Is the subject alive?
Item
Is the subject alive?
boolean
C2584946 (UMLS CUI [1,1])
C2348568 (UMLS CUI [1,2])
If subject is not alive, enter date of death
Item
If subject is not alive, enter date of death
date
C1148348 (UMLS CUI [1])
Item
Indicate the primary cause of death
integer
C0007465 (UMLS CUI [1])
Code List
Indicate the primary cause of death
CL Item
Disease under study (1)
CL Item
Other, specify (3)
If other cause of death, please specify
Item
If other cause of death, please specify
text
C0007465 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
Date of subject completion or date of subject withdrawal
Item
Date of subject completion or date of subject withdrawal
date
C2983670 (UMLS CUI [1])
C1710677 (UMLS CUI [2,1])
C0011008 (UMLS CUI [2,2])
Was the subject withdrawn from the study?
Item
Was the subject withdrawn from the study?
boolean
C0422727 (UMLS CUI [1])
Item
If subject was withdrawn from study, select primary reson for withdrawal
integer
C0422727 (UMLS CUI [1,1])
C1549995 (UMLS CUI [1,2])
Code List
If subject was withdrawn from study, select primary reson for withdrawal
CL Item
Adverse Event (1)
CL Item
Record detaiis on the Non-Serious Adverse Events or Serious Adverse Events forms as appropriate (2)
CL Item
Lost to follow-up (2)
CL Item
Investigator decision (4)
CL Item
Subject withdrew from treatment (5)
CL Item
Subject decided to withdraw from the study (6)
CL Item
Subject reached protocol defined stopping criteria (7)
CL Item
Sponsor terminated study (8)
CL Item
Disease progression (9)
CL Item
Other, specify (10)
If other reason for withdrawal, please specify
Item
If other reason for withdrawal, please specify
text
C0422727 (UMLS CUI [1,1])
C1549995 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])
Item
Tick or untick this box to require the investigator to re-sign the case book
integer
C2346576 (UMLS CUI [1])
Code List
Tick or untick this box to require the investigator to re-sign the case book
CL Item
Require the investigator to re-sign the case book (1)
Has subject withdrawn consent for PGx research?
Item
Has subject withdrawn consent for PGx research?
boolean
C1707492 (UMLS CUI [1,1])
C0031325 (UMLS CUI [1,2])
If subject has withdrawn consent for PGx research, enter date informed consent withdrawn.
Item
If subject has withdrawn consent for PGx research, enter date informed consent withdrawn.
date
C1707492 (UMLS CUI [1,1])
C0031325 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Has a request been made for blood sample destruction?
Item
Has a request been made for blood sample destruction?
boolean
C1948029 (UMLS CUI [1,1])
C0178913 (UMLS CUI [1,2])
C1272683 (UMLS CUI [1,3])
Item
If a request has been made for blood sample destruction, check reason
integer
C1948029 (UMLS CUI [1,1])
C0178913 (UMLS CUI [1,2])
C1272683 (UMLS CUI [1,3])
C0392360 (UMLS CUI [1,4])
Code List
If a request has been made for blood sample destruction, check reason
CL Item
Subject withdrew consent for PGx (1)
CL Item
Screen failure (2)
CL Item
Other, specify (3)
If other reason for request for blood sample destruction, please specify
Item
If other reason for request for blood sample destruction, please specify
text
C1948029 (UMLS CUI [1,1])
C0178913 (UMLS CUI [1,2])
C1272683 (UMLS CUI [1,3])
C0392360 (UMLS CUI [1,4])
C0205394 (UMLS CUI [1,5])
C2348235 (UMLS CUI [1,6])
Sample type
Item
Sample type
text
C2347029 (UMLS CUI [1])
Genetics Type
Item
Genetics Type
text
C0017399 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
Did the subject become pregnant during the study?
Item
Did the subject become pregnant during the study?
boolean
C0032961 (UMLS CUI [1])
Item
Give primary reason Investigational Product was discontinued permanently:
integer
C4288399 (UMLS CUI [1,1])
C1549995 (UMLS CUI [1,2])
Code List
Give primary reason Investigational Product was discontinued permanently:
CL Item
Adverse event (1)
CL Item
Record detaiis on the Non-Serious Adverse Events or Serious Adverse Events forms as appropriate. (2)
CL Item
Lost to follow-up (2)
CL Item
Protocol violation (3)
CL Item
Subject decided to withdraw from the study (i.e. subject has withdrawn consent) (4)
CL Item
Complete the Study Conciusion form. (6)
CL Item
Subject decided to withdraw from IP but is to be followed for survival per protocol (5)
CL Item
Do not complete the Study Conciusion form untii foiiow-up is cornpiete. (8)
CL Item
Disease progression (6)
CL Item
Investigator decision (8)
CL Item
Other, specify (9)
If other primary reason Investigational Product was discontinued permanently, please specify
Item
If other primary reason Investigational Product was discontinued permanently, please specify:
text
C4288399 (UMLS CUI [1,1])
C1549995 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])
Pazopanib Returned Date
Item
Pazopanib Returned Date
date
C1831796 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0332156 (UMLS CUI [1,3])
Number of Tablets Returned
Item
Number of Tablets Returned
integer
C2699071 (UMLS CUI [1,1])
C0039225 (UMLS CUI [1,2])
Did the subject experience any non-serious adverse events during the study?
Item
Did the subject experience any non-serious adverse events during the study?
boolean
C1518404 (UMLS CUI [1])
Were any concomitant medications taken by the subject during the study?
Item
Were any concomitant medications taken by the subject during the study?
boolean
C2347852 (UMLS CUI [1])
Did the subject experience a serious adverse event during the study?
Item
Did the subject experience a serious adverse event during the study?
boolean
C1519255 (UMLS CUI [1])
Any blood products taken?
Item
Any blood products taken?
boolean
C0456388 (UMLS CUI [1])
Has subject had surgery/procedure?
Item
Has subject had surgery/procedure?
boolean
C0543467 (UMLS CUI [1])
C0199171 (UMLS CUI [2])