ID

41325

Beschreibung

Study ID: 111476 Clinical Study ID: 111476 Study Title: An open, single-arm trial to assess the clinical activity of recMAGE-A3 + AS15 in patients with unresectable MAGE-A3-positive metastatic cutaneous melanoma Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00942162 Sponsor: GlaxoSmithKline Phase: Phase 2 Study Recruitment Status: Completed Generic Name: Antigen-Specific Cancer Immunotherapeutic Study Indication: Melanoma

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Versionen (2)
  1. 21.08.20 21.08.20 -
  2. 21.08.20 21.08.20 -
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GlaxoSmithKline

Hochgeladen am

21. August 2020

DOI

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Creative Commons BY 4.0
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Clinical activity of recMAGE-A3 + AS15 in patients with metastatic cutaneous melanoma NCT00942162

Englisch

Screening - Physical Examination

1 Formulare  
Administrative
Beschreibung

Administrative

Alias
UMLS CUI-1
C1320722
Patient Number
Beschreibung

Physical Examination

Datentyp

text

Alias
UMLS CUI [1]
C2348585
Physical Examination
Beschreibung

Physical Examination

Alias
UMLS CUI-1
C0031809
Has a complete physical examination been performed?
Beschreibung

Has a complete physical examination been performed?

Datentyp

boolean

Alias
UMLS CUI [1]
C0031809
Physical Examination Result
Beschreibung

Tick all that apply. At least one box must be ticked.

Datentyp

integer

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0456984
Other Physical Examination Result
Beschreibung

Other Physical Examination Result

Datentyp

text

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0456984
UMLS CUI [2]
C0205394
General Medical History/ Physical Examination
Beschreibung

General Medical History/ Physical Examination

Alias
UMLS CUI-1
C0262926
UMLS CUI-2
C0031809
Are you aware of any relevant pre-existing conditions, signs or diseases (excluding study disease) prior to the start of the study?
Beschreibung

Are you aware of any relevant pre-existing conditions, signs or diseases (excluding study disease) prior to the start of the study?

Datentyp

boolean

Alias
UMLS CUI [1]
C0521987
UMLS CUI [2]
C0037088
UMLS CUI [3]
C0012634
Conditions, signs, diseases
Beschreibung

Conditions, signs, diseases

Alias
UMLS CUI-1
C0521987
UMLS CUI-2
C0037088
UMLS CUI-3
C0012634
MeDRA System Organ Class
Beschreibung

MeDRA System Organ Class

Datentyp

integer

Alias
UMLS CUI [1]
C2347091
Diagnosis
Beschreibung

Diagnosis

Datentyp

text

Alias
UMLS CUI [1]
C0011900
Condition, sign or disease status
Beschreibung

Condition, sign or disease status

Datentyp

integer

Alias
UMLS CUI [1,1]
C0521987
UMLS CUI [1,2]
C0449438
UMLS CUI [2,1]
C0037088
UMLS CUI [2,2]
C0449438
UMLS CUI [3,1]
C0012634
UMLS CUI [3,2]
C0449438
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Ähnliche Modelle

Screening - Physical Examination

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Administrative
C1320722 (UMLS CUI-1)
Physical Examination
Item
Patient Number
text
C2348585 (UMLS CUI [1])
Item Group
Physical Examination
C0031809 (UMLS CUI-1)
Has a complete physical examination been performed?
Item
Has a complete physical examination been performed?
boolean
C0031809 (UMLS CUI [1])
Item
Physical Examination Result
integer
C0031809 (UMLS CUI [1,1])
C0456984 (UMLS CUI [1,2])
Physical Examination Result
Code List
Physical Examination Result
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
SAE (Record in SAE section) (3)
CL Item
Pre-existing medical condition (Complete General Medical History page) (4)
CL Item
Other, specify (5)
Other Physical Examination Result
Item
Other Physical Examination Result
text
C0031809 (UMLS CUI [1,1])
C0456984 (UMLS CUI [1,2])
C0205394 (UMLS CUI [2])
Item Group
General Medical History/ Physical Examination
C0262926 (UMLS CUI-1)
C0031809 (UMLS CUI-2)
Are you aware of any relevant pre-existing conditions, signs or diseases (excluding study disease) prior to the start of the study?
Item
Are you aware of any relevant pre-existing conditions, signs or diseases (excluding study disease) prior to the start of the study?
boolean
C0521987 (UMLS CUI [1])
C0037088 (UMLS CUI [2])
C0012634 (UMLS CUI [3])
Item Group
Conditions, signs, diseases
C0521987 (UMLS CUI-1)
C0037088 (UMLS CUI-2)
C0012634 (UMLS CUI-3)
Item
MeDRA System Organ Class
integer
C2347091 (UMLS CUI [1])
MeDRA System Organ Class
Code List
MeDRA System Organ Class
CL Item
Skin and subcutaneous tissue (1)
CL Item
Musculoskeletal and connective tissue (2)
CL Item
Cardiac (3)
CL Item
Vascular (4)
CL Item
Respiratory, thoracic and mediastinal (5)
CL Item
Gastrointestinal (6)
CL Item
Hepatobiliary (7)
CL Item
Renal and urinary (8)
CL Item
Nervous system (9)
CL Item
Eye (10)
CL Item
Ear and labyrinth (11)
CL Item
Endocrine (12)
CL Item
Metabolism and nutrition (13)
CL Item
Blood and lymphatic system (14)
CL Item
Immune system (Incl. allergies, autoimmune disorders) (15)
CL Item
Infections and infestations (16)
CL Item
Neoplasms benign, malignant and unspecified (incl. cysts, polyps) (17)
CL Item
Surgical and medical procedures (18)
CL Item
Psychiatric (20)
CL Item
Other (99)
Diagnosis
Item
Diagnosis
text
C0011900 (UMLS CUI [1])
Item
Condition, sign or disease status
integer
C0521987 (UMLS CUI [1,1])
C0449438 (UMLS CUI [1,2])
C0037088 (UMLS CUI [2,1])
C0449438 (UMLS CUI [2,2])
C0012634 (UMLS CUI [3,1])
C0449438 (UMLS CUI [3,2])
Condition, sign or disease status
Code List
Condition, sign or disease status
CL Item
Past (1)
CL Item
Current (2)
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