ID
41330
Beschrijving
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
Trefwoorden
Versies (1)
- 26-08-20 26-08-20 -
Houder van rechten
GlaxoSmithKline
Geüploaded op
26 augustus 2020
DOI
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Licentie
Creative Commons BY 4.0
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Clinical activity of recMAGE-A3 + AS15 in patients with metastatic cutaneous melanoma NCT00942162
Screening - Screen Conclusion
- StudyEvent: ODM
Beschrijving
Screening Conclusion
Alias
- UMLS CUI-1
- C1710477
- UMLS CUI-2
- C1707478
Beschrijving
(only SAEs related to study participation or to a concurrent GSK medication need to be considered and reported).
Datatype
boolean
Alias
- UMLS CUI [1]
- C1519255
Beschrijving
Specify total number of SAEs:
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0449788
- UMLS CUI [1,2]
- C1519255
Beschrijving
(Was the patient withdrawn prior to treatment number allocation?)
Datatype
boolean
Alias
- UMLS CUI [1]
- C1710476
Beschrijving
(Tick one box only)
Datatype
text
Alias
- UMLS CUI [1,1]
- C1710476
- UMLS CUI [1,2]
- C0566251
Beschrijving
If major reason for screening failure is SAE, please specify SAE No.
Datatype
integer
Alias
- UMLS CUI [1,1]
- C1519255
- UMLS CUI [1,2]
- C0237753
- UMLS CUI [1,3]
- C2348235
Beschrijving
If other reason for screening failure, specify
Datatype
text
Alias
- UMLS CUI [1,1]
- C1710476
- UMLS CUI [1,2]
- C3840932
- UMLS CUI [1,3]
- C2348235
Beschrijving
Who made the decision:
Datatype
text
Alias
- UMLS CUI [1]
- C0679006
Beschrijving
Investigator's Signature
Alias
- UMLS CUI-1
- C2346576
Beschrijving
I confirm that I have reviewed the data in these screening forms for this patient. All information entered by myself or my colleagues is, to the best of my knowledge, complete and accurate, as of the date below.
Datatype
text
Alias
- UMLS CUI [1]
- C2346576
Beschrijving
Printed Investigator's name:
Datatype
text
Alias
- UMLS CUI [1]
- C2826892
Beschrijving
Investigator's Signature Date
Datatype
date
Alias
- UMLS CUI [1,1]
- C2346576
- UMLS CUI [1,2]
- C0011008
Similar models
Screening - Screen Conclusion
- StudyEvent: ODM
C1519255 (UMLS CUI [1,2])
C0566251 (UMLS CUI [1,2])
C0237753 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
C3840932 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
C0011008 (UMLS CUI [1,2])