ID

27543

Beskrivning

Study Part: Diary Card. 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

Nyckelord

Versioner (1)
  1. 2017-11-20 2017-11-20 -
Rättsinnehavare

GlaxoSmithKline

Uppladdad den

20 november 2017

DOI

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Licens

Creative Commons BY-NC 3.0
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Diary Card Ropinirole Parkinson Disease 101468/165

Engelsk

Diary Card

1 Formulär  
  1. StudyEvent: ODM
    1. Diary Card
DOSES
Beskrivning

DOSES

Alias
UMLS CUI-1
C0178602
DATE
Beskrivning

DATE

Datatyp

date

Alias
UMLS CUI [1]
C0011008
DOSING TIME
Beskrivning

DOSING TIME

Datatyp

time

Alias
UMLS CUI [1,1]
C0040223
UMLS CUI [1,2]
C0178602
TOTAL ROPINIROLE DOSE
Beskrivning

dose ropinirole

Datatyp

float

Måttenheter
  • mg
Alias
UMLS CUI [1,1]
C3174092
UMLS CUI [1,2]
C0244821
mg
NUMBER OF TABLETS
Beskrivning

NUMBER OF TABLETS

Datatyp

integer

Alias
UMLS CUI [1,1]
C0805077
UMLS CUI [1,2]
C0304229
TABLET STRENGTH
Beskrivning

TABLET STRENGTH

Datatyp

text

Måttenheter
  • mg
Alias
UMLS CUI [1]
C1705922
mg
COMMENTS
Beskrivning

COMMENTS

Datatyp

text

Alias
UMLS CUI [1]
C0947611
ADVERSE EVENTS
Beskrivning

ADVERSE EVENTS

Alias
UMLS CUI-1
C0877248
Symptom
Beskrivning

Symptom

Datatyp

text

Alias
UMLS CUI [1]
C1457887
Start date & time
Beskrivning

Start date & time

Datatyp

datetime

Alias
UMLS CUI [1]
C3897500
Stop date & time
Beskrivning

date and time

Datatyp

datetime

Alias
UMLS CUI [1]
C3899266
CONMEDICATIONS
Beskrivning

CONMEDICATIONS

Alias
UMLS CUI-1
C2347852
Drug Name (Trade Name Preferred)
Beskrivning

Drug Name

Datatyp

text

Alias
UMLS CUI [1]
C2360065
SINGLE Dose/ Unit
Beskrivning

dose

Datatyp

text

Alias
UMLS CUI [1]
C3174092
Frequency of this Dose
Beskrivning

dose frequency

Datatyp

text

Alias
UMLS CUI [1]
C2826654
Route
Beskrivning

Route

Datatyp

text

Alias
UMLS CUI [1]
C0013153
Start Date/Time
Beskrivning

Start date and time

Datatyp

datetime

Alias
UMLS CUI [1]
C3897500
End Date/Time
Beskrivning

End date and time

Datatyp

datetime

Alias
UMLS CUI [1]
C3899266
Continuing at end of Study?
Beskrivning

Continuing at end of Study

Datatyp

boolean

Alias
UMLS CUI [1,1]
C1553904
UMLS CUI [1,2]
C2983670
Was this medication checked with the study doctor?
Beskrivning

study doctor

Datatyp

boolean

Alias
UMLS CUI [1]
C1710470
Tillbaka till toppen

Similar models

Diary Card

1 Formulär
  1. StudyEvent: ODM
    1. Diary Card
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
DOSES
C0178602 (UMLS CUI-1)
DATE
Item
DATE
date
C0011008 (UMLS CUI [1])
DOSING TIME
Item
DOSING TIME
time
C0040223 (UMLS CUI [1,1])
C0178602 (UMLS CUI [1,2])
dose ropinirole
Item
TOTAL ROPINIROLE DOSE
float
C3174092 (UMLS CUI [1,1])
C0244821 (UMLS CUI [1,2])
NUMBER OF TABLETS
Item
NUMBER OF TABLETS
integer
C0805077 (UMLS CUI [1,1])
C0304229 (UMLS CUI [1,2])
TABLET STRENGTH
Item
TABLET STRENGTH
text
C1705922 (UMLS CUI [1])
COMMENTS
Item
COMMENTS
text
C0947611 (UMLS CUI [1])
Item Group
ADVERSE EVENTS
C0877248 (UMLS CUI-1)
Symptom
Item
Symptom
text
C1457887 (UMLS CUI [1])
Start date & time
Item
Start date & time
datetime
C3897500 (UMLS CUI [1])
date and time
Item
Stop date & time
datetime
C3899266 (UMLS CUI [1])
Item Group
CONMEDICATIONS
C2347852 (UMLS CUI-1)
Drug Name
Item
Drug Name (Trade Name Preferred)
text
C2360065 (UMLS CUI [1])
dose
Item
SINGLE Dose/ Unit
text
C3174092 (UMLS CUI [1])
dose frequency
Item
Frequency of this Dose
text
C2826654 (UMLS CUI [1])
Route
Item
Route
text
C0013153 (UMLS CUI [1])
Start date and time
Item
Start Date/Time
datetime
C3897500 (UMLS CUI [1])
End date and time
Item
End Date/Time
datetime
C3899266 (UMLS CUI [1])
Continuing at end of Study
Item
Continuing at end of Study?
boolean
C1553904 (UMLS CUI [1,1])
C2983670 (UMLS CUI [1,2])
study doctor
Item
Was this medication checked with the study doctor?
boolean
C1710470 (UMLS CUI [1])
Tillbaka till toppen 

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