ID

23304

Beskrivning

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

Nyckelord

  1. 2017-07-02 2017-07-02 -
Rättsinnehavare

Genentech, Inc.

Uppladdad den

2 juli 2017

DOI

För en begäran logga in.

Licens

Creative Commons BY-NC 3.0

Modellkommentarer :

Här kan du kommentera modellen. Med hjälp av pratbubblor i Item-grupperna och Item kan du lägga in specifika kommentarer.

Itemgroup-kommentar för :

Item-kommentar för :


Inga kommentarer

Du måste vara inloggad för att kunna ladda ner formulär. Var vänlig logga in eller registrera dig utan kostnad.

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
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
RANIBIZUMAB ADMINISTRATION FELLOW EYE (MONTH 26)
Beskrivning

RANIBIZUMAB ADMINISTRATION FELLOW EYE (MONTH 26)

Eye Treated:
Beskrivning

EYE (EYE)

Datatyp

integer

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

TX_RECEIVED (TXREC)

Datatyp

boolean

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

If Yes,

Datatyp

text

Alias
UMLS CUI [1]
C1115660
Date Administered:
Beskrivning

TREATMENT_DATE (TXDT, TXDTF)

Datatyp

date

Måttenheter
  • DD/MMM/YY
Alias
UMLS CUI [1,1]
C1566537
UMLS CUI [1,2]
C0011008
DD/MMM/YY
Time Administered:
Beskrivning

TIME_ADMINISTERED (TXTM)

Datatyp

time

Måttenheter
  • 24 hr clock
Alias
UMLS CUI [1,1]
C1566537
UMLS CUI [1,2]
C0011008
24 hr clock
Was lidocaine injection administered?
Beskrivning

LIDOCAINE (LDCON)

Datatyp

boolean

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

ANTIBIOTICS_CURRENT (ABXCR)

Datatyp

boolean

Alias
UMLS CUI [1]
C0003232

Similar models

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

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
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])

Använd detta formulär för feedback, frågor och förslag på förbättringar.

Fält markerade med * är obligatoriska.

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