ID
6057
Beschreibung
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
Stichworte
Versionen (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
Hochgeladen am
26. November 2014
DOI
Für eine Beantragung loggen Sie sich ein.
Lizenz
Creative Commons BY-NC 3.0 Legacy
Modell Kommentare :
Hier können Sie das Modell kommentieren. Über die Sprechblasen an den Itemgruppen und Items können Sie diese spezifisch kommentieren.
Itemgroup Kommentare für :
Item Kommentare für :
Um Formulare herunterzuladen müssen Sie angemeldet sein. Bitte loggen Sie sich ein oder registrieren Sie sich kostenlos.
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)
Beschreibung
Type III Adverse Events
Alias
- UMLS CUI-1
- C1519275
- UMLS CUI-2
Beschreibung
ProtocolSpecifiedAdverseEventOccurrenceInd-2
Datentyp
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
Beschreibung
RadiationTherapyInterruptionInd-2
Datentyp
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
Beschreibung
TreatmentInterruptionDayDuration
Datentyp
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
Beschreibung
CetuximabCisplatinFluorouracilChemotherapyRegimenInterruptedToxicityInd-2
Datentyp
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
Beschreibung
RadiationTherapyRegimenInterruptedToxicityInd-2
Datentyp
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
Beschreibung
Comments
Ähnliche Modelle
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)