ID
29776
Description
Study ID: 101464 Clinical Study ID: SCA101464 Study Title: A Multicenter, Randomized, Double-Blind, Parallel Group Study to Evaluate the Efficacy and Safety of a Flexible Dose of Lamotrigine Compared to Placebo as an Adjunctive Therapy to an Atypical Antipsychotic Agent(s) in Subjects with Schizophrenia Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00086593 https://clinicaltrials.gov/ct2/show/NCT00086593 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: phase 3 Study Recruitment Status: Completed Generic Name: lamotrigine Study Indication: Lamictal XR,Lamictal,LAMICTIN This ODM form contains Screen Part 4: Psychiatric History and Evaluation, Medication.
Link
https://clinicaltrials.gov/ct2/show/NCT00086593
Keywords
Versions (1)
- 4/19/18 4/19/18 - Sarah Riepenhausen
Copyright Holder
GlaxoSmithKline
Uploaded on
April 19, 2018
DOI
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License
Creative Commons BY-NC 3.0
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Evaluation of a Flexible Dose of Lamotrigine Compared to Placebo as an Adjunctive to Atypical Antipsychotic Agents in Schizophrenia NCT00086593
Screen Part 4: Psychiatric History and Examination, Medication
- StudyEvent: ODM
Description
Prior Psychotropic Medication History
Alias
- UMLS CUI-1
- C0033978
- UMLS CUI-2
- C2826257
Description
Record over-the-counter and prescription drugs prescribed for CNS or psychiatric disorders.
Data type
text
Alias
- UMLS CUI [1]
- C2360065
Description
Psychotropic Medication Dose
Data type
float
Alias
- UMLS CUI [1,1]
- C3174092
- UMLS CUI [1,2]
- C0033978
Description
Units
Data type
text
Alias
- UMLS CUI [1,1]
- C1519795
- UMLS CUI [1,2]
- C3174092
- UMLS CUI [1,3]
- C0033978
Description
Frequency
Data type
text
Alias
- UMLS CUI [1,1]
- C3476109
- UMLS CUI [1,2]
- C0033978
Description
Route
Data type
text
Alias
- UMLS CUI [1,1]
- C0013153
- UMLS CUI [1,2]
- C0033978
Description
Date started
Data type
date
Alias
- UMLS CUI [1,1]
- C0808070
- UMLS CUI [1,2]
- C0033978
Description
If ongoing at baseline, record stop date as baseline visit date.
Data type
date
Alias
- UMLS CUI [1,1]
- C0806020
- UMLS CUI [1,2]
- C0033978
Description
Conditions Treated / Indication
Data type
text
Alias
- UMLS CUI [1,1]
- C3146298
- UMLS CUI [1,2]
- C0033978
Description
Tolerance
Data type
integer
Alias
- UMLS CUI [1,1]
- C0556444
- UMLS CUI [1,2]
- C0033978
Description
Response
Data type
integer
Alias
- UMLS CUI [1,1]
- C0521982
- UMLS CUI [1,2]
- C0033978
Description
Prior Non-psychotropic Medications
Alias
- UMLS CUI-1
- C2826257
Description
Record all prior non-psychotropic medications (if ongoing at Baseline, record Stop Date as Baseline Visit Date, record medication on Concomitant Medication page with Start Date as Baseline Visit Date and check Started Pre-Study). Trade names are preferred for all medications; this is particularly encouraged for all combination medications, e.g., multivitamins and cold medications. The subject should be encouraged to disclose all medications he/she has taken, including non-prescribed medications, herbal remedies, and nutritional supplements. Record nonpsychotropic medications taken within the last month. Record over-the-counter and prescription drugs prescribed, excluding those for CNS or psychiatric disorders.
Data type
text
Alias
- UMLS CUI [1]
- C2360065
Description
Dose
Data type
float
Alias
- UMLS CUI [1]
- C3174092
Description
Units
Data type
text
Alias
- UMLS CUI [1,1]
- C1519795
- UMLS CUI [1,2]
- C3174092
Description
Frequency
Data type
text
Alias
- UMLS CUI [1]
- C3476109
Description
Route
Data type
text
Alias
- UMLS CUI [1]
- C0013153
Description
Date started
Data type
date
Alias
- UMLS CUI [1,1]
- C0808070
- UMLS CUI [1,2]
- C0013227
Description
All ongoing medications should be recorded on the CONCOMITANT MEDICATION page after the Baseline Visit. Use Date of the Baseline Visit as Date Stopped for this page.
Data type
date
Alias
- UMLS CUI [1]
- C0806020
Description
Conditions treated /Indication
Data type
text
Alias
- UMLS CUI [1,1]
- C3146298
- UMLS CUI [1,2]
- C0013227
Description
Psychiatric Evaluation
Alias
- UMLS CUI-1
- C0846574
Description
Abnormal Involuntary Movement Scale
Data type
integer
Alias
- UMLS CUI [1]
- C0450978
Description
Simpson Angus Scale
Data type
integer
Alias
- UMLS CUI [1,1]
- C0681889
- UMLS CUI [1,2]
- C0041755
- UMLS CUI [1,3]
- C0015371
Description
Barnes Akathisia Scale
Data type
integer
Alias
- UMLS CUI [1]
- C3541345
Description
Positive and Negative Syndrome Scale
Data type
integer
Alias
- UMLS CUI [1]
- C0451383
Description
Clinicians Global Impressions - Severity
Data type
boolean
Alias
- UMLS CUI [1,1]
- C3639708
- UMLS CUI [1,2]
- C3639887
Description
Pharmacokinetic Sampling
Alias
- UMLS CUI-1
- C0201734
- UMLS CUI-2
- C0005834
Description
Screening Sample number: BLD001
Data type
date
Alias
- UMLS CUI [1,1]
- C0178913
- UMLS CUI [1,2]
- C0011008
Description
Time of Sampling
Data type
time
Alias
- UMLS CUI [1,1]
- C0005834
- UMLS CUI [1,2]
- C0040223
Description
Sample Number at Screening: BLD001
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0005834
- UMLS CUI [1,2]
- C0031328
Description
Atypical Antipsychotic dosing
Alias
- UMLS CUI-1
- C0040615
- UMLS CUI-2
- C0205182
- UMLS CUI-3
- C0178602
Description
Drug Name
Data type
text
Alias
- UMLS CUI [1,1]
- C2360065
- UMLS CUI [1,2]
- C1276996
Description
Intake of antipsychotic drug
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0040615
- UMLS CUI [1,2]
- C1512806
Description
Date dose taken
Data type
date
Alias
- UMLS CUI [1,1]
- C0011008
- UMLS CUI [1,2]
- C0013227
- UMLS CUI [1,3]
- C1276996
Description
Time
Data type
time
Alias
- UMLS CUI [1,1]
- C0040223
- UMLS CUI [1,2]
- C1276996
Similar models
Screen Part 4: Psychiatric History and Examination, Medication
- StudyEvent: ODM
C1517194 (UMLS CUI [1,2])
C0220952 (UMLS CUI [1,2])
C0871189 (UMLS CUI [1,2])
C0748061 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
C2826257 (UMLS CUI-2)
C0033978 (UMLS CUI [1,2])
C3174092 (UMLS CUI [1,2])
C0033978 (UMLS CUI [1,3])
C0033978 (UMLS CUI [1,2])
C0033978 (UMLS CUI [1,2])
C0033978 (UMLS CUI [1,2])
C0033978 (UMLS CUI [1,2])
C0033978 (UMLS CUI [1,2])
C3174092 (UMLS CUI [1,2])
C0013227 (UMLS CUI [1,2])
C0013227 (UMLS CUI [1,2])
C0041755 (UMLS CUI [1,2])
C0015371 (UMLS CUI [1,3])
C3639887 (UMLS CUI [1,2])
C0005834 (UMLS CUI-2)
C0011008 (UMLS CUI [1,2])
C0040223 (UMLS CUI [1,2])
C0031328 (UMLS CUI [1,2])
C0205182 (UMLS CUI-2)
C0178602 (UMLS CUI-3)
C1512806 (UMLS CUI [1,2])
C0013227 (UMLS CUI [1,2])
C1276996 (UMLS CUI [1,3])
C1276996 (UMLS CUI [1,2])
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