ID

26477

Beskrivning

Study ID: 101468/190 Clinical Study ID: SKF-101468/190 Study Title:A 12 Week, Double-Blind, Placebo-Controlled, Parallel Group Study to Assess the Efficacy and Safety of Ropinirole in Patients Suffering from Restless Legs Syndrome (RLS). Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: Sponsor: GlaxoSmithKline Collaborators: N/A Phase: phase 3 Study Recruitment Status: Completed Generic Name: ropinirole Trade Name: Requip Study Indication: Restless Legs Syndrome This is the Patient enrollment form.

Nyckelord

Versioner (2)
  1. 2017-10-04 2017-10-04 -
  2. 2017-10-18 2017-10-18 -
Rättsinnehavare

GlaxoSmithKline

Uppladdad den

18 oktober 2017

DOI

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Licens

Creative Commons BY-NC 3.0
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Patient enrollment form GSK Ropinirole in Patients Suffering from Restless Legs Syndrome 101468/190

Engelsk

Patient enrollment form GSK Ropinirole in Patients Suffering from Restless Legs Syndrome 101468/190

1 Formulär  
Patient enrollment
Beskrivning

Patient enrollment

Alias
UMLS CUI-1
C1516879
sponsor study contact
Beskrivning

sponsor study contact

Datatyp

text

Alias
UMLS CUI [1]
C4288370
sponsor study contact fax
Beskrivning

sponsor study contact fax

Datatyp

text

Alias
UMLS CUI [1,1]
C4288370
UMLS CUI [1,2]
C1549619
enroled in study:
Beskrivning

enroled in study:

Datatyp

integer

Alias
UMLS CUI [1]
C1516879
Patient Initials
Beskrivning

Patient Initials

Datatyp

text

Alias
UMLS CUI [1]
C2986440
Patient Number
Beskrivning

Patient Number

Datatyp

text

Alias
UMLS CUI [1]
C1830427
Centre Number
Beskrivning

Centre Number

Datatyp

text

Alias
UMLS CUI [1,1]
C0600091
UMLS CUI [1,2]
C0019994
Date of enrollment
Beskrivning

Date of enrollment

Datatyp

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0679646
UMLS CUI [1,3]
C1516879
Signed:
Beskrivning

Signed

Datatyp

text

Alias
UMLS CUI [1]
C1519316
Signed Date
Beskrivning

Signed Date

Datatyp

date

Alias
UMLS CUI [1,1]
C1519316
UMLS CUI [1,2]
C0011008
Institution
Beskrivning

Institution

Datatyp

text

Alias
UMLS CUI [1]
C1301943
Tillbaka till toppen

Similar models

Patient enrollment form GSK Ropinirole in Patients Suffering from Restless Legs Syndrome 101468/190

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Patient enrollment
C1516879 (UMLS CUI-1)
sponsor study contact
Item
sponsor study contact
text
C4288370 (UMLS CUI [1])
sponsor study contact fax
Item
sponsor study contact fax
text
C4288370 (UMLS CUI [1,1])
C1549619 (UMLS CUI [1,2])
enroled in study:
Item
enroled in study:
integer
C1516879 (UMLS CUI [1])
Patient Initials
Item
Patient Initials
text
C2986440 (UMLS CUI [1])
Patient Number
Item
Patient Number
text
C1830427 (UMLS CUI [1])
Centre Number
Item
Centre Number
text
C0600091 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
Date of enrollment
Item
Date of enrollment
date
C0011008 (UMLS CUI [1,1])
C0679646 (UMLS CUI [1,2])
C1516879 (UMLS CUI [1,3])
Signed
Item
Signed:
text
C1519316 (UMLS CUI [1])
Signed Date
Item
Signed Date
date
C1519316 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Institution
Item
Institution
text
C1301943 (UMLS CUI [1])
Tillbaka till toppen 

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