ID

24095

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 (2)
  1. 7/3/17 7/3/17 -
  2. 7/25/17 7/25/17 -
Uploaded on

July 25, 2017

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License

Creative Commons BY-NC 3.0
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RECAPTURE PHASE ENTRY (UNSCHEDULED) CRFs Roche FVF4168G Macular Edema NCT00473330

English

RECAPTURE PHASE ENTRY (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
RECAPTURE PHASE ENTRY (UNSCHEDULED)
Description

RECAPTURE PHASE ENTRY (UNSCHEDULED)

Visit the Subject was Recaptured:
Description

RECAPTURE_MONTH [RCAPMO]

Data type

integer

Measurement units
  • Visit Month
Alias
UMLS CUI [1]
C3846158
Visit Month
Date Subject Signed Recapture Informed Consent:
Description

INFORM_CONSENT_DT [ICDT, ICDTF]

Data type

date

Measurement units
  • DD/MMM/YY
Alias
UMLS CUI [1]
C0021430
DD/MMM/YY
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Similar models

RECAPTURE PHASE ENTRY (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
RECAPTURE PHASE ENTRY (UNSCHEDULED)
RECAPTURE_MONTH [RCAPMO]
Item
Visit the Subject was Recaptured:
integer
C3846158 (UMLS CUI [1])
INFORM_CONSENT_DT [ICDT, ICDTF]
Item
Date Subject Signed Recapture Informed Consent:
date
C0021430 (UMLS CUI [1])
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