Selected data models

You must log in to select data models for download or further analysis.

106 Search results.
Relevance Rating New first Old first

ADVL0212: On Study Worksheet (Leukemia) NCT00053963

- 7/5/15 - 1 form, 6 itemgroups, 45 items, 1 language
Itemgroups: Patient demographics, Bone Marrow, Hemogram, Chemistries, Comments, CCRR MODULE
ADVL0212: On Study Worksheet (Leukemia) NCT00053963 FR901228 in Treating Children With Refractory or Recurrent Solid Tumors or Leukemia Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=C10238B2-42BD-142E-E034-0003BA12F5E7

ADVL0212: Pre-Existing Conditions At Time of Study Entry NCT00053963

- 7/5/15 - 1 form, 4 itemgroups, 14 items, 1 language
Itemgroups: Header, Adverse event assessment, Comments, CCRR MODULE
ADVL0212: Pre-Existing Conditions At Time of Study Entry NCT00053963 FR901228 in Treating Children With Refractory or Recurrent Solid Tumors or Leukemia Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=BB5F4F72-BF42-1043-E034-0003BA12F5E7

ACNS0122 On Study Worksheet NCT00047320

- 7/5/15 - 1 form, 8 itemgroups, 37 items, 1 language
Itemgroups: Header, Miscellaneous Patient Information, PRE-STUDY NEUROSURGERIES, PRE-TREATMENT IMAGING STUDIES, TUMOR LOCATION, PRIMARY DISEASE, Comments, CCRR MODULE
ACNS0122 On Study Worksheet NCT00047320 Neoadjuvant Chemotherapy With or Without Second-Look Surgery Followed by Radiation Therapy With or Without Peripheral Stem Cell Transplantation in Treating Patients With Intracranial Germ Cell Tumors Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=BD40A64A-F8D7-0B76-E034-0003BA12F5E7

ACNS0122 Death Worksheet NCT00047320

- 7/5/15 - 1 form, 4 itemgroups, 15 items, 1 language
Itemgroups: Header, Death Assessment, Comments, CCRR MODULE
ACNS0122 Death Worksheet NCT00047320 Neoadjuvant Chemotherapy With or Without Second-Look Surgery Followed by Radiation Therapy With or Without Peripheral Stem Cell Transplantation in Treating Patients With Intracranial Germ Cell Tumors Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=BD40BB6B-6EA3-0C19-E034-0003BA12F5E7

ACNS0122 PBSC Harvest Worksheet NCT00047320

- 7/3/15 - 1 form, 6 itemgroups, 20 items, 1 language
Itemgroups: Header, Height / Weight, Peripheral stem cell transplantation, Organ function, Comments, CCRR MODULE
ACNS0122 PBSC Harvest Worksheet NCT00047320 Neoadjuvant Chemotherapy With or Without Second-Look Surgery Followed by Radiation Therapy With or Without Peripheral Stem Cell Transplantation in Treating Patients With Intracranial Germ Cell Tumors Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=BD8E5AF7-9FAF-0089-E034-0003BA12F5E7

RTOG-0525 TF: Treatment Summary Form NCT00304031

- 6/26/15 - 1 form, 5 itemgroups, 29 items, 1 language
Itemgroups: RTOG clinical trial administrative data, Summary of Systemic Treatment, Disease Progression, Assessment of Chemotherapy, Footer
RTOG-0525 TF: Treatment Summary Form NCT00304031 Radiation Therapy and Temozolomide in Treating Patients With Newly Diagnosed Glioblastoma or Gliosarcoma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=FE10D5B1-3CDE-10E3-E034-0003BA3F9857

ACNS0122 Eligibility Worksheet NCT00047320

- 6/21/15 - 1 form, 3 itemgroups, 29 items, 1 language
Itemgroups: Header, Eligibility Assessment, CCRR MODULE
ACNS0122 Eligibility Worksheet NCT00047320 Neoadjuvant Chemotherapy With or Without Second-Look Surgery Followed by Radiation Therapy With or Without Peripheral Stem Cell Transplantation in Treating Patients With Intracranial Germ Cell Tumors Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=BD908887-2F0D-1578-E034-0003BA12F5E7

ACNS0122: Endocrine Status Worksheet NCT00047320

- 6/21/15 - 1 form, 6 itemgroups, 36 items, 1 language
Itemgroups: Header, Patient status assessment, Endocrine Status, PUBERTAL STATUS, Comments, CCRR MODULE
ACNS0122: Endocrine Status Worksheet NCT00047320 Neoadjuvant Chemotherapy With or Without Second-Look Surgery Followed by Radiation Therapy With or Without Peripheral Stem Cell Transplantation in Treating Patients With Intracranial Germ Cell Tumors Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=BD9127F7-5FAB-1376-E034-0003BA12F5E7

ACNS0122 Institutional Neuropathology Worksheet NCT00047320

- 6/21/15 - 1 form, 4 itemgroups, 15 items, 1 language
Itemgroups: Header, Neuropathology, Comments, CCRR MODULE
ACNS0122 Institutional Neuropathology Worksheet NCT00047320 Neoadjuvant Chemotherapy With or Without Second-Look Surgery Followed by Radiation Therapy With or Without Peripheral Stem Cell Transplantation in Treating Patients With Intracranial Germ Cell Tumors Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=BD40C955-FB29-0C2A-E034-0003BA12F5E7

E3F05 Second Primary Form NCT00978458

- 6/16/15 - 1 form, 4 itemgroups, 18 items, 1 language
Itemgroups: ECOG clinical trial administrative data, Data amendment, Second primary cancer assessment, Footer Module
E3F05 Second Primary Form NCT00978458 Radiation Therapy With or Without Temozolomide in Treating Patients With Low-Grade Glioma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=7004D1D0-8F94-615D-E040-BB89AD436FDA

E3F05 Source Document Tracking Coversheet Form NCT00978458

- 6/16/15 - 1 form, 1 itemgroup, 10 items, 1 language
Itemgroup: ECOG clinical trial administrative data
E3F05 Source Document Tracking Coversheet Form NCT00978458 Radiation Therapy With or Without Temozolomide in Treating Patients With Low-Grade Glioma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=6C1889F9-CDBB-5474-E040-BB89AD431A23

E3F05 Baseline Primary Brain Tumor Disease Evaluation Form NCT00978458

- 6/16/15 - 1 form, 10 itemgroups, 38 items, 1 language
Itemgroups: Header Module, Data amendment, Section I MEASURABLE LESIONS, T2/FLAIR, T1/Contrast, Section II NON-MEASURABLE LESIONS, T2/FLAIR Non-Measurable Lesions, T1/Contrast Non-Measurable Lesions, Section III, Comments
E3F05 Baseline Primary Brain Tumor Disease Evaluation Form NCT00978458 Radiation Therapy With or Without Temozolomide in Treating Patients With Low-Grade Glioma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=6C1947D6-6AFF-2C82-E040-BB89AD4371C6

Contact

Please use this form for feedback, questions and suggestions for improvements.

Fields marked with * are required.

Help

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