ID

15688

Beskrivning

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)

Nyckelord

Versioner (1)
  1. 2016-06-08 2016-06-08 -
Uppladdad den

8 juni 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.

Nerventra Study Study drug dispensing and return

Engelsk

Nerventra Study Study drug dispensing and return

1 Formulär  
Demographic Information
Beskrivning

Demographic Information

Protocol Number
Beskrivning

Protocol Number

Datatyp

text

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

i.e "Screening"

Datatyp

text

Alias
UMLS CUI [1]
C0545082
Date of visit
Beskrivning

Visit date

Datatyp

date

Alias
UMLS CUI [1]
C1320303
Study site number
Beskrivning

Study site

Datatyp

integer

Alias
UMLS CUI [1]
C2825164
Subject number:
Beskrivning

Subject number

Datatyp

integer

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

Blank

Datatyp

boolean

Alias
UMLS CUI [1]
C0750479
Drug dispensed Baseline
Beskrivning

Drug dispensed Baseline

Date Study drug dispensed
Beskrivning

Date Study drug dispensed

Datatyp

date

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

Amount dispensed

Datatyp

integer

Alias
UMLS CUI [1]
C0805077
Bottle number
Beskrivning

Bottle number

Datatyp

integer

Alias
UMLS CUI [1]
C1300638
Batch code
Beskrivning

Batch code

Datatyp

integer

Alias
UMLS CUI [1]
C3641829
Expiry date
Beskrivning

Expiry date

Datatyp

date

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

Drug dispensing and return

Date study drug returned from previous visit
Beskrivning

Drug returned

Datatyp

date

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

Drug returned

Datatyp

integer

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

Date Study drug dispensed

Datatyp

date

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

Amount dispensed

Datatyp

integer

Alias
UMLS CUI [1]
C0805077
Bottle number
Beskrivning

Bottle number

Datatyp

integer

Alias
UMLS CUI [1]
C1300638
Batch code
Beskrivning

Batch code

Datatyp

integer

Alias
UMLS CUI [1]
C3641829
Expiry date
Beskrivning

Expiry date

Datatyp

date

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

Discontinued

Datatyp

boolean

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

Start date

Datatyp

date

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

End date

Datatyp

date

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

Reason

Datatyp

text

Alias
UMLS CUI [1]
C0392360
Tillbaka till toppen

Similar models

Nerventra Study Study drug dispensing and return

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
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])
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