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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 #: FVF4170g 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

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  1. 6/9/17 6/9/17 -
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Genentech, Inc.

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June 9, 2017

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    READING SPEED (DAY 0) CRFs Roche FVF4170G Macular Edema NCT00473382

    Engelsk

    READING SPEED (DAY 0) CRFs Roche FVF4170G Macular Edema NCT00473382

    1 Formulär  
    Patient administration
    Beskrivning

    Patient administration

    Subject Number
    Beskrivning

    PT

    Datatyp

    integer

    Alias
    UMLS CUI [1]
    C2348585
    Subject Initials:
    Beskrivning

    PTINIT

    Datatyp

    text

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

    VDT

    Datatyp

    date

    Alias
    UMLS CUI [1,1]
    C1302584
    READING SPEED (DAY 0)
    Beskrivning

    READING SPEED (DAY 0)

    Right Eye: Not Done
    Beskrivning

    NOT_DONE [NOTDN]

    Datatyp

    boolean

    Alias
    UMLS CUI [1,1]
    C0430888
    UMLS CUI [1,2]
    C0229089
    Card # used:
    Beskrivning

    CARD_NUMBER [CARDNO]

    Datatyp

    integer

    Alias
    UMLS CUI [1,1]
    C3275277
    UMLS CUI [1,2]
    C0237753
    UMLS CUI [1,3]
    C0229089
    1a. Time to Complete:
    Beskrivning

    READING_TIME [RDTM]

    Datatyp

    time

    Måttenheter
    • m:ss
    Alias
    UMLS CUI [1,1]
    C1549507
    UMLS CUI [1,2]
    C0229089
    m:ss
    b. No. of words read CORRECTLY:
    Beskrivning

    CORRECT_READING [COTRD]

    Datatyp

    integer

    Alias
    UMLS CUI [1,1]
    C0871221
    UMLS CUI [1,2]
    C0229089
    Left Eye: Not Done
    Beskrivning

    NOT_DONE [NOTDN]

    Datatyp

    boolean

    Alias
    UMLS CUI [1,1]
    C0430888
    UMLS CUI [1,2]
    C0229090
    Card # used:
    Beskrivning

    CARD_NUMBER [CARDNO]

    Datatyp

    integer

    Alias
    UMLS CUI [1,1]
    C3275277
    UMLS CUI [1,2]
    C0237753
    UMLS CUI [1,3]
    C0229090
    1a. Time to Complete:
    Beskrivning

    READING_TIME [RDTM]

    Datatyp

    time

    Måttenheter
    • m:ss
    Alias
    UMLS CUI [1,1]
    C1549507
    UMLS CUI [1,2]
    C0229090
    m:ss
    b. No. of words read CORRECTLY:
    Beskrivning

    CORRECT_READING [COTRD]

    Datatyp

    integer

    Alias
    UMLS CUI [1,1]
    C0871221
    UMLS CUI [1,2]
    C0229090
    Tillbaka till toppen

    Similar models

    READING SPEED (DAY 0) CRFs Roche FVF4170G Macular Edema NCT00473382

    1 Formulär
    Name
    Typ
    Description | Question | Decode (Coded Value)
    Datatyp
    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
    READING SPEED (DAY 0)
    NOT_DONE [NOTDN]
    Item
    Right Eye: Not Done
    boolean
    C0430888 (UMLS CUI [1,1])
    C0229089 (UMLS CUI [1,2])
    CARD_NUMBER [CARDNO]
    Item
    Card # used:
    integer
    C3275277 (UMLS CUI [1,1])
    C0237753 (UMLS CUI [1,2])
    C0229089 (UMLS CUI [1,3])
    READING_TIME [RDTM]
    Item
    1a. Time to Complete:
    time
    C1549507 (UMLS CUI [1,1])
    C0229089 (UMLS CUI [1,2])
    CORRECT_READING [COTRD]
    Item
    b. No. of words read CORRECTLY:
    integer
    C0871221 (UMLS CUI [1,1])
    C0229089 (UMLS CUI [1,2])
    NOT_DONE [NOTDN]
    Item
    Left Eye: Not Done
    boolean
    C0430888 (UMLS CUI [1,1])
    C0229090 (UMLS CUI [1,2])
    CARD_NUMBER [CARDNO]
    Item
    Card # used:
    integer
    C3275277 (UMLS CUI [1,1])
    C0237753 (UMLS CUI [1,2])
    C0229090 (UMLS CUI [1,3])
    READING_TIME [RDTM]
    Item
    1a. Time to Complete:
    time
    C1549507 (UMLS CUI [1,1])
    C0229090 (UMLS CUI [1,2])
    CORRECT_READING [COTRD]
    Item
    b. No. of words read CORRECTLY:
    integer
    C0871221 (UMLS CUI [1,1])
    C0229090 (UMLS CUI [1,2])
    Tillbaka till toppen 

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