ID
42187
Descrição
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
Link
Palavras-chave
Versões (4)
- 26/08/2012 26/08/2012 -
- 26/11/2014 26/11/2014 - Martin Dugas
- 13/04/2021 13/04/2021 - Dr. rer. medic Philipp Neuhaus
- 13/04/2021 13/04/2021 - Ahmed Rafee, MD
Transferido a
13 de abril de 2021
DOI
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Licença
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)
Descrição
Type III Adverse Events
Alias
- UMLS CUI-1
- C1519275
- UMLS CUI-2
Descrição
ProtocolSpecifiedAdverseEventOccurrenceInd-2
Tipo de dados
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
Descrição
RadiationTherapyInterruptionInd-2
Tipo de dados
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
Descrição
TreatmentInterruptionDayDuration
Tipo de dados
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
Descrição
CetuximabCisplatinFluorouracilChemotherapyRegimenInterruptedToxicityInd-2
Tipo de dados
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
Descrição
RadiationTherapyRegimenInterruptedToxicityInd-2
Tipo de dados
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
Descrição
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)