ID

15674

Description

Nerventra Study (Eudra CT 2007-003226-19) Study MS-LAQ-301: A multinational, multicenter, randomized, double-blind, parallel-group, placebo-controlled study, to evaluate the safety, tolerability and efficacy of daily oral administration of laquinimod 0.6 mg in subjects with relapsing remitting multiple sclerosis (RRMS)

Mots-clés

  1. 08/06/2016 08/06/2016 -
Téléchargé le

8 juin 2016

DOI

Pour une demande vous connecter.

Licence

Creative Commons BY-NC 3.0

Modèle Commentaires :

Ici, vous pouvez faire des commentaires sur le modèle. À partir des bulles de texte, vous pouvez laisser des commentaires spécifiques sur les groupes Item et les Item.

Groupe Item commentaires pour :

Item commentaires pour :

Vous devez être connecté pour pouvoir télécharger des formulaires. Veuillez vous connecter ou s’inscrire gratuitement.

Nerventra Study Visit 6

Nerventra Study Visit 6

Demographic Information Visit 3
Description

Demographic Information Visit 3

Protocol Number
Description

Protocol Number

Type de données

text

Alias
UMLS CUI [1,1]
C0008971
UMLS CUI [1,2]
C0600091
Visit Type
Description

i.e "Screening"

Type de données

text

Alias
UMLS CUI [1]
C0545082
Date of visit
Description

Visit date

Type de données

date

Alias
UMLS CUI [1]
C1320303
Study site number
Description

Study site

Type de données

integer

Alias
UMLS CUI [1]
C2825164
Subject number:
Description

Subject number

Type de données

integer

Alias
UMLS CUI [1]
C1709561
Section blank?
Description

Blank

Type de données

boolean

Alias
UMLS CUI [1]
C0750479
Repeated MRI Scan Performance Visit 6
Description

Repeated MRI Scan Performance Visit 6

Date of MRI
Description

date MRI

Type de données

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0024485
MRI not done
Description

MRI

Type de données

boolean

Alias
UMLS CUI [1]
C0024485
Type of Gadolinium-based contrast agent used
Description

Contrast agent

Type de données

integer

Alias
UMLS CUI [1]
C0009924
Other contrast agent used
Description

Contrast agent

Type de données

text

Alias
UMLS CUI [1]
C0009924
Was MRI completed according to the protocol?
Description

MRI performed

Type de données

boolean

Alias
UMLS CUI [1]
C0024485
Reason MRI was not completed
Description

MRI

Type de données

text

Alias
UMLS CUI [1]
C0024485
Where there any pathological,non-MS findings?
Description

Findings

Type de données

boolean

Alias
UMLS CUI [1]
C0243095
Please specify pathological findings
Description

If an adverse event occurs during the MRI performance, please inform the investigator in order to record on adverse event log

Type de données

text

Alias
UMLS CUI [1]
C0243095

Similar models

Nerventra Study Visit 6

Name
Type
Description | Question | Decode (Coded Value)
Type de données
Alias
Item Group
Demographic Information Visit 3
Protocol Number
Item
Protocol Number
text
C0008971 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Visit
Item
Visit Type
text
C0545082 (UMLS CUI [1])
Visit date
Item
Date of visit
date
C1320303 (UMLS CUI [1])
Study site
Item
Study site number
integer
C2825164 (UMLS CUI [1])
Subject number
Item
Subject number:
integer
C1709561 (UMLS CUI [1])
Blank
Item
Section blank?
boolean
C0750479 (UMLS CUI [1])
Item Group
Repeated MRI Scan Performance Visit 6
date MRI
Item
Date of MRI
date
C0011008 (UMLS CUI [1,1])
C0024485 (UMLS CUI [1,2])
MRI
Item
MRI not done
boolean
C0024485 (UMLS CUI [1])
Item
Type of Gadolinium-based contrast agent used
integer
C0009924 (UMLS CUI [1])
Code List
Type of Gadolinium-based contrast agent used
CL Item
Magnevist (1)
CL Item
Omniscan (2)
CL Item
Dotarem (3)
CL Item
Other (specify) (4)
Contrast agent
Item
Other contrast agent used
text
C0009924 (UMLS CUI [1])
MRI performed
Item
Was MRI completed according to the protocol?
boolean
C0024485 (UMLS CUI [1])
MRI
Item
Reason MRI was not completed
text
C0024485 (UMLS CUI [1])
Findings
Item
Where there any pathological,non-MS findings?
boolean
C0243095 (UMLS CUI [1])
Findings
Item
Please specify pathological findings
text
C0243095 (UMLS CUI [1])

Utilisez ce formulaire pour les retours, les questions et les améliorations suggérées.

Les champs marqués d’un * sont obligatoires.

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