Resultados de la búsqueda - Portal de Modelos de Datos Médicos (MDM-Portal)

Lung Cancer - North Central Cancer Treatment Group N0723 Notification Form

- 8/6/15 - 1 formulario, 2 itemgroups, 21 items, 1 idioma

Itemgroups: Header Module, Patient status assessment

North Central Cancer Treatment Group N0723 Notification Form; ***This CRF DELETED FROM STUDY, so no response to initial CDE-compliance review.*** Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=46AC3272-A577-410A-E044-0003BA3F9857

Registration - Phase II Lung Cancer - Registration Form - 2401069v1.0 - Phase II Lung Cancer - Registration Form

- 17/9/21 - 1 formulario, 6 itemgroups, 50 items, 1 idioma

Itemgroups: Registration Header, Protocol Administration, Patient Demographics / Pre-Treatment Characteristics, Certification of Eligibility, Protocol Design, Initial Patient Consent for Specimen Use

Phase II Consortium Phase II Lung Cancer - Registration Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=FFB64E4B-01F0-2740-E034-0003BA3F9857

Intra-operative Registration/Randomization Lung Cancer CALGB 140503 NCT00499330

- 20/9/21 - 1 formulario, 8 itemgroups, 26 items, 1 idioma

Itemgroups: Protocol Administration, Patient Demographics/Pre-Treatment Characteristics1, Patient Demographics/Pre-Treatment Characteristics2, Patient Demographics/Pre-Treatment Characteristics3, Certification Of Eligibility, Protocol Design, Companion Studies, Notes:

Lung Cancer NCT00499330 Registration - CALGB 140503 INTRA-OPERATIVE REGISTRATION/RANDOMIZATION WORKSHEET - 2916823v1.0 CALGB 140503 INTRA-OPERATIVE REGISTRATION/RANDOMIZATION WORKSHEET Comparison of Different Types of Surgery in Treating Patients With Stage IA Non-Small Cell Lung Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=6E4AB7DA-A794-776C-E040-BB89AD430B3B

Eligibility - E6508 Lung Cancer Registration Worksheet (step 2) - 2862658v1.0 - E6508 Lung Cancer Registration Worksheet (step 2)

- 17/9/21 - 1 formulario, 3 itemgroups, 18 items, 1 idioma

Itemgroups: Eligibility, Race, Patient Demographics / Pre-Treatment Characteristics

E6508 Registration Worksheet (step 2) Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=683ADC5E-C8AE-081D-E040-BB89AD4336AC

Lung Cancer NCT00045162 Pre-Study - SOUTHWEST ONCOLOGY GROUP EXTENSIVE SMALL CELL LUNG CARCINOMA PRESTUDY FORM - 2402234v1.0 - SOUTHWEST ONCOLOGY GROUP EXTENSIVE SMALL CELL LUNG CARCINOMA PRESTUDY FORM

- 20/9/21 - 1 formulario, 5 itemgroups, 19 items, 1 idioma

Itemgroups: Header, Patient and Disease Description, Current Laboratory Values, Prior Treatment Related To This Cancer, Comments

SOUTHWEST ONCOLOGY GROUP EXTENSIVE SMALL CELL LUNG CARCINOMA PRESTUDY FORM S0124: Cisplatin Combined With Either Irinotecan or Etoposide in Treating Patients With Extensive-Stage Small Cell Lung Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=001A8323-2611-48BE-E044-0003BA3F9857

Lung Cancer NCT01041781 Registration - CALGB-30801 Registration Worksheet Form - 2891095v1.0 - CALGB-30801 Registration Worksheet Form

- 20/9/21 - 1 formulario, 9 itemgroups, 36 items, 1 idioma

Itemgroups: Header Module, Protocol Administration, Patient Demographics/Pre-Treatment Characteristics1, Patient Demographics/Pre-Treatment Characteristics2, Patient Demographics/Pre-Treatment Characteristics3, Certification Of Eligibility, Protocol Design, Companion Study, Registration Information

CALGB-30801 Registration Worksheet Form Gemcitabine Hydrochloride or Pemetrexed Disodium and Carboplatin With or Without Celecoxib in Treating Patients With Advanced Non-Small Cell Lung Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=6AF26CA3-DB68-EEE0-E040-BB89AD436D54

Lung Cancer NCT01107626 Eligibility - E5508 Registration Worksheet (step 2) - 3078042v1.0 - E5508 Registration Worksheet (step 2)

- 17/9/21 - 1 formulario, 3 itemgroups, 19 items, 1 idioma

Itemgroups: Eligibility, Demographic Data Required For Patient Registration, I have reviewed the above data and agree the date are accurate and correct

E5508 Registration Worksheet (step 2) Bevacizumab or Pemetrexed Disodium Alone or In Combination After Induction Therapy in Treating Patients With Advanced Non-Squamous Non-Small Cell Lung Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=8528E45F-A327-F490-E040-BB89AD4356FC

Lung Cancer NCT00863512 Registration - CALGB 30506 Registration Worksheet Form - 2817354v1.0 - CALGB 30506 Registration Worksheet Form

- 17/9/21 - 1 formulario, 9 itemgroups, 37 items, 1 idioma

Itemgroups: Header Module, Protocol Administration, Patient Demographics/Pre-Treatment Characteristics1, Patient Demographics/Pre-Treatment Characteristics2, Patient Demographics/Pre-Treatment Characteristics3, Certification Of Eligibility, Protocol Design, Initial Patient Consent For Specimen Use, Registration Information

CALGB 30506 Registration Worksheet Form Chemotherapy or Observation in Treating Patients With Early Stage Non-Small Cell Lung Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=5E92C67F-D7CA-CFB0-E040-BB89AD432DA1

Lung Cancer NCT00693992 Registration - CALGB-30607 OPEN Registration Worksheet - 3134278v1.0 - CALGB-30607 OPEN Registration Worksheet

- 9/1/15 - 1 formulario, 6 itemgroups, 16 items, 1 idioma

Itemgroups: Protocol Administration, Pre-Treatment Characteristics, Certification Of Eligibility, Protocol Design, Companion Studies - Study 70701: Optional QOL companion to 30607 , Companion Studies - Study 60702: Optional Pharmacogenomic Companion to 30607

CALGB-30607 OPEN Registration Worksheet Sunitinib as Maintenance Therapy in Treating Patients With Stage III or Stage IV Non-Small Cell Lung Cancer Previously Treated With Combination Chemotherapy Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=8F3901A3-899E-90D2-E040-BB89AD435A4E

Lung Cancer NCT01336894 Registration - ACOSOG-Z4099 OPEN Enrollment Form - 3167507v1.0 - ACOSOG-Z4099 OPEN Enrollment Form

- 9/1/15 - 1 formulario, 5 itemgroups, 33 items, 1 idioma

Itemgroups: General Information, Stratification Factors, Eligibility Checklist, Specimen Collection and Banking Consent, Randomization

ACOSOG-Z4099 OPEN Enrollment Form Surgery With or Without Internal Radiation Therapy Compared With Stereotactic Body Radiation Therapy in Treating Patients With High-Risk Stage I Non-Small Cell Lung Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=977826FD-FE23-332B-E040-BB89AD437C06

Lung Cancer NCT00863512 Registration - CALGB 30506 Pre-Registration Worksheet Form - 2817249v1.0 - CALGB 30506 Pre-Registration Worksheet Form

- 17/9/21 - 1 formulario, 8 itemgroups, 32 items, 1 idioma

Itemgroups: Header Module, Protocol Administration, Patient Demographics/Pre-Treatment Characteristics1, Patient Demographics/Pre-Treatment Characteristics2, Patient Demographics/Pre-Treatment Characteristics3, Certification Of Eligibility, Contact Person, Registration Information

CALGB 30506 Pre-Registration Worksheet Form Chemotherapy or Observation in Treating Patients With Early Stage Non-Small Cell Lung Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=5E92C67F-D6E2-CFB0-E040-BB89AD432DA1

Lung Cancer NCT01041781 Registration - CALGB-30801 Pre-Registration Worksheet Form - 2891008v1.0 - CALGB-30801 Pre-Registration Worksheet Form

- 17/9/21 - 1 formulario, 7 itemgroups, 33 items, 1 idioma

Itemgroups: Header Module, Protocol Administration, Patient Demographics/Pre-Treatment Characteristics1, Patient Demographics/Pre-Treatment Characteristics2, Certification Of Eligibility, Companion Study, Registration Information

CALGB-30801 Pre-Registration Worksheet Form Gemcitabine Hydrochloride or Pemetrexed Disodium and Carboplatin With or Without Celecoxib in Treating Patients With Advanced Non-Small Cell Lung Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=6AF269FD-C8E5-3B6B-E040-BB89AD432A5C

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