ID

15670

Descripción

Nerventra Study (Eudra CT 2007-003226-19) Study MS-LAQ-301: A multinational, multicenter, randomized, double-blind, parallel-group, placebo-controlled study, to evaluate the safety, tolerability and efficacy of daily oral administration of laquinimod 0.6 mg in subjects with relapsing remitting multiple sclerosis (RRMS)

Palabras clave

Versiones (1)
  1. 8/6/16 8/6/16 -
Subido en

8 de junio de 2016

DOI

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Licencia

Creative Commons BY-NC 3.0
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Nerventra Study Visit 1

Inglés

Nerventra Study Visit 1

1 formularios  
Demographic Information Visit 1
Descripción

Demographic Information Visit 1

Protocol Number
Descripción

Protocol Number

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0008971
UMLS CUI [1,2]
C0600091
Visit Type
Descripción

i.e "Screening"

Tipo de datos

text

Alias
UMLS CUI [1]
C0545082
Date of visit
Descripción

Visit date

Tipo de datos

date

Alias
UMLS CUI [1]
C1320303
Study site number
Descripción

Study site

Tipo de datos

integer

Alias
UMLS CUI [1]
C2825164
Subject number:
Descripción

Subject number

Tipo de datos

integer

Alias
UMLS CUI [1]
C1709561
Section blank?
Descripción

Blank

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0750479
Safety measurements Visit 1
Descripción

Safety measurements Visit 1

Temperature
Descripción

Temperature

Tipo de datos

float

Alias
UMLS CUI [1]
C0005903
Temperature type of measurement
Descripción

Temperature

Tipo de datos

integer

Alias
UMLS CUI [1]
C0005903
Units used for measurement
Descripción

Units used for measurement

Tipo de datos

integer

Alias
UMLS CUI [1]
C1519795
Measurement not done
Descripción

not done

Tipo de datos

boolean

Alias
UMLS CUI [1]
C1272696
Blood pressure measurement
Descripción

Blood pressure

Tipo de datos

text

Unidades de medida
  • mm/Hg
Alias
UMLS CUI [1]
C0005823
mm/Hg
Measurement not done
Descripción

not done

Tipo de datos

boolean

Alias
UMLS CUI [1]
C1272696
Pulse
Descripción

Pulse Rate

Tipo de datos

integer

Unidades de medida
  • beats/min
Alias
UMLS CUI [1]
C0232117
beats/min
Measurement not done
Descripción

not done

Tipo de datos

boolean

Alias
UMLS CUI [1]
C1272696
Investigators ECG interpretation
Descripción

ECG

Tipo de datos

text

Alias
UMLS CUI [1]
C1623258
ECG interpretation not done
Descripción

ECG not done

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C1623258
UMLS CUI [1,2]
C0420795
Where all required laboratory samples obtained?
Descripción

Laboratory specimen

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0200345
Menstruation
Descripción

Menstruation

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0025344
Population Pharmacokinetics Visit 1
Descripción

Population Pharmacokinetics Visit 1

Was Population Pharmacokinetics performed?
Descripción

Population Pharmacokinetics

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0031328
Please specify why population pharmacokinetics was not done
Descripción

Population Pharmacokinetics not done

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0031328
UMLS CUI [1,2]
C1272696
If Population Pharmacokinetics was performed, did the subject eat this morning?
Descripción

Population Pharmacokinetics

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0031328
Meal time
Descripción

24h clock

Tipo de datos

time

Alias
UMLS CUI [1]
C0578574
Did the subject take the study drug regularly during the past week?
Descripción

Compliance behavior

Tipo de datos

boolean

Alias
UMLS CUI [1]
C1321605
If the study drug was not taken regularly, please specify
Descripción

Compliance behavior

Tipo de datos

text

Alias
UMLS CUI [1,1]
C1321605
UMLS CUI [1,2]
C0439801
Date of last study drug dose prior to blood sample
Descripción

Last dose

Tipo de datos

date

Alias
UMLS CUI [1,1]
C3173975
UMLS CUI [1,2]
C3854006
Time of last study drug dose prior to blood sample
Descripción

24h clock

Tipo de datos

time

Alias
UMLS CUI [1,1]
C3173975
UMLS CUI [1,2]
C3854006
Date of PPK Blood sample
Descripción

PPK Blood sample

Tipo de datos

date

Alias
UMLS CUI [1,1]
C0190979
UMLS CUI [1,2]
C0031328
Time of PPK Blood sample
Descripción

PPK Blood sample

Tipo de datos

time

Alias
UMLS CUI [1,1]
C0190979
UMLS CUI [1,2]
C0031328
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Similar models

Nerventra Study Visit 1

1 formularios
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Demographic Information Visit 1
Protocol Number
Item
Protocol Number
text
C0008971 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Visit
Item
Visit Type
text
C0545082 (UMLS CUI [1])
Visit date
Item
Date of visit
date
C1320303 (UMLS CUI [1])
Study site
Item
Study site number
integer
C2825164 (UMLS CUI [1])
Subject number
Item
Subject number:
integer
C1709561 (UMLS CUI [1])
Blank
Item
Section blank?
boolean
C0750479 (UMLS CUI [1])
Item Group
Safety measurements Visit 1
Temperature
Item
Temperature
float
C0005903 (UMLS CUI [1])
Item
Temperature type of measurement
integer
C0005903 (UMLS CUI [1])
Temperature
Code List
Temperature type of measurement
CL Item
oral (1)
CL Item
axillary (2)
CL Item
aural (3)
CL Item
temporal (4)
Item
Units used for measurement
integer
C1519795 (UMLS CUI [1])
Units used for measurement
Code List
Units used for measurement
CL Item
F (1)
CL Item
C (2)
not done
Item
Measurement not done
boolean
C1272696 (UMLS CUI [1])
Blood pressure
Item
Blood pressure measurement
text
C0005823 (UMLS CUI [1])
not done
Item
Measurement not done
boolean
C1272696 (UMLS CUI [1])
Pulse Rate
Item
Pulse
integer
C0232117 (UMLS CUI [1])
not done
Item
Measurement not done
boolean
C1272696 (UMLS CUI [1])
ECG
Item
Investigators ECG interpretation
text
C1623258 (UMLS CUI [1])
ECG not done
Item
ECG interpretation not done
boolean
C1623258 (UMLS CUI [1,1])
C0420795 (UMLS CUI [1,2])
Laboratory specimen
Item
Where all required laboratory samples obtained?
boolean
C0200345 (UMLS CUI [1])
Menstruation
Item
Menstruation
boolean
C0025344 (UMLS CUI [1])
Item Group
Population Pharmacokinetics Visit 1
Population Pharmacokinetics
Item
Was Population Pharmacokinetics performed?
boolean
C0031328 (UMLS CUI [1])
Population Pharmacokinetics not done
Item
Please specify why population pharmacokinetics was not done
text
C0031328 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Population Pharmacokinetics
Item
If Population Pharmacokinetics was performed, did the subject eat this morning?
boolean
C0031328 (UMLS CUI [1])
Time of last food intake
Item
Meal time
time
C0578574 (UMLS CUI [1])
Compliance behavior
Item
Did the subject take the study drug regularly during the past week?
boolean
C1321605 (UMLS CUI [1])
Compliance behavior
Item
If the study drug was not taken regularly, please specify
text
C1321605 (UMLS CUI [1,1])
C0439801 (UMLS CUI [1,2])
Last dose
Item
Date of last study drug dose prior to blood sample
date
C3173975 (UMLS CUI [1,1])
C3854006 (UMLS CUI [1,2])
Last dose
Item
Time of last study drug dose prior to blood sample
time
C3173975 (UMLS CUI [1,1])
C3854006 (UMLS CUI [1,2])
PPK Blood sample
Item
Date of PPK Blood sample
date
C0190979 (UMLS CUI [1,1])
C0031328 (UMLS CUI [1,2])
PPK Blood sample
Item
Time of PPK Blood sample
time
C0190979 (UMLS CUI [1,1])
C0031328 (UMLS CUI [1,2])
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