ID
42817
Beschreibung
Ropinirole Case Report Form GSK RRL100013 GSK Study ID: 100013 Clinical Study ID: RRL100013 A 12-Week, Double-Blind, Placebo-Controlled, Twice-Daily Dosing Study to Assess the Efficacy and Safety of Ropinirole in Patients Suffering from Restless Legs Syndrome (RLS) Requiring Extended Treatment Coverage
Stichworte
Versionen (4)
- 22.02.18 22.02.18 -
- 24.02.18 24.02.18 -
- 25.02.18 25.02.18 -
- 17.09.21 17.09.21 -
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gsk
Hochgeladen am
17. September 2021
DOI
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Creative Commons BY-NC 3.0
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Ropinirole Case Report Form GSK RRL100013
PREGNANCY INFORMATION
Beschreibung
PREGNANCY INFORMATION
Beschreibung
Pregnancy Information
Alias
- UMLS CUI-1
- C0032961
- UMLS CUI-2
- C1533716
Beschreibung
If 'Yes' record details on Pregnancy Notification Form.
Datentyp
text
Alias
- UMLS CUI [1]
- C3828490
Beschreibung
If 'Yes' record details on Pregnancy Notification Form.
Datentyp
text
Alias
- UMLS CUI [1,1]
- C0919624
- UMLS CUI [1,2]
- C0347984
- UMLS CUI [1,3]
- C0008972
Beschreibung
Study Conclusion
Alias
- UMLS CUI-1
- C1707478
- UMLS CUI-2
- C0008976
- UMLS CUI-3
- C0042210
Beschreibung
John Hopkins RLS Quality of Life questionnaire
Datentyp
text
Alias
- UMLS CUI [1,1]
- C0034394
- UMLS CUI [1,2]
- C0034380
- UMLS CUI [1,3]
- C0679830
- UMLS CUI [1,4]
- C0035258
Beschreibung
MEDICAL OUTCOMES STUDY SLEEP SCALE
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C0449820
- UMLS CUI [1,2]
- C0037313
Beschreibung
Profile of mood states
Datentyp
text
Alias
- UMLS CUI [1]
- C0451394
Beschreibung
Hospital anxiety and depression scale
Datentyp
text
Alias
- UMLS CUI [1]
- C3539657
Beschreibung
Pittsburgh Sleep quality index
Datentyp
text
Alias
- UMLS CUI [1]
- C0424563
Beschreibung
Patient global improvement scale
Datentyp
text
Alias
- UMLS CUI [1]
- C0451125
Beschreibung
PATIENT SATISFACTION QUESTION
Datentyp
text
Alias
- UMLS CUI [1]
- C3476649
Beschreibung
Serious Adverse Event
Datentyp
boolean
Alias
- UMLS CUI [1]
- C1519255
Beschreibung
If yes, please give the total number of SAE's:
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C0449788
- UMLS CUI [1,2]
- C1519255
Beschreibung
elimination criteria
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0680251
Beschreibung
elimination criteria
Datentyp
text
Alias
- UMLS CUI [1]
- C0680251
Beschreibung
withdrawn
Datentyp
boolean
Alias
- UMLS CUI [1,1]
- C2349954
- UMLS CUI [1,2]
- C0008976
Beschreibung
If Yes, please specify
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C2349954
- UMLS CUI [1,2]
- C0392360
- UMLS CUI [1,3]
- C0008976
Beschreibung
If Serious adverse event, please specify
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C1519255
- UMLS CUI [1,2]
- C0237753
Beschreibung
If Non-serious adverse event, please specify
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C1518404
- UMLS CUI [1,2]
- C0237753
Beschreibung
Protocol violation
Datentyp
text
Alias
- UMLS CUI [1]
- C1709750
Beschreibung
If Other, please specify
Datentyp
text
Alias
- UMLS CUI [1,1]
- C2349954
- UMLS CUI [1,2]
- C0392360
- UMLS CUI [1,3]
- C0008976
Beschreibung
reason for withdrawal
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C2349954
- UMLS CUI [1,2]
- C0392360
- UMLS CUI [1,3]
- C0008976
Beschreibung
Date of last contact
Datentyp
date
Alias
- UMLS CUI [1,1]
- C0011008
- UMLS CUI [1,2]
- C1705415
Beschreibung
subject condition
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C1142435
- UMLS CUI [1,2]
- C0681850
Beschreibung
Investigators signature
Datentyp
text
Alias
- UMLS CUI [1]
- C2346576
Beschreibung
Investigators signature Date
Datentyp
date
Alias
- UMLS CUI [1,1]
- C0011008
- UMLS CUI [1,2]
- C2346576
Beschreibung
RLS Symptoms on the first day of the patient
Alias
- UMLS CUI-1
- C1457887
- UMLS CUI-2
- C0035258
Beschreibung
From 07:00 on the morning to 06:59 of the next morning.
Datentyp
date
Alias
- UMLS CUI [1]
- C0011008
Beschreibung
medication
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0013227
Beschreibung
time medication intake
Datentyp
time
Alias
- UMLS CUI [1,1]
- C0040223
- UMLS CUI [1,2]
- C0013227
- UMLS CUI [1,3]
- C1512806
Beschreibung
Symptoms RLS
Datentyp
boolean
Alias
- UMLS CUI [1,1]
- C1457887
- UMLS CUI [1,2]
- C0035258
Beschreibung
time
Datentyp
time
Alias
- UMLS CUI [1]
- C0040223
Beschreibung
time fall sleep
Datentyp
time
Alias
- UMLS CUI [1,1]
- C0040223
- UMLS CUI [1,2]
- C3830397
Beschreibung
time wake up
Datentyp
time
Alias
- UMLS CUI [1,1]
- C0040223
- UMLS CUI [1,2]
- C1170730
Beschreibung
site
Datentyp
integer
Alias
- UMLS CUI [1]
- C1515974
Beschreibung
time frame
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0332168
Beschreibung
symptom severity
Datentyp
text
Alias
- UMLS CUI [1]
- C1319166
Beschreibung
symptom Beginning
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C1457887
- UMLS CUI [1,2]
- C0439659
Beschreibung
time frame
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0332168
Beschreibung
symptom severity
Datentyp
text
Alias
- UMLS CUI [1]
- C1319166
Beschreibung
symptom Beginning
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C1457887
- UMLS CUI [1,2]
- C0439659
Beschreibung
time frame
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0332168
Beschreibung
symptom severity
Datentyp
text
Alias
- UMLS CUI [1]
- C1319166
Beschreibung
symptom Beginning
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C1457887
- UMLS CUI [1,2]
- C0439659
Beschreibung
time frame
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0332168
Beschreibung
symptom severity
Datentyp
text
Alias
- UMLS CUI [1]
- C1319166
Beschreibung
symptom Beginning
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C1457887
- UMLS CUI [1,2]
- C0439659
Beschreibung
time frame
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0332168
Beschreibung
symptom severity
Datentyp
text
Alias
- UMLS CUI [1]
- C1319166
Beschreibung
symptom Beginning
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C1457887
- UMLS CUI [1,2]
- C0439659
Beschreibung
time frame
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0332168
Beschreibung
symptom severity
Datentyp
text
Alias
- UMLS CUI [1]
- C1319166
Beschreibung
symptom Beginning
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C1457887
- UMLS CUI [1,2]
- C0439659
Beschreibung
RLS Symptoms on the first day of the patient
Alias
- UMLS CUI-1
- C1457887
- UMLS CUI-2
- C0035258
Beschreibung
From 07:00 on the morning to 06:59 of the next morning.
Datentyp
date
Alias
- UMLS CUI [1]
- C0011008
Beschreibung
medication
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0013227
Beschreibung
time medication intake
Datentyp
time
Alias
- UMLS CUI [1,1]
- C0040223
- UMLS CUI [1,2]
- C0013227
- UMLS CUI [1,3]
- C1512806
Beschreibung
Symptoms RLS
Datentyp
boolean
Alias
- UMLS CUI [1,1]
- C1457887
- UMLS CUI [1,2]
- C0035258
Beschreibung
time
Datentyp
time
Alias
- UMLS CUI [1]
- C0040223
Beschreibung
time fall sleep
Datentyp
time
Alias
- UMLS CUI [1,1]
- C0040223
- UMLS CUI [1,2]
- C3830397
Beschreibung
time wake up
Datentyp
time
Alias
- UMLS CUI [1,1]
- C0040223
- UMLS CUI [1,2]
- C1170730
Beschreibung
site
Datentyp
integer
Alias
- UMLS CUI [1]
- C1515974
Beschreibung
time frame
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0332168
Beschreibung
symptom severity
Datentyp
text
Alias
- UMLS CUI [1]
- C1319166
Beschreibung
symptom Beginning
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C1457887
- UMLS CUI [1,2]
- C0439659
Beschreibung
time frame
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0332168
Beschreibung
symptom severity
Datentyp
text
Alias
- UMLS CUI [1]
- C1319166
Beschreibung
symptom Beginning
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C1457887
- UMLS CUI [1,2]
- C0439659
Beschreibung
time frame
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0332168
Beschreibung
symptom severity
Datentyp
text
Alias
- UMLS CUI [1]
- C1319166
Beschreibung
symptom Beginning
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C1457887
- UMLS CUI [1,2]
- C0439659
Beschreibung
time frame
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0332168
Beschreibung
symptom severity
Datentyp
text
Alias
- UMLS CUI [1]
- C1319166
Beschreibung
symptom Beginning
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C1457887
- UMLS CUI [1,2]
- C0439659
Beschreibung
time frame
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0332168
Beschreibung
symptom severity
Datentyp
text
Alias
- UMLS CUI [1]
- C1319166
Beschreibung
symptom Beginning
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C1457887
- UMLS CUI [1,2]
- C0439659
Beschreibung
time frame
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0332168
Beschreibung
symptom severity
Datentyp
text
Alias
- UMLS CUI [1]
- C1319166
Beschreibung
symptom Beginning
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C1457887
- UMLS CUI [1,2]
- C0439659
Ähnliche Modelle
PREGNANCY INFORMATION
C0030695 (UMLS CUI [1,2])
C0008972 (UMLS CUI [1,2])
C1442085 (UMLS CUI [1,3])
C0347984 (UMLS CUI [1,2])
C0008972 (UMLS CUI [1,3])
C0008976 (UMLS CUI-2)
C0042210 (UMLS CUI-3)
C0034380 (UMLS CUI [1,2])
C0679830 (UMLS CUI [1,3])
C0035258 (UMLS CUI [1,4])
C0037313 (UMLS CUI [1,2])
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
C1519255 (UMLS CUI [1,2])
C0008976 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,2])
C0008976 (UMLS CUI [1,3])
C0237753 (UMLS CUI [1,2])
C0237753 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,2])
C0008976 (UMLS CUI [1,3])
C0392360 (UMLS CUI [1,2])
C0008976 (UMLS CUI [1,3])
C1705415 (UMLS CUI [1,2])
C0681850 (UMLS CUI [1,2])
C2346576 (UMLS CUI [1,2])
C0035258 (UMLS CUI-2)
C0013227 (UMLS CUI [1,2])
C1512806 (UMLS CUI [1,3])
C0035258 (UMLS CUI [1,2])
C3830397 (UMLS CUI [1,2])
C1170730 (UMLS CUI [1,2])
C0439659 (UMLS CUI [1,2])
C0439659 (UMLS CUI [1,2])
C0439659 (UMLS CUI [1,2])
C0439659 (UMLS CUI [1,2])
C0439659 (UMLS CUI [1,2])
C0439659 (UMLS CUI [1,2])
C0035258 (UMLS CUI-2)
C0013227 (UMLS CUI [1,2])
C1512806 (UMLS CUI [1,3])
C0035258 (UMLS CUI [1,2])
C3830397 (UMLS CUI [1,2])
C1170730 (UMLS CUI [1,2])
C0439659 (UMLS CUI [1,2])
C0439659 (UMLS CUI [1,2])
C0439659 (UMLS CUI [1,2])
C0439659 (UMLS CUI [1,2])
C0439659 (UMLS CUI [1,2])
C0439659 (UMLS CUI [1,2])