ID

35192

Description

Study ID: 111364 Clinical Study ID: 111364 Study Title: A 28-Day, Polysomnographic and subjective assessment of Vestipitant (15mg/day) for the treatment of Primary Insomnia in adult Outpatients Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00992160 Clinicaltrials.gov Links: https://clinicaltrials.gov/ct2/show/NCT00992160 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 2 Study Recruitment Status: Completed Generic Name: Vestipitant, Placebo Trade Name: N/A Study Indication: Primary Insomnia, Sleep Disorders The purpouse of this form is to record the results of the first vital sign measurement and should be filled out at visit 1. All vital signs should be taken in a sitting position

Link

https://clinicaltrials.gov/ct2/show/NCT00992160

Keywords

Versions (3)
  1. 2/23/19 2/23/19 -
  2. 3/1/19 3/1/19 -
  3. 11/10/19 11/10/19 -
Copyright Holder

GlaxoSmithKline

Uploaded on

February 23, 2019

DOI

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License

Creative Commons BY-NC 3.0
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Polysomnographic Assessment of Vestipitant for the Treatment of Primary Insomnia NCT00992160

English

Vital Signs

1 forms  
  1. StudyEvent: ODM
    1. Vital Signs
Administrative Data
Description

Administrative Data

Alias
UMLS CUI-1
C1320722
Date of Visit/Assessment
Description

Date of Visit/Assessment

Data type

date

Alias
UMLS CUI [1,1]
C1320303
UMLS CUI [1,2]
C2985720
Site
Description

Site

Data type

text

Alias
UMLS CUI [1]
C2825164
Patient
Description

Patient

Data type

text

Alias
UMLS CUI [1]
C1299487
Patient No.
Description

Patient No.

Data type

text

Alias
UMLS CUI [1]
C1830427
Vital Signs
Description

Vital Signs

Alias
UMLS CUI-1
C0518766
Actual Date
Description

Actual Date

Data type

date

Alias
UMLS CUI [1]
C0011008
Actual Time
Description

Actual Time

Data type

time

Alias
UMLS CUI [1]
C0040223
Height
Description

Height

Data type

integer

Measurement units
  • cm
Alias
UMLS CUI [1]
C0005890
cm
Body Mass Index
Description

Body Mass Index

Data type

text

Alias
UMLS CUI [1]
C1305855
Blood pressure Systolic
Description

Blood pressure Systolic

Data type

integer

Measurement units
  • mmHg
Alias
UMLS CUI [1]
C0871470
mmHg
Blood pressure Diastolic
Description

Blood pressure Diastolic

Data type

integer

Measurement units
  • mmHg
Alias
UMLS CUI [1]
C0428883
mmHg
Heart rate
Description

Heart rate

Data type

integer

Measurement units
  • bpm
Alias
UMLS CUI [1]
C0018810
bpm
Respiration Rate
Description

Respiration Rate

Data type

integer

Alias
UMLS CUI [1]
C0231832
Oral Temperature
Description

Oral Temperature

Data type

integer

Measurement units
  • °C
Alias
UMLS CUI [1,1]
C0005903
UMLS CUI [1,2]
C0442027
°C
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Similar models

Vital Signs

1 forms
  1. StudyEvent: ODM
    1. Vital Signs
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
Date of Visit/Assessment
Item
Date of Visit/Assessment
date
C1320303 (UMLS CUI [1,1])
C2985720 (UMLS CUI [1,2])
Site
Item
Site
text
C2825164 (UMLS CUI [1])
Patient
Item
Patient
text
C1299487 (UMLS CUI [1])
Patient No.
Item
Patient No.
text
C1830427 (UMLS CUI [1])
Item Group
Vital Signs
C0518766 (UMLS CUI-1)
Actual Date
Item
Actual Date
date
C0011008 (UMLS CUI [1])
Actual Time
Item
Actual Time
time
C0040223 (UMLS CUI [1])
Height
Item
Height
integer
C0005890 (UMLS CUI [1])
Body Mass Index
Item
Body Mass Index
text
C1305855 (UMLS CUI [1])
Blood pressure Systolic
Item
Blood pressure Systolic
integer
C0871470 (UMLS CUI [1])
Blood pressure Diastolic
Item
Blood pressure Diastolic
integer
C0428883 (UMLS CUI [1])
Heart rate
Item
Heart rate
integer
C0018810 (UMLS CUI [1])
Respiration Rate
Item
Respiration Rate
integer
C0231832 (UMLS CUI [1])
Oral Temperature
Item
Oral Temperature
integer
C0005903 (UMLS CUI [1,1])
C0442027 (UMLS CUI [1,2])
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