ID

22739

Description

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 #: FVF4170g 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

Mots-clés

  1. 11/06/2017 11/06/2017 -
Détendeur de droits

Genentech, Inc.

Téléchargé le

11 juin 2017

DOI

Pour une demande vous connecter.

Licence

Creative Commons BY-NC 3.0

Modèle Commentaires :

Ici, vous pouvez faire des commentaires sur le modèle. À partir des bulles de texte, vous pouvez laisser des commentaires spécifiques sur les groupes Item et les Item.

Groupe Item commentaires pour :

Item commentaires pour :

Vous devez être connecté pour pouvoir télécharger des formulaires. Veuillez vous connecter ou s’inscrire gratuitement.

PHYSICAL EXAM (MONTH 12) CRFs Roche FVF4170G Macular Edema NCT00473382

PHYSICAL EXAM (MONTH 12) CRFs Roche FVF4170G Macular Edema NCT00473382

Patient administration
Description

Patient administration

Subject Number
Description

PT

Type de données

integer

Alias
UMLS CUI [1]
C2348585
Subject Initials:
Description

PTINIT

Type de données

text

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

VDT

Type de données

date

Alias
UMLS CUI [1,1]
C1302584
PHYSICAL EXAM (MONTH 12)
Description

PHYSICAL EXAM (MONTH 12)

Was physical exam performed?
Description

Record any new or worsened findings / conditions on the appropriate Adverse Event CRF.

Type de données

boolean

Alias
UMLS CUI [1]
C0031809
Exam Date:
Description

PHYS_EXAM_DT [PEDT]

Type de données

date

Unités de mesure
  • DD/MMM/YY
Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0011008
DD/MMM/YY

Similar models

PHYSICAL EXAM (MONTH 12) CRFs Roche FVF4170G Macular Edema NCT00473382

Name
Type
Description | Question | Decode (Coded Value)
Type de données
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
PHYSICAL EXAM (MONTH 12)
PHYS_EXAM_RECORDS [PEREC]
Item
Was physical exam performed?
boolean
C0031809 (UMLS CUI [1])
PHYS_EXAM_DT [PEDT]
Item
Exam Date:
date
C0031809 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])

Utilisez ce formulaire pour les retours, les questions et les améliorations suggérées.

Les champs marqués d’un * sont obligatoires.

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