ID

16545

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 3/4: Laboratory Tests: Hematology Laboratory Tests: Biochemistry

Link

http://clinicaltrials.gov/show/NCT01416116

Keywords

  1. 7/23/16 7/23/16 -
  2. 7/23/16 7/23/16 -
Uploaded on

July 23, 2016

DOI

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License

Creative Commons BY 4.0

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Screening Visit Form 3/4: Laboratory tests 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 3/4: Laboratory tests 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

Laboratory Tests: Hematology
Description

Laboratory Tests: Hematology

Were samples taken?
Description

blood samples taken

Data type

integer

Alias
UMLS CUI [1]
C1277698
Date of Sample Taken
Description

Date of blood Sample Taken

Data type

date

Alias
UMLS CUI [1,1]
C1277698
UMLS CUI [1,2]
C0011008
LAB Interpretation
Description

LAB Interpretation

Data type

integer

Alias
UMLS CUI [1]
C3244125
Laboratory Tests: Hematology, specification
Description

Laboratory Tests: Hematology, specification

Lab Test
Description

Lab Test

Data type

text

Alias
UMLS CUI [1]
C0587081
LAB Interpretation
Description

LAB Interpretation

Data type

text

Alias
UMLS CUI [1,1]
C0587081
UMLS CUI [1,2]
C2826293
Laboratory Tests: Biochemistry
Description

Laboratory Tests: Biochemistry

Were samples taken?
Description

blood samples taken

Data type

integer

Alias
UMLS CUI [1]
C1277698
Date of Sample Taken
Description

Date of Sample Taken

Data type

date

Alias
UMLS CUI [1,1]
C1277698
UMLS CUI [1,2]
C0011008
LAB Interpretation
Description

LAB Interpretation

Data type

integer

Alias
UMLS CUI [1]
C3244125
Tests: Biochemistry, specification
Description

Tests: Biochemistry, specification

Lab Test
Description

Lab Test

Data type

text

Alias
UMLS CUI [1]
C0587081
LAB Interpretation
Description

LAB Interpretation

Data type

integer

Alias
UMLS CUI [1,1]
C0587081
UMLS CUI [1,2]
C2826293

Similar models

Screening Visit Form 3/4: Laboratory tests 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

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Laboratory Tests: Hematology
Item
Were samples taken?
integer
C1277698 (UMLS CUI [1])
Code List
Were samples taken?
CL Item
No (0 )
CL Item
Yes (1 )
Date of blood Sample Taken
Item
Date of Sample Taken
date
C1277698 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
LAB Interpretation
integer
C3244125 (UMLS CUI [1])
Code List
LAB Interpretation
CL Item
Normal (0 )
CL Item
Abnormal (1 )
Item Group
Laboratory Tests: Hematology, specification
Item
Lab Test
text
C0587081 (UMLS CUI [1])
Code List
Lab Test
CL Item
Red Blood Cell Count (RBC )
CL Item
White Blood Cell Count (WBC )
CL Item
Lymphocytes (LYMPH )
CL Item
Neutrophils (NEUT )
CL Item
Eosinophils (EOS )
CL Item
Basophils (BASO )
CL Item
Monocytes (MONO )
CL Item
Hemoglobin (HGB )
CL Item
Hematocrit (HCT )
CL Item
Platelets (PLT )
Item
LAB Interpretation
text
C0587081 (UMLS CUI [1,1])
C2826293 (UMLS CUI [1,2])
Code List
LAB Interpretation
CL Item
Abnormal - not clinically significant (1 )
CL Item
Abnormal - clinically significant (2 )
Item Group
Laboratory Tests: Biochemistry
Item
Were samples taken?
integer
C1277698 (UMLS CUI [1])
Code List
Were samples taken?
CL Item
No (0 )
CL Item
Yes (1 )
Date of Sample Taken
Item
Date of Sample Taken
date
C1277698 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
LAB Interpretation
integer
C3244125 (UMLS CUI [1])
Code List
LAB Interpretation
CL Item
Normal (0 )
CL Item
Abnormal (1 )
Item Group
Tests: Biochemistry, specification
Item
Lab Test
text
C0587081 (UMLS CUI [1])
Code List
Lab Test
CL Item
AST (AST )
CL Item
ALT (ALT )
CL Item
Alkaline Phosphatase (ALKP )
CL Item
Chloride (CL )
CL Item
Sodium (NA )
CL Item
Potassium (K )
CL Item
Blood urea nitrogen (BUN )
CL Item
Creatinine (CREAT )
Item
LAB Interpretation
integer
C0587081 (UMLS CUI [1,1])
C2826293 (UMLS CUI [1,2])
Code List
LAB Interpretation
CL Item
Abnormal - not clinically significant (1 )
CL Item
Abnormal - clinically significant (2 )

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