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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

    Back to the top of the page

    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
    Back to the top of the page 

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