ID

37742

Description

Study ID: 104864/517 Clinical Study ID: 104864/517 Study Title: A Phase I Study of Oral Topotecan as a Radiosensitizing Agent in Patients With Rectal Cancer Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00158886 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 1 Study Recruitment Status: Completed Generic Name: Topotecan + Radiation therapy Trade Name: N/A Study Indication: Rectal Cancer, Carcinoma, Renal Cell

Keywords

Versions (1)
  1. 8/21/19 8/21/19 -
Copyright Holder

GlaxoSmithKline

Uploaded on

August 21, 2019

DOI

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License

Creative Commons BY-NC 3.0
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Oral Topotecan as Radiosensitizing Agent in Patients with Rectal Cancer; NCT00158886

English

Patient Assignment Sheet

1 forms  
Administrative Data
Description

Administrative Data

Alias
UMLS CUI-1
C1320722
Center number
Description

Study Coordinating Center, Identification number

Data type

integer

Alias
UMLS CUI [1,1]
C2825181
UMLS CUI [1,2]
C1300638
Patient Assignment Sheet
Description

Patient Assignment Sheet

Alias
UMLS CUI-1
C0030705
UMLS CUI-2
C1516050
Investigator
Description

Patients, Assignment, Investigator Name

Data type

text

Alias
UMLS CUI [1,1]
C0030705
UMLS CUI [1,2]
C1516050
UMLS CUI [1,3]
C2826892
Date
Description

Patients, Assignment, Date in time

Data type

date

Alias
UMLS CUI [1,1]
C0030705
UMLS CUI [1,2]
C1516050
UMLS CUI [1,3]
C0011008
Patient Initials
Description

Patients, Assignment, Person Initials

Data type

text

Alias
UMLS CUI [1,1]
C0030705
UMLS CUI [1,2]
C1516050
UMLS CUI [1,3]
C2986440
Patient Number
Description

Patients, Assignment, Numbers

Data type

integer

Alias
UMLS CUI [1,1]
C0030705
UMLS CUI [1,2]
C1516050
UMLS CUI [1,3]
C0237753
Randomization Number
Description

Patients, Assignment, Randomization, Numbers

Data type

integer

Alias
UMLS CUI [1,1]
C0030705
UMLS CUI [1,2]
C1516050
UMLS CUI [1,3]
C0034656
UMLS CUI [1,4]
C0237753
Date of First Dose
Description

Patients, Assignment, Date of start of treatment or therapy

Data type

date

Alias
UMLS CUI [1,1]
C0030705
UMLS CUI [1,2]
C1516050
UMLS CUI [1,3]
C3173309
Date of Last Dose
Description

Patients, Assignment, Date treatment stopped

Data type

date

Alias
UMLS CUI [1,1]
C0030705
UMLS CUI [1,2]
C1516050
UMLS CUI [1,3]
C1531784
Status
Description

Patients, Assignment, Status

Data type

text

Alias
UMLS CUI [1,1]
C0030705
UMLS CUI [1,2]
C1516050
UMLS CUI [1,3]
C0449438
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Similar models

Patient Assignment Sheet

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
Study Coordinating Center, Identification number
Item
Center number
integer
C2825181 (UMLS CUI [1,1])
C1300638 (UMLS CUI [1,2])
Item Group
Patient Assignment Sheet
C0030705 (UMLS CUI-1)
C1516050 (UMLS CUI-2)
Patients, Assignment, Investigator Name
Item
Investigator
text
C0030705 (UMLS CUI [1,1])
C1516050 (UMLS CUI [1,2])
C2826892 (UMLS CUI [1,3])
Patients, Assignment, Date in time
Item
Date
date
C0030705 (UMLS CUI [1,1])
C1516050 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Patients, Assignment, Person Initials
Item
Patient Initials
text
C0030705 (UMLS CUI [1,1])
C1516050 (UMLS CUI [1,2])
C2986440 (UMLS CUI [1,3])
Patients, Assignment, Numbers
Item
Patient Number
integer
C0030705 (UMLS CUI [1,1])
C1516050 (UMLS CUI [1,2])
C0237753 (UMLS CUI [1,3])
Patients, Assignment, Randomization, Numbers
Item
Randomization Number
integer
C0030705 (UMLS CUI [1,1])
C1516050 (UMLS CUI [1,2])
C0034656 (UMLS CUI [1,3])
C0237753 (UMLS CUI [1,4])
Patients, Assignment, Date of start of treatment or therapy
Item
Date of First Dose
date
C0030705 (UMLS CUI [1,1])
C1516050 (UMLS CUI [1,2])
C3173309 (UMLS CUI [1,3])
Patients, Assignment, Date treatment stopped
Item
Date of Last Dose
date
C0030705 (UMLS CUI [1,1])
C1516050 (UMLS CUI [1,2])
C1531784 (UMLS CUI [1,3])
Item
Status
text
C0030705 (UMLS CUI [1,1])
C1516050 (UMLS CUI [1,2])
C0449438 (UMLS CUI [1,3])
Patients, Assignment, Status
Code List
Status
CL Item
Completed treatment and follow-up phases (1)
CL Item
Withdrawn prior to completing treatment and follow-up phases (2)
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