ID

27236

Description

Study ID: 101468/188 Clinical Study ID: SKF-101468/188 Study Title:A Study of the Maintained Efficacy and Safety of Ropinirole Versus Placebo in the Long Term Treatment of 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: Parkinson Disease Module: Form D

Keywords

  1. 11/3/17 11/3/17 -
Copyright Holder

GlaxoSmithKline

Uploaded on

November 3, 2017

DOI

To request one please log in.

License

Creative Commons BY-NC 3.0

Model comments :

You can comment on the data model here. Via the speech bubbles at the itemgroups and items you can add comments to those specificially.

Itemgroup comments for :

Item comments for :

In order to download data models you must be logged in. Please log in or register for free.

GSK Ropinirole in Patients Suffering from Restless Legs Syndrome 101468/188

  1. StudyEvent: ODM
    1. Form D
Form D
Description

Form D

Alias
UMLS CUI-1
C0011065
Certified cause of death
Description

Certified cause of death

Data type

text

Alias
UMLS CUI [1]
C0007465
Date of death
Description

Date of death

Data type

date

Alias
UMLS CUI [1]
C1148348
Was a post-mortem carried out?
Description

If "Yes" please summarize findings (including diagnosis) below

Data type

boolean

Alias
UMLS CUI [1]
C0004398
If post-mortem was carried out, please summarize findings (include diagnosis)
Description

Post-mortem findings

Data type

text

Alias
UMLS CUI [1]
C0004398
Reporting Physician´s Signature
Description

Reporting Physician´s Signature

Data type

text

Alias
UMLS CUI [1]
C2346576

Similar models

Form D

  1. StudyEvent: ODM
    1. Form D
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Form D
C0011065 (UMLS CUI-1)
Certified cause of death
Item
Certified cause of death
text
C0007465 (UMLS CUI [1])
Date of death
Item
Date of death
date
C1148348 (UMLS CUI [1])
Post-mortem
Item
Was a post-mortem carried out?
boolean
C0004398 (UMLS CUI [1])
Post-mortem findings
Item
If post-mortem was carried out, please summarize findings (include diagnosis)
text
C0004398 (UMLS CUI [1])
Reporting Physician´s Signature
Item
Reporting Physician´s Signature
text
C2346576 (UMLS CUI [1])

Please use this form for feedback, questions and suggestions for improvements.

Fields marked with * are required.

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