ID

43625

Beskrivning

Pilot Clinical Trial of Pazopanib in Patients With Relapsed or Refractory Acute Myeloid Leukemia (AML) or at Initial Diagnosis When no Intensive Treatment is Possible (PAZOPANIB-AML) https://clinicaltrials.gov/ct2/show/NCT01361334 Principal Investigator: PD Dr. Torsten Kessler, University Hospital Muenster, Germany

Länk

https://clinicaltrials.gov/ct2/show/NCT01361334

Nyckelord

Versioner (4)
  1. 2015-08-13 2015-08-13 - Martin Dugas
  2. 2016-01-06 2016-01-06 -
  3. 2016-02-11 2016-02-11 -
  4. 2021-09-20 2021-09-20 -
Uppladdad den

20 september 2021

DOI

För en begäran logga in.

Licens

Creative Commons BY 4.0
Modellkommentarer :

Här kan du kommentera modellen. Med hjälp av pratbubblor i Item-grupperna och Item kan du lägga in specifika kommentarer.

Tillbaka till modellkommentarer
Itemgroup-kommentar för :

Item-kommentar för :

Du måste vara inloggad för att kunna ladda ner formulär. Var vänlig logga in eller registrera dig utan kostnad.

Patient data AML Pazopanib NCT01361334

Tysk Engelsk

Patient data AML Pazopanib NCT01361334

1 Formulär  
Patient data
Beskrivning

Patient data

Alias
UMLS CUI-1
C2707520
Patient ID (derived)
Beskrivning

Patient ID (derived)

Datatyp

text

Alias
UMLS CUI [1]
C2348585
Visit timepoint/Therapeutic regimen timepoint
Beskrivning

Visit info

Datatyp

text

Alias
UMLS CUI [1,1]
C1276413
UMLS CUI [1,2]
C2348792
Patient date of birth - month
Beskrivning

Birth month

Datatyp

integer

Alias
UMLS CUI [1,1]
C0421451
UMLS CUI [1,2]
C2826701
Patient date of birth - year
Beskrivning

Birth year

Datatyp

integer

Alias
UMLS CUI [1]
C2826771
Date of informed consent
Beskrivning

Consent date

Datatyp

date

Alias
UMLS CUI [1]
C2985782
Date of informed consent: status
Beskrivning

Einverständnis: Datum Status

Datatyp

text

Alias
UMLS CUI [1]
C2985875
Gender
Beskrivning

Gender

Datatyp

text

Alias
UMLS CUI [1]
C0079399
Informed consent for storage of specimen and tissue
Beskrivning

consent tissue specimen

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0021430
UMLS CUI [1,2]
C1292533
Status of disease: de novo AML
Beskrivning

De novo AML

Datatyp

text

Alias
UMLS CUI [1,1]
C1515568
UMLS CUI [1,2]
C0023467
Status of disease: secondary AML
Beskrivning

Secondary AML

Datatyp

text

Alias
UMLS CUI [1]
C0280449
Status of disease: Leukaemic infiltration extramedullary
Beskrivning

Leukaemic infiltration

Datatyp

boolean

Alias
UMLS CUI [1]
C1868812
Status of disease: Disease stage
Beskrivning

Disease stage

Datatyp

text

Alias
UMLS CUI [1]
C0699749
Patient data: Comment
Beskrivning

Kommentar Patientendaten

Datatyp

text

Alias
UMLS CUI [1]
C0947611
Previous treatment
Beskrivning

Previous treatment

Alias
UMLS CUI-1
C0087111
Previous antineoplastic protocol
Beskrivning

Bisherige Behandlung AML

Datatyp

text

Alias
UMLS CUI [1]
C2114510
Tillbaka till toppen

Similar models

Patient data AML Pazopanib NCT01361334

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Patient data
C2707520 (UMLS CUI-1)
Patient ID (derived)
Item
Patient ID (derived)
text
C2348585 (UMLS CUI [1])
Item
Visit timepoint/Therapeutic regimen timepoint
text
C1276413 (UMLS CUI [1,1])
C2348792 (UMLS CUI [1,2])
Visitenname
Code List
Visit timepoint/Therapeutic regimen timepoint
CL Item
Baseline (1)
CL Item
Tag 1 (2)
CL Item
Tag 2 (3)
CL Item
Tag 7 (4)
CL Item
Tag 10 (5)
CL Item
Tag 14 (6)
CL Item
Tag 28 (7)
CL Item
Monat 2 (8)
CL Item
Monat 3 (9)
CL Item
Monat 6 (10)
CL Item
Monat 9 (11)
CL Item
Monat 12 (12)
CL Item
Progression - Rezidiv (13)
CL Item
Follow Up - Blatt Nr. 1 (14)
CL Item
Follow Up - Blatt Nr. 2 (15)
CL Item
Follow Up - Blatt Nr. 3 (16)
CL Item
Follow Up - Blatt Nr. 4 (17)
Birth month
Item
Patient date of birth - month
integer
C0421451 (UMLS CUI [1,1])
C2826701 (UMLS CUI [1,2])
Birth year
Item
Patient date of birth - year
integer
C2826771 (UMLS CUI [1])
Consent date
Item
Date of informed consent
date
C2985782 (UMLS CUI [1])
Item
Date of informed consent: status
text
C2985875 (UMLS CUI [1])
Einverständnis: Datum Status
Code List
Date of informed consent: status
CL Item
T (1)
CL Item
TM (2)
CL Item
M (3)
Item
Gender
text
C0079399 (UMLS CUI [1])
Geschlecht
Code List
Gender
CL Item
maennlich (m)
C0086582 (UMLS CUI-1)
CL Item
weiblich (w)
C0086287 (UMLS CUI-1)
consent tissue specimen
Item
Informed consent for storage of specimen and tissue
boolean
C0021430 (UMLS CUI [1,1])
C1292533 (UMLS CUI [1,2])
Item
Status of disease: de novo AML
text
C1515568 (UMLS CUI [1,1])
C0023467 (UMLS CUI [1,2])
Anamnesestatus: De novo AML
Code List
Status of disease: de novo AML
CL Item
De novo AML (1)
Item
Status of disease: secondary AML
text
C0280449 (UMLS CUI [1])
Anamnesestatus: Sekundäre AML
Code List
Status of disease: secondary AML
CL Item
secondary AML (1)
Leukaemic infiltration
Item
Status of disease: Leukaemic infiltration extramedullary
boolean
C1868812 (UMLS CUI [1])
Item
Status of disease: Disease stage
text
C0699749 (UMLS CUI [1])
Anamnesestatus: Stadium
Code List
Status of disease: Disease stage
CL Item
First diagnosis (1)
C0205265 (UMLS CUI-1)
C0011900 (UMLS CUI-2)
CL Item
no response (2)
C1704632 (UMLS CUI-1)
C3844738 (UMLS CUI-2)
CL Item
Relapse/Recurrent disease (3)
C0035020 (UMLS CUI-1)
Kommentar Patientendaten
Item
Patient data: Comment
text
C0947611 (UMLS CUI [1])
Item Group
Previous treatment
C0087111 (UMLS CUI-1)
Bisherige Behandlung AML
Item
Previous antineoplastic protocol
text
C2114510 (UMLS CUI [1])
Tillbaka till toppen 

Kontakt

Använd detta formulär för feedback, frågor och förslag på förbättringar.

Fält markerade med * är obligatoriska.

Hjälp

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