ID

27948

Beschreibung

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

Stichworte

Versionen (2)
  1. 02.11.17 02.11.17 -
  2. 06.12.17 06.12.17 -
Rechteinhaber

GlaxoSmithKline

Hochgeladen am

6. Dezember 2017

DOI

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Lizenz

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

Englisch

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

1 Formulare  
Administrative Data
Beschreibung

Administrative Data

Alias
UMLS CUI-1
C1320722
Subject Number
Beschreibung

subject number

Datentyp

integer

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

Visit Description

Datentyp

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.
Beschreibung

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
Beschreibung

Date of food diary

Datentyp

date

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

time of first study medication

Datentyp

time

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

time of second study medication

Datentyp

time

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

time of third study medication

Datentyp

time

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

Time of finishing breakfast

Datentyp

time

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

Time of finishing lunch

Datentyp

time

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

Time of finishing dinner

Datentyp

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.
Beschreibung

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
Beschreibung

Date of food diary

Datentyp

date

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

time of first study medication

Datentyp

time

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

time of second study medication

Datentyp

time

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

time of third study medication

Datentyp

time

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

Time of finishing breakfast

Datentyp

time

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

Time of finishing lunch

Datentyp

time

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

Time of finishing dinner

Datentyp

time

Alias
UMLS CUI [1,1]
C0040223
UMLS CUI [1,2]
C4048877
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Ähnliche Modelle

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

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
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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