Date/Time of Define-XML document generation: 2021-01-24T17:47:32

Define-XML version: 2.1.0

Define-XML Context: Other

Stylesheet version: 2019-02-11

[Comment] Standard's Conformance Notes: 1) The SDTM v1.7/SDTMIG v3.3 datasets were evaluated manually and programmatically by the CDISC SDS MSG Team. At the completion of the SDTM-MSG v2.0, the CDISC SDTM v1.7/SDTMIG v3.3 conformance rules were recently published, but not available by any validation tools to validate. 2) The Define-XML document was evaluated manually and programmatically by the CDISC SDS MSG Team. At the completion of the SDTM-MSG v2.0, the CDISC Define-XML v2.1 conformance rules were not published, nor available by any validation tools to validate. Please ensure that any official regulatory submission of an Define-XML v2.1 document and accompanying data is done in accordance to the respective regulatory health authorities requirements/guidance.

Standards for Study CDISCPILOT01

Standards for Study CDISCPILOT01
StandardTypeStatusDocumentation
STDTMIG 3.3IGFinal

[Comment] Study Data Tabulation Model Implementation Guide: Human Clinical Trials Version 3.3

SDTMIG-MD 1.1IGFinal

[Comment] Study Data Tabulation Model Implementation Guide for Medical Devices Version 1.0

CDISC/NCI DEFINE-XML 2020-12-18CTFinal

[Comment] This was the CDISC CT Package associated to the CDISC Define-XML Specification Version 2.1 when this sample submission was completed.

CDISC/NCI SDTM 2020-12-18CTFinal

[Comment] This was the latest release of CDISC CT available when this sample submission was completed.


Datasets

Datasets
DatasetDescriptionClass StructurePurposeKeysDocumentationLocation
TA[STDTMIG 3.3]Trial ArmsTRIAL DESIGNOne record per planned Element per ArmTabulationSTUDYID, ARMCD, TAETORDta.xml
TE[STDTMIG 3.3]Trial ElementsTRIAL DESIGNOne record per planned ElementTabulationSTUDYID, ETCDte.xml
TI[STDTMIG 3.3]Trial Inclusion/Exclusion CriteriaTRIAL DESIGNOne record per I/E criterionTabulationSTUDYID, IETESTCD, TIVERSti.xml
TS[STDTMIG 3.3]Trial SummaryTRIAL DESIGNOne record per trial summary parameter valueTabulationSTUDYID, TSPARMCD, TSVAL, TSSEQts.xml
TV[STDTMIG 3.3]Trial VisitsTRIAL DESIGNOne record per planned Visit per ArmTabulationSTUDYID, VISITNUM, ARMCDtv.xml
DM[STDTMIG 3.3]DemographicsSPECIAL PURPOSEOne record per subjectTabulationSTUDYID, USUBJIDdm.xml
SE[STDTMIG 3.3]Subject ElementsSPECIAL PURPOSEOne record per actual Element per subjectTabulationSTUDYID, USUBJID, SESTDTC, ETCDse.xml
SV[STDTMIG 3.3]Subject VisitsSPECIAL PURPOSEOne record per actual visit per subjectTabulationSTUDYID, USUBJID, SVSTDTC, VISITNUMsv.xml
CM[STDTMIG 3.3]Concomitant MedicationsINTERVENTIONSOne record per recorded medication occurrence or constant-dosing interval per subjectTabulationSTUDYID, USUBJID, CMSTDTC, CMTRTcm.xml
EC[STDTMIG 3.3]Exposure as CollectedINTERVENTIONSOne record per constant-dosing interval per mood per subjectTabulationSTUDYID, USUBJID, ECTRT, ECSTDTCec.xml
EX[STDTMIG 3.3]ExposureINTERVENTIONSOne record per constant dosing interval per subjectTabulationSTUDYID, USUBJID, EXTRT, EXSTDTCex.xml
AE[STDTMIG 3.3]Adverse EventsEVENTSOne record per adverse event per subjectTabulationSTUDYID, USUBJID, AEDECOD, AESTDTC, AELNKIDae.xml
DS[STDTMIG 3.3]DispositionEVENTSOne record per disposition status or protocol milestone per subjectTabulationSTUDYID, USUBJID, DSSTDTC, DSCAT, DSSCAT, DSDECODds.xml
MH[STDTMIG 3.3]Medical HistoryEVENTSOne record per medical history event per subjectTabulationSTUDYID, USUBJID, MHTERM, MHSTDTCmh.xml
DD[STDTMIG 3.3]Death DetailsFINDINGSOne record per death detail per subjectTabulationSTUDYID, USUBJID, DDTESTCDdd.xml
FT[STDTMIG 3.3]Functional TestsFINDINGSOne record per functional test finding per timepoint per visit per subjectTabulationSTUDYID, USUBJID, FTTESTCD, FTREPNUM, VISITNUMft.xml
IE[STDTMIG 3.3]Inclusion/Exclusion Criteria Not MetFINDINGSOne record per inclusion/exclusion criterion not met per subjectTabulationSTUDYID, USUBJID, IETESTCDie.xml
LB[STDTMIG 3.3]Laboratory Test ResultsFINDINGSOne record per analyte per visit per subjectTabulationSTUDYID, USUBJID, LBCAT, LBTESTCD, LBDTC, VISITNUMlb.xml
NV[STDTMIG 3.3][No Data]Nervous System FindingsFINDINGSOne record per finding per visit per subjectTabulationSTUDYID, USUBJID, NVTESTCD, VISITNUM

[Comment] Per protocol, electroencephalograms are only performed after such an event were to occur. No subjects within the trial had an occurrence of an electroencephalogram event. Therefore, no data exists for the NV dataset and as such was not submitted.

OE[STDTMIG 3.3]Ophthalmic ExaminationsFINDINGSOne record per ophthalmic finding per visit per subjectTabulationSTUDYID, USUBJID, OETESTCD, OELOC, OELAT, VISITNUMoe.xml
QSPH[STDTMIG 3.3]Questionnaires (PHQ-9) (Questionnaires)FINDINGSOne record per questionnaire finding per visit per subjectTabulationSTUDYID, USUBJID, QSTESTCD, VISITNUM

[Comment] QSPH contains the PATIENT HEALTH QUESTIONNAIRE-9 (PHQ-9) questionnaire data.

qsph.xml
QSSL[STDTMIG 3.3]Questionnaires (SQLS) (Questionnaires)FINDINGSOne record per questionnaire finding per visit per subjectTabulationSTUDYID, USUBJID, QSTESTCD, VISITNUM

[Comment] QSSL contains the SATISFACTION WITH LIFE SURVEY (SWLS) questionnaire data.

qssl.xml
RS[STDTMIG 3.3]Disease Response and Clin ClassificationFINDINGSOne record per response assessment or clinical classification assessment per time point per visit per subject per assessor per medical evaluatorTabulationSTUDYID, USUBJID, RSTESTCD, VISITNUMrs.xml
VS[STDTMIG 3.3]Vital SignsFINDINGSOne record per vital sign measurement per visit per subjectTabulationSTUDYID, USUBJID, VSTESTCD, VSPOS, VISITNUM, VSREPNUMvs.xml
FA[STDTMIG 3.3]Findings About Events or InterventionsFINDINGS ABOUTOne record per finding per object per subjectTabulationSTUDYID, USUBJID, FATESTCD, FALNKGRP, FAOBJ, FADTC

[Comment] The FA domain contains Findings About Injection Site Reaction Adverse Events

fa.xml
RELREC[STDTMIG 3.3]Related RecordsRELATIONSHIPOne record per related record, group of records or datasetTabulationSTUDYID, RDOMAIN, USUBJID, IDVAR, IDVARVAL, RELIDrelrec.xml
SUPPDM[STDTMIG 3.3]Supplemental Qualifiers for DM (Demographics)RELATIONSHIPOne record per IDVAR, IDVARVAL, and QNAM value per subjectTabulationSTUDYID, RDOMAIN, USUBJID, IDVAR, IDVARVAL, QNAMsuppdm.xml
SUPPEC[STDTMIG 3.3]Supplemental Qualifiers for EC (Exposure as Collected)RELATIONSHIPOne record per IDVAR, IDVARVAL, and QNAM value per subjectTabulationSTUDYID, RDOMAIN, USUBJID, IDVAR, IDVARVAL, QNAMsuppec.xml
SUPPNV[STDTMIG 3.3][No Data]Supplemental Qualifiers for NV (Nervous System Findings)RELATIONSHIPOne record per IDVAR, IDVARVAL, and QNAM value per subjectTabulationSTUDYID, RDOMAIN, USUBJID, IDVAR, IDVARVAL, QNAM

[Comment] Per protocol, electroencephalograms are only performed after such an event were to occur. No subjects within the trial had an occurrence of an electroencephalogram event. Therefore, no data exists for the NV dataset and as such SUPPNV was not submitted.

SUPPOE[STDTMIG 3.3][No Data]Supplemental Qualifiers for OE (Ophthalmic Examinations)RELATIONSHIPOne record per IDVAR, IDVARVAL, and QNAM value per subjectTabulationSTUDYID, RDOMAIN, USUBJID, IDVAR, IDVARVAL, QNAM

[Comment] No subjects within the trial had an ophthalmic examination of clinical significance to report. Therefore, no data exists for the SUPPOE dataset and as such was not submitted.

DI[STDTMIG 3.3]Device IdentifiersSTUDY REFERENCEOne record per device identifier per deviceTabulationSTUDYID, SPDEVID, DIPARMCDdi.xml

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Trial Arms (TA)

TA (Trial Arms) - [STDTMIG 3.3]Location: ta.xml
VariableLabel / DescriptionTypeRoleLength [SignificantDigits] : Display FormatControlled Terms or ISO FormatOrigin / Source / Method / Comment
STUDYIDStudy IdentifiertextIdentifier12
[Origin] Protocol (Source: Sponsor)
DOMAINDomain AbbreviationtextIdentifier2SDTM Domain Abbreviation, subset used for Trial Arms
  • • "TA" = "Trial Arms"
[Origin] Assigned (Source: Sponsor)
ARMCDPlanned Arm CodetextTopic8Arm Code
  • • "PLACEBO" = "Placebo"
  • • "ZAN_LOW" = "Zanomaline Low Dose (54 mg)"
  • • "ZAN_HIGH" = "Zanomaline High Dose (81 mg)"
[Origin] Assigned (Source: Sponsor)
ARMDescription of Planned ArmtextSynonym Qualifier28Arm
  • • "Placebo"
  • • "Zanomaline Low Dose (54 mg)"
  • • "Zanomaline High Dose (81 mg)"
[Origin] Protocol (Source: Sponsor)
TAETORDPlanned Order of Element within ArmintegerTiming8
[Origin] Assigned (Source: Sponsor)
ETCDElement CodetextRecord Qualifier7Element Code
  • • "HIGH" = "Zanomaline 81 mg"
  • • "LOW" = "Zanomaline 54 mg"
  • • "PLACEBO" = "Placebo"
  • • "SCREEN" = "Screening"
  • • "TITRATE" = "Zanomaline 54 mg Titration"
[Origin] Assigned (Source: Sponsor)
ELEMENTDescription of ElementtextSynonym Qualifier26Element
  • • "Screening"
  • • "Placebo"
  • • "Zanomaline 54 mg"
  • • "Zanomaline 54 mg Titration"
  • • "Zanomaline 81 mg"
[Origin] Protocol (Source: Sponsor)
TABRANCHBranchtextRule200
[Origin] Protocol (Source: Sponsor)
TATRANSTransition RuletextRule200
[Origin] Protocol (Source: Sponsor)
EPOCHEpochtextTiming9Epoch
  • • "SCREENING" = "Screening"
  • • "TREATMENT" = "Treatment"
[Origin] Protocol (Source: Sponsor)
[Method]EPOCH from SE where date >= SESTDTC and date < SEENDTC

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Trial Elements (TE)

TE (Trial Elements) - [STDTMIG 3.3]Location: te.xml
VariableLabel / DescriptionTypeRoleLength [SignificantDigits] : Display FormatControlled Terms or ISO FormatOrigin / Source / Method / Comment
STUDYIDStudy IdentifiertextIdentifier12
[Origin] Protocol (Source: Sponsor)
DOMAINDomain AbbreviationtextIdentifier2SDTM Domain Abbreviation, subset used for Trial Elements
  • • "TE" = "Trial Elements"
[Origin] Assigned (Source: Sponsor)
ETCDElement CodetextTopic7Element Code
  • • "HIGH" = "Zanomaline 81 mg"
  • • "LOW" = "Zanomaline 54 mg"
  • • "PLACEBO" = "Placebo"
  • • "SCREEN" = "Screening"
  • • "TITRATE" = "Zanomaline 54 mg Titration"
[Origin] Assigned (Source: Sponsor)
ELEMENTDescription of ElementtextSynonym Qualifier26Element
  • • "Screening"
  • • "Placebo"
  • • "Zanomaline 54 mg"
  • • "Zanomaline 54 mg Titration"
  • • "Zanomaline 81 mg"
[Origin] Protocol (Source: Sponsor)
TESTRLRule for Start of ElementtextRule200
[Origin] Protocol (Source: Sponsor)
TEENRLRule for End of ElementtextRule200
[Origin] Protocol (Source: Sponsor)

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Trial Inclusion/Exclusion Criteria (TI)

TI (Trial Inclusion/Exclusion Criteria) - [STDTMIG 3.3]Location: ti.xml
VariableLabel / DescriptionTypeRoleLength [SignificantDigits] : Display FormatControlled Terms or ISO FormatOrigin / Source / Method / Comment
STUDYIDStudy IdentifiertextIdentifier12
[Origin] Protocol (Source: Sponsor)
DOMAINDomain AbbreviationtextIdentifier2SDTM Domain Abbreviation, subset used for Trial Inclusion/Exclusion Criteria
  • • "TI" = "Trial Inclusion"
[Origin] Assigned (Source: Sponsor)
IETESTCDIncl/Excl Criterion Short NametextTopic7Incl/Excl Criterion Short Name

[33 Terms]

[Origin] Assigned (Source: Sponsor)
IETESTInclusion/Exclusion CriteriontextSynonym Qualifier196Inclusion/Exclusion Criterion

[33 Terms]

[Origin] Protocol (Source: Sponsor)
IECATInclusion/Exclusion CategorytextGrouping Qualifier9Category for Inclusion/Exclusion
  • • "EXCLUSION" = "Exclusion"
  • • "INCLUSION" = "Inclusion"
[Origin] Assigned (Source: Sponsor)
TIVERSProtocol Criteria VersionstextRecord Qualifier200
[Origin] Assigned (Source: Sponsor)

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Trial Summary (TS)

TS (Trial Summary) - [STDTMIG 3.3]Location: ts.xml
VariableWhere ConditionLabel / DescriptionTypeRoleLength [SignificantDigits] : Display FormatControlled Terms or ISO FormatOrigin / Source / Method / Comment
STUDYIDStudy IdentifiertextIdentifier12
[Origin] Protocol (Source: Sponsor)
DOMAINDomain AbbreviationtextIdentifier2SDTM Domain Abbreviation, subset used for Trial Summary
  • • "TS" = "Trial Summary"
[Origin] Assigned (Source: Sponsor)
TSSEQSequence NumberintegerIdentifier3
[Origin] Derived (Source: Sponsor)
[Method]Unique sequence number within each TSPARM, restarting at 1 for per TSPARM, applied to sorted data.
TSGRPIDGroup IDtextIdentifier200
[Origin] Assigned (Source: Sponsor)
TSPARMCDTrial Summary Parameter Short NametextTopic8Trial Summary Parameter Test Code

[44 Terms]

[Origin] Assigned (Source: Sponsor)
TSPARMTrial Summary ParametertextSynonym Qualifier40Trial Summary Parameter Test Name

[44 Terms]

[Origin] Protocol (Source: Sponsor)
TSVALVLMParameter ValuetextResult Qualifier200
TSPARMCD IN (
"ADAPT" (Adaptive Study Design Indicator),
"ADDON" (Test Product Added to Existing Treatment),
"HLTSUBJI" (Healthy Subject Indicator),
"RANDOM" (Randomization)
)
Trial Summary Yes No Responsestext1No Yes Response, subset for variables with only "Y" or "N" val
  • • "N" = "No"
  • • "Y" = "Yes"
[Origin] Protocol (Source: Sponsor)
TSPARMCD IN (
"ACTSUB" (Actual Subject Number),
"AGEMAX" (Planned Maximum Age of Subjects),
"AGEMIN" (Planned Minimum Age of Subjects),
"DOSE" (Dose),
"NARMS" (Planned Number of Arms),
"PLANSUB" (Planned Subject Number)
)
Planned Maximum Age of Subjectsinteger8
[Origin] Protocol (Source: Sponsor)
TSPARMCD IN (
"DCUTDTC" (Data Cutoff Date),
"SENDTC" (Clinical Study End Date),
"SSTDTC" (Study Start Date)
)
Trial Summary Date ResponsesdateISO 8601
[Origin] Assigned (Source: Sponsor)
TSPARMCD = "DOSFRM" (Pharmaceutical Dosage Form)Dose Formtext9Dose Form, subset used for EC and EX
  • • "INJECTION" = "Injectable Dosage Form"
[Origin] Protocol (Source: Sponsor)
TSPARMCD = "DOSFRQ" (Dose Frequency)Dosing Frequencytext2Frequency, subset used for EC and EX
  • • "QD" = "Daily"
[Origin] Protocol (Source: Sponsor)
TSPARMCD = "DOSU" (Dosage Form Unit)Dose Unitstext2Unit, subset to be used for EXDOSU
  • • "mg" = "Milligram"
[Origin] Protocol (Source: Sponsor)
TSPARMCD = "FCNTRY" (Planned Country of Investigational Site)Planned Country of Investigational Sitestext200Country Codes

ISO 3166-1 Alpha-3 2013-11-15

[Origin] Protocol (Source: Sponsor)
TSPARMCD = "INDIC" (Trial Indication)Trial Disease/Condition Indicationtext200Trial Summary Medical Dictionary

SNOMED 2019-09-01

[Origin] Protocol (Source: Sponsor)
TSPARMCD = "INTMODEL" (Intervention Model)Intervention Modeltext8Intervention Model Response
  • • "PARALLEL" = "Parallel"
[Origin] Protocol (Source: Sponsor)
TSPARMCD = "INTTYPE" (Intervention Type)Intervention Typetext4Intervention Type Response
  • • "DRUG" = "Drug"
[Origin] Protocol (Source: Sponsor)
TSPARMCD = "TS_DURATION"Trial Lengthtext200
[Origin] Protocol (Source: Sponsor)
TSPARMCD = "OBJPRIM" (Trial Primary Objective)Trial Primary Objectivetext200
[Origin] Protocol (Source: Sponsor)
TSPARMCD = "OBJSEC" (Trial Secondary Objective)Trial Secondary Objectivetext200
[Origin] Protocol (Source: Sponsor)
TSPARMCD = "OUTMSPRI" (Primary Outcome Measure)Primary Outcome Measuretext200
[Origin] Protocol (Source: Sponsor)
TSPARMCD = "PCLAS" (Pharmacological Class of Investigational Therapy)Pharmacologic Classtext200
[Origin] Protocol (Source: Sponsor)
TSPARMCD = "TS_FLOAT"Randomization Quotienttext200
[Origin] Protocol (Source: Sponsor)
TSPARMCD = "REGID" (Clinical Trial Registry Identifier)Registry Identifiertext200
[Origin] Protocol (Source: Sponsor)
TSPARMCD = "ROUTE" (Route of Administration)Route of Administrationtext12Route of Administration, subset to be used for EC and EX
  • • "SUBCUTANEOUS" = "Subcutaneous Route of Administration"
[Origin] Protocol (Source: Sponsor)
TSPARMCD IN (
"SDTIGVER" (Study Data Tabulation Model Implementation Guide Version),
"SDTMVER" (Study Data Tabulation Model Version)
)
SDTM IG Versionfloat2 [1]
[Origin] Protocol (Source: Sponsor)
TSPARMCD = "SEXPOP" (Sex of Study Group)Sex of Participantstext1Sex Male Female
  • • "F" = "Female"
  • • "M" = "Male"
[Origin] Protocol (Source: Sponsor)
TSPARMCD = "SPONSOR" (Clinical Study Sponsor)Clinical Study Sponsortext200
[Origin] Protocol (Source: Sponsor)
TSPARMCD = "STOPRULE" (Study Stop Rule)Study Stop Rulestext200
[Origin] Protocol (Source: Sponsor)
TSPARMCD = "STYPE" (Study Type)Study Typetext14Study Type Response
  • • "INTERVENTIONAL" = "Interventional"
[Origin] Protocol (Source: Sponsor)
TSPARMCD = "TBLIND" (Trial Blinding Schema)Trial Blinding Schematext12Trial Blinding Schema Response
  • • "DOUBLE BLIND" = "Double Blind"
[Origin] Protocol (Source: Sponsor)
TSPARMCD = "TCNTRL" (Control Type)Control Typetext7Control Type Response
  • • "PLACEBO" = "Placebo"
[Origin] Protocol (Source: Sponsor)
TSPARMCD = "TDIGRP" (Diagnosis Group)Diagnosis Grouptext200Trial Summary Medical Dictionary

SNOMED 2019-09-01

[Origin] Protocol (Source: Sponsor)
TSPARMCD = "TINDTP" (Clinical Study by Intent)Trial Intent Typetext9Trial Intent Type Response
  • • "TREATMENT" = "Treatment"
[Origin] Protocol (Source: Sponsor)
TSPARMCD = "TITLE" (Trial Title)Trial Titletext200
[Origin] Protocol (Source: Sponsor)
TSPARMCD = "TPHASE" (Trial Phase)Trial Phase Classificationtext14Trial Phase Response
  • • "PHASE II TRIAL" = "Phase II Trial"
[Origin] Protocol (Source: Sponsor)
TSPARMCD = "TRT" (Protocol Agent)Investigational Therapy or Treatmenttext200
[Origin] Protocol (Source: Sponsor)
TSPARMCD = "TTYPE" (Trial Type)Trial Typetext15Trial Type Response
  • • "EFFICACY" = "Efficacy"
  • • "PHARMACOKINETIC" = "Pharmacokinetic"
  • • "SAFETY" = "Safety"
[Origin] Protocol (Source: Sponsor)
TSVALNFParameter Null FlavortextResult Qualifier4Null Flavors

ISO 21090 NullFlavor 2017

[Origin] Assigned (Source: Sponsor)
TSVALCDParameter Value CodetextResult Qualifier200
[Origin] Assigned (Source: Sponsor)
TSVCDREFName of the Reference TerminologytextResult Qualifier200
[Origin] Assigned (Source: Sponsor)
TSVCDVERVersion of the Reference TerminologytextResult Qualifier200
[Origin] Assigned (Source: Sponsor)

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Trial Visits (TV)

TV (Trial Visits) - [STDTMIG 3.3]Location: tv.xml
VariableLabel / DescriptionTypeRoleLength [SignificantDigits] : Display FormatControlled Terms or ISO FormatOrigin / Source / Method / Comment
STUDYIDStudy IdentifiertextIdentifier12
[Origin] Protocol (Source: Sponsor)
DOMAINDomain AbbreviationtextIdentifier2SDTM Domain Abbreviation, subset used for Trial Visits
  • • "TV" = "Trial Visits"
[Origin] Assigned (Source: Sponsor)
VISITNUMVisit NumberfloatTopic8 [2]
[Origin] Assigned (Source: Sponsor)
VISITVisit NametextSynonym Qualifier200
[Origin] Protocol (Source: Sponsor)
ARMCDPlanned Arm CodetextRecord Qualifier8Arm Code
  • • "PLACEBO" = "Placebo"
  • • "ZAN_LOW" = "Zanomaline Low Dose (54 mg)"
  • • "ZAN_HIGH" = "Zanomaline High Dose (81 mg)"
[Origin] Assigned (Source: Sponsor)
TVSTRLVisit Start RuletextRule200
[Origin] Protocol (Source: Sponsor)
TVENRLVisit End RuletextRule200
[Origin] Protocol (Source: Sponsor)

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Demographics (DM)

DM (Demographics) - [STDTMIG 3.3]Location: dm.xml
Related Supplemental Qualifiers Dataset: SUPPDM (Supplemental Qualifiers for DM)
VariableWhere ConditionLabel / DescriptionTypeRoleLength [SignificantDigits] : Display FormatControlled Terms or ISO FormatOrigin / Source / Method / Comment
STUDYIDStudy IdentifiertextIdentifier12
[Origin] Protocol (Source: Sponsor)
DOMAINDomain AbbreviationtextIdentifier2SDTM Domain Abbreviation, subset used for Demographics
  • • "DM" = "Demographics"
[Origin] Assigned (Source: Sponsor)
USUBJIDUnique Subject IdentifiertextIdentifier8
[Origin] Assigned (Source: Sponsor)
SUBJIDSubject Identifier for the StudytextTopic4
[Origin] Assigned (Source: Sponsor)
RFSTDTCSubject Reference Start Date/TimedateRecord QualifierISO 8601
[Origin] Derived (Source: Sponsor)
[Method]The first date/time of study drug. Null for screen failures.
RFENDTCSubject Reference End Date/TimedateRecord QualifierISO 8601
[Origin] Derived (Source: Sponsor)
[Method]The Date of Study Completion or Early Termination. Null for screen failures.
RFXSTDTCDate/Time of First Study TreatmentdateRecord QualifierISO 8601
[Origin] Derived (Source: Sponsor)
[Method]The first date/time of study drug administration. Null for subjects with no treatment data.
RFXENDTCDate/Time of Last Study TreatmentdateRecord QualifierISO 8601
[Origin] Derived (Source: Sponsor)
[Method]The last date/time of study drug administration. Null for subjects with no treatment data.
RFICDTCDate/Time of Informed ConsentdateRecord QualifierISO 8601
[Origin] Collected (Source: Investigator)

Annotated CRF [5 ]

RFPENDTCDate/Time of End of ParticipationdateRecord QualifierISO 8601
[Origin] Derived (Source: Sponsor)
[Method]The latest date of assessment for the subject as determined by the End of Study Form, any scheduled assessments, Adverse Events, or Concomitant Medications.
DTHDTCDate/Time of DeathdateRecord QualifierISO 8601
[Origin] Collected (Source: Investigator)

Annotated CRF [26 ]

DTHFLSubject Death FlagtextRecord Qualifier1No Yes Response, subset for variables with only "Y" or null values
  • • "Y" = "Yes"
[Origin] Derived (Source: Sponsor)
[Method]If DTHDTC is populated then DTHFL='Y'
SITEIDStudy Site IdentifiertextRecord Qualifier3Site Identifier

[6 Terms]

[Origin] Assigned (Source: Sponsor)
BRTHDTCDate/Time of BirthdateRecord QualifierISO 8601
[Origin] Collected (Source: Investigator)

Annotated CRF [5 ]

AGEAgeintegerRecord Qualifier8
[Origin] Collected (Source: Investigator)

Annotated CRF [5 ]

AGEUAge UnitstextVariable Qualifier5Age Unit in Years
  • • "YEARS" = "Years"
[Origin] Assigned (Source: Sponsor)
SEXSextextRecord Qualifier1Sex Male Female
  • • "F" = "Female"
  • • "M" = "Male"
[Origin] Collected (Source: Investigator)

Annotated CRF [5 ]

RACEVLMRacetextRecord Qualifier41
RACE ≠ "MULTIPLE"Racetext41Race
  • • "AMERICAN INDIAN OR ALASKA NATIVE" = "American Indian Or Alaska Native"
  • • "ASIAN" = "Asian"
  • • "BLACK OR AFRICAN AMERICAN" = "Black Or African American"
  • • "NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER" = "Native Hawaiian Or Other Pacific Islander"
  • • "WHITE" = "White"
[Origin] Collected (Source: Investigator)

Annotated CRF [5 ]

RACE = "MULTIPLE"Racetext8Race Multiple Selections
  • • "MULTIPLE" = "Multiple"
[Origin] Assigned (Source: Sponsor)

Annotated CRF [5 ]

ETHNICEthnicitytextRecord Qualifier22Ethnic Group Hispanic
  • • "HISPANIC OR LATINO" = "Hispanic or Latino"
  • • "NOT HISPANIC OR LATINO" = "Not Hispanic or Latino"
[Origin] Collected (Source: Investigator)

Annotated CRF [5 ]

ARMCDPlanned Arm CodetextRecord Qualifier8Arm Code
  • • "PLACEBO" = "Placebo"
  • • "ZAN_LOW" = "Zanomaline Low Dose (54 mg)"
  • • "ZAN_HIGH" = "Zanomaline High Dose (81 mg)"
[Origin] Assigned (Source: Sponsor)
ARMDescription of Planned ArmtextSynonym Qualifier28Arm
  • • "Placebo"
  • • "Zanomaline Low Dose (54 mg)"
  • • "Zanomaline High Dose (81 mg)"
[Origin] Assigned (Source: Sponsor)
ACTARMCDActual Arm CodetextRecord Qualifier8Arm Code
  • • "PLACEBO" = "Placebo"
  • • "ZAN_LOW" = "Zanomaline Low Dose (54 mg)"
  • • "ZAN_HIGH" = "Zanomaline High Dose (81 mg)"
[Origin] Assigned (Source: Sponsor)
ACTARMDescription of Actual ArmtextSynonym Qualifier28Arm
  • • "Placebo"
  • • "Zanomaline Low Dose (54 mg)"
  • • "Zanomaline High Dose (81 mg)"
[Origin] Assigned (Source: Sponsor)
ARMNRSReason Arm and/or Actual Arm is NulltextRecord Qualifier14Arm Null Reason
  • • "SCREEN FAILURE" = "Trial Screen Failure"
[Origin] Assigned (Source: Sponsor)
ACTARMUDDescription of Unplanned Actual ArmtextRecord Qualifier200
[Origin] Assigned (Source: Sponsor)
COUNTRYCountrytextRecord Qualifier3Country Codes

ISO 3166-1 Alpha-3 2013-11-15

[Origin] Assigned (Source: Sponsor)

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Subject Elements (SE)

SE (Subject Elements) - [STDTMIG 3.3]Location: se.xml
VariableLabel / DescriptionTypeRoleLength [SignificantDigits] : Display FormatControlled Terms or ISO FormatOrigin / Source / Method / Comment
STUDYIDStudy IdentifiertextIdentifier12
[Origin] Protocol (Source: Sponsor)
DOMAINDomain AbbreviationtextIdentifier2SDTM Domain Abbreviation, subset used for Subject Element
  • • "SE" = "Subject Elements"
[Origin] Assigned (Source: Sponsor)
USUBJIDUnique Subject IdentifiertextIdentifier8
[Origin] Assigned (Source: Sponsor)
SESEQSequence NumberintegerIdentifier3
[Origin] Derived (Source: Sponsor)
[Method]Unique sequence number within a subject, restarting at 1 for every subject, applied to sorted data.
ETCDElement CodetextTopic7Element Code
  • • "HIGH" = "Zanomaline 81 mg"
  • • "LOW" = "Zanomaline 54 mg"
  • • "PLACEBO" = "Placebo"
  • • "SCREEN" = "Screening"
  • • "TITRATE" = "Zanomaline 54 mg Titration"
[Origin] Assigned (Source: Sponsor)
ELEMENTDescription of ElementtextSynonym Qualifier26Element
  • • "Screening"
  • • "Placebo"
  • • "Zanomaline 54 mg"
  • • "Zanomaline 54 mg Titration"
  • • "Zanomaline 81 mg"
[Origin] Protocol (Source: Sponsor)
EPOCHEpochtextTiming9Epoch
  • • "SCREENING" = "Screening"
  • • "TREATMENT" = "Treatment"
[Origin] Derived (Source: Sponsor)
[Method]EPOCH from SE where date >= SESTDTC and date < SEENDTC
SESTDTCStart Date/Time of ElementdateTimingISO 8601
[Origin] Derived (Source: Sponsor)
[Method]SESTDTC if set to the --DTC for that subject which exists in the data for the defined start of the Element, such as DSSTDTC when DSDECOD=INFORMED CONSENT OBTAINED for Screening Elements or min(EXSTDTC) for Dosing Elements.
SEENDTCEnd Date/Time of ElementdateTimingISO 8601
[Origin] Derived (Source: Sponsor)
[Method]SEENDTC is set to the start of the next Element, or RFPENDTC for the last Element.
SESTDYStudy Day of Start of ElementintegerTiming8
[Origin] Derived (Source: Sponsor)
[Method]Study day relative to RFSTDTC. Date - RFSTDTC + 1 if on or after RFSTDTC. Date - RFSTDTC if date precedes RFSTDTC.
SEENDYStudy Day of End of ElementintegerTiming8
[Origin] Derived (Source: Sponsor)
[Method]Study day relative to RFSTDTC. Date - RFSTDTC + 1 if on or after RFSTDTC. Date - RFSTDTC if date precedes RFSTDTC.

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Subject Visits (SV)

SV (Subject Visits) - [STDTMIG 3.3]Location: sv.xml
VariableLabel / DescriptionTypeRoleLength [SignificantDigits] : Display FormatControlled Terms or ISO FormatOrigin / Source / Method / Comment
STUDYIDStudy IdentifiertextIdentifier12
[Origin] Protocol (Source: Sponsor)
DOMAINDomain AbbreviationtextIdentifier2SDTM Domain Abbreviation, subset used for Subject Visits
  • • "SV" = "Subject Visits"
[Origin] Assigned (Source: Sponsor)
USUBJIDUnique Subject IdentifiertextIdentifier8
[Origin] Assigned (Source: Sponsor)
VISITNUMVisit NumberfloatTopic8 [2]
[Origin] Assigned (Source: Sponsor)
VISITVisit NametextSynonym Qualifier200
[Origin] Assigned (Source: Sponsor)
SVSTDTCStart Date/Time of VisitdateTimingISO 8601
[Origin] Derived (Source: Sponsor)
[Method]For each scheduled visit, SVSTDTC = the first (min) date associated with a subject for that visit. For unplanned visits, SVSTDTC is the date of the visit.
SVENDTCEnd Date/Time of VisitdateTimingISO 8601
[Origin] Derived (Source: Sponsor)
[Method]For each scheduled visit, SVENDTC = the last (max) date associated with a subject for that visit. For unplanned visits, SVENDTC is the date of the visit.
SVSTDYStudy Day of Start of VisitintegerTiming8
[Origin] Derived (Source: Sponsor)
[Method]Study day relative to RFSTDTC. Date - RFSTDTC + 1 if on or after RFSTDTC. Date - RFSTDTC if date precedes RFSTDTC.
SVENDYStudy Day of End of VisitintegerTiming8
[Origin] Derived (Source: Sponsor)
[Method]Study day relative to RFSTDTC. Date - RFSTDTC + 1 if on or after RFSTDTC. Date - RFSTDTC if date precedes RFSTDTC.
SVUPDESDescription of Unplanned VisittextSynonym Qualifier200
[Origin] Assigned (Source: Sponsor)

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Concomitant Medications (CM)

CM (Concomitant Medications) - [STDTMIG 3.3]Location: cm.xml
VariableLabel / DescriptionTypeRoleLength [SignificantDigits] : Display FormatControlled Terms or ISO FormatOrigin / Source / Method / Comment
STUDYIDStudy IdentifiertextIdentifier12
[Origin] Protocol (Source: Sponsor)
DOMAINDomain AbbreviationtextIdentifier2SDTM Domain Abbreviation, subset used for Concomitant Meds
  • • "CM" = "Concomitant/Prior Medications"
[Origin] Assigned (Source: Sponsor)
USUBJIDUnique Subject IdentifiertextIdentifier8
[Origin] Assigned (Source: Sponsor)
CMSEQSequence NumberintegerIdentifier3
[Origin] Derived (Source: Sponsor)
[Method]Unique sequence number within a subject, restarting at 1 for every subject, applied to sorted data.
CMTRTReported Name of Drug, Med, or TherapytextTopic200
[Origin] Collected (Source: Investigator)

Annotated CRF [25 ]

CMINDCIndicationtextRecord Qualifier200
[Origin] Collected (Source: Investigator)

Annotated CRF [25 ]

[Comment] If the CM is not taken for a 'Primary Study Condition' then CMINDC would be 'Prophylaxis or Non-therapeutic use'

CMDOSEDose per AdministrationfloatRecord Qualifier5 [3]
[Origin] Collected (Source: Investigator)

Annotated CRF [25 ]

CMDOSUDose UnitstextVariable Qualifier6Unit, subset to be used for CMDOSU
  • • "mg" = "Milligram"
  • • "ng" = "Nanogram"
  • • "TABLET" = "Tablet"
[Origin] Collected (Source: Investigator)

Annotated CRF [25 ]

CMDOSFRQDosing Frequency per IntervaltextVariable Qualifier3Frequency, subset used for CM

[6 Terms]

[Origin] Collected (Source: Investigator)

Annotated CRF [25 ]

CMROUTERoute of AdministrationtextVariable Qualifier24Route of Administration, subset to be used for CM

[6 Terms]

[Origin] Collected (Source: Investigator)

Annotated CRF [25 ]

EPOCHEpochtextTiming9Epoch
  • • "SCREENING" = "Screening"
  • • "TREATMENT" = "Treatment"
[Origin] Derived (Source: Sponsor)
[Method]EPOCH from SE where date >= SESTDTC and date < SEENDTC
CMSTDTCStart Date/Time of MedicationpartialDateTimingISO 8601
[Origin] Collected (Source: Investigator)

Annotated CRF [25 ]

CMENDTCEnd Date/Time of MedicationpartialDateTimingISO 8601
[Origin] Collected (Source: Investigator)

Annotated CRF [25 ]

CMSTDYStudy Day of Start of MedicationintegerTiming8
[Origin] Derived (Source: Sponsor)
[Method]Study day relative to RFSTDTC. Date - RFSTDTC + 1 if on or after RFSTDTC. Date - RFSTDTC if date precedes RFSTDTC.
CMENDYStudy Day of End of MedicationintegerTiming8
[Origin] Derived (Source: Sponsor)
[Method]Study day relative to RFSTDTC. Date - RFSTDTC + 1 if on or after RFSTDTC. Date - RFSTDTC if date precedes RFSTDTC.
CMENRTPTEnd Relative to Reference Time PointtextTiming7Relation to Reference Period, subset used for AE and CM.
  • • "ONGOING" = "Ongoing"
[Origin] Collected (Source: Investigator)

Annotated CRF [25 ]

CMENTPTEnd Reference Time PointdateTimingISO 8601
[Origin] Derived (Source: Sponsor)
[Method]If CMENRTPT is populated, CMENTPT is DM.RFPENDTC for the subject.

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Exposure as Collected (EC)

EC (Exposure as Collected) - [STDTMIG 3.3]Location: ec.xml
Related Supplemental Qualifiers Dataset: SUPPEC (Supplemental Qualifiers for EC)
VariableLabel / DescriptionTypeRoleLength [SignificantDigits] : Display FormatControlled Terms or ISO FormatOrigin / Source / Method / Comment
STUDYIDStudy IdentifiertextIdentifier12
[Origin] Protocol (Source: Sponsor)
DOMAINDomain AbbreviationtextIdentifier2SDTM Domain Abbreviation, subset used for Exposure as Collected
  • • "EC" = "Exposure as Collected"
[Origin] Assigned (Source: Sponsor)
USUBJIDUnique Subject IdentifiertextIdentifier8
[Origin] Assigned (Source: Sponsor)
SPDEVIDSponsor Device IdentifiertextIdentifier200
[Origin] Assigned (Source: Sponsor)
ECSEQSequence NumberintegerIdentifier3
[Origin] Derived (Source: Sponsor)
[Method]Unique sequence number within a subject, restarting at 1 for every subject, applied to sorted data.
ECTRTName of TreatmenttextTopic10Study Treatment
  • • "PLACEBO" = "Placebo"
  • • "ZANOMALINE" = "Zanomaline"
[Origin] Assigned (Source: Sponsor)
ECPRESPPre-SpecifiedtextVariable Qualifier1No Yes Response, subset for variables with only "Y" or "N" val
  • • "N" = "No"
  • • "Y" = "Yes"
[Origin] Assigned (Source: Sponsor)
ECOCCUROccurrencetextRecord Qualifier1No Yes Response, subset for variables with only "Y" or "N" val
  • • "N" = "No"
  • • "Y" = "Yes"
[Origin] Collected (Source: Investigator)

Annotated CRF [14 ]

ECDOSEDoseintegerRecord Qualifier8
[Origin] Assigned (Source: Investigator)

Annotated CRF [14 ]

ECDOSUDose UnitstextVariable Qualifier2Unit, subset to be used for ECDOSU
  • • "mL" = "Milliliter"
[Origin] Assigned (Source: Investigator)

Annotated CRF [14 ]

ECDOSFRMDose FormtextVariable Qualifier9Dose Form, subset used for EC and EX
  • • "INJECTION" = "Injectable Dosage Form"
[Origin] Assigned (Source: Sponsor)
ECDOSFRQDosing Frequency per IntervaltextVariable Qualifier2Frequency, subset used for EC and EX
  • • "QD" = "Daily"
[Origin] Assigned (Source: Sponsor)
ECROUTERoute of AdministrationtextVariable Qualifier12Route of Administration, subset to be used for EC and EX
  • • "SUBCUTANEOUS" = "Subcutaneous Route of Administration"
[Origin] Assigned (Source: Sponsor)
ECLOTLot NumbertextRecord Qualifier200
[Origin] Collected (Source: Investigator)

Annotated CRF [14 ]

ECPSTRGPharmaceutical StrengthfloatRecord Qualifier4 [1]
[Origin] Assigned (Source: Sponsor)
ECPSTRGUPharmaceutical Strength UnitstextVariable Qualifier3Unit, subset to be used for ECPSTRGU
  • • "g/L" = "Gram per Liter"
[Origin] Assigned (Source: Sponsor)
EPOCHEpochtextTiming9Epoch
  • • "SCREENING" = "Screening"
  • • "TREATMENT" = "Treatment"
[Origin] Derived (Source: Sponsor)
[Method]EPOCH from SE where date >= SESTDTC and date < SEENDTC
ECSTDTCStart Date/Time of TreatmentdateTimingISO 8601
[Origin] Collected (Source: Investigator)

Annotated CRF [14 ]

ECENDTCEnd Date/Time of TreatmentdateTimingISO 8601
[Origin] Collected (Source: Investigator)

Annotated CRF [14 ]

ECSTDYStudy Day of Start of TreatmentintegerTiming8
[Origin] Derived (Source: Sponsor)
[Method]Study day relative to RFSTDTC. Date - RFSTDTC + 1 if on or after RFSTDTC. Date - RFSTDTC if date precedes RFSTDTC.
ECENDYStudy Day of End of TreatmentintegerTiming8
[Origin] Derived (Source: Sponsor)
[Method]Study day relative to RFSTDTC. Date - RFSTDTC + 1 if on or after RFSTDTC. Date - RFSTDTC if date precedes RFSTDTC.

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Exposure (EX)

EX (Exposure) - [STDTMIG 3.3]Location: ex.xml
VariableLabel / DescriptionTypeRoleLength [SignificantDigits] : Display FormatControlled Terms or ISO FormatOrigin / Source / Method / Comment
STUDYIDStudy IdentifiertextIdentifier12
[Origin] Protocol (Source: Sponsor)
DOMAINDomain AbbreviationtextIdentifier2SDTM Domain Abbreviation, subset used for Exposure
  • • "EX" = "Exposure"
[Origin] Assigned (Source: Sponsor)
USUBJIDUnique Subject IdentifiertextIdentifier8
[Origin] Assigned (Source: Sponsor)
SPDEVIDSponsor Device IdentifiertextIdentifier200
[Origin] Predecessor: EC.SPDEVID
EXSEQSequence NumberintegerIdentifier3
[Origin] Derived (Source: Sponsor)
[Method]Unique sequence number within a subject, restarting at 1 for every subject, applied to sorted data.
EXTRTName of TreatmenttextTopic10Study Treatment
  • • "PLACEBO" = "Placebo"
  • • "ZANOMALINE" = "Zanomaline"
[Origin] Predecessor: ECTRT
EXDOSEDoseintegerRecord Qualifier8
[Origin] Derived (Source: Sponsor)
[Method]EXDOSE = ECDOSE * ECPSTRG expressed in mg.
EXDOSUDose UnitstextVariable Qualifier2Unit, subset to be used for EXDOSU
  • • "mg" = "Milligram"
[Origin] Protocol (Source: Sponsor)
EXDOSFRMDose FormtextVariable Qualifier9Dose Form, subset used for EC and EX
  • • "INJECTION" = "Injectable Dosage Form"
[Origin] Predecessor: ECDOSFRM
EXDOSFRQDosing Frequency per IntervaltextVariable Qualifier2Frequency, subset used for EC and EX
  • • "QD" = "Daily"
[Origin] Predecessor: ECDOSFRQ
EXROUTERoute of AdministrationtextVariable Qualifier12Route of Administration, subset to be used for EC and EX
  • • "SUBCUTANEOUS" = "Subcutaneous Route of Administration"
[Origin] Predecessor: ECROUTE
EXLOTLot NumbertextRecord Qualifier200
[Origin] Predecessor: ECLOT
EPOCHEpochtextTiming9Epoch
  • • "SCREENING" = "Screening"
  • • "TREATMENT" = "Treatment"
[Origin] Predecessor: EC.EPOCH
EXSTDTCStart Date/Time of TreatmentdateTimingISO 8601
[Origin] Predecessor: ECSTDTC
EXENDTCEnd Date/Time of TreatmentdateTimingISO 8601
[Origin] Predecessor: ECENDTC
EXSTDYStudy Day of Start of TreatmentintegerTiming8
[Origin] Predecessor: ECSTDY
EXENDYStudy Day of End of TreatmentintegerTiming8
[Origin] Predecessor: ECENDY

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Adverse Events (AE)

AE (Adverse Events) - [STDTMIG 3.3]Location: ae.xml
VariableWhere ConditionLabel / DescriptionTypeRoleLength [SignificantDigits] : Display FormatControlled Terms or ISO FormatOrigin / Source / Method / Comment
STUDYIDStudy IdentifiertextIdentifier12
[Origin] Protocol (Source: Sponsor)
DOMAINDomain AbbreviationtextIdentifier2SDTM Domain Abbreviation, subset used for Adverse Events
  • • "AE" = "Adverse Events"
[Origin] Assigned (Source: Sponsor)
USUBJIDUnique Subject IdentifiertextIdentifier8
[Origin] Assigned (Source: Sponsor)
AESEQSequence NumberintegerIdentifier3
[Origin] Derived (Source: Sponsor)
[Method]Unique sequence number within a subject, restarting at 1 for every subject, applied to sorted data.
AELNKIDLink IDtextIdentifier50
[Origin] Collected (Source: Investigator)

Annotated CRF [22 23 ]

AETERMVLMReported Term for the Adverse EventtextTopic200
AETERM = "INJECTION SITE REACTION"Reported Term for the Adverse Eventtext200
[Origin] Assigned (Source: Sponsor)

Annotated CRF [23 ]

[Comment] Even though the variable is 'Assigned' an annotation has been added to page 23 to clarify the assignment.

AETERM ≠ "INJECTION SITE REACTION"Reported Term for the Adverse Eventtext200
[Origin] Collected (Source: Investigator)

Annotated CRF [22 ]

AELLT[No Data]Lowest Level TermtextVariable Qualifier1Adverse Events Dictionary

MedDRA 22.0

[Origin] Assigned (Source: Sponsor)

[Comment] Coding variables are not populated due to the proprietary coding dictionary, but the variables are included as they are Expected or Required.

AELLTCD[No Data]Lowest Level Term CodetextVariable Qualifier1Adverse Events Dictionary

MedDRA 22.0

[Origin] Assigned (Source: Sponsor)

[Comment] Coding variables are not populated due to the proprietary coding dictionary, but the variables are included as they are Expected or Required.

AEDECOD[No Data]Dictionary-Derived TermtextSynonym Qualifier1Adverse Events Dictionary

MedDRA 22.0

[Origin] Assigned (Source: Sponsor)

[Comment] Coding variables are not populated due to the proprietary coding dictionary, but the variables are included as they are Expected or Required. Note CDISC Conformance Rule CG0014 would fire for this variable due to the decision not to populate coding variables.

AEPTCD[No Data]Preferred Term CodetextVariable Qualifier1Adverse Events Dictionary

MedDRA 22.0

[Origin] Assigned (Source: Sponsor)

[Comment] Coding variables are not populated due to the proprietary coding dictionary, but the variables are included as they are Expected or Required.

AEHLT[No Data]High Level TermtextVariable Qualifier1Adverse Events Dictionary

MedDRA 22.0

[Origin] Assigned (Source: Sponsor)

[Comment] Coding variables are not populated due to the proprietary coding dictionary, but the variables are included as they are Expected or Required.

AEHLTCD[No Data]High Level Term CodetextVariable Qualifier1Adverse Events Dictionary

MedDRA 22.0

[Origin] Assigned (Source: Sponsor)

[Comment] Coding variables are not populated due to the proprietary coding dictionary, but the variables are included as they are Expected or Required.

AEHLGT[No Data]High Level Group TermtextVariable Qualifier1Adverse Events Dictionary

MedDRA 22.0

[Origin] Assigned (Source: Sponsor)

[Comment] Coding variables are not populated due to the proprietary coding dictionary, but the variables are included as they are Expected or Required.

AEHLGTCD[No Data]High Level Group Term CodetextVariable Qualifier1Adverse Events Dictionary

MedDRA 22.0

[Origin] Assigned (Source: Sponsor)

[Comment] Coding variables are not populated due to the proprietary coding dictionary, but the variables are included as they are Expected or Required.

AEBODSYS[No Data]Body System or Organ ClasstextRecord Qualifier1Adverse Events Dictionary

MedDRA 22.0

[Origin] Assigned (Source: Sponsor)

[Comment] Coding variables are not populated due to the proprietary coding dictionary, but the variables are included as they are Expected or Required.

AEBDSYCD[No Data]Body System or Organ Class CodetextVariable Qualifier1Adverse Events Dictionary

MedDRA 22.0

[Origin] Assigned (Source: Sponsor)

[Comment] Coding variables are not populated due to the proprietary coding dictionary, but the variables are included as they are Expected or Required.

AESOC[No Data]Primary System Organ ClasstextVariable Qualifier1Adverse Events Dictionary

MedDRA 22.0

[Origin] Assigned (Source: Sponsor)

[Comment] Coding variables are not populated due to the proprietary coding dictionary, but the variables are included as they are Expected or Required.

AESOCCD[No Data]Primary System Organ Class CodetextVariable Qualifier1Adverse Events Dictionary

MedDRA 22.0

[Origin] Assigned (Source: Sponsor)

[Comment] Coding variables are not populated due to the proprietary coding dictionary, but the variables are included as they are Expected or Required.

AESEVSeverity/IntensitytextRecord Qualifier8Severity/Intensity Scale for Adverse Events
  • • "MILD" = "Mild"
  • • "MODERATE" = "Moderate"
  • • "SEVERE" = "Severe"
[Origin] Collected (Source: Investigator)

Annotated CRF [22 23 ]

AESERSerious EventtextRecord Qualifier1No Yes Response, subset for variables with only "Y" or "N" val
  • • "N" = "No"
  • • "Y" = "Yes"
[Origin] Collected (Source: Investigator)

Annotated CRF [22 23 ]

[Comment] Subject CDISC003 had an AE of Epistaxis on 2013-09-30 with AESER set to 'Y' without any of the individual serious qualifiers set to 'Y' also. The site was queried several times but the data were not updated. Note Conformance Rule CG0041 would fire for this subject.

AEACNAction Taken with Study TreatmenttextRecord Qualifier16Action Taken with Study Treatment

[7 Terms]

[Origin] Collected (Source: Investigator)

Annotated CRF [22 23 ]

AERELCausalitytextRecord Qualifier16Relationship
  • • "RELATED" = "Related"
  • • "UNLIKELY RELATED" = "Unlikely Related"
  • • "POSSIBLY RELATED" = "Possibly Related"
  • • "NOT RELATED" = "Not Related"
[Origin] Collected (Source: Investigator)

Annotated CRF [22 23 ]

AEOUTOutcome of Adverse EventtextRecord Qualifier32Outcome of Event

[6 Terms]

[Origin] Collected (Source: Investigator)

Annotated CRF [22 23 ]

AESCANInvolves CancertextRecord Qualifier1No Yes Response, subset for variables with only "Y" or "N" val
  • • "N" = "No"
  • • "Y" = "Yes"
[Origin] Collected (Source: Investigator)

Annotated CRF [22 23 ]

AESCONGCongenital Anomaly or Birth DefecttextRecord Qualifier1No Yes Response, subset for variables with only "Y" or "N" val
  • • "N" = "No"
  • • "Y" = "Yes"
[Origin] Collected (Source: Investigator)

Annotated CRF [22 23 ]

AESDISABPersist or Signif Disability/IncapacitytextRecord Qualifier1No Yes Response, subset for variables with only "Y" or "N" val
  • • "N" = "No"
  • • "Y" = "Yes"
[Origin] Collected (Source: Investigator)

Annotated CRF [22 23 ]

AESDTHResults in DeathtextRecord Qualifier1No Yes Response, subset for variables with only "Y" or "N" val
  • • "N" = "No"
  • • "Y" = "Yes"
[Origin] Collected (Source: Investigator)

Annotated CRF [22 23 ]

AESHOSPRequires or Prolongs HospitalizationtextRecord Qualifier1No Yes Response, subset for variables with only "Y" or "N" val
  • • "N" = "No"
  • • "Y" = "Yes"
[Origin] Collected (Source: Investigator)

Annotated CRF [22 23 ]

AESLIFEIs Life ThreateningtextRecord Qualifier1No Yes Response, subset for variables with only "Y" or "N" val
  • • "N" = "No"
  • • "Y" = "Yes"
[Origin] Collected (Source: Investigator)

Annotated CRF [22 23 ]

AESODOccurred with OverdosetextRecord Qualifier1No Yes Response, subset for variables with only "Y" or "N" val
  • • "N" = "No"
  • • "Y" = "Yes"
[Origin] Collected (Source: Investigator)

Annotated CRF [22 23 ]

EPOCHEpochtextTiming9Epoch
  • • "SCREENING" = "Screening"
  • • "TREATMENT" = "Treatment"
[Origin] Derived (Source: Sponsor)
[Method]EPOCH from SE where date >= SESTDTC and date < SEENDTC
AESTDTCStart Date/Time of Adverse EventdateTimingISO 8601
[Origin] Collected (Source: Investigator)

Annotated CRF [22 23 ]

AEENDTCEnd Date/Time of Adverse EventdateTimingISO 8601
[Origin] Collected (Source: Investigator)

Annotated CRF [22 23 ]

AESTDYStudy Day of Start of Adverse EventintegerTiming8
[Origin] Derived (Source: Sponsor)
[Method]Study day relative to RFSTDTC. Date - RFSTDTC + 1 if on or after RFSTDTC. Date - RFSTDTC if date precedes RFSTDTC.
AEENDYStudy Day of End of Adverse EventintegerTiming8
[Origin] Derived (Source: Sponsor)
[Method]Study day relative to RFSTDTC. Date - RFSTDTC + 1 if on or after RFSTDTC. Date - RFSTDTC if date precedes RFSTDTC.
AEENRTPTEnd Relative to Reference Time PointtextTiming7Relation to Reference Period, subset used for AE and CM.
  • • "ONGOING" = "Ongoing"
[Origin] Collected (Source: Investigator)

Annotated CRF [22 23 ]

AEENTPTEnd Reference Time PointdateTimingISO 8601
[Origin] Derived (Source: Sponsor)
[Method]If AEENRTPT is populated, AEENTPT is DM.RFPENDTC for the subject.

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Disposition (DS)

DS (Disposition) - [STDTMIG 3.3]Location: ds.xml
VariableWhere ConditionLabel / DescriptionTypeRoleLength [SignificantDigits] : Display FormatControlled Terms or ISO FormatOrigin / Source / Method / Comment
STUDYIDStudy IdentifiertextIdentifier12
[Origin] Protocol (Source: Sponsor)
DOMAINDomain AbbreviationtextIdentifier2SDTM Domain Abbreviation, subset used for Disposition
  • • "DS" = "Disposition"
[Origin] Assigned (Source: Sponsor)
USUBJIDUnique Subject IdentifiertextIdentifier8
[Origin] Assigned (Source: Sponsor)
DSSEQSequence NumberintegerIdentifier3
[Origin] Derived (Source: Sponsor)
[Method]Unique sequence number within a subject, restarting at 1 for every subject, applied to sorted data.
DSLNKIDLink IDtextIdentifier50
[Origin] Collected (Source: Investigator)

Annotated CRF [27 28 ]

DSTERMVLMReported Term for the Disposition EventtextTopic200
DSSCAT ≠ ""Reported Term for the Disposition Eventtext200
[Origin] Collected (Source: Investigator)

Annotated CRF [27 28 ]

DSSCAT = ""Reported Term for the Disposition Eventtext200
[Origin] Assigned (Source: Sponsor)

Annotated CRF [5 ]

DSDECODVLMStandardized Disposition TermtextSynonym Qualifier29
DSSCAT ≠ ""Standardized Disposition Termtext29Completion/Reason for Non-Completion

[13 Terms]

[Origin] Collected (Source: Investigator)

Annotated CRF [27 28 ]

DSSCAT = ""Standardized Disposition Termtext29Protocol Milestone
  • • "INFORMED CONSENT OBTAINED" = "Informed Consent"
[Origin] Assigned (Source: Sponsor)

Annotated CRF [5 ]

DSCATCategory for Disposition EventtextGrouping Qualifier18Category for Disposition Event
  • • "DISPOSITION EVENT" = "Disposition Event"
  • • "PROTOCOL MILESTONE" = "Protocol Milestone"
[Origin] Assigned (Source: Sponsor)

Annotated CRF [5 27 28 ]

[Comment] Variable is Assigned but there are annotations to help understand the data and so references to the proper pages are included

DSSCATSubcategory for Disposition EventtextGrouping Qualifier19Subcategory for Disposition Event
  • • "STUDY TREATMENT" = "Study Treatment"
  • • "STUDY PARTICIPATION" = "Study Participation"
[Origin] Assigned (Source: Sponsor)

Annotated CRF [27 28 ]

[Comment] Variable is Assigned but there are annotations to help understand the data and so references to the proper pages are included

EPOCHEpochtextTiming9Epoch
  • • "SCREENING" = "Screening"
  • • "TREATMENT" = "Treatment"
[Origin] Derived (Source: Sponsor)
[Method]EPOCH from SE where date >= SESTDTC and date < SEENDTC
DSSTDTCStart Date/Time of Disposition EventdateTimingISO 8601
[Origin] Collected (Source: Investigator)

Annotated CRF [5 27 28 ]

DSSTDYStudy Day of Start of Disposition EventintegerTiming8
[Origin] Derived (Source: Sponsor)
[Method]Study day relative to RFSTDTC. Date - RFSTDTC + 1 if on or after RFSTDTC. Date - RFSTDTC if date precedes RFSTDTC.

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Medical History (MH)

MH (Medical History) - [STDTMIG 3.3]Location: mh.xml
VariableLabel / DescriptionTypeRoleLength [SignificantDigits] : Display FormatControlled Terms or ISO FormatOrigin / Source / Method / Comment
STUDYIDStudy IdentifiertextIdentifier12
[Origin] Protocol (Source: Sponsor)
DOMAINDomain AbbreviationtextIdentifier2SDTM Domain Abbreviation, subset used for Medical History
  • • "MH" = "Medical History"
[Origin] Assigned (Source: Sponsor)
USUBJIDUnique Subject IdentifiertextIdentifier8
[Origin] Assigned (Source: Sponsor)
MHSEQSequence NumberintegerIdentifier3
[Origin] Derived (Source: Sponsor)
[Method]Unique sequence number within a subject, restarting at 1 for every subject, applied to sorted data.
MHTERMReported Term for the Medical HistorytextTopic19Medical History Term
  • • "ALZHEIMER'S DISEASE" = "Alzheimer's Disease"
[Origin] Assigned (Source: Sponsor)
MHEVDTYPMedical History Event Date TypetextVariable Qualifier13Medical History Event Date Type, subset used for MHEVDTP
  • • "SYMPTOM ONSET" = "Symptom Onset"
[Origin] Assigned (Source: Sponsor)

Annotated CRF [7 ]

MHSTDTCStart Date/Time of Medical History EventdateTimingISO 8601
[Origin] Collected (Source: Investigator)

Annotated CRF [7 ]

MHSTDYStudy Day of Start of ObservationintegerTiming8
[Origin] Derived (Source: Sponsor)
[Method]Study day relative to RFSTDTC. Date - RFSTDTC + 1 if on or after RFSTDTC. Date - RFSTDTC if date precedes RFSTDTC.

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Death Details (DD)

DD (Death Details) - [STDTMIG 3.3]Location: dd.xml
VariableLabel / DescriptionTypeRoleLength [SignificantDigits] : Display FormatControlled Terms or ISO FormatOrigin / Source / Method / Comment
STUDYIDStudy IdentifiertextIdentifier12
[Origin] Assigned (Source: Sponsor)
DOMAINDomain AbbreviationtextIdentifier2SDTM Domain Abbreviation, subset used for Death Diagnosis
  • • "DD" = "Death Details"
[Origin] Assigned (Source: Sponsor)
USUBJIDUnique Subject IdentifiertextIdentifier8
[Origin] Assigned (Source: Sponsor)
DDSEQSequence NumberintegerIdentifier3
[Origin] Derived (Source: Sponsor)
[Method]Unique sequence number within a subject, restarting at 1 for every subject, applied to sorted data.
DDLNKIDLink IDtextIdentifier50
[Origin] Collected (Source: Investigator)

Annotated CRF [26 ]

DDTESTCDDeath Detail Assessment Short NametextTopic6Death Details Test Codes
  • • "PRCDTH" = "Primary Cause of Death"
[Origin] Assigned (Source: Sponsor)
DDTESTDeath Detail Assessment NametextSynonym Qualifier22Death Details Tests
  • • "Primary Cause of Death"
[Origin] Assigned (Source: Sponsor)
DDORRESResult or Finding as CollectedtextResult Qualifier200
[Origin] Collected (Source: Investigator)

Annotated CRF [26 ]

DDSTRESCCharacter Result/Finding in Std FormattextResult Qualifier200
[Origin] Predecessor: DDORRES
EPOCHEpochtextTiming9Epoch
  • • "SCREENING" = "Screening"
  • • "TREATMENT" = "Treatment"
[Origin] Derived (Source: Sponsor)
[Method]EPOCH from SE where date >= SESTDTC and date < SEENDTC
DDDTCDate/Time of CollectiondateTimingISO 8601
[Origin] Collected (Source: Investigator)

Annotated CRF [26 ]

DDDYStudy Day of CollectionintegerTiming8
[Origin] Derived (Source: Sponsor)
[Method]Study day relative to RFSTDTC. Date - RFSTDTC + 1 if on or after RFSTDTC. Date - RFSTDTC if date precedes RFSTDTC.

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Functional Tests (FT)

FT (Functional Tests) - [STDTMIG 3.3]Location: ft.xml
VariableWhere ConditionLabel / DescriptionTypeRoleLength [SignificantDigits] : Display FormatControlled Terms or ISO FormatOrigin / Source / Method / Comment
STUDYIDStudy IdentifiertextIdentifier12
[Origin] Protocol (Source: Sponsor)
DOMAINDomain AbbreviationtextIdentifier2SDTM Domain Abbreviation, subset used for Functional Tests
  • • "FT" = "Functional Tests"
[Origin] Assigned (Source: Sponsor)
USUBJIDUnique Subject IdentifiertextIdentifier8
[Origin] Assigned (Source: Sponsor)
FTSEQSequence NumberintegerIdentifier3
[Origin] Derived (Source: Sponsor)
[Method]Unique sequence number within a subject, restarting at 1 for every subject, applied to sorted data.
FTTESTCDShort Name of TesttextTopic7Rey Auditory Verbal Learning Test Functional Test Code

[34 Terms]

[Origin] Assigned (Source: Sponsor)
FTTESTName of TesttextSynonym Qualifier23Rey Auditory Verbal Learning Test Functional Test Name

[34 Terms]

[Origin] Assigned (Source: Sponsor)
FTCATCategorytextGrouping Qualifier8Category of Functional Test, subset used for FTCAT
  • • "AVLT-REY" = "Rey Auditory Verbal Learning Functional Test"
[Origin] Assigned (Source: Sponsor)

Annotated CRF [17 ]

FTSCATSubcategorytextGrouping Qualifier200
[Origin] Assigned (Source: Sponsor)

Annotated CRF [17 ]

FTORRESVLMResult or Finding in Original UnitstextResult Qualifier12
FTTESTCD IN (
"AVL0201" (AVLT-REY - List A Word 1),
"AVL0202" (AVLT-REY - List A Word 2),
"AVL0203" (AVLT-REY - List A Word 3),
"AVL0204" (AVLT-REY - List A Word 4),
"AVL0205" (AVLT-REY - List A Word 5),
"AVL0206" (AVLT-REY - List A Word 6),
"AVL0207" (AVLT-REY - List A Word 7),
"AVL0208" (AVLT-REY - List A Word 8),
"AVL0209" (AVLT-REY - List A Word 9),
"AVL0210" (AVLT-REY - List A Word 10),
"AVL0211" (AVLT-REY - List A Word 11),
"AVL0212" (AVLT-REY - List A Word 12),
"AVL0213" (AVLT-REY - List A Word 13),
"AVL0214" (AVLT-REY - List A Word 14),
"AVL0215" (AVLT-REY - List A Word 15)
)
AVLT-REY List A Item 1-15text12Rey Auditory Verbal Learning Test Functional Test Response
  • • "RECALLED" = "Recalled"
  • • "NOT RECALLED" = "Not Recalled"
[Origin] Collected (Source: Investigator)

Annotated CRF [17 18 ]

FTTESTCD IN (
"AVL0216" (AVLT-REY - List A Total),
"AVL0217" (AVLT-REY - List A Intrusions)
)
AVLT-REY List A Item 16-17integer8
[Origin] Collected (Source: Investigator)

Annotated CRF [17 18 ]

FTTESTCD IN (
"AVL0218" (AVLT-REY - List B Word 1),
"AVL0219" (AVLT-REY - List B Word 2),
"AVL0220" (AVLT-REY - List B Word 3),
"AVL0221" (AVLT-REY - List B Word 4),
"AVL0222" (AVLT-REY - List B Word 5),
"AVL0223" (AVLT-REY - List B Word 6),
"AVL0224" (AVLT-REY - List B Word 7),
"AVL0225" (AVLT-REY - List B Word 8),
"AVL0226" (AVLT-REY - List B Word 9),
"AVL0227" (AVLT-REY - List B Word 10),
"AVL0228" (AVLT-REY - List B Word 11),
"AVL0229" (AVLT-REY - List B Word 12),
"AVL0230" (AVLT-REY - List B Word 13),
"AVL0231" (AVLT-REY - List B Word 14),
"AVL0232" (AVLT-REY - List B Word 15)
)
AVLT-REY List B Item 18-32text12Rey Auditory Verbal Learning Test Functional Test Response
  • • "RECALLED" = "Recalled"
  • • "NOT RECALLED" = "Not Recalled"
[Origin] Collected (Source: Investigator)

Annotated CRF [17 ]

FTTESTCD IN (
"AVL0233" (AVLT-REY - List B Total),
"AVL0234" (AVLT-REY - List B Intrusions)
)
AVLT-REY List B Item 33-34integer8
[Origin] Collected (Source: Investigator)

Annotated CRF [17 ]

FTSTRESCResult or Finding in Standard FormattextResult Qualifier200
[Origin] Predecessor: FTORRES
FTSTRESNNumeric Result/Finding in Standard UnitsintegerResult Qualifier8
[Origin] Derived (Source: Sponsor)
[Method]If FTSTRESC is numeric then FTSTRESN=FTSTRESC in numeric format, else null.
FTLOBXFLLast Observation Before Exposure FlagtextRecord Qualifier1No Yes Response, subset for variables with only "Y" or null values
  • • "Y" = "Yes"
[Origin] Derived (Source: Sponsor)
[Method]Set to "Y" for last record with non-null original result on or before the first dose date (RFXSTDTC). Null otherwise.
FTREPNUMRepetition NumberintegerRecord Qualifier8
[Origin] Assigned (Source: Sponsor)

Annotated CRF [17 18 ]

VISITNUMVisit NumberfloatTiming8 [2]
[Origin] Assigned (Source: Sponsor)
VISITVisit NametextTiming200
[Origin] Assigned (Source: Sponsor)
EPOCHEpochtextTiming9Epoch
  • • "SCREENING" = "Screening"
  • • "TREATMENT" = "Treatment"
[Origin] Derived (Source: Sponsor)
[Method]EPOCH from SE where date >= SESTDTC and date < SEENDTC
FTDTCDate/Time of TestpartialDatetimeTimingISO 8601
[Origin] Collected (Source: Investigator)

Annotated CRF [17 18 ]

[Comment] DataType is 'partialDatetime' instead of 'datetime' since datetime values are planned to be collected without seconds for this study.

FTDYStudy Day of TestintegerTiming8
[Origin] Derived (Source: Sponsor)
[Method]Study day relative to RFSTDTC. Date - RFSTDTC + 1 if on or after RFSTDTC. Date - RFSTDTC if date precedes RFSTDTC.
FTTPTPlanned Time Point NametextTiming200
[Origin] Assigned (Source: Sponsor)
FTTPTNUMPlanned Time Point NumberintegerTiming8
[Origin] Assigned (Source: Sponsor)
FTELTMPlanned Elapsed Time from Time Point ReftextTiming200
[Origin] Assigned (Source: Sponsor)

Annotated CRF [18 ]

FTTPTREFTime Point ReferencetextTiming200
[Origin] Assigned (Source: Sponsor)

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Inclusion/Exclusion Criteria Not Met (IE)

IE (Inclusion/Exclusion Criteria Not Met) - [STDTMIG 3.3]Location: ie.xml
VariableLabel / DescriptionTypeRoleLength [SignificantDigits] : Display FormatControlled Terms or ISO FormatOrigin / Source / Method / Comment
STUDYIDStudy IdentifiertextIdentifier12
[Origin] Protocol (Source: Sponsor)
DOMAINDomain AbbreviationtextIdentifier2SDTM Domain Abbreviation, subset used for Inclusion/Exclusion
  • • "IE" = "Inclusion/Exclusion Criteria Not Met"
[Origin] Assigned (Source: Sponsor)
USUBJIDUnique Subject IdentifiertextIdentifier8
[Origin] Assigned (Source: Sponsor)
IESEQSequence NumberintegerIdentifier3
[Origin] Derived (Source: Sponsor)
[Method]Unique sequence number within a subject, restarting at 1 for every subject, applied to sorted data.
IETESTCDInclusion/Exclusion Criterion Short NametextTopic7Incl/Excl Criterion Short Name

[33 Terms]

[Origin] Collected (Source: Investigator)

Annotated CRF [6 ]

[Comment] Please see Appendix 1 of the cSDRG for complete versions of IETESTCD and IETEST.

IETESTInclusion/Exclusion CriteriontextSynonym Qualifier196Inclusion/Exclusion Criterion

[33 Terms]

[Origin] Assigned (Source: Sponsor)

[Comment] Please see Appendix 1 of the cSDRG for complete versions of IETESTCD and IETEST.

IECATInclusion/Exclusion CategorytextGrouping Qualifier9Category for Inclusion/Exclusion
  • • "EXCLUSION" = "Exclusion"
  • • "INCLUSION" = "Inclusion"
[Origin] Collected (Source: Investigator)

Annotated CRF [6 ]

IEORRESI/E Criterion Original ResulttextResult Qualifier1No Yes Response, subset for variables with only "Y" or "N" val
  • • "N" = "No"
  • • "Y" = "Yes"
[Origin] Derived (Source: Sponsor)

Annotated CRF [6 ]

[Method]If IECAT=INCLUSION then IEORRES=N, else if IECAT=EXCLUSION then IEORRES=Y
IESTRESCI/E Criterion Result in Std FormattextResult Qualifier1No Yes Response, subset for variables with only "Y" or "N" val
  • • "N" = "No"
  • • "Y" = "Yes"
[Origin] Predecessor: IEORRES
EPOCHEpochtextTiming9Epoch
  • • "SCREENING" = "Screening"
  • • "TREATMENT" = "Treatment"
[Origin] Derived (Source: Sponsor)
[Method]EPOCH from SE where date >= SESTDTC and date < SEENDTC
IEDTCDate/Time of CollectiondateTimingISO 8601
[Origin] Collected (Source: Investigator)

Annotated CRF [6 ]

IEDYStudy Day of CollectionintegerTiming8
[Origin] Derived (Source: Sponsor)
[Method]Study day relative to RFSTDTC. Date - RFSTDTC + 1 if on or after RFSTDTC. Date - RFSTDTC if date precedes RFSTDTC.

[Comment] IEDY is needed if IEDTC is included. Note RFSTDTC is not populated for not randomized subjects then IEDY could not be populated in those cases.

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Laboratory Test Results (LB)

LB (Laboratory Test Results) - [STDTMIG 3.3]Location: lb.xml
VariableWhere ConditionLabel / DescriptionTypeRoleLength [SignificantDigits] : Display FormatControlled Terms or ISO FormatOrigin / Source / Method / Comment
STUDYIDStudy IdentifiertextIdentifier12
[Origin] Protocol (Source: Sponsor)
DOMAINDomain AbbreviationtextIdentifier2SDTM Domain Abbreviation, subset used for Laboratory Data
  • • "LB" = "Laboratory Test Results"
[Origin] Assigned (Source: Sponsor)
USUBJIDUnique Subject IdentifiertextIdentifier8
[Origin] Assigned (Source: Sponsor)
LBSEQSequence NumberintegerIdentifier3
[Origin] Derived (Source: Vendor)
[Method]Unique sequence number within a subject, restarting at 1 for every subject, applied to sorted data.
LBTESTCDLab Test or Examination Short NametextTopic7Laboratory Test Code

[40 Terms]

[Origin] Assigned (Source: Sponsor)
LBTESTLab Test or Examination NametextSynonym Qualifier39Laboratory Test Name

[40 Terms]

[Origin] Assigned (Source: Sponsor)
LBCATCategory for Lab TesttextGrouping Qualifier10Laboratory Test Category
  • • "CHEMISTRY" = "Chemistry"
  • • "HEMATOLOGY" = "Hematology"
  • • "URINALYSIS" = "Urinalysis"
  • • "OTHER" = "Other"
[Origin] Collected (Source: Vendor)
LBORRESVLMResult or Finding in Original UnitstextResult Qualifier6
[Origin] Collected (Source: Vendor)
LBTESTCD IN (
"ALB" (Albumin Measurement),
"BILI" (Total Bilirubin Measurement),
"CA" (Calcium Measurement),
"CREAT" (Creatinine Measurement),
"K" (Potassium Measurement),
"PHOS" (Phosphate Measurement),
"PROT" (Total Protein Measurement),
"URATE" (Urate Measurement)
)
Lab Result or Finding in Original Units - Set 1float3 [1]
LBTESTCD IN (
"HCT" (Hematocrit Measurement),
"HGB" (Hemoglobin Measurement)
)
Lab Result or Finding in Original Units - Set 2float4 [1]
LBTESTCD IN (
"BASO" (Total Basophil Count),
"EOS" (Eosinophil Count),
"LYM" (Lymphocyte Count),
"MONO" (Monocyte Count),
"RBC" (Erythrocyte Count),
"TSH" (Thyrotropin Measurement),
"WBC" (Leukocyte Count)
)
Lab Result or Finding in Original Units - Set 3float5 [2]
LBTESTCD = "SPGRAV" (Specific Gravity)Lab Result or Finding in Original Units - Specific Gravityfloat5 [3]
LBTESTCD IN (
"ANISO" (Anisocyte Measurement),
"KETONES" (Ketone Measurement),
"MACROCY" (Macrocyte Count),
"PH" (pH),
"POIKILO" (Poikilocyte Measurement),
"UROBIL" (Urobilinogen Measurement)
)
Lab Result or Finding in Original Units - Set 4integer1
LBTESTCD IN (
"ALT" (Alanine Aminotransferase Measurement),
"AST" (Aspartate Aminotransferase Measurement),
"GGT" (Gamma Glutamyl Transpeptidase Measurement),
"MCH" (Erythrocyte Mean Corpuscular Hemoglobin),
"MCHC" (Erythrocyte Mean Corpuscular Hemoglobin Concentration),
"MCV" (Erythrocyte Mean Corpuscular Volume),
"UREAN" (Urea Nitrogen Measurement)
)
Lab Result or Finding in Original Units - Set 5integer3
LBTESTCD IN (
"ALP" (Alkaline Phosphatase Measurement),
"CHOL" (Cholesterol Measurement),
"CK" (Creatine Kinase Measurement),
"CL" (Chloride Measurement),
"PLAT" (Platelet Count),
"SODIUM" (Sodium Measurement),
"VITB12" (Vitamin B12 Measurement)
)
Lab Result or Finding in Original Units - Set 6integer4
LBTESTCD = "COLOR" (Color Assessment)Lab Result or Finding in Original Units - Colortext6
LBTESTCD = "GLUC" (Glucose Measurement)Lab Result or Finding in Original Units - Glucosetext3
LBORRESUVLMOriginal UnitstextVariable Qualifier7
[Origin] Collected (Source: Vendor)
LBTESTCD = "ALT" (Alanine Aminotransferase Measurement)Lab Result Units - ALTtext3Unit, subset to be used in VLM for tests with U/L as the unit
  • • "U/L" = "Unit per Liter"
LBTESTCD = "ALB" (Albumin Measurement)Lab Result Units - ALBtext4Unit, subset to be used in VLM for tests with g/dL as the unit
  • • "g/dL" = "Gram per Deciliter"
LBTESTCD = "ALP" (Alkaline Phosphatase Measurement)Lab Result Units - ALPtext3Unit, subset to be used in VLM for tests with U/L as the unit
  • • "U/L" = "Unit per Liter"
LBTESTCD = "AST" (Aspartate Aminotransferase Measurement)Lab Result Units - ASTtext3Unit, subset to be used in VLM for tests with U/L as the unit
  • • "U/L" = "Unit per Liter"
LBTESTCD = "BASO" (Total Basophil Count)Lab Result Units - BASOtext6Unit, subset to be used in VLM for tests with 10^9/L as the unit
  • • "10^9/L" = "Billion per Liter"
LBTESTCD = "BILI" (Total Bilirubin Measurement)Lab Result Units - BILItext5Unit, subset to be used in VLM for tests with mg/dL as the unit
  • • "mg/dL" = "Milligram per Deciliter"
LBTESTCD = "CA" (Calcium Measurement)Lab Result Units - CAtext5Unit, subset to be used in VLM for tests with mg/dL as the unit
  • • "mg/dL" = "Milligram per Deciliter"
LBTESTCD = "CL" (Chloride Measurement)Lab Result Units - CLtext5Unit, subset to be used in VLM for tests with mEq/L as the unit
  • • "mEq/L" = "Milliequivalent Per Liter"
LBTESTCD = "CHOL" (Cholesterol Measurement)Lab Result Units - CHOLtext5Unit, subset to be used in VLM for tests with mg/dL as the unit
  • • "mg/dL" = "Milligram per Deciliter"
LBTESTCD = "CK" (Creatine Kinase Measurement)Lab Result Units - CKtext3Unit, subset to be used in VLM for tests with U/L as the unit
  • • "U/L" = "Unit per Liter"
LBTESTCD = "CREAT" (Creatinine Measurement)Lab Result Units - CREATtext5Unit, subset to be used in VLM for tests with mg/dL as the unit
  • • "mg/dL" = "Milligram per Deciliter"
LBTESTCD = "EOS" (Eosinophil Count)Lab Result Units - EOStext6Unit, subset to be used in VLM for tests with 10^9/L as the unit
  • • "10^9/L" = "Billion per Liter"
LBTESTCD = "MCH" (Erythrocyte Mean Corpuscular Hemoglobin)Lab Result Units - MCHtext2Unit, subset to be used in VLM for tests with pg as the unit
  • • "pg" = "Picogram"
LBTESTCD = "MCHC" (Erythrocyte Mean Corpuscular Hemoglobin Concentration)Lab Result Units - MCHCtext4Unit, subset to be used in VLM for tests with g/dL as the unit
  • • "g/dL" = "Gram per Deciliter"
LBTESTCD = "MCV" (Erythrocyte Mean Corpuscular Volume)Lab Result Units - MCVtext2Unit, subset to be used in VLM for tests with fL as the unit
  • • "fL" = "Femtoliter"
LBTESTCD = "RBC" (Erythrocyte Count)Lab Result Units - RBCtext7Unit, subset to be used in VLM for tests with 10^12/L as the unit
  • • "10^12/L" = "Million per Microliter"
LBTESTCD = "GGT" (Gamma Glutamyl Transpeptidase Measurement)Lab Result Units - GGTtext3Unit, subset to be used in VLM for tests with U/L as the unit
  • • "U/L" = "Unit per Liter"
LBTESTCD = "GLUC" (Glucose Measurement)Lab Result Units - GLUCtext5Unit, subset to be used in VLM for tests with mg/dL as the unit
  • • "mg/dL" = "Milligram per Deciliter"
LBTESTCD = "HCT" (Hematocrit Measurement)Lab Result Units - HCTtext1Unit, subset to be used in VLM for tests with % as the unit
  • • "%" = "Percentage"
LBTESTCD = "HGB" (Hemoglobin Measurement)Lab Result Units - HGBtext4Unit, subset to be used in VLM for tests with g/dL as the unit
  • • "g/dL" = "Gram per Deciliter"
LBTESTCD = "WBC" (Leukocyte Count)Lab Result Units - WBCtext6Unit, subset to be used in VLM for tests with 10^9/L as the unit
  • • "10^9/L" = "Billion per Liter"
LBTESTCD = "LYM" (Lymphocyte Count)Lab Result Units - LYMtext6Unit, subset to be used in VLM for tests with 10^9/L as the unit
  • • "10^9/L" = "Billion per Liter"
LBTESTCD = "MONO" (Monocyte Count)Lab Result Units - MONOtext6Unit, subset to be used in VLM for tests with 10^9/L as the unit
  • • "10^9/L" = "Billion per Liter"
LBTESTCD = "PHOS" (Phosphate Measurement)Lab Result Units - PHOStext5Unit, subset to be used in VLM for tests with mg/dL as the unit
  • • "mg/dL" = "Milligram per Deciliter"
LBTESTCD = "PLAT" (Platelet Count)Lab Result Units - PLATtext6Unit, subset to be used in VLM for tests with 10^9/L as the unit
  • • "10^9/L" = "Billion per Liter"
LBTESTCD = "K" (Potassium Measurement)Lab Result Units - Ktext5Unit, subset to be used in VLM for tests with mEq/L as the unit
  • • "mEq/L" = "Milliequivalent Per Liter"
LBTESTCD = "PROT" (Total Protein Measurement)Lab Result Units - PROTtext4Unit, subset to be used in VLM for tests with g/dL as the unit
  • • "g/dL" = "Gram per Deciliter"
LBTESTCD = "SODIUM" (Sodium Measurement)Lab Result Units - SODIUMtext5Unit, subset to be used in VLM for tests with mEq/L as the unit
  • • "mEq/L" = "Milliequivalent Per Liter"
LBTESTCD = "TSH" (Thyrotropin Measurement)Lab Result Units - TSHtext5Unit, subset to be used in VLM for tests with mIU/L as the unit
  • • "mIU/L" = "Microinternational Unit per Milliliter"
LBTESTCD = "URATE" (Urate Measurement)Lab Result Units - URATEtext5Unit, subset to be used in VLM for tests with mg/dL as the unit
  • • "mg/dL" = "Milligram per Deciliter"
LBTESTCD = "UREAN" (Urea Nitrogen Measurement)Lab Result Units - UREANtext5Unit, subset to be used in VLM for tests with mg/dL as the unit
  • • "mg/dL" = "Milligram per Deciliter"
LBTESTCD = "VITB12" (Vitamin B12 Measurement)Lab Result Units - VITB12text4Unit, subset to be used in VLM for tests with ng/L as the unit
  • • "ng/L" = "Nanogram per Liter"
LBORNRLOReference Range Lower Limit in Orig UnittextVariable Qualifier200
[Origin] Collected (Source: Vendor)
LBORNRHIReference Range Upper Limit in Orig UnittextVariable Qualifier200
[Origin] Collected (Source: Vendor)
LBSTRESCVLMCharacter Result/Finding in Std FormattextResult Qualifier8
[Origin] Derived (Source: Vendor)
[Method]LBSTRESC is equal to LBORRES or the value in standard units if a conversion is necessary.
LBTESTCD = "K" (Potassium Measurement)Character Result/Finding in Std Format - Kfloat2 [1]
LBTESTCD = "RBC" (Erythrocyte Count)Character Result/Finding in Std Format - RBCfloat3 [1]
LBTESTCD IN (
"BASO" (Total Basophil Count),
"EOS" (Eosinophil Count),
"LYM" (Lymphocyte Count),
"MONO" (Monocyte Count),
"RBC" (Erythrocyte Count),
"TSH" (Thyrotropin Measurement),
"WBC" (Leukocyte Count)
)
Character Result/Finding in Std Format - Set 1float3 [2]
LBTESTCD = "BILI" (Total Bilirubin Measurement)Character Result/Finding in Std Format - BILIfloat4 [2]
LBTESTCD IN (
"SPGRAV" (Specific Gravity),
"UREAN" (Urea Nitrogen Measurement)
)
Character Result/Finding in Std Format - Set 2float4 [3]
LBTESTCD = "CREAT" (Creatinine Measurement)Character Result/Finding in Std Format - CREATfloat5 [2]
LBTESTCD = "URATE" (Urate Measurement)Character Result/Finding in Std Format - URATEfloat6 [3]
LBTESTCD = "MCHC" (Erythrocyte Mean Corpuscular Hemoglobin Concentration)Character Result/Finding in Std Format - MCHCfloat6 [4]
LBTESTCD IN (
"CA" (Calcium Measurement),
"CHOL" (Cholesterol Measurement),
"MCH" (Erythrocyte Mean Corpuscular Hemoglobin),
"PHOS" (Phosphate Measurement)
)
Character Result/Finding in Std Format - Set 3float6 [5]
LBTESTCD = "VITB12" (Vitamin B12 Measurement)Character Result/Finding in Std Format - VITB12float7 [4]
LBTESTCD = "HGB" (Hemoglobin Measurement)Character Result/Finding in Std Format - HGBfloat7 [5]
LBTESTCD IN (
"ANISO" (Anisocyte Measurement),
"KETONES" (Ketone Measurement),
"MACROCY" (Macrocyte Count),
"PH" (pH),
"POIKILO" (Poikilocyte Measurement),
"UROBIL" (Urobilinogen Measurement)
)
Character Result/Finding in Std Format - Set 4integer1
LBTESTCD IN (
"ALB" (Albumin Measurement),
"ALT" (Alanine Aminotransferase Measurement),
"AST" (Aspartate Aminotransferase Measurement),
"GGT" (Gamma Glutamyl Transpeptidase Measurement),
"PROT" (Total Protein Measurement)
)
Character Result/Finding in Std Format - Set 5integer2
LBTESTCD IN (
"ALP" (Alkaline Phosphatase Measurement),
"CL" (Chloride Measurement),
"MCV" (Erythrocyte Mean Corpuscular Volume),
"PLAT" (Platelet Count),
"SODIUM" (Sodium Measurement)
)
Character Result/Finding in Std Format - Set 6integer3
LBTESTCD = "CK" (Creatine Kinase Measurement)Character Result/Finding in Std Format - CKinteger4
LBTESTCD = "COLOR" (Color Assessment)Character Result/Finding in Std Format - COLORtext1Normal Abnormal Response, subset used in OE and NV.
  • • "ABNORMAL" = "Abnormal"
  • • "NORMAL" = "Normal"
LBTESTCD = "GLUC" (Glucose Measurement)Character Result/Finding in Std Format - GLUCtext8
LBSTRESNNumeric Result/Finding in Standard UnitsfloatResult Qualifier8 [5]
[Origin] Derived (Source: Vendor)
[Method]If --STRESC represents a numeric value then --STRESN is the numeric version of --STRESC, else null. "--" represents the domain code.
LBSTRESUVLMStandard UnitstextVariable Qualifier7
[Origin] Assigned (Source: Vendor)
LBTESTCD = "ALT" (Alanine Aminotransferase Measurement)Lab Result Standard Units - ALTtext3Unit, subset to be used in VLM for tests with U/L as the unit
  • • "U/L" = "Unit per Liter"
LBTESTCD = "ALB" (Albumin Measurement)Lab Result Standard Units - ALBtext3Unit, subset to be used in VLM for tests with g/L as the unit
  • • "g/L" = "Femtomole"
LBTESTCD = "ALP" (Alkaline Phosphatase Measurement)Lab Result Standard Units - ALPtext3Unit, subset to be used in VLM for tests with U/L as the unit
  • • "U/L" = "Unit per Liter"
LBTESTCD = "AST" (Aspartate Aminotransferase Measurement)Lab Result Standard Units - ASTtext3Unit, subset to be used in VLM for tests with U/L as the unit
  • • "U/L" = "Unit per Liter"
LBTESTCD = "BASO" (Total Basophil Count)Lab Result Standard Units - BASOtext6Unit, subset to be used in VLM for tests with 10^9/L as the unit
  • • "10^9/L" = "Billion per Liter"
LBTESTCD = "BILI" (Total Bilirubin Measurement)Lab Result Standard Units - BILItext6Unit, subset to be used in VLM for tests with umol/L as the unit
  • • "umol/L" = "Micromole per Liter"
LBTESTCD = "CA" (Calcium Measurement)Lab Result Standard Units - CAtext6Unit, subset to be used in VLM for tests with mmol/L as the unit
  • • "mmol/L" = "Millimole per Liter"
LBTESTCD = "CL" (Chloride Measurement)Lab Result Standard Units - CLtext6Unit, subset to be used in VLM for tests with mmol/L as the unit
  • • "mmol/L" = "Millimole per Liter"
LBTESTCD = "CHOL" (Cholesterol Measurement)Lab Result Standard Units - CHOLtext6Unit, subset to be used in VLM for tests with mmol/L as the unit
  • • "mmol/L" = "Millimole per Liter"
LBTESTCD = "CK" (Creatine Kinase Measurement)Lab Result Standard Units - CKtext3Unit, subset to be used in VLM for tests with U/L as the unit
  • • "U/L" = "Unit per Liter"
LBTESTCD = "CREAT" (Creatinine Measurement)Lab Result Standard Units - CREATtext6Unit, subset to be used in VLM for tests with umol/L as the unit
  • • "umol/L" = "Micromole per Liter"
LBTESTCD = "EOS" (Eosinophil Count)Lab Result Standard Units - EOStext6Unit, subset to be used in VLM for tests with 10^9/L as the unit
  • • "10^9/L" = "Billion per Liter"
LBTESTCD = "MCH" (Erythrocyte Mean Corpuscular Hemoglobin)Lab Result Standard Units - MCHtext4Unit, subset to be used in VLM for tests with fmol as the unit
  • • "fmol" = "Femtomole"
LBTESTCD = "MCHC" (Erythrocyte Mean Corpuscular Hemoglobin Concentration)Lab Result Standard Units - MCHCtext6Unit, subset to be used in VLM for tests with mmol/L as the unit
  • • "mmol/L" = "Millimole per Liter"
LBTESTCD = "MCV" (Erythrocyte Mean Corpuscular Volume)Lab Result Standard Units - MCVtext2Unit, subset to be used in VLM for tests with fL as the unit
  • • "fL" = "Femtoliter"
LBTESTCD = "RBC" (Erythrocyte Count)Lab Result Standard Units - RBCtext7Unit, subset to be used in VLM for tests with 10^12/L as the unit
  • • "10^12/L" = "Million per Microliter"
LBTESTCD = "GGT" (Gamma Glutamyl Transpeptidase Measurement)Lab Result Standard Units - GGTtext3Unit, subset to be used in VLM for tests with U/L as the unit
  • • "U/L" = "Unit per Liter"
LBTESTCD = "GLUC" (Glucose Measurement)Lab Result Standard Units - GLUCtext6Unit, subset to be used in VLM for tests with mmol/L as the unit
  • • "mmol/L" = "Millimole per Liter"
LBTESTCD = "HGB" (Hemoglobin Measurement)Lab Result Standard Units - HGBtext6Unit, subset to be used in VLM for tests with mmol/L as the unit
  • • "mmol/L" = "Millimole per Liter"
LBTESTCD = "WBC" (Leukocyte Count)Lab Result Standard Units - WBCtext6Unit, subset to be used in VLM for tests with 10^9/L as the unit
  • • "10^9/L" = "Billion per Liter"
LBTESTCD = "LYM" (Lymphocyte Count)Lab Result Standard Units - LYMtext6Unit, subset to be used in VLM for tests with 10^9/L as the unit
  • • "10^9/L" = "Billion per Liter"
LBTESTCD = "MONO" (Monocyte Count)Lab Result Standard Units - MONOtext6Unit, subset to be used in VLM for tests with 10^9/L as the unit
  • • "10^9/L" = "Billion per Liter"
LBTESTCD = "PHOS" (Phosphate Measurement)Lab Result Standard Units - PHOStext6Unit, subset to be used in VLM for tests with mmol/L as the unit
  • • "mmol/L" = "Millimole per Liter"
LBTESTCD = "PLAT" (Platelet Count)Lab Result Standard Units - PLATtext6Unit, subset to be used in VLM for tests with 10^9/L as the unit
  • • "10^9/L" = "Billion per Liter"
LBTESTCD = "K" (Potassium Measurement)Lab Result Standard Units - Ktext6Unit, subset to be used in VLM for tests with mmol/L as the unit
  • • "mmol/L" = "Millimole per Liter"
LBTESTCD = "PROT" (Total Protein Measurement)Lab Result Standard Units - PROTtext3Unit, subset to be used in VLM for tests with g/L as the unit
  • • "g/L" = "Femtomole"
LBTESTCD = "SODIUM" (Sodium Measurement)Lab Result Standard Units - SODIUMtext6Unit, subset to be used in VLM for tests with mmol/L as the unit
  • • "mmol/L" = "Millimole per Liter"
LBTESTCD = "TSH" (Thyrotropin Measurement)Lab Result Standard Units - TSHtext4Unit, subset to be used in VLM for tests with mU/L as the unit
  • • "mU/L" = "Microunit per Milliliter"
LBTESTCD = "URATE" (Urate Measurement)Lab Result Standard Units - URATEtext6Unit, subset to be used in VLM for tests with umol/L as the unit
  • • "umol/L" = "Micromole per Liter"
LBTESTCD = "UREAN" (Urea Nitrogen Measurement)Lab Result Standard Units - UREANtext6Unit, subset to be used in VLM for tests with mmol/L as the unit
  • • "mmol/L" = "Millimole per Liter"
LBTESTCD = "VITB12" (Vitamin B12 Measurement)Lab Result Standard Units - VITB12text6Unit, subset to be used in VLM for tests with pmol/L as the unit
  • • "pmol/L" = "Picomole per Liter"
LBSTNRLOReference Range Lower Limit-Std UnitsfloatVariable Qualifier5 [3]
[Origin] Assigned (Source: Vendor)
LBSTNRHIReference Range Upper Limit-Std UnitsfloatVariable Qualifier5 [2]
[Origin] Assigned (Source: Vendor)
LBNRINDReference Range IndicatortextVariable Qualifier8Normal Range Indicator
  • • "ABNORMAL" = "Abnormal"
  • • "HIGH" = "High"
  • • "LOW" = "Low"
  • • "NORMAL" = "Normal"
[Origin] Collected (Source: Vendor)
LBLOBXFLLast Observation Before Exposure FlagtextRecord Qualifier1No Yes Response, subset for variables with only "Y" or null values
  • • "Y" = "Yes"
[Origin] Derived (Source: Vendor)
[Method]Set to "Y" for last record with non-null original result on or before the first dose date (RFXSTDTC). Null otherwise.
VISITNUMVisit NumberfloatTiming8 [2]
[Origin] Collected (Source: Vendor)
VISITVisit NametextTiming200
[Origin] Collected (Source: Vendor)
EPOCHEpochtextTiming9Epoch
  • • "SCREENING" = "Screening"
  • • "TREATMENT" = "Treatment"
[Origin] Derived (Source: Vendor)
[Method]EPOCH from SE where date >= SESTDTC and date < SEENDTC
LBDTCDate/Time of Specimen CollectionpartialDatetimeTimingISO 8601
[Origin] Collected (Source: Vendor)

[Comment] DataType is 'partialDatetime' instead of 'datetime' since datetime values are planned to be collected without seconds for this study.

LBDYStudy Day of Specimen CollectionintegerTiming8
[Origin] Derived (Source: Vendor)
[Method]Study day relative to RFSTDTC. Date - RFSTDTC + 1 if on or after RFSTDTC. Date - RFSTDTC if date precedes RFSTDTC.

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Nervous System Findings (NV)

NV (Nervous System Findings) - [STDTMIG 3.3][No Data]
Related Supplemental Qualifiers Dataset: SUPPNV (Supplemental Qualifiers for NV)
VariableLabel / DescriptionTypeRoleLength [SignificantDigits] : Display FormatControlled Terms or ISO FormatOrigin / Source / Method / Comment
STUDYIDStudy IdentifiertextIdentifier12
[Origin] Protocol (Source: Sponsor)
DOMAINDomain AbbreviationtextIdentifier2SDTM Domain Abbreviation, subset used for Nervous System Findings
  • • "NV" = "Nervous Sysytem Findings"
[Origin] Assigned (Source: Sponsor)
USUBJIDUnique Subject IdentifiertextIdentifier8
[Origin] Assigned (Source: Sponsor)
NVSEQSequence NumberintegerIdentifier3
[Origin] Derived (Source: Sponsor)
[Method]Unique sequence number within a subject, restarting at 1 for every subject, applied to sorted data.
NVTESTCDShort Name of Nervous System TesttextTopic4Nervous System Test Code
  • • "INTP" = "Interpretation"
[Origin] Assigned (Source: Sponsor)
NVTESTName of Nervous System TesttextSynonym Qualifier14Nervous System Test
  • • "Interpretation"
[Origin] Assigned (Source: Sponsor)
NVORRESResult or Finding in Original UnitstextResult Qualifier8Normal Abnormal Response, subset used in OE and NV.
  • • "ABNORMAL" = "Abnormal"
  • • "NORMAL" = "Normal"
[Origin] Collected (Source: Investigator)

Annotated CRF [20 ]

NVSTRESCCharacter Result/Finding in Std FormattextResult Qualifier8Normal Abnormal Response, subset used in OE and NV.
  • • "ABNORMAL" = "Abnormal"
  • • "NORMAL" = "Normal"
[Origin] Predecessor: NVORRES
VISITNUMVisit NumberfloatTiming8 [2]
[Origin] Assigned (Source: Sponsor)
EPOCHEpochtextTiming9Epoch
  • • "SCREENING" = "Screening"
  • • "TREATMENT" = "Treatment"
[Origin] Derived (Source: Sponsor)
[Method]EPOCH from SE where date >= SESTDTC and date < SEENDTC
NVDTCDate/Time of CollectiondateTimingISO 8601
[Origin] Collected (Source: Investigator)

Annotated CRF [20 ]

NVDYStudy Day of Visit/Collection/ExamintegerTiming8
[Origin] Derived (Source: Sponsor)
[Method]Study day relative to RFSTDTC. Date - RFSTDTC + 1 if on or after RFSTDTC. Date - RFSTDTC if date precedes RFSTDTC.

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Ophthalmic Examinations (OE)

OE (Ophthalmic Examinations) - [STDTMIG 3.3]Location: oe.xml
Related Supplemental Qualifiers Dataset: SUPPOE (Supplemental Qualifiers for OE)
VariableWhere ConditionLabel / DescriptionTypeRoleLength [SignificantDigits] : Display FormatControlled Terms or ISO FormatOrigin / Source / Method / Comment
STUDYIDStudy IdentifiertextIdentifier12
[Origin] Assigned (Source: Sponsor)
DOMAINDomain AbbreviationtextIdentifier2SDTM Domain Abbreviation, subset used for Ophthalmic Examinations
  • • "OE" = "Ophthalmic Examinations"
[Origin] Assigned (Source: Sponsor)
USUBJIDUnique Subject IdentifiertextIdentifier8
[Origin] Assigned (Source: Sponsor)
FOCIDFocus of Study-Specific InteresttextIdentifier2Ophthalmic Focus of Study Specific Interest
  • • "OD" = "Right Eye"
  • • "OS" = "Left Eye"
[Origin] Collected (Source: Investigator)

Annotated CRF [21 ]

OESEQSequence NumberintegerIdentifier3
[Origin] Derived (Source: Sponsor)
[Method]Unique sequence number within a subject, restarting at 1 for every subject, applied to sorted data.
OETESTCDShort Name of Ophthalmic Test or ExamtextTopic8Ophthalmic Exam Test Code
  • • "ABDETAIL" = "Abnormality Detail"
  • • "INTP" = "Interpretation"
[Origin] Assigned (Source: Sponsor)
OETESTName of Ophthalmic Test or ExamtextSynonym Qualifier18Ophthalmic Exam Test
  • • "Abnormality Detail"
  • • "Interpretation"
[Origin] Assigned (Source: Sponsor)
OEORRESVLMResult or Finding in Original UnitstextResult Qualifier200
[Origin] Collected (Source: Investigator)

Annotated CRF [21 ]

OETESTCD = "INTP" (Interpretation)Result or Finding in Original Unitstext8Normal Abnormal Response, subset used in OE and NV.
  • • "ABNORMAL" = "Abnormal"
  • • "NORMAL" = "Normal"
OETESTCD = "ABDETAIL" (Abnormality Detail)Result or Finding in Original Unitstext200
OESTRESCCharacter Result/Finding in Std FormattextResult Qualifier200
[Origin] Predecessor: OEORRES
OELOCLocation Used for the MeasurementtextRecord Qualifier21Anatomical Location, subset used for OELOC
  • • "CONJUNCTIVA" = "Conjunctiva"
  • • "EYE" = "Eye"
  • • "EYE, ANTERIOR CHAMBER" = "Anterior Chamber of the Eye"
  • • "IRIS" = "Iris"
  • • "CORNEA" = "Cornea"
[Origin] Collected (Source: Investigator)

Annotated CRF [21 ]

OELATLateralitytextVariable Qualifier5Laterality, subset to be used in OE
  • • "LEFT" = "Left"
  • • "RIGHT" = "Right"
[Origin] Collected (Source: Investigator)

Annotated CRF [21 ]

OEMETHODMethod of Test or ExaminationtextRecord Qualifier9Method, subset used for OEMETHOD
  • • "SLIT LAMP" = "Slit-lamp Examination"
[Origin] Assigned (Source: Sponsor)

Annotated CRF [21 ]

OELOBXFLLast Observation Before Exposure FlagtextRecord Qualifier1No Yes Response, subset for variables with only "Y" or null values
  • • "Y" = "Yes"
[Origin] Derived (Source: Sponsor)
[Method]Set to "Y" for last record with non-null original result on or before the first dose date (RFXSTDTC). Null otherwise.
VISITNUMVisit NumberfloatTiming8 [2]
[Origin] Assigned (Source: Sponsor)
VISITVisit NametextTiming200
[Origin] Collected (Source: Investigator)

Annotated CRF [21 ]

EPOCHEpochtextTiming9Epoch
  • • "SCREENING" = "Screening"
  • • "TREATMENT" = "Treatment"
[Origin] Derived (Source: Sponsor)
[Method]EPOCH from SE where date >= SESTDTC and date < SEENDTC
OEDTCDate/Time of CollectiontextTiming200
[Origin] Collected (Source: Investigator)

Annotated CRF [21 ]

OEDYStudy Day of Visit/Collection/ExamintegerTiming8
[Origin] Derived (Source: Sponsor)
[Method]Study day relative to RFSTDTC. Date - RFSTDTC + 1 if on or after RFSTDTC. Date - RFSTDTC if date precedes RFSTDTC.

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Questionnaires (PHQ-9) (QSPH)

QSPH (Questionnaires (PHQ-9), Questionnaires) - [STDTMIG 3.3]Location: qsph.xml
VariableWhere ConditionLabel / DescriptionTypeRoleLength [SignificantDigits] : Display FormatControlled Terms or ISO FormatOrigin / Source / Method / Comment
STUDYIDStudy IdentifiertextIdentifier12
[Origin] Protocol (Source: Sponsor)
DOMAINDomain AbbreviationtextIdentifier4SDTM Domain Abbreviation, subset used for Questionnaires
  • • "QS" = "Questionnaires"
[Origin] Assigned (Source: Sponsor)
USUBJIDUnique Subject IdentifiertextIdentifier8
[Origin] Assigned (Source: Sponsor)
QSSEQSequence NumberintegerIdentifier3
[Origin] Derived (Source: Sponsor)
[Method]Unique sequence number within a subject, restarting at 1 for every subject, applied to sorted data.
QSTESTCDQuestion Short NametextTopic7Patient Health Questionnaire - 9 Item Questionnaire Test Code

[11 Terms]

[Origin] Assigned (Source: Sponsor)
QSTESTQuestion NametextSynonym Qualifier40Patient Health Questionnaire - 9 Item Questionnaire Test Name

[11 Terms]

[Origin] Assigned (Source: Sponsor)
QSCATCategory of QuestiontextGrouping Qualifier5Category of Questionnaire for PHQ-9
  • • "PHQ-9" = "Patient Health Questionnaire - 9 Item"
[Origin] Assigned (Source: Sponsor)

Annotated CRF [15 ]

QSORRESVLMFinding in Original UnitstextResult Qualifier23
[Origin] Collected (Source: Investigator)

Annotated CRF [15 ]

QSTESTCD IN (
"PHQ0101" (PHQ01-Little Interest/Pleasure in Things),
"PHQ0102" (PHQ01-Feeling Down Depressed or Hopeless),
"PHQ0103" (PHQ01-Trouble Falling or Staying Asleep),
"PHQ0104" (PHQ01-Feeling Tired or Little Energy),
"PHQ0105" (PHQ01-Poor Appetite or Overeating),
"PHQ0106" (PHQ01-Feeling Bad About Yourself),
"PHQ0107" (PHQ01-Trouble Concentrating on Things),
"PHQ0108" (PHQ01-Moving Slowly or Fidgety/Restless),
"PHQ0109" (PHQ01-Thoughts You Be Better Off Dead)
)
PHQ-9 Questions 1-9text23Patient Health Questionnaire Responses
  • • "Not at all"
  • • "Several days"
  • • "More than half the days"
  • • "Nearly every day"
QSTESTCD = "PHQ0110" (PHQ01-Difficult to Work/Take Care Things)PHQ-9 Question 10text20Patient Health Questionnaire Responses-Question 10
  • • "Not difficult at all"
  • • "Somewhat difficult"
  • • "Very difficult"
  • • "Extremely Difficult"
QSTESTCD = "PHQ0111" (PHQ01-Total Score)PHQ-9 Question Totalinteger8
QSSTRESCVLMCharacter Result/Finding in Std FormattextResult Qualifier20
QSTESTCD IN (
"PHQ0101" (PHQ01-Little Interest/Pleasure in Things),
"PHQ0102" (PHQ01-Feeling Down Depressed or Hopeless),
"PHQ0103" (PHQ01-Trouble Falling or Staying Asleep),
"PHQ0104" (PHQ01-Feeling Tired or Little Energy),
"PHQ0105" (PHQ01-Poor Appetite or Overeating),
"PHQ0106" (PHQ01-Feeling Bad About Yourself),
"PHQ0107" (PHQ01-Trouble Concentrating on Things),
"PHQ0108" (PHQ01-Moving Slowly or Fidgety/Restless),
"PHQ0109" (PHQ01-Thoughts You Be Better Off Dead)
)
PHQ-9 Questions 1-9, Standardizedinteger8Patient Health Questionnaire Responses Standardized
  • • 0 = "Not at all"
  • • 1 = "Several days"
  • • 2 = "More than half the days"
  • • 3 = "Nearly every day"
[Origin] Derived (Source: Sponsor)

Annotated CRF [15 ]

[Method]If QSORRES="Not at all" then 0 If QSORRES="Several days" then 1 If QSORRES="More than half the days" then 2 If QSORRES="Nearly every day" then 3
QSTESTCD = "PHQ0110" (PHQ01-Difficult to Work/Take Care Things)PHQ-9 Question 10, Standardizedtext20Patient Health Questionnaire Responses-Question 10
  • • "Not difficult at all"
  • • "Somewhat difficult"
  • • "Very difficult"
  • • "Extremely Difficult"
[Origin] Derived (Source: Sponsor)

Annotated CRF [15 ]

[Method]QSSTRESC=QSORRES
QSTESTCD = "PHQ0111" (PHQ01-Total Score)PHQ-9 Question Total, Standardizedinteger8
[Origin] Predecessor: QSORRES where QSTESTCD EQ PHQ0111

Annotated CRF [15 ]

QSSTRESNNumeric Finding in Standard UnitsintegerResult Qualifier8
[Origin] Derived (Source: Sponsor)

Annotated CRF [15 ]

[Method]If QSSTRESC is numeric then QSSTRESN=QSSTRESC in numeric format, else null.
QSLOBXFLLast Observation Before Exposure FlagtextRecord Qualifier1No Yes Response, subset for variables with only "Y" or null values
  • • "Y" = "Yes"
[Origin] Derived (Source: Sponsor)
[Method]Set to "Y" for last record with non-null original result on or before the first dose date (RFXSTDTC). Null otherwise.
VISITNUMVisit NumberfloatTiming8 [2]
[Origin] Assigned (Source: Sponsor)
VISITVisit NametextTiming200
[Origin] Assigned (Source: Sponsor)
EPOCHEpochtextTiming9Epoch
  • • "SCREENING" = "Screening"
  • • "TREATMENT" = "Treatment"
[Origin] Derived (Source: Sponsor)
[Method]EPOCH from SE where date >= SESTDTC and date < SEENDTC
QSDTCDate/Time of FindingdateTimingISO 8601
[Origin] Assigned (Source: Sponsor)
QSDYStudy Day of FindingintegerTiming8
[Origin] Derived (Source: Sponsor)
[Method]Study day relative to RFSTDTC. Date - RFSTDTC + 1 if on or after RFSTDTC. Date - RFSTDTC if date precedes RFSTDTC.
QSEVLINTEvaluation IntervaldurationDatetimeTimingISO 8601
[Origin] Assigned (Source: Sponsor)

Annotated CRF [15 ]

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Questionnaires (SQLS) (QSSL)

QSSL (Questionnaires (SQLS), Questionnaires) - [STDTMIG 3.3]Location: qssl.xml
VariableLabel / DescriptionTypeRoleLength [SignificantDigits] : Display FormatControlled Terms or ISO FormatOrigin / Source / Method / Comment
STUDYIDStudy IdentifiertextIdentifier12
[Origin] Protocol (Source: Sponsor)
DOMAINDomain AbbreviationtextIdentifier4SDTM Domain Abbreviation, subset used for Questionnaires
  • • "QS" = "Questionnaires"
[Origin] Assigned (Source: Sponsor)
USUBJIDUnique Subject IdentifiertextIdentifier8
[Origin] Assigned (Source: Sponsor)
QSSEQSequence NumberintegerIdentifier3
[Origin] Derived (Source: Sponsor)
[Method]Unique sequence number within a subject, restarting at 1 for every subject, applied to sorted data.
QSTESTCDQuestion Short NametextTopic8Satisfaction With Life Scale Questionnaire Test Code
  • • "SWLS0101" = "SWLS01-Have Gotten Important Things"
  • • "SWLS0102" = "SWLS01-I Am Satisfied with My Life"
  • • "SWLS0103" = "SWLS01-Live Life Over Change Nothing"
  • • "SWLS0104" = "SWLS01-My Life Conditions are Excellent"
  • • "SWLS0105" = "SWLS01-My Life is Close to Ideal"
[Origin] Assigned (Source: Sponsor)
QSTESTQuestion NametextSynonym Qualifier39Satisfaction With Life Scale Questionnaire Test Name
  • • "SWLS01-Have Gotten Important Things"
  • • "SWLS01-I Am Satisfied with My Life"
  • • "SWLS01-Live Life Over Change Nothing"
  • • "SWLS01-My Life Conditions are Excellent"
  • • "SWLS01-My Life is Close to Ideal"
[Origin] Assigned (Source: Sponsor)
QSCATCategory of QuestiontextGrouping Qualifier4Category of Questionnaire for SWLS
  • • "SWLS" = "Satisfaction With Life Scale Questionnaire"
[Origin] Assigned (Source: Sponsor)

Annotated CRF [16 ]

QSORRESFinding in Original UnitstextResult Qualifier26SWLS-Responses

[7 Terms]

[Origin] Collected (Source: Investigator)

Annotated CRF [16 ]

QSSTRESCCharacter Result/Finding in Std FormattextResult Qualifier1SWLS-Responses Standardized

[7 Terms]

[Origin] Derived (Source: Sponsor)

Annotated CRF [16 ]

[Method]If QSORRES="Strongly disagree" then 1 If QSORRES="Disagree" then 2 If QSORRES="Slightly disagree" then 3 If QSORRES="Neither agree nor disagree" then 4 If QSORRES="Slightly agree" then 5 If QSORRES="Agree" then 6 If QSORRES="Strongly agree" then 7
QSSTRESNNumeric Finding in Standard UnitsintegerResult Qualifier8
[Origin] Derived (Source: Sponsor)

Annotated CRF [16 ]

[Method]If QSSTRESC is numeric then QSSTRESN=QSSTRESC in numeric format, else null.
QSLOBXFLLast Observation Before Exposure FlagtextRecord Qualifier1No Yes Response, subset for variables with only "Y" or null values
  • • "Y" = "Yes"
[Origin] Derived (Source: Sponsor)
[Method]Set to "Y" for last record with non-null original result on or before the first dose date (RFXSTDTC). Null otherwise.
VISITNUMVisit NumberfloatTiming8 [2]
[Origin] Assigned (Source: Sponsor)
VISITVisit NametextTiming200
[Origin] Assigned (Source: Sponsor)
EPOCHEpochtextTiming9Epoch
  • • "SCREENING" = "Screening"
  • • "TREATMENT" = "Treatment"
[Origin] Derived (Source: Sponsor)
[Method]EPOCH from SE where date >= SESTDTC and date < SEENDTC
QSDTCDate/Time of FindingdateTimingISO 8601
[Origin] Assigned (Source: Sponsor)
QSDYStudy Day of FindingintegerTiming8
[Origin] Derived (Source: Sponsor)
[Method]Study day relative to RFSTDTC. Date - RFSTDTC + 1 if on or after RFSTDTC. Date - RFSTDTC if date precedes RFSTDTC.

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Disease Response and Clin Classification (RS)

RS (Disease Response and Clin Classification) - [STDTMIG 3.3]Location: rs.xml
VariableWhere ConditionLabel / DescriptionTypeRoleLength [SignificantDigits] : Display FormatControlled Terms or ISO FormatOrigin / Source / Method / Comment
STUDYIDStudy IdentifiertextIdentifier12
[Origin] Protocol (Source: Sponsor)
DOMAINDomain AbbreviationtextIdentifier2SDTM Domain Abbreviation, subset used for Disease Response and Clin Classification
  • • "RS" = "Disease Response and Clin Classification"
[Origin] Assigned (Source: Sponsor)
USUBJIDUnique Subject IdentifiertextIdentifier8
[Origin] Assigned (Source: Sponsor)
RSSEQSequence NumberintegerIdentifier3
[Origin] Derived (Source: Sponsor)
[Method]Unique sequence number within a subject, restarting at 1 for every subject, applied to sorted data.
RSTESTCDAssessment Short NametextTopic8Hamilton Depression Rating Scale - 17 Item Clinical Classification Test Code

[19 Terms]

[Origin] Assigned (Source: Sponsor)
RSTESTAssessment NametextSynonym Qualifier37Hamilton Depression Rating Scale - 17 Item Clinical Classification Test Name

[19 Terms]

[Origin] Assigned (Source: Sponsor)
RSCATCategory for AssessmenttextGrouping Qualifier7Category of Clinical Classification, subset to be used for RSCAT
  • • "HAMD 17" = "Hamilton Depression Rating Scale 17 Item Clinical Classification"
[Origin] Assigned (Source: Sponsor)

Annotated CRF [19 ]

RSORRESVLMResult or Finding in Original UnitstextResult Qualifier198
[Origin] Collected (Source: Investigator)

Annotated CRF [19 ]

RSTESTCD = "HAMD101" (HAMD1-Depressed Mood)HAMD-17 Question 1text111Hamilton Depression Rating Scale - 17 Item - Question 1
  • • "Absent."
  • • "These feeling states indicated only on questioning."
  • • "These feeling states spontaneously reported verbally."
  • • "Communicates feeling states non-verbally, i.e. through facial expression, posture, voice and tendency to weep."
  • • "Patient reports virtually only these feeling states in his/her spontaneous verbal and non-verbal communication."
[Origin] Collected (Source: Investigator)

Annotated CRF [19 ]

RSTESTCD = "HAMD102" (HAMD1-Feelings of Guilt)HAMD-17 Question 2text93Hamilton Depression Rating Scale - 17 Item - Question 2
  • • "Absent."
  • • "Self reproach, feels he/she has let people down."
  • • "Ideas of guilt or rumination over past errors or sinful deeds."
  • • "Present illness is a punishment. Delusions of guilt."
  • • "Hears accusatory or denunciatory voices and/or experiences threatening visual hallucinations."
[Origin] Collected (Source: Investigator)

Annotated CRF [19 ]

RSTESTCD = "HAMD103" (HAMD1-Suicide)HAMD-17 Question 3text66Hamilton Depression Rating Scale - 17 Item - Question 3
  • • "Absent."
  • • "Feels life is not worth living."
  • • "Wishes he/she were dead or any thoughts of possible death to self."
  • • "Ideas or gestures of suicide."
  • • "Attempts at suicide (any serious attempt rate 4)."
[Origin] Collected (Source: Investigator)

Annotated CRF [19 ]

RSTESTCD = "HAMD104" (HAMD1-Insomnia Early - Early Night)HAMD-17 Question 4text74Hamilton Depression Rating Scale - 17 Item - Question 4
  • • "No difficulty falling asleep."
  • • "Complains of occasional difficulty falling asleep, i.e. more than 1/2 hour"
  • • "Complains of nightly difficulty falling asleep."
[Origin] Collected (Source: Investigator)

Annotated CRF [19 ]

RSTESTCD = "HAMD105" (HAMD1-Insomnia Middle - Middle Night)HAMD-17 Question 5text90Hamilton Depression Rating Scale - 17 Item - Question 5
  • • "No difficulty."
  • • "Patient complains of being restless and disturbed during the night."
  • • "Waking during the night - any getting out of bed rates 2 (except for purposes of voiding)."
[Origin] Collected (Source: Investigator)

Annotated CRF [19 ]

RSTESTCD = "HAMD106" (HAMD1-Insomnia Early Hours - Morning)HAMD-17 Question 6text60Hamilton Depression Rating Scale - 17 Item - Question 6
  • • "No difficulty."
  • • "Waking in early hours of the morning but goes back to sleep."
  • • "Unable to fall asleep again if he/she gets out of bed."
[Origin] Collected (Source: Investigator)

Annotated CRF [19 ]

RSTESTCD = "HAMD107" (HAMD1-Work and Activities)HAMD-17 Question 7text198Hamilton Depression Rating Scale - 17 Item - Question 7
  • • "No difficulty."
  • • "Thoughts and feelings of incapacity, fatigue or weakness related to activities, work or hobbies."
  • • "Loss of interest in activity, hobbies or work - either directly reported by the patient or indirect in listlessness, indecision and vacillation (feels he/she has to push self to work or activities)."
  • • "Decrease in actual time spent in activities or decrease in productivity. Rate 3 if the patient does not spend at least three hours a day in activities (job or hobbies) excluding routine chores."
  • • "Stopped working because of present illness. Rate 4 if patient engages in no activities except routine chores, or if patient fails to perform routine chores unassisted."
[Origin] Collected (Source: Investigator)

Annotated CRF [19 ]

RSTESTCD = "HAMD108" (HAMD1-Retardation)HAMD-17 Question 8text41Hamilton Depression Rating Scale - 17 Item - Question 8
  • • "Normal speech and thought."
  • • "Slight retardation during the interview."
  • • "Obvious retardation during the interview."
  • • "Interview difficult."
  • • "Complete stupor."
[Origin] Collected (Source: Investigator)

Annotated CRF [19 ]

RSTESTCD = "HAMD109" (HAMD1-Agitation)HAMD-17 Question 9text57Hamilton Depression Rating Scale - 17 Item - Question 9
  • • "None."
  • • "Fidgetiness."
  • • "Playing with hands, hair, etc."
  • • "Moving about, cannot sit still."
  • • "Hand wringing, nail biting, hair-pulling, biting of lips."
[Origin] Collected (Source: Investigator)

Annotated CRF [19 ]

RSTESTCD = "HAMD110" (HAMD1-Anxiety Psychic)HAMD-17 Question 10text49Hamilton Depression Rating Scale - 17 Item - Question 10
  • • "No difficulty."
  • • "Subjective tension and irritability."
  • • "Worrying about minor matters."
  • • "Apprehensive attitude apparent in face or speech."
  • • "Fears expressed without questioning."
[Origin] Collected (Source: Investigator)

Annotated CRF [19 ]

RSTESTCD = "HAMD111" (HAMD1-Anxiety Somatic)HAMD-17 Question 11text15Hamilton Depression Rating Scale - 17 Item - Question 11
  • • "Absent."
  • • "Mild."
  • • "Moderate."
  • • "Severe."
  • • "Incapacitating."
[Origin] Collected (Source: Investigator)

Annotated CRF [19 ]

RSTESTCD = "HAMD112" (HAMD1-Somatic Symptoms GI)HAMD-17 Question 12text141Hamilton Depression Rating Scale - 17 Item - Question 12
  • • "None."
  • • "Loss of appetite but eating without staff encouragement. Heavy feelings in abdomen."
  • • "Difficulty eating without staff urging. Requests or requires laxatives or medication for bowels or medication for gastro-intestinal symptoms."
[Origin] Collected (Source: Investigator)

Annotated CRF [19 ]

RSTESTCD = "HAMD113" (HAMD1-General Somatic Symptoms)HAMD-17 Question 13text102Hamilton Depression Rating Scale - 17 Item - Question 13
  • • "None."
  • • "Heaviness in limbs, back or head. Backaches, headaches, muscle aches. Loss of energy and fatigability."
  • • "Any clear-cut symptom rates 2."
[Origin] Collected (Source: Investigator)

Annotated CRF [19 ]

RSTESTCD = "HAMD114" (HAMD1-Genital Symptoms)HAMD-17 Question 14text7Hamilton Depression Rating Scale - 17 Item - Question 14
  • • "Absent."
  • • "Mild."
  • • "Severe."
[Origin] Collected (Source: Investigator)

Annotated CRF [19 ]

RSTESTCD = "HAMD115" (HAMD1-Hypochondriasis)HAMD-17 Question 15text44Hamilton Depression Rating Scale - 17 Item - Question 15
  • • "Not present."
  • • "Self-absorption (bodily)."
  • • "Preoccupation with health."
  • • "Frequent complaints, requests for help, etc."
  • • "Hypochondriacal delusions."
[Origin] Collected (Source: Investigator)

Annotated CRF [19 ]

RSTESTCD = "HAMD116A" (HAMD1-Loss of WT According to Patient)HAMD-17 Question 16Atext53Hamilton Depression Rating Scale - 17 Item - Question 16A
  • • "No weight loss."
  • • "Probable weight loss associated with present illness."
  • • "Definite (according to patient) weight loss."
  • • "Not assessed."
[Origin] Collected (Source: Investigator)

Annotated CRF [19 ]

RSTESTCD = "HAMD116B" (HAMD1-Loss of WT According to WK Meas)HAMD-17 Question 16Btext42Hamilton Depression Rating Scale - 17 Item - Question 16B
  • • "Less than 1 lb weight loss in week."
  • • "Greater than 1 lb weight loss within week."
  • • "Greater than 2 lb weight loss in week."
  • • "Not assessed."
[Origin] Collected (Source: Investigator)

Annotated CRF [19 ]

RSTESTCD = "HAMD117" (HAMD1-Insight)HAMD-17 Question 17text100Hamilton Depression Rating Scale - 17 Item - Question 17
  • • "Acknowledges being depressed and ill."
  • • "Acknowledges illness but attributes cause to bad food, climate, overwork, virus, need for rest, etc."
  • • "Denies being ill at all."
[Origin] Collected (Source: Investigator)

Annotated CRF [19 ]

RSTESTCD = "HAMD118" (HAMD1-Total Score)HAMD-17 Question 18integer8
[Origin] Collected (Source: Investigator)

Annotated CRF [19 ]

RSSTRESCVLMCharacter Result/Finding in Std FormattextResult Qualifier8
[Origin] Derived (Source: Sponsor)
[Method]RSSTRESC is the corresponding numeric value of RSORRES according the values shown on the HAMD-17 CRF page.
RSTESTCD = "HAMD101" (HAMD1-Depressed Mood)HAMD-17 Question 1 Standardizedinteger8Hamilton Depression Rating Scale - 17 Item - Question 1 Standardized
  • • 0 = "Absent."
  • • 1 = "These feeling states indicated only on questioning."
  • • 2 = "These feeling states spontaneously reported verbally."
  • • 3 = "Communicates feeling states non-verbally, i.e. through facial expression, posture, voice and tendency to weep."
  • • 4 = "Patient reports virtually only these feeling states in his/her spontaneous verbal and non-verbal communication."
[Origin] Collected (Source: Investigator)

Annotated CRF [19 ]

RSTESTCD = "HAMD102" (HAMD1-Feelings of Guilt)HAMD-17 Question 2 Standardizedinteger8Hamilton Depression Rating Scale - 17 Item - Question 2 Standardized
  • • 0 = "Absent."
  • • 1 = "Self reproach, feels he/she has let people down."
  • • 2 = "Ideas of guilt or rumination over past errors or sinful deeds."
  • • 3 = "Present illness is a punishment. Delusions of guilt."
  • • 4 = "Hears accusatory or denunciatory voices and/or experiences threatening visual hallucinations."
[Origin] Collected (Source: Investigator)

Annotated CRF [19 ]

RSTESTCD = "HAMD103" (HAMD1-Suicide)HAMD-17 Question 3 Standardizedinteger8Hamilton Depression Rating Scale - 17 Item - Question 3 Standardized
  • • 0 = "Absent."
  • • 1 = "Feels life is not worth living."
  • • 2 = "Wishes he/she were dead or any thoughts of possible death to self."
  • • 3 = "Ideas or gestures of suicide."
  • • 4 = "Attempts at suicide (any serious attempt rate 4)."
[Origin] Collected (Source: Investigator)

Annotated CRF [19 ]

RSTESTCD = "HAMD104" (HAMD1-Insomnia Early - Early Night)HAMD-17 Question 4 Standardizedinteger8Hamilton Depression Rating Scale - 17 Item - Question 4 Standardized
  • • 0 = "No difficulty falling asleep."
  • • 1 = "Complains of occasional difficulty falling asleep, i.e. more than 1/2 hour"
  • • 2 = "Complains of nightly difficulty falling asleep."
[Origin] Collected (Source: Investigator)

Annotated CRF [19 ]

RSTESTCD = "HAMD105" (HAMD1-Insomnia Middle - Middle Night)HAMD-17 Question 5 Standardizedinteger8Hamilton Depression Rating Scale - 17 Item - Question 5 Standardized
  • • 0 = "No difficulty."
  • • 1 = "Patient complains of being restless and disturbed during the night."
  • • 2 = "Waking during the night - any getting out of bed rates 2 (except for purposes of voiding)."
[Origin] Collected (Source: Investigator)

Annotated CRF [19 ]

RSTESTCD = "HAMD106" (HAMD1-Insomnia Early Hours - Morning)HAMD-17 Question 6 Standardizedinteger8Hamilton Depression Rating Scale - 17 Item - Question 6 Standardized
  • • 0 = "No difficulty."
  • • 1 = "Waking in early hours of the morning but goes back to sleep."
  • • 2 = "Unable to fall asleep again if he/she gets out of bed."
[Origin] Collected (Source: Investigator)

Annotated CRF [19 ]

RSTESTCD = "HAMD107" (HAMD1-Work and Activities)HAMD-17 Question 7 Standardizedinteger8Hamilton Depression Rating Scale - 17 Item - Question 7 Standardized
  • • 0 = "No difficulty."
  • • 1 = "Thoughts and feelings of incapacity, fatigue or weakness related to activities, work or hobbies."
  • • 2 = "Loss of interest in activity, hobbies or work - either directly reported by the patient or indirect in listlessness, indecision and vacillation (feels he/she has to push self to work or activities)."
  • • 3 = "Decrease in actual time spent in activities or decrease in productivity. Rate 3 if the patient does not spend at least three hours a day in activities (job or hobbies) excluding routine chores."
  • • 4 = "Stopped working because of present illness. Rate 4 if patient engages in no activities except routine chores, or if patient fails to perform routine chores unassisted."
[Origin] Collected (Source: Investigator)

Annotated CRF [19 ]

RSTESTCD = "HAMD108" (HAMD1-Retardation)HAMD-17 Question 8 Standardizedinteger8Hamilton Depression Rating Scale - 17 Item - Question 8 Standardized
  • • 0 = "Normal speech and thought."
  • • 1 = "Slight retardation during the interview."
  • • 2 = "Obvious retardation during the interview."
  • • 3 = "Interview difficult."
  • • 4 = "Complete stupor."
[Origin] Collected (Source: Investigator)

Annotated CRF [19 ]

RSTESTCD = "HAMD109" (HAMD1-Agitation)HAMD-17 Question 9 Standardizedinteger8Hamilton Depression Rating Scale - 17 Item - Question 9 Standardized
  • • 0 = "None."
  • • 1 = "Fidgetiness."
  • • 2 = "Playing with hands, hair, etc."
  • • 3 = "Moving about, cannot sit still."
  • • 4 = "Hand wringing, nail biting, hair-pulling, biting of lips."
[Origin] Collected (Source: Investigator)

Annotated CRF [19 ]

RSTESTCD = "HAMD110" (HAMD1-Anxiety Psychic)HAMD-17 Question 10 Standardizedinteger8Hamilton Depression Rating Scale - 17 Item - Question 10 Standardized
  • • 0 = "No difficulty."
  • • 1 = "Subjective tension and irritability."
  • • 2 = "Worrying about minor matters."
  • • 3 = "Apprehensive attitude apparent in face or speech."
  • • 4 = "Fears expressed without questioning."
[Origin] Collected (Source: Investigator)

Annotated CRF [19 ]

RSTESTCD = "HAMD111" (HAMD1-Anxiety Somatic)HAMD-17 Question 11 Standardizedinteger8Hamilton Depression Rating Scale - 17 Item - Question 11 Standardized
  • • 0 = "Absent."
  • • 1 = "Mild."
  • • 2 = "Moderate."
  • • 3 = "Severe."
  • • 4 = "Incapacitating."
[Origin] Collected (Source: Investigator)

Annotated CRF [19 ]

RSTESTCD = "HAMD112" (HAMD1-Somatic Symptoms GI)HAMD-17 Question 12 Standardizedinteger8Hamilton Depression Rating Scale - 17 Item - Question 12 Standardized
  • • 0 = "None."
  • • 1 = "Loss of appetite but eating without staff encouragement. Heavy feelings in abdomen."
  • • 2 = "Difficulty eating without staff urging. Requests or requires laxatives or medication for bowels or medication for gastro-intestinal symptoms."
[Origin] Collected (Source: Investigator)

Annotated CRF [19 ]

RSTESTCD = "HAMD113" (HAMD1-General Somatic Symptoms)HAMD-17 Question 13 Standardizedinteger8Hamilton Depression Rating Scale - 17 Item - Question 13 Standardized
  • • 0 = "None."
  • • 1 = "Heaviness in limbs, back or head. Backaches, headaches, muscle aches. Loss of energy and fatigability."
  • • 2 = "Any clear-cut symptom rates 2."
[Origin] Collected (Source: Investigator)

Annotated CRF [19 ]

RSTESTCD = "HAMD114" (HAMD1-Genital Symptoms)HAMD-17 Question 14 Standardizedinteger8Hamilton Depression Rating Scale - 17 Item - Question 14 Standardized
  • • 0 = "Absent."
  • • 1 = "Mild."
  • • 2 = "Severe."
[Origin] Collected (Source: Investigator)

Annotated CRF [19 ]

RSTESTCD = "HAMD115" (HAMD1-Hypochondriasis)HAMD-17 Question 15 Standardizedinteger8Hamilton Depression Rating Scale - 17 Item - Question 15 Standardized
  • • 0 = "Not present."
  • • 1 = "Self-absorption (bodily)."
  • • 2 = "Preoccupation with health."
  • • 3 = "Frequent complaints, requests for help, etc."
  • • 4 = "Hypochondriacal delusions."
[Origin] Collected (Source: Investigator)

Annotated CRF [19 ]

RSTESTCD = "HAMD116A" (HAMD1-Loss of WT According to Patient)HAMD-17 Question 16A Standardizedinteger8Hamilton Depression Rating Scale - 17 Item - Question 16A Standardized
  • • 0 = "No weight loss."
  • • 1 = "Probable weight loss associated with present illness."
  • • 2 = "Definite (according to patient) weight loss."
  • • 3 = "Not assessed."
[Origin] Collected (Source: Investigator)

Annotated CRF [19 ]

RSTESTCD = "HAMD116B" (HAMD1-Loss of WT According to WK Meas)HAMD-17 Question 16B Standardizedinteger8Hamilton Depression Rating Scale - 17 Item - Question 16B Standardized
  • • 0 = "Less than 1 lb weight loss in week."
  • • 1 = "Greater than 1 lb weight loss within week."
  • • 2 = "Greater than 2 lb weight loss in week."
  • • 3 = "Not assessed."
[Origin] Collected (Source: Investigator)

Annotated CRF [19 ]

RSTESTCD = "HAMD117" (HAMD1-Insight)HAMD-17 Question 17 Standardizedinteger8Hamilton Depression Rating Scale - 17 Item - Question 17 Standardized
  • • 0 = "Acknowledges being depressed and ill."
  • • 1 = "Acknowledges illness but attributes cause to bad food, climate, overwork, virus, need for rest, etc."
  • • 2 = "Denies being ill at all."
[Origin] Collected (Source: Investigator)

Annotated CRF [19 ]

RSTESTCD = "HAMD118" (HAMD1-Total Score)HAMD-17 Question 18 Standardizedinteger8
[Origin] Collected (Source: Investigator)

Annotated CRF [19 ]

RSSTRESNNumeric Result/Finding in Standard UnitsintegerResult Qualifier8
[Origin] Derived (Source: Sponsor)
[Method]If --STRESC represents a numeric value then --STRESN is the numeric version of --STRESC, else null. "--" represents the domain code.
RSLOBXFLLast Observation Before Exposure FlagtextRecord Qualifier1No Yes Response, subset for variables with only "Y" or null values
  • • "Y" = "Yes"
[Origin] Derived (Source: Sponsor)
[Method]Set to "Y" for last record with non-null original result on or before the first dose date (RFXSTDTC). Null otherwise.
VISITNUMVisit NumberfloatTiming8 [2]
[Origin] Assigned (Source: Sponsor)
VISITVisit NametextTiming200
[Origin] Assigned (Source: Sponsor)
EPOCHEpochtextTiming9Epoch
  • • "SCREENING" = "Screening"
  • • "TREATMENT" = "Treatment"
[Origin] Derived (Source: Sponsor)
[Method]EPOCH from SE where date >= SESTDTC and date < SEENDTC
RSDTCDate/Time of AssessmentdateTimingISO 8601
[Origin] Assigned (Source: Sponsor)
RSDYStudy Day of AssessmentintegerTiming8
[Origin] Derived (Source: Sponsor)
[Method]Study day relative to RFSTDTC. Date - RFSTDTC + 1 if on or after RFSTDTC. Date - RFSTDTC if date precedes RFSTDTC.
RSEVLINTEvaluation IntervaldurationDatetimeTimingISO 8601
[Origin] Assigned (Source: Sponsor)

Annotated CRF [19 ]

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Vital Signs (VS)

VS (Vital Signs) - [STDTMIG 3.3]Location: vs.xml
VariableWhere ConditionLabel / DescriptionTypeRoleLength [SignificantDigits] : Display FormatControlled Terms or ISO FormatOrigin / Source / Method / Comment
STUDYIDStudy IdentifiertextIdentifier12
[Origin] Protocol (Source: Sponsor)
DOMAINDomain AbbreviationtextIdentifier2SDTM Domain Abbreviation, subset used for Vital Signs
  • • "VS" = "Vital Signs"
[Origin] Assigned (Source: Sponsor)
USUBJIDUnique Subject IdentifiertextIdentifier8
[Origin] Assigned (Source: Sponsor)
VSSEQSequence NumberintegerIdentifier3
[Origin] Derived (Source: Sponsor)
[Method]Unique sequence number within a subject, restarting at 1 for every subject, applied to sorted data.
VSTESTCDVital Signs Test Short NametextTopic6Vital Signs Test Code

[6 Terms]

[Origin] Assigned (Source: Sponsor)
VSTESTVital Signs Test NametextSynonym Qualifier24Vital Signs Test Name

[6 Terms]

[Origin] Assigned (Source: Sponsor)
VSPOSVital Signs Position of SubjecttextRecord Qualifier8Position, subset to be used for VSPOS
  • • "STANDING" = "Standing"
  • • "SUPINE" = "Supine"
[Origin] Assigned (Source: Sponsor)

Annotated CRF [8 9 10 11 12 13 ]

VSORRESVLMResult or Finding in Original UnitstextResult Qualifier8
VSTESTCD IN (
"DIABP" (Diastolic Blood Pressure),
"SYSBP" (Systolic Blood Pressure)
)
Blood Pressureinteger8
[Origin] Collected (Source: Investigator)

Annotated CRF [8 9 10 11 12 13 14 ]

VSTESTCD = "HEIGHT" (Height)Heightfloat8 [2]
[Origin] Collected (Source: Investigator)

Annotated CRF [8 9 ]

VSTESTCD = "PULSE" (Pulse Rate)Pulse Rateinteger8
[Origin] Collected (Source: Investigator)

Annotated CRF [8 9 10 11 12 13 14 ]

VSTESTCD = "TEMP" (Temperature)Temperaturefloat8 [2]
[Origin] Collected (Source: Investigator)

Annotated CRF [8 9 10 11 12 13 14 ]

VSTESTCD = "WEIGHT" (Weight)Weightfloat8 [2]
[Origin] Collected (Source: Investigator)

Annotated CRF [8 9 12 13 ]

VSORRESUVLMOriginal UnitstextVariable Qualifier9
VSTESTCD IN (
"DIABP" (Diastolic Blood Pressure),
"SYSBP" (Systolic Blood Pressure)
)
Blood Pressure Unitstext4Units for Vital Signs Results, subset for Blood Pressure
  • • "mmHg" = "Millimeter of Mercury"
[Origin] Collected (Source: Investigator)

Annotated CRF [8 9 10 11 12 13 14 ]

VSTESTCD = "HEIGHT" (Height)Height Unitstext2Units for Vital Signs Results, subset for Height
  • • "in" = "Inch"
[Origin] Collected (Source: Investigator)

Annotated CRF [8 9 ]

VSTESTCD = "PULSE" (Pulse Rate)Pulse Rate Unitstext9Units for Vital Signs Results, subset for Pulse
  • • "beats/min" = "Beats per Minute"
[Origin] Collected (Source: Investigator)

Annotated CRF [8 9 10 11 12 13 14 ]

VSTESTCD = "TEMP" (Temperature)Temperature Unitstext1Units for Vital Signs Results, subset for Temperature
  • • "F" = "Degree Fahrenheit"
[Origin] Collected (Source: Investigator)

Annotated CRF [8 9 10 11 12 13 14 ]

VSTESTCD = "WEIGHT" (Weight)Weight Unitstext2Units for Vital Signs Results, subset for Weight
  • • "LB" = "Pound"
[Origin] Collected (Source: Investigator)

Annotated CRF [8 9 12 13 ]

VSSTRESCCharacter Result/Finding in Std FormattextResult Qualifier200
[Origin] Derived (Source: Sponsor)
[Method]Data collected in conventional units (i.e. F, lbs, inches) is converted using standard conversion factors to standard units (C, kg, cm).
VSSTRESNNumeric Result/Finding in Standard UnitsfloatResult Qualifier8 [2]
[Origin] Derived (Source: Sponsor)
[Method]If --STRESC represents a numeric value then --STRESN is the numeric version of --STRESC, else null. "--" represents the domain code.
VSSTRESUVLMStandard UnitstextVariable Qualifier9
[Origin] Assigned (Source: Sponsor)
VSTESTCD IN (
"DIABP" (Diastolic Blood Pressure),
"SYSBP" (Systolic Blood Pressure)
)
Blood Pressure Units Stdtext4Units for Vital Signs Results, subset for Blood Pressure Std
  • • "mmHg" = "Millimeter of Mercury"
VSTESTCD = "HEIGHT" (Height)Height Units Stdtext2Units for Vital Signs Results, subset for Height Std
  • • "cm" = "Centimeter"
VSTESTCD = "PULSE" (Pulse Rate)Pulse Rate Units Stdtext9Units for Vital Signs Results, subset for Pulse Std
  • • "beats/min" = "Beats per Minute"
VSTESTCD = "TEMP" (Temperature)Temperature Units Stdtext1Units for Vital Signs Results, subset for Temperature Std
  • • "C" = "Degree Celsius"
VSTESTCD = "WEIGHT" (Weight)Weight Units Stdtext2Units for Vital Signs Results, subset for Weight Std
  • • "kg" = "Kilogram"
VSSTAT[No Data]Completion StatustextRecord Qualifier8Not Done
  • • "NOT DONE" = "Not Done"
[Origin] Collected (Source: Investigator)

Annotated CRF [8 9 10 11 12 13 ]

[Comment] All vital signs were performed as expected, so VSSTAT was never populated. The variable is included as it was possible to populate it in this study.

VSLOCLocation of Vital Signs MeasurementtextRecord Qualifier11Anatomical Location
  • • "EAR" = "Ear"
  • • "ORAL CAVITY" = "Oral Cavity"
[Origin] Collected (Source: Investigator)

Annotated CRF [8 9 10 11 12 13 ]

VSLOBXFLLast Observation Before Exposure FlagtextRecord Qualifier1No Yes Response, subset for variables with only "Y" or null values
  • • "Y" = "Yes"
[Origin] Derived (Source: Sponsor)
[Method]Set to "Y" for last record with non-null original result on or before the first dose date (RFXSTDTC). Null otherwise.
VSREPNUMRepetition NumberintegerRecord Qualifier8
[Origin] Assigned (Source: Sponsor)

Annotated CRF [8 10 12 ]

VISITNUMVisit NumberfloatTiming8 [2]
[Origin] Assigned (Source: Sponsor)
VISITVisit NametextTiming200
[Origin] Collected (Source: Investigator)

Annotated CRF [8 9 10 11 12 13 ]

EPOCHEpochtextTiming9Epoch
  • • "SCREENING" = "Screening"
  • • "TREATMENT" = "Treatment"
[Origin] Derived (Source: Sponsor)
[Method]EPOCH from SE where date >= SESTDTC and date < SEENDTC
VSDTCDate/Time of MeasurementsdateTimingISO 8601
[Origin] Collected (Source: Investigator)

Annotated CRF [8 9 10 11 12 13 ]

VSDYStudy Day of Vital SignsintegerTiming8
[Origin] Derived (Source: Sponsor)
[Method]Study day relative to RFSTDTC. Date - RFSTDTC + 1 if on or after RFSTDTC. Date - RFSTDTC if date precedes RFSTDTC.

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Findings About Events or Interventions (FA)

FA (Findings About Events or Interventions) - [STDTMIG 3.3]Location: fa.xml
VariableWhere ConditionLabel / DescriptionTypeRoleLength [SignificantDigits] : Display FormatControlled Terms or ISO FormatOrigin / Source / Method / Comment
STUDYIDStudy IdentifiertextIdentifier12
[Origin] Protocol (Source: Sponsor)
DOMAINDomain AbbreviationtextIdentifier2SDTM Domain Abbreviation, subset used for Findings About Events or Interventions
  • • "FA" = "Findings About Events or Interventions"
[Origin] Assigned (Source: Sponsor)
USUBJIDUnique Subject IdentifiertextIdentifier8
[Origin] Assigned (Source: Sponsor)
FASEQSequence NumberintegerIdentifier3
[Origin] Derived (Source: Sponsor)
[Method]Unique sequence number within a subject, restarting at 1 for every subject, applied to sorted data.
FALNKGRPLink Group IDtextIdentifier200
[Origin] Collected (Source: Investigator)

Annotated CRF [23 ]

FATESTCDFindings About Test Short NametextTopic5Findings About Adverse Events Test Code
  • • "OCCUR" = "Occurrence Indicator"
  • • "SEV" = "Severity/Intensity"
[Origin] Assigned (Source: Sponsor)
FATESTFindings About Test NametextSynonym Qualifier20Findings About Adverse Events Test Name
  • • "Occurrence Indicator"
  • • "Severity/Intensity"
[Origin] Assigned (Source: Sponsor)
FAOBJObject of the ObservationtextRecord Qualifier10FA Object
  • • "ERYTHEMA" = "Erythema"
  • • "PAIN" = "Pain"
  • • "INDURATION" = "Induration"
  • • "PRURITUS" = "Pruritus"
  • • "EDEMA" = "Edema"
[Origin] Assigned (Source: Sponsor)

Annotated CRF [24 ]

FACATCategory for Findings AbouttextGrouping Qualifier23FA Category
  • • "INJECTION SITE REACTION" = "Injection Site Reaction"
[Origin] Assigned (Source: Sponsor)

Annotated CRF [24 ]

FAORRESVLMResult or Finding in Original UnitstextResult Qualifier8
[Origin] Collected (Source: Investigator)

Annotated CRF [24 ]

FATESTCD = "SEV" (Severity/Intensity)Result or Finding in Original Unitstext8Severity
  • • "MILD" = "Mild"
  • • "MODERATE" = "Moderate"
  • • "SEVERE" = "Severe"
FATESTCD = "OCCUR" (Occurrence Indicator)Result or Finding in Original Unitstext1Occurrence
  • • "N" = "No"
  • • "Y" = "Yes"
FASTRESCVLMCharacter Result/Finding in Std FormattextResult Qualifier8
[Origin] Predecessor: FAORRES
FATESTCD = "SEV" (Severity/Intensity)Character Result/Finding in Std Formattext8Severity
  • • "MILD" = "Mild"
  • • "MODERATE" = "Moderate"
  • • "SEVERE" = "Severe"
FATESTCD = "OCCUR" (Occurrence Indicator)Character Result/Finding in Std Formattext1Occurrence
  • • "N" = "No"
  • • "Y" = "Yes"
FALOCLocation of the Finding AbouttextRecord Qualifier3Location
  • • "ARM"
[Origin] Assigned (Source: Sponsor)
VISITNUMVisit NumberfloatTiming8 [2]
[Origin] Assigned (Source: Sponsor)

[Comment] All values are null as the findings are not visit based. The variable is Expected and so is included.

EPOCHEpochtextTiming9Epoch
  • • "SCREENING" = "Screening"
  • • "TREATMENT" = "Treatment"
[Origin] Assigned (Source: Sponsor)
FADTCDate/Time of CollectiondateTimingISO 8601
[Origin] Collected (Source: Investigator)

Annotated CRF [23 ]

FADYStudy Day of CollectionintegerTiming8
[Origin] Derived (Source: Sponsor)
[Method]Study day relative to RFSTDTC. Date - RFSTDTC + 1 if on or after RFSTDTC. Date - RFSTDTC if date precedes RFSTDTC.

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Related Records (RELREC)

RELREC (Related Records) - [STDTMIG 3.3]Location: relrec.xml
VariableLabel / DescriptionTypeRoleLength [SignificantDigits] : Display FormatControlled Terms or ISO FormatOrigin / Source / Method / Comment
STUDYIDStudy IdentifiertextIdentifier12
[Origin] Protocol (Source: Sponsor)
RDOMAINRelated Domain AbbreviationtextIdentifier6SDTM Domain Abbreviation, subset used for RELREC
  • • "AE" = "Adverse Events"
  • • "DS" = "Disposition"
  • • "DD" = "Death Details"
  • • "FA" = "Findings About Events or Interventions"
[Origin] Assigned (Source: Sponsor)
USUBJIDUnique Subject IdentifiertextIdentifier8
[Origin] Assigned (Source: Sponsor)
IDVARIdentifying VariabletextIdentifier200
[Origin] Assigned (Source: Sponsor)
IDVARVALIdentifying Variable ValuetextIdentifier200
[Origin] Assigned (Source: Sponsor)
RELTYPERelationship TypetextRecord Qualifier4Relationship Type
  • • "MANY" = "Many"
  • • "ONE" = "One"
[Origin] Assigned (Source: Sponsor)
RELIDRelationship IdentifiertextRecord Qualifier200
[Origin] Assigned (Source: Sponsor)

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Supplemental Qualifiers for DM (SUPPDM)

SUPPDM (Supplemental Qualifiers for DM, Demographics) - [STDTMIG 3.3]Location: suppdm.xml
Related Parent Dataset: DM (Demographics)
VariableLabel / DescriptionTypeRoleLength [SignificantDigits] : Display FormatControlled Terms or ISO FormatOrigin / Source / Method / Comment
STUDYIDStudy IdentifiertextIdentifier12
[Origin] Protocol (Source: Sponsor)
RDOMAINRelated Domain AbbreviationtextIdentifier6SDTM Domain Abbreviation, subset used for Demographics
  • • "DM" = "Demographics"
[Origin] Assigned (Source: Sponsor)
USUBJIDUnique Subject IdentifiertextIdentifier8
[Origin] Assigned (Source: Sponsor)
IDVARIdentifying VariabletextIdentifier200
[Origin] Assigned (Source: Sponsor)
IDVARVALIdentifying Variable ValuetextIdentifier200
[Origin] Assigned (Source: Sponsor)
QNAMQualifier Variable NametextTopic5
[Origin] Assigned (Source: Sponsor)
QLABELQualifier Variable LabeltextSynonym Qualifier40
[Origin] Assigned (Source: Sponsor)
QVALVLMData ValuetextResult Qualifier41
➤ QNAM = "RACE1"
Race 1textResult Qualifier41Race
  • • "AMERICAN INDIAN OR ALASKA NATIVE" = "American Indian Or Alaska Native"
  • • "ASIAN" = "Asian"
  • • "BLACK OR AFRICAN AMERICAN" = "Black Or African American"
  • • "NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER" = "Native Hawaiian Or Other Pacific Islander"
  • • "WHITE" = "White"
[Origin] Collected (Source: Investigator)

Annotated CRF [5 ]

➤ QNAM = "RACE2"
Race 2textResult Qualifier41Race
  • • "AMERICAN INDIAN OR ALASKA NATIVE" = "American Indian Or Alaska Native"
  • • "ASIAN" = "Asian"
  • • "BLACK OR AFRICAN AMERICAN" = "Black Or African American"
  • • "NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER" = "Native Hawaiian Or Other Pacific Islander"
  • • "WHITE" = "White"
[Origin] Collected (Source: Investigator)

Annotated CRF [5 ]

➤ QNAM = "RACE3"
Race 3textResult Qualifier41Race
  • • "AMERICAN INDIAN OR ALASKA NATIVE" = "American Indian Or Alaska Native"
  • • "ASIAN" = "Asian"
  • • "BLACK OR AFRICAN AMERICAN" = "Black Or African American"
  • • "NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER" = "Native Hawaiian Or Other Pacific Islander"
  • • "WHITE" = "White"
[Origin] Collected (Source: Investigator)

Annotated CRF [5 ]

➤ QNAM = "RACE4"
[No Data]
Race 4textResult Qualifier41Race
  • • "AMERICAN INDIAN OR ALASKA NATIVE" = "American Indian Or Alaska Native"
  • • "ASIAN" = "Asian"
  • • "BLACK OR AFRICAN AMERICAN" = "Black Or African American"
  • • "NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER" = "Native Hawaiian Or Other Pacific Islander"
  • • "WHITE" = "White"
[Origin] Collected (Source: Investigator)

Annotated CRF [5 ]

[Comment] Since no subjects had more than 3 Races, RACE4 was not used.

➤ QNAM = "RACE5"
[No Data]
Race 5textResult Qualifier41Race
  • • "AMERICAN INDIAN OR ALASKA NATIVE" = "American Indian Or Alaska Native"
  • • "ASIAN" = "Asian"
  • • "BLACK OR AFRICAN AMERICAN" = "Black Or African American"
  • • "NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER" = "Native Hawaiian Or Other Pacific Islander"
  • • "WHITE" = "White"
[Origin] Collected (Source: Investigator)

Annotated CRF [5 ]

[Comment] Since no subjects had more than 3 Races, RACE5 was not used.

QORIGOrigintextRecord Qualifier13
[Origin] Assigned (Source: Sponsor)
QEVALEvaluatortextRecord Qualifier200
[Origin] Assigned (Source: Sponsor)

[Comment] Since no collected data was subjective then QEVAL was not populated. It is an 'Expected' variable and so is included.

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Supplemental Qualifiers for EC (SUPPEC)

SUPPEC (Supplemental Qualifiers for EC, Exposure as Collected) - [STDTMIG 3.3]Location: suppec.xml
Related Parent Dataset: EC (Exposure as Collected)
VariableLabel / DescriptionTypeRoleLength [SignificantDigits] : Display FormatControlled Terms or ISO FormatOrigin / Source / Method / Comment
STUDYIDStudy IdentifiertextIdentifier12
[Origin] Protocol (Source: Sponsor)
RDOMAINRelated Domain AbbreviationtextIdentifier6
[Origin] Assigned (Source: Sponsor)
USUBJIDUnique Subject IdentifiertextIdentifier8
[Origin] Assigned (Source: Sponsor)
IDVARIdentifying VariabletextIdentifier200
[Origin] Assigned (Source: Sponsor)
IDVARVALIdentifying Variable ValuetextIdentifier200
[Origin] Assigned (Source: Sponsor)
QNAMQualifier Variable NametextTopic8
[Origin] Assigned (Source: Sponsor)
QLABELQualifier Variable LabeltextSynonym Qualifier40
[Origin] Assigned (Source: Sponsor)
QVALVLMData ValuetextResult Qualifier200
➤ QNAM = "ECREASOC"
Reason for Occur ValuetextVariable Qualifier200
[Origin] Collected (Source: Investigator)

Annotated CRF [14 ]

QORIGOrigintextRecord Qualifier13
[Origin] Assigned (Source: Sponsor)
QEVALEvaluatortextRecord Qualifier200
[Origin] Assigned (Source: Sponsor)

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Supplemental Qualifiers for NV (SUPPNV)

SUPPNV (Supplemental Qualifiers for NV, Nervous System Findings) - [STDTMIG 3.3][No Data]
Related Parent Dataset: NV (Nervous System Findings)
VariableLabel / DescriptionTypeRoleLength [SignificantDigits] : Display FormatControlled Terms or ISO FormatOrigin / Source / Method / Comment
STUDYIDStudy IdentifiertextIdentifier12
[Origin] Protocol (Source: Sponsor)
RDOMAINRelated Domain AbbreviationtextIdentifier6SDTM Domain Abbreviation, subset used for Nervous System Findings
  • • "NV" = "Nervous Sysytem Findings"
[Origin] Assigned (Source: Sponsor)
USUBJIDUnique Subject IdentifiertextIdentifier8
[Origin] Assigned (Source: Sponsor)
IDVARIdentifying VariabletextIdentifier200
[Origin] Assigned (Source: Sponsor)
IDVARVALIdentifying Variable ValuetextIdentifier200
[Origin] Assigned (Source: Sponsor)
QNAMQualifier Variable NametextTopic7
[Origin] Assigned (Source: Sponsor)
QLABELQualifier Variable LabeltextSynonym Qualifier40
[Origin] Assigned (Source: Sponsor)
QVALVLMData ValuetextResult Qualifier1
➤ QNAM = "NVCLSIG"
Clinically SignificanttextResult Qualifier1No Yes Response, subset for variables with only "Y" or null values
  • • "Y" = "Yes"
[Origin] Collected (Source: Investigator)

Annotated CRF [20 ]

QORIGOrigintextRecord Qualifier13
[Origin] Assigned (Source: Sponsor)
QEVALEvaluatortextRecord Qualifier200
[Origin] Assigned (Source: Sponsor)

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Supplemental Qualifiers for OE (SUPPOE)

SUPPOE (Supplemental Qualifiers for OE, Ophthalmic Examinations) - [STDTMIG 3.3][No Data]
Related Parent Dataset: OE (Ophthalmic Examinations)
VariableLabel / DescriptionTypeRoleLength [SignificantDigits] : Display FormatControlled Terms or ISO FormatOrigin / Source / Method / Comment
STUDYIDStudy IdentifiertextIdentifier12
[Origin] Protocol (Source: Sponsor)
RDOMAINRelated Domain AbbreviationtextIdentifier6SDTM Domain Abbreviation, subset used for Ophthalmic Examinations
  • • "OE" = "Ophthalmic Examinations"
[Origin] Assigned (Source: Sponsor)
USUBJIDUnique Subject IdentifiertextIdentifier8
[Origin] Assigned (Source: Sponsor)
IDVARIdentifying VariabletextIdentifier200
[Origin] Assigned (Source: Sponsor)
IDVARVALIdentifying Variable ValuetextIdentifier200
[Origin] Assigned (Source: Sponsor)
QNAMQualifier Variable NametextTopic7
[Origin] Assigned (Source: Sponsor)
QLABELQualifier Variable LabeltextSynonym Qualifier40
[Origin] Assigned (Source: Sponsor)
QVALVLMData ValuetextResult Qualifier1
➤ QNAM = "OECLSIG"
Clinically SignificanttextResult Qualifier1No Yes Response, subset for variables with only "Y" or "N" val
  • • "N" = "No"
  • • "Y" = "Yes"
[Origin] Collected (Source: Investigator)

Annotated CRF [21 ]

QORIGOrigintextRecord Qualifier13
[Origin] Assigned (Source: Sponsor)
QEVALEvaluatortextRecord Qualifier200
[Origin] Assigned (Source: Sponsor)

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Device Identifiers (DI)

DI (Device Identifiers) - [STDTMIG 3.3]Location: di.xml
VariableLabel / DescriptionTypeRoleLength [SignificantDigits] : Display FormatControlled Terms or ISO FormatOrigin / Source / Method / Comment
STUDYIDStudy IdentifiertextIdentifier12
[Origin] Assigned (Source: Sponsor)
DOMAINDomain AbbreviationtextIdentifier2SDTM Domain Abbreviation, subset used for Device Identifiers
  • • "DI" = "Device Identifiers"
[Origin] Assigned (Source: Sponsor)
SPDEVIDSponsor Device IdentifiertextIdentifier200
[Origin] Assigned (Source: Sponsor)
DISEQSequence NumberintegerIdentifier3
[Origin] Derived (Source: Sponsor)
[Method]Starts at "1" for first device identifier and increments by one for each DIPARM
DIPARMCDDevice Identifier Element Short NametextTopic7Device Identifier Element Short Name
  • • "DEVTYPE" = "Device Type"
  • • "SERIAL" = "Serial Number"
[Origin] Assigned (Source: Sponsor)
DIPARMDevice Identifier Element NametextSynonym Qualifier13Device Identifier Element Name
  • • "Device Type"
  • • "Serial Number"
[Origin] Assigned (Source: Sponsor)
DIVALDevice Identifier Element ValuetextResult Qualifier200
[Origin] Assigned (Source: Sponsor)

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CodeLists

Action Taken with Study Treatment [C66767][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
DOSE INCREASED [C49503]Dose Increased
DOSE NOT CHANGED [C49504]Dose Not Changed
DOSE REDUCED [C49505]Dose Reduced
DRUG INTERRUPTED [C49501]Drug Interrupted
DRUG WITHDRAWN [C49502]Drug Withdrawn
NOT APPLICABLE [C48660]Not Applicable
UNKNOWN [C17998]Unknown
Relationship[Non Standard]
Permitted Value (Code)Display Value (Decode)
RELATEDRelated
UNLIKELY RELATEDUnlikely Related
POSSIBLY RELATEDPossibly Related
NOT RELATEDNot Related
Severity/Intensity Scale for Adverse Events [C66769][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
MILD [C41338]Mild
MODERATE [C41339]Moderate
SEVERE [C41340]Severe
Age Unit in Years [C66781][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
YEARS [C29848]Years
Arm[Non Standard]
Permitted Value (Code)
Placebo
Zanomaline Low Dose (54 mg)
Zanomaline High Dose (81 mg)
Arm Code[Non Standard]
Permitted Value (Code)Display Value (Decode)
PLACEBOPlacebo
ZAN_LOWZanomaline Low Dose (54 mg)
ZAN_HIGHZanomaline High Dose (81 mg)
Arm Null Reason [C142179][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
SCREEN FAILURE [C49628]Trial Screen Failure
Rey Auditory Verbal Learning Test Functional Test Code [C123655][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
AVL0201 [C123683]AVLT-REY - List A Word 1
AVL0202 [C123684]AVLT-REY - List A Word 2
AVL0203 [C123685]AVLT-REY - List A Word 3
AVL0204 [C123686]AVLT-REY - List A Word 4
AVL0205 [C123687]AVLT-REY - List A Word 5
AVL0206 [C123688]AVLT-REY - List A Word 6
AVL0207 [C123689]AVLT-REY - List A Word 7
AVL0208 [C123690]AVLT-REY - List A Word 8
AVL0209 [C123691]AVLT-REY - List A Word 9
AVL0210 [C123692]AVLT-REY - List A Word 10
AVL0211 [C123693]AVLT-REY - List A Word 11
AVL0212 [C123694]AVLT-REY - List A Word 12
AVL0213 [C123695]AVLT-REY - List A Word 13
AVL0214 [C123696]AVLT-REY - List A Word 14
AVL0215 [C123697]AVLT-REY - List A Word 15
AVL0216 [C123698]AVLT-REY - List A Total
AVL0217 [C123699]AVLT-REY - List A Intrusions
AVL0218 [C123700]AVLT-REY - List B Word 1
AVL0219 [C123701]AVLT-REY - List B Word 2
AVL0220 [C123702]AVLT-REY - List B Word 3
AVL0221 [C123703]AVLT-REY - List B Word 4
AVL0222 [C123704]AVLT-REY - List B Word 5
AVL0223 [C123705]AVLT-REY - List B Word 6
AVL0224 [C123706]AVLT-REY - List B Word 7
AVL0225 [C123707]AVLT-REY - List B Word 8
AVL0226 [C123708]AVLT-REY - List B Word 9
AVL0227 [C123709]AVLT-REY - List B Word 10
AVL0228 [C123710]AVLT-REY - List B Word 11
AVL0229 [C123711]AVLT-REY - List B Word 12
AVL0230 [C123712]AVLT-REY - List B Word 13
AVL0231 [C123713]AVLT-REY - List B Word 14
AVL0232 [C123714]AVLT-REY - List B Word 15
AVL0233 [C123715]AVLT-REY - List B Total
AVL0234 [C123716]AVLT-REY - List B Intrusions
Rey Auditory Verbal Learning Test Functional Test Response[Non Standard]
Permitted Value (Code)Display Value (Decode)
RECALLEDRecalled
NOT RECALLEDNot Recalled
Rey Auditory Verbal Learning Test Functional Test Name [C123654][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)
AVL02- List B Total [C123715]
AVL02-List A Intrusions [C123699]
AVL02-List A Total [C123698]
AVL02-List A Word 1 [C123683]
AVL02-List A Word 10 [C123692]
AVL02-List A Word 11 [C123693]
AVL02-List A Word 12 [C123694]
AVL02-List A Word 13 [C123695]
AVL02-List A Word 14 [C123696]
AVL02-List A Word 15 [C123697]
AVL02-List A Word 2 [C123684]
AVL02-List A Word 3 [C123685]
AVL02-List A Word 4 [C123686]
AVL02-List A Word 5 [C123687]
AVL02-List A Word 6 [C123688]
AVL02-List A Word 7 [C123689]
AVL02-List A Word 8 [C123690]
AVL02-List A Word 9 [C123691]
AVL02-List B Intrusions [C123716]
AVL02-List B Word 1 [C123700]
AVL02-List B Word 10 [C123709]
AVL02-List B Word 11 [C123710]
AVL02-List B Word 12 [C123711]
AVL02-List B Word 13 [C123712]
AVL02-List B Word 14 [C123713]
AVL02-List B Word 15 [C123714]
AVL02-List B Word 2 [C123701]
AVL02-List B Word 3 [C123702]
AVL02-List B Word 4 [C123703]
AVL02-List B Word 5 [C123704]
AVL02-List B Word 6 [C123705]
AVL02-List B Word 7 [C123706]
AVL02-List B Word 8 [C123707]
AVL02-List B Word 9 [C123708]
Death Details Tests [C116107][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)
Primary Cause of Death [C99531]
Death Details Test Codes [C116108][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
PRCDTH [C99531]Primary Cause of Death
Device Identifier Element Name [C106480][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)
Device Type [C53265]
Serial Number [C73518]
Device Identifier Element Short Name [C106481][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
DEVTYPE [C53265]Device Type
SERIAL [C73518]Serial Number
SDTM Domain Abbreviation, subset used for Adverse Events [C66734][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
AE [C49562]Adverse Events
SDTM Domain Abbreviation, subset used for Concomitant Meds [C66734][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
CM [C49568]Concomitant/Prior Medications
SDTM Domain Abbreviation, subset used for Death Diagnosis [C66734][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
DD [C95087]Death Details
SDTM Domain Abbreviation, subset used for Device Identifiers [C66734][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
DI [C102618]Device Identifiers
SDTM Domain Abbreviation, subset used for Demographics [C66734][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
DM [C49572]Demographics
SDTM Domain Abbreviation, subset used for Disposition [C66734][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
DS [C49576]Disposition
SDTM Domain Abbreviation, subset used for Exposure as Collected [C66734][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
EC [C117466]Exposure as Collected
SDTM Domain Abbreviation, subset used for Exposure [C66734][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
EX [C49587]Exposure
SDTM Domain Abbreviation, subset used for Findings About Events or Interventions [C66734][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
FA [C85442]Findings About Events or Interventions
SDTM Domain Abbreviation, subset used for Functional Tests [C66734][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
FT [C117756]Functional Tests
SDTM Domain Abbreviation, subset used for Inclusion/Exclusion [C66734][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
IE [C61536]Inclusion/Exclusion Criteria Not Met
SDTM Domain Abbreviation, subset used for Laboratory Data [C66734][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
LB [C49592]Laboratory Test Results
SDTM Domain Abbreviation, subset used for Medical History [C66734][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
MH [C49603]Medical History
SDTM Domain Abbreviation, subset used for Nervous System Findings [C66734][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
NV [C49592]Nervous Sysytem Findings
SDTM Domain Abbreviation, subset used for Ophthalmic Examinations [C66734][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
OE [C147180]Ophthalmic Examinations
SDTM Domain Abbreviation, subset used for Questionnaires [C66734][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
QS [C49609]Questionnaires
SDTM Domain Abbreviation, subset used for Disease Response and Clin Classification [C66734][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
RS [C107097]Disease Response and Clin Classification
SDTM Domain Abbreviation, subset used for Subject Element [C66734][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
SE [C49616]Subject Elements
SDTM Domain Abbreviation, subset used for Subject Visits [C66734][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
SV [C49617]Subject Visits
SDTM Domain Abbreviation, subset used for Trial Arms [C66734][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
TA [C49618]Trial Arms
SDTM Domain Abbreviation, subset used for Trial Elements [C66734][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
TE [C49619]Trial Elements
SDTM Domain Abbreviation, subset used for Trial Inclusion/Exclusion Criteria [C66734][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
TI [C49620]Trial Inclusion
SDTM Domain Abbreviation, subset used for Trial Summary [C66734][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
TS [C53483]Trial Summary
SDTM Domain Abbreviation, subset used for Trial Visits [C66734][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
TV [C49621]Trial Visits
SDTM Domain Abbreviation, subset used for Vital Signs [C66734][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
VS [C49622]Vital Signs
Category for Disposition Event [C74558][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
DISPOSITION EVENT [C74590]Disposition Event
PROTOCOL MILESTONE [C74588]Protocol Milestone
Subcategory for Disposition Event[Non Standard]
Permitted Value (Code)Display Value (Decode)
STUDY TREATMENTStudy Treatment
STUDY PARTICIPATIONStudy Participation
Element[Non Standard]
Permitted Value (Code)
Screening
Placebo
Zanomaline 54 mg
Zanomaline 54 mg Titration
Zanomaline 81 mg
Relation to Reference Period, subset used for AE and CM. [C66728][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
ONGOING [C53279]Ongoing
Epoch [C99079][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
SCREENING [C48262]Screening
TREATMENT [C101526]Treatment
Element Code[Non Standard]
Permitted Value (Code)Display Value (Decode)
HIGHZanomaline 81 mg
LOWZanomaline 54 mg
PLACEBOPlacebo
SCREENScreening
TITRATEZanomaline 54 mg Titration
Ethnic Group Hispanic [C66790][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
HISPANIC OR LATINO [C17459]Hispanic or Latino
NOT HISPANIC OR LATINO [C17459]Not Hispanic or Latino
Study Treatment[Non Standard]
Permitted Value (Code)Display Value (Decode)
PLACEBOPlacebo
ZANOMALINEZanomaline
FA Category[Non Standard]
Permitted Value (Code)Display Value (Decode)
INJECTION SITE REACTIONInjection Site Reaction
FA Object[Non Standard]
Permitted Value (Code)Display Value (Decode)
ERYTHEMAErythema
PAINPain
INDURATIONInduration
PRURITUSPruritus
EDEMAEdema
Occurrence [C66742][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
N [C49487]No
Y [C49488]Yes
Severity [C66769][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
MILD [C41338]Mild
MODERATE [C41339]Moderate
SEVERE [C41340]Severe
Findings About Adverse Events Test Name[Non Standard]
Permitted Value (Code)
Occurrence Indicator
Severity/Intensity
Findings About Adverse Events Test Code[Non Standard]
Permitted Value (Code)Display Value (Decode)
OCCUROccurrence Indicator
SEVSeverity/Intensity
Frequency, subset used for CM [C71113][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
QD [C25473]Daily
PRN [C64499]As Needed
BID [C64496]Twice Daily
Q4H [C64518]Every Four Hours
QID [C64530]Four Times Daily
Q6H [C64520]Every Six Hours
Frequency, subset used for EC and EX [C71113][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
QD [C25473]Daily
Dose Form, subset used for EC and EX [C66726][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
INJECTION [C42946]Injectable Dosage Form
Category of Functional Test, subset used for FTCAT [C115304][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
AVLT-REY [C123668]Rey Auditory Verbal Learning Functional Test
Hamilton Depression Rating Scale - 17 Item - Question 1[Non Standard]
Permitted Value (Code)
Absent.
These feeling states indicated only on questioning.
These feeling states spontaneously reported verbally.
Communicates feeling states non-verbally, i.e. through facial expression, posture, voice and tendency to weep.
Patient reports virtually only these feeling states in his/her spontaneous verbal and non-verbal communication.
Hamilton Depression Rating Scale - 17 Item - Question 1 Standardized[Non Standard]
Permitted Value (Code)Display Value (Decode)
0Absent.
1These feeling states indicated only on questioning.
2These feeling states spontaneously reported verbally.
3Communicates feeling states non-verbally, i.e. through facial expression, posture, voice and tendency to weep.
4Patient reports virtually only these feeling states in his/her spontaneous verbal and non-verbal communication.
Hamilton Depression Rating Scale - 17 Item - Question 2[Non Standard]
Permitted Value (Code)
Absent.
Self reproach, feels he/she has let people down.
Ideas of guilt or rumination over past errors or sinful deeds.
Present illness is a punishment. Delusions of guilt.
Hears accusatory or denunciatory voices and/or experiences threatening visual hallucinations.
Hamilton Depression Rating Scale - 17 Item - Question 2 Standardized[Non Standard]
Permitted Value (Code)Display Value (Decode)
0Absent.
1Self reproach, feels he/she has let people down.
2Ideas of guilt or rumination over past errors or sinful deeds.
3Present illness is a punishment. Delusions of guilt.
4Hears accusatory or denunciatory voices and/or experiences threatening visual hallucinations.
Hamilton Depression Rating Scale - 17 Item - Question 3[Non Standard]
Permitted Value (Code)
Absent.
Feels life is not worth living.
Wishes he/she were dead or any thoughts of possible death to self.
Ideas or gestures of suicide.
Attempts at suicide (any serious attempt rate 4).
Hamilton Depression Rating Scale - 17 Item - Question 3 Standardized[Non Standard]
Permitted Value (Code)Display Value (Decode)
0Absent.
1Feels life is not worth living.
2Wishes he/she were dead or any thoughts of possible death to self.
3Ideas or gestures of suicide.
4Attempts at suicide (any serious attempt rate 4).
Hamilton Depression Rating Scale - 17 Item - Question 4[Non Standard]
Permitted Value (Code)
No difficulty falling asleep.
Complains of occasional difficulty falling asleep, i.e. more than 1/2 hour
Complains of nightly difficulty falling asleep.
Hamilton Depression Rating Scale - 17 Item - Question 4 Standardized[Non Standard]
Permitted Value (Code)Display Value (Decode)
0No difficulty falling asleep.
1Complains of occasional difficulty falling asleep, i.e. more than 1/2 hour
2Complains of nightly difficulty falling asleep.
Hamilton Depression Rating Scale - 17 Item - Question 5[Non Standard]
Permitted Value (Code)
No difficulty.
Patient complains of being restless and disturbed during the night.
Waking during the night - any getting out of bed rates 2 (except for purposes of voiding).
Hamilton Depression Rating Scale - 17 Item - Question 5 Standardized[Non Standard]
Permitted Value (Code)Display Value (Decode)
0No difficulty.
1Patient complains of being restless and disturbed during the night.
2Waking during the night - any getting out of bed rates 2 (except for purposes of voiding).
Hamilton Depression Rating Scale - 17 Item - Question 6[Non Standard]
Permitted Value (Code)
No difficulty.
Waking in early hours of the morning but goes back to sleep.
Unable to fall asleep again if he/she gets out of bed.
Hamilton Depression Rating Scale - 17 Item - Question 6 Standardized[Non Standard]
Permitted Value (Code)Display Value (Decode)
0No difficulty.
1Waking in early hours of the morning but goes back to sleep.
2Unable to fall asleep again if he/she gets out of bed.
Hamilton Depression Rating Scale - 17 Item - Question 7[Non Standard]
Permitted Value (Code)
No difficulty.
Thoughts and feelings of incapacity, fatigue or weakness related to activities, work or hobbies.
Loss of interest in activity, hobbies or work - either directly reported by the patient or indirect in listlessness, indecision and vacillation (feels he/she has to push self to work or activities).
Decrease in actual time spent in activities or decrease in productivity. Rate 3 if the patient does not spend at least three hours a day in activities (job or hobbies) excluding routine chores.
Stopped working because of present illness. Rate 4 if patient engages in no activities except routine chores, or if patient fails to perform routine chores unassisted.
Hamilton Depression Rating Scale - 17 Item - Question 7 Standardized[Non Standard]
Permitted Value (Code)Display Value (Decode)
0No difficulty.
1Thoughts and feelings of incapacity, fatigue or weakness related to activities, work or hobbies.
2Loss of interest in activity, hobbies or work - either directly reported by the patient or indirect in listlessness, indecision and vacillation (feels he/she has to push self to work or activities).
3Decrease in actual time spent in activities or decrease in productivity. Rate 3 if the patient does not spend at least three hours a day in activities (job or hobbies) excluding routine chores.
4Stopped working because of present illness. Rate 4 if patient engages in no activities except routine chores, or if patient fails to perform routine chores unassisted.
Hamilton Depression Rating Scale - 17 Item - Question 8[Non Standard]
Permitted Value (Code)
Normal speech and thought.
Slight retardation during the interview.
Obvious retardation during the interview.
Interview difficult.
Complete stupor.
Hamilton Depression Rating Scale - 17 Item - Question 8 Standardized[Non Standard]
Permitted Value (Code)Display Value (Decode)
0Normal speech and thought.
1Slight retardation during the interview.
2Obvious retardation during the interview.
3Interview difficult.
4Complete stupor.
Hamilton Depression Rating Scale - 17 Item - Question 9[Non Standard]
Permitted Value (Code)
None.
Fidgetiness.
Playing with hands, hair, etc.
Moving about, cannot sit still.
Hand wringing, nail biting, hair-pulling, biting of lips.
Hamilton Depression Rating Scale - 17 Item - Question 9 Standardized[Non Standard]
Permitted Value (Code)Display Value (Decode)
0None.
1Fidgetiness.
2Playing with hands, hair, etc.
3Moving about, cannot sit still.
4Hand wringing, nail biting, hair-pulling, biting of lips.
Hamilton Depression Rating Scale - 17 Item - Question 10[Non Standard]
Permitted Value (Code)
No difficulty.
Subjective tension and irritability.
Worrying about minor matters.
Apprehensive attitude apparent in face or speech.
Fears expressed without questioning.
Hamilton Depression Rating Scale - 17 Item - Question 10 Standardized[Non Standard]
Permitted Value (Code)Display Value (Decode)
0No difficulty.
1Subjective tension and irritability.
2Worrying about minor matters.
3Apprehensive attitude apparent in face or speech.
4Fears expressed without questioning.
Hamilton Depression Rating Scale - 17 Item - Question 11[Non Standard]
Permitted Value (Code)
Absent.
Mild.
Moderate.
Severe.
Incapacitating.
Hamilton Depression Rating Scale - 17 Item - Question 11 Standardized[Non Standard]
Permitted Value (Code)Display Value (Decode)
0Absent.
1Mild.
2Moderate.
3Severe.
4Incapacitating.
Hamilton Depression Rating Scale - 17 Item - Question 12[Non Standard]
Permitted Value (Code)
None.
Loss of appetite but eating without staff encouragement. Heavy feelings in abdomen.
Difficulty eating without staff urging. Requests or requires laxatives or medication for bowels or medication for gastro-intestinal symptoms.
Hamilton Depression Rating Scale - 17 Item - Question 12 Standardized[Non Standard]
Permitted Value (Code)Display Value (Decode)
0None.
1Loss of appetite but eating without staff encouragement. Heavy feelings in abdomen.
2Difficulty eating without staff urging. Requests or requires laxatives or medication for bowels or medication for gastro-intestinal symptoms.
Hamilton Depression Rating Scale - 17 Item - Question 13[Non Standard]
Permitted Value (Code)
None.
Heaviness in limbs, back or head. Backaches, headaches, muscle aches. Loss of energy and fatigability.
Any clear-cut symptom rates 2.
Hamilton Depression Rating Scale - 17 Item - Question 13 Standardized[Non Standard]
Permitted Value (Code)Display Value (Decode)
0None.
1Heaviness in limbs, back or head. Backaches, headaches, muscle aches. Loss of energy and fatigability.
2Any clear-cut symptom rates 2.
Hamilton Depression Rating Scale - 17 Item - Question 14[Non Standard]
Permitted Value (Code)
Absent.
Mild.
Severe.
Hamilton Depression Rating Scale - 17 Item - Question 14 Standardized[Non Standard]
Permitted Value (Code)Display Value (Decode)
0Absent.
1Mild.
2Severe.
Hamilton Depression Rating Scale - 17 Item - Question 15[Non Standard]
Permitted Value (Code)
Not present.
Self-absorption (bodily).
Preoccupation with health.
Frequent complaints, requests for help, etc.
Hypochondriacal delusions.
Hamilton Depression Rating Scale - 17 Item - Question 15 Standardized[Non Standard]
Permitted Value (Code)Display Value (Decode)
0Not present.
1Self-absorption (bodily).
2Preoccupation with health.
3Frequent complaints, requests for help, etc.
4Hypochondriacal delusions.
Hamilton Depression Rating Scale - 17 Item - Question 16A[Non Standard]
Permitted Value (Code)
No weight loss.
Probable weight loss associated with present illness.
Definite (according to patient) weight loss.
Not assessed.
Hamilton Depression Rating Scale - 17 Item - Question 16A Standardized[Non Standard]
Permitted Value (Code)Display Value (Decode)
0No weight loss.
1Probable weight loss associated with present illness.
2Definite (according to patient) weight loss.
3Not assessed.
Hamilton Depression Rating Scale - 17 Item - Question 16B[Non Standard]
Permitted Value (Code)
Less than 1 lb weight loss in week.
Greater than 1 lb weight loss within week.
Greater than 2 lb weight loss in week.
Not assessed.
Hamilton Depression Rating Scale - 17 Item - Question 16B Standardized[Non Standard]
Permitted Value (Code)Display Value (Decode)
0Less than 1 lb weight loss in week.
1Greater than 1 lb weight loss within week.
2Greater than 2 lb weight loss in week.
3Not assessed.
Hamilton Depression Rating Scale - 17 Item - Question 17[Non Standard]
Permitted Value (Code)
Acknowledges being depressed and ill.
Acknowledges illness but attributes cause to bad food, climate, overwork, virus, need for rest, etc.
Denies being ill at all.
Hamilton Depression Rating Scale - 17 Item - Question 17 Standardized[Non Standard]
Permitted Value (Code)Display Value (Decode)
0Acknowledges being depressed and ill.
1Acknowledges illness but attributes cause to bad food, climate, overwork, virus, need for rest, etc.
2Denies being ill at all.
Hamilton Depression Rating Scale - 17 Item Clinical Classification Test Code [C100138][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
HAMD101 [C100398]HAMD1-Depressed Mood
HAMD102 [C100399]HAMD1-Feelings of Guilt
HAMD103 [C100400]HAMD1-Suicide
HAMD104 [C100401]HAMD1-Insomnia Early - Early Night
HAMD105 [C100402]HAMD1-Insomnia Middle - Middle Night
HAMD106 [C100403]HAMD1-Insomnia Early Hours - Morning
HAMD107 [C100404]HAMD1-Work and Activities
HAMD108 [C100405]HAMD1-Retardation
HAMD109 [C100406]HAMD1-Agitation
HAMD110 [C100407]HAMD1-Anxiety Psychic
HAMD111 [C100408]HAMD1-Anxiety Somatic
HAMD112 [C100409]HAMD1-Somatic Symptoms GI
HAMD113 [C100410]HAMD1-General Somatic Symptoms
HAMD114 [C100411]HAMD1-Genital Symptoms
HAMD115 [C100412]HAMD1-Hypochondriasis
HAMD116A [C100413]HAMD1-Loss of WT According to Patient
HAMD116B [C100414]HAMD1-Loss of WT According to WK Meas
HAMD117 [C100415]HAMD1-Insight
HAMD118 [C100416]HAMD1-Total Score
Hamilton Depression Rating Scale - 17 Item Clinical Classification Test Name [C100137][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)
HAMD1-Depressed Mood [C100398]
HAMD1-Feelings of Guilt [C100399]
HAMD1-Suicide [C100400]
HAMD1-Insomnia Early - Early Night [C100401]
HAMD1-Insomnia Middle - Middle Night [C100402]
HAMD1-Insomnia Early Hours - Morning [C100403]
HAMD1-Work and Activities [C100404]
HAMD1-Retardation [C100405]
HAMD1-Agitation [C100406]
HAMD1-Anxiety Psychic [C100407]
HAMD1-Anxiety Somatic [C100408]
HAMD1-Somatic Symptoms GI [C100409]
HAMD1-General Somatic Symptoms [C100410]
HAMD1-Genital Symptoms [C100411]
HAMD1-Hypochondriasis [C100412]
HAMD1-Loss of WT According to Patient [C100413]
HAMD1-Loss of WT According to WK Meas [C100414]
HAMD1-Insight [C100415]
HAMD1-Total Score [C100416]
Category for Inclusion/Exclusion [C66797][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
EXCLUSION [C25370]Exclusion
INCLUSION [C25532]Inclusion
Inclusion/Exclusion Criterion[Non Standard]
Permitted Value (Code)
Males and postmenopausal females at least 50 years of age.
Diagnosis of probable AD as defined by NINCDS and the ADRDA guidelines.
MMSE score of 10 to 23.
Modified Hachinski Ischemic Scale score of <= 4.
CNS imaging (CT scan or MRI of brain) compatible with AD within past 1 year. (See Protocol for incompatible findings.)
Investigator has obtained informed consent signed by the patient (and/or legal representative) and by the caregiver.
Geographic proximity to investigator's site that allows adequate follow-up.
Caregiver will monitor administration of prescribed medications, and will be responsible for the overall care of the patient at home.
Persons who have previously completed or withdrawn from this study or any other investigating xanomeline TTS or the oral formulation of Zanomaline.
Use of any investigational agent or approved Alzheimer's therapeutic medication within 30 days prior to enrollment into the study.
Serious illness which required hospitalization within 3 months of screening.
Diagnosis of serious neurological conditions (See Protocol)
Diagnosis of serious neurological conditions (See Amendment 1)
Episode of depression meeting DSM-IV criteria within 3 months of screening.
A history within the last 5 years of the following: a) Schizophrenia b) Bipolar Disease c) Ethanol or psychoactive drug abuse or dependence.
A history of syncope within the last 5 years.
Evidence from ECG recording at screening of any of the following conditions: a) Left bundle branch block b) Bradycardia <50 beats per minute c) Sinus pauses >2 seconds (See Protocol for Remainder)
A history within the last 5 years of a serious cardiovascular disorder, including a) Clinically significant arrhythmia (See Protocol for Remainder)
A history within the last 5 years of a serious gastrointestinal disorder, including a) Chronic peptic/duodenal/gastric/esophageal ulcer that are untreated or refractory to treatment(See Protocol)
A history within the last 5 years of a serious endocrine disorder, including a) Uncontrolled Insulin Dependent Diabetes Mellitus (IDDM) (See Protocol for other excluded disorders)
A history within the last 5 years of a serious respiratory disorder, including a) Asthma with bronchospasm refractory to treatment b) Decompensated chronic obstructive pulmonary disease.
A history within the last 5 years of a serious genitourinary disorder, including a) Renal failure b) Uncontrolled urinary retention
A history within the last 5 years of a serious rheumatologic disorder, including a) Lupus b) Temporal arteritis c) Severe rheumatoid arthritis
A known history of human immunodeficiency virus (HIV) within the last 5 years.
A history within the last 5 years of a serious infectious disease including a) Neurosyphilis b) Meningitis c) Encephalitis
A history within the last 5 years of a primary or recurrent malignant disease (See Exceptions in Protocol).
Visual, hearing, or communication disabilities impairing the ability to participate in the study; (for example, inability to speak or understand English, illiteracy).
Laboratory test values exceeding the Reference Range III for the patient's age in any of the following analytes: creatinine, total bilirubin, SGOT, SGPT, (See Protocol for Additional Analytes)
Central laboratory test values below reference range for folate, and vitamin B12, and outside reference range for thyroid function tests.
Positive syphilis screening with confirmatory testing.
Central laboratory test value above reference range for glycosylated hemoglobin (A1C) (insulin dependent diabetes mellitus patients only).
Treatment with medications within 1 month prior to enrollment (See Protocol)
Treatment with medications within 1 month prior to enrollment a) Anticonvulsants b) Alpha receptor blockers c) Calcium channel blockers that are CNS active (See Amendment 1)
Incl/Excl Criterion Short Name[Non Standard]
Permitted Value (Code)Display Value (Decode)
INCL01Males and postmenopausal females at least 50 years of age.
INCL02Diagnosis of probable AD as defined by NINCDS and the ADRDA guidelines.
INCL03MMSE score of 10 to 23.
INCL04Modified Hachinski Ischemic Scale score of <= 4.
INCL05CNS imaging (CT scan or MRI of brain) compatible with AD within past 1 year. (See Protocol for incompatible findings.)
INCL06Investigator has obtained informed consent signed by the patient (and/or legal representative) and by the caregiver.
INCL07Geographic proximity to investigator's site that allows adequate follow-up.
INCL08Caregiver will monitor administration of prescribed medications, and will be responsible for the overall care of the patient at home.
EXCL09Persons who have previously completed or withdrawn from this study or any other investigating xanomeline TTS or the oral formulation of Zanomaline.
EXCL10Use of any investigational agent or approved Alzheimer's therapeutic medication within 30 days prior to enrollment into the study.
EXCL11Serious illness which required hospitalization within 3 months of screening.
EXCL12Diagnosis of serious neurological conditions
EXCL13Episode of depression meeting DSM-IV criteria within 3 months of screening.
EXCL14A history within the last 5 years of the following: a) Schizophrenia b) Bipolar Disease c) Ethanol or psychoactive drug abuse or dependence.
EXCL15A history of syncope within the last 5 years.
EXCL16Evidence from ECG recording at screening of any of the following conditions: a) Left bundle branch block b) Bradycardia <50 beats per minute c) Sinus pauses >2 seconds (See Protocol for Remainder)
EXCL17A history within the last 5 years of a serious cardiovascular disorder, including a) Clinically significant arrhythmia (See Protocol for Remainder)
EXCL18A history within the last 5 years of a serious gastrointestinal disorder, including a) Chronic peptic/duodenal/gastric/esophageal ulcer that are untreated or refractory to treatment(See Protocol)
EXCL19A history within the last 5 years of a serious endocrine disorder, including a) Uncontrolled Insulin Dependent Diabetes Mellitus (IDDM) (See Protocol for other excluded disorders)
EXCL20A history within the last 5 years of a serious respiratory disorder, including a) Asthma with bronchospasm refractory to treatment b) Decompensated chronic obstructive pulmonary disease.
EXCL21A history within the last 5 years of a serious genitourinary disorder, including a) Renal failure b) Uncontrolled urinary retention
EXCL22A history within the last 5 years of a serious rheumatologic disorder, including a) Lupus b) Temporal arteritis c) Severe rheumatoid arthritis
EXCL23A known history of human immunodeficiency virus (HIV) within the last 5 years.
EXCL24A history within the last 5 years of a serious infectious disease including a) Neurosyphilis b) Meningitis c) Encephalitis
EXCL25A history within the last 5 years of a primary or recurrent malignant disease (See Exceptions in Protocol).
EXCL26Visual, hearing, or communication disabilities impairing the ability to participate in the study; (for example, inability to speak or understand English, illiteracy).
EXCL27Laboratory test values exceeding the Reference Range III for the patient's age in any of the following analytes: creatinine, total bilirubin, SGOT, SGPT, (See Protocol for Additional Analytes)
EXCL28Central laboratory test values below reference range for folate, and vitamin B12, and outside reference range for thyroid function tests.
EXCL29Positive syphilis screening with confirmatory testing.
EXCL30Central laboratory test value above reference range for glycosylated hemoglobin (A1C) (insulin dependent diabetes mellitus patients only).
EXCL31Treatment with medications within 1 month prior to enrollment a) Anticonvulsants b) Alpha receptor blockers c) Calcium channel blockers that are CNS active
EXCL12ADiagnosis of serious neurological conditions (Amend 1)
EXCL31ATreatment with medications within 1 month prior to enrollment a) Anticonvulsants b) Alpha receptor blockers c) Calcium channel blockers that are CNS active (Amend 1)
Intervention Model Response [C99076][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
PARALLEL [C82639]Parallel
Intervention Type Response [C99078][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
DRUG [C1909]Drug
Laterality, subset to be used in OE [C99073][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
LEFT [C25229]Left
RIGHT [C25228]Right
Laboratory Test Category[Non Standard]
Permitted Value (Code)Display Value (Decode)
CHEMISTRYChemistry
HEMATOLOGYHematology
URINALYSISUrinalysis
OTHEROther
Laboratory Test Name [C67154][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)
Albumin [C64431]
Alkaline Phosphatase [C64432]
Alanine Aminotransferase [C64433]
Anisocytes; Anisocytosis [C74797]
Aspartate Aminotransferase [C64467]
Basophils [C64470]
Bilirubin [C38037]
Calcium [C64488]
Cholesterol [C105586]
Creatine Kinase [C64489]
Chloride [C64495]
Color [C64546]
Creatinine [C64547]
Eosinophils [C64550]
Gamma Glutamyl Transferase [C64847]
Glucose [C105585]
Hematocrit [C64796]
Hemoglobin [C64848]
Potassium [C64853]
Ketones [C64854]
Lymphocytes [C51949]
Macrocytes [C64821]
Ery. Mean Corpuscular Hemoglobin [C64797]
Ery. Mean Corpuscular HGB Concentration [C64798]
Ery. Mean Corpuscular Volume [C64799]
Monocytes [C64823]
pH [C45997]
Phosphate [C64857]
Platelets [C51951]
Poikilocytes [C79602]
Protein [C64858]
Erythrocytes [C51946]
Sodium [C64809]
Specific Gravity [C64832]
Thyrotropin [C64813]
Urate [C64814]
Urea Nitrogen [C125949]
Urobilinogen [C64816]
Vitamin B12 [C64817]
Leukocytes [C51948]
Laboratory Test Code [C65047][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
ALB [C64431]Albumin Measurement
ALP [C64432]Alkaline Phosphatase Measurement
ALT [C64433]Alanine Aminotransferase Measurement
ANISO [C74797]Anisocyte Measurement
AST [C64467]Aspartate Aminotransferase Measurement
BASO [C64470]Total Basophil Count
BILI [C38037]Total Bilirubin Measurement
CA [C64488]Calcium Measurement
CHOL [C105586]Cholesterol Measurement
CK [C64489]Creatine Kinase Measurement
CL [C64495]Chloride Measurement
COLOR [C64546]Color Assessment
CREAT [C64547]Creatinine Measurement
EOS [C64550]Eosinophil Count
GGT [C64847]Gamma Glutamyl Transpeptidase Measurement
GLUC [C105585]Glucose Measurement
HCT [C64796]Hematocrit Measurement
HGB [C64848]Hemoglobin Measurement
K [C64853]Potassium Measurement
KETONES [C64854]Ketone Measurement
LYM [C51949]Lymphocyte Count
MACROCY [C64821]Macrocyte Count
MCH [C64797]Erythrocyte Mean Corpuscular Hemoglobin
MCHC [C64798]Erythrocyte Mean Corpuscular Hemoglobin Concentration
MCV [C64799]Erythrocyte Mean Corpuscular Volume
MONO [C64823]Monocyte Count
PH [C45997]pH
PHOS [C64857]Phosphate Measurement
PLAT [C51951]Platelet Count
POIKILO [C79602]Poikilocyte Measurement
PROT [C64858]Total Protein Measurement
RBC [C51946]Erythrocyte Count
SODIUM [C64809]Sodium Measurement
SPGRAV [C64832]Specific Gravity
TSH [C64813]Thyrotropin Measurement
URATE [C64814]Urate Measurement
UREAN [C125949]Urea Nitrogen Measurement
UROBIL [C64816]Urobilinogen Measurement
VITB12 [C64817]Vitamin B12 Measurement
WBC [C51948]Leukocyte Count
Location [C74456][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)
ARM [C32141]
Anatomical Location, subset used for OELOC [C74456][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
CONJUNCTIVA [C12341]Conjunctiva
EYE [C12401]Eye
EYE, ANTERIOR CHAMBER [C12667]Anterior Chamber of the Eye
IRIS [C12737]Iris
CORNEA [C12342]Cornea
Anatomical Location [C74456][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
EAR [C12394]Ear
ORAL CAVITY [C12421]Oral Cavity
Medical History Event Date Type, subset used for MHEVDTP [C124301][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
SYMPTOM ONSET [C124353]Symptom Onset
Medical History Term[Non Standard]
Permitted Value (Code)Display Value (Decode)
ALZHEIMER'S DISEASEAlzheimer's Disease
Completion/Reason for Non-Completion [C66727][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
ADVERSE EVENT [C41331]Adverse Event
COMPLETED [C25250]Completed
DEATH [C28554]Death
LACK OF EFFICACY [C48226]Lack of Efficacy
LOST TO FOLLOW-UP [C48227]Lost to Follow-Up
OTHER [C17649]Other
PHYSICIAN DECISION [C48250]Physician Decision
PREGNANCY [C25742]Pregnancy
PROTOCOL DEVIATION [C48251]Protocol Deviation
SCREEN FAILURE [C49628]Screen Failure
STUDY TERMINATED BY SPONSOR [C49632]Study Terminated By Sponsor
WITHDRAWAL BY PARENT/GUARDIAN [C102355]Withdrawal By Parent/Guardian
WITHDRAWAL BY SUBJECT [C49634]Withdrawal By Subject
Not Done [C66789][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
NOT DONE [C49484]Not Done
Normal Abnormal Response, subset used in OE and NV. [C101834][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
ABNORMAL [C25401]Abnormal
NORMAL [C14165]Normal
Normal Range Indicator [C78736][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
ABNORMAL [C78802]Abnormal
HIGH [C78800]High
LOW [C78801]Low
NORMAL [C78727]Normal
Nervous System Test [C116103][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)
Interpretation [*]

* Extended Value

Nervous System Test Code [C116104][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
INTP [*]Interpretation

* Extended Value

No Yes Response, subset for variables with only "Y" or "N" val [C66742][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
N [C49487]No
Y [C49488]Yes
No Yes Response, subset for variables with only "Y" or null values [C66742][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
Y [C49488]Yes
Ophthalmic Focus of Study Specific Interest [C119013][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
OD [C119333]Right Eye
OS [C119334]Left Eye
Method, subset used for OEMETHOD [C85492][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
SLIT LAMP [C75583]Slit-lamp Examination
Ophthalmic Exam Test [C117742][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)
Abnormality Detail [*]
Interpretation [C41255]

* Extended Value

Ophthalmic Exam Test Code [C117743][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
ABDETAIL [*]Abnormality Detail
INTP [C41255]Interpretation

* Extended Value

Outcome of Event [C66768][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
FATAL [C48275]Fatal
NOT RECOVERED/NOT RESOLVED [C49494]Not Recovered/Not Resolved
RECOVERED/RESOLVED [C49498]Recovered/Resolved
RECOVERED/RESOLVED WITH SEQUELAE [C49495]Recovered/Resolved With Sequelae
RECOVERING/RESOLVING [C49496]Recovering/Resolving
UNKNOWN [C17998]Unknown
Patient Health Questionnaire - 9 Item Questionnaire Test Code [C103481][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
PHQ0101 [C103705]PHQ01-Little Interest/Pleasure in Things
PHQ0102 [C103706]PHQ01-Feeling Down Depressed or Hopeless
PHQ0103 [C103707]PHQ01-Trouble Falling or Staying Asleep
PHQ0104 [C103708]PHQ01-Feeling Tired or Little Energy
PHQ0105 [C103709]PHQ01-Poor Appetite or Overeating
PHQ0106 [C103710]PHQ01-Feeling Bad About Yourself
PHQ0107 [C103711]PHQ01-Trouble Concentrating on Things
PHQ0108 [C103712]PHQ01-Moving Slowly or Fidgety/Restless
PHQ0109 [C103713]PHQ01-Thoughts You Be Better Off Dead
PHQ0110 [C103714]PHQ01-Difficult to Work/Take Care Things
PHQ0111 [C113887]PHQ01-Total Score
Patient Health Questionnaire Responses[Non Standard]
Permitted Value (Code)
Not at all
Several days
More than half the days
Nearly every day
Patient Health Questionnaire Responses-Question 10[Non Standard]
Permitted Value (Code)
Not difficult at all
Somewhat difficult
Very difficult
Extremely Difficult
Patient Health Questionnaire Responses Standardized[Non Standard]
Permitted Value (Code)Display Value (Decode)
0Not at all
1Several days
2More than half the days
3Nearly every day
Patient Health Questionnaire - 9 Item Questionnaire Test Name [C103480][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)
PHQ01-Difficult to Work/Take Care Things [C103714]
PHQ01-Feeling Bad About Yourself [C103710]
PHQ01-Feeling Down Depressed or Hopeless [C103706]
PHQ01-Feeling Tired or Little Energy [C103708]
PHQ01-Little Interest/Pleasure in Things [C103705]
PHQ01-Moving Slowly or Fidgety/Restless [C103712]
PHQ01-Poor Appetite or Overeating [C103709]
PHQ01-Thoughts You Be Better Off Dead [C103713]
PHQ01-Total Score [C113887]
PHQ01-Trouble Concentrating on Things [C103711]
PHQ01-Trouble Falling or Staying Asleep [C103707]
Position, subset to be used for VSPOS [C71148][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
STANDING [C62166]Standing
SUPINE [C62167]Supine
Protocol Milestone [C114118][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
INFORMED CONSENT OBTAINED [C16735]Informed Consent
Category of Questionnaire for PHQ-9 [C100129][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
PHQ-9 [C103526]Patient Health Questionnaire - 9 Item
Category of Questionnaire for SWLS [C100129][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
SWLS [C115799]Satisfaction With Life Scale Questionnaire
Race [C74457][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
AMERICAN INDIAN OR ALASKA NATIVE [C41259]American Indian Or Alaska Native
ASIAN [C41260]Asian
BLACK OR AFRICAN AMERICAN [C16352]Black Or African American
NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER [C41219]Native Hawaiian Or Other Pacific Islander
WHITE [C41261]White
Race Multiple Selections[Non Standard]
Permitted Value (Code)Display Value (Decode)
MULTIPLEMultiple
SDTM Domain Abbreviation, subset used for RELREC [C66734][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
AE [C49562]Adverse Events
DS [C49576]Disposition
DD [C95087]Death Details
FA [C85442]Findings About Events or Interventions
Relationship Type [C78737][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
MANY [C78728]Many
ONE [C66832]One
Route of Administration, subset to be used for CM [C66729][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
ORAL [C38288]Oral
TOPICAL [C38304]Topical
INTRAVENOUS [C38276]Intravenous
NASAL [C38284]Nasal
RESPIRATORY (INHALATION) [C38216]Inhalation Route of Administration
TRANSDERMAL [C38305]Transdermal
Route of Administration, subset to be used for EC and EX [C66729][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
SUBCUTANEOUS [C38299]Subcutaneous Route of Administration
Category of Clinical Classification, subset to be used for RSCAT [C118971][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
HAMD 17 [C100767]Hamilton Depression Rating Scale 17 Item Clinical Classification
Sex Male Female [C66731][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
F [C16576]Female
M [C20197]Male
Site Identifier[Non Standard]
Permitted Value (Code)
701
704
708
710
711
718
Study Type Response [C99077][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
INTERVENTIONAL [C98388]Interventional
Satisfaction With Life Scale Questionnaire Test Code [C115408][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
SWLS0101 [C115895]SWLS01-Have Gotten Important Things
SWLS0102 [C115896]SWLS01-I Am Satisfied with My Life
SWLS0103 [C115897]SWLS01-Live Life Over Change Nothing
SWLS0104 [C115898]SWLS01-My Life Conditions are Excellent
SWLS0105 [C115899]SWLS01-My Life is Close to Ideal
Satisfaction With Life Scale Questionnaire Test Name [C115407][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)
SWLS01-Have Gotten Important Things [C115898]
SWLS01-I Am Satisfied with My Life [C115897]
SWLS01-Live Life Over Change Nothing [C115899]
SWLS01-My Life Conditions are Excellent [C115896]
SWLS01-My Life is Close to Ideal [C115895]
SWLS-Responses[Non Standard]
Permitted Value (Code)
Strongly disagree
Disagree
Slightly disagree
Neither agree nor disagree
Slightly agree
Agree
Strongly agree
SWLS-Responses Standardized[Non Standard]
Permitted Value (Code)Display Value (Decode)
1Strongly disagree
2Disagree
3Slightly disagree
4Neither agree nor disagree
5Slightly agree
6Agree
7Strongly agree
Trial Blinding Schema Response [C66735][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
DOUBLE BLIND [C15228]Double Blind
Control Type Response [C66785][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
PLACEBO [C49648]Placebo
Trial Intent Type Response [C66736][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
TREATMENT [C49656]Treatment
Trial Phase Response [C66737][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
PHASE II TRIAL [C15601]Phase II Trial
Trial Summary Parameter Test Name [C67152][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)
Actual Number of Subjects [C98703]
Adaptive Design [C146995]
Added on to Existing Treatments [C49703]
Planned Maximum Age of Subjects [C49694]
Planned Minimum Age of Subjects [C49693]
Data Cutoff Description [C98718]
Data Cutoff Date [C98717]
Dose per Administration [C25488]
Dose Form [C42636]
Dosing Frequency [C89081]
Dose Units [C73558]
Planned Country of Investigational Sites [C98770]
Healthy Subject Indicator [C98737]
Trial Disease/Condition Indication [C112038]
Intervention Model [C98746]
Intervention Type [C98747]
Trial Length [C49697]
Planned Number of Arms [C98771]
Trial Primary Objective [C85826]
Trial Secondary Objective [C85827]
Primary Outcome Measure [C98772]
Secondary Outcome Measure [C98781]
Pharmacologic Class [C98768]
Planned Number of Subjects [C49692]
Trial is Randomized [C25196]
Randomization Quotient [C98775]
Registry Identifier [C98714]
Route of Administration [C38114]
SDTM IG Version [C156604]
SDTM Version [C156605]
Study End Date [C90462]
Sex of Participants [C49696]
Clinical Study Sponsor [C70793]
Study Start Date [C69208]
Study Stop Rules [C49698]
Study Type [C142175]
Trial Blinding Schema [C49658]
Control Type [C49647]
Diagnosis Group [C49650]
Trial Intent Type [C49652]
Trial Title [C49802]
Trial Phase Classification [C48281]
Investigational Therapy or Treatment [C41161]
Trial Type [C49660]
Trial Summary Parameter Test Code [C66738][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
ACTSUB [C98703]Actual Subject Number
ADAPT [C146995]Adaptive Study Design Indicator
ADDON [C49703]Test Product Added to Existing Treatment
AGEMAX [C49694]Planned Maximum Age of Subjects
AGEMIN [C49693]Planned Minimum Age of Subjects
DCUTDESC [C98718]Data Cutoff Date Description
DCUTDTC [C98717]Data Cutoff Date
DOSE [C25488]Dose
DOSFRM [C42636]Pharmaceutical Dosage Form
DOSFRQ [C89081]Dose Frequency
DOSU [C73558]Dosage Form Unit
FCNTRY [C98770]Planned Country of Investigational Site
HLTSUBJI [C98737]Healthy Subject Indicator
INDIC [C112038]Trial Indication
INTMODEL [C98746]Intervention Model
INTTYPE [C98747]Intervention Type
LENGTH [C49697]Trial Length
NARMS [C98771]Planned Number of Arms
OBJPRIM [C85826]Trial Primary Objective
OBJSEC [C85827]Trial Secondary Objective
OUTMSPRI [C98772]Primary Outcome Measure
OUTMSSEC [C98781]Secondary Outcome Measure
PCLAS [C98768]Pharmacological Class of Investigational Therapy
PLANSUB [C49692]Planned Subject Number
RANDOM [C25196]Randomization
RANDQT [C98775]Randomization Quotient
REGID [C98714]Clinical Trial Registry Identifier
ROUTE [C38114]Route of Administration
SDTIGVER [C156604]Study Data Tabulation Model Implementation Guide Version
SDTMVER [C156605]Study Data Tabulation Model Version
SENDTC [C90462]Clinical Study End Date
SEXPOP [C49696]Sex of Study Group
SPONSOR [C70793]Clinical Study Sponsor
SSTDTC [C69208]Study Start Date
STOPRULE [C49698]Study Stop Rule
STYPE [C142175]Study Type
TBLIND [C49658]Trial Blinding Schema
TCNTRL [C49647]Control Type
TDIGRP [C49650]Diagnosis Group
TINDTP [C49652]Clinical Study by Intent
TITLE [C49802]Trial Title
TPHASE [C48281]Trial Phase
TRT [C41161]Protocol Agent
TTYPE [C49660]Trial Type
Trial Type Response [C66739][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
EFFICACY [C49666]Efficacy
PHARMACOKINETIC [C49663]Pharmacokinetic
SAFETY [C49667]Safety
Unit, subset to be used for CMDOSU [C71620][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
mg [C28253]Milligram
ng [C48516]Nanogram
TABLET [C42998]Tablet
Unit, subset to be used for ECDOSU [C71620][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
mL [C25613]Milliliter
Unit, subset to be used for ECPSTRGU [C71620][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
g/L [C42576]Gram per Liter
Unit, subset to be used for EXDOSU [C71620][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
mg [C28253]Milligram
Unit, subset to be used in VLM for tests with 10^12/L as the unit [C71620][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
10^12/L [C67308]Million per Microliter
Unit, subset to be used in VLM for tests with 10^9/L as the unit [C71620][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
10^9/L [C67255]Billion per Liter
Unit, subset to be used in VLM for tests with % as the unit [C71620][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
% [C25613]Percentage
Unit, subset to be used in VLM for tests with U/L as the unit [C71620][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
U/L [C67456]Unit per Liter
Unit, subset to be used in VLM for tests with fL as the unit [C71620][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
fL [C64780]Femtoliter
Unit, subset to be used in VLM for tests with fmol as the unit [C71620][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
fmol [C42576]Femtomole
Unit, subset to be used in VLM for tests with g/L as the unit [C71620][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
g/L [C68854]Femtomole
Unit, subset to be used in VLM for tests with g/dL as the unit [C71620][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
g/dL [C64783]Gram per Deciliter
Unit, subset to be used in VLM for tests with mEq/L as the unit [C71620][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
mEq/L [C67474]Milliequivalent Per Liter
Unit, subset to be used in VLM for tests with mIU/L as the unit [C71620][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
mIU/L [C67405]Microinternational Unit per Milliliter
Unit, subset to be used in VLM for tests with mU/L as the unit [C71620][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
mU/L [C48508]Microunit per Milliliter
Unit, subset to be used in VLM for tests with mg/dL as the unit [C71620][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
mg/dL [C67015]Milligram per Deciliter
Unit, subset to be used in VLM for tests with mmol/L as the unit [C71620][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
mmol/L [C64387]Millimole per Liter
Unit, subset to be used in VLM for tests with ng/L as the unit [C71620][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
ng/L [C67327]Nanogram per Liter
Unit, subset to be used in VLM for tests with pg as the unit [C71620][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
pg [C64551]Picogram
Unit, subset to be used in VLM for tests with pmol/L as the unit [C71620][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
pmol/L [C67434]Picomole per Liter
Unit, subset to be used in VLM for tests with umol/L as the unit [C71620][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
umol/L [C67408]Micromole per Liter
Vital Signs Test Name [C67153][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)
Diastolic Blood Pressure [C25299]
Pulse Rate [C49676]
Height [C25347]
Systolic Blood Pressure [C25298]
Temperature [C25206]
Weight [C25208]
Vital Signs Test Code [C66741][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
DIABP [C25299]Diastolic Blood Pressure
PULSE [C49676]Pulse Rate
HEIGHT [C25347]Height
SYSBP [C25298]Systolic Blood Pressure
TEMP [C25206]Temperature
WEIGHT [C25208]Weight
Units for Vital Signs Results, subset for Blood Pressure [C66770][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
mmHg [C49670]Millimeter of Mercury
Units for Vital Signs Results, subset for Blood Pressure Std [C66770][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
mmHg [C49670]Millimeter of Mercury
Units for Vital Signs Results, subset for Height [C66770][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
in [C48500]Inch
Units for Vital Signs Results, subset for Height Std [C66770][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
cm [C49668]Centimeter
Units for Vital Signs Results, subset for Pulse [C66770][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
beats/min [C49673]Beats per Minute
Units for Vital Signs Results, subset for Pulse Std [C66770][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
beats/min [C49673]Beats per Minute
Units for Vital Signs Results, subset for Temperature [C66770][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
F [C44277]Degree Fahrenheit
Units for Vital Signs Results, subset for Temperature Std [C66770][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
C [C42559]Degree Celsius
Units for Vital Signs Results, subset for Weight [C66770][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
LB [C48531]Pound
Units for Vital Signs Results, subset for Weight Std [C66770][CDISC/NCI SDTM 2020-12-18]
Permitted Value (Code)Display Value (Decode)
kg [C28252]Kilogram

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External Dictionaries

External Dictionaries
Reference NameExternal DictionaryDictionary Version
Null FlavorsISO 21090 NullFlavor 2017
Country CodesISO 3166-1 Alpha-3 2013-11-15
Adverse Events DictionaryMedDRA 22.0
Trial Summary Medical DictionarySNOMED 2019-09-01

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Methods

Methods
MethodTypeDescription
Algorithm to derive AEENTPTComputation
If AEENRTPT is populated, AEENTPT is DM.RFPENDTC for the subject.
Algorithm to derive CMENTPTComputation
If CMENRTPT is populated, CMENTPT is DM.RFPENDTC for the subject.
Algorithm to derive DAYCALCComputation
Study day relative to RFSTDTC. Date - RFSTDTC + 1 if on or after RFSTDTC. Date - RFSTDTC if date precedes RFSTDTC.
Algorithm to derive DISEQComputation
Starts at "1" for first device identifier and increments by one for each DIPARM
Algorithm to derive DTHFLComputation
If DTHDTC is populated then DTHFL='Y'
Algorithm to derive EPOCHComputation
EPOCH from SE where date >= SESTDTC and date < SEENDTC
Algorithm to derive EXDOSEComputation
EXDOSE = ECDOSE * ECPSTRG expressed in mg.
Algorithm to derive FTSTRESNComputation
If FTSTRESC is numeric then FTSTRESN=FTSTRESC in numeric format, else null.
Algorithm to derive IEORRESComputation
If IECAT=INCLUSION then IEORRES=N, else if IECAT=EXCLUSION then IEORRES=Y
Algorithm to derive LBSTRESCComputation
LBSTRESC is equal to LBORRES or the value in standard units if a conversion is necessary.
Algorithm to derive LOBXFLComputation
Set to "Y" for last record with non-null original result on or before the first dose date (RFXSTDTC). Null otherwise.
Algorithm to derive QSSTRESC_PHComputation
If QSORRES="Not at all" then 0 If QSORRES="Several days" then 1 If QSORRES="More than half the days" then 2 If QSORRES="Nearly every day" then 3
Algorithm to derive QSSTRESC_PH_10_11Computation
QSSTRESC=QSORRES
Algorithm to derive QSSTRESC_SLComputation
If QSORRES="Strongly disagree" then 1 If QSORRES="Disagree" then 2 If QSORRES="Slightly disagree" then 3 If QSORRES="Neither agree nor disagree" then 4 If QSORRES="Slightly agree" then 5 If QSORRES="Agree" then 6 If QSORRES="Strongly agree" then 7
Algorithm to derive QSSTRESNComputation
If QSSTRESC is numeric then QSSTRESN=QSSTRESC in numeric format, else null.
Algorithm to derive RFENDTCComputation
The Date of Study Completion or Early Termination. Null for screen failures.
Algorithm to derive RFPENDTCComputation
The latest date of assessment for the subject as determined by the End of Study Form, any scheduled assessments, Adverse Events, or Concomitant Medications.
Algorithm to derive RFSTDTCComputation
The first date/time of study drug. Null for screen failures.
Algorithm to derive RFXENDTCComputation
The last date/time of study drug administration. Null for subjects with no treatment data.
Algorithm to derive RFXSTDTCComputation
The first date/time of study drug administration. Null for subjects with no treatment data.
Algorithm to derive RSSTRESCComputation
RSSTRESC is the corresponding numeric value of RSORRES according the values shown on the HAMD-17 CRF page.
Algorithm to derive SEENDTCComputation
SEENDTC is set to the start of the next Element, or RFPENDTC for the last Element.
Algorithm to derive SEQComputation
Unique sequence number within a subject, restarting at 1 for every subject, applied to sorted data.
Algorithm to derive SESTDTCComputation
SESTDTC if set to the --DTC for that subject which exists in the data for the defined start of the Element, such as DSSTDTC when DSDECOD=INFORMED CONSENT OBTAINED for Screening Elements or min(EXSTDTC) for Dosing Elements.
Algorithm to derive STRESNComputation
If --STRESC represents a numeric value then --STRESN is the numeric version of --STRESC, else null. "--" represents the domain code.
Algorithm to derive SVENDTCComputation
For each scheduled visit, SVENDTC = the last (max) date associated with a subject for that visit. For unplanned visits, SVENDTC is the date of the visit.
Algorithm to derive SVSTDTCComputation
For each scheduled visit, SVSTDTC = the first (min) date associated with a subject for that visit. For unplanned visits, SVSTDTC is the date of the visit.
Algorithm to derive TSSEQComputation
Unique sequence number within each TSPARM, restarting at 1 for per TSPARM, applied to sorted data.
Algorithm to derive VSSTRESCComputation
Data collected in conventional units (i.e. F, lbs, inches) is converted using standard conversion factors to standard units (C, kg, cm).

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Comments

Comments
CommentOIDDescription
COM.AE2Even though the variable is 'Assigned' an annotation has been added to page 23 to clarify the assignment.
COM.AE3Coding variables are not populated due to the proprietary coding dictionary, but the variables are included as they are Expected or Required.
COM.AEDECODCoding variables are not populated due to the proprietary coding dictionary, but the variables are included as they are Expected or Required. Note CDISC Conformance Rule CG0014 would fire for this variable due to the decision not to populate coding variables.
COM.AESERSubject CDISC003 had an AE of Epistaxis on 2013-09-30 with AESER set to 'Y' without any of the individual serious qualifiers set to 'Y' also. The site was queried several times but the data were not updated. Note Conformance Rule CG0041 would fire for this subject.
COM.CMINDCIf the CM is not taken for a 'Primary Study Condition' then CMINDC would be 'Prophylaxis or Non-therapeutic use'
COM.DM2Since no collected data was subjective then QEVAL was not populated. It is an 'Expected' variable and so is included.
COM.DM3Since no subjects had more than 3 Races, RACE4 was not used.
COM.DM4Since no subjects had more than 3 Races, RACE5 was not used.
COM.DS1Variable is Assigned but there are annotations to help understand the data and so references to the proper pages are included
COM.DTC1DataType is 'partialDatetime' instead of 'datetime' since datetime values are planned to be collected without seconds for this study.
COM.FA1All values are null as the findings are not visit based. The variable is Expected and so is included.
COM.FA2The FA domain contains Findings About Injection Site Reaction Adverse Events
COM.IE1IEDY is needed if IEDTC is included. Note RFSTDTC is not populated for not randomized subjects then IEDY could not be populated in those cases.
COM.IE2Please see Appendix 1 of the cSDRG for complete versions of IETESTCD and IETEST.
COM.MDVStandard's Conformance Notes: 1) The SDTM v1.7/SDTMIG v3.3 datasets were evaluated manually and programmatically by the CDISC SDS MSG Team. At the completion of the SDTM-MSG v2.0, the CDISC SDTM v1.7/SDTMIG v3.3 conformance rules were recently published, but not available by any validation tools to validate. 2) The Define-XML document was evaluated manually and programmatically by the CDISC SDS MSG Team. At the completion of the SDTM-MSG v2.0, the CDISC Define-XML v2.1 conformance rules were not published, nor available by any validation tools to validate. Please ensure that any official regulatory submission of an Define-XML v2.1 document and accompanying data is done in accordance to the respective regulatory health authorities requirements/guidance.
COM.NV1Per protocol, electroencephalograms are only performed after such an event were to occur. No subjects within the trial had an occurrence of an electroencephalogram event. Therefore, no data exists for the NV dataset and as such was not submitted.
COM.NV2Per protocol, electroencephalograms are only performed after such an event were to occur. No subjects within the trial had an occurrence of an electroencephalogram event. Therefore, no data exists for the NV dataset and as such SUPPNV was not submitted.
COM.OE1No subjects within the trial had an ophthalmic examination of clinical significance to report. Therefore, no data exists for the SUPPOE dataset and as such was not submitted.
COM.QS1QSPH contains the PATIENT HEALTH QUESTIONNAIRE-9 (PHQ-9) questionnaire data.
COM.QS2QSSL contains the SATISFACTION WITH LIFE SURVEY (SWLS) questionnaire data.
COM.ST1Study Data Tabulation Model Implementation Guide: Human Clinical Trials Version 3.3
COM.ST2Study Data Tabulation Model Implementation Guide for Medical Devices Version 1.0
COM.ST3This was the latest release of CDISC CT available when this sample submission was completed.
COM.ST4This was the CDISC CT Package associated to the CDISC Define-XML Specification Version 2.1 when this sample submission was completed.
COM.VS1All vital signs were performed as expected, so VSSTAT was never populated. The variable is included as it was possible to populate it in this study.

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