ID

22586

Description

Terms of use: You may not use this document or the information contained herein to a regulatory authority in connection with an application for a marketing authorization or any other regulatory submission without the express written consent of Roche Study #: FVF4168g Drug: Ranibizumab Study Title: A Phase III, Double-Masked, Multicenter, Randomized, Sham-Controlled Study Of The Efficacy And Safety Of Ranibizumab Injection In Subjects With Clinically Significant Macular Edema With Center Involvement Secondary To Diabetes Mellitus

Keywords

Versions (3)
  1. 6/8/17 6/8/17 -
  2. 6/8/17 6/8/17 -
  3. 6/8/17 6/8/17 -
Uploaded on

June 8, 2017

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License

Creative Commons BY-NC 3.0 Legacy
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CRFs Roche FVF4168G Macular Edema NCT00473330

English

INVESTIGATOR / SITE INFORMATION (SCREENING) CRFs Roche FVF4168G Macular Edema NCT00473330

1 forms  
Patient administration
Description

Patient administration

Subject Number
Description

PT

Data type

integer

Alias
UMLS CUI [1]
C2348585
Subject Initials:
Description

PTINIT

Data type

text

Alias
UMLS CUI [1,1]
C1997894
UMLS CUI [1,2]
C2986440
Report Date:
Description

VDT

Data type

date

Alias
UMLS CUI [1,1]
C1302584
Study administration
Description

Study administration

Investigator Number
Description

INV_NUMBER

Data type

integer

Alias
UMLS CUI [1]
C2826689
Site Number
Description

SITE_NUMBER

Data type

text

Alias
UMLS CUI [1,1]
C0018704
UMLS CUI [1,2]
C0600091
Effective Date of Change:
Description

Effective Date of Change: The date of subject’s first contact with the new investigator/site.

Data type

date

Measurement units
  • DD/MMM/YY
Alias
UMLS CUI [1]
C1302393
DD/MMM/YY
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Similar models

INVESTIGATOR / SITE INFORMATION (SCREENING) CRFs Roche FVF4168G Macular Edema NCT00473330

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Patient administration
PT
Item
Subject Number
integer
C2348585 (UMLS CUI [1])
PTINIT
Item
Subject Initials:
text
C1997894 (UMLS CUI [1,1])
C2986440 (UMLS CUI [1,2])
VDT
Item
Report Date:
date
C1302584 (UMLS CUI [1,1])
Item Group
Study administration
INV_NUMBER
Item
Investigator Number
integer
C2826689 (UMLS CUI [1])
SITE_NUMBER
Item
Site Number
text
C0018704 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
INV_CHANGE_DT [INVDT]
Item
Effective Date of Change:
date
C1302393 (UMLS CUI [1])
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