ID

23206

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 (1)
  1. 6/28/17 6/28/17 -
Copyright Holder

Genentech, Inc.

Uploaded on

June 28, 2017

DOI

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License

Creative Commons BY-NC 3.0
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PREGNANCY REPORT (UNSCHEDULED) CRFs Roche FVF4168G Macular Edema NCT00473330

English

PREGNANCY REPORT (UNSCHEDULED) 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
PREGNANCY REPORT (UNSCHEDULED)
Description

PREGNANCY REPORT (UNSCHEDULED)

Pregnancy status on the date this report was completed (check one only):
Description

Complete if the subject became pregnant during the course of the study or 30 days after study drug treatment.

Data type

integer

Alias
UMLS CUI [1]
C0032961
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Similar models

PREGNANCY REPORT (UNSCHEDULED) 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
PREGNANCY REPORT (UNSCHEDULED)
Item
Pregnancy status on the date this report was completed (check one only):
integer
C0032961 (UMLS CUI [1])
PREGNANCY_STATUS [PREGST]
Code List
Pregnancy status on the date this report was completed (check one only):
CL Item
Subject delivered (1)
CL Item
Pregnancy ongoing (not delivered) (2)
CL Item
Pregnancy not ongoing (3)
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