Zoekresultaten - Portaal voor medische datamodellen (MDM-portaal)

RTOG 0825 Phase III GBM Follow-Up Form (F1) NCT00884741

- 08-07-15 - 1 Formulier, 7 Itemgroepen, 65 Data-elementen, 1 Taal

Itemgroepen: RTOG clinical trial administrative data, Patient status assessment, RECURRENCE OR PROGRESSION, Non-Protocol Therapy, Protocol Specific Adverse Event Evaluation1, Protocol Specific Adverse Event Evaluation2, Comments

RTOG 0825 Phase III GBM Follow-Up Form (F1) NCT00884741 Temozolomide and Radiation Therapy With or Without Bevacizumab in Treating Patients With Newly Diagnosed Glioblastoma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=5A7D0D0E-5E03-3FE7-E044-0003BA3F9857

RTOG 0834: Medical Outcome Scale: Cognitive NCT00626990

- 08-07-15 - 1 Formulier, 3 Itemgroepen, 29 Data-elementen, 1 Taal

Itemgroepen: RTOG clinical trial administrative data, Various questionnaire related information, Cognition Quality of Life

RTOG 0834/EORTC 26053_22054/NCIC CTG CEC.1: Medical Outcome Scale: Cognitive NCT00626990 Radiation Therapy With or Without Temozolomide in Treating Patients With Anaplastic Glioma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=5AF816A5-3103-0942-E044-0003BA3F9857

ADVL0212: Phase I Weekly Report NCT00053963

- 08-07-15 - 1 Formulier, 5 Itemgroepen, 32 Data-elementen, 1 Taal

Itemgroepen: 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

RTOG-0525 AE: Adverse Event Evaluation Form NCT00304031

- 08-07-15 - 1 Formulier, 2 Itemgroepen, 20 Data-elementen, 1 Taal

Itemgroepen: RTOG clinical trial administrative data, REPORT ALL CONTINUING OR NEW ADVERSE EVENTS

RTOG-0525 AE: Adverse Event Evaluation 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=FD9B3E8E-5C94-635F-E034-0003BA3F9857

ADVL0212: Death Worksheet NCT00053963

- 08-07-15 - 1 Formulier, 3 Itemgroepen, 14 Data-elementen, 1 Taal

Itemgroepen: 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: Relapse/Progression Worksheet NCT00053963

- 05-07-15 - 1 Formulier, 3 Itemgroepen, 16 Data-elementen, 1 Taal

Itemgroepen: 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

ADVL0212: On Study Worksheet (Leukemia) NCT00053963

- 05-07-15 - 1 Formulier, 6 Itemgroepen, 45 Data-elementen, 1 Taal

Itemgroepen: 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

ACNS0122: RADIATION THERAPY WORKSHEET NCT00047320

- 05-07-15 - 1 Formulier, 10 Itemgroepen, 50 Data-elementen, 1 Taal

Itemgroepen: Header, Treatment period, TUMOR EVALUATION, DISEASE STATUS, EVALUATIONS, SIGNIFICANT EVENTS DURING THIS REPORTING PERIOD, TREATMENT PLAN AFTER THIS TREATMENT PERIOD, TOXICITIES, Comments, CCRR MODULE

ACNS0122: RADIATION THERAPY 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=BD90B467-C41E-1633-E034-0003BA12F5E7

ACNS0122 Consolidation Worksheet NCT00047320

- 05-07-15 - 1 Formulier, 9 Itemgroepen, 53 Data-elementen, 1 Taal

Itemgroepen: Reporting period, TUMOR EVALUATION, DISEASE STATUS, EVALUATIONS, SIGNIFICANT EVENTS DURING THIS REPORTING PERIOD, TREATMENT PLAN AFTER THIS TREATMENT PERIOD, TOXICITIES, Comments, CCRR MODULE

ACNS0122 Consolidation 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=BD4225D7-47E1-0D12-E034-0003BA12F5E7