Adverse Events Module

Adverse Events Module

For researchers submitting trial data to ClinicalTrials.gov, the Adverse Events module is one of four mandatory results sections. It requires reporting in three primary categories: All-Cause Mortality: A table tracking all deaths that occurred during the study, regardless of cause. Serious Adverse Events (SAEs): A tabular summary of events resulting in death, life-threatening conditions, hospitalization, or significant disability. Other Adverse Events: A table for non-serious events that exceed a specific frequency threshold, such as 5% within any study arm.

Adverse Events Module path is as follows:

Study -> Results Section -> Adverse Events Module -> Event Groups

Study -> Results Section -> Adverse Events Module -> Serious Events

Study -> Results Section -> Adverse Events Module -> Other Events

Adverse Events Module


Ignite Creation Date: 2025-12-26 @ 10:44 PM
Ignite Modification Date: 2025-12-26 @ 10:44 PM
NCT ID: NCT03273712
Description: None
Frequency Threshold: 0
Time Frame: Adverse even documentation began after radiotracer injection and continues through 1 calendar day following imaging, up to approximately 10-13 months
Study: NCT03273712
Study Brief: Dosimetry-Guided, Peptide Receptor Radiotherapy (PRRT) With 90Y-DOTA- tyr3-Octreotide (90Y-DOTATOC)
Event Groups(If Any):

Event Groups

Title Description Deaths # Affected Deaths # At Risk Serious # Affected Serious # At Risk Other # Affected Other # At Risk View
90Y-DOTA-tyr3-Octreotide Patients will receive 3 doses of 90YDOTATOC followed by 90Y-DOTATOC PET scans, with 6 -8 weeks between doses. They will be followed for 6-9 months after the last treatment dose. CT or MRI scans will be given at the 3 month and 6-9 month followups plus a 68Ga-DOTATOC or DOTATATE PET scan at the 6-9 month followup. The exact dose of 90YDOTATOC therapy for each patient will be determined by dosimetry. 90Y-DOTA tyr3-Octreotide: 90Y-DOTATOC is a radiopharmaceutical that will be used as a treatment for both children and adults with neuroendrocrine and other somatostatin receptor positive tumors. 68Ga-DOTATOC PET Positron Emission Tomography (PET) whole body scan: 68Ga-DOTATOC is a radiopharmaceutical used in PET scans to identify tumors as it can adhere to Somatostatin Receptors. Amino Acids: This is a solution of amino acids that will decrease the amount of 90Y-DOTATOC that recirculates through the body after injection, therefore decreasing the radiation dose to the kidneys. 5 None 14 39 37 39 View
Serious Events(If Any):

Serious Events

Term Type Organ System Vocab View
Anemia SYSTEMATIC_ASSESSMENT Blood and lymphatic system disorders CTCAE v4.0 View
Atrioventricular block complete SYSTEMATIC_ASSESSMENT Cardiac disorders CTCAE v4.0 View
Endocrine disorders - Other, specify SYSTEMATIC_ASSESSMENT Endocrine disorders CTCAE v4.0 View
Nausea SYSTEMATIC_ASSESSMENT Gastrointestinal disorders CTCAE v4.0 View
Small intestinal obstruction SYSTEMATIC_ASSESSMENT Gastrointestinal disorders CTCAE v4.0 View
Edema limbs SYSTEMATIC_ASSESSMENT General disorders CTCAE v4.0 View
Pain SYSTEMATIC_ASSESSMENT General disorders CTCAE v4.0 View
Bronchial infection SYSTEMATIC_ASSESSMENT Infections and infestations CTCAE v4.0 View
Catheter related infection SYSTEMATIC_ASSESSMENT Infections and infestations CTCAE v4.0 View
Infections and infestations - Other, specify SYSTEMATIC_ASSESSMENT Infections and infestations CTCAE v4.0 View
Sepsis SYSTEMATIC_ASSESSMENT Infections and infestations CTCAE v4.0 View
Urinary tract infection SYSTEMATIC_ASSESSMENT Infections and infestations CTCAE v4.0 View
Fall SYSTEMATIC_ASSESSMENT Injury, poisoning and procedural complications CTCAE v4.0 View
Alanine aminotransferase increased SYSTEMATIC_ASSESSMENT Investigations CTCAE v4.0 View
Aspartate aminotransferase increased SYSTEMATIC_ASSESSMENT Investigations CTCAE v4.0 View
Blood bilirubin increased SYSTEMATIC_ASSESSMENT Investigations CTCAE v4.0 View
Creatinine increased SYSTEMATIC_ASSESSMENT Investigations CTCAE v4.0 View
Platelet count decreased SYSTEMATIC_ASSESSMENT Investigations CTCAE v4.0 View
Hyperglycemia SYSTEMATIC_ASSESSMENT Metabolism and nutrition disorders CTCAE v4.0 View
Hyperkalemia SYSTEMATIC_ASSESSMENT Metabolism and nutrition disorders CTCAE v4.0 View
Hypokalemia SYSTEMATIC_ASSESSMENT Metabolism and nutrition disorders CTCAE v4.0 View
Musculoskeletal and connective tissue disorder - Other, specify SYSTEMATIC_ASSESSMENT Musculoskeletal and connective tissue disorders CTCAE v4.0 View
Neoplasms benign, malignant and unspecified (incl cysts and polyps) - Other, specify SYSTEMATIC_ASSESSMENT Neoplasms benign, malignant and unspecified (incl cysts and polyps) CTCAE v4.0 View
Dizziness SYSTEMATIC_ASSESSMENT Nervous system disorders CTCAE v4.0 View
Headache SYSTEMATIC_ASSESSMENT Nervous system disorders CTCAE v4.0 View
Syncope SYSTEMATIC_ASSESSMENT Nervous system disorders CTCAE v4.0 View
Renal and urinary disorders - Other, specify SYSTEMATIC_ASSESSMENT Renal and urinary disorders CTCAE v4.0 View
Vascular disorders - Other, specify SYSTEMATIC_ASSESSMENT Vascular disorders CTCAE v4.0 View
Other Events(If Any):

Other Events

Term Type Organ System Vocab View
Anemia SYSTEMATIC_ASSESSMENT Blood and lymphatic system disorders CTCAE v4.0 View
Atrioventricular block complete SYSTEMATIC_ASSESSMENT Cardiac disorders CTCAE v4.0 View
Cardiac disorders - Other, specify SYSTEMATIC_ASSESSMENT Cardiac disorders CTCAE v4.0 View
Ear and labyrinth disorders - Other, specify SYSTEMATIC_ASSESSMENT Ear and labyrinth disorders CTCAE v4.0 View
Endocrine disorders - Other, specify SYSTEMATIC_ASSESSMENT Endocrine disorders CTCAE v4.0 View
Eye disorders - Other, specify SYSTEMATIC_ASSESSMENT Eye disorders CTCAE v4.0 View
Abdominal distension SYSTEMATIC_ASSESSMENT Gastrointestinal disorders CTCAE v4.0 View
Abdominal pain SYSTEMATIC_ASSESSMENT Gastrointestinal disorders CTCAE v4.0 View
Constipation SYSTEMATIC_ASSESSMENT Gastrointestinal disorders CTCAE v4.0 View
Diarrhea SYSTEMATIC_ASSESSMENT Gastrointestinal disorders CTCAE v4.0 View
Gastritis SYSTEMATIC_ASSESSMENT Gastrointestinal disorders CTCAE v4.0 View
Gastrointestinal disorders - Other, specify SYSTEMATIC_ASSESSMENT Gastrointestinal disorders CTCAE v4.0 View
Gastroparesis SYSTEMATIC_ASSESSMENT Gastrointestinal disorders CTCAE v4.0 View
Hemorrhoidal hemorrhage SYSTEMATIC_ASSESSMENT Gastrointestinal disorders CTCAE v4.0 View
Nausea SYSTEMATIC_ASSESSMENT Gastrointestinal disorders CTCAE v4.0 View
Oral dysesthesia SYSTEMATIC_ASSESSMENT Gastrointestinal disorders CTCAE v4.0 View
Small intestinal obstruction SYSTEMATIC_ASSESSMENT Gastrointestinal disorders CTCAE v4.0 View
Upper gastrointestinal hemorrhage SYSTEMATIC_ASSESSMENT Gastrointestinal disorders CTCAE v4.0 View
Vomiting SYSTEMATIC_ASSESSMENT Gastrointestinal disorders CTCAE v4.0 View
Chills SYSTEMATIC_ASSESSMENT General disorders CTCAE v4.0 View
Edema face SYSTEMATIC_ASSESSMENT General disorders CTCAE v4.0 View
Edema limbs SYSTEMATIC_ASSESSMENT General disorders CTCAE v4.0 View
Fatigue SYSTEMATIC_ASSESSMENT General disorders CTCAE v4.0 View
Fever SYSTEMATIC_ASSESSMENT General disorders CTCAE v4.0 View
Flu like symptoms SYSTEMATIC_ASSESSMENT General disorders CTCAE v4.0 View
Gait disturbance SYSTEMATIC_ASSESSMENT General disorders CTCAE v4.0 View
General disorders and administration site conditions - Other, specify SYSTEMATIC_ASSESSMENT General disorders CTCAE v4.0 View
Infusion site extravasation SYSTEMATIC_ASSESSMENT General disorders CTCAE v4.0 View
Injection site reaction SYSTEMATIC_ASSESSMENT General disorders CTCAE v4.0 View
Localized edema SYSTEMATIC_ASSESSMENT General disorders CTCAE v4.0 View
Non-cardiac chest pain SYSTEMATIC_ASSESSMENT General disorders CTCAE v4.0 View
Pain SYSTEMATIC_ASSESSMENT General disorders CTCAE v4.0 View
Hepatobiliary disorders - Other, specify SYSTEMATIC_ASSESSMENT Hepatobiliary disorders CTCAE v4.0 View
Bronchial infection SYSTEMATIC_ASSESSMENT Infections and infestations CTCAE v4.0 View
Catheter related infection SYSTEMATIC_ASSESSMENT Infections and infestations CTCAE v4.0 View
Infections and infestations - Other, specify SYSTEMATIC_ASSESSMENT Infections and infestations CTCAE v4.0 View
Sepsis SYSTEMATIC_ASSESSMENT Infections and infestations CTCAE v4.0 View
Skin infection SYSTEMATIC_ASSESSMENT Infections and infestations CTCAE v4.0 View
Urinary tract infection SYSTEMATIC_ASSESSMENT Infections and infestations CTCAE v4.0 View
Fall SYSTEMATIC_ASSESSMENT Injury, poisoning and procedural complications CTCAE v4.0 View
Alanine aminotransferase increased SYSTEMATIC_ASSESSMENT Investigations CTCAE v4.0 View
Blood bilirubin increased SYSTEMATIC_ASSESSMENT Investigations CTCAE v4.0 View
Creatinine increased SYSTEMATIC_ASSESSMENT Investigations CTCAE v4.0 View
Investigations - Other, specify SYSTEMATIC_ASSESSMENT Investigations CTCAE v4.0 View
Lymphocyte count decreased SYSTEMATIC_ASSESSMENT Investigations CTCAE v4.0 View
Neutrophil count decreased SYSTEMATIC_ASSESSMENT Investigations CTCAE v4.0 View
Platelet count decreased SYSTEMATIC_ASSESSMENT Investigations CTCAE v4.0 View
Weight gain SYSTEMATIC_ASSESSMENT Investigations CTCAE v4.0 View
White blood cell decreased SYSTEMATIC_ASSESSMENT Investigations CTCAE v4.0 View
Dehydration SYSTEMATIC_ASSESSMENT Metabolism and nutrition disorders CTCAE v4.0 View
Hyperglycemia SYSTEMATIC_ASSESSMENT Metabolism and nutrition disorders CTCAE v4.0 View
Hyperkalemia SYSTEMATIC_ASSESSMENT Metabolism and nutrition disorders CTCAE v4.0 View
Arthralgia SYSTEMATIC_ASSESSMENT Musculoskeletal and connective tissue disorders CTCAE v4.0 View
Back pain SYSTEMATIC_ASSESSMENT Musculoskeletal and connective tissue disorders CTCAE v4.0 View
Bone pain SYSTEMATIC_ASSESSMENT Musculoskeletal and connective tissue disorders CTCAE v4.0 View
Flank pain SYSTEMATIC_ASSESSMENT Musculoskeletal and connective tissue disorders CTCAE v4.0 View
Musculoskeletal and connective tissue disorder - Other, specify SYSTEMATIC_ASSESSMENT Musculoskeletal and connective tissue disorders CTCAE v4.0 View
Myalgia SYSTEMATIC_ASSESSMENT Musculoskeletal and connective tissue disorders CTCAE v4.0 View
Pain in extremity SYSTEMATIC_ASSESSMENT Musculoskeletal and connective tissue disorders CTCAE v4.0 View
Neoplasms benign, malignant and unspecified (incl cysts and polyps) - Other, specify SYSTEMATIC_ASSESSMENT Neoplasms benign, malignant and unspecified (incl cysts and polyps) CTCAE v4.0 View
Dizziness SYSTEMATIC_ASSESSMENT Nervous system disorders CTCAE v4.0 View
Headache SYSTEMATIC_ASSESSMENT Nervous system disorders CTCAE v4.0 View
Lethargy SYSTEMATIC_ASSESSMENT Nervous system disorders CTCAE v4.0 View
Memory impairment SYSTEMATIC_ASSESSMENT Nervous system disorders CTCAE v4.0 View
Paresthesia SYSTEMATIC_ASSESSMENT Nervous system disorders CTCAE v4.0 View
Peripheral sensory neuropathy SYSTEMATIC_ASSESSMENT Nervous system disorders CTCAE v4.0 View
Syncope SYSTEMATIC_ASSESSMENT Nervous system disorders CTCAE v4.0 View
Anxiety SYSTEMATIC_ASSESSMENT Psychiatric disorders CTCAE v4.0 View
Insomnia SYSTEMATIC_ASSESSMENT Psychiatric disorders CTCAE v4.0 View
Renal and urinary disorders - Other, specify SYSTEMATIC_ASSESSMENT Renal and urinary disorders CTCAE v4.0 View
Dyspnea SYSTEMATIC_ASSESSMENT Respiratory, thoracic and mediastinal disorders CTCAE v4.0 View
Flushing SYSTEMATIC_ASSESSMENT Vascular disorders CTCAE v4.0 View
Hypertension SYSTEMATIC_ASSESSMENT Vascular disorders CTCAE v4.0 View
Vascular disorders - Other, specify SYSTEMATIC_ASSESSMENT Vascular disorders CTCAE v4.0 View