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Toxicity Reporting Form Cervical Cancer (NCT00803062)

- 09-01-15 - 1 Formulier, 4 Itemgroepen, 32 Data-elementen, 1 Taal
Itemgroepen: HEADER MODULE, ADVERSE EVENTS - SECTION 1, ADVERSE EVENTS - SECTION 2, ADVERSE EVENTS - SECTION 3
GOG-0240 Common Toxicity Reporting Form (Form T) Paclitaxel and Cisplatin or Topotecan With or Without Bevacizumab in Treating Patients With Stage IVB, Recurrent, or Persistent Cervical Cancer NCT00803062 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=45815094-13E7-14B9-E044-0003BA3F9857

Cervical Cancer Chemotherapy and Radiation NCT00980954 RTOG 0724 - Quality of Life FACT/GOG-Ntx

- 14-07-17 - 1 Formulier, 5 Itemgroepen, 38 Data-elementen, 1 Taal
Itemgroepen: PHYSICAL WELL-BEING, SOCIAL/FAMILY WELL-BEING, EMOTIONAL WELL-BEING, FUNCTIONAL WELL-BEING, FACT/GOG-NTX
Cervical Cancer NCT00980954 Quality of Life - RTOG 0724 FACT/GOG-Ntx (Version 4) - 2819983v1.0 Chemotherapy and Pelvic Radiation Therapy With or Without Additional Chemotherapy in Treating Patients With High-Risk Early-Stage Cervical Cancer After Radical Hysterectomy https://clinicaltrials.gov/ct2/show/NCT00980954

Cervical Cancer Chemotherapy and Radiation NCT00980954 RTOG 0724 - Quality of Life FACT-Cx

- 10-07-17 - 1 Formulier, 5 Itemgroepen, 42 Data-elementen, 1 Taal
Itemgroepen: PHYSICAL WELL-BEING, SOCIAL/FAMILY WELL-BEING, EMOTIONAL WELL-BEING, FUNCTIONAL WELL-BEING, Additional Concerns
Cervical Cancer NCT00980954 Quality of Life - RTOG 0724 FACT-Cx (Version 4) - 2820310v1.0 RTOG 0724 FACT-Cx (Version 4) Chemotherapy and Pelvic Radiation Therapy With or Without Additional Chemotherapy in Treating Patients With High-Risk Early-Stage Cervical Cancer After Radical Hysterectomy https://clinicaltrials.gov/ct2/show/NCT00980954

Drug Dose Form Cervical Cancer GOG NCT00064077

- 22-08-15 - 1 Formulier, 5 Itemgroepen, 39 Data-elementen, 1 Taal
Itemgroepen: HEADER MODULE, TREATMENT CYCLE AND MODIFICATION, COMMENTS, FOOTER MODULE, CCRR MODULE
GOG Cycle Dose Drug Form Comparison of Four Combination Chemotherapy Regimens Using Cisplatin in Treating Patients With Stage IVB, Recurrent, or Persistent Cancer of the Cervix Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=ABA3A924-559C-246C-E034-0003BA12F5E7

Treatment form Cervical Cancer SWOG S0227 NCT00057928

- 22-08-15 - 1 Formulier, 3 Itemgroepen, 23 Data-elementen, 1 Taal
Itemgroepen: SWOG clinical trial administrative data, STATUS, FIRST CYCLE OF TREATMENT
SOUTHWEST ONCOLOGY GROUP S0227 TREATMENT FORM (S0227) S0227 Comparison of Cisplatin Combined With Either Paclitaxel or Gemcitabine in Treating Patients With Recurrent, Persistent, or Metastatic Cervical Cancer NCT00057928 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=AA4D01C2-8134-3CDA-E034-0003BA12F5E7

On-Study - Primary Cervical Cancer - On-Study Form - 2019339v3.0 - Primary Cervical Cancer - On-Study Form

- 09-01-15 - 1 Formulier, 4 Itemgroepen, 26 Data-elementen, 1 Taal
Itemgroepen: CRF Header, Cervical: Form Administration, Cervical: Disease Description, Comments
Primary Cervical Cancer - On-Study Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=16D0D1CF-B7EB-34E6-E044-0003BA3F9857

dbGaP phs000628 Characterization of a Metastatic Cervical Cancer Using NGS - pht003504.v1.p1

- 29-11-22 - 4 Formulieren, 1 Itemgroep, 3 Data-elementen, 1 Taal
Itemgroep: pht003504
Principal Investigator: Winnie S. Liang, PhD, Translational Genomics Research Institute, Phoenix, AZ, USA MeSH: Uterine Cervical Neoplasms,Carcinoma https://www.ncbi.nlm.nih.gov/projects/gap/cgi-bin/study.cgi?study_id=phs000628 In this study, we used shallow whole genome, exome, and RNA sequencing to genomically and transcriptomically characterize a cervical squamous carcinoma lesion metastatic to the lung and to detect and analyze HPV infection in the same sample.

pht003505.v1.p1

1 Itemgroep 3 Data-elementen

pht003506.v1.p1

1 Itemgroep 4 Data-elementen

pht003507.v1.p1

1 Itemgroep 6 Data-elementen

Cervical Cancer Radiation with or without Chemotherapy NCT01101451 GOG-0263 - Lab and Specimen (Form SP)

- 20-09-21 - 1 Formulier, 5 Itemgroepen, 50 Data-elementen, 1 Taal
Itemgroepen: HEADER MODULE, SPECIMEN INFORMATION, BLOOD/FLUID PRODUCTS, TISSUE/CELLS, GOG TISSUE BANK/LABORATORY INFORMATION
Lab - Gynecologic Oncology Group Specimen Form (Form SP) - 2759412v1.0 Radiation Therapy With or Without Chemotherapy in Patients With Stage I or Stage II Cervical Cancer Who Previously Underwent Surgery https://clinicaltrials.gov/ct2/show/NCT01101451

Cycle Dose Drug Form (D2R) Cervical Cancer (NCT00803062)

- 09-01-15 - 1 Formulier, 3 Itemgroepen, 38 Data-elementen, 1 Taal
Itemgroepen: HEADER MODULE, TREATMENT CYCLE AND MODIFICATION, Pretreatment hematology and chemistry values
GOG-0240 Cycle Dose Drug Form (Form D2R) Paclitaxel and Cisplatin or Topotecan With or Without Bevacizumab in Treating Patients With Stage IVB, Recurrent, or Persistent Cervical Cancer NCT00803062 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=4580B20A-FA66-2748-E044-0003BA3F9857

Cervical Cancer NCT01414608 Pre-Study - ANZGOG-0902 Baseline - 3140312v1.0 - ANZGOG-0902 Baseline

- 09-01-15 - 1 Formulier, 8 Itemgroepen, 19 Data-elementen, 1 Taal
Itemgroepen: Header, Date, Demographic Data, Cancer Australia Data - For Cancer Australia Trails Only, Vital Signs, Cancer Stage and Grade (Details at Initial Diagnosis), Baseline, Footer Module
ANZGOG-0902 Baseline Cisplatin and Radiation Therapy With or Without Carboplatin and Paclitaxel in Patients With Locally Advanced Cervical Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=90CA1C57-45F8-A228-E040-BB89AD43458D

Cervical Cancer NCT01414608 On-Study - ANZGOG-0902 Nodal Assessment - 3140392v1.0 - ANZGOG-0902 Nodal Assessment

- 09-01-15 - 1 Formulier, 7 Itemgroepen, 26 Data-elementen, 1 Taal
Itemgroepen: Header, PET Scan, Reported Lesions (see notes), New Lesions (at baseline, report as U=unknown), Qualitative Response, MRI Scan, Footer Module
ANZGOG-0902 Nodal Assessment Cisplatin and Radiation Therapy With or Without Carboplatin and Paclitaxel in Patients With Locally Advanced Cervical Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=90CA1C57-4699-A228-E040-BB89AD43458D

Cervical Cancer NCT01414608 Toxicity - ANZGOG-0902 Toxicity - Treatment - 3142570v1.0 - ANZGOG-0902 Toxicity - Treatment

- 09-01-15 - 1 Formulier, 3 Itemgroepen, 12 Data-elementen, 1 Taal
Itemgroepen: Header, Toxicities, Footer Module
ANZGOG-0902 Toxicity - Treatment Cisplatin and Radiation Therapy With or Without Carboplatin and Paclitaxel in Patients With Locally Advanced Cervical Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=9104F873-2730-FB60-E040-BB89AD437958

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