ID

19786

Beschreibung

NCT01117584 Astellas Phase 2b, Double-Blind, Randomized, Multicenter, Parallel Group, Placebo-Controlled, Dose-Finding Study to Evaluate the Efficacy, Safety and Tolerability of a 12- Week Treatment with ASP1941 in Combination with Metformin in Patients with Type 2 Diabetes Mellitus Who Have Inadequate Glycemic Control on Metformin Alone.

Stichworte

Versionen (2)
  1. 05.12.16 05.12.16 -
  2. 28.01.17 28.01.17 -
Hochgeladen am

28. Januar 2017

DOI

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Lizenz

Creative Commons BY-NC 3.0
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Visit 1 Run-In Medical History NCT01117584

Englisch

Visit 1 Run-In Medical History NCT01117584

1 Formulare  
Elements of Medical History
Beschreibung

Elements of Medical History

Alias
UMLS CUI-1
C0262926
Respiratory
Beschreibung

Respiratory

Datentyp

text

Alias
UMLS CUI [1]
C0035237
Cardiovascular
Beschreibung

Cardiovascular

Datentyp

text

Alias
UMLS CUI [1]
C0007226
Gastrointestinal
Beschreibung

Gastrointestinal

Datentyp

text

Alias
UMLS CUI [1]
C0012240
Musculoskeletal
Beschreibung

Musculoskeletal

Datentyp

text

Alias
UMLS CUI [1]
C0026860
Neurological
Beschreibung

Neurological

Datentyp

text

Alias
UMLS CUI [1]
C0027763
Endocrine/metabolic
Beschreibung

Endocrine/metabolic

Datentyp

text

Alias
UMLS CUI [1]
C0014130
UMLS CUI [2]
C0025517
Lymphatic/Hematologic
Beschreibung

Lymphatic/Hematologic

Datentyp

text

Alias
UMLS CUI [1]
C0024228
UMLS CUI [2]
C0018939
Dermatological
Beschreibung

Dermatological

Datentyp

text

Alias
UMLS CUI [1]
C0037274
Psychological
Beschreibung

Psychological

Datentyp

text

Alias
UMLS CUI [1]
C0004936
Genitourinary
Beschreibung

Genitourinary

Datentyp

text

Alias
UMLS CUI [1]
C0042066
Allergies
Beschreibung

Allergies

Datentyp

text

Alias
UMLS CUI [1]
C0020517
General Information
Beschreibung

General Information

Alias
UMLS CUI-1
C1508263
Is there any past or present Medical Condition?
Beschreibung

Medical Condition

Datentyp

boolean

Alias
UMLS CUI [1]
C0012634
If yes, please provide details.
Beschreibung

Specification of Medical Condition

Datentyp

text

Alias
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C1522508
Reported Term for Medical Condition
Beschreibung

Reported Term for Medical Condition

Datentyp

text

Alias
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C2826302
Onset Date
Beschreibung

Onset Date

Datentyp

date

Alias
UMLS CUI [1]
C0574845
Is Medical Condition ongoing?
Beschreibung

Ongoing Medical Condition

Datentyp

text

Alias
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C0549178
Recovered Date
Beschreibung

If no, please provide "Recovered Date"

Datentyp

date

Alias
UMLS CUI [1]
C2004454
Current Treatment with medication?
Beschreibung

Current Treatment

Datentyp

text

Alias
UMLS CUI [1]
C2827774
Zum Seitenanfang zurückkehren

Ähnliche Modelle

Visit 1 Run-In Medical History NCT01117584

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Elements of Medical History
C0262926 (UMLS CUI-1)
Respiratory
Item
Respiratory
text
C0035237 (UMLS CUI [1])
Cardiovascular
Item
Cardiovascular
text
C0007226 (UMLS CUI [1])
Gastrointestinal
Item
Gastrointestinal
text
C0012240 (UMLS CUI [1])
Musculoskeletal
Item
Musculoskeletal
text
C0026860 (UMLS CUI [1])
Neurological
Item
Neurological
text
C0027763 (UMLS CUI [1])
Endocrine/metabolic
Item
Endocrine/metabolic
text
C0014130 (UMLS CUI [1])
C0025517 (UMLS CUI [2])
Lymphatic/Hematologic
Item
Lymphatic/Hematologic
text
C0024228 (UMLS CUI [1])
C0018939 (UMLS CUI [2])
Dermatological
Item
Dermatological
text
C0037274 (UMLS CUI [1])
Psychological
Item
Psychological
text
C0004936 (UMLS CUI [1])
Genitourinary
Item
Genitourinary
text
C0042066 (UMLS CUI [1])
Allergies
Item
Allergies
text
C0020517 (UMLS CUI [1])
Item Group
General Information
C1508263 (UMLS CUI-1)
Medical Condition
Item
Is there any past or present Medical Condition?
boolean
C0012634 (UMLS CUI [1])
Specification of Medical Condition
Item
If yes, please provide details.
text
C0012634 (UMLS CUI [1,1])
C1522508 (UMLS CUI [1,2])
Reported Term for Medical Condition
Item
Reported Term for Medical Condition
text
C0012634 (UMLS CUI [1,1])
C2826302 (UMLS CUI [1,2])
Onset Date
Item
Onset Date
date
C0574845 (UMLS CUI [1])
Item
Is Medical Condition ongoing?
text
C0012634 (UMLS CUI [1,1])
C0549178 (UMLS CUI [1,2])
Ongoing Medical Condition
Code List
Is Medical Condition ongoing?
CL Item
No (1)
CL Item
Yes (2)
Recovered Date
Item
Recovered Date
date
C2004454 (UMLS CUI [1])
Item
Current Treatment with medication?
text
C2827774 (UMLS CUI [1])
Current Treatment
Code List
Current Treatment with medication?
CL Item
No (1)
CL Item
Yes (2)
Zum Seitenanfang zurückkehren 

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