ID

42610

Description

Effect of AQW051 in Patients With Memory Impairment; ODM derived from: https://clinicaltrials.gov/show/NCT00582855

Link

https://clinicaltrials.gov/show/NCT00582855

Keywords

Versions (2)
  1. 8/9/17 8/9/17 -
  2. 9/17/21 9/17/21 -
Uploaded on

September 17, 2021

DOI

To request one please log in.

License

Creative Commons BY 4.0
Model comments :

You can comment on the data model here. Via the speech bubbles at the itemgroups and items you can add comments to those specificially.

Back to model comments
Itemgroup comments for :

Item comments for :

In order to download data models you must be logged in. Please log in or register for free.

Eligibility Mild Alzheimer's Disease NCT00582855

English

Eligibility Mild Alzheimer's Disease NCT00582855

1 forms  
Inclusion Criteria
Description

Inclusion Criteria

Alias
UMLS CUI
C1512693
willing and able to give written informed consent
Description

Informed Consent

Data type

boolean

Alias
UMLS CUI [1]
C0021430
meet the diagnostic criteria for either amnestic mild cognitive impairment (amnestic mci) or mild alzheimer's disease (ad).
Description

Mild cognitive disorder | Alzheimer's Disease Mild

Data type

boolean

Alias
UMLS CUI [1]
C1270972
UMLS CUI [2,1]
C0002395
UMLS CUI [2,2]
C2945599
structural brain scan within the last 6 months prior to randomization that indicates no other underlying disease, in particular no evidence for vascular pathology except for normal age-related white matter/incidental white matter changes which is normal for this age group.
Description

Brain scan structural | Comorbidity Absent | Pathology Vascular Absent | Exception White matter changes Age Related | Exception White matter changes Incidental

Data type

boolean

Alias
UMLS CUI [1,1]
C0596217
UMLS CUI [1,2]
C0678594
UMLS CUI [2,1]
C0009488
UMLS CUI [2,2]
C0332197
UMLS CUI [3,1]
C0677042
UMLS CUI [3,2]
C1801960
UMLS CUI [3,3]
C0332197
UMLS CUI [4,1]
C1705847
UMLS CUI [4,2]
C1833300
UMLS CUI [4,3]
C0001779
UMLS CUI [4,4]
C0439849
UMLS CUI [5,1]
C1705847
UMLS CUI [5,2]
C1833300
UMLS CUI [5,3]
C0444507
daily contact with a primary caregiver/partner
Description

Contact with Primary caregiver Daily | Contact with Partner Daily

Data type

boolean

Alias
UMLS CUI [1,1]
C0332158
UMLS CUI [1,2]
C1319883
UMLS CUI [1,3]
C0332173
UMLS CUI [2,1]
C0332158
UMLS CUI [2,2]
C3887537
UMLS CUI [2,3]
C0332173
Exclusion Criteria
Description

Exclusion Criteria

Alias
UMLS CUI
C0680251
immune therapy targeting alzheimer beta amyloid within the last 12 months
Description

Immunotherapy Targeting Amyloid beta

Data type

boolean

Alias
UMLS CUI [1,1]
C0021083
UMLS CUI [1,2]
C1521840
UMLS CUI [1,3]
C0078939
institutionalized
Description

Institutionalized

Data type

boolean

Alias
UMLS CUI [1]
C0562359
disability that may prevent completion of all study requirements (e.g., blindness, deafness, or communication difficulty)
Description

Disability Preventing Protocol Compliance | Blind Vision | Deafness | Verbal impairment

Data type

boolean

Alias
UMLS CUI [1,1]
C0231170
UMLS CUI [1,2]
C1292733
UMLS CUI [1,3]
C0525058
UMLS CUI [2]
C0456909
UMLS CUI [3]
C0011053
UMLS CUI [4]
C0566027
reported use of tobacco products in the previous 3 months or have a urine cotinine level greater than 500 ng/ml
Description

Tobacco use | Urine cotinine measurement

Data type

boolean

Alias
UMLS CUI [1]
C0543414
UMLS CUI [2]
C1278256
past medical history of clinically significant electrocardiogram (ecg) abnormalities or a family history (grandparents, parents, and siblings) of prolonged qt-interval syndrome
Description

Medical History ECG abnormality | Family history Prolonged QT interval

Data type

boolean

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0522055
UMLS CUI [2,1]
C0241889
UMLS CUI [2,2]
C0151878
history or current diagnosis of conditions specified in the protocol.
Description

Condition Specified Study Protocol

Data type

boolean

Alias
UMLS CUI [1,1]
C0348080
UMLS CUI [1,2]
C0205369
UMLS CUI [1,3]
C2348563
other protocol-defined inclusion/exclusion criteria may apply.
Description

Clinical Trial Eligibility Criteria Study Protocol

Data type

boolean

Alias
UMLS CUI [1,1]
C1516637
UMLS CUI [1,2]
C2348563
Back to the top of the page

Similar models

Eligibility Mild Alzheimer's Disease NCT00582855

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
C1512693 (UMLS CUI)
Informed Consent
Item
willing and able to give written informed consent
boolean
C0021430 (UMLS CUI [1])
Mild cognitive disorder | Alzheimer's Disease Mild
Item
meet the diagnostic criteria for either amnestic mild cognitive impairment (amnestic mci) or mild alzheimer's disease (ad).
boolean
C1270972 (UMLS CUI [1])
C0002395 (UMLS CUI [2,1])
C2945599 (UMLS CUI [2,2])
Brain scan structural | Comorbidity Absent | Pathology Vascular Absent | Exception White matter changes Age Related | Exception White matter changes Incidental
Item
structural brain scan within the last 6 months prior to randomization that indicates no other underlying disease, in particular no evidence for vascular pathology except for normal age-related white matter/incidental white matter changes which is normal for this age group.
boolean
C0596217 (UMLS CUI [1,1])
C0678594 (UMLS CUI [1,2])
C0009488 (UMLS CUI [2,1])
C0332197 (UMLS CUI [2,2])
C0677042 (UMLS CUI [3,1])
C1801960 (UMLS CUI [3,2])
C0332197 (UMLS CUI [3,3])
C1705847 (UMLS CUI [4,1])
C1833300 (UMLS CUI [4,2])
C0001779 (UMLS CUI [4,3])
C0439849 (UMLS CUI [4,4])
C1705847 (UMLS CUI [5,1])
C1833300 (UMLS CUI [5,2])
C0444507 (UMLS CUI [5,3])
Contact with Primary caregiver Daily | Contact with Partner Daily
Item
daily contact with a primary caregiver/partner
boolean
C0332158 (UMLS CUI [1,1])
C1319883 (UMLS CUI [1,2])
C0332173 (UMLS CUI [1,3])
C0332158 (UMLS CUI [2,1])
C3887537 (UMLS CUI [2,2])
C0332173 (UMLS CUI [2,3])
Item Group
C0680251 (UMLS CUI)
Immunotherapy Targeting Amyloid beta
Item
immune therapy targeting alzheimer beta amyloid within the last 12 months
boolean
C0021083 (UMLS CUI [1,1])
C1521840 (UMLS CUI [1,2])
C0078939 (UMLS CUI [1,3])
Institutionalized
Item
institutionalized
boolean
C0562359 (UMLS CUI [1])
Disability Preventing Protocol Compliance | Blind Vision | Deafness | Verbal impairment
Item
disability that may prevent completion of all study requirements (e.g., blindness, deafness, or communication difficulty)
boolean
C0231170 (UMLS CUI [1,1])
C1292733 (UMLS CUI [1,2])
C0525058 (UMLS CUI [1,3])
C0456909 (UMLS CUI [2])
C0011053 (UMLS CUI [3])
C0566027 (UMLS CUI [4])
Tobacco use | Urine cotinine measurement
Item
reported use of tobacco products in the previous 3 months or have a urine cotinine level greater than 500 ng/ml
boolean
C0543414 (UMLS CUI [1])
C1278256 (UMLS CUI [2])
Medical History ECG abnormality | Family history Prolonged QT interval
Item
past medical history of clinically significant electrocardiogram (ecg) abnormalities or a family history (grandparents, parents, and siblings) of prolonged qt-interval syndrome
boolean
C0262926 (UMLS CUI [1,1])
C0522055 (UMLS CUI [1,2])
C0241889 (UMLS CUI [2,1])
C0151878 (UMLS CUI [2,2])
Condition Specified Study Protocol
Item
history or current diagnosis of conditions specified in the protocol.
boolean
C0348080 (UMLS CUI [1,1])
C0205369 (UMLS CUI [1,2])
C2348563 (UMLS CUI [1,3])
Clinical Trial Eligibility Criteria Study Protocol
Item
other protocol-defined inclusion/exclusion criteria may apply.
boolean
C1516637 (UMLS CUI [1,1])
C2348563 (UMLS CUI [1,2])
Back to the top of the page 

Contact

Please use this form for feedback, questions and suggestions for improvements.

Fields marked with * are required.

Help

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