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ID

7703

Descrição

NSABP Protocol B-40 - Treatment Form for Docetaxel/Capecitabine Cycles in Groups 2A and 2B A Randomized Phase III Trial of Neoadjuvant Therapy in Patients With Palpable and Operable Breast Cancer Evaluating the Effect on Pathologic Complete Response (pCR) of Adding Capecitabine or Gemcitabine to Docetaxel When Administered Before AC With or Without Bevacizumab and Correlative Science Studies Attempting to Identify Predictors of High Likelihood for pCR With Each of the Regimens Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=1AFCAF2E-F48D-14C6-E044-0003BA3F9857

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=1AFCAF2E-F48D-14C6-E044-0003BA3F9857

Palavras-chave

  1. 18/12/2014 18/12/2014 - Martin Dugas
  2. 09/01/2015 09/01/2015 - Martin Dugas
Transferido a

9 de janeiro de 2015

DOI

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Licença

Creative Commons BY-NC 3.0 Legacy

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    Treatment Form for Docetaxel/Capecitabine Cycles in Groups 2A and 2B (NSABP Protocol B-40)

    No Instruction available.

    1. StudyEvent: NSABP Protocol B-40 - Treatment Form for Docetaxel/Capecitabine Cycles in Groups 2A and 2B
      1. No Instruction available.
    Administrative documentation
    Descrição

    Administrative documentation

    Alias
    UMLS CUI-1
    C1320722
    Patient Initials (Last First Middle)
    Descrição

    PatientInitialsName

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    NCI Thesaurus ObjectClass
    C16960
    NCI Thesaurus Property
    C25536
    UMLS CUI-1
    C2986440
    NSABP Patient ID
    Descrição

    Patient ID NSABP

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C2348585
    NCI Thesaurus ObjectClass
    C16960
    UMLS CUI-2
    C1513905
    NCI Thesaurus Property
    C25364
    NCI Thesaurus Property-2
    C15818
    Institution/Affiliate
    Descrição

    CombinedInstitutionName

    Tipo de dados

    text

    Treating MD Last Name
    Descrição

    TreatingPhysicianLastName

    Tipo de dados

    text

    Treating MD First Name
    Descrição

    TreatingPhysicianFirstName

    Tipo de dados

    text

    Treating MD Phone
    Descrição

    TreatingPhysicianPhoneNumber

    Tipo de dados

    text

    Person Completing Form, Last Name
    Descrição

    ResponsiblePersonLastName

    Tipo de dados

    text

    Person Completing Form, First Name
    Descrição

    ResponsiblePersonFirstName

    Tipo de dados

    text

    Person Completing Form, Phone
    Descrição

    ResponsiblePersonPhoneNumber

    Tipo de dados

    text

    Are data amended
    Descrição

    DataAmendedInd-3

    Tipo de dados

    boolean

    Therapy course
    Descrição

    Therapy course

    Total Number of Cycles Given (Docetaxel/Gemcitabine)
    Descrição

    TherapyCourseAdministeredCount

    Tipo de dados

    text

    Alias
    NCI Thesaurus ObjectClass
    C15368
    NCI Thesaurus ValueDomain
    C25463
    UMLS 2011AA ValueDomain
    C0750480
    NCI Thesaurus Property
    C25379
    UMLS 2011AA Property
    C0750729
    NCI Thesaurus Property-2
    C25382
    UMLS 2011AA Property-2
    C1521801
    Why did treatment end or not begin (Docetaxel/Gemcitabine)
    Descrição

    NationalSurgicalAdjuvantBreastandBowelProjectTreatmentNotAdministeredReason

    Tipo de dados

    text

    Alias
    NCI Thesaurus ObjectClass
    C15818
    UMLS 2011AA ObjectClass
    C1513905
    NCI Thesaurus ObjectClass-2
    C15368
    NCI Thesaurus Property
    C25594
    UMLS 2011AA Property
    C1518422
    NCI Thesaurus Property-2
    C25382
    UMLS 2011AA Property-2
    C1521801
    NCI Thesaurus ValueDomain
    C25638
    UMLS 2011AA ValueDomain
    C0392360
    Other, specify
    Descrição

    NationalSurgicalAdjuvantBreastandBowelProjectTherapyNotAdministeredSpecify

    Tipo de dados

    text

    Alias
    NCI Thesaurus ObjectClass
    C15818
    UMLS 2011AA ObjectClass
    C1513905
    NCI Thesaurus ObjectClass-2
    C15368
    NCI Thesaurus Property
    C25594
    UMLS 2011AA Property
    C1518422
    NCI Thesaurus Property-2
    C25382
    UMLS 2011AA Property-2
    C1521801
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    Cycle Number
    Descrição

    TherapyCourseNumber

    Tipo de dados

    integer

    Alias
    NCI Thesaurus ValueDomain
    C25337
    NCI Thesaurus ObjectClass
    C15368
    NCI Thesaurus Property
    C25379
    UMLS CUI-1
    C2045829
    Cycle Start Date
    Descrição

    Chemotherapy Cycle Start Date

    Tipo de dados

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS CUI-1
    C1302181
    NCI Thesaurus ObjectClass
    C15368
    NCI Thesaurus ValueDomain-2
    C25431
    UMLS CUI-2
    C3173309
    NCI Thesaurus Property
    C25379
    Agent Name (Docetaxel, Gemcitabine Day 1, Gemcitabine Day 8)
    Descrição

    Agent

    Tipo de dados

    text

    Alias
    NCI Thesaurus Property
    C25364
    UMLS CUI-1
    C1521826
    NCI Thesaurus ObjectClass
    C1708
    NCI Thesaurus ValueDomain
    C1708
    NCI Thesaurus ValueDomain-2
    C42614
    Agent Dose (per M^2 - mg/m^2 - Dose used to calculate the amount of drug to be administered. In Groups 3A and 3B, full dose of docetaxel is 75 mg/m^2. Full dose of gemcitabine is 1000 mg/m^2.)
    Descrição

    Medication Dose

    Tipo de dados

    float

    Alias
    NCI Thesaurus ValueDomain
    C25488
    UMLS CUI-1
    C3174092
    NCI Thesaurus ObjectClass
    C1708
    NCI Thesaurus ValueDomain-2
    C1708
    NCI Thesaurus Property
    C25382
    Number of Capecitabine Doses Administered (0-28 doses)
    Descrição

    CapecitabineChemotherapyAgentAdministrationCount

    Tipo de dados

    float

    Alias
    NCI Thesaurus ObjectClass
    C15632
    UMLS 2011AA ObjectClass
    C0392920
    NCI Thesaurus ObjectClass-2
    C1794
    UMLS 2011AA ObjectClass-2
    C0671970
    NCI Thesaurus ObjectClass-3
    C1708
    UMLS 2011AA ObjectClass-3
    C0450442
    NCI Thesaurus Property
    C25409
    UMLS 2011AA Property
    C1533734
    NCI Thesaurus ValueDomain
    C25463
    UMLS 2011AA ValueDomain
    C0750480

    Similar models

    No Instruction available.

    1. StudyEvent: NSABP Protocol B-40 - Treatment Form for Docetaxel/Capecitabine Cycles in Groups 2A and 2B
      1. No Instruction available.
    Name
    Tipo
    Description | Question | Decode (Coded Value)
    Tipo de dados
    Alias
    Item Group
    Administrative documentation
    C1320722 (UMLS CUI-1)
    Patient Initials
    Item
    Patient Initials (Last First Middle)
    text
    C25191 (NCI Thesaurus ValueDomain)
    C16960 (NCI Thesaurus ObjectClass)
    C25536 (NCI Thesaurus Property)
    C2986440 (UMLS CUI-1)
    Patient ID NSABP
    Item
    NSABP Patient ID
    text
    C25337 (NCI Thesaurus ValueDomain)
    C2348585 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C1513905 (UMLS CUI-2)
    C25364 (NCI Thesaurus Property)
    C15818 (NCI Thesaurus Property-2)
    CombinedInstitutionName
    Item
    Institution/Affiliate
    text
    TreatingPhysicianLastName
    Item
    Treating MD Last Name
    text
    TreatingPhysicianFirstName
    Item
    Treating MD First Name
    text
    TreatingPhysicianPhoneNumber
    Item
    Treating MD Phone
    text
    ResponsiblePersonLastName
    Item
    Person Completing Form, Last Name
    text
    ResponsiblePersonFirstName
    Item
    Person Completing Form, First Name
    text
    ResponsiblePersonPhoneNumber
    Item
    Person Completing Form, Phone
    text
    DataAmendedInd-3
    Item
    Are data amended
    boolean
    Item Group
    Therapy course
    Item
    Total Number of Cycles Given (Docetaxel/Gemcitabine)
    text
    C15368 (NCI Thesaurus ObjectClass)
    C25463 (NCI Thesaurus ValueDomain)
    C0750480 (UMLS 2011AA ValueDomain)
    C25379 (NCI Thesaurus Property)
    C0750729 (UMLS 2011AA Property)
    C25382 (NCI Thesaurus Property-2)
    C1521801 (UMLS 2011AA Property-2)
    Code List
    Total Number of Cycles Given (Docetaxel/Gemcitabine)
    CL Item
    None (None)
    C41132 (NCI Thesaurus)
    C0549184 (UMLS 2011AA)
    CL Item
    1 (1)
    CL Item
    2 (2)
    C66833 (NCI Thesaurus)
    C0205448 (UMLS 2011AA)
    CL Item
    3 (3)
    CL Item
    4 (4)
    Item
    Why did treatment end or not begin (Docetaxel/Gemcitabine)
    text
    C15818 (NCI Thesaurus ObjectClass)
    C1513905 (UMLS 2011AA ObjectClass)
    C15368 (NCI Thesaurus ObjectClass-2)
    C25594 (NCI Thesaurus Property)
    C1518422 (UMLS 2011AA Property)
    C25382 (NCI Thesaurus Property-2)
    C1521801 (UMLS 2011AA Property-2)
    C25638 (NCI Thesaurus ValueDomain)
    C0392360 (UMLS 2011AA ValueDomain)
    Code List
    Why did treatment end or not begin (Docetaxel/Gemcitabine)
    CL Item
    Treatment Completed Per Protocol Criteria (Treatment completed per protocol criteria)
    CL Item
    Adverse Event/side Effects/complications (Adverse event/side effects/complications)
    CL Item
    Alternative Therapy (Alternative therapy)
    CL Item
    New Lesion (including Second Primary Cancer) Or Other Sign Of Progression (New lesion (including second primary cancer) or other sign of progression)
    CL Item
    Death (Death)
    C28554 (NCI Thesaurus)
    C0011065 (UMLS 2011AA)
    CL Item
    Other (Other)
    C17649 (NCI Thesaurus)
    C0205394 (UMLS 2011AA)
    NationalSurgicalAdjuvantBreastandBowelProjectTherapyNotAdministeredSpecify
    Item
    Other, specify
    text
    C15818 (NCI Thesaurus ObjectClass)
    C1513905 (UMLS 2011AA ObjectClass)
    C15368 (NCI Thesaurus ObjectClass-2)
    C25594 (NCI Thesaurus Property)
    C1518422 (UMLS 2011AA Property)
    C25382 (NCI Thesaurus Property-2)
    C1521801 (UMLS 2011AA Property-2)
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    Cycle number chemotherapy
    Item
    Cycle Number
    integer
    C25337 (NCI Thesaurus ValueDomain)
    C15368 (NCI Thesaurus ObjectClass)
    C25379 (NCI Thesaurus Property)
    C2045829 (UMLS CUI-1)
    Chemotherapy Cycle Start Date
    Item
    Cycle Start Date
    date
    C25164 (NCI Thesaurus ValueDomain)
    C1302181 (UMLS CUI-1)
    C15368 (NCI Thesaurus ObjectClass)
    C25431 (NCI Thesaurus ValueDomain-2)
    C3173309 (UMLS CUI-2)
    C25379 (NCI Thesaurus Property)
    Agent
    Item
    Agent Name (Docetaxel, Gemcitabine Day 1, Gemcitabine Day 8)
    text
    C25364 (NCI Thesaurus Property)
    C1521826 (UMLS CUI-1)
    C1708 (NCI Thesaurus ObjectClass)
    C1708 (NCI Thesaurus ValueDomain)
    C42614 (NCI Thesaurus ValueDomain-2)
    Medication Dose
    Item
    Agent Dose (per M^2 - mg/m^2 - Dose used to calculate the amount of drug to be administered. In Groups 3A and 3B, full dose of docetaxel is 75 mg/m^2. Full dose of gemcitabine is 1000 mg/m^2.)
    float
    C25488 (NCI Thesaurus ValueDomain)
    C3174092 (UMLS CUI-1)
    C1708 (NCI Thesaurus ObjectClass)
    C1708 (NCI Thesaurus ValueDomain-2)
    C25382 (NCI Thesaurus Property)
    CapecitabineChemotherapyAgentAdministrationCount
    Item
    Number of Capecitabine Doses Administered (0-28 doses)
    float
    C15632 (NCI Thesaurus ObjectClass)
    C0392920 (UMLS 2011AA ObjectClass)
    C1794 (NCI Thesaurus ObjectClass-2)
    C0671970 (UMLS 2011AA ObjectClass-2)
    C1708 (NCI Thesaurus ObjectClass-3)
    C0450442 (UMLS 2011AA ObjectClass-3)
    C25409 (NCI Thesaurus Property)
    C1533734 (UMLS 2011AA Property)
    C25463 (NCI Thesaurus ValueDomain)
    C0750480 (UMLS 2011AA ValueDomain)

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