ID

20059

Beschrijving

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.

Trefwoorden

  1. 30-12-16 30-12-16 -
  2. 04-02-17 04-02-17 -
Geüploaded op

4 februari 2017

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.

Throughout: Concomitant Medication 2A [CM_2A] NCT01117584

Throughout: Concomitant Medication 2A [CM_2A] NCT01117584

General Information
Beschrijving

General Information

Is there any previous medication and/or concomitant medication to record?
Beschrijving

Any Previous or Concomitant Medication

Datatype

boolean

Alias
UMLS CUI [1]
C2347852
Medication
Beschrijving

Medication

Datatype

text

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C2347852
Route
Beschrijving

Route

Datatype

text

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C0013153
Start Date
Beschrijving

Start Date

Datatype

date

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C0808070
Stop Date
Beschrijving

Stop Date

Datatype

date

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C0806020
Ongoing
Beschrijving

Ongoing

Datatype

boolean

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C0549178
Dose
Beschrijving

Dose

Datatype

text

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C0178602
Dose Units
Beschrijving

Dose Units

Datatype

text

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C0178602
UMLS CUI [1,3]
C1519795
Frequency
Beschrijving

Frequency

Datatype

text

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C3476109
Indication
Beschrijving

Indication

Datatype

text

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C3146298
Reason for Use: For Primary Diagnosis
Beschrijving

Reason for Use: For Primary Diagnosis

Datatype

boolean

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C0392360
UMLS CUI [1,3]
C0332137
Reason for Use: For Medical History
Beschrijving

Reason for Use: For Medical History

Datatype

boolean

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C0392360
UMLS CUI [1,3]
C0262926
Reason for Use: For AE
Beschrijving

Reason for Use: For AE

Datatype

boolean

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C0392360
UMLS CUI [1,3]
C0877248
Reason for Use: Prophylaxis
Beschrijving

Reason for Use: Prophylaxis

Datatype

boolean

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C0392360
UMLS CUI [1,3]
C0033107
Reason for Use: Other
Beschrijving

Reason for Use: Other

Datatype

boolean

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C0392360
WHO Code
Beschrijving

WHO Code

Datatype

text

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C1547174
ATC Code
Beschrijving

ATC Code

Datatype

text

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C1547174
Level 1 ATC
Beschrijving

Level 1 ATC

Datatype

text

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C1547174
Level 2 ATC
Beschrijving

Level 2 ATC

Datatype

text

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C1547174
Level 3 ATC
Beschrijving

Level 3 ATC

Datatype

text

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C1547174
Level 4 ATC
Beschrijving

Level 4 ATC

Datatype

text

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C1547174

Similar models

Throughout: Concomitant Medication 2A [CM_2A] NCT01117584

Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
General Information
Any Previous or Concomitant Medication
Item
Is there any previous medication and/or concomitant medication to record?
boolean
C2347852 (UMLS CUI [1])
Medication
Item
Medication
text
C0013227 (UMLS CUI [1,1])
C2347852 (UMLS CUI [1,2])
Item
Route
text
C2347852 (UMLS CUI [1,1])
C0013153 (UMLS CUI [1,2])
Code List
Route
CL Item
Oral  (1)
CL Item
Intravenous (2)
CL Item
Topical  (3)
CL Item
Nasogastric  (4)
CL Item
Subcutaneous (5)
CL Item
Intramuscular (6)
CL Item
Ear/Auricular (7)
CL Item
Ophthalmic (8)
CL Item
Sublingual (9)
CL Item
Inhaled (10)
CL Item
Continuous Inhalation (11)
CL Item
Swish & Split / Swallow (12)
CL Item
Intranasal  (13)
CL Item
Transdermal  (14)
CL Item
Vaginal  (15)
CL Item
Rectal  (16)
CL Item
Epidural  (17)
CL Item
Intrathecal  (18)
CL Item
Intra-articular (19)
CL Item
Peri-articular (20)
CL Item
Intraperitoneal  (21)
CL Item
Intradermal  (22)
CL Item
Intra-arterial  (23)
CL Item
Intra-urethral  (24)
CL Item
Unknown (25)
CL Item
Other (26)
Start Date
Item
Start Date
date
C2347852 (UMLS CUI [1,1])
C0808070 (UMLS CUI [1,2])
Stop Date
Item
Stop Date
date
C2347852 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
Ongoing
Item
Ongoing
boolean
C2347852 (UMLS CUI [1,1])
C0549178 (UMLS CUI [1,2])
Dose
Item
Dose
text
C2347852 (UMLS CUI [1,1])
C0178602 (UMLS CUI [1,2])
Dose Units
Item
Dose Units
text
C2347852 (UMLS CUI [1,1])
C0178602 (UMLS CUI [1,2])
C1519795 (UMLS CUI [1,3])
Frequency
Item
Frequency
text
C2347852 (UMLS CUI [1,1])
C3476109 (UMLS CUI [1,2])
Indication
Item
Indication
text
C2347852 (UMLS CUI [1,1])
C3146298 (UMLS CUI [1,2])
Reason for Use: For Primary Diagnosis
Item
Reason for Use: For Primary Diagnosis
boolean
C2347852 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])
C0332137 (UMLS CUI [1,3])
Reason for Use: For Medical History
Item
Reason for Use: For Medical History
boolean
C2347852 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])
C0262926 (UMLS CUI [1,3])
Reason for Use: For AE
Item
Reason for Use: For AE
boolean
C2347852 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])
C0877248 (UMLS CUI [1,3])
Reason for Use: Prophylaxis
Item
Reason for Use: Prophylaxis
boolean
C2347852 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])
C0033107 (UMLS CUI [1,3])
Reason for Use: Other
Item
Reason for Use: Other
boolean
C2347852 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])
WHO Code
Item
WHO Code
text
C2347852 (UMLS CUI [1,1])
C1547174 (UMLS CUI [1,2])
ATC Code
Item
ATC Code
text
C2347852 (UMLS CUI [1,1])
C1547174 (UMLS CUI [1,2])
Level 1 ATC
Item
Level 1 ATC
text
C2347852 (UMLS CUI [1,1])
C1547174 (UMLS CUI [1,2])
Level 2 ATC
Item
Level 2 ATC
text
C2347852 (UMLS CUI [1,1])
C1547174 (UMLS CUI [1,2])
Level 3 ATC
Item
Level 3 ATC
text
C2347852 (UMLS CUI [1,1])
C1547174 (UMLS CUI [1,2])
Level 4 ATC
Item
Level 4 ATC
text
C2347852 (UMLS CUI [1,1])
C1547174 (UMLS CUI [1,2])

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