ID
42230
Description
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
Lien
Mots-clés
Versions (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
Détendeur de droits
foglt
Téléchargé le
13 avril 2021
DOI
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Licence
Creative Commons BY 4.0
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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)
Description
Type III Adverse Events
Alias
- UMLS CUI-1
- C1519275
- UMLS CUI-2
Description
ProtocolSpecifiedAdverseEventOccurrenceInd-2
Type de données
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
Description
RadiationTherapyInterruptionInd-2
Type de données
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
Description
TreatmentInterruptionDayDuration
Type de données
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
Description
CetuximabCisplatinFluorouracilChemotherapyRegimenInterruptedToxicityInd-2
Type de données
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
Description
RadiationTherapyRegimenInterruptedToxicityInd-2
Type de données
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
Description
Comments
Alias
- UMLS CUI-1
- C0947611
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)