ID

35510

Description

Study ID: 101468/194 Clinical Study ID: 101468/194 Study Title: A 12 Week, Double-Blind, Placebo-Controlled, Parallel Group Study to Assess the Efficacy and Safety of Ropinirole in Patients Suffering from Restless Legs Syndrome (RLS). Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: Sponsor: GlaxoSmithKline Collaborators: N/A Phase: phase 3 Study Recruitment Status: Completed Generic Name: ropinirole Trade Name: requip Study Indication: Restless Legs Syndrome

Mots-clés

Versions (1)
  1. 06/03/2019 06/03/2019 -
Détendeur de droits

GlaxoSmithKline

Téléchargé le

6 mars 2019

DOI

Pour une demande vous connecter.

Licence

Creative Commons BY-NC 3.0
Modèle Commentaires :

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Ropinirole in Patients with Restless Legs Syndrome (Study ID: 101468/194)

Anglais

Concomitant Medication

1 Formulaires  
  1. StudyEvent: ODM
    1. Concomitant Medication
Administrative data
Description

Administrative data

Alias
UMLS CUI-1
C1320722
Centre Number
Description

Study Coordinating Center, Identification number

Type de données

integer

Alias
UMLS CUI [1,1]
C2825181
UMLS CUI [1,2]
C1300638
Patient Number
Description

Clinical Trial Subject Unique Identifier

Type de données

integer

Alias
UMLS CUI [1]
C2348585
Patient Initials
Description

Person Initials

Type de données

text

Alias
UMLS CUI [1]
C2986440
Concomitant Medication
Description

Concomitant Medication

Alias
UMLS CUI-1
C2347852
Please mark if no new or change in concomitant medication since the previous visit.
Description

Concomitant Agent, No status change

Type de données

boolean

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C0442739
Drug Name (Trade Name Preferred)
Description

Concomitant Agent, Medication name

Type de données

text

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C2360065
Total Daily Dose
Description

Concomitant Medication Daily Dose, Total

Type de données

text

Alias
UMLS CUI [1,1]
C2826638
UMLS CUI [1,2]
C0439810
Medical Illness/ Diagnosis (or symptom in absence of diagnosis)
Description

Concomitant Agent, Disease

Type de données

text

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C0012634
Start Date (be as precise as possible)
Description

Concomitant Medication Start Date

Type de données

date

Alias
UMLS CUI [1]
C2826734
End Date
Description

Concomitant Medication End Date

Type de données

date

Alias
UMLS CUI [1]
C2826744
If Continuing mark box
Description

Concomitant Medication Ongoing

Type de données

boolean

Alias
UMLS CUI [1]
C2826666
Retour au début de la page

Similar models

Concomitant Medication

1 Formulaires
  1. StudyEvent: ODM
    1. Concomitant Medication
Name
Type
Description | Question | Decode (Coded Value)
Type de données
Alias
Item Group
Administrative data
C1320722 (UMLS CUI-1)
Study Coordinating Center, Identification number
Item
Centre Number
integer
C2825181 (UMLS CUI [1,1])
C1300638 (UMLS CUI [1,2])
Clinical Trial Subject Unique Identifier
Item
Patient Number
integer
C2348585 (UMLS CUI [1])
Person Initials
Item
Patient Initials
text
C2986440 (UMLS CUI [1])
Item Group
Concomitant Medication
C2347852 (UMLS CUI-1)
Concomitant Agent, No status change
Item
Please mark if no new or change in concomitant medication since the previous visit.
boolean
C2347852 (UMLS CUI [1,1])
C0442739 (UMLS CUI [1,2])
Concomitant Agent, Medication name
Item
Drug Name (Trade Name Preferred)
text
C2347852 (UMLS CUI [1,1])
C2360065 (UMLS CUI [1,2])
Concomitant Medication Daily Dose, Total
Item
Total Daily Dose
text
C2826638 (UMLS CUI [1,1])
C0439810 (UMLS CUI [1,2])
Concomitant Agent, Disease
Item
Medical Illness/ Diagnosis (or symptom in absence of diagnosis)
text
C2347852 (UMLS CUI [1,1])
C0012634 (UMLS CUI [1,2])
Concomitant Medication Start Date
Item
Start Date (be as precise as possible)
date
C2826734 (UMLS CUI [1])
Concomitant Medication End Date
Item
End Date
date
C2826744 (UMLS CUI [1])
Concomitant Medication Ongoing
Item
If Continuing mark box
boolean
C2826666 (UMLS CUI [1])
Retour au début de la page 

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