ID

36517

Beschrijving

Observational Study of Rebismart®2.0 + MSdialog™ in Subjects With Remitting Multiple Sclerosis (ADHERQOL); ODM derived from: https://clinicaltrials.gov/show/NCT02394782

Link

https://clinicaltrials.gov/show/NCT02394782

Trefwoorden

  1. 19-05-19 19-05-19 -
Houder van rechten

See clinicaltrials.gov

Geüploaded op

19 mei 2019

DOI

Voor een aanvraag inloggen.

Licentie

Creative Commons BY 4.0

Model Commentaren :

Hier kunt u commentaar leveren op het model. U kunt de tekstballonnen bij de itemgroepen en items gebruiken om er specifiek commentaar op te geven.

Itemgroep Commentaren voor :

Item Commentaren voor :

U moet ingelogd zijn om formulieren te downloaden. AUB inloggen of schrijf u gratis in.

Eligibility Multiple Sclerosis, Relapsing-remitting NCT02394782

Eligibility Multiple Sclerosis, Relapsing-remitting NCT02394782

Inclusion Criteria
Beschrijving

Inclusion Criteria

Alias
UMLS CUI
C1512693
diagnosed with rrms according to mcdonald criteria 2010
Beschrijving

Multiple Sclerosis, Relapsing-Remitting

Datatype

boolean

Alias
UMLS CUI [1]
C0751967
relapse free within 30 days before baseline data collection
Beschrijving

Relapse Free of

Datatype

boolean

Alias
UMLS CUI [1,1]
C0035020
UMLS CUI [1,2]
C0332296
treatment with rebif for 6 months or more prior to informed consent
Beschrijving

Rebif

Datatype

boolean

Alias
UMLS CUI [1]
C0752980
already using rebismart®2.0 + msdialog™ for patient reported outcome (pro) assessments (at least once prior to informed consent)
Beschrijving

Other Coding | Patient Reported Outcome Assessment

Datatype

boolean

Alias
UMLS CUI [1]
C3846158
UMLS CUI [2,1]
C2987124
UMLS CUI [2,2]
C1516048
females of childbearing potential must be willing to use appropriate contraception for the duration of the study
Beschrijving

Childbearing Potential Contraceptive methods

Datatype

boolean

Alias
UMLS CUI [1,1]
C3831118
UMLS CUI [1,2]
C0700589
edss score less than (<) 6
Beschrijving

EDSS

Datatype

boolean

Alias
UMLS CUI [1]
C0451246
written informed consent obtained prior to any protocol-required data collection
Beschrijving

Informed Consent

Datatype

boolean

Alias
UMLS CUI [1]
C0021430
Exclusion Criteria
Beschrijving

Exclusion Criteria

Alias
UMLS CUI
C0680251
participation in other studies within 30 days before baseline
Beschrijving

Study Subject Participation Status

Datatype

boolean

Alias
UMLS CUI [1]
C2348568
female who is pregnant or breast feeding
Beschrijving

Pregnancy | Breast Feeding

Datatype

boolean

Alias
UMLS CUI [1]
C0032961
UMLS CUI [2]
C0006147
significant psychiatric symptoms that, in the opinion of the investigator, would impact subject ability to comply with treatment (as per standard clinical practice)
Beschrijving

Psychiatric symptom Impact Treatment Compliance

Datatype

boolean

Alias
UMLS CUI [1,1]
C0233401
UMLS CUI [1,2]
C4049986
UMLS CUI [1,3]
C4319828
any contraindication for interferon (ifn) beta-1a therapy as per summary of product characteristics (spc)
Beschrijving

Medical contraindication Interferon beta-1a

Datatype

boolean

Alias
UMLS CUI [1,1]
C1301624
UMLS CUI [1,2]
C0254119
administration of any multiple sclerosis (ms) therapy, other than rebif, within 6 months prior to informed consent
Beschrijving

Therapy Multiple Sclerosis | Exception Rebif

Datatype

boolean

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C0026769
UMLS CUI [2,1]
C1705847
UMLS CUI [2,2]
C0752980

Similar models

Eligibility Multiple Sclerosis, Relapsing-remitting NCT02394782

Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
C1512693 (UMLS CUI)
Multiple Sclerosis, Relapsing-Remitting
Item
diagnosed with rrms according to mcdonald criteria 2010
boolean
C0751967 (UMLS CUI [1])
Relapse Free of
Item
relapse free within 30 days before baseline data collection
boolean
C0035020 (UMLS CUI [1,1])
C0332296 (UMLS CUI [1,2])
Rebif
Item
treatment with rebif for 6 months or more prior to informed consent
boolean
C0752980 (UMLS CUI [1])
Other Coding | Patient Reported Outcome Assessment
Item
already using rebismart®2.0 + msdialog™ for patient reported outcome (pro) assessments (at least once prior to informed consent)
boolean
C3846158 (UMLS CUI [1])
C2987124 (UMLS CUI [2,1])
C1516048 (UMLS CUI [2,2])
Childbearing Potential Contraceptive methods
Item
females of childbearing potential must be willing to use appropriate contraception for the duration of the study
boolean
C3831118 (UMLS CUI [1,1])
C0700589 (UMLS CUI [1,2])
EDSS
Item
edss score less than (<) 6
boolean
C0451246 (UMLS CUI [1])
Informed Consent
Item
written informed consent obtained prior to any protocol-required data collection
boolean
C0021430 (UMLS CUI [1])
Item Group
C0680251 (UMLS CUI)
Study Subject Participation Status
Item
participation in other studies within 30 days before baseline
boolean
C2348568 (UMLS CUI [1])
Pregnancy | Breast Feeding
Item
female who is pregnant or breast feeding
boolean
C0032961 (UMLS CUI [1])
C0006147 (UMLS CUI [2])
Psychiatric symptom Impact Treatment Compliance
Item
significant psychiatric symptoms that, in the opinion of the investigator, would impact subject ability to comply with treatment (as per standard clinical practice)
boolean
C0233401 (UMLS CUI [1,1])
C4049986 (UMLS CUI [1,2])
C4319828 (UMLS CUI [1,3])
Medical contraindication Interferon beta-1a
Item
any contraindication for interferon (ifn) beta-1a therapy as per summary of product characteristics (spc)
boolean
C1301624 (UMLS CUI [1,1])
C0254119 (UMLS CUI [1,2])
Therapy Multiple Sclerosis | Exception Rebif
Item
administration of any multiple sclerosis (ms) therapy, other than rebif, within 6 months prior to informed consent
boolean
C0087111 (UMLS CUI [1,1])
C0026769 (UMLS CUI [1,2])
C1705847 (UMLS CUI [2,1])
C0752980 (UMLS CUI [2,2])

Gebruik dit formulier voor feedback, vragen en verbeteringsvoorstellen.

Velden gemarkeerd met een * zijn verplicht.

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial