ID
3675
Beschreibung
ODM derived from http://clinicaltrials.gov/show/NCT01233440
Link
http://clinicaltrials.gov/show/NCT01233440
Stichworte
Versionen (3)
- 12.02.13 12.02.13 - Martin Dugas
- 19.04.14 19.04.14 - Julian Varghese
- 27.09.21 27.09.21 -
Hochgeladen am
12. Februar 2013
DOI
Für eine Beantragung loggen Sie sich ein.
Lizenz
Creative Commons BY-NC 3.0 Legacy
Modell Kommentare :
Hier können Sie das Modell kommentieren. Über die Sprechblasen an den Itemgruppen und Items können Sie diese spezifisch kommentieren.
Itemgroup Kommentare für :
Item Kommentare für :
Um Formulare herunterzuladen müssen Sie angemeldet sein. Bitte loggen Sie sich ein oder registrieren Sie sich kostenlos.
Eligibility NCT01233440 Hemophilia B
Eligibility
- StudyEvent: Eligibility
Beschreibung
Exclusion Criteria
Beschreibung
Known hypersensitivity (allergic reaction or anaphylaxis) to any FIX product or hamster protein
Datentyp
boolean
Alias
- UMLS CUI 2011AA
- C0020517
- SNOMED CT 2011_0131
- 418634005
- ICD-10-CM Version 2010
- T78.40
- UMLS CUI 2011AA
- C0002792
- SNOMED CT 2011_0131
- 39579001
- MedDRA 14.1
- 10002199
- ICD-10-CM Version 2010
- T78.2
- CTCAE 1105E
- E11254
- UMLS CUI 2011AA
- C1827657
- SNOMED CT 2011_0131
- 424562004
- UMLS CUI 2011AA
- C0018557
- SNOMED CT 2011_0131
- 392390005
- UMLS CUI 2011AA
- C0033684
- SNOMED CT 2011_0131
- 88878007
- LOINC Version 232
- MTHU001951
Beschreibung
Any known congenital or acquired coagulation disorder other than congenital FIX deficiency
Datentyp
boolean
Alias
- UMLS CUI 2011AA
- C0005779
- SNOMED CT 2011_0131
- 64779008
- MedDRA 14.1
- 10009802
- ICD-10-CM Version 2010
- D68.9
- UMLS CUI 2011AA
- C0398622
- SNOMED CT 2011_0131
- 234466008
- UMLS CUI 2011AA
- CL411789
- UMLS CUI 2011AA
- C0008533
- SNOMED CT 2011_0131
- 41788008
- MedDRA 14.1
- 10016077
- ICD-10-CM Version 2010
- D67
- ICD-9-CM Version 2011
- 286.1
Beschreibung
Platelet count < 100,000/microL
Datentyp
boolean
Alias
- UMLS CUI 2011AA
- C1287267
- SNOMED CT 2011_0131
- 365632008
- LOINC Version 232
- 777-3
Beschreibung
Immunocompromised (CD4 count < 200/mm3), (HIV positive subjects may participate in the study and protease inhibitors and antiviral therapy are permitted, at the discretion of the Investigator)
Datentyp
boolean
Alias
- UMLS CUI 2011AA
- C0085393
- SNOMED CT 2011_0131
- 370388006
- UMLS CUI 2011AA
- C1277776
- SNOMED CT 2011_0131
- 313660005
- UMLS CUI 2011AA
- C0679823
- HL7 V3 2006_05
- PART
- UMLS CUI 2011AA
- C0019699
- SNOMED CT 2011_0131
- 165816005
- MedDRA 14.1
- 10020188
- ICD-10-CM Version 2010
- Z21
- UMLS CUI 2011AA
- C0521104
- SNOMED CT 2011_0131
- 75554001
- UMLS CUI 2011AA
- C0033607
- SNOMED CT 2011_0131
- 412127001
- UMLS CUI 2011AA
- C2363964
- MedDRA 14.1
- 10068724
Beschreibung
Currently receiving IV immunomodulating agents such as immunoglobulin or chronic systemic corticosteroid treatment
Datentyp
boolean
Alias
- UMLS CUI 2011AA
- C1514756
- UMLS CUI 2011AA
- C0005525
- UMLS CUI 2011AA
- C0021027
- SNOMED CT 2011_0131
- 399771004
- HL7 V3 2006_05
- 14
- UMLS CUI 2011AA
- C0205191
- SNOMED CT 2011_0131
- 90734009
- UMLS CUI 2011AA
- C0001617
- SNOMED CT 2011_0131
- 79440004
- UMLS CUI 2011AA
- C1515119
Beschreibung
Serum aspartate aminotransferase (AST) or serum alanine aminotransferase (ALT) concentration > 5 times (x) the upper limit of normal (ULN)
Datentyp
boolean
Alias
- UMLS CUI 2011AA
- C0004002
- SNOMED CT 2011_0131
- 26091008
- LOINC Version 232
- MTHU004883
- UMLS CUI 2011AA
- C0001899
- SNOMED CT 2011_0131
- 56935002
- LOINC Version 232
- MTHU006766
- UMLS CUI 2011AA
- C1519815
Beschreibung
Serum creatinine > 2 x ULN
Datentyp
boolean
Alias
- UMLS CUI 2011AA
- C0201976
- SNOMED CT 2011_0131
- 113075003
- MedDRA 14.1
- 10040230
- UMLS CUI 2011AA
- C1519815
Beschreibung
Evidence of thrombosis, including deep vein thrombosis, stroke, pulmonary embolism, myocardial infarction and arterial embolus within 3 months prior to enrollment
Datentyp
boolean
Alias
- UMLS CUI 2011AA
- C0040053
- SNOMED CT 2011_0131
- 439127006
- MedDRA 14.1
- 10043607
- UMLS CUI 2011AA
- C0149871
- SNOMED CT 2011_0131
- 128053003
- MedDRA 14.1
- 10051055
- ICD-10-CM Version 2010
- I82.40
- UMLS CUI 2011AA
- C0038454
- SNOMED CT 2011_0131
- 230690007
- MedDRA 14.1
- 10042244
- ICD-10-CM Version 2010
- I63.9
- CTCAE 1105E
- E12826
- UMLS CUI 2011AA
- C0034065
- SNOMED CT 2011_0131
- 59282003
- MedDRA 14.1
- 10037377
- ICD-10-CM Version 2010
- I26
- ICD-9-CM Version 2011
- 415.1
- UMLS CUI 2011AA
- C0027051
- SNOMED CT 2011_0131
- 22298006
- MedDRA 14.1
- 10028596
- LOINC Version 232
- MTHU035551
- ICD-10-CM Version 2010
- I21-I22
- ICD-9-CM Version 2011
- 410
- CTCAE 1105E
- E10152
- UMLS CUI 2011AA
- C0549124
- SNOMED CT 2011_0131
- 54687002
- MedDRA 14.1
- 10014513
Beschreibung
Use of an Investigational Medicinal Product (IMP) within 30 days prior to the first rIX-FP administration
Datentyp
boolean
Alias
- UMLS CUI 2011AA
- C1524063
- SNOMED CT 2011_0131
- 260676000
- UMLS CUI 2011AA
- C1517586
- UMLS CUI 2011AA
- C0205476
- SNOMED CT 2011_0131
- 74188005
- UMLS CUI 2011AA
- C1514468
- UMLS CUI 2011AA
- C0332152
- SNOMED CT 2011_0131
- 288556008
- UMLS CUI 2011AA
- C1514798
- UMLS CUI 2011AA
- C0015491
- SNOMED CT 2011_0131
- 54378000
- UMLS CUI 2011AA
- C0162768
- SNOMED CT 2011_0131
- 422055000
- UMLS CUI 2011AA
- C1533734
- SNOMED CT 2011_0131
- 416118004
Beschreibung
Experienced life-threatening bleeding episode or had major surgery or an orthopedic surgical procedure during the 3 months prior to study entry
Datentyp
boolean
Alias
- UMLS CUI 2011AA
- C2826244
- UMLS CUI 2011AA
- C1970394
- UMLS CUI 2011AA
- C0679637
- UMLS CUI 2011AA
- C0162439
- UMLS CUI 2011AA
- C0332152
- SNOMED CT 2011_0131
- 288556008
- UMLS CUI 2011AA
- C2348558
Beschreibung
Subject currently on a dose and/or regimen of FIX that would preclude participation in the study due to possible increased risk of bleeding because of the requirement to withhold treatment during the PK sampling period
Datentyp
boolean
Alias
- UMLS CUI 2011AA
- C0178602
- SNOMED CT 2011_0131
- 260911001
- UMLS CUI 2011AA
- CL031856
- UMLS CUI 2011AA
- C0015491
- SNOMED CT 2011_0131
- 54378000
- UMLS CUI 2011AA
- CL411789
- UMLS CUI 2011AA
- C0679823
- HL7 V3 2006_05
- PART
- UMLS CUI 2011AA
- C0008976
- SNOMED CT 2011_0131
- 110465008
- UMLS CUI 2011AA
- C0332167
- SNOMED CT 2011_0131
- 15508007
- UMLS CUI 2011AA
- C0019080
- SNOMED CT 2011_0131
- 50960005
- MedDRA 14.1
- 10055798
- ICD-10-CM Version 2010
- R58
- ICD-9-CM Version 2011
- 459.0
Beschreibung
Suspected inability (e.g., language problem or mental condition) or unwillingness to comply with study procedures or history of noncompliance
Datentyp
boolean
Alias
- UMLS CUI 2011AA
- C1299582
- SNOMED CT 2011_0131
- 371151008
- UMLS CUI 2011AA
- C0023015
- SNOMED CT 2011_0131
- 62305002
- ICD-10-CM Version 2010
- F80.9
- UMLS CUI 2011AA
- C0278060
- SNOMED CT 2011_0131
- 36456004
- LOINC Version 232
- MTHU001424
- CTCAE 1105E
- MTHU117157
- UMLS CUI 2011AA
- C0558080
- SNOMED CT 2011_0131
- 225465005
- UMLS CUI 2011AA
- C0525058
- UMLS CUI 2011AA
- C0496735
Ähnliche Modelle
Eligibility
- StudyEvent: Eligibility
397669002 (SNOMED CT 2011_0131)
248153007 (SNOMED CT 2011_0131)
M (HL7 V3 2006_05)
C0005910 (UMLS CUI 2011AA)
27113001 (SNOMED CT 2011_0131)
MTHU001885 (LOINC Version 232)
397934002 (SNOMED CT 2011_0131)
C0205082 (UMLS CUI 2011AA)
24484000 (SNOMED CT 2011_0131)
C0008533 (UMLS CUI 2011AA)
41788008 (SNOMED CT 2011_0131)
10016077 (MedDRA 14.1)
D67 (ICD-10-CM Version 2010)
286.1 (ICD-9-CM Version 2011)
C0011900 (UMLS CUI 2011AA)
439401001 (SNOMED CT 2011_0131)
MTHU008876 (LOINC Version 232)
C0368934 (UMLS CUI 2011AA)
MTHU014834 (LOINC Version 232)
C0871311 (UMLS CUI 2011AA)
10072089 (MedDRA 14.1)
C1827657 (UMLS CUI 2011AA)
424562004 (SNOMED CT 2011_0131)
C0332157 (UMLS CUI 2011AA)
24932003 (SNOMED CT 2011_0131)
C0439228 (UMLS CUI 2011AA)
258703001 (SNOMED CT 2011_0131)
D (HL7 V3 2006_05)
C0750572 (UMLS CUI 2011AA)
414135002 (SNOMED CT 2011_0131)
2667000 (SNOMED CT 2011_0131)
CL421546 (UMLS CUI 2011AA)
392521001 (SNOMED CT 2011_0131)
C0302077 (UMLS CUI 2011AA)
36020009 (SNOMED CT 2011_0131)
C0205448 (UMLS CUI 2011AA)
19338005 (SNOMED CT 2011_0131)
C1707491 (UMLS CUI 2011AA)
C1335447 (UMLS CUI 2011AA)
C0302077 (UMLS CUI 2011AA)
36020009 (SNOMED CT 2011_0131)
CL415098 (UMLS CUI 2011AA)
C0439151 (UMLS CUI 2011AA)
258725007 (SNOMED CT 2011_0131)
[BETH'U] (HL7 V3 2006_05)
C1409616 (UMLS CUI 2011AA)
C0445202 (UMLS CUI 2011AA)
262073000 (SNOMED CT 2011_0131)
10036893 (MedDRA 14.1)
C0039798 (UMLS CUI 2011AA)
C0021430 (UMLS CUI 2011AA)
418634005 (SNOMED CT 2011_0131)
T78.40 (ICD-10-CM Version 2010)
C0002792 (UMLS CUI 2011AA)
39579001 (SNOMED CT 2011_0131)
10002199 (MedDRA 14.1)
T78.2 (ICD-10-CM Version 2010)
E11254 (CTCAE 1105E)
C1827657 (UMLS CUI 2011AA)
424562004 (SNOMED CT 2011_0131)
C0018557 (UMLS CUI 2011AA)
392390005 (SNOMED CT 2011_0131)
C0033684 (UMLS CUI 2011AA)
88878007 (SNOMED CT 2011_0131)
MTHU001951 (LOINC Version 232)
64779008 (SNOMED CT 2011_0131)
10009802 (MedDRA 14.1)
D68.9 (ICD-10-CM Version 2010)
C0398622 (UMLS CUI 2011AA)
234466008 (SNOMED CT 2011_0131)
CL411789 (UMLS CUI 2011AA)
C0008533 (UMLS CUI 2011AA)
41788008 (SNOMED CT 2011_0131)
10016077 (MedDRA 14.1)
D67 (ICD-10-CM Version 2010)
286.1 (ICD-9-CM Version 2011)
370388006 (SNOMED CT 2011_0131)
C1277776 (UMLS CUI 2011AA)
313660005 (SNOMED CT 2011_0131)
C0679823 (UMLS CUI 2011AA)
PART (HL7 V3 2006_05)
C0019699 (UMLS CUI 2011AA)
165816005 (SNOMED CT 2011_0131)
10020188 (MedDRA 14.1)
Z21 (ICD-10-CM Version 2010)
C0521104 (UMLS CUI 2011AA)
75554001 (SNOMED CT 2011_0131)
C0033607 (UMLS CUI 2011AA)
412127001 (SNOMED CT 2011_0131)
C2363964 (UMLS CUI 2011AA)
10068724 (MedDRA 14.1)
C0005525 (UMLS CUI 2011AA)
C0021027 (UMLS CUI 2011AA)
399771004 (SNOMED CT 2011_0131)
14 (HL7 V3 2006_05)
C0205191 (UMLS CUI 2011AA)
90734009 (SNOMED CT 2011_0131)
C0001617 (UMLS CUI 2011AA)
79440004 (SNOMED CT 2011_0131)
C1515119 (UMLS CUI 2011AA)
26091008 (SNOMED CT 2011_0131)
MTHU004883 (LOINC Version 232)
C0001899 (UMLS CUI 2011AA)
56935002 (SNOMED CT 2011_0131)
MTHU006766 (LOINC Version 232)
C1519815 (UMLS CUI 2011AA)
113075003 (SNOMED CT 2011_0131)
10040230 (MedDRA 14.1)
C1519815 (UMLS CUI 2011AA)
439127006 (SNOMED CT 2011_0131)
10043607 (MedDRA 14.1)
C0149871 (UMLS CUI 2011AA)
128053003 (SNOMED CT 2011_0131)
10051055 (MedDRA 14.1)
I82.40 (ICD-10-CM Version 2010)
C0038454 (UMLS CUI 2011AA)
230690007 (SNOMED CT 2011_0131)
10042244 (MedDRA 14.1)
I63.9 (ICD-10-CM Version 2010)
E12826 (CTCAE 1105E)
C0034065 (UMLS CUI 2011AA)
59282003 (SNOMED CT 2011_0131)
10037377 (MedDRA 14.1)
I26 (ICD-10-CM Version 2010)
415.1 (ICD-9-CM Version 2011)
C0027051 (UMLS CUI 2011AA)
22298006 (SNOMED CT 2011_0131)
10028596 (MedDRA 14.1)
MTHU035551 (LOINC Version 232)
I21-I22 (ICD-10-CM Version 2010)
410 (ICD-9-CM Version 2011)
E10152 (CTCAE 1105E)
C0549124 (UMLS CUI 2011AA)
54687002 (SNOMED CT 2011_0131)
10014513 (MedDRA 14.1)
260676000 (SNOMED CT 2011_0131)
C1517586 (UMLS CUI 2011AA)
C0205476 (UMLS CUI 2011AA)
74188005 (SNOMED CT 2011_0131)
C1514468 (UMLS CUI 2011AA)
C0332152 (UMLS CUI 2011AA)
288556008 (SNOMED CT 2011_0131)
C1514798 (UMLS CUI 2011AA)
C0015491 (UMLS CUI 2011AA)
54378000 (SNOMED CT 2011_0131)
C0162768 (UMLS CUI 2011AA)
422055000 (SNOMED CT 2011_0131)
C1533734 (UMLS CUI 2011AA)
416118004 (SNOMED CT 2011_0131)
C1970394 (UMLS CUI 2011AA)
C0679637 (UMLS CUI 2011AA)
C0162439 (UMLS CUI 2011AA)
C0332152 (UMLS CUI 2011AA)
288556008 (SNOMED CT 2011_0131)
C2348558 (UMLS CUI 2011AA)
260911001 (SNOMED CT 2011_0131)
CL031856 (UMLS CUI 2011AA)
C0015491 (UMLS CUI 2011AA)
54378000 (SNOMED CT 2011_0131)
CL411789 (UMLS CUI 2011AA)
C0679823 (UMLS CUI 2011AA)
PART (HL7 V3 2006_05)
C0008976 (UMLS CUI 2011AA)
110465008 (SNOMED CT 2011_0131)
C0332167 (UMLS CUI 2011AA)
15508007 (SNOMED CT 2011_0131)
C0019080 (UMLS CUI 2011AA)
50960005 (SNOMED CT 2011_0131)
10055798 (MedDRA 14.1)
R58 (ICD-10-CM Version 2010)
459.0 (ICD-9-CM Version 2011)
371151008 (SNOMED CT 2011_0131)
C0023015 (UMLS CUI 2011AA)
62305002 (SNOMED CT 2011_0131)
F80.9 (ICD-10-CM Version 2010)
C0278060 (UMLS CUI 2011AA)
36456004 (SNOMED CT 2011_0131)
MTHU001424 (LOINC Version 232)
MTHU117157 (CTCAE 1105E)
C0558080 (UMLS CUI 2011AA)
225465005 (SNOMED CT 2011_0131)
C0525058 (UMLS CUI 2011AA)
C0496735 (UMLS CUI 2011AA)