ID

25312

Beskrivning

Study part: Significant Medical/ Surgical History And Physical Examination Screening. A Single Blind, Parallel Group, Up-titration, Phase 1 Study in Healthy Volunteers to Determine a Starting Dose and Select an Up-titration Regimen for a new Formulation of Ropinirole. Patient Level Data: Study Listed on ClinicalStudyDataRequest.com. Phase: phase 1. Study Recruitment Status: Completed Generic Name: ropinirole. Trade Name: Modutab, ZIPEREVE, ZEPREVE, REPREVE, ADARTREL, REQUIP, Zygara; Zygara, ZIPEREVE, ZEPREVE, Requip Depot, REQUIP, REPREVE, Modutab, ADARTREL. Study Indication : Restless Legs Syndrome. Study ID: 101468/201. Clinical Study ID: 101468/201

Nyckelord

Versioner (4)
  1. 2017-09-01 2017-09-01 -
  2. 2019-06-18 2019-06-18 -
  3. 2019-06-18 2019-06-18 -
  4. 2021-09-17 2021-09-17 -
Rättsinnehavare

GlaxoSmithKline

Uppladdad den

1 september 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.

Tillbaka till modellkommentarer
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.

Significant Medical/ Surgical History And Physical Examination Screening Ropinirole Restless Legs Syndrome 101468/201

Engelsk

Significant Medical/ Surgical History And Physical Examination Screening

1 Formulär  
SIGNIFICANT MEDICAL/SURGICAL HISTORY AND PHYSICAL EXAMINATION
Beskrivning

SIGNIFICANT MEDICAL/SURGICAL HISTORY AND PHYSICAL EXAMINATION

Alias
UMLS CUI-1
C0262926
UMLS CUI-2
C0031809
Volunteer panel number
Beskrivning

identification number

Datatyp

integer

Alias
UMLS CUI [1]
C1300638
Subject number
Beskrivning

Subject number

Datatyp

integer

Alias
UMLS CUI [1]
C2348585
Is the subject suffering from or has he/she ever suffered from any significant medical or surgical condition?
Beskrivning

medical condition; surgery

Datatyp

boolean

Alias
UMLS CUI [1]
C1699700
UMLS CUI [2]
C0543467
Diagnosis
Beskrivning

Diagnosis

Datatyp

text

Alias
UMLS CUI [1]
C0011900
Year of first diagnosis
Beskrivning

Year of diagnosis

Datatyp

partialDate

Alias
UMLS CUI [1,1]
C0439234
UMLS CUI [1,2]
C0011900
Medical condition
Beskrivning

medical condition

Datatyp

text

Tillbaka till toppen

Similar models

Significant Medical/ Surgical History And Physical Examination Screening

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
SIGNIFICANT MEDICAL/SURGICAL HISTORY AND PHYSICAL EXAMINATION
C0262926 (UMLS CUI-1)
C0031809 (UMLS CUI-2)
identification number
Item
Volunteer panel number
integer
C1300638 (UMLS CUI [1])
Subject number
Item
Subject number
integer
C2348585 (UMLS CUI [1])
medical condition; surgery
Item
Is the subject suffering from or has he/she ever suffered from any significant medical or surgical condition?
boolean
C1699700 (UMLS CUI [1])
C0543467 (UMLS CUI [2])
Diagnosis
Item
Diagnosis
text
C0011900 (UMLS CUI [1])
Year of diagnosis
Item
Year of first diagnosis
partialDate
C0439234 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Medical condition
text
medical condition
Code List
Medical condition
CL Item
Past (Past)
CL Item
Ongoing (Ongoing)
Tillbaka till toppen 

Kontakt

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

Fält markerade med * är obligatoriska.

Hjälp

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