ID

22591

Beskrivning

Terms of use: You may not use this document or the information contained herein to a regulatory authority in connection with an application for a marketing authorization or any other regulatory submission without the express written consent of Roche Study #: FVF4168g Drug: Ranibizumab Study Title: A Phase III, Double-Masked, Multicenter, Randomized, Sham-Controlled Study Of The Efficacy And Safety Of Ranibizumab Injection In Subjects With Clinically Significant Macular Edema With Center Involvement Secondary To Diabetes Mellitus

Nyckelord

  1. 2017-06-08 2017-06-08 -
  2. 2017-06-08 2017-06-08 -
Rättsinnehavare

Genentech, Inc.

Uppladdad den

8 juni 2017

DOI

För en begäran logga in.

Licens

Creative Commons BY-NC 3.0

Modellkommentarer :

Här kan du kommentera modellen. Med hjälp av pratbubblor i Item-grupperna och Item kan du lägga in specifika kommentarer.

Itemgroup-kommentar för :

Item-kommentar för :

Du måste vara inloggad för att kunna ladda ner formulär. Var vänlig logga in eller registrera dig utan kostnad.

STUDY EYE SELECTION (SCREENING) CRFs Roche FVF4168G Macular Edema NCT00473330

STUDY EYE SELECTION (SCREENING) CRFs Roche FVF4168G Macular Edema NCT00473330

Patient administration
Beskrivning

Patient administration

Subject Number
Beskrivning

PT

Datatyp

integer

Alias
UMLS CUI [1]
C2348585
Subject Initials:
Beskrivning

PTINIT

Datatyp

text

Alias
UMLS CUI [1,1]
C1997894
UMLS CUI [1,2]
C2986440
Report Date:
Beskrivning

VDT

Datatyp

date

Alias
UMLS CUI [1,1]
C1302584
Eligibility Criteria
Beskrivning

Eligibility Criteria

Eligibility criteria met by:
Beskrivning

ELIGIBILITY_CRITERIA

Datatyp

integer

Alias
UMLS CUI [1,1]
C0681850
UMLS CUI [1,2]
C0015392
If Both Eyes is checked, please answer the following question: Was the eye with worse best corrected visual acuity selected as the study eye?
Beskrivning

EYE_PROTOCOL

Datatyp

boolean

Alias
UMLS CUI [1,1]
C1457868
UMLS CUI [1,2]
C1690532
If No, explain medical reason for selecting the better eye as the study eye:
Beskrivning

REASON

Datatyp

text

Alias
UMLS CUI [1]
C0392360

Similar models

STUDY EYE SELECTION (SCREENING) CRFs Roche FVF4168G Macular Edema NCT00473330

Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Patient administration
PT
Item
Subject Number
integer
C2348585 (UMLS CUI [1])
PTINIT
Item
Subject Initials:
text
C1997894 (UMLS CUI [1,1])
C2986440 (UMLS CUI [1,2])
VDT
Item
Report Date:
date
C1302584 (UMLS CUI [1,1])
Item Group
Eligibility Criteria
Item
Eligibility criteria met by:
integer
C0681850 (UMLS CUI [1,1])
C0015392 (UMLS CUI [1,2])
Code List
Eligibility criteria met by:
CL Item
Yes (1)
CL Item
No  (2)
CL Item
Not Done (3)
EYE_PROTOCOL
Item
If Both Eyes is checked, please answer the following question: Was the eye with worse best corrected visual acuity selected as the study eye?
boolean
C1457868 (UMLS CUI [1,1])
C1690532 (UMLS CUI [1,2])
REASON
Item
If No, explain medical reason for selecting the better eye as the study eye:
text
C0392360 (UMLS CUI [1])

Använd detta formulär för feedback, frågor och förslag på förbättringar.

Fält markerade med * är obligatoriska.

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial