ID
6278
Beschrijving
CALGB 10201 REGISTRATION WORKSHEET Daunorubicin and Cytarabine With or Without Oblimersen in Treating Older Patients With Previously Untreated Acute Myeloid Leukemia Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B228B8A4-E2DC-4D1A-E034-0003BA12F5E7
Link
Trefwoorden
Versies (3)
- 18-12-14 18-12-14 - Martin Dugas
- 09-01-15 09-01-15 - Martin Dugas
- 20-09-21 20-09-21 -
Geüploaded op
18 december 2014
DOI
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Licentie
Creative Commons BY-NC 3.0 Legacy
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Leukemia NCT00085124 Registration - CALGB 10201 REGISTRATION WORKSHEET - 2076520v3.0
A Phase III Study of Daunorubicin and Cytarabine +/- G3139 (Genasense) in Previously Untreated Patients with Acute Myeloid Leukemia
- StudyEvent: CALGB 10201 REGISTRATION WORKSHEET
Beschrijving
Patient Demographics/pre-treatment Characteristics
Beschrijving
PatientInitialsName
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25191
- UMLS 2011AA ValueDomain
- C1547383
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus Property
- C25536
- UMLS 2011AA Property
- C1555582
Beschrijving
PatientSocialSecurityNumber
Datatype
double
Beschrijving
PatientBirthDate
Datatype
date
Alias
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus Property
- C25275
- UMLS 2011AA Property
- C2745955
Beschrijving
PatientHospitalNumber
Datatype
text
Beschrijving
PatientGender
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25372
- UMLS 2011AA ValueDomain
- C0683312
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus Property
- C17357
- UMLS 2011AA Property
- C0079399
Beschrijving
PatientRace
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus Property
- C17049
- UMLS 2011AA Property
- C0034510
Beschrijving
PatientEthnicity
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus Property
- C17049
- UMLS 2011AA Property
- C0034510
Beschrijving
PerformanceStatus
Datatype
text
Beschrijving
PatientHeight
Datatype
double
Alias
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus Property
- C25347
- UMLS 2011AA Property
- C0489786
Beschrijving
PatientWeight
Datatype
double
Beschrijving
BodySurfaceArea
Datatype
double
Alias
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus Property
- C25157
- UMLS 2011AA Property
- C0005902
Beschrijving
PatientPaymentType
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus Property
- C25371
- UMLS 2011AA Property
- C0680264
Beschrijving
PatientAddress,PostalCode
Datatype
double
Beschrijving
PatientAddress,Country
Datatype
text
Beschrijving
Certification Of Eligibility
Beschrijving
Protocol Design
Beschrijving
Initial Patient Consent For Specimen Use
Beschrijving
PatientInitialConsent,Specimen,Patient'scancerresearchInd
Datatype
text
Beschrijving
PatientInitialConsent,Specimen,Researchunrelatedtopatient'scancerInd
Datatype
text
Beschrijving
PatientInitialConsent,Specimen,ContactInd
Datatype
text
Beschrijving
Registration Information
Beschrijving
PatientStudyID,ParticipatingGroup
Datatype
text
Beschrijving
CALGBPatientID
Datatype
text
Beschrijving
RegistrationDate
Datatype
text
Beschrijving
SignatureofPersonCompletingThisForm
Datatype
text
Beschrijving
Ccrr Module For Calgb 10201 Registration Worksheet
Beschrijving
InstitutionName
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25191
- UMLS 2011AA ValueDomain
- C1547383
- NCI Thesaurus ObjectClass
- C21541
- UMLS 2011AA ObjectClass
- C0018704
- NCI Thesaurus ValueDomain
- C21541
- UMLS 2011AA ValueDomain
- C0018704
- NCI Thesaurus Property
- C25364
- UMLS 2011AA Property
- C0600091
Beschrijving
AffiliateName
Datatype
text
Beschrijving
CALGBPatientID
Datatype
text
Beschrijving
RegisteredInvestigatorName
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25191
- UMLS 2011AA ValueDomain
- C1547383
- NCI Thesaurus Property
- C25364
- UMLS 2011AA Property
- C0600091
- NCI Thesaurus ObjectClass
- C17089
- UMLS 2011AA ObjectClass
- C0035173
Beschrijving
ParticipatingGroupName
Datatype
text
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- StudyEvent: CALGB 10201 REGISTRATION WORKSHEET
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