ID

23304

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

  1. 7/2/17 7/2/17 -
Copyright Holder

Genentech, Inc.

Uploaded on

July 2, 2017

DOI

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License

Creative Commons BY-NC 3.0

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RANIBIZUMAB ADMINISTRATION FELLOW EYE (MONTH 26) CRFs Roche FVF4168G Macular Edema NCT00473330

RANIBIZUMAB ADMINISTRATION FELLOW EYE (MONTH 26) CRFs Roche FVF4168G Macular Edema NCT00473330

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
RANIBIZUMAB ADMINISTRATION FELLOW EYE (MONTH 26)
Description

RANIBIZUMAB ADMINISTRATION FELLOW EYE (MONTH 26)

Eye Treated:
Description

EYE (EYE)

Data type

integer

Alias
UMLS CUI [1]
C0015392
Was treatment (Ranibizumab) administered?
Description

TX_RECEIVED (TXREC)

Data type

boolean

Alias
UMLS CUI [1,1]
C0013216
UMLS CUI [1,2]
C1566537
Record Lot # Administered:
Description

If Yes,

Data type

text

Alias
UMLS CUI [1]
C1115660
Date Administered:
Description

TREATMENT_DATE (TXDT, TXDTF)

Data type

date

Measurement units
  • DD/MMM/YY
Alias
UMLS CUI [1,1]
C1566537
UMLS CUI [1,2]
C0011008
DD/MMM/YY
Time Administered:
Description

TIME_ADMINISTERED (TXTM)

Data type

time

Measurement units
  • 24 hr clock
Alias
UMLS CUI [1,1]
C1566537
UMLS CUI [1,2]
C0011008
24 hr clock
Was lidocaine injection administered?
Description

LIDOCAINE (LDCON)

Data type

boolean

Alias
UMLS CUI [1]
C0023660
Were preoperative antimicrobials given?
Description

ANTIBIOTICS_CURRENT (ABXCR)

Data type

boolean

Alias
UMLS CUI [1]
C0003232

Similar models

RANIBIZUMAB ADMINISTRATION FELLOW EYE (MONTH 26) CRFs Roche FVF4168G Macular Edema NCT00473330

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
RANIBIZUMAB ADMINISTRATION FELLOW EYE (MONTH 26)
Item
Eye Treated:
integer
C0015392 (UMLS CUI [1])
Code List
Eye Treated:
CL Item
Right Eye  (1)
CL Item
Left Eye  (2)
CL Item
Not Done (3)
TX_RECEIVED (TXREC)
Item
Was treatment (Ranibizumab) administered?
boolean
C0013216 (UMLS CUI [1,1])
C1566537 (UMLS CUI [1,2])
LOT (LOT)
Item
Record Lot # Administered:
text
C1115660 (UMLS CUI [1])
TREATMENT_DATE (TXDT, TXDTF)
Item
Date Administered:
date
C1566537 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
TIME_ADMINISTERED (TXTM)
Item
Time Administered:
time
C1566537 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
LIDOCAINE (LDCON)
Item
Was lidocaine injection administered?
boolean
C0023660 (UMLS CUI [1])
ANTIBIOTICS_CURRENT (ABXCR)
Item
Were preoperative antimicrobials given?
boolean
C0003232 (UMLS CUI [1])

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