0 Beoordelingen
ID

22819

Beschrijving

Study ID: 100310 Clinical Study ID: RRL100310 Study Title: A 12-week, double-blind, placebo-controlled, parallel group study to assess the efficacy and safety of intermittent dosing of ropinirole in patients with Restless Legs Syndrome (RLS) Part 22: Visit 3 (Week 5) RLS Episode 10 Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00225862 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 3 Study Recruitment Status: Completed Generic Name: ropinirole Trade Name: Modutab,ZIPEREVE,ZEPREVE,REPREVE,ADARTREL,REQUIP,Zygara; Zygara,ZIPEREVE,ZEPREVE,Requip Depot,REQUIP,REPREVE,Modutab,ADARTREL Study Indication: Restless Legs Syndrome More details on: https://clinicaltrials.gov/ct2/show/NCT00225862

Link

https://clinicaltrials.gov/ct2/show/NCT00225862

Trefwoorden

Versies (2)
  1. 08-06-17 08-06-17 -
  2. 12-06-17 12-06-17 -
Geüploaded op

12 juni 2017

DOI

Voor een aanvraag inloggen.

Licentie

Creative Commons BY-NC 3.0
Model Commentaren :

Hier kunt u commentaar leveren op het model. U kunt de tekstballonnen bij de itemgroepen en items gebruiken om er specifiek commentaar op te geven.

Terug naar het model Commentaren
Itemgroep Commentaren voor :

Item Commentaren voor :

  • Nieuwste
  • Oudste
  • Populair
  • Nieuwste
    • Nieuwste
    • Oudste
    • Populair

    Geen commentaren

    U moet ingelogd zijn om formulieren te downloaden. AUB inloggen of schrijf u gratis in.

    Intermittent Ropinirole in Restless Legs Syndrome (RLS) NCT00225862 - Part 22: Visit 3 (Week 5) RLS Episode 10

    Engels

    Intermittent Ropinirole in Restless Legs Syndrome (RLS) NCT00225862 - Part 22: Visit 3 (Week 5) RLS Episode 10

    1 Formulieren  
    General Information
    Beschrijving

    General Information

    Alias
    UMLS CUI-1
    C1508263
    UMLS CUI-2
    C1955348
    UMLS CUI-3
    C0035258
    Subject Identifier
    Beschrijving

    Subject Identifier

    Datatype

    text

    Alias
    UMLS CUI [1]
    C2348585
    PRN Subject Diary
    Beschrijving

    PRN Subject Diary

    Alias
    UMLS CUI-1
    C3890583
    UMLS CUI-2
    C0035258
    1. Enter the date and time your RLs symptoms started.
    Beschrijving

    Date

    Datatype

    datetime

    Alias
    UMLS CUI [1,1]
    C0011008
    UMLS CUI [1,2]
    C0040223
    UMLS CUI [1,3]
    C0035258
    UMLS CUI [1,4]
    C1457887
    2. How severe were your RLS symptoms at the time you took the dose of study medication?
    Beschrijving

    Severity of RLS episode

    Datatype

    text

    Alias
    UMLS CUI [1,1]
    C0439793
    UMLS CUI [1,2]
    C0035258
    UMLS CUI [1,3]
    C1457887
    UMLS CUI [2]
    C0013227
    3. Did your RLS symptoms disrupt your routine evening activity?
    Beschrijving

    Did your RLS symptoms disrupt your routine evening activity?

    Datatype

    boolean

    Alias
    UMLS CUI [1,1]
    C0332453
    UMLS CUI [1,2]
    C0001288
    UMLS CUI [1,3]
    C0035258
    4. How severe were your RLS symptoms 2 hours after taking the study medication?
    Beschrijving

    Severity two hours after medication

    Datatype

    text

    Alias
    UMLS CUI [1,1]
    C0439793
    UMLS CUI [1,2]
    C1457887
    UMLS CUI [1,3]
    C0035258
    UMLS CUI [2]
    C0013227
    5. Overall, how would you describe the change in your RLS symptoms after dosing last night?
    Beschrijving

    Read the following and complete the questions when you wake up next morning.

    Datatype

    text

    Alias
    UMLS CUI [1,1]
    C1515926
    UMLS CUI [1,2]
    C1457887
    UMLS CUI [1,3]
    C0035258
    UMLS CUI [2]
    C0013227
    6. Overall, did your RLS symptoms affect your sleep last night?
    Beschrijving

    Sleep affected by RLS symptoms?

    Datatype

    boolean

    Alias
    UMLS CUI [1,1]
    C0037313
    UMLS CUI [1,2]
    C0392760
    UMLS CUI [1,3]
    C0035258
    If yes, did your RLS symptoms prevent you from falling asleep or staying asleep last night?
    Beschrijving

    Specification of RLS symptoms affecting sleep

    Datatype

    boolean

    Alias
    UMLS CUI [1,1]
    C0393760
    UMLS CUI [1,2]
    C0037317
    UMLS CUI [1,3]
    C0035258
    Study Medication
    Beschrijving

    Study Medication

    Alias
    UMLS CUI-1
    C0013227
    UMLS CUI-2
    C0304229
    UMLS CUI-3
    C0008976
    UMLS CUI-4
    C0035258
    Date study medication taken
    Beschrijving

    Date study medication taken

    Datatype

    date

    Alias
    UMLS CUI [1,1]
    C0011008
    UMLS CUI [1,2]
    C0013227
    Time study medication taken
    Beschrijving

    Time study medication taken

    Datatype

    time

    Alias
    UMLS CUI [1,1]
    C0040223
    UMLS CUI [1,2]
    C0013227
    Terug naar het begin van de pagina

    Similar models

    Intermittent Ropinirole in Restless Legs Syndrome (RLS) NCT00225862 - Part 22: Visit 3 (Week 5) RLS Episode 10

    1 Formulieren
    Name
    Type
    Description | Question | Decode (Coded Value)
    Datatype
    Alias
    Item Group
    General Information
    C1508263 (UMLS CUI-1)
    C1955348 (UMLS CUI-2)
    C0035258 (UMLS CUI-3)
    Subject Identifier
    Item
    Subject Identifier
    text
    C2348585 (UMLS CUI [1])
    Item Group
    PRN Subject Diary
    C3890583 (UMLS CUI-1)
    C0035258 (UMLS CUI-2)
    Date
    Item
    1. Enter the date and time your RLs symptoms started.
    datetime
    C0011008 (UMLS CUI [1,1])
    C0040223 (UMLS CUI [1,2])
    C0035258 (UMLS CUI [1,3])
    C1457887 (UMLS CUI [1,4])
    Item
    2. How severe were your RLS symptoms at the time you took the dose of study medication?
    text
    C0439793 (UMLS CUI [1,1])
    C0035258 (UMLS CUI [1,2])
    C1457887 (UMLS CUI [1,3])
    C0013227 (UMLS CUI [2])
    Severity of RLS episode
    Code List
    2. How severe were your RLS symptoms at the time you took the dose of study medication?
    CL Item
    mild (1)
    CL Item
    moderate (2)
    CL Item
    severe (3)
    CL Item
    very severe (4)
    Did your RLS symptoms disrupt your routine evening activity?
    Item
    3. Did your RLS symptoms disrupt your routine evening activity?
    boolean
    C0332453 (UMLS CUI [1,1])
    C0001288 (UMLS CUI [1,2])
    C0035258 (UMLS CUI [1,3])
    Item
    4. How severe were your RLS symptoms 2 hours after taking the study medication?
    text
    C0439793 (UMLS CUI [1,1])
    C1457887 (UMLS CUI [1,2])
    C0035258 (UMLS CUI [1,3])
    C0013227 (UMLS CUI [2])
    Severity two hours after medication
    Code List
    4. How severe were your RLS symptoms 2 hours after taking the study medication?
    CL Item
    I was asleep at 2 hours after taking the last dose  (1)
    CL Item
    None (2)
    CL Item
    Mild (3)
    CL Item
    Moderate (4)
    CL Item
    Severe (5)
    CL Item
    Very Severe (6)
    Item
    5. Overall, how would you describe the change in your RLS symptoms after dosing last night?
    text
    C1515926 (UMLS CUI [1,1])
    C1457887 (UMLS CUI [1,2])
    C0035258 (UMLS CUI [1,3])
    C0013227 (UMLS CUI [2])
    Change in RLS symptoms after dosing the night before
    Code List
    5. Overall, how would you describe the change in your RLS symptoms after dosing last night?
    CL Item
    Very much improved (Complete symptom relief) (1)
    CL Item
    Much improved (Good symptom relief) (2)
    CL Item
    Minimally improved (Some symptom relief) (3)
    CL Item
    No change (4)
    CL Item
    Minimally worse (Symptoms minimally worse) (5)
    CL Item
    Much worse (Symptoms much worse) (6)
    CL Item
    Very much worse (Symptoms very much worse) (7)
    Sleep affected by RLS symptoms?
    Item
    6. Overall, did your RLS symptoms affect your sleep last night?
    boolean
    C0037313 (UMLS CUI [1,1])
    C0392760 (UMLS CUI [1,2])
    C0035258 (UMLS CUI [1,3])
    Specification of RLS symptoms affecting sleep
    Item
    If yes, did your RLS symptoms prevent you from falling asleep or staying asleep last night?
    boolean
    C0393760 (UMLS CUI [1,1])
    C0037317 (UMLS CUI [1,2])
    C0035258 (UMLS CUI [1,3])
    Item Group
    Study Medication
    C0013227 (UMLS CUI-1)
    C0304229 (UMLS CUI-2)
    C0008976 (UMLS CUI-3)
    C0035258 (UMLS CUI-4)
    Date study medication taken
    Item
    Date study medication taken
    date
    C0011008 (UMLS CUI [1,1])
    C0013227 (UMLS CUI [1,2])
    Time study medication taken
    Item
    Time study medication taken
    time
    C0040223 (UMLS CUI [1,1])
    C0013227 (UMLS CUI [1,2])
    Terug naar het begin van de pagina 

    Help

    Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

    Watch Tutorial