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End of Study: Vital Signs BG00012 Monotherapy Safety and Efficacy Extension Study in Multiple Sclerosis (MS) (ENDORSE) NCT00835770

1 Formulaires  
Subject Identification
Description

Subject Identification

Number of Facility
Description

Site number

Type de données

integer

Alias
UMLS CUI [1,1]
C0018704
UMLS CUI [1,2]
C0600091
Subject number
Description

Subject number

Type de données

integer

Alias
UMLS CUI [1]
C2348585
Subject Initials
Description

Subject Initials

Type de données

text

Alias
UMLS CUI [1]
C2986440
Vital Signs
Description

Vital Signs

Date of examination
Description

Date of examination

Type de données

date

Alias
UMLS CUI [1]
C2826643
Blood Pressure
Description

Blood Pressure

Type de données

text

Alias
UMLS CUI [1]
C0005823
Pulse
Description

Pulse

Type de données

integer

Unités de mesure
  • bpm
Alias
UMLS CUI [1]
C0232117
bpm
Temperature
Description

Temperature

Type de données

float

Unités de mesure
  • °C
Alias
UMLS CUI [1]
C0005903
°C
End of Study Survey
Description

End of Study Survey

Date of last dose
Description

Last Dose Date

Type de données

date

Alias
UMLS CUI [1]
C1762893
End of Study Date
Description

End of Study Date

Type de données

date

Alias
UMLS CUI [1]
C2983670
Did the subject complete the study?
Description

If no, please specify below

Type de données

boolean

Alias
UMLS CUI [1]
C2348577
Primary reason for not completing treatment (mark one)
Description

if other than MS, please describe below if Adverse Event, complete Adverse Events Form If Death, please complete Record of death form

Type de données

integer

Alias
UMLS CUI [1]
C1709849
Primary reason for not completing treatment, description
Description

Reason for non-completion, Description

Type de données

text

Alias
UMLS CUI [1]
C1709849
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End of Study: Vital Signs BG00012 Monotherapy Safety and Efficacy Extension Study in Multiple Sclerosis (MS) (ENDORSE) NCT00835770

1 Formulaires
Name
Type
Description | Question | Decode (Coded Value)
Type de données
Alias
Item Group
Subject Identification
Site number
Item
Number of Facility
integer
C0018704 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Subject number
Item
Subject number
integer
C2348585 (UMLS CUI [1])
Subject Initials
Item
Subject Initials
text
C2986440 (UMLS CUI [1])
Item Group
Vital Signs
Date of examination
Item
Date of examination
date
C2826643 (UMLS CUI [1])
Blood Pressure
Item
Blood Pressure
text
C0005823 (UMLS CUI [1])
Pulse
Item
Pulse
integer
C0232117 (UMLS CUI [1])
Temperature
Item
Temperature
float
C0005903 (UMLS CUI [1])
Item Group
End of Study Survey
Last Dose Date
Item
Date of last dose
date
C1762893 (UMLS CUI [1])
End of Study Date
Item
End of Study Date
date
C2983670 (UMLS CUI [1])
Study completed
Item
Did the subject complete the study?
boolean
C2348577 (UMLS CUI [1])
Item
Primary reason for not completing treatment (mark one)
integer
C1709849 (UMLS CUI [1])
Reason for non-completion
Code List
Primary reason for not completing treatment (mark one)
CL Item
MS Relapse (1)
C0856120 (UMLS CUI-1)
(Comment:en)
CL Item
MS Progression (2)
C1536149 (UMLS CUI-1)
(Comment:en)
CL Item
Adverse Event (3)
C0877248 (UMLS CUI-1)
(Comment:en)
CL Item
Lost to follow up (4)
C1302313 (UMLS CUI-1)
(Comment:en)
CL Item
Consent withdrawn (5)
C1707492 (UMLS CUI-1)
(Comment:en)
CL Item
Investigator decision (6)
C1709536 (UMLS CUI-1)
(Comment:en)
CL Item
Subject non-compliance (7)
C0376405 (UMLS CUI-1)
(Comment:en)
CL Item
Death (8)
C0011065 (UMLS CUI-1)
(Comment:en)
CL Item
Other (9)
C3840932 (UMLS CUI-1)
(Comment:en)
Reason for non-completion, Description
Item
Primary reason for not completing treatment, description
text
C1709849 (UMLS CUI [1])
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