ID

37141

Descripción

Study ID: 104864/502 Clinical Study ID: 104864/502 Study Title: An Open-Label, Multicenter, Randomized, Phase II Study of Oral Topotecan Daily x 5 Days vs. Oral Topotecan 5 Days On, 2 Days Off for 3 Weeks for Second-Line Treatment in Patients with Recurrent, Locally Advanced or Metastatic Cervical Cancer Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: N/A Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 2 Study Recruitment Status: Completed Generic Name: Topotecan Trade Name: N/A Study Indication: Cancer, Locally Advanced or Metastatic Cervical Cancer

Palabras clave

Versiones (1)
  1. 4/7/19 4/7/19 -
Titular de derechos de autor

GlaxoSmithKline

Subido en

4 de julio de 2019

DOI

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Licencia

Creative Commons BY-NC 3.0
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Oral Topotecan Daily x 5 Days vs. Oral Topotacan 5 Days On, 2 Days Off; 104864/502

Inglés

Form D

1 formularios  
  1. StudyEvent: ODM
    1. Form D
Administrative Data
Descripción

Administrative Data

Alias
UMLS CUI-1
C1320722
Center Number
Descripción

Institution name, Identifier

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C1301943
UMLS CUI [1,2]
C0600091
Patient Number
Descripción

Patient number

Tipo de datos

integer

Alias
UMLS CUI [1]
C1830427
Patient Initials
Descripción

Person Initials

Tipo de datos

text

Alias
UMLS CUI [1]
C2986440
Form D
Descripción

Form D

Alias
UMLS CUI-1
C0011065
Cause of Death
Descripción

Cause of death

Tipo de datos

text

Alias
UMLS CUI [1]
C0007465
Cause of Death - Specify
Descripción

Cause of death

Tipo de datos

text

Alias
UMLS CUI [1]
C0007465
Date of Death
Descripción

Date of death

Tipo de datos

date

Alias
UMLS CUI [1]
C1148348
Was a post-mortem done?
Descripción

Autopsy

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0004398
If ‘Yes’ please summarize findings (include diagnosis)
Descripción

Autopsy, Finding, Diagnosis

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0004398
UMLS CUI [1,2]
C0243095
UMLS CUI [1,3]
C0011900
Physician’s Signature
Descripción

Cessation of life, Signature of responsible attending physician on file

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0011065
UMLS CUI [1,2]
C0807938
Date
Descripción

Cessation of life, Signature of responsible attending physician on file, Date in time

Tipo de datos

date

Alias
UMLS CUI [1,1]
C0011065
UMLS CUI [1,2]
C0807938
UMLS CUI [1,3]
C0011008
Volver a la parte superior de la página

Similar models

Form D

1 formularios
  1. StudyEvent: ODM
    1. Form D
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
Institution name, Identifier
Item
Center Number
integer
C1301943 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Patient number
Item
Patient Number
integer
C1830427 (UMLS CUI [1])
Person Initials
Item
Patient Initials
text
C2986440 (UMLS CUI [1])
Item Group
Form D
C0011065 (UMLS CUI-1)
Item
Cause of Death
text
C0007465 (UMLS CUI [1])
Cause of death
Code List
Cause of Death
CL Item
Progressive Disease (1)
CL Item
Toxicity: Hematologic (2)
CL Item
Toxicity: Non-Hematologic (3)
CL Item
Other, specify (4)
Cause of death
Item
Cause of Death - Specify
text
C0007465 (UMLS CUI [1])
Date of death
Item
Date of Death
date
C1148348 (UMLS CUI [1])
Autopsy
Item
Was a post-mortem done?
boolean
C0004398 (UMLS CUI [1])
Autopsy, Finding, Diagnosis
Item
If ‘Yes’ please summarize findings (include diagnosis)
text
C0004398 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0011900 (UMLS CUI [1,3])
Cessation of life, Signature of responsible attending physician on file
Item
Physician’s Signature
text
C0011065 (UMLS CUI [1,1])
C0807938 (UMLS CUI [1,2])
Cessation of life, Signature of responsible attending physician on file, Date in time
Item
Date
date
C0011065 (UMLS CUI [1,1])
C0807938 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Volver a la parte superior de la página 

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