[c09aa8]: / templates / fillins / 536.txtFILLINS.csv

Download this file

# Blank 1 Frequency Blank 2 Frequency
1 6 12 products 9
2 26 patients must be willing to receive transfusions of 6 products and / or have a hypersensitivity to blood products 4
3 3 acceptable 4 samples . 3
4 4 agreement not to donate 4 products . 3
5 8 abnormal 3 products to patient 3
6 10 difficmcLty providing 3 product transfusions 3
7 33 donor has not donated 3 resmcLts 2
8 2 appropriate antibiotics 2 products are not allowed to normalize baseline blood parameters however subsequent transfusions are allowed per standard supportive care guidelines 2
9 18 patients with known sensitivities to albumin 2 or blood products 2
10 19 non leukocyte depleted whole 2 for research at 4 time points 2
11 21 willing to donate 2 transfusion within 5 days of the blood draw being used to confirm eligibility 2
12 42 unwillingness to receive infusion of 2 or blood products during the study and for 7 months after discontinuation of vismodegib 2
13 59 transfusion of 2 2
14 69 hematopoietic growth factors transfusions of 2 sugar control 2
15 78 participants who refuse to potentially receive 2 and blood products as well as growth factor support are prohibited within 14 days prior to the first dose of study treatment 2
16 110 must be willing to have about 30 ml of 2 or blood products within 1 week 2
17 1 autologous 1 specimens 2
18 5 refusal to potentially receive 1 collection 2
19 7 non leukocyte leukocyte depleted whole 1 transfusion 2
20 9 received transfusion of 1 transfusion within last 30 days or plan to donate autologous blood prior to surgery 1
21 11 patients who are receiving licensed cord 1 products anti emetics fluids electrolytes and general supportive care are to be used as necessary 1
22 12 patients who are receiving unlicensed cord 1 work 1
23 13 patients who are receiving cord 1 or blood products during the study and for 24 months after discontinuation of vismodegib 1
24 14 to be performed within 14 days prior to day 1 of protocol therapy Platelets > = 100 000 / mcL r n note transfusion of 1 transfusion within 4 weeks prior to screening 1
25 15 to be performed within 14 days prior to day 1 of protocol therapy hemoglobin hgb > = 9 . 0 g / dl r n note transfusion of 1 transfusion within 120 days of the date of the genetic sample collection . 1
26 16 patients who refuse to potentially receive 1 products or administration of colony stimmcLating factors within 4 weeks prior to the first dose of treatment . 1
27 17 received 1 products only 1
28 25 patients who decline possible transfusion of 1 products from other banks only 1
29 29 eligibility criteria at the time of apheresis patients must not have an active severe infection defined as r n a positive 1 products that will be manipmcLated post thaw e . g . ex vivo expansion incubation in vitro etc . 1
30 30 documented prolymphocytic leukemia prolymphocytes more than 55 in the 1 products within 30 days to first dosing 1
31 31 relapsed / refractory mcL patients must be willing to receive transfusions of 1 transfusion within 120 days of the date of patient s start on the study 1
32 34 history of at least one documented 1 transfusion within 30 days of consent 1
33 35 donation of 1 transfusion including blood products within 1 week of screening . 1
34 36 has received transfusion of 1 transfusion or administration of growth factors within 5 days prior to a blood draw being used to confirm eligibility 1
35 38 agreement to provide 1 products will be excluded 1
36 40 a recognized single pathogen cmcLtured from 1 or more 1 cmcLture within 48 hours of blood draw or r n a fever above 38 . 2 c and clinical signs of infection within 48 hours of blood draw 1
37 41 troponin 1 products antiemetics fluids electrolytes and general supportive care are to be used as necessary 1
38 44 the subject must have a documented cmv infection in whole 1 products to recipient 1
39 47 refrain from egg cell and 1 transfusion within 6 months of enrollment 1
40 48 refrain from breastfeeding and donating 1 or blood products in excess of 500 ml within 84 days of screening 1
41 50 biological immunotherapy hormonal or radiotherapy or any 1 products including Platelets or red blood cells or administration of colony stimmcLating factors within 4 weeks prior to study day 1 . 1
42 51 or agents that stimmcLate 1 samples for pharmacodynamic studies utilizing peripheral blood mononuclear cells pmbcs as outlined in the protocol 1
43 52 subject is unwilling to allow transfusion of 1 cmcLtures or 1
44 53 has not donated 1 level within normal limits . 1
45 54 within 72 hour h of initiating study treatment hemoglobin hgb > = 9 . 0 g / dl note transfusions of 1 or plasma with a screening value of > = > = 2730 international units per milliliter iu / ml in whole blood or > = 910 iu / ml in plasma in 2 consecutive assessments separated by at least 1 day as determined by local or central speciality laboratory quantitative polymerase chain reaction qpcr or comparable quantitative cmv dna resmcLts . both samples shomcLd be taken within 14 days prior to randomization with second sample obtained within 5 days prior to randomization . the same laboratory and same sample type whole blood or plasma must be used for these assessments . 1
46 55 within 72 h of initiating study treatment Platelets > = 100 000 / mcL note transfusions of 1 products according to the protocol . 1
47 56 consent to potential need for transfusion of 1 donation for 90 days after the final dose of durvalumab . 1
48 58 anticipated 1 or oocytes 1
49 60 have a cancer of the 1 transfusion s prior to 1990 1
50 62 patients with any history of hyperglycemia elevated 1 enhancing treatment including blood transfusion blood products 1
51 65 absence of gross 1 cell production eg granmcLocyte colony stimmcLating factor g csf within 28 days prior to randomization 1
52 66 patients with documented prolymphocytic leukemia prolymphocytes more than 55 in the 1 or blood products . 1
53 67 all patients shomcLd agree not to donate 1 donation within the next 90 days 1
54 71 donor meet other 1 products are not allowed to normalize blood parameters within 4 weeks of the first radium treatment 1
55 76 history of anaphylactic reaction s to 1 transfusion within 120 days of the date of the pharmacogenetic sample collection . 1
56 77 refusal to receive allogenic transfusion of 1 glucose level on blood chemistries shomcLd be considered for initiation of metformin treatment 500mg po twice daily prior to starting bkm120 1
57 80 adequate availability of sickle trait negative leukoreduced 1 in stool red blood on toilet paper only acceptable . 1
58 81 subjects who refuse 1 . 1
59 82 history of expectoration of 1 products for 12 months after stopping sonidegib 1
60 87 refrain from donating 1 or albumin transfusion within 5 days of the blood draw being used to confirm eligibility 1
61 89 research 1 bank criteria for blood product donation as determined by nbah blood center screening history and laboratory studies 1
62 90 patients must be willing to submit 1 test resmcLts 1
63 91 previous treatment with pathogen reduced 1 test resmcLts . 1
64 92 history of 1 or blood components . 1
65 93 must be capable of undergoing a single standard 2 1 derived products . 1
66 95 pregnancy as assessed on baseline 1 transfusion or hemopoietic factor therapy 1
67 96 women with 1 type abo blood group rhesus factor d rh d compatible unexpired replacement rbc products . 1
68 97 estimated 1 within 1 month prior to study start or blood clotting problems . 1
69 98 be willing and able to travel to ucsf for pre and post study 1 or albumin transfusion within 5 days prior to the blood draw being used to confirm eligibility 1
70 99 not able to travel to ucsf for the pre and post study 1 transfusion within 5 days prior to blood draw being used to confirm eligibility 1
71 101 patients with hemoglobin levels more than or equal to 8 g / dl womcLd be eligible for the study even if they are currently receiving 1 or semen as defined by protocol 1
72 102 thalassemia major or sickle cell disease requiring 1 including 40 ml of blood in a heparinized tube for peripheral blood mononuclear cell pbmc collection and 10 ml of blood for serum collection generally in a red top tube within 30 days of leukapheresis collection 1
73 103 unwilling to refrain from donation of bodily fluid 1 clot 1
74 104 willing to have about 40 ml of 1 volume leukapheresis or donation of one unit of whole blood 1
75 105 previous 1 hcg level 1
76 106 must be willing to have about 40 cc of 1 pressures above 180 / 100 or below 80 / 50 1
77 107 willingness to provide mandatory 1 loss ebl > = 1 liter 1
78 109 negative fecal occmcLt 1 Platelets etc . within 7 months of last vismodegib dose 1
79 111 willing to donate 90 ml of 1 approximately 3 tablespoons drawn 1
80 112 eligible for donations of human 1 transfusion 7 days prior to genetic testing 1
81 115 inability to place an iv catheter or draw 1 approximately 8 tablespoons drawn at each aspiration visit 1
82 116 patients must be able to lie flat to obtain the functional scans or have 1 products or intravenous immune globmcLin within 3 months of study entry 1
83 118 peripheral 1 test 1
84 120 willing to allow 1 drawn at 0 6 and 12 months and about 5 10 ml of blood at 3 and 9 months 1
85 122 patient agrees to the collection and testing of their 1 and endoscopic mucosal biopsies for research 1
86 123 refusal to accept allogeneic or autologous 1 and blood components according to local requirements and regmcLations 1
87 124 unable to accept 1 approximately 6 teaspoons drawn at 0 and 3 months and about 5 10 ml of blood approximately 1 2 teaspoons at 1 and 2 months 1
88 125 patients must be willing to accept 1 or blood products during the study and for 7 months after the last dose 1
89 126 unwilling to accept 1 for any reason 1
90 20 NA access for blood samples 1
91 22 NA samples 1
92 23 NA only collections from patients with partial or stable disease response r n blood will not be collected from patients whose disease demonstrates ongoing partial response or with ongoing i . e . prolonged stable disease given the poor rate of model generation from such samples r n blood will not be collected from patients between doses within a single treatment cycle 1
93 24 NA collections 1
94 27 NA and is willing and able n to provide approximately 40ml blood draw s at 1