ID

15387

Beskrivning

Study documentation part: Discontinuation of Study medication Study short name: DIMAT MS Study Details: A 24-week, multicenter, exploratory, two arm study to assess the effect of Dimethyl fumarate on ImmuneModulatory Action on T cells in patients with relapsing remitting Multiple Sclerosis. Principal Investigator PD Dr. Luisa Klotz, University Hospital Münster EudraCT - No.: 2014-003481-25. Clinical Trial No.: NCT02461069.

Nyckelord

  1. 2016-05-29 2016-05-29 -
Uppladdad den

29 maj 2016

DOI

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Licens

Creative Commons BY-NC 3.0

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Adverse Events, DIMAT-MS Relapsing Remitting Multiple Sclerosis DRKS00008037 NCT02461069

Adverse Events, DIMAT-MS Relapsing Remitting Multiple Sclerosis NCT02461069

Adverse Events
Beskrivning

Adverse Events

Adverse Events Sheet No.
Beskrivning

Adverse Events Sheet No.

Datatyp

integer

Alias
UMLS CUI [1,1]
C0877248
UMLS CUI [1,2]
C0449788
Consecutive AE-No.
Beskrivning

Consecutive AE-No.

Datatyp

integer

Alias
UMLS CUI [1,1]
C0449788
UMLS CUI [1,2]
C0877248
Adverse Event (AE)
Beskrivning

Adverse Event

Datatyp

text

Alias
UMLS CUI [1]
C0877248
Date of onset of AE
Beskrivning

Date of onset of AE

Datatyp

date

Måttenheter
  • dd/mm/yy
Alias
UMLS CUI [1]
C2985916
dd/mm/yy
Seriousness
Beskrivning

Seriousness

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0871902
UMLS CUI [1,2]
C0877248
Intensity/Severity
Beskrivning

Intensity/Severity

Datatyp

text

Alias
UMLS CUI [1]
C1710066
Relationship to invest. medicinal product
Beskrivning

Relationship to invest. medicinal product

Datatyp

text

Alias
UMLS CUI [1,1]
C0439849
UMLS CUI [1,2]
C3854006
Action taken with invest. medicinal product
Beskrivning

Action taken with invest. medicinal product

Datatyp

text

Alias
UMLS CUI [1]
C0420247
Withdrawal from trial due to this event
Beskrivning

Withdrawal from trial due to this event

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0680260
UMLS CUI [1,2]
C0008976
Date of end of AE
Beskrivning

Documentation up to the final study visit (48 weeks from ignition of treatment at week 0)

Datatyp

date

Måttenheter
  • dd/mm/yy
Alias
UMLS CUI [1]
C2697886
dd/mm/yy
or ongoing
Beskrivning

or ongoing

Datatyp

boolean

Alias
UMLS CUI [1]
C0549178
Outcome
Beskrivning

Outcome

Datatyp

integer

Alias
UMLS CUI [1]
C1705586
Signature
Beskrivning

Signature

Date
Beskrivning

Investigator Signature Date

Datatyp

date

Alias
UMLS CUI [1,1]
C2346576
UMLS CUI [1,2]
C0011008
Signature Investigator
Beskrivning

Signature Investigator

Datatyp

text

Alias
UMLS CUI [1]
C2346576

Similar models

Adverse Events, DIMAT-MS Relapsing Remitting Multiple Sclerosis NCT02461069

Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Adverse Events
Adverse Events Sheet No.
Item
Adverse Events Sheet No.
integer
C0877248 (UMLS CUI [1,1])
C0449788 (UMLS CUI [1,2])
Consecutive AE-No.
Item
Consecutive AE-No.
integer
C0449788 (UMLS CUI [1,1])
C0877248 (UMLS CUI [1,2])
Adverse Event
Item
Adverse Event (AE)
text
C0877248 (UMLS CUI [1])
Date of onset of AE
Item
Date of onset of AE
date
C2985916 (UMLS CUI [1])
Seriousness
Item
Seriousness
boolean
C0871902 (UMLS CUI [1,1])
C0877248 (UMLS CUI [1,2])
Item
Intensity/Severity
text
C1710066 (UMLS CUI [1])
Code List
Intensity/Severity
CL Item
mild: usually transient in nature and generally not interfering with normal activities (1)
CL Item
moderate: sufficiently discomforting to interfere with normal activities (2)
CL Item
severe: prevents normal activities (3)
Item
Relationship to invest. medicinal product
text
C0439849 (UMLS CUI [1,1])
C3854006 (UMLS CUI [1,2])
Code List
Relationship to invest. medicinal product
CL Item
no reasonable possibility: time relationship is improbable, and/or another explanation is more likely (e.g. disease or other drugs provide plausible explanation) (0)
CL Item
reasonable possibility: there are facts or arguments to suggest a causal relationship (1)
Item
Action taken with invest. medicinal product
text
C0420247 (UMLS CUI [1])
Code List
Action taken with invest. medicinal product
CL Item
dose not changed (0 )
CL Item
dose reduced (1)
CL Item
dose increased (2)
CL Item
drug withdrawn temporarily (3)
CL Item
drug withdrawn permanently (4)
CL Item
unknown (5)
CL Item
not applicable (6)
Withdrawal from trial due to this event
Item
Withdrawal from trial due to this event
boolean
C0680260 (UMLS CUI [1,1])
C0008976 (UMLS CUI [1,2])
Date of end of AE
Item
Date of end of AE
date
C2697886 (UMLS CUI [1])
or ongoing
Item
or ongoing
boolean
C0549178 (UMLS CUI [1])
Item
Outcome
integer
C1705586 (UMLS CUI [1])
Code List
Outcome
CL Item
recovered/resolved (0)
CL Item
recovering/resolving (1)
CL Item
not recovered/not resolved (2)
CL Item
recovered/resolved with sequelae (3)
CL Item
fatal (4)
CL Item
unknown (5)
Item Group
Signature
Investigator Signature Date
Item
Date
date
C2346576 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Signature Investigator
Item
Signature Investigator
text
C2346576 (UMLS CUI [1])

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