ID

27948

Description

Study ID: 101468/168 Clinical Study ID: 101468/168 Study Title: A Randomised, Double Blind, Three Period, Cross-Over Study of Ropinirole CR and Ropinirole IR Monotherapy 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: Modutab,ZIPEREVE,ZEPREVE,REPREVE,ADARTREL,REQUIP,Zygara Study Indication: Parkinson Disease

Keywords

Versions (2)
  1. 11/2/17 11/2/17 -
  2. 12/6/17 12/6/17 -
Copyright Holder

GlaxoSmithKline

Uploaded on

December 6, 2017

DOI

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License

Creative Commons BY-NC 3.0
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Medication and food diary Ropinirole CR Ropinirole IR Monotherapy 101468/168

English

Medication and food diary Ropinirole CR Ropinirole IR Monotherapy 101468/168

1 forms  
Administrative Data
Description

Administrative Data

Alias
UMLS CUI-1
C1320722
Subject Number
Description

subject number

Data type

integer

Alias
UMLS CUI [1]
C2348585
Diary for week:
Description

Visit Description

Data type

text

Alias
UMLS CUI [1,1]
C0545082
UMLS CUI [1,2]
C0678257
COMPLETE THE TIME YOU TOOK YOUR STUDY MEDICATION AND THE TIME OF FINISHING YOUR MEALS ON THE DAY BEFORE YOUR NEXT CLINIC VISIT.
Description

COMPLETE THE TIME YOU TOOK YOUR STUDY MEDICATION AND THE TIME OF FINISHING YOUR MEALS ON THE DAY BEFORE YOUR NEXT CLINIC VISIT.

Date of food diary
Description

Date of food diary

Data type

date

Alias
UMLS CUI [1]
C0458244
Time 1st study medication taken
Description

time of first study medication

Data type

time

Alias
UMLS CUI [1,1]
C0013230
UMLS CUI [1,2]
C1290952
Time 2nd study medication taken
Description

time of second study medication

Data type

time

Alias
UMLS CUI [1,1]
C0013230
UMLS CUI [1,2]
C1290952
Time 3rd study medication taken
Description

time of third study medication

Data type

time

Alias
UMLS CUI [1,1]
C0013230
UMLS CUI [1,2]
C1290952
Time of finishing breakfast:
Description

Time of finishing breakfast

Data type

time

Alias
UMLS CUI [1,1]
C0040223
UMLS CUI [1,2]
C2698559
Time of finishing lunch:
Description

Time of finishing lunch

Data type

time

Alias
UMLS CUI [1,1]
C0040223
UMLS CUI [1,2]
C2697949
Time of finishing dinner:
Description

Time of finishing dinner

Data type

time

Alias
UMLS CUI [1,1]
C0040223
UMLS CUI [1,2]
C4048877
COMPLETE THE TIME YOU TOOK YOUR STUDY MEDICATION AND THE TIME OF FINISHING YOUR MEALS ON THE DAY OF YOUR CLINIC VISIT IF IT IS IN THE AFTERNOON.
Description

COMPLETE THE TIME YOU TOOK YOUR STUDY MEDICATION AND THE TIME OF FINISHING YOUR MEALS ON THE DAY OF YOUR CLINIC VISIT IF IT IS IN THE AFTERNOON.

Date of food diary
Description

Date of food diary

Data type

date

Alias
UMLS CUI [1]
C0458244
Time 1st study medication taken
Description

time of first study medication

Data type

time

Alias
UMLS CUI [1,1]
C0013230
UMLS CUI [1,2]
C1290952
Time 2nd study medication taken
Description

time of second study medication

Data type

time

Alias
UMLS CUI [1,1]
C0013230
UMLS CUI [1,2]
C1290952
Time 3rd study medication taken
Description

time of third study medication

Data type

time

Alias
UMLS CUI [1,1]
C0013230
UMLS CUI [1,2]
C1290952
Time of finishing breakfast:
Description

Time of finishing breakfast

Data type

time

Alias
UMLS CUI [1,1]
C0040223
UMLS CUI [1,2]
C2698559
Time of finishing lunch:
Description

Time of finishing lunch

Data type

time

Alias
UMLS CUI [1,1]
C0040223
UMLS CUI [1,2]
C2697949
Time of finishing dinner:
Description

Time of finishing dinner

Data type

time

Alias
UMLS CUI [1,1]
C0040223
UMLS CUI [1,2]
C4048877
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Similar models

Medication and food diary Ropinirole CR Ropinirole IR Monotherapy 101468/168

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
subject number
Item
Subject Number
integer
C2348585 (UMLS CUI [1])
Visit Description
Item
Diary for week:
text
C0545082 (UMLS CUI [1,1])
C0678257 (UMLS CUI [1,2])
Item Group
COMPLETE THE TIME YOU TOOK YOUR STUDY MEDICATION AND THE TIME OF FINISHING YOUR MEALS ON THE DAY BEFORE YOUR NEXT CLINIC VISIT.
Date of food diary
Item
Date of food diary
date
C0458244 (UMLS CUI [1])
time of first study medication
Item
Time 1st study medication taken
time
C0013230 (UMLS CUI [1,1])
C1290952 (UMLS CUI [1,2])
time of second study medication
Item
Time 2nd study medication taken
time
C0013230 (UMLS CUI [1,1])
C1290952 (UMLS CUI [1,2])
time of third study medication
Item
Time 3rd study medication taken
time
C0013230 (UMLS CUI [1,1])
C1290952 (UMLS CUI [1,2])
Time of finishing breakfast
Item
Time of finishing breakfast:
time
C0040223 (UMLS CUI [1,1])
C2698559 (UMLS CUI [1,2])
Time of finishing lunch
Item
Time of finishing lunch:
time
C0040223 (UMLS CUI [1,1])
C2697949 (UMLS CUI [1,2])
Time of finishing dinner
Item
Time of finishing dinner:
time
C0040223 (UMLS CUI [1,1])
C4048877 (UMLS CUI [1,2])
Item Group
COMPLETE THE TIME YOU TOOK YOUR STUDY MEDICATION AND THE TIME OF FINISHING YOUR MEALS ON THE DAY OF YOUR CLINIC VISIT IF IT IS IN THE AFTERNOON.
Date of food diary
Item
Date of food diary
date
C0458244 (UMLS CUI [1])
time of first study medication
Item
Time 1st study medication taken
time
C0013230 (UMLS CUI [1,1])
C1290952 (UMLS CUI [1,2])
time of second study medication
Item
Time 2nd study medication taken
time
C0013230 (UMLS CUI [1,1])
C1290952 (UMLS CUI [1,2])
time of third study medication
Item
Time 3rd study medication taken
time
C0013230 (UMLS CUI [1,1])
C1290952 (UMLS CUI [1,2])
Time of finishing breakfast
Item
Time of finishing breakfast:
time
C0040223 (UMLS CUI [1,1])
C2698559 (UMLS CUI [1,2])
Time of finishing lunch
Item
Time of finishing lunch:
time
C0040223 (UMLS CUI [1,1])
C2697949 (UMLS CUI [1,2])
Time of finishing dinner
Item
Time of finishing dinner:
time
C0040223 (UMLS CUI [1,1])
C4048877 (UMLS CUI [1,2])
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