ID
16544
Description
Study Sponsor: Astellas Study Title Tolerability of QUTENZA™ When Applied After Pre-treatment With Lidocaine or Tramadol in Subjects With Peripheral Neuropathic Pain - A Randomized, Multi-center, Assessor-blinded Study Medicine or Vaccine (generic name) capsaicin Sponsor Identification Number QTZ-EC-0002 Trial Registry Identification Number(#'s) NCT01416116 EudraCT Number: 2010-023258-34 Medical Condition Neuropathic pain Phase Phase 4 http://clinicaltrials.gov/show/NCT01416116 Screening Visit, Form 1/4: Date of Visit Screening Status Informed Consent 1 Demographics Medical and Surgical History
Lien
http://clinicaltrials.gov/show/NCT01416116
Mots-clés
Versions (2)
- 21/07/2016 21/07/2016 -
- 23/07/2016 23/07/2016 -
Téléchargé le
23 juillet 2016
DOI
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Licence
Creative Commons BY 4.0
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Screening Visit Form 1/4 Tolerability of QUTENZA™ When Applied After Pre-treatment With Lidocaine or Tramadol in Subjects With Peripheral Neuropathic Pain - A Randomized, Multi-center, Assessor-blinded Study NCT01416116
Screening Visit Form 1/4 Tolerability of QUTENZA™ When Applied After Pre-treatment With Lidocaine or Tramadol in Subjects With Peripheral Neuropathic Pain - A Randomized, Multi-center, Assessor-blinded Study NCT01416116
Description
Screening Status
Description
Field Name: DSYN
Type de données
integer
Alias
- UMLS CUI [1]
- C1710476
Description
Field Name: SFDECOD
Type de données
integer
Alias
- UMLS CUI [1,1]
- C0030673
- UMLS CUI [1,2]
- C0392360
Description
Field Name: SFOTHSP
Type de données
text
Alias
- UMLS CUI [1]
- C0205394
Description
Informed Consent 1
Description
Demographics
Description
Sex
Type de données
text
Alias
- UMLS CUI [1]
- C0079399
Description
Field Name: BRTHDT
Type de données
date
Alias
- UMLS CUI [1]
- C0421451
Description
Field Name: Age
Type de données
integer
Unités de mesure
- Years
Alias
- UMLS CUI [1]
- C0001779
Description
Field Name :RACE
Type de données
integer
Alias
- UMLS CUI [1]
- C0034510
Description
Field Name: RACEOTH
Type de données
text
Alias
- UMLS CUI [1,1]
- C0205394
- UMLS CUI [1,2]
- C0034510
Description
Medical and Surgical History
Description
Field Name: MHANY
Type de données
integer
Alias
- UMLS CUI [1]
- C0012634
Description
Field Name: MHTERM
Type de données
text
Alias
- UMLS CUI [1]
- C0012634
Description
Field Name: MHSTDT
Type de données
date
Alias
- UMLS CUI [1]
- C0574845
Description
Field Name: MHONGO
Type de données
integer
Alias
- UMLS CUI [1,1]
- C0549178
- UMLS CUI [1,2]
- C0012634
Description
Field Name: MHENDT
Type de données
date
Alias
- UMLS CUI [1,1]
- C0237820
- UMLS CUI [1,2]
- C0011008
Similar models
Screening Visit Form 1/4 Tolerability of QUTENZA™ When Applied After Pre-treatment With Lidocaine or Tramadol in Subjects With Peripheral Neuropathic Pain - A Randomized, Multi-center, Assessor-blinded Study NCT01416116
C0392360 (UMLS CUI [1,2])
C0034510 (UMLS CUI [1,2])
C0012634 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,2])