ID
43164
Description
On-Study Form NCT00058149 A Phase III, Randomized Study of Gemcitabine (Fixed-Dose Rate Infusion) and Oxaliplatin (NSC 266046) Versus Gemcitabine (Fixed-Dose Rate Infusion) Versus Gemcitabine (30-Minute Infusion) in Pancreatic Carcinoma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A65D6B91-79C6-4288-E034-0003BA0B1A09
Link
Keywords
Versions (4)
- 9/19/12 9/19/12 -
- 5/28/15 5/28/15 -
- 6/3/15 6/3/15 -
- 9/20/21 9/20/21 -
Uploaded on
September 20, 2021
DOI
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License
Creative Commons BY-NC 3.0 Legacy
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On-Study Form NCT00058149
No Instruction available.
- StudyEvent: On-Study Form
Description
Patient vital status
Description
Disease Description
Description
FirstPositiveBiopsyDate
Data type
date
Description
PriorRecentRecurrenceDate
Data type
date
Alias
- NCI Thesaurus ObjectClass
- C2991
- UMLS 2011AA ObjectClass
- C0012634
- NCI Thesaurus Property
- C25279
- UMLS 2011AA Property
- C0332162
Description
PrimarySite
Data type
text
Description
PrimarySite,Other
Data type
text
Description
HistologicGrade
Data type
text
Description
HistologicType
Data type
text
Description
HistologicType,OtherName
Data type
text
Description
Istherehistologicproofofresidualormetastaticmalignantdisease?
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS 2011AA ValueDomain
- C1527021
- NCI Thesaurus ValueDomain-2
- C25180
- UMLS 2011AA ValueDomain-2
- C1522602
Description
Site(s) Of Involvement
Description
Primarytumor/Pancreas
Data type
boolean
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS 2011AA ValueDomain
- C1527021
- NCI Thesaurus ValueDomain-2
- C25180
- UMLS 2011AA ValueDomain-2
- C1522602
Description
RegionalLymphNode(s)Ind
Data type
boolean
Description
DistantLymphNode(s)Ind
Data type
boolean
Description
Adjacentviscera/vessels
Data type
boolean
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS 2011AA ValueDomain
- C1527021
- NCI Thesaurus ValueDomain-2
- C25180
- UMLS 2011AA ValueDomain-2
- C1522602
Description
LiverSiteInd
Data type
boolean
Description
PeritoneumInd
Data type
boolean
Description
LungSiteInd
Data type
boolean
Description
BoneSiteInd
Data type
boolean
Description
OtherSiteInd
Data type
boolean
Description
OtherSiteName
Data type
text
Description
AdvancedDiseaseRegistrationStatus
Data type
text
Description
CEA
Data type
text
Description
LaboratoryProcedureCarcinoembryonicAntigenOutcomeUpperLimitNormalValue
Data type
float
Alias
- NCI Thesaurus ObjectClass
- C25294
- UMLS 2011AA ObjectClass
- C0022885
- NCI Thesaurus Property
- C25159
- UMLS 2011AA Property
- C0007082
- NCI Thesaurus Property-2
- C20200
- UMLS 2011AA Property-2
- C1274040
- NCI Thesaurus ValueDomain
- C25712
- UMLS 2011AA ValueDomain
- C1522609
- NCI Thesaurus ValueDomain-2
- C25706
- UMLS 2011AA ValueDomain-2
- C1519815
Description
CarcinoembryonicAntigenSpecimenCollectionDate
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ObjectClass
- C25159
- UMLS 2011AA ObjectClass
- C0007082
- NCI Thesaurus Property
- C25453
- UMLS 2011AA Property
- C1516698
- NCI Thesaurus ObjectClass-2
- C19157
- UMLS 2011AA ObjectClass-2
- C0370003
Description
CA19-9
Data type
text
Description
DateCA19-9obtained
Data type
text
Description
Baseline Hematology/chemistry
Description
WBCcount(x1000),LLN
Data type
text
Description
Lab,Hematology,WBC
Data type
float
Description
Lab,Hematology,SampleCollectionDate
Data type
date
Description
Lab,Hematology,GranulocyteCount
Data type
float
Description
Plateletscount(x1000),LLN
Data type
float
Alias
- NCI Thesaurus ValueDomain
- C25712
- UMLS 2011AA ValueDomain
- C1522609
- NCI Thesaurus ValueDomain-2
- C25555
- UMLS 2011AA ValueDomain-2
- C1518030
Description
Lab,Hematology,Platelets
Data type
float
Description
Hemoglobin(g/dl),LLN
Data type
text
Description
Lab,Hematology,Hemoglobin
Data type
float
Description
Albumin(g/dl),LLN
Data type
float
Alias
- NCI Thesaurus ValueDomain
- C25712
- UMLS 2011AA ValueDomain
- C1522609
- NCI Thesaurus ValueDomain-2
- C25555
- UMLS 2011AA ValueDomain-2
- C1518030
Description
Lab,Chemistry,Albumin
Data type
float
Description
Creatinine(mg/dl),ULN
Data type
text
Description
Lab,Renal,Creatinine
Data type
float
Description
SGOT(AST)ULN
Data type
float
Alias
- NCI Thesaurus ValueDomain
- C25712
- UMLS 2011AA ValueDomain
- C1522609
- NCI Thesaurus ValueDomain-2
- C25706
- UMLS 2011AA ValueDomain-2
- C1519815
Description
Lab,Hepatic,SGOT
Data type
float
Description
Bilirubin(mg/dl),ULN
Data type
float
Alias
- NCI Thesaurus ValueDomain
- C25712
- UMLS 2011AA ValueDomain
- C1522609
- NCI Thesaurus ValueDomain-2
- C25706
- UMLS 2011AA ValueDomain-2
- C1519815
Description
Lab,Hepatic,Bilirubin
Data type
float
Description
Prior Therapy
Description
Ccrr Module For On-study Form
Description
DiseaseInvolvementSite,Other
Data type
text
Description
Specifyagents
Data type
text
Description
PriorSurgeryInd
Data type
boolean
Description
Specifypriorthromboticevent
Data type
text
Description
Doesthepatienthaveapriorhistoryofdeepveinthrombosisorpulmonaryembolus?
Data type
boolean
Alias
- NCI Thesaurus ValueDomain
- C25180
- UMLS 2011AA ValueDomain
- C1522602
Description
Priorthrombosis?
Data type
boolean
Description
Timeframeofthrombosis
Data type
text
Description
Priorembolus?
Data type
boolean
Description
Timeframeofembolus
Data type
text
Description
PriorSurgeryDate
Data type
date
Description
InitialDiagnosisDate,LocallyAdvanced
Data type
date
Description
InitialDiagnosisDate,Metastatic
Data type
date
Description
DiseaseAssessment,MeasurableInd
Data type
boolean
Description
DiseaseAssessment,Non-measurableInd
Data type
boolean
Description
PriorAdjuvantChemotherapyEndDate
Data type
date
Description
PriorAdjuvantChemotherapyBeginDate
Data type
date
Description
Footer module
Description
Comments
Data type
text
Description
InvestigatorSignature
Data type
text
Alias
- NCI Thesaurus Property
- C25678
- UMLS 2011AA Property
- C1519316
- NCI Thesaurus ObjectClass
- C17089
- UMLS 2011AA ObjectClass
- C0035173
Description
InvestigatorSignatureDate
Data type
date
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