ID

26371

Description

Study Part: Smoking History 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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Smoking History Screening Ropinirole Parkinson Disease 101468/165

English

Smoking History Screening

1 forms  
SMOKING HISTORY
Description

SMOKING HISTORY

Alias
UMLS CUI-1
C1519384
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
Is the subject a smoker?
Description

Smoking History

Data type

boolean

Alias
UMLS CUI [1]
C1519384
Number of years the subject has been a smoker?
Description

pack years

Data type

integer

Measurement units
  • Yrs
Alias
UMLS CUI [1]
C1277691
Yrs
Average number of cigarettes smoked per day?
Description

number of cigarettes per day

Data type

integer

Alias
UMLS CUI [1]
C3694146
Please state what type of tobacco product (eg. pipe, cigar, chewing tobacco or cigarette)
Description

Type of tobacco usage

Data type

text

Alias
UMLS CUI [1]
C3166496
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Similar models

Smoking History Screening

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
SMOKING HISTORY
C1519384 (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])
Smoking History
Item
Is the subject a smoker?
boolean
C1519384 (UMLS CUI [1])
pack years
Item
Number of years the subject has been a smoker?
integer
C1277691 (UMLS CUI [1])
number of cigarettes per day
Item
Average number of cigarettes smoked per day?
integer
C3694146 (UMLS CUI [1])
Type of tobacco usage
Item
Please state what type of tobacco product (eg. pipe, cigar, chewing tobacco or cigarette)
text
C3166496 (UMLS CUI [1])
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