ID

41477

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 (2)
  1. 21-10-20 21-10-20 -
  2. 03-11-20 03-11-20 -
Houder van rechten

GlaxoSmithKline

Geüploaded op

21 oktober 2020

DOI

Voor een aanvraag inloggen.

Licentie

Creative Commons BY 4.0
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.

Clinical activity of recMAGE-A3 + AS15 in patients with metastatic cutaneous melanoma NCT00942162

Engels

IMD Report - Other relevant information, Investigator signature

1 Formulieren  
Administrative
Beschrijving

Administrative

Alias
UMLS CUI-1
C1320722
Patient Number
Beschrijving

Patient Number

Datatype

text

Alias
UMLS CUI [1]
C2348585
Other relevant information (including evolution)
Beschrijving

Other relevant information (including evolution)

Alias
UMLS CUI-1
C0517287
UMLS CUI-2
C0205394
UMLS CUI-3
C0332253
Is there any other relevant information to be recorded?
Beschrijving

Yes - Please describe below

Datatype

boolean

Alias
UMLS CUI [1,1]
C0517287
UMLS CUI [1,2]
C0205394
Date
Beschrijving

Date

Datatype

date

Alias
UMLS CUI [1]
C0011008
IMD additional/ follow-up information
Beschrijving

IMD additional/ follow-up information

Datatype

text

Alias
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C4330477
UMLS CUI [2]
C1546922
UMLS CUI [3,1]
C1522577
UMLS CUI [3,2]
C1533716
Investigator Signature
Beschrijving

Investigator Signature

Alias
UMLS CUI-1
C2346576
Investigator's signature
Beschrijving

I confirm that I have reviewed the data in this Immune Mediated Disease report 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 mentioned below.

Datatype

text

Alias
UMLS CUI [1]
C2346576
Printed Investigator's name
Beschrijving

Printed Investigator's name

Datatype

text

Alias
UMLS CUI [1]
C2826892
Investigator's Signature Date
Beschrijving

Investigator's Signature Date

Datatype

date

Alias
UMLS CUI [1,1]
C2346576
UMLS CUI [1,2]
C0011008
Terug naar het begin van de pagina

Similar models

IMD Report - Other relevant information, Investigator signature

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Administrative
C1320722 (UMLS CUI-1)
Patient Number
Item
Patient Number
text
C2348585 (UMLS CUI [1])
Item Group
Other relevant information (including evolution)
C0517287 (UMLS CUI-1)
C0205394 (UMLS CUI-2)
C0332253 (UMLS CUI-3)
Is there any other relevant information to be recorded?
Item
Is there any other relevant information to be recorded?
boolean
C0517287 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Date
Item
Date
date
C0011008 (UMLS CUI [1])
IMD additional/ follow-up information
Item
IMD additional/ follow-up information
text
C0012634 (UMLS CUI [1,1])
C4330477 (UMLS CUI [1,2])
C1546922 (UMLS CUI [2])
C1522577 (UMLS CUI [3,1])
C1533716 (UMLS CUI [3,2])
Item Group
Investigator Signature
C2346576 (UMLS CUI-1)
Investigator's signature
Item
Investigator's signature
text
C2346576 (UMLS CUI [1])
Printed Investigator's name
Item
Printed Investigator's name
text
C2826892 (UMLS CUI [1])
Investigator's Signature Date
Item
Investigator's Signature Date
date
C2346576 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
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