| #0 | Protocol Number | Number of Protocol
|
| #1 | Protocol Title | Title of Protocol
|
| #2 | Protocol Abbreviated Title
| Protocol Short Title |
| #3 | Acrrual Institute | Institute Acronym of Sponsoring Institute
|
| #4 | Acrual Branch | Branch Abbreviation of Sponsoring Branch
|
| #5 | PI ID Number | MRD Prinicipal Investigator (PI) ID Number
|
| #6 | PI Last | Last name of Prinicipal Investigator (PI)
|
| #7 | PI First | First name of PI
|
| #8 | PI MI | Middle name of PI
|
| #9 | PI Suffix | Suffix of PI
|
| #10 | PI Degree | Degree of PI
|
| #11 | PI Inst | Institute of PI
|
| #12 | PI Branch | Branch of PI
|
| #13 | PI Address | Address of PI
|
| #13 | PI Quick Address | Building/Room Address of PI
|
| #15 | PI Phone | Phone number of PI
|
| #16 | PI Fax | Fax Number of PI
|
| #17 | PI Email | Email of PI
|
| #18 | PI FullName | Fullname of PI
|
| #19 | Study Contact ID Number |
MRD Study Contact (SC) ID Number |
| #20 | Study Contact Last |
Last name of Study Contact (SC) |
| #21 | Study Contact First |
First name of (SC) |
| #22 | Study Contact MI |
Middle name of (SC) |
| #23 | Study Contact Suffix |
Suffix of (SC) |
| #24 | Study Contact Degree |
Degree of (SC) |
| #25 | Study Contact Inst |
Institute of (SC) |
| #26 | Study Contact Address
| Address of (SC) |
| #27 | Quick Address of (SC) |
Quick Address of (SC) |
| #28 | Study Contact Phone |
Phone number of (SC) |
| #29 | Study Contact Fax |
Fax Number of (SC) |
| #30 | Study Contact Email |
Email of (SC) |
| #31 | Study Contact FullName |
Fullname of Study Contact (SC) |
| #32 | Precis | Study summary
|
| #33 | Research Type | Research Type (Clinical Trial, Natural History, Training, Screening)
|
| #34 | Research Phase | Phase of research study
|
| #35 | Protocol Type | Curent accrual status (Active, Followup Only, Terminated)
|
| #36 | Gender | Gender (Male, Femal, Male & Female)
|
| #37 | Median Age | Age range of patient population
|
| #38 | ICD9 Disease Category |
Disease category for protocol |
| #39 | IRB Ceiling |
Investigation Review Borad Ceiling of Subjects |
| #40 | Subjects To Date |
Subjects To Date Reported By PI |
| #41 | Approval Date | Date of Initial Approval
|
| #42 | Termination Date |
Date of Termination |
| #43 | Eligibility Criteria |
Eligibility Criteria (Exclusions and Inclusions) |
| #44 | Protocol Summary |
Layman's Summary |
| #45 | Special Instructions |
Special Instructions |
| #46 | Referral Letter Required | Referral Letter Required
|
| #47 | Normal Control Flag |
Normal Control Flag |
| #48 | HSTAT Access | Available on HSTAT
|
| #49 | Drug Approval | Approval for Investigational Drugs
|
| #50 | Device Approval | Approval for Investigational Devices
|
| #0 | Number of Exclusions |
Number of Gener/Ethnicity Exclusions |
| #1 | Exclusions | Gener/Ethnicity Exclusions
|
| #0 | Number of Citations
| Number of Citations (PI Can Only Submit A Max Of 3 |
| #1 | Abbreviated Journal Title
| Abbreviated Journal Title |
| #2 | Author Last Name |
Author Last Name |
| #3 | Article Title |
Article Title |
| #4 | Volume |
Volume of Journal
|
| #4 | First Page |
First Page Of Article
|
| #0 | Number of Recruitment Keywords |
Keywords identified by PI
|
| #1 | Recruitment Keywords | Keywords
|
| #0 | Number of PI Keywords |
Keywords identified by PI (5 per review, limit of 10. Keyword cannot be in title or precis)
|
| #1 | PI Keywords | Keywords
|
| #0 | Number of Drugs | Number of drugs reports
|
| #1 | Drug Name | Standard name provided to drug
|
| #0 | Number of Devices |
Number of devices reports |
| #1 | Device Name | Standard name provided to devices
|
| #0 | Number of Consent Arms
| Number of different consents |
| #1 | Consent Arm Description
| Description of Consent |
| #2 | Consent Arm Filename |
Filename of PDF Consent File |
| #3 | Consent Active or Not |
Status of Consent |
| #4 | Consent Modified | Date Consent was modified
|