0 Ratings
ID

25312

Description

Study part: Significant Medical/ Surgical History And Physical Examination Screening. A Single Blind, Parallel Group, Up-titration, Phase 1 Study in Healthy Volunteers to Determine a Starting Dose and Select an Up-titration Regimen for a new Formulation of Ropinirole. Patient Level Data: Study Listed on ClinicalStudyDataRequest.com. Phase: phase 1. 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: 101468/201. Clinical Study ID: 101468/201

Keywords

Versions (4)
  1. 9/1/17 9/1/17 -
  2. 6/18/19 6/18/19 -
  3. 6/18/19 6/18/19 -
  4. 9/17/21 9/17/21 -
Copyright Holder

GlaxoSmithKline

Uploaded on

September 1, 2017

DOI

To request one please log in.

License

Creative Commons BY-NC 3.0
Model comments :

You can comment on the data model here. Via the speech bubbles at the itemgroups and items you can add comments to those specificially.

Back to model comments
Itemgroup comments for :

Item comments for :

  • Newest
  • Oldest
  • Popular
  • Newest
    • Newest
    • Oldest
    • Popular

    No comments

    In order to download data models you must be logged in. Please log in or register for free.

    Significant Medical/ Surgical History And Physical Examination Screening Ropinirole Restless Legs Syndrome 101468/201

    English

    Significant Medical/ Surgical History And Physical Examination Screening

    1 forms  
    SIGNIFICANT MEDICAL/SURGICAL HISTORY AND PHYSICAL EXAMINATION
    Description

    SIGNIFICANT MEDICAL/SURGICAL HISTORY AND PHYSICAL EXAMINATION

    Alias
    UMLS CUI-1
    C0262926
    UMLS CUI-2
    C0031809
    Volunteer panel number
    Description

    identification number

    Data type

    integer

    Alias
    UMLS CUI [1]
    C1300638
    Subject number
    Description

    Subject number

    Data type

    integer

    Alias
    UMLS CUI [1]
    C2348585
    Is the subject suffering from or has he/she ever suffered from any significant medical or surgical condition?
    Description

    medical condition; surgery

    Data type

    boolean

    Alias
    UMLS CUI [1]
    C1699700
    UMLS CUI [2]
    C0543467
    Diagnosis
    Description

    Diagnosis

    Data type

    text

    Alias
    UMLS CUI [1]
    C0011900
    Year of first diagnosis
    Description

    Year of diagnosis

    Data type

    partialDate

    Alias
    UMLS CUI [1,1]
    C0439234
    UMLS CUI [1,2]
    C0011900
    Medical condition
    Description

    medical condition

    Data type

    text

    Back to the top of the page

    Similar models

    Significant Medical/ Surgical History And Physical Examination Screening

    1 forms
    Name
    Type
    Description | Question | Decode (Coded Value)
    Data type
    Alias
    Item Group
    SIGNIFICANT MEDICAL/SURGICAL HISTORY AND PHYSICAL EXAMINATION
    C0262926 (UMLS CUI-1)
    C0031809 (UMLS CUI-2)
    identification number
    Item
    Volunteer panel number
    integer
    C1300638 (UMLS CUI [1])
    Subject number
    Item
    Subject number
    integer
    C2348585 (UMLS CUI [1])
    medical condition; surgery
    Item
    Is the subject suffering from or has he/she ever suffered from any significant medical or surgical condition?
    boolean
    C1699700 (UMLS CUI [1])
    C0543467 (UMLS CUI [2])
    Diagnosis
    Item
    Diagnosis
    text
    C0011900 (UMLS CUI [1])
    Year of diagnosis
    Item
    Year of first diagnosis
    partialDate
    C0439234 (UMLS CUI [1,1])
    C0011900 (UMLS CUI [1,2])
    Item
    Medical condition
    text
    medical condition
    Code List
    Medical condition
    CL Item
    Past (Past)
    CL Item
    Ongoing (Ongoing)
    Back to the top of the page 

    Help

    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