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Eligibility Asthma NCT02061280

1 forms  
  1. StudyEvent: Eligibility
    1. Eligibility Asthma NCT02061280
Inclusion Criteria
Description

Inclusion Criteria

Alias
UMLS CUI
C1512693
age 12-17 years
Description

Age

Data type

boolean

Alias
UMLS CUI [1]
C0001779
physician diagnosed asthma (without any other co-morbid pulmonary disease) that is well-controlled on medium dose inhaled corticosteroid and long-acting β2-agonist given twice daily [advair diskus (fluticasone propionate/salmeterol) 250/50mcg; advair hfa (hydrofluoroalkane) (fluticasone propionate/salmeterol hydrofluoroalkane) 115/21mcg; symbicort (budesonide/formoterol) 160/4.5mcg; dulera (mometasone/formoterol) 100/4.5mcg] based on an act score > 20, and the absence of unscheduled visits or use of rescue prednisone for 4 weeks prior to enrollment
Description

Persistent asthma, well controlled | inhaled steroids | Adrenergic beta-2 Receptor Agonists | Advair Diskus | Fluticasone propionate | salmeterol | Advair HFA | HYDROFLUOROALKANE | Symbicort | Budesonide | formoterol | Dulera | Mometasone | Asthma control test | Prednisone

Data type

boolean

Alias
UMLS CUI [1]
C3661869
UMLS CUI [2]
C2065041
UMLS CUI [3]
C2936789
UMLS CUI [4]
C0939246
UMLS CUI [5]
C0117996
UMLS CUI [6]
C0073992
UMLS CUI [7]
C1726029
UMLS CUI [8]
C1721232
UMLS CUI [9]
C1121854
UMLS CUI [10]
C0054201
UMLS CUI [11]
C0060657
UMLS CUI [12]
C2927154
UMLS CUI [13]
C0360564
UMLS CUI [14]
C2733011
UMLS CUI [15]
C0032952
pre-bronchodilator forced expiratory volume in the first second > 70 percent predicted
Description

FEV1 | pre bronchodilator

Data type

boolean

Alias
UMLS CUI [1,1]
C0748133
UMLS CUI [1,2]
C2599602
< 10 pack/year history of tobacco use and abstinence for at least 1 year
Description

smoking cigarettes: ____ pack-years history | smoking abstinence

Data type

boolean

Alias
UMLS CUI [1]
C2230126
UMLS CUI [2]
C0814442
Exclusion Criteria
Description

Exclusion Criteria

Alias
UMLS CUI
C0680251
chronic oral steroid therapy
Description

Adrenal Cortex Hormones | Therapeutic procedure | chronic

Data type

boolean

Alias
UMLS CUI [1,1]
C0001617
UMLS CUI [1,2]
C0087111
UMLS CUI [1,3]
C0205191
hospitalization or urgent care visit within 4 weeks of the screening visit
Description

Hospitalization | Urgent Care | Visit

Data type

boolean

Alias
UMLS CUI [1]
C0019993
UMLS CUI [2,1]
C2362545
UMLS CUI [2,2]
C0545082
near fatal asthma within 2 years of enrollment or high risk of near fatal or fatal asthma 125-127
Description

Asthma | Life Threatening | Fatal

Data type

boolean

Alias
UMLS CUI [1,1]
C0004096
UMLS CUI [1,2]
C2826244
UMLS CUI [2,1]
C0004096
UMLS CUI [2,2]
C1302234
women who are pregnant or lactating
Description

Pregnancy | Breast Feeding

Data type

boolean

Alias
UMLS CUI [1]
C0032961
UMLS CUI [2]
C0006147
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Similar models

Eligibility Asthma NCT02061280

1 forms
  1. StudyEvent: Eligibility
    1. Eligibility Asthma NCT02061280
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
C1512693 (UMLS CUI)
Age
Item
age 12-17 years
boolean
C0001779 (UMLS CUI [1])
Persistent asthma, well controlled | inhaled steroids | Adrenergic beta-2 Receptor Agonists | Advair Diskus | Fluticasone propionate | salmeterol | Advair HFA | HYDROFLUOROALKANE | Symbicort | Budesonide | formoterol | Dulera | Mometasone | Asthma control test | Prednisone
Item
physician diagnosed asthma (without any other co-morbid pulmonary disease) that is well-controlled on medium dose inhaled corticosteroid and long-acting β2-agonist given twice daily [advair diskus (fluticasone propionate/salmeterol) 250/50mcg; advair hfa (hydrofluoroalkane) (fluticasone propionate/salmeterol hydrofluoroalkane) 115/21mcg; symbicort (budesonide/formoterol) 160/4.5mcg; dulera (mometasone/formoterol) 100/4.5mcg] based on an act score > 20, and the absence of unscheduled visits or use of rescue prednisone for 4 weeks prior to enrollment
boolean
C3661869 (UMLS CUI [1])
C2065041 (UMLS CUI [2])
C2936789 (UMLS CUI [3])
C0939246 (UMLS CUI [4])
C0117996 (UMLS CUI [5])
C0073992 (UMLS CUI [6])
C1726029 (UMLS CUI [7])
C1721232 (UMLS CUI [8])
C1121854 (UMLS CUI [9])
C0054201 (UMLS CUI [10])
C0060657 (UMLS CUI [11])
C2927154 (UMLS CUI [12])
C0360564 (UMLS CUI [13])
C2733011 (UMLS CUI [14])
C0032952 (UMLS CUI [15])
FEV1 | pre bronchodilator
Item
pre-bronchodilator forced expiratory volume in the first second > 70 percent predicted
boolean
C0748133 (UMLS CUI [1,1])
C2599602 (UMLS CUI [1,2])
smoking cigarettes: ____ pack-years history | smoking abstinence
Item
< 10 pack/year history of tobacco use and abstinence for at least 1 year
boolean
C2230126 (UMLS CUI [1])
C0814442 (UMLS CUI [2])
Item Group
C0680251 (UMLS CUI)
Adrenal Cortex Hormones | Therapeutic procedure | chronic
Item
chronic oral steroid therapy
boolean
C0001617 (UMLS CUI [1,1])
C0087111 (UMLS CUI [1,2])
C0205191 (UMLS CUI [1,3])
Hospitalization | Urgent Care | Visit
Item
hospitalization or urgent care visit within 4 weeks of the screening visit
boolean
C0019993 (UMLS CUI [1])
C2362545 (UMLS CUI [2,1])
C0545082 (UMLS CUI [2,2])
Asthma | Life Threatening | Fatal
Item
near fatal asthma within 2 years of enrollment or high risk of near fatal or fatal asthma 125-127
boolean
C0004096 (UMLS CUI [1,1])
C2826244 (UMLS CUI [1,2])
C0004096 (UMLS CUI [2,1])
C1302234 (UMLS CUI [2,2])
Pregnancy | Breast Feeding
Item
women who are pregnant or lactating
boolean
C0032961 (UMLS CUI [1])
C0006147 (UMLS CUI [2])
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