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

Breast Cancer NCT00433589 Treatment - Endocrine therapy - 2498727v1.0 - Endocrine therapy

- 09/01/2015 - 1 Formulaire, 3 Groupes Item, 14 Eléments de données, 1 Langue

Groupes Item: Header, Endocrine therapy, Footer Module

Endocrine therapy Genetic Testing or Clinical Assessment in Determining the Need for Chemotherapy in Women With Breast Cancer That Involves No More Than 3 Lymph Nodes Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=19677A9A-FFBD-2E6F-E044-0003BA3F9857

Infection Episode

- 20/09/2021 - 1 Formulaire, 1 Groupe Item, 11 Eléments de données, 1 Langue

Groupe Item: Infection Episode

Information summarizing episodes of infection associated with treatment. Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=ACFF6F4C-B15B-1776-E040-BB89AD43285B

Esophageal Cancer NCT00655876 Treatment - TF: Radiation Therapy Oncology Group Phase III Esophagus Systemic Treatment Summary Form - 2598533v1.0 - TF: Radiation Therapy Oncology Group Phase III Esophagus Systemic Treatment Summary Form

- 27/09/2021 - 1 Formulaire, 6 Groupes Item, 56 Eléments de données, 1 Langue

Groupes Item: MODULE 1, Summary of Systemic Treatment, Summary of Systemic Treatment, Protocol Specific Adverse Events Evaluation, REPORT ALL CONTINUING OR NEW ADVERSE EVENTS, Footer

TF: Radiation Therapy Oncology Group Phase III Esophagus Systemic Treatment Summary Form Paclitaxel, Cisplatin, and Radiation Therapy With or Without Cetuximab in Treating Patients With Locally Advanced Esophageal Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=2A02FE34-6EF5-5B5C-E044-0003BA3F9857

Treatment - Infection Episode - 3277947v1.0 - Infection Episode

- 27/09/2021 - 1 Formulaire, 1 Groupe Item, 11 Eléments de données, 1 Langue

Groupe Item: Infection Episode

Information summarizing episodes of infection associated with treatment. Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=ACFF6F4C-B15B-1776-E040-BB89AD43285B

Treatment Summary NSCLC Stage III RTOG NCT00533949

- 20/09/2021 - 1 Formulaire, 3 Groupes Item, 36 Eléments de données, 1 Langue

Groupes Item: RTOG clinical trial administrative data, Assessment of Chemotherapy, REPORT ALL CONTINUING OR NEW ADVERSE EVENTS

NCT00533949 TF: Radiation Therapy Oncology Group Phase III High-dose Vs Standard-dose Conformal XRT with Chemotherapy Treatment Summary Form High-Dose or Standard-Dose Radiation Therapy and Chemotherapy With or Without Cetuximab in Treating Patients With Newly Diagnosed Stage III Non-Small Cell Lung Cancer That Cannot Be Removed by Surgery Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=24FB4F78-9A8F-669C-E044-0003BA3F9857

AMC-070 Interventions Form (RK5)

- 20/09/2021 - 1 Formulaire, 3 Groupes Item, 16 Eléments de données, 1 Langue

Groupes Item: Header - Interventions Form, Interventions, Comments

AMC-070 Interventions Form (RK5) Lenalidomide in Treating Patients With AIDS-Related Kaposi Sarcoma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=91E37C30-3E56-3E5F-E040-BB89AD43368B

Prior Radiation Supplement

- 20/09/2021 - 1 Formulaire, 1 Groupe Item, 12 Eléments de données, 1 Langue

Groupe Item: Prior Radiation Supplement

Details of prior radiation therapy related to the disease being studies by the protocol or when the details would be clinically significant for the evaluation of this study. Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=AD011733-7341-F6FC-E040-BB89AD436515

AMC-063 Interventions Form (RK5)

- 20/09/2021 - 1 Formulaire, 3 Groupes Item, 16 Eléments de données, 1 Langue

Groupes Item: Header - Interventions Form, Interventions, Comments

AMC-063 Interventions Form (RK5) Bortezomib in Treating Patients With Relapsed or Refractory AIDS-Related Kaposi Sarcoma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=8163A333-B8CA-35E0-E040-BB89AD435080

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

NCIC-PR.11 Form 6 - Final Report NCT00499174

- 20/09/2021 - 1 Formulaire, 9 Groupes Item, 45 Eléments de données, 1 Langue

Groupes Item: Patient Information, Cause of Death, Autopsy, Adverse Event Status, Therapy for Lower Urinary Tract Symptoms/Prostate Cancer since the last report, Other Malignancies or Marrow Dysplasia, Comments, Supporting Documentation, Form Completion

NCIC-PR.11 Form 6 - Final Report NCT00499174 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=0EF82236-51E0-1D54-E044-0003BA3F9857

Symptomatische Osteonekrosen OPAL-Studie DRKS00004421 NCT01619124 ALL - Symptomatische Osteonekrosen OPAL-Studie

- 20/09/2021 - 1 Formulaire, 6 Groupes Item, 75 Eléments de données, 2 Langues

Groupes Item: Allgemeine Angaben, Nichtoperative Therapie - Analgetika, Nichtoperative Therapie - Physikalische Therapie, Nichtoperative Therapie - Medikamentöse Therapie, Operative Therapie - Gelenkerhaltende Therapie, Operative Therapie - Gelenkersatz

Osteonekrosen bei pädiatrischen Patienten mit ALL Studienleitung: Dr. M. Kuhlen, Universitätsklinikum Düsseldorf, Klinik für Kinder-Onkologie, -Hämatologie und Klinische Immunologie, Moorenstr. 5, 40225 Düsseldorf, Tel.: 0211 81 17687, Fax: 0211 81 04982, Email: Michaela.Kuhlen@med.uni-duesseldorf.de

CALGB: 40601 POST SURGERY HISTOPATHOLOGY REVIEW FORM NCT00770809

- 20/09/2021 - 1 Formulaire, 10 Groupes Item, 58 Eléments de données, 1 Langue

Groupes Item: Header, Patient demographics, SPECIMEN DETAILS, GROSS FINDINGS, HISTOLOGIC FINDINGS, MARGINS, DCIS, LYMPH NODES, DISEASE STAGING, COMMENTS

CALGB: 40601 POST SURGERY HISTOPATHOLOGY REVIEW FORM NCT00770809 Paclitaxel and Trastuzumab With or Without Lapatinib in Treating Patients With Stage II or Stage III Breast Cancer That Can Be Removed by Surgery Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=3A58BBD2-8485-72B0-E044-0003BA3F9857

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