ID

27265

Beskrivning

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: Concomitant Medication (Follow-Up)

Nyckelord

Versioner (1)
  1. 2017-11-06 2017-11-06 -
Rättsinnehavare

GlaxoSmithKline

Uppladdad den

6 november 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.

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

Engelsk

Concomitant Medication

1 Formulär  
  1. StudyEvent: ODM
    1. Concomitant Medication
Concomitant Medication
Beskrivning

Concomitant Medication

Alias
UMLS CUI-1
C2347852
UMLS CUI-2
C0035258
Please mark if no new or change in concomitant medication since the previous book
Beskrivning

change in concomitant medication

Datatyp

boolean

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C0443172
Drug Name (Trade Name Preferred) Concomitant Medication
Beskrivning

Drug Name Concomitant Medication

Datatyp

text

Alias
UMLS CUI [1,1]
C2360065
UMLS CUI [1,2]
C2347852
Total Daily Dose (e.g 500 mg) Concomitant Medication
Beskrivning

Total Daily Dose Concomitant Medication

Datatyp

float

Måttenheter
  • mg
Alias
UMLS CUI [1,1]
C2348070
UMLS CUI [1,2]
C2347852
mg
Medical Illness / Diagnosis (or symptom in absence of diagnosis) Concomitant Medication
Beskrivning

Medical Illness / Diagnosis Concomitant Medication

Datatyp

text

Alias
UMLS CUI [1,1]
C0011900
UMLS CUI [1,2]
C2347852
UMLS CUI [1,3]
C3146298
Start Date Concomitant Medication (be as precise as possible)
Beskrivning

Start Date Concomitant Medication

Datatyp

date

Alias
UMLS CUI [1,1]
C0808070
UMLS CUI [1,2]
C2347852
End Date Concomitant Medication
Beskrivning

End Date Concomitant Medication

Datatyp

date

Alias
UMLS CUI [1,1]
C0806020
UMLS CUI [1,2]
C2347852
Continuing Concomitant Medication
Beskrivning

If a medication was marked ‘Continuing’ at a previous visit, but has since had a dosage change or has been stopped, it must be recorded as a change below with the new start and end date.

Datatyp

boolean

Alias
UMLS CUI [1]
C2826666
Tillbaka till toppen

Similar models

Concomitant Medication

1 Formulär
  1. StudyEvent: ODM
    1. Concomitant Medication
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Concomitant Medication
C2347852 (UMLS CUI-1)
C0035258 (UMLS CUI-2)
change in concomitant medication
Item
Please mark if no new or change in concomitant medication since the previous book
boolean
C2347852 (UMLS CUI [1,1])
C0443172 (UMLS CUI [1,2])
Drug Name Concomitant Medication
Item
Drug Name (Trade Name Preferred) Concomitant Medication
text
C2360065 (UMLS CUI [1,1])
C2347852 (UMLS CUI [1,2])
Total Daily Dose Concomitant Medication
Item
Total Daily Dose (e.g 500 mg) Concomitant Medication
float
C2348070 (UMLS CUI [1,1])
C2347852 (UMLS CUI [1,2])
Medical Illness / Diagnosis Concomitant Medication
Item
Medical Illness / Diagnosis (or symptom in absence of diagnosis) Concomitant Medication
text
C0011900 (UMLS CUI [1,1])
C2347852 (UMLS CUI [1,2])
C3146298 (UMLS CUI [1,3])
Start Date Concomitant Medication
Item
Start Date Concomitant Medication (be as precise as possible)
date
C0808070 (UMLS CUI [1,1])
C2347852 (UMLS CUI [1,2])
End Date Concomitant Medication
Item
End Date Concomitant Medication
date
C0806020 (UMLS CUI [1,1])
C2347852 (UMLS CUI [1,2])
Continuing Concomitant Medication
Item
Continuing Concomitant Medication
boolean
C2826666 (UMLS CUI [1])
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