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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

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

GlaxoSmithKline

Uploaded on

August 21, 2019

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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
    Back to the top of the page

    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)
    Back to the top of the page 

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