ID

37742

Beschrijving

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

Trefwoorden

Versies (1)
  1. 21-08-19 21-08-19 -
Houder van rechten

GlaxoSmithKline

Geüploaded op

21 augustus 2019

DOI

Voor een aanvraag inloggen.

Licentie

Creative Commons BY-NC 3.0
Model Commentaren :

Hier kunt u commentaar leveren op het model. U kunt de tekstballonnen bij de itemgroepen en items gebruiken om er specifiek commentaar op te geven.

Terug naar het model Commentaren
Itemgroep Commentaren voor :

Item Commentaren voor :

U moet ingelogd zijn om formulieren te downloaden. AUB inloggen of schrijf u gratis in.

Oral Topotecan as Radiosensitizing Agent in Patients with Rectal Cancer; NCT00158886

Engels

Patient Assignment Sheet

1 Formulieren  
Administrative Data
Beschrijving

Administrative Data

Alias
UMLS CUI-1
C1320722
Center number
Beschrijving

Study Coordinating Center, Identification number

Datatype

integer

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

Patient Assignment Sheet

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

Patients, Assignment, Investigator Name

Datatype

text

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

Patients, Assignment, Date in time

Datatype

date

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

Patients, Assignment, Person Initials

Datatype

text

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

Patients, Assignment, Numbers

Datatype

integer

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

Patients, Assignment, Randomization, Numbers

Datatype

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
Beschrijving

Patients, Assignment, Date of start of treatment or therapy

Datatype

date

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

Patients, Assignment, Date treatment stopped

Datatype

date

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

Patients, Assignment, Status

Datatype

text

Alias
UMLS CUI [1,1]
C0030705
UMLS CUI [1,2]
C1516050
UMLS CUI [1,3]
C0449438
Terug naar het begin van de pagina

Similar models

Patient Assignment Sheet

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
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)
Terug naar het begin van de pagina 

Contact

Gebruik dit formulier voor feedback, vragen en verbeteringsvoorstellen.

Velden gemarkeerd met een * zijn verplicht.

Help

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial