ID

15640

Beschreibung

Alemtuzumab in Autoimmune Inflammatory Neurodegeneration: Mechanisms of Action and Neuroprotective Potential (ALAIN01) https://clinicaltrials.gov/ct2/show/NCT02419378 Principal Investigator Prof. Dr. Dr. Sven Meuth, University Hospital Muenster, Germany Part: Baseline 1st cycle Trial Medication

Link

https://clinicaltrials.gov/ct2/show/NCT02419378

Stichworte

  1. 13.08.15 13.08.15 - Martin Dugas
  2. 23.05.16 23.05.16 -
  3. 28.05.16 28.05.16 -
  4. 28.05.16 28.05.16 -
  5. 06.06.16 06.06.16 -
Hochgeladen am

6. Juni 2016

DOI

Für eine Beantragung loggen Sie sich ein.

Lizenz

Creative Commons BY 4.0

Modell Kommentare :

Hier können Sie das Modell kommentieren. Über die Sprechblasen an den Itemgruppen und Items können Sie diese spezifisch kommentieren.

Itemgroup Kommentare für :

Item Kommentare für :

Um Formulare herunterzuladen müssen Sie angemeldet sein. Bitte loggen Sie sich ein oder registrieren Sie sich kostenlos.

Baseline 1st cycle Trial Medication Multiple Sclerosis ALAIN01 NCT02419378

Baseline 1st cycle Trial Medication Multiple Sclerosis ALAIN01 NCT02419378

Trial Medication
Beschreibung

Trial Medication

Alias
UMLS CUI-1
C0013227
Patient ID (derived)
Beschreibung

Patient ID (derived)

Datentyp

text

Alias
UMLS CUI [1]
C2348585
Trial Medication: Deferral Comment
Beschreibung

Trial Medication: Deferral Comment

Datentyp

text

Alias
UMLS CUI [1,1]
C0205421
UMLS CUI [1,2]
C0947611
Trial Medication: Pregnancy Test
Beschreibung

Pregnancy Test

Datentyp

text

Alias
UMLS CUI [1]
C0032976
Trial Medication: Pregnancy Test, Kind of test
Beschreibung

Pregnancy Test, Kind of test

Datentyp

text

Alias
UMLS CUI [1,1]
C0032976
UMLS CUI [1,2]
C1550373
Trial Medication Pregnancy Test: Date
Beschreibung

Trial Medication Pregnancy Test: Date

Datentyp

date

Alias
UMLS CUI [1,1]
C0032976
UMLS CUI [1,2]
C0011008
Trial MedicationI Pregnancy Test: Result
Beschreibung

Trial MedicationI Pregnancy Test: Result

Datentyp

text

Alias
UMLS CUI [1,1]
C0032976
UMLS CUI [1,2]
C0243095
Trial Medication Pregnancy Test: Reason
Beschreibung

Pregnancy Test: Reason

Datentyp

text

Alias
UMLS CUI [1,1]
C0032976
UMLS CUI [1,2]
C0032976
Trial Medication Pregnancy Test: Reason, Text
Beschreibung

Pregnancy Test: Reason, Text

Datentyp

text

Alias
UMLS CUI [1,1]
C0032976
UMLS CUI [1,2]
C3146298
Trial Medication: Date of Signature
Beschreibung

Date of Signature

Datentyp

date

Alias
UMLS CUI [1,1]
C1519316
UMLS CUI [1,2]
C0011008
Trial Medication: Signature yes/no
Beschreibung

Signature yes/no

Datentyp

text

Alias
UMLS CUI [1,1]
C1519316
UMLS CUI [1,2]
C1705848
Comment Trial Medication
Beschreibung

Comment

Datentyp

text

Alias
UMLS CUI [1]
C0947611
Trial Medication RQG
Beschreibung

Trial Medication RQG

Trial Medication: Date of Administration
Beschreibung

Date of Administration

Datentyp

date

Alias
UMLS CUI [1,1]
C1533734
UMLS CUI [1,2]
C0011008
Trial Medication: Dose administered
Beschreibung

Trial Medication: Dose administered

Datentyp

float

Maßeinheiten
  • mg
Alias
UMLS CUI [1]
C3174092
mg
Trial Medication: Batch No
Beschreibung

Trial Medication: Batch No

Datentyp

text

Alias
UMLS CUI [1]
C3641829
Trial Medication: Expiry Date
Beschreibung

Expiration

Datentyp

date

Alias
UMLS CUI [1]
C3669020
Trial Medication: Reason if less than 12 mg
Beschreibung

Trial Medication: Reason if less than 12 mg

Datentyp

text

Alias
UMLS CUI [1,1]
C3174092
UMLS CUI [1,2]
C0392360

Ähnliche Modelle

Baseline 1st cycle Trial Medication Multiple Sclerosis ALAIN01 NCT02419378

Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Trial Medication
C0013227 (UMLS CUI-1)
Patient ID (derived)
Item
Patient ID (derived)
text
C2348585 (UMLS CUI [1])
Trial Medication: Deferral Comment
Item
Trial Medication: Deferral Comment
text
C0205421 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
Item
Trial Medication: Pregnancy Test
text
C0032976 (UMLS CUI [1])
Code List
Trial Medication: Pregnancy Test
CL Item
Test not done (0)
CL Item
Test done (1)
Item
Trial Medication: Pregnancy Test, Kind of test
text
C0032976 (UMLS CUI [1,1])
C1550373 (UMLS CUI [1,2])
Code List
Trial Medication: Pregnancy Test, Kind of test
CL Item
blood (1)
CL Item
urine (2)
Trial Medication Pregnancy Test: Date
Item
Trial Medication Pregnancy Test: Date
date
C0032976 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
Trial MedicationI Pregnancy Test: Result
text
C0032976 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
Code List
Trial MedicationI Pregnancy Test: Result
CL Item
negative (0)
CL Item
positive (1)
Item
Trial Medication Pregnancy Test: Reason
text
C0032976 (UMLS CUI [1,1])
C0032976 (UMLS CUI [1,2])
Code List
Trial Medication Pregnancy Test: Reason
CL Item
no childbearing potential (0)
CL Item
other (9)
Pregnancy Test: Reason, Text
Item
Trial Medication Pregnancy Test: Reason, Text
text
C0032976 (UMLS CUI [1,1])
C3146298 (UMLS CUI [1,2])
Date of Signature
Item
Trial Medication: Date of Signature
date
C1519316 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
Trial Medication: Signature yes/no
text
C1519316 (UMLS CUI [1,1])
C1705848 (UMLS CUI [1,2])
Code List
Trial Medication: Signature yes/no
CL Item
yes (1)
CL Item
no (0)
Comment
Item
Comment Trial Medication
text
C0947611 (UMLS CUI [1])
Date of Administration
Item
Trial Medication: Date of Administration
date
C1533734 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Medication dose
Item
Trial Medication: Dose administered
float
C3174092 (UMLS CUI [1])
Batch Number
Item
Trial Medication: Batch No
text
C3641829 (UMLS CUI [1])
Expiration
Item
Trial Medication: Expiry Date
date
C3669020 (UMLS CUI [1])
Trial Medication: Reason if less than 12 mg
Item
Trial Medication: Reason if less than 12 mg
text
C3174092 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])

Benutzen Sie dieses Formular für Rückmeldungen, Fragen und Verbesserungsvorschläge.

Mit * gekennzeichnete Felder sind notwendig.

Benötigen Sie Hilfe bei der Suche? Um mehr Details zu erfahren und die Suche effektiver nutzen zu können schauen Sie sich doch das entsprechende Video auf unserer Tutorial Seite an.

Zum Video