ID

37997

Description

Genetic Susceptibility to Radiation-Induced Skin Reactions in Racial/Ethnic Groups of Patients With Breast Cancer; ODM derived from: https://clinicaltrials.gov/show/NCT01407770

Lien

https://clinicaltrials.gov/show/NCT01407770

Mots-clés

Versions (1)
  1. 06/09/2019 06/09/2019 -
Détendeur de droits

See clinicaltrials.gov

Téléchargé le

6 septembre 2019

DOI

Pour une demande vous connecter.

Licence

Creative Commons BY 4.0
Modèle Commentaires :

Ici, vous pouvez faire des commentaires sur le modèle. À partir des bulles de texte, vous pouvez laisser des commentaires spécifiques sur les groupes Item et les Item.

Retour au modèle Commentaires
Groupe Item commentaires pour :

Item commentaires pour :

Vous devez être connecté pour pouvoir télécharger des formulaires. Veuillez vous connecter ou s’inscrire gratuitement.

Eligibility Breast Cancer NCT01407770

Anglais

Eligibility Breast Cancer NCT01407770

1 Formulaires  
Criteria
Description

Criteria

female patients newly diagnosed with breast carcinoma including ductal carcinoma in situ (dcis)
Description

Gender | Breast Carcinoma | DCIS

Type de données

boolean

Alias
UMLS CUI [1]
C0079399
UMLS CUI [2]
C0678222
UMLS CUI [3]
C0007124
stage 0-iiia disease
Description

Disease TNM Breast tumor staging

Type de données

boolean

Alias
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C0474926
status post-lumpectomy, -quadrantectomy, or -mastectomy
Description

Status post Segmental Mastectomy | Status post Quadrantectomy of breast | Status post Mastectomy

Type de données

boolean

Alias
UMLS CUI [1,1]
C0231290
UMLS CUI [1,2]
C0024885
UMLS CUI [2,1]
C0231290
UMLS CUI [2,2]
C0337354
UMLS CUI [3,1]
C0231290
UMLS CUI [3,2]
C0024881
plan to receive adjuvant radiation to the whole breast or chest wall and/or regional lymph nodes
Description

Whole Breast Irradiation Adjuvant Planned | Irradiation of chest wall Adjuvant Planned | Irradiation of lymph nodes Regional Adjuvant Planned

Type de données

boolean

Alias
UMLS CUI [1,1]
C3897169
UMLS CUI [1,2]
C1522673
UMLS CUI [1,3]
C1301732
UMLS CUI [2,1]
C2064934
UMLS CUI [2,2]
C1522673
UMLS CUI [2,3]
C1301732
UMLS CUI [3,1]
C2169077
UMLS CUI [3,2]
C0205147
UMLS CUI [3,3]
C1522673
UMLS CUI [3,4]
C1301732
no sites that cannot send blood/urine specimens to wake forest by overnight (next day) express shipping
Description

Exclusion Criteria | Blood specimen Unavailable | Urine specimen Unavailable

Type de données

boolean

Alias
UMLS CUI [1]
C0680251
UMLS CUI [2,1]
C0178913
UMLS CUI [2,2]
C0686905
UMLS CUI [3,1]
C1610733
UMLS CUI [3,2]
C0686905
patient characteristics:
Description

Client Characteristics

Type de données

boolean

Alias
UMLS CUI [1]
C0815172
*this stratum is closed as of april 25, 2012.
Description

ID.7

Type de données

boolean

no patients who do not understand english and are unable to complete form with assistance
Description

Exclusion Criteria | Comprehension English Language Unable | Consent Form Completion Assisted Unable

Type de données

boolean

Alias
UMLS CUI [1]
C0680251
UMLS CUI [2,1]
C0233733
UMLS CUI [2,2]
C0376245
UMLS CUI [2,3]
C1299582
UMLS CUI [3,1]
C0009797
UMLS CUI [3,2]
C0205197
UMLS CUI [3,3]
C1269765
UMLS CUI [3,4]
C1299582
prior concurrent therapy:
Description

Prior Therapy

Type de données

boolean

Alias
UMLS CUI [1]
C1514463
total dose > 40 gy, dose per fraction > 1.8 - 2.0 gy, use of 2d, 3d-conformal, or intensity-modulated radiation therapy (imrt) treatment techniques allowed; a daily fraction of 2.7 gy to the whole breast is suggested for hypofractionated regimens
Description

Therapeutic radiology procedure Cumulative Dose | Therapeutic radiology procedure Dose Fractionated | Therapeutic radiology procedure 2-Dimensional | Radiotherapy, Conformal | Radiotherapy, Intensity-Modulated | Hypofractionated radiation therapy Whole breast

Type de données

boolean

Alias
UMLS CUI [1,1]
C1522449
UMLS CUI [1,2]
C2986497
UMLS CUI [2,1]
C1522449
UMLS CUI [2,2]
C0178602
UMLS CUI [2,3]
C1979893
UMLS CUI [3,1]
C1522449
UMLS CUI [3,2]
C1705052
UMLS CUI [4]
C0600521
UMLS CUI [5]
C1512814
UMLS CUI [6,1]
C1831786
UMLS CUI [6,2]
C0457102
concurrent and sequential boost techniques are allowed for both standard and hypofractionated regimens
Description

Boost radiation therapy Standard | Boost radiation therapy Hypofractionation

Type de données

boolean

Alias
UMLS CUI [1,1]
C2919491
UMLS CUI [1,2]
C1442989
UMLS CUI [2,1]
C2919491
UMLS CUI [2,2]
C1831786
adjuvant hormonal therapy will be allowed prior to, during, and/or after radiotherapy (rt) at the discretion of a medical oncologist
Description

Adjuvant Hormone Therapy

Type de données

boolean

Alias
UMLS CUI [1,1]
C0279025
UMLS CUI [1,2]
C1522673
targeted therapies, such as herceptin, will be allowed prior to, during, and/or after rt at the discretion of the medical oncologist
Description

Targeted Therapy | Herceptin

Type de données

boolean

Alias
UMLS CUI [1]
C2985566
UMLS CUI [2]
C0338204
no prior radiation to the involved breast or chest wall
Description

Exclusion Criteria | Prior radiation therapy Breast Involved | Prior radiation therapy Chest wall Involved

Type de données

boolean

Alias
UMLS CUI [1]
C0680251
UMLS CUI [2,1]
C0279134
UMLS CUI [2,2]
C0006141
UMLS CUI [2,3]
C1314939
UMLS CUI [3,1]
C0279134
UMLS CUI [3,2]
C0205076
UMLS CUI [3,3]
C1314939
no concurrent chemotherapy
Description

Exclusion Criteria | Chemotherapy

Type de données

boolean

Alias
UMLS CUI [1]
C0680251
UMLS CUI [2]
C0392920
no patients who underwent breast reconstruction following mastectomy
Description

Exclusion Criteria | Mammaplasty Following Mastectomy

Type de données

boolean

Alias
UMLS CUI [1]
C0680251
UMLS CUI [2,1]
C0085076
UMLS CUI [2,2]
C0332282
UMLS CUI [2,3]
C0024881
placement of tissue expanders and implants are not allowed
Description

Exclusion Criteria | Insertion of tissue expander in breast | Breast implants

Type de données

boolean

Alias
UMLS CUI [1]
C0680251
UMLS CUI [2]
C0177682
UMLS CUI [3]
C0179412
no patients who have undergone mammosite® or any other form of brachytherapy as well as those who will be treated with skin-sparing imrt
Description

Exclusion Criteria | Balloon brachytherapy | Brachytherapy Any | Intensity-Modulated Radiotherapy Except Skin

Type de données

boolean

Alias
UMLS CUI [1]
C0680251
UMLS CUI [2]
C1832047
UMLS CUI [3,1]
C0006098
UMLS CUI [3,2]
C1552551
UMLS CUI [4,1]
C1512814
UMLS CUI [4,2]
C0332300
UMLS CUI [4,3]
C1123023
patients may not be concurrently enrolled in a protocol that involves treatment of the skin, i.e., applying lotions/moisturizers
Description

Exclusion Criteria | Study Subject Participation Status | Involvement with Treatment Skin | Application Lotion | Application of moisturizer to skin

Type de données

boolean

Alias
UMLS CUI [1]
C0680251
UMLS CUI [2]
C2348568
UMLS CUI [3,1]
C1314939
UMLS CUI [3,2]
C0087111
UMLS CUI [3,3]
C1123023
UMLS CUI [4,1]
C0185125
UMLS CUI [4,2]
C0544341
UMLS CUI [5]
C0455079
protocols that do not involve treatment of the skin are allowed
Description

Treatment Skin Uninvolved | Study Protocol allowed

Type de données

boolean

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C1123023
UMLS CUI [1,3]
C0205429
UMLS CUI [2,1]
C2348563
UMLS CUI [2,2]
C0683607
Retour au début de la page

Similar models

Eligibility Breast Cancer NCT01407770

1 Formulaires
Name
Type
Description | Question | Decode (Coded Value)
Type de données
Alias
Item Group
Gender | Breast Carcinoma | DCIS
Item
female patients newly diagnosed with breast carcinoma including ductal carcinoma in situ (dcis)
boolean
C0079399 (UMLS CUI [1])
C0678222 (UMLS CUI [2])
C0007124 (UMLS CUI [3])
Disease TNM Breast tumor staging
Item
stage 0-iiia disease
boolean
C0012634 (UMLS CUI [1,1])
C0474926 (UMLS CUI [1,2])
Status post Segmental Mastectomy | Status post Quadrantectomy of breast | Status post Mastectomy
Item
status post-lumpectomy, -quadrantectomy, or -mastectomy
boolean
C0231290 (UMLS CUI [1,1])
C0024885 (UMLS CUI [1,2])
C0231290 (UMLS CUI [2,1])
C0337354 (UMLS CUI [2,2])
C0231290 (UMLS CUI [3,1])
C0024881 (UMLS CUI [3,2])
Whole Breast Irradiation Adjuvant Planned | Irradiation of chest wall Adjuvant Planned | Irradiation of lymph nodes Regional Adjuvant Planned
Item
plan to receive adjuvant radiation to the whole breast or chest wall and/or regional lymph nodes
boolean
C3897169 (UMLS CUI [1,1])
C1522673 (UMLS CUI [1,2])
C1301732 (UMLS CUI [1,3])
C2064934 (UMLS CUI [2,1])
C1522673 (UMLS CUI [2,2])
C1301732 (UMLS CUI [2,3])
C2169077 (UMLS CUI [3,1])
C0205147 (UMLS CUI [3,2])
C1522673 (UMLS CUI [3,3])
C1301732 (UMLS CUI [3,4])
Exclusion Criteria | Blood specimen Unavailable | Urine specimen Unavailable
Item
no sites that cannot send blood/urine specimens to wake forest by overnight (next day) express shipping
boolean
C0680251 (UMLS CUI [1])
C0178913 (UMLS CUI [2,1])
C0686905 (UMLS CUI [2,2])
C1610733 (UMLS CUI [3,1])
C0686905 (UMLS CUI [3,2])
Client Characteristics
Item
patient characteristics:
boolean
C0815172 (UMLS CUI [1])
ID.7
Item
*this stratum is closed as of april 25, 2012.
boolean
Exclusion Criteria | Comprehension English Language Unable | Consent Form Completion Assisted Unable
Item
no patients who do not understand english and are unable to complete form with assistance
boolean
C0680251 (UMLS CUI [1])
C0233733 (UMLS CUI [2,1])
C0376245 (UMLS CUI [2,2])
C1299582 (UMLS CUI [2,3])
C0009797 (UMLS CUI [3,1])
C0205197 (UMLS CUI [3,2])
C1269765 (UMLS CUI [3,3])
C1299582 (UMLS CUI [3,4])
Prior Therapy
Item
prior concurrent therapy:
boolean
C1514463 (UMLS CUI [1])
Therapeutic radiology procedure Cumulative Dose | Therapeutic radiology procedure Dose Fractionated | Therapeutic radiology procedure 2-Dimensional | Radiotherapy, Conformal | Radiotherapy, Intensity-Modulated | Hypofractionated radiation therapy Whole breast
Item
total dose > 40 gy, dose per fraction > 1.8 - 2.0 gy, use of 2d, 3d-conformal, or intensity-modulated radiation therapy (imrt) treatment techniques allowed; a daily fraction of 2.7 gy to the whole breast is suggested for hypofractionated regimens
boolean
C1522449 (UMLS CUI [1,1])
C2986497 (UMLS CUI [1,2])
C1522449 (UMLS CUI [2,1])
C0178602 (UMLS CUI [2,2])
C1979893 (UMLS CUI [2,3])
C1522449 (UMLS CUI [3,1])
C1705052 (UMLS CUI [3,2])
C0600521 (UMLS CUI [4])
C1512814 (UMLS CUI [5])
C1831786 (UMLS CUI [6,1])
C0457102 (UMLS CUI [6,2])
Boost radiation therapy Standard | Boost radiation therapy Hypofractionation
Item
concurrent and sequential boost techniques are allowed for both standard and hypofractionated regimens
boolean
C2919491 (UMLS CUI [1,1])
C1442989 (UMLS CUI [1,2])
C2919491 (UMLS CUI [2,1])
C1831786 (UMLS CUI [2,2])
Adjuvant Hormone Therapy
Item
adjuvant hormonal therapy will be allowed prior to, during, and/or after radiotherapy (rt) at the discretion of a medical oncologist
boolean
C0279025 (UMLS CUI [1,1])
C1522673 (UMLS CUI [1,2])
Targeted Therapy | Herceptin
Item
targeted therapies, such as herceptin, will be allowed prior to, during, and/or after rt at the discretion of the medical oncologist
boolean
C2985566 (UMLS CUI [1])
C0338204 (UMLS CUI [2])
Exclusion Criteria | Prior radiation therapy Breast Involved | Prior radiation therapy Chest wall Involved
Item
no prior radiation to the involved breast or chest wall
boolean
C0680251 (UMLS CUI [1])
C0279134 (UMLS CUI [2,1])
C0006141 (UMLS CUI [2,2])
C1314939 (UMLS CUI [2,3])
C0279134 (UMLS CUI [3,1])
C0205076 (UMLS CUI [3,2])
C1314939 (UMLS CUI [3,3])
Exclusion Criteria | Chemotherapy
Item
no concurrent chemotherapy
boolean
C0680251 (UMLS CUI [1])
C0392920 (UMLS CUI [2])
Exclusion Criteria | Mammaplasty Following Mastectomy
Item
no patients who underwent breast reconstruction following mastectomy
boolean
C0680251 (UMLS CUI [1])
C0085076 (UMLS CUI [2,1])
C0332282 (UMLS CUI [2,2])
C0024881 (UMLS CUI [2,3])
Exclusion Criteria | Insertion of tissue expander in breast | Breast implants
Item
placement of tissue expanders and implants are not allowed
boolean
C0680251 (UMLS CUI [1])
C0177682 (UMLS CUI [2])
C0179412 (UMLS CUI [3])
Exclusion Criteria | Balloon brachytherapy | Brachytherapy Any | Intensity-Modulated Radiotherapy Except Skin
Item
no patients who have undergone mammosite® or any other form of brachytherapy as well as those who will be treated with skin-sparing imrt
boolean
C0680251 (UMLS CUI [1])
C1832047 (UMLS CUI [2])
C0006098 (UMLS CUI [3,1])
C1552551 (UMLS CUI [3,2])
C1512814 (UMLS CUI [4,1])
C0332300 (UMLS CUI [4,2])
C1123023 (UMLS CUI [4,3])
Exclusion Criteria | Study Subject Participation Status | Involvement with Treatment Skin | Application Lotion | Application of moisturizer to skin
Item
patients may not be concurrently enrolled in a protocol that involves treatment of the skin, i.e., applying lotions/moisturizers
boolean
C0680251 (UMLS CUI [1])
C2348568 (UMLS CUI [2])
C1314939 (UMLS CUI [3,1])
C0087111 (UMLS CUI [3,2])
C1123023 (UMLS CUI [3,3])
C0185125 (UMLS CUI [4,1])
C0544341 (UMLS CUI [4,2])
C0455079 (UMLS CUI [5])
Treatment Skin Uninvolved | Study Protocol allowed
Item
protocols that do not involve treatment of the skin are allowed
boolean
C0087111 (UMLS CUI [1,1])
C1123023 (UMLS CUI [1,2])
C0205429 (UMLS CUI [1,3])
C2348563 (UMLS CUI [2,1])
C0683607 (UMLS CUI [2,2])
Retour au début de la page 

Contact

Utilisez ce formulaire pour les retours, les questions et les améliorations suggérées.

Les champs marqués d’un * sont obligatoires.

Aide

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