ID

25940

Beskrivning

Study ID: 101468/169 Clinical Study ID: 101468/169 Study Title:A Phase III, Randomised, Double-blind, Placebo-controlled, Parallel Group Study of Six Months Treatment with Ropinirole CR as Adjunctive Therapy in Patients with Parkinson's Disease who are not Optimally Controlled on L-dopa Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00381472 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: phase 3 Study Recruitment Status: Completed Generic Name: ropinirole Trade Name: Zygara,ZIPEREVE,ZEPREVE,Requip Depot,REQUIP,REPREVE,Modutab,ADARTREL Study Indication: Parkinson Disease This is the L-Dopa Medication form.

Nyckelord

  1. 2017-09-17 2017-09-17 -
  2. 2017-09-28 2017-09-28 -
Uppladdad den

28 september 2017

DOI

För en begäran logga in.

Licens

Creative Commons BY-NC 3.0

Modellkommentarer :

Här kan du kommentera modellen. Med hjälp av pratbubblor i Item-grupperna och Item kan du lägga in specifika kommentarer.

Itemgroup-kommentar för :

Item-kommentar för :

Du måste vara inloggad för att kunna ladda ner formulär. Var vänlig logga in eller registrera dig utan kostnad.

GSK Ropinirole in Patients Suffering from Parkinsons Disease L-Dopa Medication 101468/169 NCT00381472

GSK Ropinirole in Patients Suffering from Parkinsons Disease L-Dopa Medication 101468/169 NCT00381472

L-DOPA MEDICATION
Beskrivning

L-DOPA MEDICATION

Alias
UMLS CUI-1
C0023570
Was any L-Dopa taken by the subject during the study or within 30 days prior to the study? If Yes, record each instance below.
Beskrivning

Was any L-Dopa taken by the subject during the study or within 30 days prior to the study?

Datatyp

boolean

Alias
UMLS CUI [1]
C0023570
Drug Name
Beskrivning

Drug Name

Datatyp

text

Alias
UMLS CUI [1,1]
C0023570
UMLS CUI [1,2]
C0013227
Unit Dose
Beskrivning

Unit Dose

Datatyp

text

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0023570
UMLS CUI [1,3]
C0869039
Units
Beskrivning

Units

Datatyp

text

Alias
UMLS CUI [1,1]
C1519795
UMLS CUI [1,2]
C0013227
UMLS CUI [1,3]
C0023570
Frequency
Beskrivning

Frequency

Datatyp

text

Alias
UMLS CUI [1,1]
C1519795
UMLS CUI [1,2]
C0013227
UMLS CUI [1,3]
C0023570
Route
Beskrivning

Route

Datatyp

text

Alias
UMLS CUI [1,1]
C0013153
UMLS CUI [1,2]
C0023570
UMLS CUI [1,3]
C0013227
Reason for Medication
Beskrivning

Reason for Medication

Datatyp

text

Alias
UMLS CUI [1,1]
C0392360
UMLS CUI [1,2]
C0013227
UMLS CUI [1,3]
C0023570
Start Date
Beskrivning

Start Date

Datatyp

date

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0808070
UMLS CUI [1,3]
C0023570
Stop Date
Beskrivning

Stop Date

Datatyp

date

Alias
UMLS CUI [1,1]
C0806020
UMLS CUI [1,2]
C0023570
Ongoing Medication?
Beskrivning

Ongoing Medication?

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0549178
UMLS CUI [1,2]
C0023570

Similar models

GSK Ropinirole in Patients Suffering from Parkinsons Disease L-Dopa Medication 101468/169 NCT00381472

Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
L-DOPA MEDICATION
C0023570 (UMLS CUI-1)
Was any L-Dopa taken by the subject during the study or within 30 days prior to the study?
Item
Was any L-Dopa taken by the subject during the study or within 30 days prior to the study? If Yes, record each instance below.
boolean
C0023570 (UMLS CUI [1])
Drug Name
Item
Drug Name
text
C0023570 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
Unit Dose
Item
Unit Dose
text
C0013227 (UMLS CUI [1,1])
C0023570 (UMLS CUI [1,2])
C0869039 (UMLS CUI [1,3])
Item
Units
text
C1519795 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
C0023570 (UMLS CUI [1,3])
Code List
Units
CL Item
Tablet (TAB)
CL Item
Microlitre (MCL)
CL Item
Millilitre (ML)
CL Item
Litre (L)
CL Item
Microgram (MCG)
CL Item
Milligram (MG)
CL Item
Gram (G)
Item
Frequency
text
C1519795 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
C0023570 (UMLS CUI [1,3])
Code List
Frequency
CL Item
1x Daily (OD)
CL Item
2x Daily (BID)
CL Item
3x Daily (TID)
CL Item
4x Daily (QID)
CL Item
As required (PRN)
Item
Route
text
C0013153 (UMLS CUI [1,1])
C0023570 (UMLS CUI [1,2])
C0013227 (UMLS CUI [1,3])
Code List
Route
CL Item
Intramuscular (IM)
CL Item
Inhalation (IH)
CL Item
Intravenous (IV)
CL Item
Nasal (NS)
CL Item
Topical (TP)
CL Item
Oral (PO)
CL Item
Vaginal (VG)
Reason for Medication
Item
Reason for Medication
text
C0392360 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
C0023570 (UMLS CUI [1,3])
Start Date
Item
Start Date
date
C0013227 (UMLS CUI [1,1])
C0808070 (UMLS CUI [1,2])
C0023570 (UMLS CUI [1,3])
Stop Date
Item
Stop Date
date
C0806020 (UMLS CUI [1,1])
C0023570 (UMLS CUI [1,2])
Ongoing Medication?
Item
Ongoing Medication?
boolean
C0549178 (UMLS CUI [1,1])
C0023570 (UMLS CUI [1,2])

Använd detta formulär för feedback, frågor och förslag på förbättringar.

Fält markerade med * är obligatoriska.

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