ID

31306

Beschreibung

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 Any adverse experience is defined as a new or worsening pre-existing medical condition or complication occurring while on study, regardless of its perceived relationship to the drug. Please record all adverse experiences from the time of study entry through the Week 13 visit.

Stichworte

Versionen (1)
  1. 12.08.18 12.08.18 -
Rechteinhaber

see clinicaltrials.gov

Hochgeladen am

12. August 2018

DOI

Für eine Beantragung loggen Sie sich ein.

Lizenz

Creative Commons BY 4.0
Modell Kommentare :

Hier können Sie das Modell kommentieren. Über die Sprechblasen an den Itemgruppen und Items können Sie diese spezifisch kommentieren.

Zurück zu Modell Kommentaren
Itemgroup Kommentare für :

Item Kommentare für :

Um Formulare herunterzuladen müssen Sie angemeldet sein. Bitte loggen Sie sich ein oder registrieren Sie sich kostenlos.

Iodine 131 B1 Antibody for B-Cell Lymphomas NCT00950755

Englisch

Adverse Experiences

1 Formulare  
  1. StudyEvent: ODM
    1. Adverse Experiences
Administrative Data
Beschreibung

Administrative Data

Alias
UMLS CUI-1
C1320722
Site Number
Beschreibung

Site number

Datentyp

text

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

Patient Number

Datentyp

text

Alias
UMLS CUI [1]
C1830427
Patient Initials
Beschreibung

Patient Initials

Datentyp

text

Alias
UMLS CUI [1]
C2986440
Adverse Experiences
Beschreibung

Adverse Experiences

Alias
UMLS CUI-1
C0877248
AE #
Beschreibung

Adverse Event; Number

Datentyp

integer

Alias
UMLS CUI [1,1]
C0877248
UMLS CUI [1,2]
C0237753
Adverse Experience (one experience per line)
Beschreibung

Adverse Event

Datentyp

text

Alias
UMLS CUI [1]
C0877248
Grade per CTC (per Appx F)
Beschreibung

Adverse Event; CTC grade

Datentyp

text

Alias
UMLS CUI [1]
C2985911
Serious
Beschreibung

Adverse event, serious

Datentyp

boolean

Alias
UMLS CUI [1]
C1519255
Onset Date
Beschreibung

Adverse event; start date

Datentyp

date

Alias
UMLS CUI [1]
C2697888
Stop Date
Beschreibung

Adverse event; end date

Datentyp

date

Alias
UMLS CUI [1]
C2697886
Frequency
Beschreibung

Adverse event; frequency

Datentyp

text

Alias
UMLS CUI [1,1]
C0877248
UMLS CUI [1,2]
C0439603
Therapeutic Measures: Drugs
Beschreibung

Adverse event; Therapeutic Measures; Drugs

Datentyp

text

Alias
UMLS CUI [1,1]
C0877248
UMLS CUI [1,2]
C0087111
UMLS CUI [1,3]
C0013227
Therapeutic Measures: Other
Beschreibung

Adverse event; Therapeutic Measures; Other

Datentyp

text

Alias
UMLS CUI [1,1]
C0877248
UMLS CUI [1,2]
C0087111
UMLS CUI [1,3]
C0205394
Therapeutic Measures: If Other, specify here
Beschreibung

Adverse event; Therapeutic Measures; Other; Specification

Datentyp

text

Alias
UMLS CUI [1,1]
C0877248
UMLS CUI [1,2]
C0087111
UMLS CUI [1,3]
C0205394
UMLS CUI [1,4]
C2348235
Outcome
Beschreibung

Adverse event; Outcome

Datentyp

text

Alias
UMLS CUI [1]
C1705586
Relationship: Drug
Beschreibung

Adverse event; Relationship; Drug

Datentyp

text

Alias
UMLS CUI [1,1]
C0877248
UMLS CUI [1,2]
C0439849
UMLS CUI [1,3]
C0013227
Relationship: Disease
Beschreibung

Adverse event; Relationship; Disease

Datentyp

text

Alias
UMLS CUI [1,1]
C0877248
UMLS CUI [1,2]
C0439849
UMLS CUI [1,3]
C0012634
Zum Seitenanfang zurückkehren

Ähnliche Modelle

Adverse Experiences

1 Formulare
  1. StudyEvent: ODM
    1. Adverse Experiences
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
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
Adverse Experiences
C0877248 (UMLS CUI-1)
Adverse Event; Number
Item
AE #
integer
C0877248 (UMLS CUI [1,1])
C0237753 (UMLS CUI [1,2])
Adverse Event
Item
Adverse Experience (one experience per line)
text
C0877248 (UMLS CUI [1])
Adverse Event; CTC grade
Item
Grade per CTC (per Appx F)
text
C2985911 (UMLS CUI [1])
Adverse event, serious
Item
Serious
boolean
C1519255 (UMLS CUI [1])
Adverse event; start date
Item
Onset Date
date
C2697888 (UMLS CUI [1])
Adverse event; end date
Item
Stop Date
date
C2697886 (UMLS CUI [1])
Adverse event; frequency
Item
Frequency
text
C0877248 (UMLS CUI [1,1])
C0439603 (UMLS CUI [1,2])
Adverse event; Therapeutic Measures; Drugs
Item
Therapeutic Measures: Drugs
text
C0877248 (UMLS CUI [1,1])
C0087111 (UMLS CUI [1,2])
C0013227 (UMLS CUI [1,3])
Adverse event; Therapeutic Measures; Other
Item
Therapeutic Measures: Other
text
C0877248 (UMLS CUI [1,1])
C0087111 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
Adverse event; Therapeutic Measures; Other; Specification
Item
Therapeutic Measures: If Other, specify here
text
C0877248 (UMLS CUI [1,1])
C0087111 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])
Adverse event; Outcome
Item
Outcome
text
C1705586 (UMLS CUI [1])
Adverse event; Relationship; Drug
Item
Relationship: Drug
text
C0877248 (UMLS CUI [1,1])
C0439849 (UMLS CUI [1,2])
C0013227 (UMLS CUI [1,3])
Adverse event; Relationship; Disease
Item
Relationship: Disease
text
C0877248 (UMLS CUI [1,1])
C0439849 (UMLS CUI [1,2])
C0012634 (UMLS CUI [1,3])
Zum Seitenanfang zurückkehren 

Kontakt

Benutzen Sie dieses Formular für Rückmeldungen, Fragen und Verbesserungsvorschläge.

Mit * gekennzeichnete Felder sind notwendig.

Hilfe

Benötigen Sie Hilfe bei der Suche? Um mehr Details zu erfahren und die Suche effektiver nutzen zu können schauen Sie sich doch das entsprechende Video auf unserer Tutorial Seite an.

Zum Video