ID

4392

Beschreibung

ODM derived from http://clinicaltrials.gov/show/NCT00887198

Link

http://clinicaltrials.gov/show/NCT00887198

Stichworte

  1. 09.12.13 09.12.13 - Martin Dugas
  2. 17.04.14 17.04.14 - Julian Varghese
Hochgeladen am

9. Dezember 2013

DOI

Für eine Beantragung loggen Sie sich ein.

Lizenz

Creative Commons BY-NC 3.0 Legacy

Modell Kommentare :

Hier können Sie das Modell kommentieren. Über die Sprechblasen an den Itemgruppen und Items können Sie diese spezifisch kommentieren.

Itemgroup Kommentare für :

Item Kommentare für :

Um Formulare herunterzuladen müssen Sie angemeldet sein. Bitte loggen Sie sich ein oder registrieren Sie sich kostenlos.

Eligibility NCT00887198 Prostate Cancer

Eligibility

  1. StudyEvent: Eligibility
    1. Eligibility
Einschlusskriterien
Beschreibung

Einschlusskriterien

Alias
UMLS CUI 2011AA
CL425202
Alter mindestens 18 Jahre
Beschreibung

age at least 18 Years

Datentyp

boolean

Alias
UMLS CUI 2011AA
C0001779
SNOMED CT 2011_0131
397669002
Metastatic castration-resistant prostate cancer
Beschreibung

Metastatic castration-resistant prostate cancer

Datentyp

boolean

Alias
UMLS CUI 2011AA
C0007347
SNOMED CT 2011_0131
275234001
UMLS CUI 2011AA
C0332325
SNOMED CT 2011_0131
30714006
UMLS CUI 2011AA
C0936223
MedDRA 14.1
10036909
UMLS CUI 2011AA
C0011900
SNOMED CT 2011_0131
439401001
LOINC Version 232
MTHU008876
Previous anti-androgen therapy and progression after withdrawal
Beschreibung

Previous anti-androgen therapy and progression after withdrawal

Datentyp

boolean

Alias
UMLS CUI 2011AA
C0205156
SNOMED CT 2011_0131
9130008
UMLS CUI 2011AA
C0279492
MedDRA 14.1
10002730
UMLS CUI 2011AA
C0242656
SNOMED CT 2011_0131
246453008
MedDRA 14.1
10061818
UMLS CUI 2011AA
C0231290
SNOMED CT 2011_0131
237679004
UMLS CUI 2011AA
C2349954
ECOG performance status of either 0 or 1
Beschreibung

ECOG performance status of either 0 or 1

Datentyp

boolean

Alias
UMLS CUI 2011AA
C1828078
SNOMED CT 2011_0131
425389002
UMLS CUI 2011AA
C1827388
SNOMED CT 2011_0131
422512005
Medical or surgical castration with testosterone < 50 ng/dL
Beschreibung

Medical or surgical castration with testosterone < 50 ng/dL

Datentyp

boolean

Alias
UMLS CUI 2011AA
C1513054
UMLS CUI 2011AA
C0007347
SNOMED CT 2011_0131
275234001
UMLS CUI 2011AA
CL026906
Able to provide written informed consent
Beschreibung

Able to provide written informed consent

Datentyp

boolean

Alias
UMLS CUI 2011AA
C0085732
SNOMED CT 2011_0131
371150009
UMLS CUI 2011AA
C0184704
SNOMED CT 2011_0131
55149002
Ausschlusskriterien
Beschreibung

Ausschlusskriterien

Alias
UMLS CUI 2011AA
CL425201
Prior cytotoxic chemotherapy or biologic therapy for CRPC
Beschreibung

Prior cytotoxic chemotherapy or biologic therapy for CRPC

Datentyp

boolean

Alias
UMLS CUI 2011AA
C0332152
SNOMED CT 2011_0131
288556008
UMLS CUI 2011AA
C0677881
UMLS CUI 2011AA
C0005527
UMLS CUI 2011AA
C0007347
SNOMED CT 2011_0131
275234001
UMLS CUI 2011AA
C0332325
SNOMED CT 2011_0131
30714006
UMLS CUI 2011AA
C0936223
MedDRA 14.1
10036909
Prior ketoconazole for prostate cancer
Beschreibung

Prior ketoconazole for prostate cancer

Datentyp

boolean

Alias
UMLS CUI 2011AA
C0332152
SNOMED CT 2011_0131
288556008
UMLS CUI 2011AA
C0022625
SNOMED CT 2011_0131
387216007
LOINC Version 232
MTHU002299
UMLS CUI 2011AA
C0600139
SNOMED CT 2011_0131
254900004
MedDRA 14.1
10036921
Known brain metastasis or visceral organ metastasis
Beschreibung

Known brain metastasis or visceral organ metastasis

Datentyp

boolean

Alias
UMLS CUI 2011AA
C0220650
MedDRA 14.1
10006128
UMLS CUI 2011AA
C0042779
UMLS CUI 2011AA
C0027627
SNOMED CT 2011_0131
128462008
MedDRA 14.1
10027449
Use of opiate analgesics for cancer-related pain, including codeine and dextropropoxyphene, currently or anytime within 4 weeks of Cycle 1 Day 1
Beschreibung

Use of opiate analgesics for cancer-related pain, including codeine and dextropropoxyphene, currently or anytime within 4 weeks of Cycle 1 Day 1

Datentyp

boolean

Alias
UMLS CUI 2011AA
C2911207
ICD-10-CM Version 2010
Z79.891
UMLS CUI 2011AA
C1719395
ICD-10-CM Version 2010
G89.3
ICD-9-CM Version 2011
338.3
UMLS CUI 2011AA
C0009214
SNOMED CT 2011_0131
85990009
LOINC Version 232
MTHU004289
UMLS CUI 2011AA
C0033493
SNOMED CT 2011_0131
117005003
LOINC Version 232
MTHU001004

Ähnliche Modelle

Eligibility

  1. StudyEvent: Eligibility
    1. Eligibility
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Einschlusskriterien
CL425202 (UMLS CUI 2011AA)
age at least 18 Years
Item
Alter mindestens 18 Jahre
boolean
C0001779 (UMLS CUI 2011AA)
397669002 (SNOMED CT 2011_0131)
Metastatic castration-resistant prostate cancer
Item
Metastatic castration-resistant prostate cancer
boolean
C0007347 (UMLS CUI 2011AA)
275234001 (SNOMED CT 2011_0131)
C0332325 (UMLS CUI 2011AA)
30714006 (SNOMED CT 2011_0131)
C0936223 (UMLS CUI 2011AA)
10036909 (MedDRA 14.1)
C0011900 (UMLS CUI 2011AA)
439401001 (SNOMED CT 2011_0131)
MTHU008876 (LOINC Version 232)
Previous anti-androgen therapy and progression after withdrawal
Item
Previous anti-androgen therapy and progression after withdrawal
boolean
C0205156 (UMLS CUI 2011AA)
9130008 (SNOMED CT 2011_0131)
C0279492 (UMLS CUI 2011AA)
10002730 (MedDRA 14.1)
C0242656 (UMLS CUI 2011AA)
246453008 (SNOMED CT 2011_0131)
10061818 (MedDRA 14.1)
C0231290 (UMLS CUI 2011AA)
237679004 (SNOMED CT 2011_0131)
C2349954 (UMLS CUI 2011AA)
ECOG performance status of either 0 or 1
Item
ECOG performance status of either 0 or 1
boolean
C1828078 (UMLS CUI 2011AA)
425389002 (SNOMED CT 2011_0131)
C1827388 (UMLS CUI 2011AA)
422512005 (SNOMED CT 2011_0131)
Medical or surgical castration with testosterone < 50 ng/dL
Item
Medical or surgical castration with testosterone < 50 ng/dL
boolean
C1513054 (UMLS CUI 2011AA)
C0007347 (UMLS CUI 2011AA)
275234001 (SNOMED CT 2011_0131)
CL026906 (UMLS CUI 2011AA)
Able to provide written informed consent
Item
Able to provide written informed consent
boolean
C0085732 (UMLS CUI 2011AA)
371150009 (SNOMED CT 2011_0131)
C0184704 (UMLS CUI 2011AA)
55149002 (SNOMED CT 2011_0131)
Item Group
Ausschlusskriterien
CL425201 (UMLS CUI 2011AA)
Prior cytotoxic chemotherapy or biologic therapy for CRPC
Item
Prior cytotoxic chemotherapy or biologic therapy for CRPC
boolean
C0332152 (UMLS CUI 2011AA)
288556008 (SNOMED CT 2011_0131)
C0677881 (UMLS CUI 2011AA)
C0005527 (UMLS CUI 2011AA)
C0007347 (UMLS CUI 2011AA)
275234001 (SNOMED CT 2011_0131)
C0332325 (UMLS CUI 2011AA)
30714006 (SNOMED CT 2011_0131)
C0936223 (UMLS CUI 2011AA)
10036909 (MedDRA 14.1)
Prior ketoconazole for prostate cancer
Item
Prior ketoconazole for prostate cancer
boolean
C0332152 (UMLS CUI 2011AA)
288556008 (SNOMED CT 2011_0131)
C0022625 (UMLS CUI 2011AA)
387216007 (SNOMED CT 2011_0131)
MTHU002299 (LOINC Version 232)
C0600139 (UMLS CUI 2011AA)
254900004 (SNOMED CT 2011_0131)
10036921 (MedDRA 14.1)
Known brain metastasis or visceral organ metastasis
Item
Known brain metastasis or visceral organ metastasis
boolean
C0220650 (UMLS CUI 2011AA)
10006128 (MedDRA 14.1)
C0042779 (UMLS CUI 2011AA)
C0027627 (UMLS CUI 2011AA)
128462008 (SNOMED CT 2011_0131)
10027449 (MedDRA 14.1)
Use of opiate analgesics for cancer-related pain, including codeine and dextropropoxyphene, currently or anytime within 4 weeks of Cycle 1 Day 1
Item
Use of opiate analgesics for cancer-related pain, including codeine and dextropropoxyphene, currently or anytime within 4 weeks of Cycle 1 Day 1
boolean
C2911207 (UMLS CUI 2011AA)
Z79.891 (ICD-10-CM Version 2010)
C1719395 (UMLS CUI 2011AA)
G89.3 (ICD-10-CM Version 2010)
338.3 (ICD-9-CM Version 2011)
C0009214 (UMLS CUI 2011AA)
85990009 (SNOMED CT 2011_0131)
MTHU004289 (LOINC Version 232)
C0033493 (UMLS CUI 2011AA)
117005003 (SNOMED CT 2011_0131)
MTHU001004 (LOINC Version 232)

Benutzen Sie dieses Formular für Rückmeldungen, Fragen und Verbesserungsvorschläge.

Mit * gekennzeichnete Felder sind notwendig.

Benötigen Sie Hilfe bei der Suche? Um mehr Details zu erfahren und die Suche effektiver nutzen zu können schauen Sie sich doch das entsprechende Video auf unserer Tutorial Seite an.

Zum Video