ID

35667

Beskrivning

Study ID: 103369 Clinical Study ID: 103369 Study Title: A Randomized Phase III Study of Cisplatin Versus Cisplatin plus Topotecan Versus MVAC in Stage IVB, Recurrent or Persistent Squamous Cell Carcinoma of the Cervix Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: N/A Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 3 Study Recruitment Status: Completed Generic Name: Topotecan Trade Name: Topotecan Study Indication: Cancer 

Nyckelord

  1. 2019-03-14 2019-03-14 -
Rättsinnehavare

GSK group of companies

Uppladdad den

14 mars 2019

DOI

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Licens

Creative Commons BY-NC 3.0

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Cisplatin and Topotecan Recurrent or Persistent Carcinoma of the Cervix - 103369

Treatment Completion Form

Administrative data
Beskrivning

Administrative data

Last Name
Beskrivning

Last Name

Datatyp

text

First Name
Beskrivning

First Name

Datatyp

text

Section
Beskrivning

Section

Datatyp

text

GOG #
Beskrivning

Inst.,Prot.,Seq.

Datatyp

integer

Treatment Completion
Beskrivning

Treatment Completion

Total number of courses of protocol therapy administered
Beskrivning

Total number of courses

Datatyp

integer

Reasons for discontinuing protocol treatment
Beskrivning

check only one

Datatyp

text

Specify Other
Beskrivning

Specify Other

Datatyp

text

Summarize plans for further anti-cancer therapy:
Beskrivning

plans for further therapy

Datatyp

text

Tumor Measurements
Beskrivning

Tumor Measurements

Datatyp

integer

Måttenheter
  • cm
cm
Tumor Measurements
Beskrivning

Tumor Measurements

Location
Beskrivning

Location

Datatyp

integer

Method of Tumor Measurement
Beskrivning

Method

Datatyp

text

Date of assessment
Beskrivning

Date of assessment

Datatyp

date

Tumor measurements
Beskrivning

Tumor measurements

Datatyp

text

Måttenheter
  • cm
cm
Best Tumor Response
Beskrivning

Best Tumor Response

Best Tumor Response
Beskrivning

Best Tumor Response

Datatyp

text

Date of Progression
Beskrivning

Date of Progression

Datatyp

date

Date of Best Response
Beskrivning

Date of Best Response

Datatyp

date

Follow-Up Form
Beskrivning

Follow-Up Form

Was the patient contacted for current scheduled follow-up
Beskrivning

Lost to follow-up

Datatyp

boolean

Vital Status
Beskrivning

Vital Status

Datatyp

text

Date patient last known alive or date of death
Beskrivning

Date of last contact

Datatyp

date

If dead, indicate contributing factor(s)
Beskrivning

Death reason

Datatyp

text

Disease Follow-Up Status
Beskrivning

Disease Follow-Up Status

Has the patient been assessed by a physician for progression/recurrence of this cancer since previous information submission?
Beskrivning

Disease Follow-Up Status

Datatyp

text

If Yes, date of assessment
Beskrivning

date of assessment

Datatyp

date

Has the patient been diagnosed with a progression/recurrence?
Beskrivning

disease progression/recurrence

Datatyp

boolean

Date of Progression/recurrence
Beskrivning

Progression/recurrence date

Datatyp

date

Determination method
Beskrivning

Determination method

Datatyp

integer

Site / Marker
Beskrivning

Site / Marker

Datatyp

text

If protocol therapy included radiation, is location of progression within the radiation port?
Beskrivning

location of progression

Datatyp

boolean

Notice of New Primary
Beskrivning

Notice of New Primary

Has a new malignant neoplasm or myelodysplastic syndrome (MDS) been diagnosed that was not previously reported?
Beskrivning

Notice of New Primary

Datatyp

boolean

Date diagnosed
Beskrivning

Date diagnosed

Datatyp

date

Long Term Adverse Events
Beskrivning

Long Term Adverse Events

Has patient experienced any adverse events that have not been previously reported or have persisted for 3 months or more?
Beskrivning

AE

Datatyp

boolean

Adverse Events details
Beskrivning

Adverse Events details

Sequence Number
Beskrivning

Sequence Number

Datatyp

integer

Description
Beskrivning

CTC Terminology

Datatyp

text

Grade
Beskrivning

Grade

Datatyp

text

Onset Date
Beskrivning

Onset Date

Datatyp

date

Is event related to protocol therapy?
Beskrivning

Causality

Datatyp

boolean

Additional Cancer Therapy
Beskrivning

Additional Cancer Therapy

Specify therapy
Beskrivning

Therapy type

Datatyp

text

Date therapy started
Beskrivning

Start Date

Datatyp

date

Specify reason
Beskrivning

reason

Datatyp

text

Comments
Beskrivning

Comments

Datatyp

text

Similar models

Treatment Completion Form

Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Administrative data
Last Name
Item
Last Name
text
First Name
Item
First Name
text
Section
Item
Section
text
Gynecologic Oncology Group Number
Item
GOG #
integer
Item Group
Treatment Completion
Total number of courses
Item
Total number of courses of protocol therapy administered
integer
Item
Reasons for discontinuing protocol treatment
text
Code List
Reasons for discontinuing protocol treatment
CL Item
routine, completed planned study treatment (1)
CL Item
disease progression, as defined in the protocol (2)
CL Item
toxicity as permitted in protocol (3)
CL Item
patient refused further study treatment for reasons other than toxicity (4)
CL Item
death (5)
CL Item
patient off study treatment for other medical condition  (6)
CL Item
other (7)
Specify Other
Item
Specify Other
text
plans for further therapy
Item
Summarize plans for further anti-cancer therapy:
text
Tumor Measurements
Item
Tumor Measurements
integer
Item Group
Tumor Measurements
Item
Location
integer
Code List
Location
CL Item
Location #1 (1)
CL Item
Location #2 (2)
CL Item
Location #3 (3)
Method
Item
Method of Tumor Measurement
text
Date of assessment
Item
Date of assessment
date
Tumor measurements
Item
Tumor measurements
text
Item Group
Best Tumor Response
Item
Best Tumor Response
text
Code List
Best Tumor Response
CL Item
Complete Response (NED) (1)
CL Item
Partial (>50% decrease each lesion followed) (2)
CL Item
Stable (3)
CL Item
Increasing Disease (>50% increase in any tumor) (4)
CL Item
Not evaluated this course (5)
Date of Progression
Item
Date of Progression
date
Date of Best Response
Item
Date of Best Response
date
Item Group
Follow-Up Form
Lost to follow-up
Item
Was the patient contacted for current scheduled follow-up
boolean
Item
Vital Status
text
Code List
Vital Status
CL Item
Alive (1)
CL Item
Dead (2)
Date of last contact
Item
Date patient last known alive or date of death
date
Item
If dead, indicate contributing factor(s)
text
Code List
If dead, indicate contributing factor(s)
CL Item
cancer under study (1)
CL Item
protocol treatment (2)
CL Item
no information on cause (3)
CL Item
other, specify (4)
Item Group
Disease Follow-Up Status
Item
Has the patient been assessed by a physician for progression/recurrence of this cancer since previous information submission?
text
Code List
Has the patient been assessed by a physician for progression/recurrence of this cancer since previous information submission?
CL Item
Yes (1)
CL Item
no (2)
CL Item
Not applicable (3)
date of assessment
Item
If Yes, date of assessment
date
disease progression/recurrence
Item
Has the patient been diagnosed with a progression/recurrence?
boolean
Progression/recurrence date
Item
Date of Progression/recurrence
date
Item
Determination method
integer
Code List
Determination method
CL Item
histologically (1)
CL Item
radiologically (2)
CL Item
physically (3)
CL Item
marker (4)
Site / Marker
Item
Site / Marker
text
location of progression
Item
If protocol therapy included radiation, is location of progression within the radiation port?
boolean
Item Group
Notice of New Primary
Notice of New Primary
Item
Has a new malignant neoplasm or myelodysplastic syndrome (MDS) been diagnosed that was not previously reported?
boolean
Date diagnosed
Item
Date diagnosed
date
Item Group
Long Term Adverse Events
AE
Item
Has patient experienced any adverse events that have not been previously reported or have persisted for 3 months or more?
boolean
Item Group
Adverse Events details
Sequence Number
Item
Sequence Number
integer
Description
Item
Description
text
Grade
Item
Grade
text
Onset Date
Item
Onset Date
date
Causality
Item
Is event related to protocol therapy?
boolean
Item Group
Additional Cancer Therapy
Therapy type
Item
Specify therapy
text
Start Date
Item
Date therapy started
date
reason
Item
Specify reason
text
Comments
Item
Comments
text

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