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

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License

Creative Commons BY-NC 3.0
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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

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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)
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