ID
21087
Description
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
Lien
https://clinicaltrials.gov/ct2/show/NCT00460148?term=NCT00460148&rank=1
Mots-clés
Versions (2)
- 10/04/2017 10/04/2017 -
- 10/04/2017 10/04/2017 -
Téléchargé le
10 avril 2017
DOI
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Licence
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
Description
Mother's relevant medical/family history
Alias
- UMLS CUI-1
- C0262926
- UMLS CUI-2
- C0241889
- UMLS CUI-3
- C0026591
Description
Mother's date of birth
Type de données
date
Unités de mesure
- Day Month Year
Alias
- UMLS CUI [1,1]
- C0026591
- UMLS CUI [1,2]
- C0421451
Description
Date of last menstrual period
Type de données
date
Unités de mesure
- Day Month Year
Alias
- UMLS CUI [1]
- C0425932
Description
Estimated date of delivery
Type de données
date
Unités de mesure
- Day Month Year
Alias
- UMLS CUI [1]
- C1287845
Description
Was the mother using a method of contraception?
Type de données
boolean
Alias
- UMLS CUI [1]
- C0700589
Description
If Yes, specify:
Type de données
text
Alias
- UMLS CUI [1,1]
- C0700589
- UMLS CUI [1,2]
- C2348235
Description
Type of conception, tick one:
Type de données
text
Alias
- UMLS CUI [1]
- C2598844
Description
Relevant laboratory tests and procedures (e.g., ultrasound, amniocentesis and chorionic villi sampling, including dates of tests and procedures).
Type de données
text
Alias
- UMLS CUI [1,1]
- C0022885
- UMLS CUI [1,2]
- C0430022
Description
Number of previous pregnancies: Pre-term
Type de données
integer
Alias
- UMLS CUI [1,1]
- C0032961
- UMLS CUI [1,2]
- C1547235
- UMLS CUI [1,3]
- C0449788
Description
Number of previous pragnancies: Full-term
Type de données
text
Alias
- UMLS CUI [1,1]
- C0032961
- UMLS CUI [1,2]
- C3814420
- UMLS CUI [1,3]
- C0449788
Description
Normal births
Type de données
integer
Alias
- UMLS CUI [1]
- C3665337
Description
Stillbirths
Type de données
integer
Alias
- UMLS CUI [1]
- C0595939
Description
Children born with defects
Type de données
integer
Alias
- UMLS CUI [1,1]
- C0000768
- UMLS CUI [1,2]
- C2229974
Description
Record details of children born with defects
Type de données
text
Alias
- UMLS CUI [1,1]
- C1522508
- UMLS CUI [1,2]
- C0000768
- UMLS CUI [1,3]
- C2229974
Description
Spontaneous abortion
Type de données
integer
Alias
- UMLS CUI [1]
- C0000786
Description
Elective abortion
Type de données
integer
Alias
- UMLS CUI [1]
- C0269439
Description
Other
Type de données
integer
Alias
- UMLS CUI [1,1]
- C0205394
- UMLS CUI [1,2]
- C0156543
Description
Are there any additional factors that may have an impact on the outcome of this pregnancy?
Type de données
boolean
Alias
- UMLS CUI [1,1]
- C0032972
- UMLS CUI [1,2]
- C1521761
Description
If Yes, specify
Type de données
text
Alias
- UMLS CUI [1,1]
- C2348235
- UMLS CUI [1,2]
- C0032972
- UMLS CUI [1,3]
- C1521761
Description
Father's Relevant Medical/Family History
Alias
- UMLS CUI-1
- C0262926
- UMLS CUI-2
- C0241889
- UMLS CUI-3
- C0015671
Description
Include habitual exposures such as alcohol/substance abuse, chronic illnesses, familial birth defects/genetic/ chromosomal disorders and medication use
Type de données
text
Alias
- UMLS CUI [1,1]
- C0262926
- UMLS CUI [1,2]
- C0241889
- UMLS CUI [1,3]
- C0015671
Description
Drug Exposures
Alias
- UMLS CUI-1
- C0743284
Description
Trade Name preferred
Type de données
text
Alias
- UMLS CUI [1]
- C0013227
Description
Route of Admin. or Formulation
Type de données
text
Alias
- UMLS CUI [1]
- C0013153
Description
Total Daily Dose
Type de données
text
Alias
- UMLS CUI [1]
- C2348070
Description
Units
Type de données
text
Alias
- UMLS CUI [1]
- C1519795
Description
Started Pre-Study
Type de données
text
Alias
- UMLS CUI [1,1]
- C0013227
- UMLS CUI [1,2]
- C0451613
Description
Start Date
Type de données
date
Unités de mesure
- Day Month Year
Alias
- UMLS CUI [1,1]
- C0013227
- UMLS CUI [1,2]
- C0808070
Description
Stop Date
Type de données
date
Unités de mesure
- Day Month Year
Alias
- UMLS CUI [1,1]
- C0013227
- UMLS CUI [1,2]
- C0806020
Description
Ongoing Medication
Type de données
text
Alias
- UMLS CUI [1]
- C2826666
Description
Reason for Medication
Type de données
text
Alias
- UMLS CUI [1,1]
- C0392360
- UMLS CUI [1,2]
- C0013227
Description
Subject withdrawal
Alias
- UMLS CUI-1
- C0422727
Description
Reporting Investigator Information
Alias
- UMLS CUI-1
- C0008961
- UMLS CUI-2
- C1533716
Description
Name
Type de données
text
Alias
- UMLS CUI [1]
- C2826892
Description
Title
Type de données
text
Alias
- UMLS CUI [1,1]
- C3888414
- UMLS CUI [1,2]
- C0008961
Description
Speciality
Type de données
text
Alias
- UMLS CUI [1,1]
- C0037778
- UMLS CUI [1,2]
- C0008961
Description
Address
Type de données
text
Alias
- UMLS CUI [1,1]
- C1442065
- UMLS CUI [1,2]
- C0008961
Description
City or State/Province
Type de données
text
Alias
- UMLS CUI [1,1]
- C1555315
- UMLS CUI [1,2]
- C1301808
Description
Country
Type de données
text
Alias
- UMLS CUI [1,1]
- C0454664
- UMLS CUI [1,2]
- C0008961
Description
Post or Zip Code
Type de données
text
Alias
- UMLS CUI [1,1]
- C3166855
- UMLS CUI [1,2]
- C0008961
Description
Telephone No
Type de données
text
Alias
- UMLS CUI [1,1]
- C1515258
- UMLS CUI [1,2]
- C0008961
Description
Fax No
Type de données
text
Alias
- UMLS CUI [1,1]
- C1549619
- UMLS CUI [1,2]
- C0008961
Description
(confirming that the data on these pages are accurate and complete)
Type de données
text
Alias
- UMLS CUI [1]
- C2346576
Description
Date
Type de données
date
Unités de mesure
- Day Month Year
Alias
- UMLS CUI [1,1]
- C0011008
- UMLS CUI [1,2]
- C2346576
Description
Investigator's name (print)
Type de données
text
Alias
- UMLS CUI [1]
- C2826892
Similar models
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])