Résultats de recherche - Portail des modèles médicaux de données (portail MDM)

ADVL0212: On Study Worksheet (Leukemia) NCT00053963

- 05/07/2015 - 1 Formulaire, 6 Groupes Item, 45 Eléments de données, 1 Langue

Groupes Item: 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: Eligibility Worksheet (Leukemia) NCT00053963

- 16/06/2015 - 1 Formulaire, 5 Groupes Item, 33 Eléments de données, 1 Langue

Groupes Item: Header, Eligibility Assessment, Comments, Treatment Assignment, CCRR MODULE

ADVL0212: Eligibility 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=C0F2D219-E599-53B9-E034-0003BA12F5E7

Brain and Central Nervous System Tumors NCT00053963 Treatment - ADVL0212: Reporting Period Worksheet (Leukemia) - 2172521v3.0 - Reporting Period Worksheet (Leukemia ADVL0212)

- 12/03/2015 - 1 Formulaire, 7 Groupes Item, 66 Eléments de données, 1 Langue

Groupes Item: Header, Patient characteristics, Treatment, Concomitant Medication, New Cancer, Follow-Up, Adverse event

ADVL0212: Reporting Period Worksheet (Leukemia) FR901228 in Treating Children With Refractory or Recurrent Solid Tumors or Leukemia NCT00053963 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=C0F387DC-C9D3-5664-E034-0003BA12F5E7

ADVL0212: Death Worksheet NCT00053963

- 08/07/2015 - 1 Formulaire, 3 Groupes Item, 14 Eléments de données, 1 Langue

Groupes Item: Header, Death Assessment, CCRR MODULE

ADVL0212: Death Worksheet 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=B1EAD089-F0A7-3073-E034-0003BA12F5E7

ADVL0212: Response Assessment NCT00053963

- 05/07/2015 - 1 Formulaire, 5 Groupes Item, 14 Eléments de données, 1 Langue

Groupes Item: Header, Sites of Measurable Disease at the Time of Study Entry, Evaluation of lesions, Comments, CCRR MODULE

ADVL0212: Response Assessment 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=B1EAE217-B511-30BD-E034-0003BA12F5E7

Refractory tumors in children (NCT00053963) - Eligibility Worksheet (ADVL0212 NCT00053963)

- 20/03/2015 - 1 Formulaire, 2 Groupes Item, 32 Eléments de données, 1 Langue

Groupes Item: Header, Eligibility criteria

ADVL0212: Eligibility Worksheet FR901228 in Treating Children With Refractory or Recurrent Solid Tumors or Leukemia NCT00053963 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B1EC07E8-6588-30D1-E034-0003BA12F5E7

ADVL0212: On Study Worksheet [reload] NCT00053963

- 05/07/2015 - 1 Formulaire, 7 Groupes Item, 42 Eléments de données, 1 Langue

Groupes Item: Header, Treatment related information, Diagnosis, Hemogram, Chemistries, Comments, CCRR MODULE

ADVL0212: On Study Worksheet [reload] 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=B304C5F5-C7EC-0452-E034-0003BA12F5E7

ADVL0212: Prior Therapy Worksheet NCT00053963

- 05/07/2015 - 1 Formulaire, 6 Groupes Item, 12 Eléments de données, 1 Langue

Groupes Item: Header, Anti-cancer therapy, Type of Prior Therapy, Comments, General Validations, CCRR MODULE

ADVL0212: Prior Therapy Worksheet 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=B1EADAE4-318A-307A-E034-0003BA12F5E7

ADVL0212: Relapse/Progression Worksheet NCT00053963

- 05/07/2015 - 1 Formulaire, 3 Groupes Item, 16 Eléments de données, 1 Langue

Groupes Item: Header, Relapse/Progression, CCRR MODULE

ADVL0212: Relapse/Progression Worksheet 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=B1EAD72E-7E69-3077-E034-0003BA12F5E7

Recurring cancer children (ADVL0212 NCT00053963) - Reporting Period Worksheet cancer (NCT00053963)

- 22/03/2015 - 1 Formulaire, 5 Groupes Item, 58 Eléments de données, 1 Langue

Groupes Item: Header, Patient characteristics, Concomitant Medication, Patient status, Adverse event

ADVL0212: Reporting Period Worksheet FR901228 in Treating Children With Refractory or Recurrent Solid Tumors or Leukemia NCT00053963 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B1EC15B1-1989-311F-E034-0003BA12F5E7

ADVL0212: Phase I Weekly Report NCT00053963

- 08/07/2015 - 1 Formulaire, 5 Groupes Item, 32 Eléments de données, 1 Langue

Groupes Item: Header, DLT Toxicity Data, Results of test completed during this weekly reporting interval, Comments, CCRR MODULE

ADVL0212: Phase I Weekly Report 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=B1EAF58D-ABF6-30C9-E034-0003BA12F5E7

ADVL0212: Secondary Malignancy Report Worksheet NCT00053963

- 05/07/2015 - 1 Formulaire, 3 Groupes Item, 12 Eléments de données, 1 Langue

Groupes Item: Header, Secondary Malignancy, CCRR MODULE

ADVL0212: Secondary Malignancy Report Worksheet 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=B1EADE06-A88A-30BB-E034-0003BA12F5E7

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