ID

25337

Description

Study part: Eligibility Review 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 (2)
  1. 9/1/17 9/1/17 -
  2. 6/18/19 6/18/19 -
Copyright Holder

GlaxoSmithKline

Uploaded on

September 1, 2017

DOI

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License

Creative Commons BY-NC 3.0
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Eligibility Review Screening Ropinirole Restless Legs Syndrome 101468/201

English

Eligibility Review Screening

1 forms  
ELIGIBILITY REVIEW
Description

ELIGIBILITY REVIEW

Alias
UMLS CUI-1
C0013893
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
Has subject met all inclusion/exclusion criteria?
Description

eligibility determination

Data type

boolean

Alias
UMLS CUI [1]
C0013893
Is subject suitable for inclusion?
Description

inclusion

Data type

boolean

Alias
UMLS CUI [1]
C1512693
Is subject included?
Description

study subject participation status

Data type

boolean

Alias
UMLS CUI [1]
C2348568
If ‘No’, comment:
Description

comment

Data type

text

Alias
UMLS CUI [1]
C0947611
Investigator
Description

Investigator

Data type

text

Alias
UMLS CUI [1]
C2826892
Date
Description

Date

Data type

date

Alias
UMLS CUI [1]
C0011008
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Similar models

Eligibility Review Screening

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
ELIGIBILITY REVIEW
C0013893 (UMLS CUI-1)
identification number
Item
Volunteer panel number
integer
C1300638 (UMLS CUI [1])
Subject number
Item
Subject number
integer
C2348585 (UMLS CUI [1])
eligibility determination
Item
Has subject met all inclusion/exclusion criteria?
boolean
C0013893 (UMLS CUI [1])
inclusion
Item
Is subject suitable for inclusion?
boolean
C1512693 (UMLS CUI [1])
study subject participation status
Item
Is subject included?
boolean
C2348568 (UMLS CUI [1])
comment
Item
If ‘No’, comment:
text
C0947611 (UMLS CUI [1])
Investigator
Item
Investigator
text
C2826892 (UMLS CUI [1])
Date
Item
Date
date
C0011008 (UMLS CUI [1])
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