ID

29051

Beschrijving

Prior Medication Ropinirole Case Report Form GSK RRL100013 GSK Study ID: 100013 Clinical Study ID: RRL100013 A 12-Week, Double-Blind, Placebo-Controlled, Twice-Daily Dosing Study to Assess the Efficacy and Safety of Ropinirole in Patients Suffering from Restless Legs Syndrome (RLS) Requiring Extended Treatment Coverage

Trefwoorden

  1. 05-10-17 05-10-17 -
  2. 22-02-18 22-02-18 -
  3. 22-02-18 22-02-18 -
  4. 22-02-18 22-02-18 -
  5. 17-09-21 17-09-21 -
Houder van rechten

gsk

Geüploaded op

22 februari 2018

DOI

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Licentie

Creative Commons BY-NC 3.0

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Prior Medication Ropinirole Case Report Form GSK RRL100013

Prior Medication Ropinirole Case Report Form GSK RRL100013

Administrative documentation
Beschrijving

Administrative documentation

Alias
UMLS CUI-1
C1320722
STUDY NO.
Beschrijving

Study Identifier

Datatype

text

Alias
UMLS CUI [1]
C2826693
Subject No.:
Beschrijving

Subject No.

Datatype

text

Alias
UMLS CUI [1]
C2348585
Panel ID:
Beschrijving

Panel ID

Datatype

integer

Alias
UMLS CUI [1]
C0086373
Visit:
Beschrijving

Visit

Datatype

integer

Alias
UMLS CUI [1]
C1549755
Date:
Beschrijving

DD/MON/YY

Datatype

date

Alias
UMLS CUI [1]
C0011008
Other medication
Beschrijving

Other medication

Has the subject taken any prescribed medication within 14 days prior to first dosing day or any OTC medicine within 7 days before the first study day?
Beschrijving

If 'YES', please record the medications below.

Datatype

boolean

Alias
UMLS CUI [1]
C3166216
UMLS CUI [2]
C0013231
Prior Medication
Beschrijving

Prior Medication

Alias
UMLS CUI-1
C2826257
DRUG NAME
Beschrijving

(Trade Name Preferred)

Datatype

text

Alias
UMLS CUI [1]
C2360065
Single Dose/Unit
Beschrijving

(e.g.500 mg)

Datatype

integer

Alias
UMLS CUI [1]
C1960417
Frequency of this Dose (e.g.BID, PR)
Beschrijving

Frequency of this Dose

Datatype

integer

Alias
UMLS CUI [1]
C3476109
Route
Beschrijving

Route

Datatype

text

Alias
UMLS CUI [1]
C0013153
Indication
Beschrijving

Indication

Datatype

text

Alias
UMLS CUI [1,1]
C3146298
UMLS CUI [1,2]
C0013227
Duration of therapy
Beschrijving

(e.g.6 years)

Datatype

integer

Alias
UMLS CUI [1]
C0444917
End Date
Beschrijving

Day/Month/Year

Datatype

date

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0806020
Continuing at end of study?
Beschrijving

Continuing at end of study

Datatype

boolean

Alias
UMLS CUI [1]
C1562611

Similar models

Prior Medication Ropinirole Case Report Form GSK RRL100013

Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Administrative documentation
C1320722 (UMLS CUI-1)
Study Identifier
Item
STUDY NO.
text
C2826693 (UMLS CUI [1])
Subject No.
Item
Subject No.:
text
C2348585 (UMLS CUI [1])
Panel ID
Item
Panel ID:
integer
C0086373 (UMLS CUI [1])
Visit
Item
Visit:
integer
C1549755 (UMLS CUI [1])
Date
Item
Date:
date
C0011008 (UMLS CUI [1])
Item Group
Other medication
Prescribed or OTC medication
Item
Has the subject taken any prescribed medication within 14 days prior to first dosing day or any OTC medicine within 7 days before the first study day?
boolean
C3166216 (UMLS CUI [1])
C0013231 (UMLS CUI [2])
Item Group
Prior Medication
C2826257 (UMLS CUI-1)
DRUG NAME
Item
DRUG NAME
text
C2360065 (UMLS CUI [1])
Single Dose/Unit
Item
Single Dose/Unit
integer
C1960417 (UMLS CUI [1])
Frequency of this Dose
Item
Frequency of this Dose (e.g.BID, PR)
integer
C3476109 (UMLS CUI [1])
Route
Item
Route
text
C0013153 (UMLS CUI [1])
Indication
Item
Indication
text
C3146298 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
Duration of therapy
Item
Duration of therapy
integer
C0444917 (UMLS CUI [1])
End Date
Item
End Date
date
C0013227 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
Continuing at end of study
Item
Continuing at end of study?
boolean
C1562611 (UMLS CUI [1])

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