ID
9375
Description
S0205 Toxicity and Dosage Form S0205 Gemcitabine With or Without Cetuximab as First-Line Therapy in Treating Patients With Locally Advanced Unresectable or Metastatic Adenocarcinoma of the Pancreas Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A1204548-9EF3-3AA5-E034-080020C9C0E0
Link
Keywords
Versions (3)
- 12/18/14 12/18/14 - Martin Dugas
- 12/18/14 12/18/14 - Martin Dugas
- 1/9/15 1/9/15 - Martin Dugas
Uploaded on
January 9, 2015
DOI
To request one please log in.
License
Creative Commons BY-NC 3.0 Legacy
Model comments :
You can comment on the data model here. Via the speech bubbles at the itemgroups and items you can add comments to those specificially.
Itemgroup comments for :
Item comments for :
In order to download data models you must be logged in. Please log in or register for free.
Pancreatic Cancer NCT00075686 Toxicity - S0205 Toxicity and Dosage Form - 2035853v3.0
Instructions: Please complete every 4 weeks while on treatment. All dates are MONTH, DAY, YEAR. Explain any blank fields or blank dates in a Comments section. Place an X in appropriate boxes. Circle AMENDED items
Description
Disease Status
Description
Treatment
Description
Ispatientstillonprotocoltreatment?
Data type
boolean
Description
IntervalReportFromDate
Data type
date
Description
IntervalReportToDate
Data type
date
Description
Patient Weight
Data type
float
Measurement units
- kg
Alias
- UMLS CUI-1
- C1305866
Description
Body Surface Area
Data type
float
Measurement units
- m^2
Alias
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C25157
- UMLS CUI-1
- C0005902
Description
PerformanceStatus
Data type
text
Description
DoseModification(Change)
Data type
text
Description
DoseModificationReason
Data type
text
Description
Numberofweekstreatmentgiveninreportsinterval
Data type
text
Description
AgentTotalDose(percourse)
Data type
float
Description
AgentTotalDose(percourse)
Data type
float
Description
Comments
Description
Toxicity
Description
Weretoxicitiesassessedforthisreportinginterval?
Data type
boolean
Description
SymptomAssessmentDate
Data type
date
Description
Toxicity assessed but none were seen
Data type
boolean
Description
ForStatCenterUse
Data type
text
Description
CTCAdverseEventTerm
Data type
text
Description
CTC Adverse Event Grade
Data type
integer
Alias
- UMLS CUI-1
- C2985911
Description
Pain-other,specifybelow
Data type
text
Description
CTCAdverseEventTerm,Other
Data type
text
Similar models
Instructions: Please complete every 4 weeks while on treatment. All dates are MONTH, DAY, YEAR. Explain any blank fields or blank dates in a Comments section. Place an X in appropriate boxes. Circle AMENDED items
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
C2986440 (UMLS CUI-1)
C25616 (NCI Thesaurus Property)
C25375 (NCI Thesaurus Property-2)
C25179 (NCI Thesaurus ObjectClass)
C1512698 (UMLS CUI-1)
C1948053 (UMLS CUI-2)
C0684224 (UMLS CUI-3)
C0019993 (UMLS CUI-4)
C25157 (NCI Thesaurus Property)
C0005902 (UMLS CUI-1)
C1298908 (UMLS 2011AA)