ID

24526

Description

Study part: 12-LEAD ECG. A 52-Week, Open-Label Study to Assess the Long-Term Safety of Ropinirole Extended Release (XR) in Patients with Restless Legs Syndrome (RLS). Patient Level Data: Study Listed on ClinicalStudyDataRequest.com. Clinicaltrials.gov Identifier: NCT00355641. 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. Study ID: 101468/206. Clinical Study ID: 101468/206.

Keywords

Versions (1)
  1. 8/4/17 8/4/17 -
Copyright Holder

GlaxoSmithKline

Uploaded on

August 4, 2017

DOI

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License

Creative Commons BY-NC 3.0
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12-LEAD ECG Ropinirole Restless Legs Syndrom NCT00355641

English

12-LEAD ECG

1 forms  
  1. StudyEvent: ODM
    1. 12-LEAD ECG
12-LEAD ECG
Description

12-LEAD ECG

Alias
UMLS CUI-1
C0430456
1. Date of ECG
Description

Date of ECG

Data type

date

Alias
UMLS CUI [1]
C2826640
2. Is this a repeat ECG?
Description

ECG repeat

Data type

boolean

Alias
UMLS CUI [1,1]
C1623258
UMLS CUI [1,2]
C0205341
If Yes, specify reason repeated
Description

Reason

Data type

text

Alias
UMLS CUI [1]
C0392360
3. Result of the ECG (Investigator's interpretation)
Description

ECG Result

Data type

integer

Alias
UMLS CUI [1,1]
C1623258
UMLS CUI [1,2]
C0456984
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Similar models

12-LEAD ECG

1 forms
  1. StudyEvent: ODM
    1. 12-LEAD ECG
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
12-LEAD ECG
C0430456 (UMLS CUI-1)
Date of ECG
Item
1. Date of ECG
date
C2826640 (UMLS CUI [1])
ECG repeat
Item
2. Is this a repeat ECG?
boolean
C1623258 (UMLS CUI [1,1])
C0205341 (UMLS CUI [1,2])
Item
If Yes, specify reason repeated
text
C0392360 (UMLS CUI [1])
Reason
Code List
If Yes, specify reason repeated
CL Item
Safety (Safety)
CL Item
Other (Other)
Item
3. Result of the ECG (Investigator's interpretation)
integer
C1623258 (UMLS CUI [1,1])
C0456984 (UMLS CUI [1,2])
ECG Result
Code List
3. Result of the ECG (Investigator's interpretation)
CL Item
Normal (1)
CL Item
Abnormal - Not clinically significant (2)
CL Item
Abnormal - Clinically significant (3)
CL Item
No result (not available) (4)
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