ID

24527

Description

Study part: Substance Use. 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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Substance Use (SUBUSE) Ropinirole Restless Legs Syndrom NCT00355641

English

Substance Use

1 forms  
  1. StudyEvent: ODM
    1. Substance Use
SUBSTANCE USE
Description

SUBSTANCE USE

Alias
UMLS CUI-1
C0038586
1. Does the subject consume alcohol?
Description

alcohol consumption

Data type

boolean

Alias
UMLS CUI [1]
C0001948
If yes, record the average number of units of alcohol consumed per week
Description

alcohol consumption per week

Data type

integer

Alias
UMLS CUI [1,1]
C0001948
UMLS CUI [1,2]
C0332174
2. Does the subject consume caffeine (coffee, tea, other caffeinated substances)?
Description

caffeine consumption

Data type

boolean

Alias
UMLS CUI [1]
C0948365
If Yes, record the average number of units of caffeine consumed per day
Description

caffeine consumption

Data type

integer

Alias
UMLS CUI [1,1]
C0948365
UMLS CUI [1,2]
C0439505
3. Does the subject currently smoke/use tobacco?
Description

Tobacco use

Data type

boolean

Alias
UMLS CUI [1]
C0543414
3. If Yes, record the average number of cigarettes (or equivalent) smoked per day
Description

Tobacco use per day

Data type

integer

Alias
UMLS CUI [1,1]
C0543414
UMLS CUI [1,2]
C0439505
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Similar models

Substance Use

1 forms
  1. StudyEvent: ODM
    1. Substance Use
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
SUBSTANCE USE
C0038586 (UMLS CUI-1)
alcohol consumption
Item
1. Does the subject consume alcohol?
boolean
C0001948 (UMLS CUI [1])
alcohol consumption per week
Item
If yes, record the average number of units of alcohol consumed per week
integer
C0001948 (UMLS CUI [1,1])
C0332174 (UMLS CUI [1,2])
caffeine consumption
Item
2. Does the subject consume caffeine (coffee, tea, other caffeinated substances)?
boolean
C0948365 (UMLS CUI [1])
caffeine consumption
Item
If Yes, record the average number of units of caffeine consumed per day
integer
C0948365 (UMLS CUI [1,1])
C0439505 (UMLS CUI [1,2])
Tobacco use
Item
3. Does the subject currently smoke/use tobacco?
boolean
C0543414 (UMLS CUI [1])
Tobacco use per day
Item
3. If Yes, record the average number of cigarettes (or equivalent) smoked per day
integer
C0543414 (UMLS CUI [1,1])
C0439505 (UMLS CUI [1,2])
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