ID

31380

Beschreibung

Study ID: 104507 Clinical Study ID: BEX104507 Study Title: Phase II Study of Iodine-131 Anti-B1 Antibody for Non Hodgkin’s Lymphoma Patients who have Previously Received Rituximab Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00996593 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 2 Study Recruitment Status: Completed Generic Name: tositumomab Trade Name: Bexxar Study Indication: Lymphoma, Non-Hodgkin

Stichworte

Versionen (2)
  1. 31.07.18 31.07.18 -
  2. 18.08.18 18.08.18 -
Rechteinhaber

GlaxoSmithKline

Hochgeladen am

18. August 2018

DOI

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Lizenz

Creative Commons BY-NC 3.0
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Iodine-131 Anti-B1 Antibody for Non Hodgkin’s Lymphomas NCT00996593

Englisch

Notification of Patient Death

1 Formulare  
Patient Death
Beschreibung

Patient Death

Alias
UMLS CUI-1
C0011065
Date of Death
Beschreibung

Date of Death

Datentyp

date

Alias
UMLS CUI [1]
C1148348
Cause of Death
Beschreibung

Cause of Death

Datentyp

text

Alias
UMLS CUI [1]
C0007465
If other cause of Death, please specify
Beschreibung

Cause of Death; Other; Specification

Datentyp

text

Alias
UMLS CUI [1,1]
C0007465
UMLS CUI [1,2]
C0205394
UMLS CUI [1,3]
C2348235
If cause of death was related to complications of treatment, please describe or reference forms on which information is recorded.
Beschreibung

Cause of Death; Therapeutic procedure; Complication; Relations

Datentyp

text

Alias
UMLS CUI [1,1]
C0007465
UMLS CUI [1,2]
C0087111
UMLS CUI [1,3]
C0009566
UMLS CUI [1,4]
C0869014
Relationship of study drug to patient's death
Beschreibung

Experimental drug; Cessation of life; Relationships

Datentyp

text

Alias
UMLS CUI [1,1]
C0304229
UMLS CUI [1,2]
C0011065
UMLS CUI [1,3]
C0439849
Source of information concerning death of patient
Beschreibung

Cessation of life; Source of information

Datentyp

text

Alias
UMLS CUI [1,1]
C0011065
UMLS CUI [1,2]
C0683836
If other source of information concerning death of patient, please specify
Beschreibung

Cessation of life; Source of information; Other; Specification

Datentyp

text

Alias
UMLS CUI [1,1]
C0011065
UMLS CUI [1,2]
C0683836
UMLS CUI [1,3]
C0205394
UMLS CUI [1,4]
C2348235
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Ähnliche Modelle

Notification of Patient Death

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Patient Death
C0011065 (UMLS CUI-1)
Date of Death
Item
Date of Death
date
C1148348 (UMLS CUI [1])
Item
Cause of Death
text
C0007465 (UMLS CUI [1])
Cause of Death
Code List
Cause of Death
CL Item
Progression of lymphoma (1)
CL Item
Complications related to drug (complete Adverse Experiences form) (2)
CL Item
Other (3)
Cause of Death; Other; Specification
Item
If other cause of Death, please specify
text
C0007465 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
Cause of Death; Therapeutic procedure; Complication; Relations
Item
If cause of death was related to complications of treatment, please describe or reference forms on which information is recorded.
text
C0007465 (UMLS CUI [1,1])
C0087111 (UMLS CUI [1,2])
C0009566 (UMLS CUI [1,3])
C0869014 (UMLS CUI [1,4])
Item
Relationship of study drug to patient's death
text
C0304229 (UMLS CUI [1,1])
C0011065 (UMLS CUI [1,2])
C0439849 (UMLS CUI [1,3])
undefined item
Code List
Relationship of study drug to patient's death
CL Item
None (1)
CL Item
Remote (2)
CL Item
Possible (3)
CL Item
Probable (4)
Item
Source of information concerning death of patient
text
C0011065 (UMLS CUI [1,1])
C0683836 (UMLS CUI [1,2])
Cessation of life; Source of information
Code List
Source of information concerning death of patient
CL Item
Hospital physician (1)
CL Item
Patient's physician (2)
CL Item
Family (3)
CL Item
Newspaper (obituary) (4)
CL Item
Tumor registry (5)
CL Item
Other (6)
Cessation of life; Source of information; Other; Specification
Item
If other source of information concerning death of patient, please specify
text
C0011065 (UMLS CUI [1,1])
C0683836 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])
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