ID

26326

Description

Study Part: Pregnancy Test 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

Keywords

Versions (1)
  1. 10/16/17 10/16/17 -
Copyright Holder

GlaxoSmithKline

Uploaded on

October 16, 2017

DOI

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License

Creative Commons BY-NC 3.0
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Pregnancy Test Screening Ropinirole Parkinson Disease 101468/165

English

Pregnancy Test Screening

1 forms  
PREGNANCY TEST (Females only)
Description

PREGNANCY TEST (Females only)

Alias
UMLS CUI-1
C0032976
Patient Number
Description

Patient Number

Data type

text

Alias
UMLS CUI [1]
C1830427
Centre Number
Description

Centre Number

Data type

integer

Alias
UMLS CUI [1,1]
C0600091
UMLS CUI [1,2]
C0019994
Visit Date
Description

Visit Date

Data type

date

Alias
UMLS CUI [1]
C1320303
Was a pregnancy test carried out?
Description

Pregnancy Test

Data type

text

Alias
UMLS CUI [1]
C0032976
If ’No’, please specify reason
Description

specify reason

Data type

text

Alias
UMLS CUI [1]
C0566251
Date of pregnancy test:
Description

If ’YES’, please indicate date of result:

Data type

date

Alias
UMLS CUI [1,1]
C0032976
UMLS CUI [1,2]
C0011008
Pregnancy test
Description

If ’Positive’, withdraw the subject from the study.

Data type

text

Alias
UMLS CUI [1]
C0032976
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Similar models

Pregnancy Test Screening

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
PREGNANCY TEST (Females only)
C0032976 (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])
Visit Date
Item
Visit Date
date
C1320303 (UMLS CUI [1])
Item
Was a pregnancy test carried out?
text
C0032976 (UMLS CUI [1])
Pregnancy Test
Code List
Was a pregnancy test carried out?
CL Item
Yes (Yes)
CL Item
No (No)
CL Item
Not Applicable (Not Applicable)
specify reason
Item
If ’No’, please specify reason
text
C0566251 (UMLS CUI [1])
Date of pregnancy test
Item
Date of pregnancy test:
date
C0032976 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
Pregnancy test
text
C0032976 (UMLS CUI [1])
pregnancy test
Code List
Pregnancy test
CL Item
Positive (Positive)
CL Item
Negative (Negative)
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