ID

43228

Description

NCT00020709 S0023: Combination Chemo Plus RT With or Without Gefitinib in Treating Patients With Unresectable Stage III NSCLC Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=9CA62D43-4AA8-361C-E034-080020C9C0E0

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=9CA62D43-4AA8-361C-E034-080020C9C0E0

Keywords

Versions (5)
  1. 9/19/12 9/19/12 -
  2. 5/28/15 5/28/15 -
  3. 6/3/15 6/3/15 -
  4. 7/31/15 7/31/15 - Martin Dugas
  5. 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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Prestudy form NSCLC Stage III NCT00020709

English

No Instruction available.

1 forms  
  1. StudyEvent: STAGE I - III BREAST CANCER PRESTUDY FORM (With SI Units for use by NCIC institutions only)
    1. No Instruction available.
SWOG clinical trial administrative data
Description

SWOG clinical trial administrative data

SWOG Patient ID
Description

SWOGPatientID

Data type

text

SWOG Study No.
Description

SWOGStudyNo.

Data type

text

Registration Step
Description

Registration Step

Data type

text

Alias
NCI Thesaurus ValueDomain
C25337
NCI Thesaurus ValueDomain-2
C16154
UMLS CUI-1-1
C1514821
UMLS CUI-1-2
C0237753
Patient Initials (L, F M)
Description

PatientInitials

Data type

text

Institution / Affiliate
Description

Institution/Affiliate

Data type

text

Physician
Description

Physician

Data type

text

Group Name (Groups other than SWOG )
Description

GroupName

Data type

text

Study No. (Groups other than SWOG )
Description

StudyNo.

Data type

float

Pt. ID (Groups other than SWOG )
Description

Pt.ID

Data type

text

Patient And Disease Description
Description

Patient And Disease Description

Height
Description

Height

Data type

float

Measurement units
  • cm
Alias
UMLS CUI-1-1
C0005890
cm
Body weight
Description

Body weight

Data type

float

Measurement units
  • kg
Alias
UMLS CUI-1-1
C0005910
kg
Body surface area
Description

Body surface area

Data type

float

Measurement units
  • m²
Alias
UMLS CUI-1-1
C0005902
m²
Performance Status
Description

Performance Status

Data type

text

Alias
UMLS CUI-1-1
C1520224
Weight Loss in Previous Six Months
Description

WeightLossPriorSixMonths

Data type

text

Alias
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C3445
UMLS 2011AA Property
C1262477
FEV1
Description

FEV1

Data type

float

Measurement units
  • L
Alias
UMLS CUI-1-1
C0748133
L
DLCO
Description

DLCO

Data type

float

Measurement units
  • %
Alias
UMLS CUI-1-1
C1516251
%
Date of Initial Diagnosis of Primary Tumor
Description

FirstPositiveBiopsyDate

Data type

date

Histologic Type
Description

Histologic Type

Data type

text

Alias
UMLS CUI-1-1
C0449574
Other, Specify
Description

Other,Specify

Data type

text

Tumor Stage T-status
Description

Tumor Stage T-status

Data type

text

Alias
UMLS CUI-1-1
C0475455
Node Stage N-status
Description

Node Stage N-status

Data type

text

Alias
UMLS CUI-1-1
C1272457
Current Laboratory Values (si Units)
Description

Current Laboratory Values (si Units)

Albumin
Description

Albumin

Data type

float

Measurement units
  • g/dL
Alias
UMLS CUI-1-1
C0201838
g/dL
Lactate Dehydrogenase (LDH)
Description

Lactate Dehydrogenase (LDH)

Data type

float

Measurement units
  • U/L
Alias
UMLS CUI-1-1
C0202113
U/L
Lactate Dehydrogenase ULN (LDH)
Description

Lactate Dehydrogenase ULN (LDH)

Data type

float

Measurement units
  • U/L
Alias
UMLS CUI-1-1
C0202113
UMLS CUI-1-2
C1519815
U/L
Notes
Description

Notes

Notes
Description

Notes

Data type

text

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Similar models

No Instruction available.

1 forms
  1. StudyEvent: STAGE I - III BREAST CANCER PRESTUDY FORM (With SI Units for use by NCIC institutions only)
    1. No Instruction available.
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
SWOG clinical trial administrative data
SWOGPatientID
Item
SWOG Patient ID
text
SWOGStudyNo.
Item
SWOG Study No.
text
Registration Number
Item
Registration Step
text
C25337 (NCI Thesaurus ValueDomain)
C16154 (NCI Thesaurus ValueDomain-2)
C1514821 (UMLS CUI-1-1)
C0237753 (UMLS CUI-1-2)
PatientInitials
Item
Patient Initials (L, F M)
text
Institution/Affiliate
Item
Institution / Affiliate
text
Physician
Item
Physician
text
GroupName
Item
Group Name (Groups other than SWOG )
text
StudyNo.
Item
Study No. (Groups other than SWOG )
float
Pt.ID
Item
Pt. ID (Groups other than SWOG )
text
Item Group
Patient And Disease Description
Height
Item
Height
float
C0005890 (UMLS CUI-1-1)
Weight
Item
Body weight
float
C0005910 (UMLS CUI-1-1)
BSA
Item
Body surface area
float
C0005902 (UMLS CUI-1-1)
ECOG Performance Status
Item
Performance Status
text
C1520224 (UMLS CUI-1-1)
Item
Weight Loss in Previous Six Months
text
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C3445 (NCI Thesaurus Property)
C1262477 (UMLS 2011AA Property)
CL.1
Code List
Weight Loss in Previous Six Months
CL Item
<5% (<5%)
CL Item
5 - < 10% (5 - < 10%)
CL Item
10 - < 20% (10 - < 20%)
CL Item
>=20% (>=20%)
FEV1
Item
FEV1
float
C0748133 (UMLS CUI-1-1)
DLCO
Item
DLCO
float
C1516251 (UMLS CUI-1-1)
FirstPositiveBiopsyDate
Item
Date of Initial Diagnosis of Primary Tumor
date
Item
Histologic Type
text
C0449574 (UMLS CUI-1-1)
CL.2
Code List
Histologic Type
CL Item
Squamous (Squamous)
C1182670 (UMLS CUI-1)
CL Item
Adenocarcinoma (Adenocarcinoma)
C0001418 (UMLS CUI-1)
CL Item
Large Cell Undifferentiated (Large Cell Undifferentiated)
C0345958 (UMLS CUI-1)
CL Item
Bronchioloalveolar (BAC) (Bronchioloalveolar (BAC))
C0007120 (UMLS CUI-1)
CL Item
NSCLC, NOS (NSCLC, NOS)
C0007131 (UMLS CUI-1)
C1518425 (UMLS CUI-2)
CL Item
Other, Specify (Other, Specify)
C1299220 (UMLS CUI-1)
Other,Specify
Item
Other, Specify
text
Item
Tumor Stage T-status
text
C0475455 (UMLS CUI-1-1)
CL.3
Code List
Tumor Stage T-status
CL Item
T1 (T1)
CL Item
T2 (T2)
CL Item
T3 (T3)
CL Item
T4 (T4)
Item
Node Stage N-status
text
C1272457 (UMLS CUI-1-1)
CL.4
Code List
Node Stage N-status
CL Item
N0 (N0)
CL Item
N1 (N1)
CL Item
N2 (N2)
CL Item
N3 (N3)
Item Group
Current Laboratory Values (si Units)
Albumin
Item
Albumin
float
C0201838 (UMLS CUI-1-1)
LDH
Item
Lactate Dehydrogenase (LDH)
float
C0202113 (UMLS CUI-1-1)
LDH ULN
Item
Lactate Dehydrogenase ULN (LDH)
float
C0202113 (UMLS CUI-1-1)
C1519815 (UMLS CUI-1-2)
Item Group
Notes
Notes
Item
Notes
text
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