CTED
PRETED
COMPLICATED
FORMS
FUN FACTS
200

Functional Status: What time point/date should we grab the KPS/ECOG from?

Immediately prior to the start of lymphodepleting therapy or the cellular therapy if no lymphodepleting therapy was given.

200

Why would a donor have a GRID (started as of 2020)?

NMDP Collected Donor

200

For Trial MCC 20877 (Orca-T) - What type of products do we report on the 2400?

Stem cells CD34 & TREG

200

In any infusion type: What category of forms does a 2402 belong to?

TED - Transplant essential data 

200

What year did Moffitt Open?

1986

300

In the section "Hematologic Findings prior to Lymphodepletion Therapy (prep reg)", what is the furthest out you can choose a lab?

4 weeks or 30 days

300

On the form 2400 under Prep Regimen questions: Do we use the ordered dose or the actual dose given?

Ordered dose

300

What form or application/tab is the recipient demographic data (ethnicity, race, dob etc...) pre-populated from in Forms net?

2804 (CIBMTR Research ID Assignment Form)

or Assign CRID TAB


*** Data populates on the 4000 or 2400, to update this data you must correct in the Assign CRID tab section - Search edit

300

In the context of a Cell Therapy infusion: What level of reporting does 4001 form belong to?

CRF (Comprehensive Report Form)- Research Level

300

Approximately how many employees does Moffitt have today?

9500

400

In the context of recipient receiving a Commercial CAR-T, For Q33 "Are any of the products, associated with this course of cellular therapy, genetically modified? Would this be answered "Yes or No"?

YES

400

For Q101 "Specify co-existing disease diseases or organ impairment - INFECTION"

Which types of infections would we include?

  • ALL Types of Infections requiring antimicrobial treatment continued after Day 0
    Do not report an infection comorbidity if the infection resolved prior to infusion and there was a recommendation to continue, or the recipient continued medication post-infusion as prophylaxis
400

What month and year was the 2402R8 released?

April 2024

400

For a subsequent Infusion, what form is now generated for all types of infusions?

2814

400

Approximately how many employees did Moffitt Open with?

400

500

What is the main reason "Yes" is selected for Q8 "Was this infusion received within the context of a clinical trial? "Hint: CIBMTR Portal cell therapy manuals"

Out Of Specification (OOS) or Expanded Access Protocol (EAP)

500

What is the consent number for the repository sample (related donor only)? AND Where would we find the repository sample ID (RID)from?

13978

Notes - Nursing Documentation - BMT Nurse notes - FEDEX label

500

Form 2000: Q23-34:Hematologic Findings Prior to the Preparative Regimen (Conditioning). What time point/date is best to be used to find the values of each?


Testing may be performed multiple times within the pre-transplant work-up time period; report the most recent CBC obtained. Laboratory values obtained on the first day of the preparative regimen may be reported as long as the blood was drawn before any radiation or systemic therapy was administered.

500

All follow up disease CRF forms: "Does the current disease status reflect the disease detected in this reporting period section (as captured in disease detected above) without subsequent therapy?"

Question IN Context - Patient has MDS, in 2 year follow up time period. Yes, disease was detected, Yes Therapy was administered, but No additional assessments were performed after therapy. 

How do we answer this question? YES o NO

Yes - Because:

Yes, they had disease - Already reported above

Yes they had Treatment - Already reported above

No, they did not have additional assessments - nothing to report 

**** NOT applicable - is only used when they were not assessed at all

500

What condiment was once sold as medicine?

Ketchup

Origin

Dr. John Cook Bennett, an Ohio physician, is credited with adding tomatoes to ketchup in 1834. He believed that tomatoes contained nutrients like pectin and lycopene that had medicinal properties

1000

What is the current version number of our 4000 and what Month/year was it released?

4000R10

July 2023

1000

What is the current version number of our 2400 and what Month/year was it released?

2400R10

April 2023

1000

Q123 "Classify the recipient’s prescribed preparative regimen" 

How do we classify a Intensity when we cannot find it in Power chart? (Use example below to determine the answer)

***Example Melphalan: Ordered dose 100 mg/m2 for two days

Prep Regimen Intensity - These values represent the total prescribed doses

Example answer: (200 mg/m2), the regimen would be myeloablative because the total prescribed dose is > 150 mg/m2. 

1000

Baseline Disease Insert Forms (2012/2013/2014/2018/2016 etc): "In the context of no Transformation of disease, did have treatment, and did not have multiple studies prior to therapy"

Question: Date of CBC - Report findings at diagnosis of the primary disease for infusion, What date should be used for the values of this panel?

 All values reported must reflect testing performed prior to the start of first treatment of the primary disease for which the HCT / cellular therapy is being performed.

1000

What primary proceed payment was Moffitt built from?

State Cigarette Tax