ID
9372
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
9 januari 2015
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
Patient Initials
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25191
- UMLS CUI-1
- C2986440
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C25536
Beschrijving
PatientSocialSecurityNumber
Datatype
float
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
float
Alias
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus Property
- C25347
- UMLS 2011AA Property
- C0489786
Beschrijving
PatientWeight
Datatype
float
Beschrijving
BodySurfaceArea
Datatype
float
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
float
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
boolean
Beschrijving
PatientInitialConsent,Specimen,Researchunrelatedtopatient'scancerInd
Datatype
boolean
Beschrijving
PatientInitialConsent,Specimen,ContactInd
Datatype
boolean
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
Institution Name
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25191
- UMLS CUI-1
- C1301943
- NCI Thesaurus ObjectClass
- C21541
- NCI Thesaurus ValueDomain-2
- C21541
- NCI Thesaurus Property
- C25364
Beschrijving
AffiliateName
Datatype
text
Beschrijving
CALGBPatientID
Datatype
text
Beschrijving
Investigator Name
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25191
- UMLS CUI-1
- C2826892
- NCI Thesaurus Property
- C25364
- NCI Thesaurus ObjectClass
- C17089
Beschrijving
ParticipatingGroupName
Datatype
text
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A Phase III Study of Daunorubicin and Cytarabine +/- G3139 (Genasense) in Previously Untreated Patients with Acute Myeloid Leukemia
- StudyEvent: CALGB 10201 REGISTRATION WORKSHEET
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