ID

36517

Descrição

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

Palavras-chave

  1. 19/05/2019 19/05/2019 -
Titular dos direitos

See clinicaltrials.gov

Transferido a

19 de maio de 2019

DOI

Para um pedido faça login.

Licença

Creative Commons BY 4.0

Comentários do modelo :

Aqui pode comentar o modelo. Pode comentá-lo especificamente através dos balões de texto nos grupos de itens e itens.

Comentários do grupo de itens para :

Comentários do item para :

Para descarregar formulários, precisa de ter uma sessão iniciada. Por favor faça login ou registe-se gratuitamente.

Eligibility Multiple Sclerosis, Relapsing-remitting NCT02394782

Eligibility Multiple Sclerosis, Relapsing-remitting NCT02394782

Inclusion Criteria
Descrição

Inclusion Criteria

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

Multiple Sclerosis, Relapsing-Remitting

Tipo de dados

boolean

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

Relapse Free of

Tipo de dados

boolean

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

Rebif

Tipo de dados

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)
Descrição

Other Coding | Patient Reported Outcome Assessment

Tipo de dados

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
Descrição

Childbearing Potential Contraceptive methods

Tipo de dados

boolean

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

EDSS

Tipo de dados

boolean

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

Informed Consent

Tipo de dados

boolean

Alias
UMLS CUI [1]
C0021430
Exclusion Criteria
Descrição

Exclusion Criteria

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

Study Subject Participation Status

Tipo de dados

boolean

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

Pregnancy | Breast Feeding

Tipo de dados

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)
Descrição

Psychiatric symptom Impact Treatment Compliance

Tipo de dados

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)
Descrição

Medical contraindication Interferon beta-1a

Tipo de dados

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
Descrição

Therapy Multiple Sclerosis | Exception Rebif

Tipo de dados

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
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
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])

Use este formulário para feedback, perguntas e sugestões de aperfeiçoamento.

Campos marcados com * são obrigatórios.

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