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25947

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PRIOR RLS TREATMENT MEDICATIONS Ropinirole Case Report Form GSK Study ID: 100013 Clinical Study ID: RRL100013 A 12-Week, Double-Blind, Placebo-Controlled, Twice-Daily Dosing Study to Assess the Efficacy and Safety of Ropinirole in Patients Suffering from Restless Legs Syndrome (RLS) Requiring Extended Treatment Coverage

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  1. 30-09-17 30-09-17 -
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    PRIOR RLS TREATMENT MEDICATIONS Ropinirole Case Report Form GSK RRL100013

    Engels

    PRIOR RLS TREATMENT MEDICATIONS Ropinirole Case Report Form GSK RRL100013

    1 Formulieren  
    RLS CONCOMITANT MEDICATIONS
    Beschrijving

    RLS CONCOMITANT MEDICATIONS

    Alias
    UMLS CUI-1
    C2347852
    Cabergoline. Was drug ever used?
    Beschrijving

    cabergoline

    Datatype

    boolean

    Alias
    UMLS CUI [1]
    C0107994
    Start Date:
    Beschrijving

    Start Date

    Datatype

    date

    Alias
    UMLS CUI [1]
    C0808070
    End Date:
    Beschrijving

    End Date

    Datatype

    date

    Alias
    UMLS CUI [1]
    C0806020
    Did the subject respond to treatment?
    Beschrijving

    respond to treatment

    Datatype

    boolean

    Alias
    UMLS CUI [1]
    C0150839
    Did the subject tolerate treatment?
    Beschrijving

    tolerate treatment

    Datatype

    boolean

    Alias
    UMLS CUI [1]
    C0013220
    Pergolide. Was drug ever used?
    Beschrijving

    Pergolide

    Datatype

    boolean

    Alias
    UMLS CUI [1]
    C0031007
    Start Date:
    Beschrijving

    Start Date

    Datatype

    date

    Alias
    UMLS CUI [1]
    C0808070
    End Date:
    Beschrijving

    End Date

    Datatype

    date

    Alias
    UMLS CUI [1]
    C0806020
    Did the subject respond to treatment?
    Beschrijving

    respond to treatment

    Datatype

    boolean

    Alias
    UMLS CUI [1]
    C0150839
    Did the subject tolerate treatment?
    Beschrijving

    tolerate treatment

    Datatype

    boolean

    Alias
    UMLS CUI [1]
    C0013220
    lisuride. Was drug ever used?
    Beschrijving

    lisuride

    Datatype

    boolean

    Alias
    UMLS CUI [1]
    C0023863
    Start Date:
    Beschrijving

    Start Date

    Datatype

    date

    Alias
    UMLS CUI [1]
    C0808070
    End Date:
    Beschrijving

    End Date

    Datatype

    date

    Alias
    UMLS CUI [1]
    C0806020
    Did the subject respond to treatment?
    Beschrijving

    respond to treatment

    Datatype

    boolean

    Alias
    UMLS CUI [1]
    C0150839
    Did the subject tolerate treatment?
    Beschrijving

    tolerate treatment

    Datatype

    boolean

    Alias
    UMLS CUI [1]
    C0013220
    Bromocriptine. Was drug ever used?
    Beschrijving

    bromocriptine

    Datatype

    boolean

    Alias
    UMLS CUI [1]
    C0006230
    Start Date:
    Beschrijving

    Start Date

    Datatype

    date

    Alias
    UMLS CUI [1]
    C0808070
    End Date:
    Beschrijving

    End Date

    Datatype

    date

    Alias
    UMLS CUI [1]
    C0806020
    Did the subject respond to treatment?
    Beschrijving

    respond to treatment

    Datatype

    boolean

    Alias
    UMLS CUI [1]
    C0150839
    Did the subject tolerate treatment?
    Beschrijving

    tolerate treatment

    Datatype

    boolean

    Alias
    UMLS CUI [1]
    C0013220
    Pramipexole. Was drug ever used?
    Beschrijving

    pramipexole

    Datatype

    boolean

    Alias
    UMLS CUI [1]
    C0074710
    Start Date:
    Beschrijving

    Start Date

    Datatype

    date

    Alias
    UMLS CUI [1]
    C0808070
    End Date:
    Beschrijving

    End Date

    Datatype

    date

    Alias
    UMLS CUI [1]
    C0806020
    Did the subject respond to treatment?
    Beschrijving

    respond to treatment

    Datatype

    boolean

    Alias
    UMLS CUI [1]
    C0150839
    Did the subject tolerate treatment?
    Beschrijving

    tolerate treatment

    Datatype

    boolean

    Alias
    UMLS CUI [1]
    C0013220
    Levodopa
    Beschrijving

    Levodopa

    Datatype

    boolean

    Alias
    UMLS CUI [1]
    C0023570
    Start Date:
    Beschrijving

    Start Date

    Datatype

    date

    Alias
    UMLS CUI [1]
    C0808070
    End Date:
    Beschrijving

    End Date

    Datatype

    date

    Alias
    UMLS CUI [1]
    C0806020
    Did the subject respond to treatment?
    Beschrijving

    respond to treatment

    Datatype

    boolean

    Alias
    UMLS CUI [1]
    C0150839
    Did the subject tolerate treatment?
    Beschrijving

    tolerate treatment

    Datatype

    boolean

    Alias
    UMLS CUI [1]
    C0013220
    Other RLS medications
    Beschrijving

    Other RLS medications

    Alias
    UMLS CUI-1
    C2347852
    Drug name
    Beschrijving

    Drug name

    Datatype

    text

    Alias
    UMLS CUI [1]
    C0013227
    Modified reported term
    Beschrijving

    Modified reported term

    Datatype

    text

    Alias
    UMLS CUI [1]
    C2826819
    GSK Drug synonym
    Beschrijving

    Drug synonym

    Datatype

    text

    Alias
    UMLS CUI [1,1]
    C0013227
    UMLS CUI [1,2]
    C0871468
    GSK Drug Collection code
    Beschrijving

    Drug Collection code

    Datatype

    text

    Alias
    UMLS CUI [1,1]
    C0013227
    UMLS CUI [1,2]
    C1516698
    UMLS CUI [1,3]
    C0805701
    Failed coding
    Beschrijving

    Failed coding Concomitant Agent

    Datatype

    text

    Alias
    UMLS CUI [1,1]
    C0805701
    UMLS CUI [1,2]
    C0231175
    UMLS CUI [1,3]
    C2347852
    Start Date
    Beschrijving

    Start Date

    Datatype

    date

    Alias
    UMLS CUI [1]
    C0808070
    End Date
    Beschrijving

    End Date

    Datatype

    date

    Alias
    UMLS CUI [1]
    C0806020
    Did the subject respond to treatment?
    Beschrijving

    respond to treatment

    Datatype

    boolean

    Alias
    UMLS CUI [1]
    C0150839
    Did the subject tolerate treatment?
    Beschrijving

    tolerate treatment

    Datatype

    boolean

    Alias
    UMLS CUI [1]
    C0013220
    Terug naar het begin van de pagina

    Similar models

    PRIOR RLS TREATMENT MEDICATIONS Ropinirole Case Report Form GSK RRL100013

    1 Formulieren
    Name
    Type
    Description | Question | Decode (Coded Value)
    Datatype
    Alias
    Item Group
    RLS CONCOMITANT MEDICATIONS
    C2347852 (UMLS CUI-1)
    cabergoline
    Item
    Cabergoline. Was drug ever used?
    boolean
    C0107994 (UMLS CUI [1])
    Start Date
    Item
    Start Date:
    date
    C0808070 (UMLS CUI [1])
    End Date
    Item
    End Date:
    date
    C0806020 (UMLS CUI [1])
    respond to treatment
    Item
    Did the subject respond to treatment?
    boolean
    C0150839 (UMLS CUI [1])
    tolerate treatment
    Item
    Did the subject tolerate treatment?
    boolean
    C0013220 (UMLS CUI [1])
    Pergolide
    Item
    Pergolide. Was drug ever used?
    boolean
    C0031007 (UMLS CUI [1])
    Start Date
    Item
    Start Date:
    date
    C0808070 (UMLS CUI [1])
    End Date
    Item
    End Date:
    date
    C0806020 (UMLS CUI [1])
    respond to treatment
    Item
    Did the subject respond to treatment?
    boolean
    C0150839 (UMLS CUI [1])
    tolerate treatment
    Item
    Did the subject tolerate treatment?
    boolean
    C0013220 (UMLS CUI [1])
    lisuride
    Item
    lisuride. Was drug ever used?
    boolean
    C0023863 (UMLS CUI [1])
    Start Date
    Item
    Start Date:
    date
    C0808070 (UMLS CUI [1])
    End Date
    Item
    End Date:
    date
    C0806020 (UMLS CUI [1])
    respond to treatment
    Item
    Did the subject respond to treatment?
    boolean
    C0150839 (UMLS CUI [1])
    tolerate treatment
    Item
    Did the subject tolerate treatment?
    boolean
    C0013220 (UMLS CUI [1])
    bromocriptine
    Item
    Bromocriptine. Was drug ever used?
    boolean
    C0006230 (UMLS CUI [1])
    Start Date
    Item
    Start Date:
    date
    C0808070 (UMLS CUI [1])
    End Date
    Item
    End Date:
    date
    C0806020 (UMLS CUI [1])
    respond to treatment
    Item
    Did the subject respond to treatment?
    boolean
    C0150839 (UMLS CUI [1])
    tolerate treatment
    Item
    Did the subject tolerate treatment?
    boolean
    C0013220 (UMLS CUI [1])
    pramipexole
    Item
    Pramipexole. Was drug ever used?
    boolean
    C0074710 (UMLS CUI [1])
    Start Date
    Item
    Start Date:
    date
    C0808070 (UMLS CUI [1])
    End Date
    Item
    End Date:
    date
    C0806020 (UMLS CUI [1])
    respond to treatment
    Item
    Did the subject respond to treatment?
    boolean
    C0150839 (UMLS CUI [1])
    tolerate treatment
    Item
    Did the subject tolerate treatment?
    boolean
    C0013220 (UMLS CUI [1])
    Levodopa
    Item
    Levodopa
    boolean
    C0023570 (UMLS CUI [1])
    Start Date
    Item
    Start Date:
    date
    C0808070 (UMLS CUI [1])
    End Date
    Item
    End Date:
    date
    C0806020 (UMLS CUI [1])
    respond to treatment
    Item
    Did the subject respond to treatment?
    boolean
    C0150839 (UMLS CUI [1])
    tolerate treatment
    Item
    Did the subject tolerate treatment?
    boolean
    C0013220 (UMLS CUI [1])
    Item Group
    Other RLS medications
    C2347852 (UMLS CUI-1)
    Drug name
    Item
    Drug name
    text
    C0013227 (UMLS CUI [1])
    Modified reported term
    Item
    Modified reported term
    text
    C2826819 (UMLS CUI [1])
    Drug synonym
    Item
    GSK Drug synonym
    text
    C0013227 (UMLS CUI [1,1])
    C0871468 (UMLS CUI [1,2])
    Drug Collection code
    Item
    GSK Drug Collection code
    text
    C0013227 (UMLS CUI [1,1])
    C1516698 (UMLS CUI [1,2])
    C0805701 (UMLS CUI [1,3])
    Failed coding Concomitant Agent
    Item
    Failed coding
    text
    C0805701 (UMLS CUI [1,1])
    C0231175 (UMLS CUI [1,2])
    C2347852 (UMLS CUI [1,3])
    Start Date
    Item
    Start Date
    date
    C0808070 (UMLS CUI [1])
    End Date
    Item
    End Date
    date
    C0806020 (UMLS CUI [1])
    respond to treatment
    Item
    Did the subject respond to treatment?
    boolean
    C0150839 (UMLS CUI [1])
    tolerate treatment
    Item
    Did the subject tolerate treatment?
    boolean
    C0013220 (UMLS CUI [1])
    Terug naar het begin van de pagina 

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