ID

40857

Description

Study ID: 101468/902 Clinical Study ID: 101468/902 Study Title:A study to evaluate the effect of repeated oral doses of ropinirole on cardiac conduction as assessed by 12-lead electrocardiogram compared to placebo and single oral doses of moxifloxacin (Bayer) as a positive control. Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Sponsor: GlaxoSmithKline 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

Mots-clés

Versions (2)
  1. 26/05/2020 26/05/2020 -
  2. 26/05/2020 26/05/2020 -
Détendeur de droits

GlaxoSmithKline

Téléchargé le

26 mai 2020

DOI

Pour une demande vous connecter.

Licence

Creative Commons BY-NC 4.0
Modèle Commentaires :

Ici, vous pouvez faire des commentaires sur le modèle. À partir des bulles de texte, vous pouvez laisser des commentaires spécifiques sur les groupes Item et les Item.

Retour au modèle Commentaires
Groupe Item commentaires pour :

Item commentaires pour :

Vous devez être connecté pour pouvoir télécharger des formulaires. Veuillez vous connecter ou s’inscrire gratuitement.

Effect of ropinirole on cardiac conduction as assessed by 12-lead electrocardiogram (101468/902)

Anglais

Vital Signs

1 Formulaires  
  1. StudyEvent: ODM
    1. Vital Signs
Administrative
Description

Administrative

Alias
UMLS CUI-1
C1320722
Subject Number
Description

Subject Number

Type de données

text

Alias
UMLS CUI [1]
C2348585
Vital Signs
Description

Vital Signs

Alias
UMLS CUI-1
C0518766
Study Time
Description

Study Time

Type de données

integer

Alias
UMLS CUI [1,1]
C2348563
UMLS CUI [1,2]
C0040223
Vital Signs - Date and Time
Description

Vital Signs - Date and Time

Type de données

datetime

Alias
UMLS CUI [1,1]
C0518766
UMLS CUI [1,2]
C0011008
UMLS CUI [1,3]
C0040223
Supine systolic blood pressure
Description

Supine systolic blood pressure

Type de données

integer

Unités de mesure
  • mm[Hg]
Alias
UMLS CUI [1,1]
C0871470
UMLS CUI [1,2]
C0038846
mm[Hg]
Supine diastolic blood pressure
Description

Supine diastolic blood pressure

Type de données

integer

Unités de mesure
  • mm[Hg]
Alias
UMLS CUI [1,1]
C0428883
UMLS CUI [1,2]
C0038846
mm[Hg]
Supine heart rate
Description

Supine heart rate

Type de données

integer

Unités de mesure
  • beats/min
Alias
UMLS CUI [1,1]
C0018810
UMLS CUI [1,2]
C0038846
beats/min
Vital Signs Time
Description

Vital Signs Time

Type de données

time

Alias
UMLS CUI [1]
C2826762
Erect systolic blood pressure
Description

Erect systolic blood pressure

Type de données

integer

Unités de mesure
  • mm[Hg]
Alias
UMLS CUI [1,1]
C0522014
UMLS CUI [1,2]
C0871470
mm[Hg]
Erect diastolic blood pressure
Description

Erect diastolic blood pressure

Type de données

integer

Unités de mesure
  • mm[Hg]
Alias
UMLS CUI [1,1]
C0522014
UMLS CUI [1,2]
C0428883
mm[Hg]
Erect heart rate
Description

Erect heart rate

Type de données

integer

Unités de mesure
  • beats/min
Alias
UMLS CUI [1,1]
C0522014
UMLS CUI [1,2]
C0018810
beats/min
Exclusion Criteria
Description

Exclusion Criteria

Alias
UMLS CUI-1
C0680251
Did the subject have a diastolic blood pressure ≥ 90 mmHg or ≤ 50 mmHg OR systolic blood pressure ≥ 140 mmHg or ≤ 90 mmHg at baseline (Day 1 pre-dose of Period 1)?
Description

If ’Yes’ the subject must be excluded from the study.

Type de données

boolean

Alias
UMLS CUI [1]
C0428883
UMLS CUI [2]
C0871470
UMLS CUI [3]
C1442488
Vital Signs
Description

Vital Signs

Alias
UMLS CUI-1
C0518766
Study Time
Description

Study Time

Type de données

integer

Alias
UMLS CUI [1,1]
C2348563
UMLS CUI [1,2]
C0040223
Vital Signs - Date and Time
Description

Vital Signs - Date and Time

Type de données

datetime

Alias
UMLS CUI [1,1]
C0518766
UMLS CUI [1,2]
C0011008
UMLS CUI [1,3]
C0040223
Supine systolic blood pressure
Description

Supine systolic blood pressure

Type de données

integer

Unités de mesure
  • mm[Hg]
Alias
UMLS CUI [1,1]
C0871470
UMLS CUI [1,2]
C0038846
mm[Hg]
Supine diastolic blood pressure
Description

Supine diastolic blood pressure

Type de données

integer

Unités de mesure
  • mm[Hg]
Alias
UMLS CUI [1,1]
C0428883
UMLS CUI [1,2]
C0038846
mm[Hg]
Supine heart rate
Description

Supine heart rate

Type de données

integer

Unités de mesure
  • beats/min
Alias
UMLS CUI [1,1]
C0018810
UMLS CUI [1,2]
C0038846
beats/min
Vital Signs Time
Description

Vital Signs Time

Type de données

time

Alias
UMLS CUI [1]
C2826762
Erect systolic blood pressure
Description

Erect systolic blood pressure

Type de données

integer

Unités de mesure
  • mm[Hg]
Alias
UMLS CUI [1,1]
C0522014
UMLS CUI [1,2]
C0871470
mm[Hg]
Erect diastolic blood pressure
Description

Erect diastolic blood pressure

Type de données

integer

Unités de mesure
  • mm[Hg]
Alias
UMLS CUI [1,1]
C0522014
UMLS CUI [1,2]
C0428883
mm[Hg]
Erect heart rate
Description

Erect heart rate

Type de données

integer

Unités de mesure
  • beats/min
Alias
UMLS CUI [1,1]
C0522014
UMLS CUI [1,2]
C0018810
beats/min
Vital Signs
Description

Vital Signs

Alias
UMLS CUI-1
C0518766
Study Time
Description

Study Time

Type de données

integer

Alias
UMLS CUI [1,1]
C2348563
UMLS CUI [1,2]
C0040223
Vital Signs - Date and Time
Description

Vital Signs - Date and Time

Type de données

datetime

Alias
UMLS CUI [1,1]
C0518766
UMLS CUI [1,2]
C0011008
UMLS CUI [1,3]
C0040223
Supine systolic blood pressure
Description

Supine systolic blood pressure

Type de données

integer

Unités de mesure
  • mm[Hg]
Alias
UMLS CUI [1,1]
C0871470
UMLS CUI [1,2]
C0038846
mm[Hg]
Supine diastolic blood pressure
Description

Supine diastolic blood pressure

Type de données

integer

Unités de mesure
  • mm[Hg]
Alias
UMLS CUI [1,1]
C0428883
UMLS CUI [1,2]
C0038846
mm[Hg]
Supine heart rate
Description

Supine heart rate

Type de données

integer

Unités de mesure
  • beats/min
Alias
UMLS CUI [1,1]
C0018810
UMLS CUI [1,2]
C0038846
beats/min
Vital Signs Time
Description

Vital Signs Time

Type de données

time

Alias
UMLS CUI [1]
C2826762
Erect systolic blood pressure
Description

Erect systolic blood pressure

Type de données

integer

Unités de mesure
  • mm[Hg]
Alias
UMLS CUI [1,1]
C0522014
UMLS CUI [1,2]
C0871470
mm[Hg]
Erect diastolic blood pressure
Description

Erect diastolic blood pressure

Type de données

integer

Unités de mesure
  • mm[Hg]
Alias
UMLS CUI [1,1]
C0522014
UMLS CUI [1,2]
C0428883
mm[Hg]
Erect heart rate
Description

Erect heart rate

Type de données

integer

Unités de mesure
  • beats/min
Alias
UMLS CUI [1,1]
C0522014
UMLS CUI [1,2]
C0018810
beats/min
Vital Signs (Follow-Up)
Description

Vital Signs (Follow-Up)

Alias
UMLS CUI-1
C0518766
UMLS CUI-2
C1522577
Vital Signs - Date and Time
Description

Vital Signs - Date and Time

Type de données

datetime

Alias
UMLS CUI [1,1]
C0518766
UMLS CUI [1,2]
C0011008
UMLS CUI [1,3]
C0040223
Supine systolic blood pressure
Description

Supine systolic blood pressure

Type de données

integer

Unités de mesure
  • mm[Hg]
Alias
UMLS CUI [1,1]
C0871470
UMLS CUI [1,2]
C0038846
mm[Hg]
Supine diastolic blood pressure
Description

Supine diastolic blood pressure

Type de données

integer

Unités de mesure
  • mm[Hg]
Alias
UMLS CUI [1,1]
C0428883
UMLS CUI [1,2]
C0038846
mm[Hg]
Supine heart rate
Description

Supine heart rate

Type de données

integer

Unités de mesure
  • beats/min
Alias
UMLS CUI [1,1]
C0018810
UMLS CUI [1,2]
C0038846
beats/min
Vital Signs Time
Description

Vital Signs Time

Type de données

time

Alias
UMLS CUI [1]
C2826762
Erect systolic blood pressure
Description

Erect systolic blood pressure

Type de données

integer

Unités de mesure
  • mm[Hg]
Alias
UMLS CUI [1,1]
C0522014
UMLS CUI [1,2]
C0871470
mm[Hg]
Erect diastolic blood pressure
Description

Erect diastolic blood pressure

Type de données

integer

Unités de mesure
  • mm[Hg]
Alias
UMLS CUI [1,1]
C0522014
UMLS CUI [1,2]
C0428883
mm[Hg]
Erect heart rate
Description

Erect heart rate

Type de données

integer

Unités de mesure
  • beats/min
Alias
UMLS CUI [1,1]
C0522014
UMLS CUI [1,2]
C0018810
beats/min
Research Physician’s Signature:
Description

Research Physician’s Signature:

Alias
UMLS CUI-1
C1519316
UMLS CUI-2
C0031831
Research Physician’s Signature
Description

Research Physician’s Signature

Type de données

text

Alias
UMLS CUI [1,1]
C1519316
UMLS CUI [1,2]
C0031831
Research Physician’s Signature date
Description

Research Physician’s Signature date

Type de données

date

Alias
UMLS CUI [1,1]
C1519316
UMLS CUI [1,2]
C0031831
UMLS CUI [1,3]
C0011008
Retour au début de la page

Similar models

Vital Signs

1 Formulaires
  1. StudyEvent: ODM
    1. Vital Signs
Name
Type
Description | Question | Decode (Coded Value)
Type de données
Alias
Item Group
Administrative
C1320722 (UMLS CUI-1)
Subject Number
Item
Subject Number
text
C2348585 (UMLS CUI [1])
Item Group
Vital Signs
C0518766 (UMLS CUI-1)
Item
Study Time
integer
C2348563 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
Study Time
Code List
Study Time
CL Item
Pre-dose (1)
CL Item
+18hrs (2)
Vital Signs - Date and Time
Item
Vital Signs - Date and Time
datetime
C0518766 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0040223 (UMLS CUI [1,3])
Supine systolic blood pressure
Item
Supine systolic blood pressure
integer
C0871470 (UMLS CUI [1,1])
C0038846 (UMLS CUI [1,2])
Supine diastolic blood pressure
Item
Supine diastolic blood pressure
integer
C0428883 (UMLS CUI [1,1])
C0038846 (UMLS CUI [1,2])
Supine heart rate
Item
Supine heart rate
integer
C0018810 (UMLS CUI [1,1])
C0038846 (UMLS CUI [1,2])
Vital Signs Time
Item
Vital Signs Time
time
C2826762 (UMLS CUI [1])
Erect systolic blood pressure
Item
Erect systolic blood pressure
integer
C0522014 (UMLS CUI [1,1])
C0871470 (UMLS CUI [1,2])
Erect diastolic blood pressure
Item
Erect diastolic blood pressure
integer
C0522014 (UMLS CUI [1,1])
C0428883 (UMLS CUI [1,2])
Erect heart rate
Item
Erect heart rate
integer
C0522014 (UMLS CUI [1,1])
C0018810 (UMLS CUI [1,2])
Item Group
Exclusion Criteria
C0680251 (UMLS CUI-1)
Did the subject have a diastolic blood pressure ≥ 90 mmHg or ≤ 50 mmHg OR systolic blood pressure ≥ 140 mmHg or ≤ 90 mmHg at baseline (Day 1 pre-dose of Period 1)?
Item
Did the subject have a diastolic blood pressure ≥ 90 mmHg or ≤ 50 mmHg OR systolic blood pressure ≥ 140 mmHg or ≤ 90 mmHg at baseline (Day 1 pre-dose of Period 1)?
boolean
C0428883 (UMLS CUI [1])
C0871470 (UMLS CUI [2])
C1442488 (UMLS CUI [3])
Item Group
Vital Signs
C0518766 (UMLS CUI-1)
Item
Study Time
integer
C2348563 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
Study Time
Code List
Study Time
CL Item
Pre-dose  (1)
CL Item
+2hrs (2)
CL Item
+4hrs (3)
Vital Signs - Date and Time
Item
Vital Signs - Date and Time
datetime
C0518766 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0040223 (UMLS CUI [1,3])
Supine systolic blood pressure
Item
Supine systolic blood pressure
integer
C0871470 (UMLS CUI [1,1])
C0038846 (UMLS CUI [1,2])
Supine diastolic blood pressure
Item
Supine diastolic blood pressure
integer
C0428883 (UMLS CUI [1,1])
C0038846 (UMLS CUI [1,2])
Supine heart rate
Item
Supine heart rate
integer
C0018810 (UMLS CUI [1,1])
C0038846 (UMLS CUI [1,2])
Vital Signs Time
Item
Vital Signs Time
time
C2826762 (UMLS CUI [1])
Erect systolic blood pressure
Item
Erect systolic blood pressure
integer
C0522014 (UMLS CUI [1,1])
C0871470 (UMLS CUI [1,2])
Erect diastolic blood pressure
Item
Erect diastolic blood pressure
integer
C0522014 (UMLS CUI [1,1])
C0428883 (UMLS CUI [1,2])
Erect heart rate
Item
Erect heart rate
integer
C0522014 (UMLS CUI [1,1])
C0018810 (UMLS CUI [1,2])
Item Group
Vital Signs
C0518766 (UMLS CUI-1)
Item
Study Time
integer
C2348563 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
Study Time
Code List
Study Time
CL Item
Pre-dose  (1)
CL Item
+2 hrs  (2)
CL Item
+8 hrs (3)
CL Item
+ 18 hrs (4)
Vital Signs - Date and Time
Item
Vital Signs - Date and Time
datetime
C0518766 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0040223 (UMLS CUI [1,3])
Supine systolic blood pressure
Item
Supine systolic blood pressure
integer
C0871470 (UMLS CUI [1,1])
C0038846 (UMLS CUI [1,2])
Supine diastolic blood pressure
Item
Supine diastolic blood pressure
integer
C0428883 (UMLS CUI [1,1])
C0038846 (UMLS CUI [1,2])
Supine heart rate
Item
Supine heart rate
integer
C0018810 (UMLS CUI [1,1])
C0038846 (UMLS CUI [1,2])
Vital Signs Time
Item
Vital Signs Time
time
C2826762 (UMLS CUI [1])
Erect systolic blood pressure
Item
Erect systolic blood pressure
integer
C0522014 (UMLS CUI [1,1])
C0871470 (UMLS CUI [1,2])
Erect diastolic blood pressure
Item
Erect diastolic blood pressure
integer
C0522014 (UMLS CUI [1,1])
C0428883 (UMLS CUI [1,2])
Erect heart rate
Item
Erect heart rate
integer
C0522014 (UMLS CUI [1,1])
C0018810 (UMLS CUI [1,2])
Item Group
Vital Signs (Follow-Up)
C0518766 (UMLS CUI-1)
C1522577 (UMLS CUI-2)
Vital Signs - Date and Time
Item
Vital Signs - Date and Time
datetime
C0518766 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0040223 (UMLS CUI [1,3])
Supine systolic blood pressure
Item
Supine systolic blood pressure
integer
C0871470 (UMLS CUI [1,1])
C0038846 (UMLS CUI [1,2])
Supine diastolic blood pressure
Item
Supine diastolic blood pressure
integer
C0428883 (UMLS CUI [1,1])
C0038846 (UMLS CUI [1,2])
Supine heart rate
Item
Supine heart rate
integer
C0018810 (UMLS CUI [1,1])
C0038846 (UMLS CUI [1,2])
Vital Signs Time
Item
Vital Signs Time
time
C2826762 (UMLS CUI [1])
Erect systolic blood pressure
Item
Erect systolic blood pressure
integer
C0522014 (UMLS CUI [1,1])
C0871470 (UMLS CUI [1,2])
Erect diastolic blood pressure
Item
Erect diastolic blood pressure
integer
C0522014 (UMLS CUI [1,1])
C0428883 (UMLS CUI [1,2])
Erect heart rate
Item
Erect heart rate
integer
C0522014 (UMLS CUI [1,1])
C0018810 (UMLS CUI [1,2])
Item Group
Research Physician’s Signature:
C1519316 (UMLS CUI-1)
C0031831 (UMLS CUI-2)
Research Physician’s Signature
Item
Research Physician’s Signature
text
C1519316 (UMLS CUI [1,1])
C0031831 (UMLS CUI [1,2])
Research Physician’s Signature date
Item
Research Physician’s Signature date
date
C1519316 (UMLS CUI [1,1])
C0031831 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Retour au début de la page 

Contact

Utilisez ce formulaire pour les retours, les questions et les améliorations suggérées.

Les champs marqués d’un * sont obligatoires.

Aide

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