ID
21087
Beschreibung
Documentation Part: Pregnancy Notification Form (Subject) An Open Label, Repeat Dose, Dose Escalation Study Conducted in Parkinson's Disease Patients to Characterize the Pharmacokinetics and Effect of Food on Ropinirole Prolonged Release (PR/CR) 12mg Tablets. ClinicalTrials.gov Identifier: NCT00460148 https://clinicaltrials.gov/ct2/show/NCT00460148?term=NCT00460148&rank=1 Responsible Party: GlaxoSmithKline
Link
https://clinicaltrials.gov/ct2/show/NCT00460148?term=NCT00460148&rank=1
Stichworte
Versionen (2)
- 10.04.17 10.04.17 -
- 10.04.17 10.04.17 -
Hochgeladen am
10. April 2017
DOI
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Lizenz
Creative Commons BY-NC 3.0
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Pregnancy Notification Form (Subject) Parkinson's Disease Patient Study On Absorption, Distribution, Metabolism And Excretion Of Ropinirole NCT00460148
Pregnancy Notification Form (Subject) Parkinson's Disease Patient Study On Absorption, Distribution, Metabolism And Excretion Of Ropinirole NCT00460148
Beschreibung
Mother's relevant medical/family history
Alias
- UMLS CUI-1
- C0262926
- UMLS CUI-2
- C0241889
- UMLS CUI-3
- C0026591
Beschreibung
Mother's date of birth
Datentyp
date
Maßeinheiten
- Day Month Year
Alias
- UMLS CUI [1,1]
- C0026591
- UMLS CUI [1,2]
- C0421451
Beschreibung
Date of last menstrual period
Datentyp
date
Maßeinheiten
- Day Month Year
Alias
- UMLS CUI [1]
- C0425932
Beschreibung
Estimated date of delivery
Datentyp
date
Maßeinheiten
- Day Month Year
Alias
- UMLS CUI [1]
- C1287845
Beschreibung
Was the mother using a method of contraception?
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0700589
Beschreibung
If Yes, specify:
Datentyp
text
Alias
- UMLS CUI [1,1]
- C0700589
- UMLS CUI [1,2]
- C2348235
Beschreibung
Type of conception, tick one:
Datentyp
text
Alias
- UMLS CUI [1]
- C2598844
Beschreibung
Relevant laboratory tests and procedures (e.g., ultrasound, amniocentesis and chorionic villi sampling, including dates of tests and procedures).
Datentyp
text
Alias
- UMLS CUI [1,1]
- C0022885
- UMLS CUI [1,2]
- C0430022
Beschreibung
Number of previous pregnancies: Pre-term
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C0032961
- UMLS CUI [1,2]
- C1547235
- UMLS CUI [1,3]
- C0449788
Beschreibung
Number of previous pragnancies: Full-term
Datentyp
text
Alias
- UMLS CUI [1,1]
- C0032961
- UMLS CUI [1,2]
- C3814420
- UMLS CUI [1,3]
- C0449788
Beschreibung
Normal births
Datentyp
integer
Alias
- UMLS CUI [1]
- C3665337
Beschreibung
Stillbirths
Datentyp
integer
Alias
- UMLS CUI [1]
- C0595939
Beschreibung
Children born with defects
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C0000768
- UMLS CUI [1,2]
- C2229974
Beschreibung
Record details of children born with defects
Datentyp
text
Alias
- UMLS CUI [1,1]
- C1522508
- UMLS CUI [1,2]
- C0000768
- UMLS CUI [1,3]
- C2229974
Beschreibung
Spontaneous abortion
Datentyp
integer
Alias
- UMLS CUI [1]
- C0000786
Beschreibung
Elective abortion
Datentyp
integer
Alias
- UMLS CUI [1]
- C0269439
Beschreibung
Other
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C0205394
- UMLS CUI [1,2]
- C0156543
Beschreibung
Are there any additional factors that may have an impact on the outcome of this pregnancy?
Datentyp
boolean
Alias
- UMLS CUI [1,1]
- C0032972
- UMLS CUI [1,2]
- C1521761
Beschreibung
If Yes, specify
Datentyp
text
Alias
- UMLS CUI [1,1]
- C2348235
- UMLS CUI [1,2]
- C0032972
- UMLS CUI [1,3]
- C1521761
Beschreibung
Father's Relevant Medical/Family History
Alias
- UMLS CUI-1
- C0262926
- UMLS CUI-2
- C0241889
- UMLS CUI-3
- C0015671
Beschreibung
Drug Exposures
Alias
- UMLS CUI-1
- C0743284
Beschreibung
Trade Name preferred
Datentyp
text
Alias
- UMLS CUI [1]
- C0013227
Beschreibung
Route of Admin. or Formulation
Datentyp
text
Alias
- UMLS CUI [1]
- C0013153
Beschreibung
Total Daily Dose
Datentyp
text
Alias
- UMLS CUI [1]
- C2348070
Beschreibung
Units
Datentyp
text
Alias
- UMLS CUI [1]
- C1519795
Beschreibung
Started Pre-Study
Datentyp
text
Alias
- UMLS CUI [1,1]
- C0013227
- UMLS CUI [1,2]
- C0451613
Beschreibung
Start Date
Datentyp
date
Maßeinheiten
- Day Month Year
Alias
- UMLS CUI [1,1]
- C0013227
- UMLS CUI [1,2]
- C0808070
Beschreibung
Stop Date
Datentyp
date
Maßeinheiten
- Day Month Year
Alias
- UMLS CUI [1,1]
- C0013227
- UMLS CUI [1,2]
- C0806020
Beschreibung
Ongoing Medication
Datentyp
text
Alias
- UMLS CUI [1]
- C2826666
Beschreibung
Reason for Medication
Datentyp
text
Alias
- UMLS CUI [1,1]
- C0392360
- UMLS CUI [1,2]
- C0013227
Beschreibung
Subject withdrawal
Alias
- UMLS CUI-1
- C0422727
Beschreibung
Reporting Investigator Information
Alias
- UMLS CUI-1
- C0008961
- UMLS CUI-2
- C1533716
Beschreibung
Name
Datentyp
text
Alias
- UMLS CUI [1]
- C2826892
Beschreibung
Title
Datentyp
text
Alias
- UMLS CUI [1,1]
- C3888414
- UMLS CUI [1,2]
- C0008961
Beschreibung
Speciality
Datentyp
text
Alias
- UMLS CUI [1,1]
- C0037778
- UMLS CUI [1,2]
- C0008961
Beschreibung
Address
Datentyp
text
Alias
- UMLS CUI [1,1]
- C1442065
- UMLS CUI [1,2]
- C0008961
Beschreibung
City or State/Province
Datentyp
text
Alias
- UMLS CUI [1,1]
- C1555315
- UMLS CUI [1,2]
- C1301808
Beschreibung
Country
Datentyp
text
Alias
- UMLS CUI [1,1]
- C0454664
- UMLS CUI [1,2]
- C0008961
Beschreibung
Post or Zip Code
Datentyp
text
Alias
- UMLS CUI [1,1]
- C3166855
- UMLS CUI [1,2]
- C0008961
Beschreibung
Telephone No
Datentyp
text
Alias
- UMLS CUI [1,1]
- C1515258
- UMLS CUI [1,2]
- C0008961
Beschreibung
Fax No
Datentyp
text
Alias
- UMLS CUI [1,1]
- C1549619
- UMLS CUI [1,2]
- C0008961
Beschreibung
(confirming that the data on these pages are accurate and complete)
Datentyp
text
Alias
- UMLS CUI [1]
- C2346576
Beschreibung
Date
Datentyp
date
Maßeinheiten
- Day Month Year
Alias
- UMLS CUI [1,1]
- C0011008
- UMLS CUI [1,2]
- C2346576
Beschreibung
Investigator's name (print)
Datentyp
text
Alias
- UMLS CUI [1]
- C2826892
Ähnliche Modelle
Pregnancy Notification Form (Subject) Parkinson's Disease Patient Study On Absorption, Distribution, Metabolism And Excretion Of Ropinirole NCT00460148
C0019994 (UMLS CUI [1,2])
C0237753 (UMLS CUI [1,2])
C0241889 (UMLS CUI-2)
C0026591 (UMLS CUI-3)
C0421451 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,2])
C0430022 (UMLS CUI [1,2])
C1547235 (UMLS CUI [1,2])
C0449788 (UMLS CUI [1,3])
C3814420 (UMLS CUI [1,2])
C0449788 (UMLS CUI [1,3])
C2229974 (UMLS CUI [1,2])
C0000768 (UMLS CUI [1,2])
C2229974 (UMLS CUI [1,3])
C0156543 (UMLS CUI [1,2])
C1521761 (UMLS CUI [1,2])
C0032972 (UMLS CUI [1,2])
C1521761 (UMLS CUI [1,3])
C0241889 (UMLS CUI-2)
C0015671 (UMLS CUI-3)
C0241889 (UMLS CUI [1,2])
C0015671 (UMLS CUI [1,3])
C0808070 (UMLS CUI [1,2])
C0806020 (UMLS CUI [1,2])
C0013227 (UMLS CUI [1,2])
C1533716 (UMLS CUI-2)
C0008961 (UMLS CUI [1,2])
C0008961 (UMLS CUI [1,2])
C0008961 (UMLS CUI [1,2])
C1301808 (UMLS CUI [1,2])
C0008961 (UMLS CUI [1,2])
C0008961 (UMLS CUI [1,2])
C0008961 (UMLS CUI [1,2])
C0008961 (UMLS CUI [1,2])
C2346576 (UMLS CUI [1,2])