0 Évaluations

ID

7866

Description

BIG 2-06 / NCCTG N063D / EGF106708 - Administration of Study Drug Lapatinib ALTTO (Adjuvant Lapatinib And/Or Trastuzumab Treatment Optimisation) Study; BIG 2-06/N063D Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=31D240FB-CF19-6486-E044-0003BA3F9857

Lien

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=31D240FB-CF19-6486-E044-0003BA3F9857

Mots-clés

  1. 19/09/2012 19/09/2012 -
  2. 09/01/2015 09/01/2015 - Martin Dugas
Téléchargé le

9 janvier 2015

DOI

Pour une demande vous connecter.

Licence

Creative Commons BY-NC 3.0 Legacy

Modèle Commentaires :

Ici, vous pouvez faire des commentaires sur le modèle. À partir des bulles de texte, vous pouvez laisser des commentaires spécifiques sur les groupes Item et les Item.

Groupe Item commentaires pour :

Item commentaires pour :


    Aucun commentaire

    Vous devez être connecté pour pouvoir télécharger des formulaires. Veuillez vous connecter ou s’inscrire gratuitement.

    Neoplasms, Breast DRKS00003651 NCT00490139 Treatment - BIG 2-06 / NCCTG N063D / EGF106708 - Administration of Study Drug Lapatinib - 2646027v1.0

    No Instruction available.

    1. StudyEvent: BIG 2-06 / NCCTG N063D / EGF106708 - Administration of Study Drug Lapatinib
      1. No Instruction available.
    Header Module
    Description

    Header Module

    Centre No.
    Description

    Institution Number

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C1301943
    NCI Thesaurus ObjectClass
    C21541
    UMLS CUI-2
    C0805701
    NCI Thesaurus Property
    C25364
    Subject No.
    Description

    Patient Study ID

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C2348585
    NCI Thesaurus ObjectClass
    C16960
    NCI Thesaurus Property
    C25462
    NCI Thesaurus Property-2
    C25364
    Administration Of Paclitaxel Concomitantly With Biological Therapy (design 2)
    Description

    Administration Of Paclitaxel Concomitantly With Biological Therapy (design 2)

    Date Started
    Description

    Agent Start Date

    Type de données

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS CUI-1
    C1521826
    NCI Thesaurus ValueDomain-2
    C25431
    UMLS CUI-2
    C0808070
    NCI Thesaurus ObjectClass
    C1708
    NCI Thesaurus Property
    C25275
    Date Stopped
    Description

    Agent End Date

    Type de données

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS CUI-1
    C1521826
    NCI Thesaurus ObjectClass
    C1708
    UMLS CUI-2
    C0806020
    NCI Thesaurus Property
    C25275
    Total Daily Dose of Agent (or Drug) (mg)
    Description

    Concomitant Medication Daily Dose

    Type de données

    float

    Alias
    NCI Thesaurus ObjectClass
    C25473
    UMLS CUI-1
    C2826638
    NCI Thesaurus ObjectClass-2
    C1708
    NCI Thesaurus Property
    C25304
    NCI Thesaurus Property-2
    C25256
    NCI Thesaurus ValueDomain
    C25488
    NCI Thesaurus ValueDomain-2
    C1708
    Was treatment interrupted
    Description

    TreatmentInterruptionInd-2

    Type de données

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus ObjectClass
    C15368
    NCI Thesaurus Property
    C25542
    UMLS 2011AA Property
    C1512900
    Specify code
    Description

    TreatmentInterruptionType

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C15368
    NCI Thesaurus Property
    C25542
    UMLS 2011AA Property
    C1512900
    Specify
    Description

    TreatmentInterruptionSpecify

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus ObjectClass
    C15368
    NCI Thesaurus Property
    C25542
    UMLS 2011AA Property
    C1512900
    Was dose reduced
    Description

    AgentReducedQuantityInd-2

    Type de données

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus Property
    C25640
    UMLS 2011AA Property
    C0392756
    NCI Thesaurus ObjectClass
    C1708
    UMLS 2011AA ObjectClass
    C0450442
    NCI Thesaurus Property-2
    C25256
    UMLS 2011AA Property-2
    C1265611
    Specify code
    Description

    AgentReducedDoseType

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus Property
    C25640
    UMLS 2011AA Property
    C0392756
    NCI Thesaurus ObjectClass
    C1708
    UMLS 2011AA ObjectClass
    C0450442
    NCI Thesaurus Property-2
    C25256
    UMLS 2011AA Property-2
    C1265611
    Specify
    Description

    AgentReducedQuantitySpecify

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus Property
    C25640
    UMLS 2011AA Property
    C0392756
    NCI Thesaurus ObjectClass
    C1708
    UMLS 2011AA ObjectClass
    C0450442
    NCI Thesaurus Property-2
    C25256
    UMLS 2011AA Property-2
    C1265611

    Similar models

    No Instruction available.

    1. StudyEvent: BIG 2-06 / NCCTG N063D / EGF106708 - Administration of Study Drug Lapatinib
      1. No Instruction available.
    Name
    Type
    Description | Question | Decode (Coded Value)
    Type de données
    Alias
    Item Group
    Header Module
    Institution Number
    Item
    Centre No.
    text
    C25337 (NCI Thesaurus ValueDomain)
    C1301943 (UMLS CUI-1)
    C21541 (NCI Thesaurus ObjectClass)
    C0805701 (UMLS CUI-2)
    C25364 (NCI Thesaurus Property)
    Patient Study ID
    Item
    Subject No.
    text
    C25337 (NCI Thesaurus ValueDomain)
    C2348585 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C25462 (NCI Thesaurus Property)
    C25364 (NCI Thesaurus Property-2)
    Item Group
    Administration Of Paclitaxel Concomitantly With Biological Therapy (design 2)
    Agent Start Date
    Item
    Date Started
    date
    C25164 (NCI Thesaurus ValueDomain)
    C1521826 (UMLS CUI-1)
    C25431 (NCI Thesaurus ValueDomain-2)
    C0808070 (UMLS CUI-2)
    C1708 (NCI Thesaurus ObjectClass)
    C25275 (NCI Thesaurus Property)
    Agent End Date
    Item
    Date Stopped
    date
    C25164 (NCI Thesaurus ValueDomain)
    C1521826 (UMLS CUI-1)
    C1708 (NCI Thesaurus ObjectClass)
    C0806020 (UMLS CUI-2)
    C25275 (NCI Thesaurus Property)
    Concomitant Medication Daily Dose
    Item
    Total Daily Dose of Agent (or Drug) (mg)
    float
    C25473 (NCI Thesaurus ObjectClass)
    C2826638 (UMLS CUI-1)
    C1708 (NCI Thesaurus ObjectClass-2)
    C25304 (NCI Thesaurus Property)
    C25256 (NCI Thesaurus Property-2)
    C25488 (NCI Thesaurus ValueDomain)
    C1708 (NCI Thesaurus ValueDomain-2)
    TreatmentInterruptionInd-2
    Item
    Was treatment interrupted
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C15368 (NCI Thesaurus ObjectClass)
    C25542 (NCI Thesaurus Property)
    C1512900 (UMLS 2011AA Property)
    Item
    Specify code
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C15368 (NCI Thesaurus ObjectClass)
    C25542 (NCI Thesaurus Property)
    C1512900 (UMLS 2011AA Property)
    Code List
    Specify code
    CL Item
    Hematologic Adverse Event (Hematologic adverse event)
    CL Item
    Cardiac Adverse Event (Cardiac adverse event)
    CL Item
    Adverse Event Other Than Hematologic Or Cardiac (Adverse event other than hematologic or cardiac)
    CL Item
    Dosing Error (Dosing error)
    CL Item
    Subject Non-compliance (Subject non-compliance)
    CL Item
    Administrative Reasons (Administrative reasons)
    CL Item
    Other (Other)
    C17649 (NCI Thesaurus)
    C0205394 (UMLS 2011AA)
    C17649 (NCI Thesaurus-3)
    C0205394 (UMLS 2011AA-4)
    TreatmentInterruptionSpecify
    Item
    Specify
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    C15368 (NCI Thesaurus ObjectClass)
    C25542 (NCI Thesaurus Property)
    C1512900 (UMLS 2011AA Property)
    AgentReducedQuantityInd-2
    Item
    Was dose reduced
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C25640 (NCI Thesaurus Property)
    C0392756 (UMLS 2011AA Property)
    C1708 (NCI Thesaurus ObjectClass)
    C0450442 (UMLS 2011AA ObjectClass)
    C25256 (NCI Thesaurus Property-2)
    C1265611 (UMLS 2011AA Property-2)
    Item
    Specify code
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C25640 (NCI Thesaurus Property)
    C0392756 (UMLS 2011AA Property)
    C1708 (NCI Thesaurus ObjectClass)
    C0450442 (UMLS 2011AA ObjectClass)
    C25256 (NCI Thesaurus Property-2)
    C1265611 (UMLS 2011AA Property-2)
    Code List
    Specify code
    CL Item
    Hematologic Adverse Event (Hematologic adverse event)
    CL Item
    Cardiac Adverse Event (Cardiac adverse event)
    CL Item
    Adverse Event Other Than Hematologic Or Cardiac (Adverse event other than hematologic or cardiac)
    CL Item
    Dosing Error (Dosing error)
    CL Item
    Subject Non-compliance (Subject non-compliance)
    CL Item
    Administrative Reasons (Administrative reasons)
    CL Item
    Other (Other)
    C17649 (NCI Thesaurus)
    C0205394 (UMLS 2011AA)
    AgentReducedQuantitySpecify
    Item
    Specify
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    C25640 (NCI Thesaurus Property)
    C0392756 (UMLS 2011AA Property)
    C1708 (NCI Thesaurus ObjectClass)
    C0450442 (UMLS 2011AA ObjectClass)
    C25256 (NCI Thesaurus Property-2)
    C1265611 (UMLS 2011AA Property-2)

    Utilisez ce formulaire pour les retours, les questions et les améliorations suggérées.

    Les champs marqués d’un * sont obligatoires.

    Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

    Watch Tutorial