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

Pre-Study - BASELINE SYMP - 2393103v1.0 - BASELINE SYMP

- 6/2/19 - 1 formulario, 2 itemgroups, 9 items, 1 idioma

Itemgroups: BASELINE SYMPTOMS, COMMENTS

Baseline Symptoms form for C3D 3.12 Adopters Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=FF084994-8361-14D0-E034-0003BA3F9857

Breast Cancer NCT01272037 Pre-Study - S1007 Prestudy Form - Randomized Study (6230) - 3141162v1.0 - S1007 Prestudy Form - Randomized Study (6230)

- 9/1/15 - 1 formulario, 3 itemgroups, 18 items, 1 idioma

Itemgroups: Header Module, PATIENT AND DISEASE DESCRIPTION, Comments

S1007 Prestudy Form - Randomized Study (6230) Tamoxifen Citrate, Letrozole, Anastrozole, or Exemestane With or Without Chemotherapy in Treating Patients With Invasive RxPONDER Breast Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=90DE259F-A7AB-E9EB-E040-BB89AD436D98

Lung Cancer NCT00863512 Pre-Study - CALGB 30506 Pre-Study/Surgical Resection Form - 2821782v1.0 - CALGB 30506 Pre-Study/Surgical Resection Form

- 20/9/21 - 1 formulario, 9 itemgroups, 46 items, 1 idioma

Itemgroups: Header Module, Header, Initial Laboratory Values, Smoking Status, Pre-surgical Disease Status, Surgical Disease Status, Planned Treatment, Contact Information, Footer Module

CALGB 30506 Pre-Study/Surgical Resection 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=5FE8C8A3-6705-BC07-E040-BB89AD4332A8

Pre-Study - PRIOR RADIATION SUPPLEMENT - 2398684v1.0 - PRIOR RADIATION SUPPLEMENT

- 20/9/21 - 1 formulario, 1 itemgroup, 11 items, 1 idioma

Itemgroup: PRIOR RADIATION SUPPLEMENT

Prior Radiation form for C3D 3.12 Adopters Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=FF41EFA1-C05B-5480-E034-0003BA3F9857

Pre-Study - PRIOR SURGERY SUPPLEMENT - 2398212v1.0 - PRIOR SURGERY SUPPLEMENT

- 20/9/21 - 1 formulario, 2 itemgroups, 8 items, 1 idioma

Itemgroups: PRIOR SURGERY SUPPLEMENT, COMMENTS

Prior Surgery form for C3D 3.12 Adopters Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=FF2F7B22-5065-707B-E034-0003BA3F9857

Pre-Study - BASELINE MEDICAL HISTORY - 2393057v1.0 - BASELINE MEDICAL HISTORY

- 20/9/21 - 1 formulario, 2 itemgroups, 5 items, 1 idioma

Itemgroups: BASELINE MEDICAL HISTORY, COMMENTS

Baseline Medical History form for C3D 3.12 Adopters Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=FF0830C9-70C7-12CC-E034-0003BA3F9857

Pre-Study - PRIOR THERAPY SUPPLEMENT - 2394210v1.0 - PRIOR THERAPY SUPPLEMENT

- 9/1/15 - 1 formulario, 2 itemgroups, 11 items, 1 idioma

Itemgroups: PRIOR THERAPY SUPPLEMENT, COMMENTS

Prior Therapy form for C3D 3.12 Adopters Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=FF07B012-CA3F-1CA3-E034-0003BA3F9857

Pre-Study Breast Cancer SWOG S0307 NCT00127205

- 26/8/15 - 1 formulario, 10 itemgroups, 46 items, 1 idioma

Itemgroups: Administrative documentation, DISEASE DESCRIPTION, LABORATORY VALUES, CONSENT FOR SUBMISSION AND BANKING, PATIENT CHARACTERISTICS, DISEASE DESCRIPTION, TREATMENT WITH STATINS, PATIENT PREFERENCE, PRIOR TREATMENT RELATED TO THIS CANCER, SYSTEMIC TREATMENT FOR THIS CANCER

SOUTHWEST ONCOLOGY GROUP S0307 PRESTUDY FORM Zoledronate, Clodronate, or Ibandronate in Treating Women Who Have Undergone Surgery for Stage I, Stage II, or Stage III Breast SOUTHWEST ONCOLOGY GROUP S0307 PRESTUDY FORM Zoledronate, Clodronate, or Ibandronate in Treating Women Who Have Undergone Surgery for Stage I, Stage II, or Stage III Breast Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=DEA0B902-CDD3-54E6-E034-0003BA12F5E7

Pre-Study - NCI Standard Registration Template - 2745056v1.0 - NCI Standard Registration Template

- 20/9/12 - 1 formulario, 3 itemgroups, 18 items, 1 idioma

Itemgroups: Mandatory Registration Questions, Conditional Registration Questions, Optional Registration Questions

The collection of CDEs used in the registration module. Registration consists of the registering institution applying for entry of a consented participant into a specific research study by conveying designated registration information to a central facility that is in charge of accepting participants into the study. Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=4C056DEC-99CB-35E0-E044-0003BA3F9857

Pre-Study - NCI Standard Enrollment Template - 2745052v1.0 - NCI Standard Enrollment Template

- 19/9/12 - 1 formulario, 3 itemgroups, 5 items, 1 idioma

Itemgroups: Mandatory Enrollment Questions, Conditional Enrollment Questions, Optional Enrollment Questions

The collection of CDEs used in the Enrollment module. The enrollment process occurs when the center's registrar receives and reviews the registration information and makes a determination to accept or not accept the application. If the participant is deemed acceptable, the center enrolls the participant in the study and the coordinating center returns a notification to the registering institution indicating that the proposed participant is enrolled. Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=4C051B61-911C-226D-E044-0003BA3F9857

Pre-Study - NCI Standard Participant Identification Template - 2729615v1.0 - NCI Standard Participant Identification Template

- 20/9/21 - 1 formulario, 2 itemgroups, 11 items, 1 idioma

Itemgroups: Conditional Participant ID Questions, Optional Participant ID Questions

The collection of CDEs used in the Participant ID module. Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=46716FCE-3AD1-70D5-E044-0003BA3F9857

A Cross-Over Study of Alcohol Effect on the Pharmacokinetics of Carvedilol - 106904 - Eligibility Question

- 13/12/18 - 1 formulario, 2 itemgroups, 5 items, 1 idioma

Itemgroups: Administrative data, Eligibility Question

Study ID: 106904 Clinical Study ID: CRV106904 Study Title: A Randomized, Open-Label, Single-Dose, Four-Period Cross-Over Study to Determine the Effects of Alcohol on the Pharmacokinetics of Carvedilol CR Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 1 Study Recruitment Status: Completed Generic Name: carvedilol Trade Name: Coreg CR,Coreg Study Indication: Hypertension

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