ID

26227

Description

Study ID: 101468/196 Clinical Study ID: 101468/196 Study Title: 101468/196: A Long-Term, Open-Label Continuation Study of Once Daily Administration of Ropinirole CR Tablets to Patients with Parkinson's Disease who Completed the Previous Ropinirole CR Studies 167 or 164 Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00650104 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 DiseaseA Long-Term, Open-Label Continuation Study of Once Daily Adminstration of Ropinirole CR Tablets to Patients with Parkinson's Disease Who Completed the Previous Ropinirole CR Studies - 167 & 164 Patient Death

Mots-clés

Versions (1)
  1. 12/10/2017 12/10/2017 -
Détendeur de droits

GlaxoSmithKline

Téléchargé le

12 octobre 2017

DOI

Pour une demande vous connecter.

Licence

Creative Commons BY-NC-ND 3.0
Modèle Commentaires :

Ici, vous pouvez faire des commentaires sur le modèle. À partir des bulles de texte, vous pouvez laisser des commentaires spécifiques sur les groupes Item et les Item.

Retour au modèle Commentaires
Groupe Item commentaires pour :

Item commentaires pour :

Vous devez être connecté pour pouvoir télécharger des formulaires. Veuillez vous connecter ou s’inscrire gratuitement.

Patient Death Ropinirole in Parkinson's Disease GSK 101468/196

Anglais

Patient Death Ropinirole in Parkinson's Disease GSK 101468/196

1 Formulaires  
Patient Information
Description

Patient Information

Alias
UMLS CUI-1
C1955348
Patient No.
Description

Patient Number

Type de données

text

Alias
UMLS CUI [1]
C1830427
Patient Death - In case of patient death, please complete the following information:
Description

Patient Death - In case of patient death, please complete the following information:

Alias
UMLS CUI-1
C0011065
Date of Death:
Description

Date of Death

Type de données

date

Unités de mesure
  • dd-mmm-yyyy
Alias
UMLS CUI [1]
C1148348
dd-mmm-yyyy
Was an autopsy performed?
Description

If YES, attach a copy of the autopsy report.

Type de données

boolean

Alias
UMLS CUI [1]
C0004398
Primary Cause of Death:
Description

Primary Cause of Death

Type de données

text

Alias
UMLS CUI [1]
C3262229
Underlying cause(s) of Death:
Description

Cause of Death

Type de données

text

Alias
UMLS CUI [1]
C0007465
Was death related to study drug?
Description

Death related to Study Drug

Type de données

boolean

Alias
UMLS CUI [1,1]
C0011065
UMLS CUI [1,2]
C0304229
Signature of Investigator:
Description

Investigator's Signature

Type de données

text

Alias
UMLS CUI [1]
C2346576
Date
Description

Date of Report

Type de données

date

Unités de mesure
  • dd-mmm-yyyy
Alias
UMLS CUI [1]
C1302584
dd-mmm-yyyy
Retour au début de la page

Similar models

Patient Death Ropinirole in Parkinson's Disease GSK 101468/196

1 Formulaires
Name
Type
Description | Question | Decode (Coded Value)
Type de données
Alias
Item Group
Patient Information
C1955348 (UMLS CUI-1)
Patient Number
Item
Patient No.
text
C1830427 (UMLS CUI [1])
Item Group
Patient Death - In case of patient death, please complete the following information:
C0011065 (UMLS CUI-1)
Date of Death
Item
Date of Death:
date
C1148348 (UMLS CUI [1])
Autopsy
Item
Was an autopsy performed?
boolean
C0004398 (UMLS CUI [1])
Primary Cause of Death
Item
Primary Cause of Death:
text
C3262229 (UMLS CUI [1])
Cause of Death
Item
Underlying cause(s) of Death:
text
C0007465 (UMLS CUI [1])
Death related to Study Drug
Item
Was death related to study drug?
boolean
C0011065 (UMLS CUI [1,1])
C0304229 (UMLS CUI [1,2])
Investigator's Signature
Item
Signature of Investigator:
text
C2346576 (UMLS CUI [1])
Date of Report
Item
Date
date
C1302584 (UMLS CUI [1])
Retour au début de la page 

Contact

Utilisez ce formulaire pour les retours, les questions et les améliorations suggérées.

Les champs marqués d’un * sont obligatoires.

Aide

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