ID

15688

Beschrijving

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)

Trefwoorden

  1. 08-06-16 08-06-16 -
Geüploaded op

8 juni 2016

DOI

Voor een aanvraag inloggen.

Licentie

Creative Commons BY-NC 3.0

Model Commentaren :

Hier kunt u commentaar leveren op het model. U kunt de tekstballonnen bij de itemgroepen en items gebruiken om er specifiek commentaar op te geven.

Itemgroep Commentaren voor :

Item Commentaren voor :

U moet ingelogd zijn om formulieren te downloaden. AUB inloggen of schrijf u gratis in.

Nerventra Study Study drug dispensing and return

Nerventra Study Study drug dispensing and return

Demographic Information
Beschrijving

Demographic Information

Protocol Number
Beschrijving

Protocol Number

Datatype

text

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

i.e "Screening"

Datatype

text

Alias
UMLS CUI [1]
C0545082
Date of visit
Beschrijving

Visit date

Datatype

date

Alias
UMLS CUI [1]
C1320303
Study site number
Beschrijving

Study site

Datatype

integer

Alias
UMLS CUI [1]
C2825164
Subject number:
Beschrijving

Subject number

Datatype

integer

Alias
UMLS CUI [1]
C1709561
No data to report
Beschrijving

Blank

Datatype

boolean

Alias
UMLS CUI [1]
C0750479
Drug dispensed Baseline
Beschrijving

Drug dispensed Baseline

Date Study drug dispensed
Beschrijving

Date Study drug dispensed

Datatype

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0947323
No. of capsules dispensed
Beschrijving

Amount dispensed

Datatype

integer

Alias
UMLS CUI [1]
C0805077
Bottle number
Beschrijving

Bottle number

Datatype

integer

Alias
UMLS CUI [1]
C1300638
Batch code
Beschrijving

Batch code

Datatype

integer

Alias
UMLS CUI [1]
C3641829
Expiry date
Beschrijving

Expiry date

Datatype

date

Alias
UMLS CUI [1]
C3669020
Drug dispensing and return
Beschrijving

Drug dispensing and return

Date study drug returned from previous visit
Beschrijving

Drug returned

Datatype

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C2699071
Number of unused capsules
Beschrijving

Drug returned

Datatype

integer

Alias
UMLS CUI [1]
C2699071
Date Study drug dispensed
Beschrijving

Date Study drug dispensed

Datatype

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0947323
No. of capsules dispensed
Beschrijving

Amount dispensed

Datatype

integer

Alias
UMLS CUI [1]
C0805077
Bottle number
Beschrijving

Bottle number

Datatype

integer

Alias
UMLS CUI [1]
C1300638
Batch code
Beschrijving

Batch code

Datatype

integer

Alias
UMLS CUI [1]
C3641829
Expiry date
Beschrijving

Expiry date

Datatype

date

Alias
UMLS CUI [1]
C3669020
Was study drug temporarily discontinued? If yes, complete below
Beschrijving

Discontinued

Datatype

boolean

Alias
UMLS CUI [1]
C1444662
Start date of temporary discontinuation
Beschrijving

Start date

Datatype

date

Maateenheden
  • dd/mm/yy
Alias
UMLS CUI [1]
C0808070
dd/mm/yy
End date of temporary discontinuation
Beschrijving

End date

Datatype

date

Maateenheden
  • dd/mm/yy
Alias
UMLS CUI [1]
C0806020
dd/mm/yy
Reason for temporary discontinuation
Beschrijving

Reason

Datatype

text

Alias
UMLS CUI [1]
C0392360

Similar models

Nerventra Study Study drug dispensing and return

Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Demographic Information
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
No data to report
boolean
C0750479 (UMLS CUI [1])
Item Group
Drug dispensed Baseline
Date Study drug dispensed
Item
Date Study drug dispensed
date
C0011008 (UMLS CUI [1,1])
C0947323 (UMLS CUI [1,2])
Amount dispensed
Item
No. of capsules dispensed
integer
C0805077 (UMLS CUI [1])
Bottle number
Item
Bottle number
integer
C1300638 (UMLS CUI [1])
Batch code
Item
Batch code
integer
C3641829 (UMLS CUI [1])
Expiry date
Item
Expiry date
date
C3669020 (UMLS CUI [1])
Item Group
Drug dispensing and return
Drug returned
Item
Date study drug returned from previous visit
date
C0011008 (UMLS CUI [1,1])
C2699071 (UMLS CUI [1,2])
Drug returned
Item
Number of unused capsules
integer
C2699071 (UMLS CUI [1])
Date Study drug dispensed
Item
Date Study drug dispensed
date
C0011008 (UMLS CUI [1,1])
C0947323 (UMLS CUI [1,2])
Amount dispensed
Item
No. of capsules dispensed
integer
C0805077 (UMLS CUI [1])
Bottle number
Item
Bottle number
integer
C1300638 (UMLS CUI [1])
Batch code
Item
Batch code
integer
C3641829 (UMLS CUI [1])
Expiry date
Item
Expiry date
date
C3669020 (UMLS CUI [1])
Discontinued
Item
Was study drug temporarily discontinued? If yes, complete below
boolean
C1444662 (UMLS CUI [1])
Start date
Item
Start date of temporary discontinuation
date
C0808070 (UMLS CUI [1])
End date
Item
End date of temporary discontinuation
date
C0806020 (UMLS CUI [1])
Reason
Item
Reason for temporary discontinuation
text
C0392360 (UMLS CUI [1])

Gebruik dit formulier voor feedback, vragen en verbeteringsvoorstellen.

Velden gemarkeerd met een * zijn verplicht.

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