ID

20889

Description

The purpose of the trial is to determine if extended-release dipyridamole + aspirin [Aggrenox, Asasa ntin] is superior to clopidogrel [Plavix], and if telmisartan [Micardis, Gliosartan, Kinzal, Kinzalm ono, Predxal, Pritor, Samertan, Telmisartan] is superior to placebo, in the presence of background antihypertensive therapy, in prevention of a second stroke in patients who have recently suffered a stroke and therefore are at high risk of suffering another one. Complete this page and fax the Event Monitor Study Source & Descriptions: https://clinicaltrials.gov/ct2/show/NCT00153062?term=NCT00153062&rank=1

Lien

https://clinicaltrials.gov/ct2/show/NCT00153062?term=NCT00153062&rank=1

Mots-clés

Versions (1)
  1. 25/03/2017 25/03/2017 -
Téléchargé le

25 mars 2017

DOI

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Licence

Creative Commons BY 4.0
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Other Designated Vascular Report Form SHORT PRoFESS - Prevention Regimen For Effectively Avoiding Second Strokes NCT00153062

Anglais

Other Designated Vascular Report Form SHORT PRoFESS - Prevention Regimen For Effectively Avoiding Second Strokes NCT00153062

1 Formulaires  
Study Medication
Description

Study Medication

Alias
UMLS CUI-1
C0013227
1. Was the patient on study medication within the 7 days prior to event?
Description

Patient on study medication

Type de données

boolean

Alias
UMLS CUI [1]
C0013227
If NO, which medication was the patient was not taking (please indicate all that apply):
Description

if NO

Type de données

integer

Alias
UMLS CUI [1,1]
C0030705
UMLS CUI [1,2]
C0457432
Pulmonary embolism
Description

Pulmonary embolism

Alias
UMLS CUI-1
C0034065
2. Pulmonary embolism
Description

Pulmonary embolism

Type de données

boolean

Alias
UMLS CUI [1]
C0034065
If Yes please complete the date of event (dd mon yy)
Description

If Yes

Type de données

date

Alias
UMLS CUI [1]
C0011008
Please indicate the supporting ancillary examinations:
Description

ancillary examination

Type de données

text

Alias
UMLS CUI [1]
C0582103
Angiography
Description

Angiography

Type de données

boolean

Alias
UMLS CUI [1]
C0002978
V/Q Scan
Description

V/Q Scan

Type de données

boolean

Alias
UMLS CUI [1]
C0849974
Deep vein thrombosis
Description

Deep vein thrombosis

Alias
UMLS CUI-1
C0149871
3. Deep vein thrombosis
Description

Deep vein thrombosis

Type de données

boolean

Alias
UMLS CUI [1]
C0149871
If Yes please complete the date of event (dd mon yy)
Description

If Yes

Type de données

date

Alias
UMLS CUI [1]
C0011008
Please indicate the supporting ancillary examinations:
Description

ancillary examination

Type de données

text

Alias
UMLS CUI [1]
C0582103
Doppler
Description

Doppler

Type de données

boolean

Alias
UMLS CUI [1]
C0242845
Angiography
Description

Angiography

Type de données

boolean

Alias
UMLS CUI [1]
C0002978
Scintigraphy
Description

Scintigraphy

Type de données

boolean

Alias
UMLS CUI [1]
C0034606
Retinal Vascular Events
Description

Retinal Vascular Events

Alias
UMLS CUI-1
C0035309
4. Retinal Vascular accidents (not confirmed as retinal arterial occlusion)
Description

Retinal Vascular accidents

Type de données

boolean

Alias
UMLS CUI [1]
C0035309
If Yes please complete the date of event (dd mon yy)
Description

If Yes

Type de données

date

Alias
UMLS CUI [1]
C0011008
Peripheral arterial occlusion
Description

Peripheral arterial occlusion

Alias
UMLS CUI-1
C1306889
5. Peripheral Arterial Occlusion
Description

Peripheral Arterial Occlusion

Type de données

boolean

Alias
UMLS CUI [1]
C1306889
If Yes please complete the date of event (dd mon yy)
Description

If Yes

Type de données

date

Alias
UMLS CUI [1]
C0011008
Please indicate the supporting ancillary examinations:
Description

ancillary examination

Type de données

text

Alias
UMLS CUI [1]
C0582103
Doppler
Description

Doppler

Type de données

boolean

Alias
UMLS CUI [1]
C0242845
Angiography
Description

Angiography

Type de données

boolean

Alias
UMLS CUI [1]
C0002978
Were clinical symptoms of claudication observed?
Description

claudication

Type de données

boolean

Alias
UMLS CUI [1]
C1456822
Was gangrene observed?
Description

gangrene

Type de données

boolean

Alias
UMLS CUI [1]
C0017086
Ischemic Attack
Description

Ischemic Attack

Alias
UMLS CUI-1
C0007787
6. Transient Ischemic Attack
Description

Transient Ischemic Attack

Type de données

boolean

Alias
UMLS CUI [1]
C0007787
If Yes please complete the duration of event
Description

duration of event

Type de données

time

Alias
UMLS CUI [1]
C0449238
Retour au début de la page

Similar models

Other Designated Vascular Report Form SHORT PRoFESS - Prevention Regimen For Effectively Avoiding Second Strokes NCT00153062

1 Formulaires
Name
Type
Description | Question | Decode (Coded Value)
Type de données
Alias
Item Group
Study Medication
C0013227 (UMLS CUI-1)
Patient on study medication
Item
1. Was the patient on study medication within the 7 days prior to event?
boolean
C0013227 (UMLS CUI [1])
Item
If NO, which medication was the patient was not taking (please indicate all that apply):
integer
C0030705 (UMLS CUI [1,1])
C0457432 (UMLS CUI [1,2])
if NO
Code List
If NO, which medication was the patient was not taking (please indicate all that apply):
CL Item
Bottle A (1)
CL Item
Bottle B (2)
CL Item
Blister card C (3)
CL Item
Blister card D (4)
Item Group
Pulmonary embolism
C0034065 (UMLS CUI-1)
Pulmonary embolism
Item
2. Pulmonary embolism
boolean
C0034065 (UMLS CUI [1])
If Yes
Item
If Yes please complete the date of event (dd mon yy)
date
C0011008 (UMLS CUI [1])
ancillary examination
Item
Please indicate the supporting ancillary examinations:
text
C0582103 (UMLS CUI [1])
Angiography
Item
Angiography
boolean
C0002978 (UMLS CUI [1])
V/Q Scan
Item
V/Q Scan
boolean
C0849974 (UMLS CUI [1])
Item Group
Deep vein thrombosis
C0149871 (UMLS CUI-1)
Deep vein thrombosis
Item
3. Deep vein thrombosis
boolean
C0149871 (UMLS CUI [1])
If Yes
Item
If Yes please complete the date of event (dd mon yy)
date
C0011008 (UMLS CUI [1])
ancillary examination
Item
Please indicate the supporting ancillary examinations:
text
C0582103 (UMLS CUI [1])
Doppler
Item
Doppler
boolean
C0242845 (UMLS CUI [1])
Angiography
Item
Angiography
boolean
C0002978 (UMLS CUI [1])
Scintigraphy
Item
Scintigraphy
boolean
C0034606 (UMLS CUI [1])
Item Group
Retinal Vascular Events
C0035309 (UMLS CUI-1)
Retinal Vascular accidents
Item
4. Retinal Vascular accidents (not confirmed as retinal arterial occlusion)
boolean
C0035309 (UMLS CUI [1])
If Yes
Item
If Yes please complete the date of event (dd mon yy)
date
C0011008 (UMLS CUI [1])
Item Group
Peripheral arterial occlusion
C1306889 (UMLS CUI-1)
Peripheral Arterial Occlusion
Item
5. Peripheral Arterial Occlusion
boolean
C1306889 (UMLS CUI [1])
If Yes
Item
If Yes please complete the date of event (dd mon yy)
date
C0011008 (UMLS CUI [1])
ancillary examination
Item
Please indicate the supporting ancillary examinations:
text
C0582103 (UMLS CUI [1])
Doppler
Item
Doppler
boolean
C0242845 (UMLS CUI [1])
Angiography
Item
Angiography
boolean
C0002978 (UMLS CUI [1])
claudication
Item
Were clinical symptoms of claudication observed?
boolean
C1456822 (UMLS CUI [1])
gangrene
Item
Was gangrene observed?
boolean
C0017086 (UMLS CUI [1])
Item Group
Ischemic Attack
C0007787 (UMLS CUI-1)
Transient Ischemic Attack
Item
6. Transient Ischemic Attack
boolean
C0007787 (UMLS CUI [1])
duration of event
Item
If Yes please complete the duration of event
time
C0449238 (UMLS CUI [1])
Retour au début de la page 

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