ID

42066

Descrição

Study ID: 111569 Clinical Study ID: 111569 Study Title: A fixed dose, dose-response study for ropinirole prolonged release (PR) as adjunctive treatment to L-Dopa in patients with advanced Parkinson's disease Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT01494532 Sponsor: GlaxoSmithKline Phase: Phase 4 Study Recruitment Status: Completed Generic Name: Ropinirole, placebo Study Indication: Parkinson's Disease

Palavras-chave

Versões (3)
  1. 12/9/19 12/9/19 -
  2. 1/9/20 1/9/20 -
  3. 3/15/21 3/15/21 - Dr. rer. medic Philipp Neuhaus
Titular dos direitos

GlaxoSmithKline

Transferido a

March 15, 2021

DOI

Para um pedido faça login.

Licença

Creative Commons BY-NC 3.0
Comentários do modelo :

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

Voltar para os comentários do modelo
Comentários do grupo de itens para :

Comentários do item para :

  • Os mais recentes
  • Os mais antigos
  • Preferidos
  • Os mais recentes
    • Os mais recentes
    • Os mais antigos
    • Preferidos

Sem comentários

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

Ropinirole prolonged release (PR) as adjunctive treatment to L-Dopa in patients with advanced Parkinson's disease (NCT01494532)

Inglês

Baseline - PR/ Conmeds; Pregnancy; Sudden Onset of Sleep Questionnaire

1 Formulários  
Administrative
Descrição

Administrative

Alias
UMLS CUI-1
C1320722
Study Name
Descrição

Study Name

Tipo de dados

text

Alias
UMLS CUI [1]
C2348560
Subject ID
Descrição

Subject ID

Tipo de dados

text

Alias
UMLS CUI [1]
C2348585
Study Site
Descrição

Study Site

Tipo de dados

text

Alias
UMLS CUI [1]
C2825164
Prior/ Current Concomitant Medications
Descrição

Prior/ Current Concomitant Medications

Alias
UMLS CUI-1
C2347852
UMLS CUI-2
C1514463
UMLS CUI-3
C0521116
Concomitant Medication Sequence Number
Descrição

Concomitant Medication Sequence Number

Tipo de dados

text

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C2348184
Concomitant Medication - Drug Name
Descrição

(Trade name preferred)

Tipo de dados

text

Alias
UMLS CUI [1]
C2347852
UMLS CUI [2]
C2360065
Concomitant Medication - Total daily dose
Descrição

Concomitant Medication - Total daily dose

Tipo de dados

float

Alias
UMLS CUI [1]
C2347852
UMLS CUI [2,1]
C2348070
UMLS CUI [2,2]
C0439810
Concomitant Medication - Unit
Descrição

Concomitant Medication - Unit

Tipo de dados

text

Alias
UMLS CUI [1]
C2347852
UMLS CUI [2]
C1519795
Concomitant Medication - Indication
Descrição

Concomitant Medication - Indication

Tipo de dados

text

Alias
UMLS CUI [1]
C2826696
Concomitant Medication - Start date - Complete Date Unknown
Descrição

Concomitant Medication - Start date - Complete Date Unknown

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C2826734
UMLS CUI [1,2]
C0439673
Concomitant Medication - Start date/ time
Descrição

Concomitant Medication - Start date/ time

Tipo de dados

datetime

Alias
UMLS CUI [1]
C2826734
UMLS CUI [2,1]
C1301880
UMLS CUI [2,2]
C2347852
Concomitant Medication - Taken prior to sudy?
Descrição

Concomitant Medication - Taken prior to sudy?

Tipo de dados

boolean

Alias
UMLS CUI [1]
C2826667
Concomitant Medication - Ongoing?
Descrição

Concomitant Medication - Ongoing?

Tipo de dados

boolean

Alias
UMLS CUI [1]
C2826666
Concomitant Medication - End date - Complete Date unknown
Descrição

Concomitant Medication - End date - Complete Date unknown

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C2826744
UMLS CUI [1,2]
C0439673
Concomitant Medication - End date/ time
Descrição

Concomitant Medication - End date/ time

Tipo de dados

datetime

Alias
UMLS CUI [1]
C2826744
UMLS CUI [2,1]
C2347852
UMLS CUI [2,2]
C1522314
AE/ SAE related?
Descrição

AE/ SAE related?

Tipo de dados

boolean

Alias
UMLS CUI [1,1]
C1518404
UMLS CUI [1,2]
C0869014
UMLS CUI [2,1]
C1519255
UMLS CUI [2,2]
C0869014
Prior/ current non-drug therapies
Descrição

Prior/ current non-drug therapies

Alias
UMLS CUI-1
C1514463
UMLS CUI-2
C0033082
UMLS CUI-3
C2827774
UMLS CUI-4
C0033082
Did the subject participate in any Non-Drug therapies prior to screening and/or during the study?
Descrição

Did the subject participate in any Non-Drug therapies prior to screening and/or during the study?

Tipo de dados

boolean

Alias
UMLS CUI [1,1]
C1514463
UMLS CUI [1,2]
C0033082
UMLS CUI [2,1]
C2827774
UMLS CUI [2,2]
C0033082
Non-drug therapies
Descrição

Non-drug therapies

Alias
UMLS CUI-1
C0087111
UMLS CUI-2
C0033082
Non-Drug Sequence Number
Descrição

Non-Drug Sequence Number

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0033082
UMLS CUI [1,2]
C2348184
Non-Drug Therapy Name
Descrição

Non-Drug Therapy Name

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0033082
UMLS CUI [1,2]
C2826274
Non-Drug Indication
Descrição

Non-Drug Indication

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0033082
UMLS CUI [1,2]
C3146298
Non-Drug Therapy - Start Date - Complete Date unknown
Descrição

Non-Drug Therapy - Start Date - Complete Date unknown

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0033082
UMLS CUI [1,2]
C3173309
UMLS CUI [2,1]
C0011008
UMLS CUI [2,2]
C0439673
Non-Drug Therapy - Start Date
Descrição

Non-Drug Therapy - Start Date

Tipo de dados

date

Alias
UMLS CUI [1,1]
C0033082
UMLS CUI [1,2]
C3173309
Non-Drug Therapy - Taken prior to study?
Descrição

Non-Drug Therapy - Taken prior to study?

Tipo de dados

boolean

Alias
UMLS CUI [1,1]
C0033082
UMLS CUI [1,2]
C2603343
UMLS CUI [1,3]
C0332152
Non-Drug Therapy ongoing?
Descrição

Non-Drug Therapy ongoing?

Tipo de dados

boolean

Alias
UMLS CUI [1,1]
C0033082
UMLS CUI [1,2]
C0549178
Non-Drug Therapy - End Date - Complete Date unknown
Descrição

Non-Drug Therapy - End Date - Complete Date unknown

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0033082
UMLS CUI [1,2]
C1531784
UMLS CUI [2,1]
C0011008
UMLS CUI [2,2]
C0439673
Non-Drug Therapy - End Date/Time
Descrição

Non-Drug Therapy - End Date/Time

Tipo de dados

datetime

Alias
UMLS CUI [1,1]
C0033082
UMLS CUI [1,2]
C1531784
UMLS CUI [2,1]
C0033082
UMLS CUI [2,2]
C1522314
Non-Drug Therapy - AE/ SAE related?
Descrição

Non-Drug Therapy - AE/ SAE related?

Tipo de dados

boolean

Alias
UMLS CUI [1,1]
C0033082
UMLS CUI [1,2]
C0439849
UMLS CUI [1,3]
C0877248
UMLS CUI [2,1]
C0033082
UMLS CUI [2,2]
C0439849
UMLS CUI [2,3]
C1519255
Pregnancy
Descrição

Pregnancy

Alias
UMLS CUI-1
C0032961
Did a female partner of a male subject become pregnant during the study?
Descrição

Did a female partner of a male subject become pregnant during the study?

Tipo de dados

boolean

Alias
UMLS CUI [1]
C0919624
Did the subject become pregnant during the study?
Descrição

Did the subject become pregnant during the study?

Tipo de dados

boolean

Alias
UMLS CUI [1]
C3828490
Sudden Onset of Sleep Questionnaire
Descrição

Sudden Onset of Sleep Questionnaire

Alias
UMLS CUI-1
C1272517
UMLS CUI-2
C0037313
UMLS CUI-3
C0034394
Date of event
Descrição

Date of event

Tipo de dados

date

Alias
UMLS CUI [1,1]
C0441471
UMLS CUI [1,2]
C0011008
Time of day
Descrição

Time of day

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0040223
UMLS CUI [1,2]
C0439228
1. What were you doing at the time of this event?
Descrição

1. What were you doing at the time of this event?

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C2828361
UMLS CUI [1,2]
C0441471
UMLS CUI [1,3]
C0040223
If you were doing something different, specify
Descrição

If you were doing something different, specify

Tipo de dados

text

Alias
UMLS CUI [1,1]
C2828361
UMLS CUI [1,2]
C0441471
UMLS CUI [1,3]
C0040223
UMLS CUI [1,4]
C0205394
UMLS CUI [1,5]
C2348235
2. Prior to this event, did you experience any sleepiness or drowsiness?
Descrição

2. Prior to this event, did you experience any sleepiness or drowsiness?

Tipo de dados

boolean

Alias
UMLS CUI [1,1]
C0441471
UMLS CUI [1,2]
C0332152
UMLS CUI [2]
C2830004
UMLS CUI [3]
C0013144
2A. If yes, please explain/clarify:
Descrição

2A. If yes, please explain/clarify:

Tipo de dados

text

Alias
UMLS CUI [1]
C2830004
UMLS CUI [2]
C0013144
UMLS CUI [3]
C0681841
3. What specifically happened?
Descrição

3. What specifically happened?

Tipo de dados

text

Alias
UMLS CUI [1,1]
C2348235
UMLS CUI [1,2]
C0441471
4. How long did this event last?
Descrição

4. How long did this event last?

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0441471
UMLS CUI [1,2]
C0449238
Event duration unit
Descrição

Event duration unit

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0441471
UMLS CUI [1,2]
C0449238
UMLS CUI [1,3]
C1519795
5. Did you suffer any "bad" outcome/problem from this falling asleep event?
Descrição

5. Did you suffer any

Tipo de dados

boolean

Alias
UMLS CUI [1,1]
C1624730
UMLS CUI [1,2]
C0037313
Please explain/clarify "bad" outcome/problem
Descrição

Please explain/clarify

Tipo de dados

text

Alias
UMLS CUI [1,1]
C1624730
UMLS CUI [1,2]
C0681841
Voltar ao início da página

Similar models

Baseline - PR/ Conmeds; Pregnancy; Sudden Onset of Sleep Questionnaire

1 Formulários
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
Item Group
Administrative
C1320722 (UMLS CUI-1)
Study Name
Item
Study Name
text
C2348560 (UMLS CUI [1])
Subject ID
Item
Subject ID
text
C2348585 (UMLS CUI [1])
Study Site
Item
Study Site
text
C2825164 (UMLS CUI [1])
Item Group
Prior/ Current Concomitant Medications
C2347852 (UMLS CUI-1)
C1514463 (UMLS CUI-2)
C0521116 (UMLS CUI-3)
Concomitant Medication Sequence Number
Item
Concomitant Medication Sequence Number
text
C2347852 (UMLS CUI [1,1])
C2348184 (UMLS CUI [1,2])
Concomitant Medication - Drug Name
Item
Concomitant Medication - Drug Name
text
C2347852 (UMLS CUI [1])
C2360065 (UMLS CUI [2])
Concomitant Medication - Total daily dose
Item
Concomitant Medication - Total daily dose
float
C2347852 (UMLS CUI [1])
C2348070 (UMLS CUI [2,1])
C0439810 (UMLS CUI [2,2])
Concomitant Medication - Unit
Item
Concomitant Medication - Unit
text
C2347852 (UMLS CUI [1])
C1519795 (UMLS CUI [2])
Concomitant Medication - Indication
Item
Concomitant Medication - Indication
text
C2826696 (UMLS CUI [1])
Item
Concomitant Medication - Start date - Complete Date Unknown
integer
C2826734 (UMLS CUI [1,1])
C0439673 (UMLS CUI [1,2])
Concomitant Medication - Start date - Complete Date Unknown
Code List
Concomitant Medication - Start date - Complete Date Unknown
CL Item
Complete Date Unknown (1)
Concomitant Medication - Start date/ time
Item
Concomitant Medication - Start date/ time
datetime
C2826734 (UMLS CUI [1])
C1301880 (UMLS CUI [2,1])
C2347852 (UMLS CUI [2,2])
Concomitant Medication - Taken prior to sudy?
Item
Concomitant Medication - Taken prior to sudy?
boolean
C2826667 (UMLS CUI [1])
Concomitant Medication - Ongoing?
Item
Concomitant Medication - Ongoing?
boolean
C2826666 (UMLS CUI [1])
Item
Concomitant Medication - End date - Complete Date unknown
integer
C2826744 (UMLS CUI [1,1])
C0439673 (UMLS CUI [1,2])
Concomitant Medication - End date - Complete Date unknown
Code List
Concomitant Medication - End date - Complete Date unknown
CL Item
Complete Date Unknown (1)
Concomitant Medication - End date/ time
Item
Concomitant Medication - End date/ time
datetime
C2826744 (UMLS CUI [1])
C2347852 (UMLS CUI [2,1])
C1522314 (UMLS CUI [2,2])
AE/ SAE related?
Item
AE/ SAE related?
boolean
C1518404 (UMLS CUI [1,1])
C0869014 (UMLS CUI [1,2])
C1519255 (UMLS CUI [2,1])
C0869014 (UMLS CUI [2,2])
Item Group
Prior/ current non-drug therapies
C1514463 (UMLS CUI-1)
C0033082 (UMLS CUI-2)
C2827774 (UMLS CUI-3)
C0033082 (UMLS CUI-4)
Did the subject participate in any Non-Drug therapies prior to screening and/or during the study?
Item
Did the subject participate in any Non-Drug therapies prior to screening and/or during the study?
boolean
C1514463 (UMLS CUI [1,1])
C0033082 (UMLS CUI [1,2])
C2827774 (UMLS CUI [2,1])
C0033082 (UMLS CUI [2,2])
Item Group
Non-drug therapies
C0087111 (UMLS CUI-1)
C0033082 (UMLS CUI-2)
Non-Drug Sequence Number
Item
Non-Drug Sequence Number
integer
C0033082 (UMLS CUI [1,1])
C2348184 (UMLS CUI [1,2])
Non-Drug Therapy Name
Item
Non-Drug Therapy Name
text
C0033082 (UMLS CUI [1,1])
C2826274 (UMLS CUI [1,2])
Non-Drug Indication
Item
Non-Drug Indication
text
C0033082 (UMLS CUI [1,1])
C3146298 (UMLS CUI [1,2])
Item
Non-Drug Therapy - Start Date - Complete Date unknown
integer
C0033082 (UMLS CUI [1,1])
C3173309 (UMLS CUI [1,2])
C0011008 (UMLS CUI [2,1])
C0439673 (UMLS CUI [2,2])
Non-Drug Therapy - Start Date - Complete Date unknown
Code List
Non-Drug Therapy - Start Date - Complete Date unknown
CL Item
Complete Date Unknown (1)
Non-Drug Therapy - Start Date
Item
Non-Drug Therapy - Start Date
date
C0033082 (UMLS CUI [1,1])
C3173309 (UMLS CUI [1,2])
Non-Drug Therapy - Taken prior to study?
Item
Non-Drug Therapy - Taken prior to study?
boolean
C0033082 (UMLS CUI [1,1])
C2603343 (UMLS CUI [1,2])
C0332152 (UMLS CUI [1,3])
Non-Drug Therapy ongoing?
Item
Non-Drug Therapy ongoing?
boolean
C0033082 (UMLS CUI [1,1])
C0549178 (UMLS CUI [1,2])
Item
Non-Drug Therapy - End Date - Complete Date unknown
integer
C0033082 (UMLS CUI [1,1])
C1531784 (UMLS CUI [1,2])
C0011008 (UMLS CUI [2,1])
C0439673 (UMLS CUI [2,2])
Non-Drug Therapy - Stop Date - Complete Date unknown
Code List
Non-Drug Therapy - End Date - Complete Date unknown
CL Item
Complete Date Unknown (1)
Non-Drug Therapy - End Date/Time
Item
Non-Drug Therapy - End Date/Time
datetime
C0033082 (UMLS CUI [1,1])
C1531784 (UMLS CUI [1,2])
C0033082 (UMLS CUI [2,1])
C1522314 (UMLS CUI [2,2])
Non-Drug Therapy - AE/ SAE related?
Item
Non-Drug Therapy - AE/ SAE related?
boolean
C0033082 (UMLS CUI [1,1])
C0439849 (UMLS CUI [1,2])
C0877248 (UMLS CUI [1,3])
C0033082 (UMLS CUI [2,1])
C0439849 (UMLS CUI [2,2])
C1519255 (UMLS CUI [2,3])
Item Group
Pregnancy
C0032961 (UMLS CUI-1)
Did a female partner of a male subject become pregnant during the study?
Item
Did a female partner of a male subject become pregnant during the study?
boolean
C0919624 (UMLS CUI [1])
Did the subject become pregnant during the study?
Item
Did the subject become pregnant during the study?
boolean
C3828490 (UMLS CUI [1])
Item Group
Sudden Onset of Sleep Questionnaire
C1272517 (UMLS CUI-1)
C0037313 (UMLS CUI-2)
C0034394 (UMLS CUI-3)
Date of event
Item
Date of event
date
C0441471 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
Time of day
integer
C0040223 (UMLS CUI [1,1])
C0439228 (UMLS CUI [1,2])
Time of day
Code List
Time of day
CL Item
Morning (1)
CL Item
Afternoon (2)
CL Item
Early evening (3)
CL Item
Late evening (4)
CL Item
Night (5)
Item
1. What were you doing at the time of this event?
integer
C2828361 (UMLS CUI [1,1])
C0441471 (UMLS CUI [1,2])
C0040223 (UMLS CUI [1,3])
1. What were you doing at the time of this event?
Code List
1. What were you doing at the time of this event?
CL Item
Eating (1)
CL Item
Driving (2)
CL Item
Passenger in car (3)
CL Item
Talking (4)
CL Item
Other (5)
If you were doing something different, specify
Item
If you were doing something different, specify
text
C2828361 (UMLS CUI [1,1])
C0441471 (UMLS CUI [1,2])
C0040223 (UMLS CUI [1,3])
C0205394 (UMLS CUI [1,4])
C2348235 (UMLS CUI [1,5])
2. Prior to this event, did you experience any sleepiness or drowsiness?
Item
2. Prior to this event, did you experience any sleepiness or drowsiness?
boolean
C0441471 (UMLS CUI [1,1])
C0332152 (UMLS CUI [1,2])
C2830004 (UMLS CUI [2])
C0013144 (UMLS CUI [3])
2A. If yes, please explain/clarify:
Item
2A. If yes, please explain/clarify:
text
C2830004 (UMLS CUI [1])
C0013144 (UMLS CUI [2])
C0681841 (UMLS CUI [3])
3. What specifically happened?
Item
3. What specifically happened?
text
C2348235 (UMLS CUI [1,1])
C0441471 (UMLS CUI [1,2])
4. How long did this event last?
Item
4. How long did this event last?
integer
C0441471 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Item
Event duration unit
integer
C0441471 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
C1519795 (UMLS CUI [1,3])
Event duration unit
Code List
Event duration unit
CL Item
Seconds (1)
CL Item
Minutes (2)
CL Item
Hours (3)
5. Did you suffer any
Item
5. Did you suffer any "bad" outcome/problem from this falling asleep event?
boolean
C1624730 (UMLS CUI [1,1])
C0037313 (UMLS CUI [1,2])
Please explain/clarify
Item
Please explain/clarify "bad" outcome/problem
text
C1624730 (UMLS CUI [1,1])
C0681841 (UMLS CUI [1,2])
Voltar ao início da página 

Ajuda

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