ID

5752

Description

SIOP CNS GCT II: Prospective Trial for the Diagnosis and Treatment of Children, Adolescents and Young Adults With Intracranial Germ Cell Tumors. Principal Investigator Gabriele Calaminus, MD. http://clinicaltrials.gov/show/NCT01424839

Link

http://clinicaltrials.gov/show/NCT01424839

Keywords

  1. 9/19/14 9/19/14 - Martin Dugas
Uploaded on

September 19, 2014

DOI

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License

Creative Commons BY 4.0

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    SIOP CNS GCT II Medical history DRKS00003907

    Medical history

    1. StudyEvent: SE
      1. Medical history
    Show identification of patient
    Description

    Show identification of patient

    Dummy
    Description

    Dummy

    Data type

    text

    Patient’s anamnesis
    Description

    Patient’s anamnesis

    Trisomy 21
    Description

    Trisomy 21

    Data type

    integer

    Other syndrome
    Description

    Other syndrome

    Data type

    integer

    Pineal cyst
    Description

    Pineal cyst

    Data type

    integer

    Other malformations
    Description

    Other malformations

    Data type

    integer

    Lymphocytic pituitary infiltration
    Description

    Lymphocytic pituitary infiltration

    Data type

    integer

    Since when lymphocytic pituitary infiltration occurred
    Description

    Since when lymphocytic pituitary infiltration occurred

    Data type

    date

    Langerhans cell histiocytosis
    Description

    Langerhans cell histiocytosis

    Data type

    integer

    Since when Langerhans cell histiocytosis occurred
    Description

    Since when Langerhans cell histiocytosis occurred

    Data type

    date

    Other intracranial disease
    Description

    Other intracranial disease

    Data type

    integer

    Which other intracranial disease
    Description

    Which other intracranial disease

    Data type

    text

    Since when other intracranial disease occurred
    Description

    Since when other intracranial disease occurred

    Data type

    date

    Patient’s previous Treatment
    Description

    Patient’s previous Treatment

    Previous open surgery
    Description

    Previous open surgery

    Data type

    integer

    Date of previous open surgery
    Description

    Date of previous open surgery

    Data type

    date

    Previous chemotherapy
    Description

    Previous chemotherapy

    Data type

    integer

    Which previous chemotherapy
    Description

    Which previous chemotherapy

    Data type

    text

    Start date of previous chemotherapy
    Description

    Start date of previous chemotherapy

    Data type

    date

    End date of previous chemotherapy
    Description

    End date of previous chemotherapy

    Data type

    date

    Previous radiotherapy
    Description

    Previous radiotherapy

    Data type

    integer

    Which previous radiotherapy
    Description

    Which previous radiotherapy

    Data type

    text

    Start date of previous radiotherapy
    Description

    Start date of previous radiotherapy

    Data type

    date

    End date of previous radiotherapy
    Description

    End date of previous radiotherapy

    Data type

    date

    Other previous tumour therapy
    Description

    Other previous tumour therapy

    Data type

    integer

    Which other previous tumour therapy
    Description

    Which other previous tumour therapy

    Data type

    text

    Start date of previous tumour therapy
    Description

    Start date of previous tumour therapy

    Data type

    date

    End of previous tumour therapy
    Description

    End of previous tumour therapy

    Data type

    date

    Family´s medical history
    Description

    Family´s medical history

    Tumours (including benign germ cell tumours) or malignant disease known in patient´s biological family
    Description

    Tumours in family

    Data type

    integer

    Disease in the family
    Description

    Disease in the family

    Disease
    Description

    Disease

    Data type

    integer

    Degree of relationship
    Description

    Degree of relationship

    Data type

    integer

    Similar models

    Medical history

    1. StudyEvent: SE
      1. Medical history
    Name
    Type
    Description | Question | Decode (Coded Value)
    Data type
    Alias
    Dummy
    Item
    Dummy
    text
    Item
    Trisomy 21
    integer
    Code List
    Trisomy 21
    CL Item
    No (1)
    CL Item
    Yes (2)
    Item
    Other syndrome
    integer
    Code List
    Other syndrome
    CL Item
    No (1)
    CL Item
    Yes (2)
    Item
    Pineal cyst
    integer
    Code List
    Pineal cyst
    CL Item
    No (1)
    CL Item
    Yes (2)
    Item
    Other malformations
    integer
    Code List
    Other malformations
    CL Item
    No (1)
    CL Item
    Yes (2)
    Item
    Lymphocytic pituitary infiltration
    integer
    Code List
    Lymphocytic pituitary infiltration
    CL Item
    No (1)
    CL Item
    Yes (2)
    Since when lymphocytic pituitary infiltration occurred
    Item
    Since when lymphocytic pituitary infiltration occurred
    date
    Item
    Langerhans cell histiocytosis
    integer
    Code List
    Langerhans cell histiocytosis
    CL Item
    No (1)
    CL Item
    Yes (2)
    Since when Langerhans cell histiocytosis occurred
    Item
    Since when Langerhans cell histiocytosis occurred
    date
    Item
    Other intracranial disease
    integer
    Code List
    Other intracranial disease
    CL Item
    No (1)
    CL Item
    Yes (2)
    Which other intracranial disease
    Item
    Which other intracranial disease
    text
    Since when other intracranial disease occurred
    Item
    Since when other intracranial disease occurred
    date
    Item
    Previous open surgery
    integer
    Code List
    Previous open surgery
    CL Item
    No (1)
    CL Item
    Yes (2)
    Date of previous open surgery
    Item
    Date of previous open surgery
    date
    Item
    Previous chemotherapy
    integer
    Code List
    Previous chemotherapy
    CL Item
    No (1)
    CL Item
    Yes (2)
    Which previous chemotherapy
    Item
    Which previous chemotherapy
    text
    Start date of previous chemotherapy
    Item
    Start date of previous chemotherapy
    date
    End date of previous chemotherapy
    Item
    End date of previous chemotherapy
    date
    Item
    Previous radiotherapy
    integer
    Code List
    Previous radiotherapy
    CL Item
    No (1)
    CL Item
    Yes (2)
    Which previous radiotherapy
    Item
    Which previous radiotherapy
    text
    Start date of previous radiotherapy
    Item
    Start date of previous radiotherapy
    date
    End date of previous radiotherapy
    Item
    End date of previous radiotherapy
    date
    Item
    Other previous tumour therapy
    integer
    Code List
    Other previous tumour therapy
    CL Item
    No (1)
    CL Item
    Yes (2)
    Which other previous tumour therapy
    Item
    Which other previous tumour therapy
    text
    Start date of previous tumour therapy
    Item
    Start date of previous tumour therapy
    date
    End of previous tumour therapy
    Item
    End of previous tumour therapy
    date
    Item
    Tumours (including benign germ cell tumours) or malignant disease known in patient´s biological family
    integer
    Code List
    Tumours (including benign germ cell tumours) or malignant disease known in patient´s biological family
    CL Item
    No (1)
    CL Item
    Yes (2)
    Item
    Disease
    integer
    Code List
    Disease
    CL Item
    Teratoma (1)
    CL Item
    Germinoma (2)
    CL Item
    Sec. GCT (3)
    CL Item
    Other histology/disease (4)
    Item
    Degree of relationship
    integer
    Code List
    Degree of relationship
    CL Item
    Father (1)
    CL Item
    Mother (2)
    CL Item
    Siblings (3)
    CL Item
    Grandparents (4)
    CL Item
    Uncle/aunt (5)
    CL Item
    Cousin (6)
    CL Item
    Other biological relationship (7)

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