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

Brain and Central Nervous System Tumors NCT00884741 Treatment - RTOG 0825 Phase III GBM Salvage Treatment Guideline Questionnaire (SX) - 2797409v1.0 - RTOG 0825 Phase III GBM Salvage Treatment Guideline Questionnaire (SX)

- 09/01/2015 - 1 Formulaire, 3 Groupes Item, 13 Eléments de données, 1 Langue

Groupes Item: Header Module, Inclusion Criteria, Footer Module

RTOG 0825 Phase III GBM Salvage Treatment Guideline Questionnaire (SX) 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=5AE28686-9246-64D7-E044-0003BA3F9857

ACNS0122 Surgical Checklist Worksheet NCT00047320

- 20/09/2021 - 1 Formulaire, 7 Groupes Item, 22 Eléments de données, 1 Langue

Groupes Item: Header, Primary Surgery, REASON FOR SURGERY, CNS PERI-OPERATIVE COMPLICATIONS, POST-OP STEROIDS USED, Comments, CCRR MODULE

ACNS0122 Surgical Checklist 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=BD7B6161-4826-29D3-E034-0003BA12F5E7

Sunitinib in HIV with Cancer NCT00890747 AMC-061 - Off Study Summary Form (F50)

- 20/06/2017 - 1 Formulaire, 1 Groupe Item, 4 Eléments de données, 1 Langue

Groupe Item: Off-Study Summary

AMC-061 Off Study Summary Form (F50) Sunitinib Malate in Treating HIV-Positive Patients With Cancer Undergoing Highly Active Antiretroviral Therapy https://clinicaltrials.gov/ct2/show/NCT00890747

PBSC Harvest Worksheet Germ Cell Tumors ACNS0122 NCT00047320

- 31/07/2015 - 1 Formulaire, 5 Groupes Item, 19 Eléments de données, 2 Langues

Groupes Item: Header, Height / Weight, Peripheral stem cell transplantation, Organ function, Comments

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

Induction Worksheet Intracranial Germ Cell Tumors NCT00047320

- 25/07/2015 - 1 Formulaire, 10 Groupes Item, 58 Eléments de données, 1 Langue

Groupes Item: Header, Treatment period, TUMOR EVALUATION, DISEASE STATUS, EVALUATIONS, SECOND LOOK SURGERY, SIGNIFICANT EVENTS DURING THIS REPORTING PERIOD, TREATMENT PLAN AFTER THIS TREATMENT PERIOD, TOXICITIES, Comments

ACNS0122 Induction 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=BD8F3A15-A2D2-0385-E034-0003BA12F5E7

On-Study Form Glioma N0577 NCT00626990

- 25/07/2015 - 1 Formulaire, 7 Groupes Item, 25 Eléments de données, 1 Langue

Groupes Item: Header Module, Disease History, Maximum Diameter of Tumor on Pre-Operative Scan, Extent of Resection, Location of Primary Neoplasm, Side of Primary Tumor, Descriptive Factors

On-Study Form Glioma N0577 NCT00626990 Brain and Central Nervous System Tumors NCT00887146 On-Study - North Central Cancer Treatment Group N0577 On-Study Form - 2746076v1.0 Radiation Therapy or Radiation Therapy and Temozolomide or Temozolomide Alone in Treating Patients With Newly Diagnosed Anaplastic Glioma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=4C0A6585-AD37-120A-E044-0003BA3F9857

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

ACNS0122: RADIATION THERAPY WORKSHEET NCT00047320

- 05/07/2015 - 1 Formulaire, 10 Groupes Item, 50 Eléments de données, 1 Langue

Groupes Item: 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

- 05/07/2015 - 1 Formulaire, 9 Groupes Item, 53 Eléments de données, 1 Langue

Groupes Item: 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