ID
42187
Descrizione
AMC-045 Type III Adverse Event Reporting Form (TAE) Cisplatin, Fluorouracil, Cetuximab, and Radiation Therapy in Treating Patients With HIV and Stage I, Stage II, or Stage III Anal Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=1C146B28-823F-583B-E044-0003BA3F9857
collegamento
Keywords
versioni (4)
- 26/08/12 26/08/12 -
- 26/11/14 26/11/14 - Martin Dugas
- 13/04/21 13/04/21 - Dr. rer. medic Philipp Neuhaus
- 13/04/21 13/04/21 - Ahmed Rafee, MD
Caricato su
13 aprile 2021
DOI
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Licenza
Creative Commons BY-NC 3.0 Legacy
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Anal Cancer NCT00324415 Toxicity - AMC-045 Type III Adverse Event Reporting Form (TAE) - 2516535v1.0
This form should be completed at week 18 for Type III Adverse Events. Type III Adverse Event - (1) any interruption in radiation therapy lasting more that 7 days, (2) failure to complete at least 6 courses of cetuximab and 2 cycles of cisplatin and 5-FU due to toxicity, (3) failure to complete the prescribed course of irradiation due to toxicity
- StudyEvent: AMC-045 Type III Adverse Event Reporting Form (TAE)
Descrizione
Type III Adverse Events
Alias
- UMLS CUI-1
- C1519275
- UMLS CUI-2
Descrizione
ProtocolSpecifiedAdverseEventOccurrenceInd-2
Tipo di dati
boolean
Alias
- NCI Thesaurus ObjectClass
- C25320
- NCI Thesaurus ObjectClass
- C41331
- NCI Thesaurus ObjectClass
- C38024
- NCI Metathesaurus Property
- CL209504
- NCI Thesaurus ValueDomain
- C38147
- UMLS CUI-1
- C1507394
- UMLS CUI-2
- C0877248
- UMLS CUI-3
- C0205369
- UMLS CUI-4
- C1512698
Descrizione
RadiationTherapyInterruptionInd-2
Tipo di dati
boolean
Alias
- NCI Thesaurus ValueDomain
- C38147
- NCI Thesaurus ObjectClass
- C15313
- NCI Thesaurus Property
- C25542
- UMLS CUI-1
- C1512698
- UMLS CUI-2
- C1522449
- UMLS CUI-3
- C1512900
Descrizione
TreatmentInterruptionDayDuration
Tipo di dati
integer
Alias
- NCI Thesaurus ValueDomain
- C25301
- NCI Thesaurus ObjectClass
- C15368
- NCI Thesaurus ValueDomain
- C25330
- NCI Thesaurus Property
- C25542
- UMLS CUI-1
- C0439228
- UMLS CUI-2
- C0449238
- UMLS CUI-3
- C1512900
Descrizione
CetuximabCisplatinFluorouracilChemotherapyRegimenInterruptedToxicityInd-2
Tipo di dati
boolean
Alias
- NCI Thesaurus ObjectClass
- C15632
- NCI Thesaurus ObjectClass
- C376
- NCI Thesaurus ObjectClass
- C1723
- NCI Thesaurus ObjectClass
- C505
- NCI Thesaurus Property
- C27990
- NCI Thesaurus Property
- C15697
- NCI Metathesaurus Property
- CL212531
- NCI Thesaurus ValueDomain
- C38147
- UMLS CUI-1
- C0392920
- UMLS CUI-2
- C0008838
- UMLS CUI-3
- C0879636
- UMLS CUI-4
- C0016360
- UMLS CUI-5
- C0600688
- UMLS CUI-6
- C0040808
- UMLS CUI-7
- C1512698
Descrizione
RadiationTherapyRegimenInterruptedToxicityInd-2
Tipo di dati
boolean
Alias
- NCI Thesaurus ObjectClass
- C15313
- NCI Thesaurus Property
- C27990
- NCI Thesaurus Property
- C15697
- NCI Metathesaurus Property
- CL212531
- NCI Thesaurus ValueDomain
- C38147
- UMLS CUI-1
- C1522449
- UMLS CUI-2
- C0600688
- UMLS CUI-3
- C0040808
- UMLS CUI-4
- C1512698
Descrizione
Comments
Similar models
This form should be completed at week 18 for Type III Adverse Events. Type III Adverse Event - (1) any interruption in radiation therapy lasting more that 7 days, (2) failure to complete at least 6 courses of cetuximab and 2 cycles of cisplatin and 5-FU due to toxicity, (3) failure to complete the prescribed course of irradiation due to toxicity
- StudyEvent: AMC-045 Type III Adverse Event Reporting Form (TAE)
C16696 (NCI Thesaurus ObjectClass)
C25385 (NCI Thesaurus Property)
C1549755 (UMLS CUI-1)
(UMLS CUI-2)
C41331 (NCI Thesaurus ObjectClass)
C38024 (NCI Thesaurus ObjectClass)
CL209504 (NCI Metathesaurus Property)
C38147 (NCI Thesaurus ValueDomain)
C1507394 (UMLS CUI-1)
C0877248 (UMLS CUI-2)
C0205369 (UMLS CUI-3)
C1512698 (UMLS CUI-4)
C15313 (NCI Thesaurus ObjectClass)
C25542 (NCI Thesaurus Property)
C1512698 (UMLS CUI-1)
C1522449 (UMLS CUI-2)
C1512900 (UMLS CUI-3)
C15368 (NCI Thesaurus ObjectClass)
C25330 (NCI Thesaurus ValueDomain)
C25542 (NCI Thesaurus Property)
C0439228 (UMLS CUI-1)
C0449238 (UMLS CUI-2)
C1512900 (UMLS CUI-3)
C376 (NCI Thesaurus ObjectClass)
C1723 (NCI Thesaurus ObjectClass)
C505 (NCI Thesaurus ObjectClass)
C27990 (NCI Thesaurus Property)
C15697 (NCI Thesaurus Property)
CL212531 (NCI Metathesaurus Property)
C38147 (NCI Thesaurus ValueDomain)
C0392920 (UMLS CUI-1)
C0008838 (UMLS CUI-2)
C0879636 (UMLS CUI-3)
C0016360 (UMLS CUI-4)
C0600688 (UMLS CUI-5)
C0040808 (UMLS CUI-6)
C1512698 (UMLS CUI-7)
C27990 (NCI Thesaurus Property)
C15697 (NCI Thesaurus Property)
CL212531 (NCI Metathesaurus Property)
C38147 (NCI Thesaurus ValueDomain)
C1522449 (UMLS CUI-1)
C0600688 (UMLS CUI-2)
C0040808 (UMLS CUI-3)
C1512698 (UMLS CUI-4)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
C0947611 (UMLS CUI-1)