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ID
28083
Beschrijving
NCT02695940 A Phase 2a, Proof of Concept Trial, Testing Twice Daily Application of LEO 124249 Ointment 30 mg/g in the Treatment of Mild to Moderate Inverse Psoriasis. Quelle: Prof. Dr. Dr. h.c. Thomas Luger University Hospital of Muenster Department of Dermatology
Trefwoorden
Versies (5)
- 16-12-17 16-12-17 -
- 18-12-17 18-12-17 -
- 17-01-18 17-01-18 -
- 19-01-18 19-01-18 -
- 27-09-21 27-09-21 -
Houder van rechten
Prof. Dr. Dr. h.c. Thomas Luger
Geüploaded op
16 december 2017
DOI
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Licentie
Creative Commons BY-NC 3.0
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Screening Visit 1 Psoriasis NCT02695940
Screening Visit 1 Psoriasis NCT02695940
- StudyEvent: ODM
Similar models
Screening Visit 1 Psoriasis NCT02695940
- StudyEvent: ODM
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Date
Item
date
Patient ID
Item
integer
C2348585 (UMLS CUI [1])
Eligibility staff member
Item
text
Information staff member
Item
text
Informed consent date
Item
date
Informed consent time
Item
time
Informed consent version number
Item
text
handing over documents
Item
boolean
medical report
Item
boolean
information medical condition
Item
boolean
medical condition information staff member
Item
text
CL Item
(Ja)
CL Item
(Nein)
CL Item
(NA)
contraception refusal reason
Item
text
contraception not specified reason
Item
text
Type of contraception
Item
text
Year of birth
Item
integer
C2826771 (UMLS CUI [1])
Age at consent
Item
integer
CL Item
(männlich)
CL Item
(weiblich)
skin type Fitzpatrick
Item
text
race caucasian
Item
boolean
other race
Item
boolean
race specification
Item
text
race Hispanic or Latino
Item
boolean
Concomitant diagnosis
Item
boolean
Medical History
Item
boolean
Prior and concomitant medication
Item
boolean
Physical examination skin mucosal status
Item
boolean
Total Sign Score
Item
boolean
Physician Global Assessment
Item
boolean
Plaque Psoriasis
Item
boolean
Plaque Psoriasis localisation
Item
text
work sheet
Item
boolean
Examiner vital signs
Item
text
Time vital signs
Item
time
vital signs first measurement time
Item
time
Blood Pressure first measurement
Item
text
C0005823 (UMLS CUI [1])
Pulse first measurement
Item
integer
C0232117 (UMLS CUI [1])
Temperature first measurement
Item
float
time vital signs second measurement
Item
time
Blood Pressure second measurement
Item
text
C0005823 (UMLS CUI [1])
Pulse second measurement
Item
integer
C0232117 (UMLS CUI [1])
Temperature second measurement
Item
float
vital signs third measurement time
Item
time
Blood Pressure third measurement
Item
text
C0005823 (UMLS CUI [1])
Pulse third measurement
Item
integer
C0232117 (UMLS CUI [1])
Temperature third measurement
Item
float
Height
Item
float
C0005890 (UMLS CUI [1])
Weight
Item
float
C0005910 (UMLS CUI [1])
ECG examiner
Item
text
ECG time
Item
time
ECG physician
Item
text
ECG analysis
Item
text
blood sample staff member
Item
text
blood sample time
Item
time
Urine sample staff member
Item
text
urine sample time
Item
time
pregnancy test staff member
Item
text
CL Item
(Positiv (exclusion))
CL Item
(Negativ)
CL Item
(N/A)
usage care products
Item
boolean
randomization
Item
boolean
Date
Item
date
signature physician
Item
text