ID

43816

Beschrijving

A Phase I, Open Label, Multicentre, Dose-escalation Study of Oral GW572016 in Combination with Radiation Therapy and Cisplatin in Patients with Stage III-IV Squamous Cell Carcinoma of the Head and Neck.

Trefwoorden

Versies (2)
  1. 17-05-17 17-05-17 -
  2. 20-09-21 20-09-21 -
Geüploaded op

20 september 2021

DOI

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Licentie

Creative Commons BY-NC 3.0
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EGF100262 lapatinib in Squamous Cell Carcinoma Female Demography

Engels

EGF100262 Squamous Cell CaEGF100262 lapatinib in Squamous Cell Carcinoma Female Demographyrcinoma Female Demography

1 Formulieren  
Demography for Females - Screening
Beschrijving

Demography for Females - Screening

Alias
UMLS CUI-1
C0011298
UMLS CUI-2
C0086287
Childbearing potential, tick one:
Beschrijving

Childbearing Potential

Datatype

text

Alias
UMLS CUI [1]
C3831118
Tick all type(s) of contraception used below:
Beschrijving

Note: Physical barrier - barrier method only if used in combination with any of the other acceptable contraception methods. Note: Details of any contraceptive drug must be added to the CONCOMITANT MEDICATIONS page.

Datatype

text

Alias
UMLS CUI [1]
C0700589
Contraceptive Methods - if other, specify:
Beschrijving

Contraceptive Methods Specification

Datatype

text

Alias
UMLS CUI [1,1]
C0700589
UMLS CUI [1,2]
C2348235
Pregnancy test result, tick one:
Beschrijving

Pregnancy Test Result

Datatype

text

Alias
UMLS CUI [1]
C0032976
Terug naar het begin van de pagina

Similar models

EGF100262 Squamous Cell CaEGF100262 lapatinib in Squamous Cell Carcinoma Female Demographyrcinoma Female Demography

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Demography for Females - Screening
C0011298 (UMLS CUI-1)
C0086287 (UMLS CUI-2)
Item
Childbearing potential, tick one:
text
C3831118 (UMLS CUI [1])
Childbearing Potential
Code List
Childbearing potential, tick one:
CL Item
Premenarcheal (M)
CL Item
Sterile (of childbearing Age) (S)
CL Item
Postmenopausal (P)
CL Item
Potentially able to conceive children (A)
Item
Tick all type(s) of contraception used below:
text
C0700589 (UMLS CUI [1])
Contraceptive Methods
Code List
Tick all type(s) of contraception used below:
CL Item
Oral contraceptive (Oral contraceptive)
CL Item
Intrauterine contraceptive device (Intrauterine contraceptive device)
CL Item
Depot conctraceptive (implants, injectables) (Depot conctraceptive (implants, injectables))
CL Item
Physical barrier (condom, diaphragm) (Physical barrier (condom, diaphragm))
CL Item
Abstinence (Abstinence)
CL Item
Sterilization of male Partner (Sterilization of male Partner)
CL Item
None (None)
CL Item
Other (Other)
Contraceptive Methods Specification
Item
Contraceptive Methods - if other, specify:
text
C0700589 (UMLS CUI [1,1])
C2348235 (UMLS CUI [1,2])
Item
Pregnancy test result, tick one:
text
C0032976 (UMLS CUI [1])
Pregnancy Test Result
Code List
Pregnancy test result, tick one:
CL Item
positive (P)
CL Item
negative (n)
CL Item
not applicable (not of childbearing potential) (x)
Terug naar het begin van de pagina 

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