ID

14274

Beskrivning

A Study of Xolair to Evaluate Effectiveness and Long-Term Safety in Patients With Moderate to Severe Asthma; ODM derived from: https://clinicaltrials.gov/show/NCT00252135

Länk

https://clinicaltrials.gov/show/NCT00252135

Nyckelord

Versioner (1)
  1. 2016-04-07 2016-04-07 -
Rättsinnehavare

CC BY-NC 3.0

Uppladdad den

7 april 2016

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.

Eligibility Asthma NCT00252135

Engelsk

Eligibility Asthma NCT00252135

1 Formulär  
  1. StudyEvent: Eligibility
    1. Eligibility Asthma NCT00252135
Inclusion Criteria
Beskrivning

Inclusion Criteria

Alias
UMLS CUI
C1512693
signed informed consent document (in the case of a minor, consent must be given by the child's parent or legally authorized representative)
Beskrivning

informed consent

Datatyp

boolean

Alias
UMLS CUI [1]
C0021430
≥12 years of age
Beskrivning

age

Datatyp

boolean

Alias
UMLS CUI [1]
C0001779
physician diagnosis of moderate to severe persistent asthma
Beskrivning

moderate to severe persistent asthma

Datatyp

boolean

Alias
UMLS CUI [1]
C1960047
UMLS CUI [2]
C1960048
evidence or history of positive skin test or in vitro reactivity to an aeroallergen
Beskrivning

positive skin test or in vitro reactivity to an aeroallergen

Datatyp

boolean

Alias
UMLS CUI [1]
C0037296
UMLS CUI [2]
C0001697
willingness to participate fully for the duration of the study (5 years)
Beskrivning

willingness to participate fully for the duration of the study

Datatyp

boolean

Alias
UMLS CUI [1]
C1321605
for patients in the xolair-treated cohort, have received at least one dose of xolair therapy at the time of enrollment
Beskrivning

xolair therapy

Datatyp

boolean

Alias
UMLS CUI [1]
C1174773
Exclusion Criteria
Beskrivning

Exclusion Criteria

Alias
UMLS CUI
C0680251
contraindication to xolair therapy (e.g., patients who experienced a severe hypersensitivity reaction to xolair)
Beskrivning

contraindication to xolair therapy

Datatyp

boolean

Alias
UMLS CUI [1,1]
C1174773
UMLS CUI [1,2]
C1301624
acute asthma exacerbation within the previous 2 weeks of screening requiring any of the following: initiation of systemic corticosteroids, increased doses of systemic corticosteroids from baseline, doubling of inhaled corticosteroids, emergency room visit, or hospitalization
Beskrivning

asthma exacerbation

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0349790
UMLS CUI [1,2]
C0040223
UMLS CUI [2]
C4039704
UMLS CUI [3]
C2065041
UMLS CUI [4]
C0583237
UMLS CUI [5]
C0019993
acute flare of significant systemic disease (e.g., infection, hematologic, renal, hepatic, cardiovascular diseases, or gastrointestinal diseases), or a recent hospitalization because of their disease within the previous 2 months
Beskrivning

comorbidity

Datatyp

boolean

Alias
UMLS CUI [1]
C0009488
UMLS CUI [2]
C0019993
use of an experimental drug within 30 days prior to study screening
Beskrivning

experimental drug

Datatyp

boolean

Alias
UMLS CUI [1,1]
C1514463
UMLS CUI [1,2]
C0304229
UMLS CUI [1,3]
C0040223
diagnosis of cystic fibrosis
Beskrivning

cystic fibrosis

Datatyp

boolean

Alias
UMLS CUI [1]
C0010674
for patients in the non-xolair-treated cohort, any prior treatment with xolair
Beskrivning

prior treatment with xolair

Datatyp

boolean

Alias
UMLS CUI [1,1]
C1514463
UMLS CUI [1,2]
C1174773
Tillbaka till toppen

Similar models

Eligibility Asthma NCT00252135

1 Formulär
  1. StudyEvent: Eligibility
    1. Eligibility Asthma NCT00252135
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
C1512693 (UMLS CUI)
informed consent
Item
signed informed consent document (in the case of a minor, consent must be given by the child's parent or legally authorized representative)
boolean
C0021430 (UMLS CUI [1])
age
Item
≥12 years of age
boolean
C0001779 (UMLS CUI [1])
moderate to severe persistent asthma
Item
physician diagnosis of moderate to severe persistent asthma
boolean
C1960047 (UMLS CUI [1])
C1960048 (UMLS CUI [2])
positive skin test or in vitro reactivity to an aeroallergen
Item
evidence or history of positive skin test or in vitro reactivity to an aeroallergen
boolean
C0037296 (UMLS CUI [1])
C0001697 (UMLS CUI [2])
willingness to participate fully for the duration of the study
Item
willingness to participate fully for the duration of the study (5 years)
boolean
C1321605 (UMLS CUI [1])
xolair therapy
Item
for patients in the xolair-treated cohort, have received at least one dose of xolair therapy at the time of enrollment
boolean
C1174773 (UMLS CUI [1])
Item Group
C0680251 (UMLS CUI)
contraindication to xolair therapy
Item
contraindication to xolair therapy (e.g., patients who experienced a severe hypersensitivity reaction to xolair)
boolean
C1174773 (UMLS CUI [1,1])
C1301624 (UMLS CUI [1,2])
asthma exacerbation
Item
acute asthma exacerbation within the previous 2 weeks of screening requiring any of the following: initiation of systemic corticosteroids, increased doses of systemic corticosteroids from baseline, doubling of inhaled corticosteroids, emergency room visit, or hospitalization
boolean
C0349790 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
C4039704 (UMLS CUI [2])
C2065041 (UMLS CUI [3])
C0583237 (UMLS CUI [4])
C0019993 (UMLS CUI [5])
comorbidity
Item
acute flare of significant systemic disease (e.g., infection, hematologic, renal, hepatic, cardiovascular diseases, or gastrointestinal diseases), or a recent hospitalization because of their disease within the previous 2 months
boolean
C0009488 (UMLS CUI [1])
C0019993 (UMLS CUI [2])
experimental drug
Item
use of an experimental drug within 30 days prior to study screening
boolean
C1514463 (UMLS CUI [1,1])
C0304229 (UMLS CUI [1,2])
C0040223 (UMLS CUI [1,3])
cystic fibrosis
Item
diagnosis of cystic fibrosis
boolean
C0010674 (UMLS CUI [1])
prior treatment with xolair
Item
for patients in the non-xolair-treated cohort, any prior treatment with xolair
boolean
C1514463 (UMLS CUI [1,1])
C1174773 (UMLS CUI [1,2])
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