ID

24681

Beschreibung

Study part: Investigational Product Compliance (COMP). 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.

Stichworte

Versionen (1)
  1. 13.08.17 13.08.17 -
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GlaxoSmithKline

Hochgeladen am

13. August 2017

DOI

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Investigational Product Compliance (COMP) Ropinirole Restless Legs Syndrom NCT00355641

Englisch

Investigational Product Compliance (COMP)

1 Formulare  
TOTAL DAILY DOSE
Beschreibung

TOTAL DAILY DOSE

Alias
UMLS CUI-1
C2348070
1. Total Daily Dose
Beschreibung

Total Daily Dose

Datentyp

float

Maßeinheiten
  • mg
Alias
UMLS CUI [1]
C2348070
mg
FIRST TABLET STRENGTH
Beschreibung

FIRST TABLET STRENGTH

Alias
UMLS CUI-1
C1705922
2. First tablet strength
Beschreibung

Pharmaceutical Strength

Datentyp

text

Alias
UMLS CUI [1]
C1705922
3. Date Dispensed
Beschreibung

Date Dispensed

Datentyp

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0947323
4. Number Dispensed
Beschreibung

Number Dispensed

Datentyp

integer

Alias
UMLS CUI [1,1]
C0449788
UMLS CUI [1,2]
C0947323
5. Date Returned
Beschreibung

Date Returned

Datentyp

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0332156
6. Number Returned
Beschreibung

Number Returned

Datentyp

integer

Alias
UMLS CUI [1,1]
C0449788
UMLS CUI [1,2]
C0332156
7. Sequence number
Beschreibung

Sequence number

Datentyp

integer

Alias
UMLS CUI [1]
C2348184
SECOND TABLET STRENGTH
Beschreibung

SECOND TABLET STRENGTH

Alias
UMLS CUI-1
C1705922
8. Check if not applicable
Beschreibung

Not Applicable

Datentyp

boolean

Alias
UMLS CUI [1]
C1272460
9. First tablet strength
Beschreibung

Pharmaceutical Strength

Datentyp

text

Alias
UMLS CUI [1]
C1705922
10. Date Dispensed
Beschreibung

Date Dispensed

Datentyp

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0947323
11. Number Dispensed
Beschreibung

Number Dispensed

Datentyp

integer

Alias
UMLS CUI [1,1]
C0449788
UMLS CUI [1,2]
C0947323
12. Date Returned
Beschreibung

Date Returned

Datentyp

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0332156
13. Number Returned
Beschreibung

Number Returned

Datentyp

integer

Alias
UMLS CUI [1,1]
C0449788
UMLS CUI [1,2]
C0332156
14. Sequence number
Beschreibung

Sequence number

Datentyp

integer

Alias
UMLS CUI [1]
C2348184
THIRD TABLET STRENGTH
Beschreibung

THIRD TABLET STRENGTH

Alias
UMLS CUI-1
C1705922
15. Check if not applicable
Beschreibung

Not Applicable

Datentyp

boolean

Alias
UMLS CUI [1]
C1272460
16. Third tablet strength
Beschreibung

Pharmaceutical Strength

Datentyp

text

Alias
UMLS CUI [1]
C1705922
17. Date Dispensed
Beschreibung

Date Dispensed

Datentyp

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0947323
18. Number Dispensed
Beschreibung

Number Dispensed

Datentyp

integer

Alias
UMLS CUI [1,1]
C0449788
UMLS CUI [1,2]
C0947323
19. Date Returned
Beschreibung

Date Returned

Datentyp

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0332156
20. Number Returned
Beschreibung

Number Returned

Datentyp

integer

Alias
UMLS CUI [1,1]
C0449788
UMLS CUI [1,2]
C0332156
21. Sequence number
Beschreibung

Sequence number

Datentyp

integer

Alias
UMLS CUI [1]
C2348184
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Ähnliche Modelle

Investigational Product Compliance (COMP)

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
TOTAL DAILY DOSE
C2348070 (UMLS CUI-1)
Total Daily Dose
Item
1. Total Daily Dose
float
C2348070 (UMLS CUI [1])
Item Group
FIRST TABLET STRENGTH
C1705922 (UMLS CUI-1)
Pharmaceutical Strength
Item
2. First tablet strength
text
C1705922 (UMLS CUI [1])
Date Dispensed
Item
3. Date Dispensed
date
C0011008 (UMLS CUI [1,1])
C0947323 (UMLS CUI [1,2])
Number Dispensed
Item
4. Number Dispensed
integer
C0449788 (UMLS CUI [1,1])
C0947323 (UMLS CUI [1,2])
Date Returned
Item
5. Date Returned
date
C0011008 (UMLS CUI [1,1])
C0332156 (UMLS CUI [1,2])
Number Returned
Item
6. Number Returned
integer
C0449788 (UMLS CUI [1,1])
C0332156 (UMLS CUI [1,2])
Sequence number
Item
7. Sequence number
integer
C2348184 (UMLS CUI [1])
Item Group
SECOND TABLET STRENGTH
C1705922 (UMLS CUI-1)
Not Applicable
Item
8. Check if not applicable
boolean
C1272460 (UMLS CUI [1])
Pharmaceutical Strength
Item
9. First tablet strength
text
C1705922 (UMLS CUI [1])
Date Dispensed
Item
10. Date Dispensed
date
C0011008 (UMLS CUI [1,1])
C0947323 (UMLS CUI [1,2])
Number Dispensed
Item
11. Number Dispensed
integer
C0449788 (UMLS CUI [1,1])
C0947323 (UMLS CUI [1,2])
Date Returned
Item
12. Date Returned
date
C0011008 (UMLS CUI [1,1])
C0332156 (UMLS CUI [1,2])
Number Returned
Item
13. Number Returned
integer
C0449788 (UMLS CUI [1,1])
C0332156 (UMLS CUI [1,2])
Sequence number
Item
14. Sequence number
integer
C2348184 (UMLS CUI [1])
Item Group
THIRD TABLET STRENGTH
C1705922 (UMLS CUI-1)
Not Applicable
Item
15. Check if not applicable
boolean
C1272460 (UMLS CUI [1])
Pharmaceutical Strength
Item
16. Third tablet strength
text
C1705922 (UMLS CUI [1])
Date Dispensed
Item
17. Date Dispensed
date
C0011008 (UMLS CUI [1,1])
C0947323 (UMLS CUI [1,2])
Number Dispensed
Item
18. Number Dispensed
integer
C0449788 (UMLS CUI [1,1])
C0947323 (UMLS CUI [1,2])
Date Returned
Item
19. Date Returned
date
C0011008 (UMLS CUI [1,1])
C0332156 (UMLS CUI [1,2])
Number Returned
Item
20. Number Returned
integer
C0449788 (UMLS CUI [1,1])
C0332156 (UMLS CUI [1,2])
Sequence number
Item
21. Sequence number
integer
C2348184 (UMLS CUI [1])
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