ID

37141

Description

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

Mots-clés

Versions (1)
  1. 04/07/2019 04/07/2019 -
Détendeur de droits

GlaxoSmithKline

Téléchargé le

4 juillet 2019

DOI

Pour une demande vous connecter.

Licence

Creative Commons BY-NC 3.0
Modèle Commentaires :

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Oral Topotecan Daily x 5 Days vs. Oral Topotacan 5 Days On, 2 Days Off; 104864/502

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Form D

1 Formulaires  
  1. StudyEvent: ODM
    1. Form D
Administrative Data
Description

Administrative Data

Alias
UMLS CUI-1
C1320722
Center Number
Description

Institution name, Identifier

Type de données

integer

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

Patient number

Type de données

integer

Alias
UMLS CUI [1]
C1830427
Patient Initials
Description

Person Initials

Type de données

text

Alias
UMLS CUI [1]
C2986440
Form D
Description

Form D

Alias
UMLS CUI-1
C0011065
Cause of Death
Description

Cause of death

Type de données

text

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

Cause of death

Type de données

text

Alias
UMLS CUI [1]
C0007465
Date of Death
Description

Date of death

Type de données

date

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

Autopsy

Type de données

boolean

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

Autopsy, Finding, Diagnosis

Type de données

text

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

Cessation of life, Signature of responsible attending physician on file

Type de données

text

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

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

Type de données

date

Alias
UMLS CUI [1,1]
C0011065
UMLS CUI [1,2]
C0807938
UMLS CUI [1,3]
C0011008
Retour au début de la page

Similar models

Form D

1 Formulaires
  1. StudyEvent: ODM
    1. Form D
Name
Type
Description | Question | Decode (Coded Value)
Type de données
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])
Retour au début de la page 

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