ID

34829

Beschreibung

Study ID: 115054 Clinical Study ID: 115054 Study Title: Ethanol-Free Clobetasol Propionate Foam 0.05% (Olux-E Foam) vs Vehicle Foam in the Treatment of Chronic Hand Dermatitis. Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT01323673 Sponsor: GlaxoSmithKline Phase: Phase 4 Study Recruitment Status: Completed Generic Name: Vehicle / Placebo Trade Name: clobetasol propionate Study Indication: Dermatitis, Chronic

Stichworte

Versionen (1)
  1. 30.01.19 30.01.19 -
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GlaxoSmithKline

Hochgeladen am

30. Januar 2019

DOI

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Creative Commons BY-NC 3.0
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Ethanol-Free Clobetasol Propionate Foam vs Vehicle Foam in Chronic Hand Dermatitis NCT01323673

Englisch

Unscheduled Visit; Concomitant Medications; Concomitant Procedures; Adverse Events; General Comments; Subject's Post-Study Questionnaire

1 Formulare  
Unscheduled Visit
Beschreibung

Unscheduled Visit

Alias
UMLS CUI-1
C0545082
UMLS CUI-2
C3854240
Unscheduled Visit Date
Beschreibung

Unscheduled Visit Date

Datentyp

date

Alias
UMLS CUI [1,1]
C0545082
UMLS CUI [1,2]
C3854240
UMLS CUI [1,3]
C0011008
Please select which Unscheduled forms to add to this visit:
Beschreibung

Please select which Unscheduled forms to add to this visit:

Datentyp

integer

Alias
UMLS CUI [1,1]
C0545082
UMLS CUI [1,2]
C3854240
Concomitant Medications
Beschreibung

Concomitant Medications

Alias
UMLS CUI-1
C2347852
If there are no Concomitant Medications including MOISTURIZER to report during the course of the study, place a check in the box:
Beschreibung

no Concomitant Medications including MOISTURIZER to report

Datentyp

integer

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C2347804
UMLS CUI [2,1]
C3848663
UMLS CUI [2,2]
C2347804
Medication
Beschreibung

Medication

Datentyp

text

Alias
UMLS CUI [1]
C0013227
Administration Route
Beschreibung

Administration Route

Datentyp

text

Alias
UMLS CUI [1]
C0013153
Medication Start Date
Beschreibung

Medication Start Date

Datentyp

date

Alias
UMLS CUI [1]
C2826734
Medication Stop Date
Beschreibung

Medication Stop Date

Datentyp

date

Alias
UMLS CUI [1]
C2826744
Check if medication continuing at end of study
Beschreibung

Check if medication continuing at end of study

Datentyp

integer

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0549178
UMLS CUI [2,1]
C0008972
UMLS CUI [2,2]
C0444930
Indication for Medication (Reason for use)
Beschreibung

Indication Medication (Reason for use)

Datentyp

text

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C3146298
Concomitant Procedures
Beschreibung

Concomitant Procedures

Alias
UMLS CUI-1
C1707479
If there are no Concomitant Procedures to report during the course of the study, place a check in the box:
Beschreibung

No Concomitant Procedures to report

Datentyp

text

Alias
UMLS CUI [1,1]
C1707479
UMLS CUI [1,2]
C2347804
Procedure
Beschreibung

Procedure

Datentyp

text

Alias
UMLS CUI [1]
C0199171
Start Date of Procedure
Beschreibung

Start Date of Procedure

Datentyp

date

Alias
UMLS CUI [1,1]
C0199171
UMLS CUI [1,2]
C0808070
Stop Date of Procedure
Beschreibung

Stop Date of Procedure

Datentyp

date

Alias
UMLS CUI [1,1]
C0199171
UMLS CUI [1,2]
C0806020
Check if Procedure continuing at End of Study
Beschreibung

Check if Procedure continuing at End of Study

Datentyp

integer

Alias
UMLS CUI [1,1]
C1553904
UMLS CUI [1,2]
C0008972
UMLS CUI [1,3]
C0444930
Indication (Reason for procedure)
Beschreibung

Indication (Reason for procedure)

Datentyp

text

Alias
UMLS CUI [1,1]
C0199171
UMLS CUI [1,2]
C3146298
Adverse Events
Beschreibung

Adverse Events

Alias
UMLS CUI-1
C0877248
If there are no Adverse Events to report during the course of the study, place a check in the box:
Beschreibung

No Adverse Events to report

Datentyp

integer

Alias
UMLS CUI [1,1]
C0877248
UMLS CUI [1,2]
C2347804
Adverse Event
Beschreibung

Adverse Event

Datentyp

text

Alias
UMLS CUI [1]
C0877248
Start Date of Adverse Event
Beschreibung

Start Date of Adverse Event

Datentyp

date

Alias
UMLS CUI [1]
C2697888
End Date of Adverse Event
Beschreibung

End Date of Adverse Event

Datentyp

date

Alias
UMLS CUI [1]
C2697886
Check if Adverse Event continuing at end of study
Beschreibung

Check if Adverse Event continuing at end of study

Datentyp

integer

Alias
UMLS CUI [1,1]
C2826663
UMLS CUI [1,2]
C0008972
UMLS CUI [1,3]
C0444930
Adverse Event Severity
Beschreibung

Adverse Event Severity

Datentyp

integer

Alias
UMLS CUI [1]
C1710066
Is there a reasonable possibility that the AE may have been caused by the investigational product?
Beschreibung

AE caused by the investigational product?

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0085978
UMLS CUI [1,2]
C0877248
UMLS CUI [1,3]
C0304229
Action taken with Study treatment
Beschreibung

Action taken with Study treatment

Datentyp

integer

Alias
UMLS CUI [1]
C2826626
Concomitant or Additional Treatment Given
Beschreibung

Concomitant or Additional Treatment Given

Datentyp

boolean

Alias
UMLS CUI [1,1]
C1706712
UMLS CUI [1,2]
C1707479
Was the Adverse Event serious?
Beschreibung

Was the Adverse Event serious?

Datentyp

boolean

Alias
UMLS CUI [1]
C1519255
General Comments
Beschreibung

General Comments

Alias
UMLS CUI-1
C0947611
If there are no comments to report during the course of the study, place a check in the box:
Beschreibung

No comments to report

Datentyp

integer

Alias
UMLS CUI [1,1]
C0947611
UMLS CUI [1,2]
C2347804
Comment
Beschreibung

Comment

Datentyp

text

Alias
UMLS CUI [1]
C0947611
Subject's Post-Study Questionnaire
Beschreibung

Subject's Post-Study Questionnaire

Alias
UMLS CUI-1
C0681850
UMLS CUI-2
C0034394
UMLS CUI-3
C0008972
UMLS CUI-4
C0687676
If the subject did not complete the questionnaire for this visit, please check the box:
Beschreibung

Subject did not complete the questionnaire for this visit

Datentyp

integer

Alias
UMLS CUI [1,1]
C0205197
UMLS CUI [1,2]
C0034394
1 - Skin Medicines used in past
Beschreibung

1 - Skin Medicines used in past

Alias
UMLS CUI-1
C1123023
UMLS CUI-2
C0013227
UMLS CUI-3
C0205156
Gel Preference
Beschreibung

Gel Preference

Datentyp

text

Alias
UMLS CUI [1,1]
C0017243
UMLS CUI [1,2]
C0558295
Lotion Preference
Beschreibung

Lotion Preference

Datentyp

integer

Alias
UMLS CUI [1,1]
C0544341
UMLS CUI [1,2]
C0558295
Lotion Preference
Beschreibung

undefined item

Datentyp

text

Alias
UMLS CUI [1,1]
C0544341
UMLS CUI [1,2]
C0558295
Cream Preference
Beschreibung

Cream Preference

Datentyp

text

Alias
UMLS CUI [1,1]
C1378128
UMLS CUI [1,2]
C0558295
Ointment Preference
Beschreibung

Ointment Preference

Datentyp

text

Alias
UMLS CUI [1,1]
C0028912
UMLS CUI [1,2]
C0558295
Ointment Preference
Beschreibung

Ointment Preference

Datentyp

text

Alias
UMLS CUI [1,1]
C0028912
UMLS CUI [1,2]
C0558295
Spray Preference
Beschreibung

Spray Preference

Datentyp

text

Alias
UMLS CUI [1,1]
C4521772
UMLS CUI [1,2]
C0558295
2 - Rate Qualities of Foam
Beschreibung

2 - Rate Qualities of Foam

Alias
UMLS CUI-1
C0991510
UMLS CUI-2
C0332306
Foam easy to use
Beschreibung

Foam easy to use

Datentyp

text

Alias
UMLS CUI [1,1]
C0991510
UMLS CUI [1,2]
C0457083
UMLS CUI [1,3]
C0332219
Able to continue daily activities
Beschreibung

Able to continue daily activities

Datentyp

text

Alias
UMLS CUI [1,1]
C0001288
UMLS CUI [1,2]
C0085732
Leaves my skin feeling soft
Beschreibung

Leaves my skin feeling soft

Datentyp

text

Alias
UMLS CUI [1,1]
C1123023
UMLS CUI [1,2]
C0205358
Able to apply foam to large body surface areas
Beschreibung

Able to apply foam to large body surface areas

Datentyp

text

Alias
UMLS CUI [1,1]
C0185125
UMLS CUI [1,2]
C0085732
UMLS CUI [1,3]
C0991510
Disappears into my skin quickly
Beschreibung

Disappears into my skin quickly

Datentyp

text

Alias
UMLS CUI [1,1]
C1701930
UMLS CUI [1,2]
C1123023
3 - Rate the Foam
Beschreibung

3 - Rate the Foam

Alias
UMLS CUI-1
C0991510
UMLS CUI-2
C0220825
Moisturizing
Beschreibung

Moisturizing

Datentyp

text

Alias
UMLS CUI [1]
C1646056
Lack of residue
Beschreibung

Lack of residue

Datentyp

text

Alias
UMLS CUI [1,1]
C0332268
UMLS CUI [1,2]
C1709915
Does not feel greasy
Beschreibung

Does not feel greasy

Datentyp

text

Alias
UMLS CUI [1]
C0234925
Absorbs quickly
Beschreibung

Absorbs quickly

Datentyp

text

Alias
UMLS CUI [1,1]
C0000854
UMLS CUI [1,2]
C0456962
Easy to apply
Beschreibung

Easy to apply

Datentyp

text

Alias
UMLS CUI [1,1]
C0185125
UMLS CUI [1,2]
C0332219
Fragrance free
Beschreibung

Fragrance free

Datentyp

text

Alias
UMLS CUI [1,1]
C0031000
UMLS CUI [1,2]
C0332296
Spreadability
Beschreibung

Spreadability

Datentyp

text

Alias
UMLS CUI [1]
C3846158
Lack of stickiness
Beschreibung

Lack of stickiness

Datentyp

text

Alias
UMLS CUI [1,1]
C0392162
UMLS CUI [1,2]
C0022902
4 - Compare Foam to Other Types of Skin Medicines
Beschreibung

4 - Compare Foam to Other Types of Skin Medicines

Alias
UMLS CUI-1
C0991510
UMLS CUI-2
C1707455
UMLS CUI-3
C1123023
UMLS CUI-4
C0013227
UMLS CUI-5
C0205394
Gel - foam comparison
Beschreibung

Gel - foam comparison

Datentyp

text

Alias
UMLS CUI [1,1]
C0017243
UMLS CUI [1,2]
C0991510
UMLS CUI [1,3]
C1707455
Cream - foam comparison
Beschreibung

Cream - foam comparison

Datentyp

text

Alias
UMLS CUI [1,1]
C1378128
UMLS CUI [1,2]
C0991510
UMLS CUI [1,3]
C1707455
Ointment - foam comparison
Beschreibung

Ointment - foam comparison

Datentyp

text

Alias
UMLS CUI [1,1]
C0028912
UMLS CUI [1,2]
C0991510
UMLS CUI [1,3]
C1707455
Lotion - foam comparison
Beschreibung

Lotion - foam comparison

Datentyp

text

Alias
UMLS CUI [1,1]
C0544341
UMLS CUI [1,2]
C0991510
UMLS CUI [1,3]
C1707455
Spray - foam comparison
Beschreibung

Spray - foam comparison

Datentyp

text

Alias
UMLS CUI [1,1]
C4521772
UMLS CUI [1,2]
C0991510
UMLS CUI [1,3]
C1707455
5 - Likely to be compliant using various types of Medicines
Beschreibung

5 - Likely to be compliant using various types of Medicines

Alias
UMLS CUI-1
C1321605
UMLS CUI-2
C0457083
UMLS CUI-3
C0013227
UMLS CUI-4
C0443302
Likely w/ a foam
Beschreibung

Likely w/ a foam

Datentyp

text

Alias
UMLS CUI [1,1]
C0750501
UMLS CUI [1,2]
C0991510
Likely w/ a cream
Beschreibung

Likely w/ a cream

Datentyp

text

Alias
UMLS CUI [1,1]
C0750501
UMLS CUI [1,2]
C1378128
Likely w/ an ointment
Beschreibung

Likely w/ an ointment

Datentyp

text

Alias
UMLS CUI [1,1]
C0750501
UMLS CUI [1,2]
C0028912
Likely w/ a gel
Beschreibung

Likely w/ a gel

Datentyp

text

Alias
UMLS CUI [1,1]
C0750501
UMLS CUI [1,2]
C0017243
Likely w/ a lotion
Beschreibung

Likely w/ a lotion

Datentyp

text

Alias
UMLS CUI [1,1]
C0750501
UMLS CUI [1,2]
C0544341
Likely w/ a spray
Beschreibung

Likely w/ a spray

Datentyp

text

Alias
UMLS CUI [1,1]
C0750501
UMLS CUI [1,2]
C4521772
6 - What do you like or not like about the Foam?
Beschreibung

6 - What do you like or not like about the Foam?

Alias
UMLS CUI-1
C0991510
UMLS CUI-2
C0870814
6 - What do you like or not like about the Foam?
Beschreibung

6 - What do you like or not like about the Foam?

Datentyp

text

Alias
UMLS CUI [1,1]
C0991510
UMLS CUI [1,2]
C0870814
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Ähnliche Modelle

Unscheduled Visit; Concomitant Medications; Concomitant Procedures; Adverse Events; General Comments; Subject's Post-Study Questionnaire

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Unscheduled Visit
C0545082 (UMLS CUI-1)
C3854240 (UMLS CUI-2)
Unscheduled Visit Date
Item
Unscheduled Visit Date
date
C0545082 (UMLS CUI [1,1])
C3854240 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Item
Please select which Unscheduled forms to add to this visit:
integer
C0545082 (UMLS CUI [1,1])
C3854240 (UMLS CUI [1,2])
Please select which Unscheduled forms to add to this visit:
Code List
Please select which Unscheduled forms to add to this visit:
CL Item
Add Efficacy Assessment form (1)
CL Item
Add Urine Pregnancy form (2)
Item Group
Concomitant Medications
C2347852 (UMLS CUI-1)
Item
If there are no Concomitant Medications including MOISTURIZER to report during the course of the study, place a check in the box:
integer
C2347852 (UMLS CUI [1,1])
C2347804 (UMLS CUI [1,2])
C3848663 (UMLS CUI [2,1])
C2347804 (UMLS CUI [2,2])
no Concomitant Medications including MOISTURIZER to report
Code List
If there are no Concomitant Medications including MOISTURIZER to report during the course of the study, place a check in the box:
CL Item
No Concomitant Medications including MOISTURIZER to report (1)
Medication
Item
Medication
text
C0013227 (UMLS CUI [1])
Item
Administration Route
text
C0013153 (UMLS CUI [1])
Administration Route
Code List
Administration Route
CL Item
Oral (PO)
CL Item
Topical (TOP)
CL Item
Inhalation/ Respiratory (IHN)
CL Item
Intra- arterial (IA)
CL Item
Intra- articular (IAR)
CL Item
Intradermal (ID)
CL Item
Intramuscular (IM)
CL Item
Intraocular (IO)
CL Item
Intrathecal (IT)
CL Item
Intrauterine (IU)
CL Item
Intravenous (IV)
CL Item
Nasal (NAS)
CL Item
Rectal (PR)
CL Item
Subcutaneous (SC)
CL Item
Sublingual (SL)
CL Item
Transdermal (TD)
CL Item
Vaginal (VAG)
CL Item
Other (OTH)
Medication Start Date
Item
Medication Start Date
date
C2826734 (UMLS CUI [1])
Medication Stop Date
Item
Medication Stop Date
date
C2826744 (UMLS CUI [1])
Item
Check if medication continuing at end of study
integer
C0013227 (UMLS CUI [1,1])
C0549178 (UMLS CUI [1,2])
C0008972 (UMLS CUI [2,1])
C0444930 (UMLS CUI [2,2])
Check if medication continuing at end of study
Code List
Check if medication continuing at end of study
CL Item
Medication continuing at end of study (1)
Indication Medication (Reason for use)
Item
Indication for Medication (Reason for use)
text
C0013227 (UMLS CUI [1,1])
C3146298 (UMLS CUI [1,2])
Item Group
Concomitant Procedures
C1707479 (UMLS CUI-1)
Item
If there are no Concomitant Procedures to report during the course of the study, place a check in the box:
text
C1707479 (UMLS CUI [1,1])
C2347804 (UMLS CUI [1,2])
No Concomitant Procedures to report
Code List
If there are no Concomitant Procedures to report during the course of the study, place a check in the box:
CL Item
No Concomitant Procedures to report (1)
Procedure
Item
Procedure
text
C0199171 (UMLS CUI [1])
Start Date of Procedure
Item
Start Date of Procedure
date
C0199171 (UMLS CUI [1,1])
C0808070 (UMLS CUI [1,2])
Stop Date of Procedure
Item
Stop Date of Procedure
date
C0199171 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
Item
Check if Procedure continuing at End of Study
integer
C1553904 (UMLS CUI [1,1])
C0008972 (UMLS CUI [1,2])
C0444930 (UMLS CUI [1,3])
Check if Procedure continuing at End of Study
Code List
Check if Procedure continuing at End of Study
CL Item
Procedure continuing at End of Study (1)
Indication (Reason for procedure)
Item
Indication (Reason for procedure)
text
C0199171 (UMLS CUI [1,1])
C3146298 (UMLS CUI [1,2])
Item Group
Adverse Events
C0877248 (UMLS CUI-1)
Item
If there are no Adverse Events to report during the course of the study, place a check in the box:
integer
C0877248 (UMLS CUI [1,1])
C2347804 (UMLS CUI [1,2])
No Adverse Events to report
Code List
If there are no Adverse Events to report during the course of the study, place a check in the box:
CL Item
No Adverse Events to report (1)
Adverse Event
Item
Adverse Event
text
C0877248 (UMLS CUI [1])
Start Date of Adverse Event
Item
Start Date of Adverse Event
date
C2697888 (UMLS CUI [1])
End Date of Adverse Event
Item
End Date of Adverse Event
date
C2697886 (UMLS CUI [1])
Item
Check if Adverse Event continuing at end of study
integer
C2826663 (UMLS CUI [1,1])
C0008972 (UMLS CUI [1,2])
C0444930 (UMLS CUI [1,3])
Check if Adverse Event continuing at end of study
Code List
Check if Adverse Event continuing at end of study
CL Item
Adverse Event continuing at end of study (1)
Item
Adverse Event Severity
integer
C1710066 (UMLS CUI [1])
Adverse Event Severity
Code List
Adverse Event Severity
CL Item
Mild (1)
CL Item
Moderate (2)
CL Item
Severe (3)
AE caused by the investigational product?
Item
Is there a reasonable possibility that the AE may have been caused by the investigational product?
boolean
C0085978 (UMLS CUI [1,1])
C0877248 (UMLS CUI [1,2])
C0304229 (UMLS CUI [1,3])
Item
Action taken with Study treatment
integer
C2826626 (UMLS CUI [1])
Action taken with Study treatment
Code List
Action taken with Study treatment
CL Item
Dose not changed (1)
CL Item
Dose increased (2)
CL Item
Dose decreased (3)
CL Item
Drug interrupted (4)
CL Item
Drug withdrawn (5)
Concomitant or Additional Treatment Given
Item
Concomitant or Additional Treatment Given
boolean
C1706712 (UMLS CUI [1,1])
C1707479 (UMLS CUI [1,2])
Was the Adverse Event serious?
Item
Was the Adverse Event serious?
boolean
C1519255 (UMLS CUI [1])
Item Group
General Comments
C0947611 (UMLS CUI-1)
Item
If there are no comments to report during the course of the study, place a check in the box:
integer
C0947611 (UMLS CUI [1,1])
C2347804 (UMLS CUI [1,2])
No comments to report
Code List
If there are no comments to report during the course of the study, place a check in the box:
CL Item
No comments to report (1)
Comment
Item
Comment
text
C0947611 (UMLS CUI [1])
Item Group
Subject's Post-Study Questionnaire
C0681850 (UMLS CUI-1)
C0034394 (UMLS CUI-2)
C0008972 (UMLS CUI-3)
C0687676 (UMLS CUI-4)
Item
If the subject did not complete the questionnaire for this visit, please check the box:
integer
C0205197 (UMLS CUI [1,1])
C0034394 (UMLS CUI [1,2])
Subject did not complete the questionnaire for this visit
Code List
If the subject did not complete the questionnaire for this visit, please check the box:
CL Item
Subject did not complete the questionnaire for this visit (1)
Item Group
1 - Skin Medicines used in past
C1123023 (UMLS CUI-1)
C0013227 (UMLS CUI-2)
C0205156 (UMLS CUI-3)
Item
Gel Preference
text
C0017243 (UMLS CUI [1,1])
C0558295 (UMLS CUI [1,2])
Gel Preference
Code List
Gel Preference
CL Item
Liked the best (1)
CL Item
Liked second best (2)
CL Item
Liked third best (3)
CL Item
Liked fourth best (4)
CL Item
Liked the least (5)
CL Item
Does not apply to me (NA)
Lotion Preference
Item
Lotion Preference
integer
C0544341 (UMLS CUI [1,1])
C0558295 (UMLS CUI [1,2])
Item
Lotion Preference
text
C0544341 (UMLS CUI [1,1])
C0558295 (UMLS CUI [1,2])
undefined item
Code List
Lotion Preference
CL Item
Liked the best (1)
CL Item
Liked second best (2)
CL Item
Liked third best (3)
CL Item
Liked fourth best (4)
CL Item
Liked the least (5)
CL Item
Does not apply to me (NA)
Item
Cream Preference
text
C1378128 (UMLS CUI [1,1])
C0558295 (UMLS CUI [1,2])
Cream Preference
Code List
Cream Preference
CL Item
Liked the best (1)
CL Item
Liked second best (2)
CL Item
Liked third best (3)
CL Item
Liked fourth best (4)
CL Item
Liked the least (5)
CL Item
Does not apply to me (NA)
Item
Ointment Preference
text
C0028912 (UMLS CUI [1,1])
C0558295 (UMLS CUI [1,2])
Ointment Preference
Code List
Ointment Preference
CL Item
Liked the best (1)
CL Item
Liked second best (2)
CL Item
Liked third best (3)
CL Item
Liked fourth best (4)
CL Item
Liked the least (5)
CL Item
Does not apply to me (NA)
Item
Ointment Preference
text
C0028912 (UMLS CUI [1,1])
C0558295 (UMLS CUI [1,2])
undefined item
Code List
Ointment Preference
CL Item
Liked the best (1)
CL Item
Liked second best (2)
CL Item
Liked third best (3)
CL Item
Liked fourth best (4)
CL Item
Liked the least (5)
CL Item
Does not apply to me (NA)
Item
Spray Preference
text
C4521772 (UMLS CUI [1,1])
C0558295 (UMLS CUI [1,2])
Spray Preference
Code List
Spray Preference
CL Item
Liked the best (1)
CL Item
Liked second best (2)
CL Item
Liked third best (3)
CL Item
Liked fourth best (4)
CL Item
Liked the least (5)
CL Item
Does not apply to me (NA)
Item Group
2 - Rate Qualities of Foam
C0991510 (UMLS CUI-1)
C0332306 (UMLS CUI-2)
Item
Foam easy to use
text
C0991510 (UMLS CUI [1,1])
C0457083 (UMLS CUI [1,2])
C0332219 (UMLS CUI [1,3])
Foam easy to use
Code List
Foam easy to use
CL Item
Much worse (1)
CL Item
Worse (2)
CL Item
About the same (3)
CL Item
Better (4)
CL Item
Much better (5)
CL Item
Does not apply to me (N/A)
Item
Able to continue daily activities
text
C0001288 (UMLS CUI [1,1])
C0085732 (UMLS CUI [1,2])
Able to continue daily activities
Code List
Able to continue daily activities
CL Item
Much worse (1)
CL Item
Much worse (1)
CL Item
Worse (2)
CL Item
About the same (3)
CL Item
Better (4)
CL Item
Much better (5)
CL Item
Does not apply to me (N/A)
Item
Leaves my skin feeling soft
text
C1123023 (UMLS CUI [1,1])
C0205358 (UMLS CUI [1,2])
Leaves my skin feeling soft
Code List
Leaves my skin feeling soft
CL Item
Much worse (1)
CL Item
Worse (2)
CL Item
About the same (3)
CL Item
Better (4)
CL Item
Much better (5)
CL Item
Does not apply to me (N/A)
Item
Able to apply foam to large body surface areas
text
C0185125 (UMLS CUI [1,1])
C0085732 (UMLS CUI [1,2])
C0991510 (UMLS CUI [1,3])
Able to apply foam to large body surface areas
Code List
Able to apply foam to large body surface areas
CL Item
Much worse (1)
CL Item
Worse (2)
CL Item
About the same (3)
CL Item
Better (4)
CL Item
Much better (5)
CL Item
Does not apply to me (N/A)
Item
Disappears into my skin quickly
text
C1701930 (UMLS CUI [1,1])
C1123023 (UMLS CUI [1,2])
Disappears into my skin quickly
Code List
Disappears into my skin quickly
CL Item
Much worse (1)
CL Item
Worse (2)
CL Item
About the same (3)
CL Item
Better (4)
CL Item
Much better (5)
CL Item
Does not apply to me (N/A)
Item Group
3 - Rate the Foam
C0991510 (UMLS CUI-1)
C0220825 (UMLS CUI-2)
Item
Moisturizing
text
C1646056 (UMLS CUI [1])
Moisturizing
Code List
Moisturizing
CL Item
Very poor (1)
CL Item
Poor (2)
CL Item
Fair (3)
CL Item
Good (4)
CL Item
Excellent (5)
CL Item
Does not apply to me (N/A)
Item
Lack of residue
text
C0332268 (UMLS CUI [1,1])
C1709915 (UMLS CUI [1,2])
Lack of residue
Code List
Lack of residue
CL Item
Very poor (1)
CL Item
Poor (2)
CL Item
Fair (3)
CL Item
Good (4)
CL Item
Excellent (5)
CL Item
Does not apply to me (N/A)
Item
Does not feel greasy
text
C0234925 (UMLS CUI [1])
Does not feel greasy
Code List
Does not feel greasy
CL Item
Very poor (1)
CL Item
Poor (2)
CL Item
Fair (3)
CL Item
Good (4)
CL Item
Excellent (5)
CL Item
Does not apply to me (N/A)
Item
Absorbs quickly
text
C0000854 (UMLS CUI [1,1])
C0456962 (UMLS CUI [1,2])
Absorbs quickly
Code List
Absorbs quickly
CL Item
Very poor (1)
CL Item
Poor (2)
CL Item
Fair (3)
CL Item
Good (4)
CL Item
Excellent (5)
CL Item
Does not apply to me (N/A)
Item
Easy to apply
text
C0185125 (UMLS CUI [1,1])
C0332219 (UMLS CUI [1,2])
Easy to apply
Code List
Easy to apply
CL Item
Very poor (1)
CL Item
Poor (2)
CL Item
Fair (3)
CL Item
Good (4)
CL Item
Excellent (5)
CL Item
Does not apply to me (N/A)
Item
Fragrance free
text
C0031000 (UMLS CUI [1,1])
C0332296 (UMLS CUI [1,2])
Fragrance free
Code List
Fragrance free
CL Item
Very poor (1)
CL Item
Poor (2)
CL Item
Fair (3)
CL Item
Good (4)
CL Item
Excellent (5)
CL Item
Does not apply to me (N/A)
Item
Spreadability
text
C3846158 (UMLS CUI [1])
Spreadability
Code List
Spreadability
CL Item
Very poor (1)
CL Item
Poor (2)
CL Item
Fair (3)
CL Item
Good (4)
CL Item
Excellent (5)
CL Item
Does not apply to me (N/A)
Item
Lack of stickiness
text
C0392162 (UMLS CUI [1,1])
C0022902 (UMLS CUI [1,2])
Lack of stickiness
Code List
Lack of stickiness
CL Item
Very poor (1)
CL Item
Poor (2)
CL Item
Fair (3)
CL Item
Good (4)
CL Item
Excellent (5)
CL Item
Does not apply to me (N/A)
Item Group
4 - Compare Foam to Other Types of Skin Medicines
C0991510 (UMLS CUI-1)
C1707455 (UMLS CUI-2)
C1123023 (UMLS CUI-3)
C0013227 (UMLS CUI-4)
C0205394 (UMLS CUI-5)
Item
Gel - foam comparison
text
C0017243 (UMLS CUI [1,1])
C0991510 (UMLS CUI [1,2])
C1707455 (UMLS CUI [1,3])
Gel - foam comparison
Code List
Gel - foam comparison
CL Item
Much worse (1)
CL Item
Worse (2)
CL Item
About the same (3)
CL Item
Better (4)
CL Item
Much better (5)
CL Item
Does not apply to me (N/A)
Item
Cream - foam comparison
text
C1378128 (UMLS CUI [1,1])
C0991510 (UMLS CUI [1,2])
C1707455 (UMLS CUI [1,3])
Cream - foam comparison
Code List
Cream - foam comparison
CL Item
Much worse (1)
CL Item
Worse (2)
CL Item
About the same (3)
CL Item
Better (4)
CL Item
Much better (5)
CL Item
Does not apply to me (N/A)
Item
Ointment - foam comparison
text
C0028912 (UMLS CUI [1,1])
C0991510 (UMLS CUI [1,2])
C1707455 (UMLS CUI [1,3])
Ointment - foam comparison
Code List
Ointment - foam comparison
CL Item
Much worse (1)
CL Item
Worse (2)
CL Item
About the same (3)
CL Item
Better (4)
CL Item
Much better (5)
CL Item
Does not apply to me (N/A)
Item
Lotion - foam comparison
text
C0544341 (UMLS CUI [1,1])
C0991510 (UMLS CUI [1,2])
C1707455 (UMLS CUI [1,3])
Lotion - foam comparison
Code List
Lotion - foam comparison
CL Item
Much worse (1)
CL Item
Worse (2)
CL Item
About the same (3)
CL Item
Better (4)
CL Item
Much better (5)
CL Item
Does not apply to me (N/A)
Item
Spray - foam comparison
text
C4521772 (UMLS CUI [1,1])
C0991510 (UMLS CUI [1,2])
C1707455 (UMLS CUI [1,3])
Spray - foam comparison
Code List
Spray - foam comparison
CL Item
Much worse (1)
CL Item
Worse (2)
CL Item
About the same (3)
CL Item
Better (4)
CL Item
Much better (5)
CL Item
Does not apply to me (N/A)
Item Group
5 - Likely to be compliant using various types of Medicines
C1321605 (UMLS CUI-1)
C0457083 (UMLS CUI-2)
C0013227 (UMLS CUI-3)
C0443302 (UMLS CUI-4)
Item
Likely w/ a foam
text
C0750501 (UMLS CUI [1,1])
C0991510 (UMLS CUI [1,2])
Likely w/ a foam
Code List
Likely w/ a foam
CL Item
Hardly ever (<=24%) (1)
CL Item
Some of the time (25-49%) (2)
CL Item
Half of the time (50-74%) (3)
CL Item
Most of the time (75-99%) (4)
CL Item
All of the time (100%) (5)
CL Item
Does not apply to me (NA)
Item
Likely w/ a cream
text
C0750501 (UMLS CUI [1,1])
C1378128 (UMLS CUI [1,2])
Likely w/ a cream
Code List
Likely w/ a cream
CL Item
Hardly ever (<=24%) (1)
CL Item
Some of the time (25-49%) (2)
CL Item
Half of the time (50-74%) (3)
CL Item
Most of the time (75-99%) (4)
CL Item
All of the time (100%) (5)
CL Item
Does not apply to me (NA)
Item
Likely w/ an ointment
text
C0750501 (UMLS CUI [1,1])
C0028912 (UMLS CUI [1,2])
Likely w/ an ointment
Code List
Likely w/ an ointment
CL Item
Hardly ever (<=24%) (1)
CL Item
Some of the time (25-49%) (2)
CL Item
Half of the time (50-74%) (3)
CL Item
Most of the time (75-99%) (4)
CL Item
All of the time (100%) (5)
CL Item
Does not apply to me (NA)
Item
Likely w/ a gel
text
C0750501 (UMLS CUI [1,1])
C0017243 (UMLS CUI [1,2])
Likely w/ a gel
Code List
Likely w/ a gel
CL Item
Hardly ever (<=24%) (1)
CL Item
Some of the time (25-49%) (2)
CL Item
Half of the time (50-74%) (3)
CL Item
Most of the time (75-99%) (4)
CL Item
All of the time (100%) (5)
CL Item
Does not apply to me (NA)
Item
Likely w/ a lotion
text
C0750501 (UMLS CUI [1,1])
C0544341 (UMLS CUI [1,2])
Likely w/ a lotion
Code List
Likely w/ a lotion
CL Item
Hardly ever (<=24%) (1)
CL Item
Some of the time (25-49%) (2)
CL Item
Half of the time (50-74%) (3)
CL Item
Most of the time (75-99%) (4)
CL Item
All of the time (100%) (5)
CL Item
Does not apply to me (NA)
Item
Likely w/ a spray
text
C0750501 (UMLS CUI [1,1])
C4521772 (UMLS CUI [1,2])
Likely w/ a spray
Code List
Likely w/ a spray
CL Item
Hardly ever (<=24%) (1)
CL Item
Some of the time (25-49%) (2)
CL Item
Half of the time (50-74%) (3)
CL Item
Most of the time (75-99%) (4)
CL Item
All of the time (100%) (5)
CL Item
Does not apply to me (NA)
Item Group
6 - What do you like or not like about the Foam?
C0991510 (UMLS CUI-1)
C0870814 (UMLS CUI-2)
6 - What do you like or not like about the Foam?
Item
6 - What do you like or not like about the Foam?
text
C0991510 (UMLS CUI [1,1])
C0870814 (UMLS CUI [1,2])
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