ID
28513
Description
NCT02695940 A Phase 2a, Proof of Concept Trial, Testing Twice Daily Application of LEO 124249 Ointment 30 mg/g in the Treatment of Mild to Moderate Inverse Psoriasis. Quelle: Prof. Dr. Dr. h.c. Thomas Luger University Hospital of Muenster Department of Dermatology
Keywords
Versions (2)
- 12/16/17 12/16/17 -
- 1/21/18 1/21/18 -
Copyright Holder
Prof. Dr. Dr. h.c. Thomas Luger
Uploaded on
January 21, 2018
DOI
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License
Creative Commons BY-NC 3.0
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Baseline Visit 2 Psoriasis NCT02695940
Baseline Visit 2 Psoriasis NCT02695940
- StudyEvent: ODM
Description
I. Eignungskriterien
Description
Eligibility staff member
Data type
text
Alias
- UMLS CUI [1,1]
- C0013893
- UMLS CUI [1,2]
- C1550483
Description
blood values
Data type
boolean
Alias
- UMLS CUI [1]
- C0018941
Description
eligibility
Data type
text
Alias
- UMLS CUI [1]
- C1302261
Description
adverse events
Data type
text
Alias
- UMLS CUI [1]
- C0877248
Description
change concomitant medication
Data type
text
Alias
- UMLS CUI [1,1]
- C2347852
- UMLS CUI [1,2]
- C0580105
Description
handing over documents
Data type
boolean
Alias
- UMLS CUI [1]
- C1301746
Description
information medical condition
Data type
boolean
Alias
- UMLS CUI [1,1]
- C1955348
- UMLS CUI [1,2]
- C2598106
Description
medical condition information staff member
Data type
text
Alias
- UMLS CUI [1,1]
- C1955348
- UMLS CUI [1,2]
- C0012634
Description
!!!! auch bei männlichen Pat. abfragen
Data type
text
Alias
- UMLS CUI [1]
- C0700589
Description
contraception refusal reason
Data type
text
Alias
- UMLS CUI [1,1]
- C0700589
- UMLS CUI [1,2]
- C1136454
Description
contraception not specified reason
Data type
text
Alias
- UMLS CUI [1,1]
- C0700589
- UMLS CUI [1,2]
- C1136454
- UMLS CUI [1,3]
- C0205370
Description
Type of contraception
Data type
text
Alias
- UMLS CUI [1]
- C0700589
Description
usage care products
Data type
boolean
Alias
- UMLS CUI [1,1]
- C3897599
- UMLS CUI [1,2]
- C0457083
Description
II. Behandlungsareale
Description
III. Medical History
Description
Physical Examination
Data type
boolean
Alias
- UMLS CUI [1]
- C0031809
Description
Concomitant Medikation
Data type
boolean
Alias
- UMLS CUI [1]
- C0013227
Description
Physician Global Assessment
Data type
boolean
Alias
- UMLS CUI [1]
- C0450973
Description
Total Sign Score
Data type
boolean
Alias
- UMLS CUI [1]
- C2964552
Description
IV. Randomisierung
Description
Die Randomisierungsnummer entspricht der Nummer auf der Medikamentenschachtel. Dem Patienten erhält die kleinste, noch freie Nummer. Bitte die Packung für Visite 2 aushändigen!!!
Data type
text
Alias
- UMLS CUI [1]
- C2986235
Description
Faxformular ausfüllen und an Proinnovera faxen!!!
Data type
text
Alias
- UMLS CUI [1]
- C3890583
Description
V. Foto (falls Pat. zugestimmt hat): 2x Kärtchen, 2x Körperregion, 2x Nahaufnahme
Description
Affected area
Data type
text
Alias
- UMLS CUI [1]
- C1879646
Description
picture taken staff member
Data type
text
Alias
- UMLS CUI [1,1]
- C0441469
- UMLS CUI [1,2]
- C1550483
Description
picture time
Data type
time
Alias
- UMLS CUI [1,1]
- C0441469
- UMLS CUI [1,2]
- C0040223
Description
V. Labor: a) Vitalzeichen
Description
Examiner vital signs
Data type
text
Alias
- UMLS CUI [1]
- C0518766
Description
Time vital signs
Data type
time
Alias
- UMLS CUI [1]
- C2826762
Description
vital signs first measurement time
Data type
time
Alias
- UMLS CUI [1,1]
- C0518766
- UMLS CUI [1,2]
- C0242485
Description
RR > 90/60 und < 140/90 mmHg
Data type
text
Measurement units
- mmHg
Alias
- UMLS CUI [1]
- C0005823
Description
Pulsfrequenz > 50 und < 100
Data type
integer
Measurement units
- /min
Alias
- UMLS CUI [1]
- C0232117
Description
Temp > 25°C und <37,5°C
Data type
float
Measurement units
- °C
Alias
- UMLS CUI [1]
- C0005903
Description
Im Falle von abnormen Werten, bitte Wiederholung der Vitalzeichenkontrolle nach 15 Minuten.
Data type
time
Alias
- UMLS CUI [1]
- C0518766
Description
RR > 90/60 und < 140/90 mmHg
Data type
text
Measurement units
- mmHg
Alias
- UMLS CUI [1]
- C0005823
Description
Pulsfrequenz > 50 und < 100
Data type
integer
Measurement units
- /min
Alias
- UMLS CUI [1]
- C0232117
Description
Temp > 25°C und <37,5°C
Data type
float
Measurement units
- °C
Alias
- UMLS CUI [1]
- C0039476
Description
vital signs third measurement time
Data type
time
Alias
- UMLS CUI [1]
- C0518766
Description
RR > 90/60 und < 140/90 mmHg
Data type
text
Measurement units
- mmHg
Alias
- UMLS CUI [1]
- C0005823
Description
Pulsfrequenz > 50 und < 100
Data type
integer
Measurement units
- /min
Alias
- UMLS CUI [1]
- C0232117
Description
Temp > 25°C und <37,5°C
Data type
float
Measurement units
- °C
Alias
- UMLS CUI [1]
- C0005903
Description
pregnancy test
Data type
text
Alias
- UMLS CUI [1]
- C0032976
Description
VII. Medikation
Description
Drug Account entry
Data type
boolean
Alias
- UMLS CUI [1,1]
- C1549676
- UMLS CUI [1,2]
- C0013227
Description
instruction dosage medication
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0178602
- UMLS CUI [1,2]
- C0304229
Description
instruction time medication
Data type
boolean
Alias
- UMLS CUI [1]
- C2064717
Description
Patienteninformation: Patient wurde darauf hingewiesen, am Tag der nächsten Visite keine Pflegeprodukte zu verwenden. WICHTIG: Bei V3 PK-Abnahme Auftragen des Studienmedikaments 2-6 Stunden vor der Blutentnahme!
Data type
boolean
Alias
- UMLS CUI [1]
- C0185125
Description
Unterschrift
Similar models
Baseline Visit 2 Psoriasis NCT02695940
- StudyEvent: ODM
C1550483 (UMLS CUI [1,2])
C1550483 (UMLS CUI [1,2])
C0580105 (UMLS CUI [1,2])
C2598106 (UMLS CUI [1,2])
C0012634 (UMLS CUI [1,2])
C1136454 (UMLS CUI [1,2])
C1136454 (UMLS CUI [1,2])
C0205370 (UMLS CUI [1,3])
C0457083 (UMLS CUI [1,2])
C1550483 (UMLS CUI [1,2])
C0040223 (UMLS CUI [1,2])
C0242485 (UMLS CUI [1,2])
C0013227 (UMLS CUI [1,2])
C0304229 (UMLS CUI [1,2])