ID

26317

Beskrivning

Study Part: Modified Hoehn And Yahr Parkinson’s Disease Staging Screening. An open-label, up-titration study to assess the dose proportionality of ropinirole controlled release (CR) and to demonstrate the bioequivalence of ropinirole CR (1 x 8 mg) compared to the ropinirole CR (4 x 2 mg) in Parkinson's Disease patients not receiving other dopaminergic therapies. Patient Level Data: Study Listed on ClinicalStudyDataRequest.com. Sponsor: GlaxoSmithKline. Phase: phase 2. Study Recruitment Status: Completed. Generic Name: ropinirole. Trade Name: Modutab, ZIPEREVE, ZEPREVE, REPREVE, ADARTREL, REQUIP,Zygara. Study Indication: Parkinson Disease. Study ID: 101468/165. Clinical Study ID: 101468/165

Nyckelord

Versioner (1)
  1. 2017-10-16 2017-10-16 -
Rättsinnehavare

GlaxoSmithKline

Uppladdad den

16 oktober 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.

Tillbaka till modellkommentarer
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.

Modified Hoehn And Yahr Parkinson’s Disease Staging Screening Ropinirole Parkinson Disease 101468/165

Engelsk

Modified Hoehn And Yahr Parkinson’s Disease Staging Screening

1 Formulär  
MODIFIED HOEHN AND YAHR PARKINSON’S DISEASE STAGING
Beskrivning

MODIFIED HOEHN AND YAHR PARKINSON’S DISEASE STAGING

Alias
UMLS CUI-1
C3639878
Patient Number
Beskrivning

Patient Number

Datatyp

text

Alias
UMLS CUI [1]
C1830427
Centre Number
Beskrivning

Centre Number

Datatyp

integer

Alias
UMLS CUI [1,1]
C0600091
UMLS CUI [1,2]
C0019994
Date of onset of symptoms of parkinson’s disease:
Beskrivning

Date of onset

Datatyp

date

Alias
UMLS CUI [1]
C0574845
Indicate the patient’s baseline Hoehn & Yahr Stage by ticking the appropriate box below:
Beskrivning

Modified Hoehn and Yahr Staging

Datatyp

integer

Alias
UMLS CUI [1]
C3639878
Tillbaka till toppen

Similar models

Modified Hoehn And Yahr Parkinson’s Disease Staging Screening

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
MODIFIED HOEHN AND YAHR PARKINSON’S DISEASE STAGING
C3639878 (UMLS CUI-1)
Patient Number
Item
Patient Number
text
C1830427 (UMLS CUI [1])
Centre Number
Item
Centre Number
integer
C0600091 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
Date of onset
Item
Date of onset of symptoms of parkinson’s disease:
date
C0574845 (UMLS CUI [1])
Item
Indicate the patient’s baseline Hoehn & Yahr Stage by ticking the appropriate box below:
integer
C3639878 (UMLS CUI [1])
Modified Hoehn and Yahr Staging
Code List
Indicate the patient’s baseline Hoehn & Yahr Stage by ticking the appropriate box below:
CL Item
Stage 0 No signs of disease. (1)
CL Item
Stage 1 Unilateral disease. (2)
CL Item
Stage 1.5 Unilateral plus axial involvement. (3)
CL Item
Stage 2 Bilateral disease, without impairment of balance. (4)
CL Item
Stage 2.5 Mild Bilateral disease, with recovery on pull test. (5)
CL Item
Stage 3 Mild to moderate bilateral disease, some postural instability; physically independent. (6)
CL Item
Stage 4 Severe disability; still able to walk or stand unassisted. (7)
CL Item
Stage 5 Wheelchair bound or bedridden unless aided. (8)
Tillbaka till toppen 

Kontakt

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

Fält markerade med * är obligatoriska.

Hjälp

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