ID

25466

Beschrijving

Study ID: 101468/166 Clinical Study ID: SKF-101468/166 Study Title: A Phase II, randomised, double-blind, active-controlled, dose-escalation study to determine the maximum well-tolerated starting dose of a new formulation of ropinirole in Parkinson's Disease patients not receiving other dopaminergic therapies Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: Sponsor: GlaxoSmithKline Collaborators: N/A Phase: phase 2 Study Recruitment Status: Completed Generic Name: ropinirole Trade Name: requip Study Indication: Parkinson Disease

Trefwoorden

Versies (4)
  1. 17-08-17 17-08-17 -
  2. 23-08-17 23-08-17 -
  3. 04-09-17 04-09-17 -
  4. 04-09-17 04-09-17 -
Geüploaded op

4 september 2017

DOI

Voor een aanvraag inloggen.

Licentie

Creative Commons BY-NC 3.0
Model Commentaren :

Hier kunt u commentaar leveren op het model. U kunt de tekstballonnen bij de itemgroepen en items gebruiken om er specifiek commentaar op te geven.

Terug naar het model Commentaren
Itemgroep Commentaren voor :

Item Commentaren voor :

U moet ingelogd zijn om formulieren te downloaden. AUB inloggen of schrijf u gratis in.

visit 1 & 4 laboratory evaluation urinalysis starting dose of ropinirole Parkinson's Disease 101468/166

Engels

visit 1 & 4 laboratory evaluation urinalysis starting dose of ropinirole Parkinson's Disease 101468/166

1 Formulieren  
Administrative Data
Beschrijving

Administrative Data

Alias
UMLS CUI-1
C1320722
Patient Initials
Beschrijving

patient's initials

Datatype

text

Alias
UMLS CUI [1]
C2986440
Patient No.
Beschrijving

patient number

Datatype

integer

Alias
UMLS CUI [1]
C1830427
Number of Visit
Beschrijving

Number of Visit

Alias
UMLS CUI-1
C1549755
Number of Visit
Beschrijving

number of visit

Datatype

integer

Alias
UMLS CUI [1]
C1549755
URINALYSIS
Beschrijving

URINALYSIS

Alias
UMLS CUI-1
C0042014
URINALYSIS
Beschrijving

If not "Not Done", record the date of sample taking below.

Datatype

text

Alias
UMLS CUI [1]
C0042014
Date of Sample
Beschrijving

If not "Not Done" above, fulfill this item.

Datatype

date

Alias
UMLS CUI [1,1]
C0005834
UMLS CUI [1,2]
C0011008
pH
Beschrijving

pH

Alias
UMLS CUI-1
C0042044
Result
Beschrijving

Numeric only

Datatype

integer

Alias
UMLS CUI [1]
C1274040
Clin Sig
Beschrijving

If result is clincally significant, enter a tickmark here. Otherwise leave this field empty.

Datatype

text

Protein
Beschrijving

Protein

Alias
UMLS CUI-1
C0262923
Result
Beschrijving

Numeric only

Datatype

integer

Alias
UMLS CUI [1]
C1274040
Clin Sig
Beschrijving

If result is clincally significant, enter a tickmark here. Otherwise leave this field empty.

Datatype

text

Glucose
Beschrijving

Glucose

Alias
UMLS CUI-1
C0004076
Result
Beschrijving

Numeric only

Datatype

integer

Alias
UMLS CUI [1]
C1274040
Clin Sig
Beschrijving

If result is clincally significant, enter a tickmark here. Otherwise leave this field empty.

Datatype

text

Blood
Beschrijving

Blood

Alias
UMLS CUI-1
C0018965
Result
Beschrijving

Numeric only

Datatype

integer

Alias
UMLS CUI [1]
C1274040
Clin Sig
Beschrijving

If result is clincally significant, enter a tickmark here. Otherwise leave this field empty.

Datatype

text

Bilirubin
Beschrijving

Bilirubin

Alias
UMLS CUI-1
C0042040
Result
Beschrijving

Numeric only

Datatype

integer

Alias
UMLS CUI [1]
C1274040
Clin Sig
Beschrijving

If result is clincally significant, enter a tickmark here. Otherwise leave this field empty.

Datatype

text

Terug naar het begin van de pagina

Similar models

visit 1 & 4 laboratory evaluation urinalysis starting dose of ropinirole Parkinson's Disease 101468/166

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
patient's initials
Item
Patient Initials
text
C2986440 (UMLS CUI [1])
patient number
Item
Patient No.
integer
C1830427 (UMLS CUI [1])
Item Group
Number of Visit
C1549755 (UMLS CUI-1)
Item
Number of Visit
integer
C1549755 (UMLS CUI [1])
number of visit
Code List
Number of Visit
CL Item
Study Period Visit 1 (Day -14-0) (1)
CL Item
Study Period VIsit 4 (Day 8) (2)
Item Group
URINALYSIS
C0042014 (UMLS CUI-1)
Item
URINALYSIS
text
C0042014 (UMLS CUI [1])
hematology
Code List
URINALYSIS
CL Item
Not Done (Not Done)
CL Item
Done (Done)
date of sample
Item
Date of Sample
date
C0005834 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item Group
pH
C0042044 (UMLS CUI-1)
result
Item
Result
integer
C1274040 (UMLS CUI [1])
Item
Clin Sig
text
clinically significant
Code List
Clin Sig
CL Item
Clin Sig (Clin Sig)
Item Group
Protein
C0262923 (UMLS CUI-1)
result
Item
Result
integer
C1274040 (UMLS CUI [1])
Item
Clin Sig
text
clinically significant
Code List
Clin Sig
CL Item
Clin Sig (Clin Sig)
Item Group
Glucose
C0004076 (UMLS CUI-1)
result
Item
Result
integer
C1274040 (UMLS CUI [1])
Item
Clin Sig
text
clinically significant
Code List
Clin Sig
CL Item
Clin Sig (Clin Sig)
Item Group
Blood
C0018965 (UMLS CUI-1)
result
Item
Result
integer
C1274040 (UMLS CUI [1])
Item
Clin Sig
text
clinically significant
Code List
Clin Sig
CL Item
Clin Sig (Clin Sig)
Item Group
Bilirubin
C0042040 (UMLS CUI-1)
result
Item
Result
integer
C1274040 (UMLS CUI [1])
Item
Clin Sig
text
clinically significant
Code List
Clin Sig
CL Item
Clin Sig (Clin Sig)
Terug naar het begin van de pagina 

Contact

Gebruik dit formulier voor feedback, vragen en verbeteringsvoorstellen.

Velden gemarkeerd met een * zijn verplicht.

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