ID

9254

Beskrivning

E6201 Cover Page for RECIST Forms A Phase III, Randomized Study of Gemcitabine (Fixed-Dose Rate Infusion) and Oxaliplatin (NSC 266046) Versus Gemcitabine (Fixed-Dose Rate Infusion) Versus Gemcitabine (30-Minute Infusion) in Pancreatic Carcinoma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B1B164EC-ED7F-4A7F-E034-0003BA12F5E7

Länk

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B1B164EC-ED7F-4A7F-E034-0003BA12F5E7

Nyckelord

  1. 2012-09-19 2012-09-19 -
  2. 2015-01-09 2015-01-09 - Martin Dugas
Uppladdad den

9 januari 2015

DOI

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Licens

Creative Commons BY-NC 3.0 Legacy

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    Pancreatic Cancer NCT00058149 Response - E6201 Cover Page for RECIST Forms - 2075205v3.0

    No Instruction available.

    1. StudyEvent: E6201 Cover Page for RECIST Forms
      1. No Instruction available.
    Header
    Beskrivning

    Header

    DCI Name
    Beskrivning

    Generic drug form

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS CUI-1
    C3242750
    NCI Thesaurus Property
    C19464
    NCI Thesaurus ObjectClass
    C25474
    NCI Thesaurus ObjectClass-2
    C25452
    Patient Initials
    Beskrivning

    Patient Initials

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS CUI-1
    C2986440
    NCI Thesaurus ObjectClass
    C16960
    NCI Thesaurus Property
    C25536
    ECOG Protocol Number
    Beskrivning

    ECOGProtocolNumber

    Datatyp

    text

    ECOG Protocol Number
    Beskrivning

    ECOGProtocolNumber

    Datatyp

    text

    ECOG Patient ID
    Beskrivning

    ECOGPatientID

    Datatyp

    text

    ECOG Patient ID
    Beskrivning

    ECOGPatientID

    Datatyp

    text

    Participating Group Protocol No.
    Beskrivning

    ParticipatingGroupProtocolNo.

    Datatyp

    text

    Participating Group Patient ID
    Beskrivning

    ParticipatingGroupPatientID

    Datatyp

    text

    Institution/Affiliate
    Beskrivning

    MainMemberInstitution/Affiliate

    Datatyp

    text

    Select Form
    Beskrivning

    SelectForm

    Datatyp

    text

    On Treatment
    Beskrivning

    On Treatment

    On Treatment Time Period
    Beskrivning

    OnTreatmentTimePeriod

    Datatyp

    text

    Specify weeks
    Beskrivning

    Specifyweeks

    Datatyp

    text

    Off Treatment
    Beskrivning

    Off Treatment

    Off Treatment Time Period
    Beskrivning

    OffTreatmentTimePeriod

    Datatyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C25190
    UMLS 2011AA ObjectClass
    C0027361
    NCI Thesaurus Property
    C25616
    UMLS 2011AA Property
    C1948053
    NCI Thesaurus Property-2
    C25601
    UMLS 2011AA Property-2
    C1518544
    NCI Thesaurus Property-3
    C25207
    UMLS 2011AA Property-3
    C0040223
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    Ccrr Module For E6201 Cover Page For Recist Forms
    Beskrivning

    Ccrr Module For E6201 Cover Page For Recist Forms

    Similar models

    No Instruction available.

    1. StudyEvent: E6201 Cover Page for RECIST Forms
      1. No Instruction available.
    Name
    Typ
    Description | Question | Decode (Coded Value)
    Datatyp
    Alias
    Item Group
    Header
    Generic drug form
    Item
    DCI Name
    text
    C25191 (NCI Thesaurus ValueDomain)
    C3242750 (UMLS CUI-1)
    C19464 (NCI Thesaurus Property)
    C25474 (NCI Thesaurus ObjectClass)
    C25452 (NCI Thesaurus ObjectClass-2)
    Patient Initials
    Item
    Patient Initials
    text
    C25191 (NCI Thesaurus ValueDomain)
    C2986440 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C25536 (NCI Thesaurus Property)
    ECOGProtocolNumber
    Item
    ECOG Protocol Number
    text
    ECOGProtocolNumber
    Item
    ECOG Protocol Number
    text
    ECOGPatientID
    Item
    ECOG Patient ID
    text
    ECOGPatientID
    Item
    ECOG Patient ID
    text
    ParticipatingGroupProtocolNo.
    Item
    Participating Group Protocol No.
    text
    ParticipatingGroupPatientID
    Item
    Participating Group Patient ID
    text
    MainMemberInstitution/Affiliate
    Item
    Institution/Affiliate
    text
    Item
    Select Form
    text
    Code List
    Select Form
    CL Item
    Ecog Nontarget Lesions Supplemental Form (ECOG Nontarget Lesions Supplemental Form)
    CL Item
    Ecog Follow-up Disease Evaluation Form (ECOG Follow-up Disease Evaluation Form)
    Item Group
    On Treatment
    Item
    On Treatment Time Period
    text
    Code List
    On Treatment Time Period
    CL Item
    Baseline (Baseline)
    C25213 (NCI Thesaurus)
    C1442488 (UMLS 2011AA)
    CL Item
    8 weeks (8 weeks)
    CL Item
    16 weeks (16 weeks)
    CL Item
    24 weeks (24 weeks)
    CL Item
    32 weeks (32 weeks)
    CL Item
    40 weeks (40 weeks)
    CL Item
    48 weeks (48 weeks)
    CL Item
    > 48 weeks (> 48 weeks)
    Specifyweeks
    Item
    Specify weeks
    text
    Item Group
    Off Treatment
    Item
    Off Treatment Time Period
    text
    C25190 (NCI Thesaurus ObjectClass)
    C0027361 (UMLS 2011AA ObjectClass)
    C25616 (NCI Thesaurus Property)
    C1948053 (UMLS 2011AA Property)
    C25601 (NCI Thesaurus Property-2)
    C1518544 (UMLS 2011AA Property-2)
    C25207 (NCI Thesaurus Property-3)
    C0040223 (UMLS 2011AA Property-3)
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    Code List
    Off Treatment Time Period
    CL Item
    3 Months (3 months)
    CL Item
    6 Months (6 months)
    CL Item
    9 Months (9 months)
    CL Item
    12 Months (12 months)
    CL Item
    15 Months (15 months)
    CL Item
    18 Months (18 months)
    CL Item
    24 Months (24 months)
    CL Item
    30 Months (30 months)
    CL Item
    36 Months (36 months)
    CL Item
    42 Months (42 months)
    CL Item
    48 Months (48 months)
    CL Item
    54 Months (54 months)
    CL Item
    60 Months (60 months)
    CL Item
    2 Years (2 years)
    CL Item
    3 Years (3 years)
    Item Group
    Ccrr Module For E6201 Cover Page For Recist Forms

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