
Patient Death
Beschrijving

Patient Death

Alias
UMLS CUI-1
C0011065
Date of death
Beschrijving

Date of death

Datatype

date

Alias
UMLS CUI [1]
C1148348
Cause of death (check one)
Beschrijving

Cause of death

Datatype

text

Alias
UMLS CUI [1]
C0007465
If cause of death was related to complications of treatment, please describe or reference forms on which information was recorded.
Beschrijving

Complications of treatment

Datatype

text

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C0009566
Relations of study drug to patients death
Beschrijving

Study drug relation to death

Datatype

text

Alias
UMLS CUI [1,1]
C0011065
UMLS CUI [1,2]
C0304229
Source of information concerning death of patient (check all that apply)
Beschrijving

Patient death; Source of Information

Datatype

text

Alias
UMLS CUI [1,1]
C0011065
UMLS CUI [1,2]
C1955348
UMLS CUI [1,3]
C0449416
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Similar models

Notification of Patient Death

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])
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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