ID
36895
Beschreibung
Study ID: 101468/201 Clinical Study ID: 101468/201 Study Title: A Single Blind, Parallel Group, Up-titration, Phase 1 Study in Healthy Volunteers to Determine a Starting Dose and Select an Up-titration Regimen for a new Formulation of Ropinirole Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: Sponsor: GlaxoSmithKline Collaborators: N/A Phase: phase 1 Study Recruitment Status: Completed Generic Name: ropinirole Trade Name: Modutab,ZIPEREVE,ZEPREVE,REPREVE,ADARTREL,REQUIP,Zygara; Zygara,ZIPEREVE,ZEPREVE,Requip Depot,REQUIP,REPREVE,Modutab,ADARTREL Study Indication : Restless Legs Syndrome The Study consists of 21 Visits(Days): Screening (at least 21 days before dosing) Week 1: including Day 1-7 Week 2: including Day 8-14 Week 3: including Day 15-19 Follow-up Visit (7-14 days after last dose) This document contains the AE/ Concomitant Medication Probe form. It has to be filled in for each study day (Day1-Day19) and for Follow-up.
Stichworte
Versionen (2)
- 02.09.17 02.09.17 -
- 19.06.19 19.06.19 -
Rechteinhaber
GlaxoSmithKline
Hochgeladen am
19. Juni 2019
DOI
Für eine Beantragung loggen Sie sich ein.
Lizenz
Creative Commons BY-NC 3.0
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.
Determination of starting dose and up-titration regimen for a new formulation of Ropinirole in healthy adults, 101468/201
AE/ Concomitant Medication Probe
- StudyEvent: ODM
Beschreibung
AE, Concomitant Medication
Alias
- UMLS CUI-1
- C2347852
Beschreibung
Note: Pre-dose only is to be queried for Day 1. Timing +24 hrs is to be queried prior to next dose. For Follow-up: There is no specific time.
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C0040223
- UMLS CUI [1,2]
- C0178602
Beschreibung
If you tick no, please comment in the item "Comment".
Datentyp
text
Alias
- UMLS CUI [1]
- C0566217
Beschreibung
Fill in if subject was not asked.
Datentyp
text
Alias
- UMLS CUI [1]
- C0947611
Ähnliche Modelle
AE/ Concomitant Medication Probe
- StudyEvent: ODM
C0178602 (UMLS CUI [1,2])