ID

5474

Description

CWS-2007-HR: A randomised phase-​III trial of the Cooperative Soft-​Tissue-​Study-​Group for localised high-​risk rhabdomyosarcoma and localised Rhabdomyosarcoma-​like Soft Tissue Sarcoma in children, adolescents, and young adults http://clinicaltrials.gov/show/NCT00876031 http://www.cws.olgahospital-stuttgart.de

Link

http://clinicaltrials.gov/show/NCT00876031

Keywords

  1. 8/6/14 8/6/14 - Martin Dugas
Uploaded on

August 6, 2014

DOI

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License

Creative Commons BY 4.0

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CWS-2007-HR B5 - Therapieabschlussbogen DRKS00003774

B5 - Therapieabschlussbogen

Anzeige Namen auf Formular
Description

Anzeige Namen auf Formular

Patient
Description

Dummy item in ItemGroup 'Display patient'

Data type

text

I. Arm A - keine Erhaltungstherapie
Description

I. Arm A - keine Erhaltungstherapie

End of protocol compliant observation time (computed point of refereence)l
Description

Ende Beobachtungszeitraum bei protokollgerechtem Ablauf (berechneter Richtwert)

Data type

date

Therapy( arm B) / surveillance (arm A) completed
Description

Therapie(Arm B) bzw. Beobachtungszeitraum (Arm A) beendet am

Data type

date

End of CWS-2007-HR per protocol
Description

CWS-2007-HR protokollkonform beendet?

Data type

integer

Detailed description
Description

anderer Abbruchgrund

Data type

text

Adverse events in Arm A
Description

Adverse events in Beobachtungsarm A

Data type

integer

Ae's für Arm A
Description

Ae's für Arm A

Description AE
Description

Beschreibung des Events/Toxizität

Data type

text

Toxicity grade
Description

Toxizität Grad

Data type

integer

Start AE
Description

Beginn AE

Data type

date

End AE
Description

Ende AE

Data type

date

Outcome AE
Description

Outcome AE

Data type

integer

Notes
Description

Bemerkung AE

Data type

text

II. Arm B - Erhaltungstherapie O-TIE
Description

II. Arm B - Erhaltungstherapie O-TIE

Therapy( arm B) / surveillance (arm A) completed
Description

Therapie(Arm B) bzw. Beobachtungszeitraum (Arm A) beendet am

Data type

date

End of CWS-2007-HR per protocol
Description

CWS-2007-HR protokollkonform beendet?

Data type

integer

Detailed description
Description

anderer Abbruchgrund

Data type

text

III. Zusätzliche Therapie während CWS-2007-HR
Description

III. Zusätzliche Therapie während CWS-2007-HR

Was any other additional treatment performed during CWS-2007-HR?
Description

Wurde eine zusätzliche Therapie während CWS-2007-HR durchgeführt?

Data type

integer

Surgery
Description

Weitere Operation

Data type

integer

Radiotherapy
Description

weitere Radiotherapie

Data type

integer

Other therapy
Description

Sonstige Therapie während CWS-2007-HR

Data type

integer

weitere Operation
Description

weitere Operation

Date of surgery
Description

Datum OP

Data type

date

Type of surgery
Description

Art der OP

Data type

integer

Other Surgery, description
Description

Sonstige OP

Data type

text

weitere Radiotherapie
Description

weitere Radiotherapie

Start radiotherapy
Description

Beginn der primären Radiotherape

Data type

date

End radiotherapy
Description

Radiotherapie-Ende

Data type

date

Dose [Gy] / day
Description

Bestralungs-Einzeldosis

Data type

float

Measurement units
  • Gray
Gray
Fractionation /d
Description

Anzahl Fraktionierung

Data type

integer

Cumulative dose [Gy]
Description

Gesamtdosis

Data type

float

Measurement units
  • Gray
Gray
Art der sonstigen Therapie
Description

Art der sonstigen Therapie

Type of therapy
Description

Art der Sonstigen Therapie

Data type

text

Patient's status at the end of therapy
Description

Patient's status at the end of therapy

Status
Description

Status end of therapy

Data type

integer

Last examination
Description

Datum letzte Untersuchung

Data type

date

Similar models

B5 - Therapieabschlussbogen

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Dummy item in ItemGroup 'Display patient'
Item
Patient
text
Ende Beobachtungszeitraum bei protokollgerechtem Ablauf (berechneter Richtwert)
Item
End of protocol compliant observation time (computed point of refereence)l
date
Therapie(Arm B) bzw. Beobachtungszeitraum (Arm A) beendet am
Item
Therapy( arm B) / surveillance (arm A) completed
date
Item
End of CWS-2007-HR per protocol
integer
Code List
End of CWS-2007-HR per protocol
CL Item
yes, per protocol (1)
CL Item
no, abortion because of toxicity (2)
CL Item
no, abortion because of relapse (3)
CL Item
no, abortion b. patient's decision (4)
CL Item
no, death (5)
CL Item
no, refusal of randomisation result (6)
CL Item
no, other reason (7)
anderer Abbruchgrund
Item
Detailed description
text
Item
Adverse events in Arm A
integer
Code List
Adverse events in Arm A
CL Item
no (2)
CL Item
yes (1)
Beschreibung des Events/Toxizität
Item
Description AE
text
Item
Toxicity grade
integer
Code List
Toxicity grade
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)
CL Item
Grade 5 (5)
Beginn AE
Item
Start AE
date
Ende AE
Item
End AE
date
Item
Outcome AE
integer
Code List
Outcome AE
CL Item
not recovered/resolved (1)
CL Item
resolving (2)
CL Item
resolved with sequelae (3)
CL Item
resolved without sequelae (4)
CL Item
Death (5)
CL Item
Death, but not in relation SAE (6)
CL Item
unknown (7)
Bemerkung AE
Item
Notes
text
Therapie(Arm B) bzw. Beobachtungszeitraum (Arm A) beendet am
Item
Therapy( arm B) / surveillance (arm A) completed
date
Item
End of CWS-2007-HR per protocol
integer
Code List
End of CWS-2007-HR per protocol
CL Item
yes, per protocol (1)
CL Item
no, abortion because of toxicity (2)
CL Item
no, abortion because of relapse (3)
CL Item
no, abortion b. patient's decision (4)
CL Item
no, death (5)
CL Item
no, refusal of randomisation result (6)
CL Item
no, other reason (7)
anderer Abbruchgrund
Item
Detailed description
text
Item
Was any other additional treatment performed during CWS-2007-HR?
integer
Code List
Was any other additional treatment performed during CWS-2007-HR?
CL Item
no (2)
CL Item
yes (1)
Item
Surgery
integer
Code List
Surgery
CL Item
no (2)
CL Item
yes (1)
Item
Radiotherapy
integer
Code List
Radiotherapy
CL Item
no (2)
CL Item
yes (1)
Item
Other therapy
integer
Code List
Other therapy
CL Item
no (2)
CL Item
yes (1)
Datum OP
Item
Date of surgery
date
Item
Type of surgery
integer
Code List
Type of surgery
CL Item
Biopsy (1)
CL Item
Resection of primary tumour (2)
CL Item
Resection of lymph nodes (3)
CL Item
Resection of metastases (4)
CL Item
Other surgery (5)
Sonstige OP
Item
Other Surgery, description
text
Beginn der primären Radiotherape
Item
Start radiotherapy
date
Radiotherapie-Ende
Item
End radiotherapy
date
Bestralungs-Einzeldosis
Item
Dose [Gy] / day
float
Anzahl Fraktionierung
Item
Fractionation /d
integer
Gesamtdosis
Item
Cumulative dose [Gy]
float
Art der Sonstigen Therapie
Item
Type of therapy
text
Item
Status
integer
CL Item
Remission (1)
CL Item
Progression (3)
CL Item
Relapse (4)
CL Item
death (5)
Datum letzte Untersuchung
Item
Last examination
date

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