ID

5288

Beschreibung

EWING 2008, EudraCT 2008-003658-13, http://clinicaltrials.gov/ct2/show/NCT00824083

Link

http://clinicaltrials.gov/ct2/show/NCT00824083

Stichworte

Versionen (1)
  1. 04.08.14 04.08.14 - Martin Dugas
Hochgeladen am

4. August 2014

DOI

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Lizenz

Creative Commons BY 4.0
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Ewing Study Toxicity DRKS00003588

Deutsch Englisch

Toxicity

1 Formulare  
  1. StudyEvent: SE
    1. Toxicity
Show identification of patient
Beschreibung

Show identification of patient

Patient
Beschreibung

Dummy item in ItemGroup 'Display patient'

Datentyp

text

General condition ctc scale
Beschreibung

General condition ctc scale

General condition
Beschreibung

General condition

Datentyp

integer

Toxicity hematology
Beschreibung

Toxicity hematology

Hemoglobin
Beschreibung

Grade Hemoglobin

Datentyp

integer

Leukocytes
Beschreibung

Grade leukocytes

Datentyp

integer

Granulocytes
Beschreibung

Grade granulocytes

Datentyp

integer

Platelets
Beschreibung

Grade platelets

Datentyp

integer

Toxicity infection
Beschreibung

Toxicity infection

Infection
Beschreibung

Grade infection

Datentyp

integer

Fever
Beschreibung

Grade fever

Datentyp

integer

Toxicity gut
Beschreibung

Toxicity gut

Stomatitis
Beschreibung

Grade stomatitis

Datentyp

integer

Vomiting
Beschreibung

Grade vomiting

Datentyp

integer

Diarrhea
Beschreibung

Grade diarrhea

Datentyp

integer

Toxicity skin
Beschreibung

Toxicity skin

Changes in the skin
Beschreibung

Grade changes in the skin

Datentyp

integer

Toxicity renal
Beschreibung

Toxicity renal

Creatinine
Beschreibung

Grade creatinine

Datentyp

integer

Proteinuria
Beschreibung

Grade proteinuria

Datentyp

integer

Hematuria
Beschreibung

Grade hematuria

Datentyp

integer

Glomerular filtration rate (GFR)
Beschreibung

Grade glomerular filtration rate

Datentyp

integer

Tubular phosphate reabsorption
Beschreibung

Grade tubular phosphate reabsorption

Datentyp

integer

Toxicity liver
Beschreibung

Toxicity liver

Bilirubin
Beschreibung

Grade bilirubin

Datentyp

integer

S-GOT/S-GPT
Beschreibung

Grade S-GOT/S-GPT

Datentyp

integer

VOD occurred
Beschreibung

VOD occurred

Datentyp

integer

Hepatic dysfunction (Bearman)
Beschreibung

Leberfunktionsstörung nach Bearman

Datentyp

integer

Toxicity cardiac
Beschreibung

Toxicity cardiac

Cardiac function
Beschreibung

Grade cardiac function

Datentyp

integer

ECHO: LV-SF
Beschreibung

Grade echo: LV-SF

Datentyp

integer

Toxicity neurological
Beschreibung

Toxicity neurological

Central neurotoxicity
Beschreibung

Grade central neurotoxicity

Datentyp

integer

Seizures
Beschreibung

Grade peripheral neurotoxicity

Datentyp

integer

Peripheral neurotoxicity
Beschreibung

Grade peripheral neurotoxicity

Datentyp

integer

Toxicity other
Beschreibung

Toxicity other

Other toxicity occurred
Beschreibung

Other toxicity occurred

Datentyp

integer

Toxicity other
Beschreibung

Toxicity other

Other toxicity specified
Beschreibung

Other toxicity text

Datentyp

text

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Ähnliche Modelle

Toxicity

1 Formulare
  1. StudyEvent: SE
    1. Toxicity
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Dummy item in ItemGroup 'Display patient'
Item
Patient
text
Item
General condition
integer
Toxicity grade
Code List
General condition
CL Item
Grade 0 (0)
CL Item
Grade 1 (1)
CL Item
Grade 2 (2)
CL Item
Grade 3 (3)
CL Item
Grade 4 (4)
Item
Hemoglobin
integer
Toxicity grade
Code List
Hemoglobin
CL Item
Grade 0 (0)
CL Item
Grade 1 (1)
CL Item
Grade 2 (2)
CL Item
Grade 3 (3)
CL Item
Grade 4 (4)
Item
Leukocytes
integer
Toxicity grade
Code List
Leukocytes
CL Item
Grade 0 (0)
CL Item
Grade 1 (1)
CL Item
Grade 2 (2)
CL Item
Grade 3 (3)
CL Item
Grade 4 (4)
Item
Granulocytes
integer
Toxicity grade
Code List
Granulocytes
CL Item
Grade 0 (0)
CL Item
Grade 1 (1)
CL Item
Grade 2 (2)
CL Item
Grade 3 (3)
CL Item
Grade 4 (4)
Item
Platelets
integer
Toxicity grade
Code List
Platelets
CL Item
Grade 0 (0)
CL Item
Grade 1 (1)
CL Item
Grade 2 (2)
CL Item
Grade 3 (3)
CL Item
Grade 4 (4)
Item
Infection
integer
Toxicity grade
Code List
Infection
CL Item
Grade 0 (0)
CL Item
Grade 1 (1)
CL Item
Grade 2 (2)
CL Item
Grade 3 (3)
CL Item
Grade 4 (4)
Item
Fever
integer
Toxicity grade
Code List
Fever
CL Item
Grade 0 (0)
CL Item
Grade 1 (1)
CL Item
Grade 2 (2)
CL Item
Grade 3 (3)
CL Item
Grade 4 (4)
Item Group
Item
Stomatitis
integer
Toxicity grade
Code List
Stomatitis
CL Item
Grade 0 (0)
CL Item
Grade 1 (1)
CL Item
Grade 2 (2)
CL Item
Grade 3 (3)
CL Item
Grade 4 (4)
Item
Vomiting
integer
Toxicity grade
Code List
Vomiting
CL Item
Grade 0 (0)
CL Item
Grade 1 (1)
CL Item
Grade 2 (2)
CL Item
Grade 3 (3)
CL Item
Grade 4 (4)
Item
Diarrhea
integer
Toxicity grade
Code List
Diarrhea
CL Item
Grade 0 (0)
CL Item
Grade 1 (1)
CL Item
Grade 2 (2)
CL Item
Grade 3 (3)
CL Item
Grade 4 (4)
Item Group
Item
Changes in the skin
integer
Toxicity grade
Code List
Changes in the skin
CL Item
Grade 0 (0)
CL Item
Grade 1 (1)
CL Item
Grade 2 (2)
CL Item
Grade 3 (3)
CL Item
Grade 4 (4)
Item Group
Item
Creatinine
integer
Toxicity grade
Code List
Creatinine
CL Item
Grade 0 (0)
CL Item
Grade 1 (1)
CL Item
Grade 2 (2)
CL Item
Grade 3 (3)
CL Item
Grade 4 (4)
Item
Proteinuria
integer
Toxicity grade
Code List
Proteinuria
CL Item
Grade 0 (0)
CL Item
Grade 1 (1)
CL Item
Grade 2 (2)
CL Item
Grade 3 (3)
CL Item
Grade 4 (4)
Item
Hematuria
integer
Toxicity grade
Code List
Hematuria
CL Item
Grade 0 (0)
CL Item
Grade 1 (1)
CL Item
Grade 2 (2)
CL Item
Grade 3 (3)
CL Item
Grade 4 (4)
Item
Glomerular filtration rate (GFR)
integer
Toxicity grade
Code List
Glomerular filtration rate (GFR)
CL Item
Grade 0 (0)
CL Item
Grade 1 (1)
CL Item
Grade 2 (2)
CL Item
Grade 3 (3)
CL Item
Grade 4 (4)
Item
Tubular phosphate reabsorption
integer
Toxicity grade
Code List
Tubular phosphate reabsorption
CL Item
Grade 0 (0)
CL Item
Grade 1 (1)
CL Item
Grade 2 (2)
CL Item
Grade 3 (3)
CL Item
Grade 4 (4)
Item Group
Item
Bilirubin
integer
Toxicity grade
Code List
Bilirubin
CL Item
Grade 0 (0)
CL Item
Grade 1 (1)
CL Item
Grade 2 (2)
CL Item
Grade 3 (3)
CL Item
Grade 4 (4)
Item
S-GOT/S-GPT
integer
Toxicity grade
Code List
S-GOT/S-GPT
CL Item
Grade 0 (0)
CL Item
Grade 1 (1)
CL Item
Grade 2 (2)
CL Item
Grade 3 (3)
CL Item
Grade 4 (4)
Item
VOD occurred
integer
NoYes
Code List
VOD occurred
CL Item
No (0)
CL Item
Yes (1)
Item
Hepatic dysfunction (Bearman)
integer
Toxicity grade
Code List
Hepatic dysfunction (Bearman)
CL Item
Grade 1 (1)
CL Item
Grade 2 (2)
CL Item
Grade 3 (3)
Item
Cardiac function
integer
Toxicity grade
Code List
Cardiac function
CL Item
Grade 0 (0)
CL Item
Grade 1 (1)
CL Item
Grade 2 (2)
CL Item
Grade 3 (3)
CL Item
Grade 4 (4)
Item
ECHO: LV-SF
integer
Toxicity grade
Code List
ECHO: LV-SF
CL Item
Grade 0 (0)
CL Item
Grade 1 (1)
CL Item
Grade 2 (2)
CL Item
Grade 3 (3)
CL Item
Grade 4 (4)
Item
Central neurotoxicity
integer
Toxicity grade
Code List
Central neurotoxicity
CL Item
Grade 0 (0)
CL Item
Grade 1 (1)
CL Item
Grade 2 (2)
CL Item
Grade 3 (3)
CL Item
Grade 4 (4)
Item
Seizures
integer
Toxicity grade
Code List
Seizures
CL Item
Grade 0 (0)
CL Item
Grade 1 (1)
CL Item
Grade 2 (2)
CL Item
Grade 3 (3)
CL Item
Grade 4 (4)
Item
Peripheral neurotoxicity
integer
Toxicity grade
Code List
Peripheral neurotoxicity
CL Item
Grade 0 (0)
CL Item
Grade 1 (1)
CL Item
Grade 2 (2)
CL Item
Grade 3 (3)
CL Item
Grade 4 (4)
Item Group
Item
Other toxicity occurred
integer
NoYes
Code List
Other toxicity occurred
CL Item
No (0)
CL Item
Yes (1)
Item Group
Other toxicity text
Item
Other toxicity specified
text
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