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
Standards for Study CDISCPILOT01
| Standard | Type | Status | Documentation |
|---|---|---|---|
| STDTMIG 3.3 | IG | Final | [Comment] Study Data Tabulation Model Implementation Guide: Human Clinical Trials Version 3.3 |
| SDTMIG-MD 1.1 | IG | Final | [Comment] Study Data Tabulation Model Implementation Guide for Medical Devices Version 1.0 |
| CDISC/NCI DEFINE-XML 2020-12-18 | CT | Final | [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 2020-12-18 | CT | Final | [Comment] This was the latest release of CDISC CT available when this sample submission was completed. |
Datasets
| Dataset | Description | Class | Structure | Purpose | Keys | Documentation | Location |
|---|---|---|---|---|---|---|---|
| TA[STDTMIG 3.3] | Trial Arms | TRIAL DESIGN | One record per planned Element per Arm | Tabulation | STUDYID, ARMCD, TAETORD | ta.xml | |
| TE[STDTMIG 3.3] | Trial Elements | TRIAL DESIGN | One record per planned Element | Tabulation | STUDYID, ETCD | te.xml | |
| TI[STDTMIG 3.3] | Trial Inclusion/Exclusion Criteria | TRIAL DESIGN | One record per I/E criterion | Tabulation | STUDYID, IETESTCD, TIVERS | ti.xml | |
| TS[STDTMIG 3.3] | Trial Summary | TRIAL DESIGN | One record per trial summary parameter value | Tabulation | STUDYID, TSPARMCD, TSVAL, TSSEQ | ts.xml | |
| TV[STDTMIG 3.3] | Trial Visits | TRIAL DESIGN | One record per planned Visit per Arm | Tabulation | STUDYID, VISITNUM, ARMCD | tv.xml | |
| DM[STDTMIG 3.3] | Demographics | SPECIAL PURPOSE | One record per subject | Tabulation | STUDYID, USUBJID | dm.xml | |
| SE[STDTMIG 3.3] | Subject Elements | SPECIAL PURPOSE | One record per actual Element per subject | Tabulation | STUDYID, USUBJID, SESTDTC, ETCD | se.xml | |
| SV[STDTMIG 3.3] | Subject Visits | SPECIAL PURPOSE | One record per actual visit per subject | Tabulation | STUDYID, USUBJID, SVSTDTC, VISITNUM | sv.xml | |
| CM[STDTMIG 3.3] | Concomitant Medications | INTERVENTIONS | One record per recorded medication occurrence or constant-dosing interval per subject | Tabulation | STUDYID, USUBJID, CMSTDTC, CMTRT | cm.xml | |
| EC[STDTMIG 3.3] | Exposure as Collected | INTERVENTIONS | One record per constant-dosing interval per mood per subject | Tabulation | STUDYID, USUBJID, ECTRT, ECSTDTC | ec.xml | |
| EX[STDTMIG 3.3] | Exposure | INTERVENTIONS | One record per constant dosing interval per subject | Tabulation | STUDYID, USUBJID, EXTRT, EXSTDTC | ex.xml | |
| AE[STDTMIG 3.3] | Adverse Events | EVENTS | One record per adverse event per subject | Tabulation | STUDYID, USUBJID, AEDECOD, AESTDTC, AELNKID | ae.xml | |
| DS[STDTMIG 3.3] | Disposition | EVENTS | One record per disposition status or protocol milestone per subject | Tabulation | STUDYID, USUBJID, DSSTDTC, DSCAT, DSSCAT, DSDECOD | ds.xml | |
| MH[STDTMIG 3.3] | Medical History | EVENTS | One record per medical history event per subject | Tabulation | STUDYID, USUBJID, MHTERM, MHSTDTC | mh.xml | |
| DD[STDTMIG 3.3] | Death Details | FINDINGS | One record per death detail per subject | Tabulation | STUDYID, USUBJID, DDTESTCD | dd.xml | |
| FT[STDTMIG 3.3] | Functional Tests | FINDINGS | One record per functional test finding per timepoint per visit per subject | Tabulation | STUDYID, USUBJID, FTTESTCD, FTREPNUM, VISITNUM | ft.xml | |
| IE[STDTMIG 3.3] | Inclusion/Exclusion Criteria Not Met | FINDINGS | One record per inclusion/exclusion criterion not met per subject | Tabulation | STUDYID, USUBJID, IETESTCD | ie.xml | |
| LB[STDTMIG 3.3] | Laboratory Test Results | FINDINGS | One record per analyte per visit per subject | Tabulation | STUDYID, USUBJID, LBCAT, LBTESTCD, LBDTC, VISITNUM | lb.xml | |
| NV[STDTMIG 3.3][No Data] | Nervous System Findings | FINDINGS | One record per finding per visit per subject | Tabulation | STUDYID, 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 Examinations | FINDINGS | One record per ophthalmic finding per visit per subject | Tabulation | STUDYID, USUBJID, OETESTCD, OELOC, OELAT, VISITNUM | oe.xml | |
| QSPH[STDTMIG 3.3] | Questionnaires (PHQ-9) (Questionnaires) | FINDINGS | One record per questionnaire finding per visit per subject | Tabulation | STUDYID, USUBJID, QSTESTCD, VISITNUM | [Comment] QSPH contains the PATIENT HEALTH QUESTIONNAIRE-9 (PHQ-9) questionnaire data. | qsph.xml |
| QSSL[STDTMIG 3.3] | Questionnaires (SQLS) (Questionnaires) | FINDINGS | One record per questionnaire finding per visit per subject | Tabulation | STUDYID, USUBJID, QSTESTCD, VISITNUM | [Comment] QSSL contains the SATISFACTION WITH LIFE SURVEY (SWLS) questionnaire data. | qssl.xml |
| RS[STDTMIG 3.3] | Disease Response and Clin Classification | FINDINGS | One record per response assessment or clinical classification assessment per time point per visit per subject per assessor per medical evaluator | Tabulation | STUDYID, USUBJID, RSTESTCD, VISITNUM | rs.xml | |
| VS[STDTMIG 3.3] | Vital Signs | FINDINGS | One record per vital sign measurement per visit per subject | Tabulation | STUDYID, USUBJID, VSTESTCD, VSPOS, VISITNUM, VSREPNUM | vs.xml | |
| FA[STDTMIG 3.3] | Findings About Events or Interventions | FINDINGS ABOUT | One record per finding per object per subject | Tabulation | STUDYID, USUBJID, FATESTCD, FALNKGRP, FAOBJ, FADTC | [Comment] The FA domain contains Findings About Injection Site Reaction Adverse Events | fa.xml |
| RELREC[STDTMIG 3.3] | Related Records | RELATIONSHIP | One record per related record, group of records or dataset | Tabulation | STUDYID, RDOMAIN, USUBJID, IDVAR, IDVARVAL, RELID | relrec.xml | |
| SUPPDM[STDTMIG 3.3] | Supplemental Qualifiers for DM (Demographics) | RELATIONSHIP | One record per IDVAR, IDVARVAL, and QNAM value per subject | Tabulation | STUDYID, RDOMAIN, USUBJID, IDVAR, IDVARVAL, QNAM | suppdm.xml | |
| SUPPEC[STDTMIG 3.3] | Supplemental Qualifiers for EC (Exposure as Collected) | RELATIONSHIP | One record per IDVAR, IDVARVAL, and QNAM value per subject | Tabulation | STUDYID, RDOMAIN, USUBJID, IDVAR, IDVARVAL, QNAM | suppec.xml | |
| SUPPNV[STDTMIG 3.3][No Data] | Supplemental Qualifiers for NV (Nervous System Findings) | RELATIONSHIP | One record per IDVAR, IDVARVAL, and QNAM value per subject | Tabulation | STUDYID, 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) | RELATIONSHIP | One record per IDVAR, IDVARVAL, and QNAM value per subject | Tabulation | STUDYID, 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 Identifiers | STUDY REFERENCE | One record per device identifier per device | Tabulation | STUDYID, SPDEVID, DIPARMCD | di.xml |
Go to the top of the Define-XML document
Trial Arms (TA)
| Variable | Label / Description | Type | Role | Length [SignificantDigits] : Display Format | Controlled Terms or ISO Format | Origin / Source / Method / Comment |
|---|---|---|---|---|---|---|
| STUDYID | Study Identifier | text | Identifier | 12 | [Origin] Protocol (Source: Sponsor) | |
| DOMAIN | Domain Abbreviation | text | Identifier | 2 | SDTM Domain Abbreviation, subset used for Trial Arms
| [Origin] Assigned (Source: Sponsor) |
| ARMCD | Planned Arm Code | text | Topic | 8 | Arm Code
| [Origin] Assigned (Source: Sponsor) |
| ARM | Description of Planned Arm | text | Synonym Qualifier | 28 | Arm
| [Origin] Protocol (Source: Sponsor) |
| TAETORD | Planned Order of Element within Arm | integer | Timing | 8 | [Origin] Assigned (Source: Sponsor) | |
| ETCD | Element Code | text | Record Qualifier | 7 | Element Code
| [Origin] Assigned (Source: Sponsor) |
| ELEMENT | Description of Element | text | Synonym Qualifier | 26 | Element
| [Origin] Protocol (Source: Sponsor) |
| TABRANCH | Branch | text | Rule | 200 | [Origin] Protocol (Source: Sponsor) | |
| TATRANS | Transition Rule | text | Rule | 200 | [Origin] Protocol (Source: Sponsor) | |
| EPOCH | Epoch | text | Timing | 9 | Epoch
| [Origin] Protocol (Source: Sponsor) [Method]EPOCH from SE where date >= SESTDTC and date < SEENDTC |
Go to the top of the Define-XML document
Trial Elements (TE)
| Variable | Label / Description | Type | Role | Length [SignificantDigits] : Display Format | Controlled Terms or ISO Format | Origin / Source / Method / Comment |
|---|---|---|---|---|---|---|
| STUDYID | Study Identifier | text | Identifier | 12 | [Origin] Protocol (Source: Sponsor) | |
| DOMAIN | Domain Abbreviation | text | Identifier | 2 | SDTM Domain Abbreviation, subset used for Trial Elements
| [Origin] Assigned (Source: Sponsor) |
| ETCD | Element Code | text | Topic | 7 | Element Code
| [Origin] Assigned (Source: Sponsor) |
| ELEMENT | Description of Element | text | Synonym Qualifier | 26 | Element
| [Origin] Protocol (Source: Sponsor) |
| TESTRL | Rule for Start of Element | text | Rule | 200 | [Origin] Protocol (Source: Sponsor) | |
| TEENRL | Rule for End of Element | text | Rule | 200 | [Origin] Protocol (Source: Sponsor) |
Go to the top of the Define-XML document
Trial Inclusion/Exclusion Criteria (TI)
| Variable | Label / Description | Type | Role | Length [SignificantDigits] : Display Format | Controlled Terms or ISO Format | Origin / Source / Method / Comment |
|---|---|---|---|---|---|---|
| STUDYID | Study Identifier | text | Identifier | 12 | [Origin] Protocol (Source: Sponsor) | |
| DOMAIN | Domain Abbreviation | text | Identifier | 2 | SDTM Domain Abbreviation, subset used for Trial Inclusion/Exclusion Criteria
| [Origin] Assigned (Source: Sponsor) |
| IETESTCD | Incl/Excl Criterion Short Name | text | Topic | 7 | Incl/Excl Criterion Short Name [33 Terms] | [Origin] Assigned (Source: Sponsor) |
| IETEST | Inclusion/Exclusion Criterion | text | Synonym Qualifier | 196 | Inclusion/Exclusion Criterion [33 Terms] | [Origin] Protocol (Source: Sponsor) |
| IECAT | Inclusion/Exclusion Category | text | Grouping Qualifier | 9 | Category for Inclusion/Exclusion
| [Origin] Assigned (Source: Sponsor) |
| TIVERS | Protocol Criteria Versions | text | Record Qualifier | 200 | [Origin] Assigned (Source: Sponsor) |
Go to the top of the Define-XML document
Trial Summary (TS)
| Variable | Where Condition | Label / Description | Type | Role | Length [SignificantDigits] : Display Format | Controlled Terms or ISO Format | Origin / Source / Method / Comment |
|---|---|---|---|---|---|---|---|
| STUDYID | Study Identifier | text | Identifier | 12 | [Origin] Protocol (Source: Sponsor) | ||
| DOMAIN | Domain Abbreviation | text | Identifier | 2 | SDTM Domain Abbreviation, subset used for Trial Summary
| [Origin] Assigned (Source: Sponsor) | |
| TSSEQ | Sequence Number | integer | Identifier | 3 | [Origin] Derived (Source: Sponsor) [Method]Unique sequence number within each TSPARM, restarting at 1 for per TSPARM, applied to sorted data. | ||
| TSGRPID | Group ID | text | Identifier | 200 | [Origin] Assigned (Source: Sponsor) | ||
| TSPARMCD | Trial Summary Parameter Short Name | text | Topic | 8 | Trial Summary Parameter Test Code [44 Terms] | [Origin] Assigned (Source: Sponsor) | |
| TSPARM | Trial Summary Parameter | text | Synonym Qualifier | 40 | Trial Summary Parameter Test Name [44 Terms] | [Origin] Protocol (Source: Sponsor) | |
| TSVALVLM | Parameter Value | text | Result Qualifier | 200 | |||
| TSPARMCD IN ( "ADAPT" (Adaptive Study Design Indicator), "ADDON" (Test Product Added to Existing Treatment), "HLTSUBJI" (Healthy Subject Indicator), "RANDOM" (Randomization) ) | Trial Summary Yes No Responses | text | 1 | No Yes Response, subset for variables with only "Y" or "N" val
| [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 Subjects | integer | 8 | [Origin] Protocol (Source: Sponsor) | |||
| TSPARMCD IN ( "DCUTDTC" (Data Cutoff Date), "SENDTC" (Clinical Study End Date), "SSTDTC" (Study Start Date) ) | Trial Summary Date Responses | date | ISO 8601 | [Origin] Assigned (Source: Sponsor) | |||
| TSPARMCD = "DOSFRM" (Pharmaceutical Dosage Form) | Dose Form | text | 9 | Dose Form, subset used for EC and EX
| [Origin] Protocol (Source: Sponsor) | ||
| TSPARMCD = "DOSFRQ" (Dose Frequency) | Dosing Frequency | text | 2 | Frequency, subset used for EC and EX
| [Origin] Protocol (Source: Sponsor) | ||
| TSPARMCD = "DOSU" (Dosage Form Unit) | Dose Units | text | 2 | Unit, subset to be used for EXDOSU
| [Origin] Protocol (Source: Sponsor) | ||
| TSPARMCD = "FCNTRY" (Planned Country of Investigational Site) | Planned Country of Investigational Sites | text | 200 | Country Codes ISO 3166-1 Alpha-3 2013-11-15 | [Origin] Protocol (Source: Sponsor) | ||
| TSPARMCD = "INDIC" (Trial Indication) | Trial Disease/Condition Indication | text | 200 | Trial Summary Medical Dictionary SNOMED 2019-09-01 | [Origin] Protocol (Source: Sponsor) | ||
| TSPARMCD = "INTMODEL" (Intervention Model) | Intervention Model | text | 8 | Intervention Model Response
| [Origin] Protocol (Source: Sponsor) | ||
| TSPARMCD = "INTTYPE" (Intervention Type) | Intervention Type | text | 4 | Intervention Type Response
| [Origin] Protocol (Source: Sponsor) | ||
| TSPARMCD = "TS_DURATION" | Trial Length | text | 200 | [Origin] Protocol (Source: Sponsor) | |||
| TSPARMCD = "OBJPRIM" (Trial Primary Objective) | Trial Primary Objective | text | 200 | [Origin] Protocol (Source: Sponsor) | |||
| TSPARMCD = "OBJSEC" (Trial Secondary Objective) | Trial Secondary Objective | text | 200 | [Origin] Protocol (Source: Sponsor) | |||
| TSPARMCD = "OUTMSPRI" (Primary Outcome Measure) | Primary Outcome Measure | text | 200 | [Origin] Protocol (Source: Sponsor) | |||
| TSPARMCD = "PCLAS" (Pharmacological Class of Investigational Therapy) | Pharmacologic Class | text | 200 | [Origin] Protocol (Source: Sponsor) | |||
| TSPARMCD = "TS_FLOAT" | Randomization Quotient | text | 200 | [Origin] Protocol (Source: Sponsor) | |||
| TSPARMCD = "REGID" (Clinical Trial Registry Identifier) | Registry Identifier | text | 200 | [Origin] Protocol (Source: Sponsor) | |||
| TSPARMCD = "ROUTE" (Route of Administration) | Route of Administration | text | 12 | Route of Administration, subset to be used for EC and EX
| [Origin] Protocol (Source: Sponsor) | ||
| TSPARMCD IN ( "SDTIGVER" (Study Data Tabulation Model Implementation Guide Version), "SDTMVER" (Study Data Tabulation Model Version) ) | SDTM IG Version | float | 2 [1] | [Origin] Protocol (Source: Sponsor) | |||
| TSPARMCD = "SEXPOP" (Sex of Study Group) | Sex of Participants | text | 1 | Sex Male Female
| [Origin] Protocol (Source: Sponsor) | ||
| TSPARMCD = "SPONSOR" (Clinical Study Sponsor) | Clinical Study Sponsor | text | 200 | [Origin] Protocol (Source: Sponsor) | |||
| TSPARMCD = "STOPRULE" (Study Stop Rule) | Study Stop Rules | text | 200 | [Origin] Protocol (Source: Sponsor) | |||
| TSPARMCD = "STYPE" (Study Type) | Study Type | text | 14 | Study Type Response
| [Origin] Protocol (Source: Sponsor) | ||
| TSPARMCD = "TBLIND" (Trial Blinding Schema) | Trial Blinding Schema | text | 12 | Trial Blinding Schema Response
| [Origin] Protocol (Source: Sponsor) | ||
| TSPARMCD = "TCNTRL" (Control Type) | Control Type | text | 7 | Control Type Response
| [Origin] Protocol (Source: Sponsor) | ||
| TSPARMCD = "TDIGRP" (Diagnosis Group) | Diagnosis Group | text | 200 | Trial Summary Medical Dictionary SNOMED 2019-09-01 | [Origin] Protocol (Source: Sponsor) | ||
| TSPARMCD = "TINDTP" (Clinical Study by Intent) | Trial Intent Type | text | 9 | Trial Intent Type Response
| [Origin] Protocol (Source: Sponsor) | ||
| TSPARMCD = "TITLE" (Trial Title) | Trial Title | text | 200 | [Origin] Protocol (Source: Sponsor) | |||
| TSPARMCD = "TPHASE" (Trial Phase) | Trial Phase Classification | text | 14 | Trial Phase Response
| [Origin] Protocol (Source: Sponsor) | ||
| TSPARMCD = "TRT" (Protocol Agent) | Investigational Therapy or Treatment | text | 200 | [Origin] Protocol (Source: Sponsor) | |||
| TSPARMCD = "TTYPE" (Trial Type) | Trial Type | text | 15 | Trial Type Response
| [Origin] Protocol (Source: Sponsor) | ||
| TSVALNF | Parameter Null Flavor | text | Result Qualifier | 4 | Null Flavors ISO 21090 NullFlavor 2017 | [Origin] Assigned (Source: Sponsor) | |
| TSVALCD | Parameter Value Code | text | Result Qualifier | 200 | [Origin] Assigned (Source: Sponsor) | ||
| TSVCDREF | Name of the Reference Terminology | text | Result Qualifier | 200 | [Origin] Assigned (Source: Sponsor) | ||
| TSVCDVER | Version of the Reference Terminology | text | Result Qualifier | 200 | [Origin] Assigned (Source: Sponsor) |
Go to the top of the Define-XML document
Trial Visits (TV)
| Variable | Label / Description | Type | Role | Length [SignificantDigits] : Display Format | Controlled Terms or ISO Format | Origin / Source / Method / Comment |
|---|---|---|---|---|---|---|
| STUDYID | Study Identifier | text | Identifier | 12 | [Origin] Protocol (Source: Sponsor) | |
| DOMAIN | Domain Abbreviation | text | Identifier | 2 | SDTM Domain Abbreviation, subset used for Trial Visits
| [Origin] Assigned (Source: Sponsor) |
| VISITNUM | Visit Number | float | Topic | 8 [2] | [Origin] Assigned (Source: Sponsor) | |
| VISIT | Visit Name | text | Synonym Qualifier | 200 | [Origin] Protocol (Source: Sponsor) | |
| ARMCD | Planned Arm Code | text | Record Qualifier | 8 | Arm Code
| [Origin] Assigned (Source: Sponsor) |
| TVSTRL | Visit Start Rule | text | Rule | 200 | [Origin] Protocol (Source: Sponsor) | |
| TVENRL | Visit End Rule | text | Rule | 200 | [Origin] Protocol (Source: Sponsor) |
Go to the top of the Define-XML document
Demographics (DM)
| Related Supplemental Qualifiers Dataset: SUPPDM (Supplemental Qualifiers for DM) | |||||||
| Variable | Where Condition | Label / Description | Type | Role | Length [SignificantDigits] : Display Format | Controlled Terms or ISO Format | Origin / Source / Method / Comment |
|---|---|---|---|---|---|---|---|
| STUDYID | Study Identifier | text | Identifier | 12 | [Origin] Protocol (Source: Sponsor) | ||
| DOMAIN | Domain Abbreviation | text | Identifier | 2 | SDTM Domain Abbreviation, subset used for Demographics
| [Origin] Assigned (Source: Sponsor) | |
| USUBJID | Unique Subject Identifier | text | Identifier | 8 | [Origin] Assigned (Source: Sponsor) | ||
| SUBJID | Subject Identifier for the Study | text | Topic | 4 | [Origin] Assigned (Source: Sponsor) | ||
| RFSTDTC | Subject Reference Start Date/Time | date | Record Qualifier | ISO 8601 | [Origin] Derived (Source: Sponsor) [Method]The first date/time of study drug. Null for screen failures. | ||
| RFENDTC | Subject Reference End Date/Time | date | Record Qualifier | ISO 8601 | [Origin] Derived (Source: Sponsor) [Method]The Date of Study Completion or Early Termination. Null for screen failures. | ||
| RFXSTDTC | Date/Time of First Study Treatment | date | Record Qualifier | ISO 8601 | [Origin] Derived (Source: Sponsor) [Method]The first date/time of study drug administration. Null for subjects with no treatment data. | ||
| RFXENDTC | Date/Time of Last Study Treatment | date | Record Qualifier | ISO 8601 | [Origin] Derived (Source: Sponsor) [Method]The last date/time of study drug administration. Null for subjects with no treatment data. | ||
| RFICDTC | Date/Time of Informed Consent | date | Record Qualifier | ISO 8601 | [Origin] Collected (Source: Investigator) Annotated CRF [5 ] | ||
| RFPENDTC | Date/Time of End of Participation | date | Record Qualifier | ISO 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. | ||
| DTHDTC | Date/Time of Death | date | Record Qualifier | ISO 8601 | [Origin] Collected (Source: Investigator) Annotated CRF [26 ] | ||
| DTHFL | Subject Death Flag | text | Record Qualifier | 1 | No Yes Response, subset for variables with only "Y" or null values
| [Origin] Derived (Source: Sponsor) [Method]If DTHDTC is populated then DTHFL='Y' | |
| SITEID | Study Site Identifier | text | Record Qualifier | 3 | Site Identifier [6 Terms] | [Origin] Assigned (Source: Sponsor) | |
| BRTHDTC | Date/Time of Birth | date | Record Qualifier | ISO 8601 | [Origin] Collected (Source: Investigator) Annotated CRF [5 ] | ||
| AGE | Age | integer | Record Qualifier | 8 | [Origin] Collected (Source: Investigator) Annotated CRF [5 ] | ||
| AGEU | Age Units | text | Variable Qualifier | 5 | Age Unit in Years
| [Origin] Assigned (Source: Sponsor) | |
| SEX | Sex | text | Record Qualifier | 1 | Sex Male Female
| [Origin] Collected (Source: Investigator) Annotated CRF [5 ] | |
| RACEVLM | Race | text | Record Qualifier | 41 | |||
| RACE ≠"MULTIPLE" | Race | text | 41 | Race
| [Origin] Collected (Source: Investigator) Annotated CRF [5 ] | ||
| RACE = "MULTIPLE" | Race | text | 8 | Race Multiple Selections
| [Origin] Assigned (Source: Sponsor) Annotated CRF [5 ] | ||
| ETHNIC | Ethnicity | text | Record Qualifier | 22 | Ethnic Group Hispanic
| [Origin] Collected (Source: Investigator) Annotated CRF [5 ] | |
| ARMCD | Planned Arm Code | text | Record Qualifier | 8 | Arm Code
| [Origin] Assigned (Source: Sponsor) | |
| ARM | Description of Planned Arm | text | Synonym Qualifier | 28 | Arm
| [Origin] Assigned (Source: Sponsor) | |
| ACTARMCD | Actual Arm Code | text | Record Qualifier | 8 | Arm Code
| [Origin] Assigned (Source: Sponsor) | |
| ACTARM | Description of Actual Arm | text | Synonym Qualifier | 28 | Arm
| [Origin] Assigned (Source: Sponsor) | |
| ARMNRS | Reason Arm and/or Actual Arm is Null | text | Record Qualifier | 14 | Arm Null Reason
| [Origin] Assigned (Source: Sponsor) | |
| ACTARMUD | Description of Unplanned Actual Arm | text | Record Qualifier | 200 | [Origin] Assigned (Source: Sponsor) | ||
| COUNTRY | Country | text | Record Qualifier | 3 | Country Codes ISO 3166-1 Alpha-3 2013-11-15 | [Origin] Assigned (Source: Sponsor) | |
Go to the top of the Define-XML document
Subject Elements (SE)
| Variable | Label / Description | Type | Role | Length [SignificantDigits] : Display Format | Controlled Terms or ISO Format | Origin / Source / Method / Comment |
|---|---|---|---|---|---|---|
| STUDYID | Study Identifier | text | Identifier | 12 | [Origin] Protocol (Source: Sponsor) | |
| DOMAIN | Domain Abbreviation | text | Identifier | 2 | SDTM Domain Abbreviation, subset used for Subject Element
| [Origin] Assigned (Source: Sponsor) |
| USUBJID | Unique Subject Identifier | text | Identifier | 8 | [Origin] Assigned (Source: Sponsor) | |
| SESEQ | Sequence Number | integer | Identifier | 3 | [Origin] Derived (Source: Sponsor) [Method]Unique sequence number within a subject, restarting at 1 for every subject, applied to sorted data. | |
| ETCD | Element Code | text | Topic | 7 | Element Code
| [Origin] Assigned (Source: Sponsor) |
| ELEMENT | Description of Element | text | Synonym Qualifier | 26 | Element
| [Origin] Protocol (Source: Sponsor) |
| EPOCH | Epoch | text | Timing | 9 | Epoch
| [Origin] Derived (Source: Sponsor) [Method]EPOCH from SE where date >= SESTDTC and date < SEENDTC |
| SESTDTC | Start Date/Time of Element | date | Timing | ISO 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. | |
| SEENDTC | End Date/Time of Element | date | Timing | ISO 8601 | [Origin] Derived (Source: Sponsor) [Method]SEENDTC is set to the start of the next Element, or RFPENDTC for the last Element. | |
| SESTDY | Study Day of Start of Element | integer | Timing | 8 | [Origin] Derived (Source: Sponsor) [Method]Study day relative to RFSTDTC. Date - RFSTDTC + 1 if on or after RFSTDTC. Date - RFSTDTC if date precedes RFSTDTC. | |
| SEENDY | Study Day of End of Element | integer | Timing | 8 | [Origin] Derived (Source: Sponsor) [Method]Study day relative to RFSTDTC. Date - RFSTDTC + 1 if on or after RFSTDTC. Date - RFSTDTC if date precedes RFSTDTC. |
Go to the top of the Define-XML document
Subject Visits (SV)
| Variable | Label / Description | Type | Role | Length [SignificantDigits] : Display Format | Controlled Terms or ISO Format | Origin / Source / Method / Comment |
|---|---|---|---|---|---|---|
| STUDYID | Study Identifier | text | Identifier | 12 | [Origin] Protocol (Source: Sponsor) | |
| DOMAIN | Domain Abbreviation | text | Identifier | 2 | SDTM Domain Abbreviation, subset used for Subject Visits
| [Origin] Assigned (Source: Sponsor) |
| USUBJID | Unique Subject Identifier | text | Identifier | 8 | [Origin] Assigned (Source: Sponsor) | |
| VISITNUM | Visit Number | float | Topic | 8 [2] | [Origin] Assigned (Source: Sponsor) | |
| VISIT | Visit Name | text | Synonym Qualifier | 200 | [Origin] Assigned (Source: Sponsor) | |
| SVSTDTC | Start Date/Time of Visit | date | Timing | ISO 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. | |
| SVENDTC | End Date/Time of Visit | date | Timing | ISO 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. | |
| SVSTDY | Study Day of Start of Visit | integer | Timing | 8 | [Origin] Derived (Source: Sponsor) [Method]Study day relative to RFSTDTC. Date - RFSTDTC + 1 if on or after RFSTDTC. Date - RFSTDTC if date precedes RFSTDTC. | |
| SVENDY | Study Day of End of Visit | integer | Timing | 8 | [Origin] Derived (Source: Sponsor) [Method]Study day relative to RFSTDTC. Date - RFSTDTC + 1 if on or after RFSTDTC. Date - RFSTDTC if date precedes RFSTDTC. | |
| SVUPDES | Description of Unplanned Visit | text | Synonym Qualifier | 200 | [Origin] Assigned (Source: Sponsor) |
Go to the top of the Define-XML document
Concomitant Medications (CM)
| Variable | Label / Description | Type | Role | Length [SignificantDigits] : Display Format | Controlled Terms or ISO Format | Origin / Source / Method / Comment |
|---|---|---|---|---|---|---|
| STUDYID | Study Identifier | text | Identifier | 12 | [Origin] Protocol (Source: Sponsor) | |
| DOMAIN | Domain Abbreviation | text | Identifier | 2 | SDTM Domain Abbreviation, subset used for Concomitant Meds
| [Origin] Assigned (Source: Sponsor) |
| USUBJID | Unique Subject Identifier | text | Identifier | 8 | [Origin] Assigned (Source: Sponsor) | |
| CMSEQ | Sequence Number | integer | Identifier | 3 | [Origin] Derived (Source: Sponsor) [Method]Unique sequence number within a subject, restarting at 1 for every subject, applied to sorted data. | |
| CMTRT | Reported Name of Drug, Med, or Therapy | text | Topic | 200 | [Origin] Collected (Source: Investigator) Annotated CRF [25 ] | |
| CMINDC | Indication | text | Record Qualifier | 200 | [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' | |
| CMDOSE | Dose per Administration | float | Record Qualifier | 5 [3] | [Origin] Collected (Source: Investigator) Annotated CRF [25 ] | |
| CMDOSU | Dose Units | text | Variable Qualifier | 6 | Unit, subset to be used for CMDOSU
| [Origin] Collected (Source: Investigator) Annotated CRF [25 ] |
| CMDOSFRQ | Dosing Frequency per Interval | text | Variable Qualifier | 3 | Frequency, subset used for CM [6 Terms] | [Origin] Collected (Source: Investigator) Annotated CRF [25 ] |
| CMROUTE | Route of Administration | text | Variable Qualifier | 24 | Route of Administration, subset to be used for CM [6 Terms] | [Origin] Collected (Source: Investigator) Annotated CRF [25 ] |
| EPOCH | Epoch | text | Timing | 9 | Epoch
| [Origin] Derived (Source: Sponsor) [Method]EPOCH from SE where date >= SESTDTC and date < SEENDTC |
| CMSTDTC | Start Date/Time of Medication | partialDate | Timing | ISO 8601 | [Origin] Collected (Source: Investigator) Annotated CRF [25 ] | |
| CMENDTC | End Date/Time of Medication | partialDate | Timing | ISO 8601 | [Origin] Collected (Source: Investigator) Annotated CRF [25 ] | |
| CMSTDY | Study Day of Start of Medication | integer | Timing | 8 | [Origin] Derived (Source: Sponsor) [Method]Study day relative to RFSTDTC. Date - RFSTDTC + 1 if on or after RFSTDTC. Date - RFSTDTC if date precedes RFSTDTC. | |
| CMENDY | Study Day of End of Medication | integer | Timing | 8 | [Origin] Derived (Source: Sponsor) [Method]Study day relative to RFSTDTC. Date - RFSTDTC + 1 if on or after RFSTDTC. Date - RFSTDTC if date precedes RFSTDTC. | |
| CMENRTPT | End Relative to Reference Time Point | text | Timing | 7 | Relation to Reference Period, subset used for AE and CM.
| [Origin] Collected (Source: Investigator) Annotated CRF [25 ] |
| CMENTPT | End Reference Time Point | date | Timing | ISO 8601 | [Origin] Derived (Source: Sponsor) [Method]If CMENRTPT is populated, CMENTPT is DM.RFPENDTC for the subject. |
Go to the top of the Define-XML document
Exposure as Collected (EC)
| Related Supplemental Qualifiers Dataset: SUPPEC (Supplemental Qualifiers for EC) | |||||||
| Variable | Label / Description | Type | Role | Length [SignificantDigits] : Display Format | Controlled Terms or ISO Format | Origin / Source / Method / Comment | |
|---|---|---|---|---|---|---|---|
| STUDYID | Study Identifier | text | Identifier | 12 | [Origin] Protocol (Source: Sponsor) | ||
| DOMAIN | Domain Abbreviation | text | Identifier | 2 | SDTM Domain Abbreviation, subset used for Exposure as Collected
| [Origin] Assigned (Source: Sponsor) | |
| USUBJID | Unique Subject Identifier | text | Identifier | 8 | [Origin] Assigned (Source: Sponsor) | ||
| SPDEVID | Sponsor Device Identifier | text | Identifier | 200 | [Origin] Assigned (Source: Sponsor) | ||
| ECSEQ | Sequence Number | integer | Identifier | 3 | [Origin] Derived (Source: Sponsor) [Method]Unique sequence number within a subject, restarting at 1 for every subject, applied to sorted data. | ||
| ECTRT | Name of Treatment | text | Topic | 10 | Study Treatment
| [Origin] Assigned (Source: Sponsor) | |
| ECPRESP | Pre-Specified | text | Variable Qualifier | 1 | No Yes Response, subset for variables with only "Y" or "N" val
| [Origin] Assigned (Source: Sponsor) | |
| ECOCCUR | Occurrence | text | Record Qualifier | 1 | No Yes Response, subset for variables with only "Y" or "N" val
| [Origin] Collected (Source: Investigator) Annotated CRF [14 ] | |
| ECDOSE | Dose | integer | Record Qualifier | 8 | [Origin] Assigned (Source: Investigator) Annotated CRF [14 ] | ||
| ECDOSU | Dose Units | text | Variable Qualifier | 2 | Unit, subset to be used for ECDOSU
| [Origin] Assigned (Source: Investigator) Annotated CRF [14 ] | |
| ECDOSFRM | Dose Form | text | Variable Qualifier | 9 | Dose Form, subset used for EC and EX
| [Origin] Assigned (Source: Sponsor) | |
| ECDOSFRQ | Dosing Frequency per Interval | text | Variable Qualifier | 2 | Frequency, subset used for EC and EX
| [Origin] Assigned (Source: Sponsor) | |
| ECROUTE | Route of Administration | text | Variable Qualifier | 12 | Route of Administration, subset to be used for EC and EX
| [Origin] Assigned (Source: Sponsor) | |
| ECLOT | Lot Number | text | Record Qualifier | 200 | [Origin] Collected (Source: Investigator) Annotated CRF [14 ] | ||
| ECPSTRG | Pharmaceutical Strength | float | Record Qualifier | 4 [1] | [Origin] Assigned (Source: Sponsor) | ||
| ECPSTRGU | Pharmaceutical Strength Units | text | Variable Qualifier | 3 | Unit, subset to be used for ECPSTRGU
| [Origin] Assigned (Source: Sponsor) | |
| EPOCH | Epoch | text | Timing | 9 | Epoch
| [Origin] Derived (Source: Sponsor) [Method]EPOCH from SE where date >= SESTDTC and date < SEENDTC | |
| ECSTDTC | Start Date/Time of Treatment | date | Timing | ISO 8601 | [Origin] Collected (Source: Investigator) Annotated CRF [14 ] | ||
| ECENDTC | End Date/Time of Treatment | date | Timing | ISO 8601 | [Origin] Collected (Source: Investigator) Annotated CRF [14 ] | ||
| ECSTDY | Study Day of Start of Treatment | integer | Timing | 8 | [Origin] Derived (Source: Sponsor) [Method]Study day relative to RFSTDTC. Date - RFSTDTC + 1 if on or after RFSTDTC. Date - RFSTDTC if date precedes RFSTDTC. | ||
| ECENDY | Study Day of End of Treatment | integer | Timing | 8 | [Origin] Derived (Source: Sponsor) [Method]Study day relative to RFSTDTC. Date - RFSTDTC + 1 if on or after RFSTDTC. Date - RFSTDTC if date precedes RFSTDTC. | ||
Go to the top of the Define-XML document
Exposure (EX)
| Variable | Label / Description | Type | Role | Length [SignificantDigits] : Display Format | Controlled Terms or ISO Format | Origin / Source / Method / Comment |
|---|---|---|---|---|---|---|
| STUDYID | Study Identifier | text | Identifier | 12 | [Origin] Protocol (Source: Sponsor) | |
| DOMAIN | Domain Abbreviation | text | Identifier | 2 | SDTM Domain Abbreviation, subset used for Exposure
| [Origin] Assigned (Source: Sponsor) |
| USUBJID | Unique Subject Identifier | text | Identifier | 8 | [Origin] Assigned (Source: Sponsor) | |
| SPDEVID | Sponsor Device Identifier | text | Identifier | 200 | [Origin] Predecessor: EC.SPDEVID | |
| EXSEQ | Sequence Number | integer | Identifier | 3 | [Origin] Derived (Source: Sponsor) [Method]Unique sequence number within a subject, restarting at 1 for every subject, applied to sorted data. | |
| EXTRT | Name of Treatment | text | Topic | 10 | Study Treatment
| [Origin] Predecessor: ECTRT |
| EXDOSE | Dose | integer | Record Qualifier | 8 | [Origin] Derived (Source: Sponsor) [Method]EXDOSE = ECDOSE * ECPSTRG expressed in mg. | |
| EXDOSU | Dose Units | text | Variable Qualifier | 2 | Unit, subset to be used for EXDOSU
| [Origin] Protocol (Source: Sponsor) |
| EXDOSFRM | Dose Form | text | Variable Qualifier | 9 | Dose Form, subset used for EC and EX
| [Origin] Predecessor: ECDOSFRM |
| EXDOSFRQ | Dosing Frequency per Interval | text | Variable Qualifier | 2 | Frequency, subset used for EC and EX
| [Origin] Predecessor: ECDOSFRQ |
| EXROUTE | Route of Administration | text | Variable Qualifier | 12 | Route of Administration, subset to be used for EC and EX
| [Origin] Predecessor: ECROUTE |
| EXLOT | Lot Number | text | Record Qualifier | 200 | [Origin] Predecessor: ECLOT | |
| EPOCH | Epoch | text | Timing | 9 | Epoch
| [Origin] Predecessor: EC.EPOCH |
| EXSTDTC | Start Date/Time of Treatment | date | Timing | ISO 8601 | [Origin] Predecessor: ECSTDTC | |
| EXENDTC | End Date/Time of Treatment | date | Timing | ISO 8601 | [Origin] Predecessor: ECENDTC | |
| EXSTDY | Study Day of Start of Treatment | integer | Timing | 8 | [Origin] Predecessor: ECSTDY | |
| EXENDY | Study Day of End of Treatment | integer | Timing | 8 | [Origin] Predecessor: ECENDY |
Go to the top of the Define-XML document
Adverse Events (AE)
| Variable | Where Condition | Label / Description | Type | Role | Length [SignificantDigits] : Display Format | Controlled Terms or ISO Format | Origin / Source / Method / Comment |
|---|---|---|---|---|---|---|---|
| STUDYID | Study Identifier | text | Identifier | 12 | [Origin] Protocol (Source: Sponsor) | ||
| DOMAIN | Domain Abbreviation | text | Identifier | 2 | SDTM Domain Abbreviation, subset used for Adverse Events
| [Origin] Assigned (Source: Sponsor) | |
| USUBJID | Unique Subject Identifier | text | Identifier | 8 | [Origin] Assigned (Source: Sponsor) | ||
| AESEQ | Sequence Number | integer | Identifier | 3 | [Origin] Derived (Source: Sponsor) [Method]Unique sequence number within a subject, restarting at 1 for every subject, applied to sorted data. | ||
| AELNKID | Link ID | text | Identifier | 50 | [Origin] Collected (Source: Investigator) | ||
| AETERMVLM | Reported Term for the Adverse Event | text | Topic | 200 | |||
| AETERM = "INJECTION SITE REACTION" | Reported Term for the Adverse Event | text | 200 | [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 Event | text | 200 | [Origin] Collected (Source: Investigator) Annotated CRF [22 ] | |||
| AELLT[No Data] | Lowest Level Term | text | Variable Qualifier | 1 | Adverse 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 Code | text | Variable Qualifier | 1 | Adverse 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 Term | text | Synonym Qualifier | 1 | Adverse 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 Code | text | Variable Qualifier | 1 | Adverse 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 Term | text | Variable Qualifier | 1 | Adverse 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 Code | text | Variable Qualifier | 1 | Adverse 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 Term | text | Variable Qualifier | 1 | Adverse 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 Code | text | Variable Qualifier | 1 | Adverse 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 Class | text | Record Qualifier | 1 | Adverse 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 Code | text | Variable Qualifier | 1 | Adverse 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 Class | text | Variable Qualifier | 1 | Adverse 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 Code | text | Variable Qualifier | 1 | Adverse 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. | |
| AESEV | Severity/Intensity | text | Record Qualifier | 8 | Severity/Intensity Scale for Adverse Events
| [Origin] Collected (Source: Investigator) | |
| AESER | Serious Event | text | Record Qualifier | 1 | No Yes Response, subset for variables with only "Y" or "N" val
| [Origin] Collected (Source: Investigator) [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. | |
| AEACN | Action Taken with Study Treatment | text | Record Qualifier | 16 | Action Taken with Study Treatment [7 Terms] | [Origin] Collected (Source: Investigator) | |
| AEREL | Causality | text | Record Qualifier | 16 | Relationship
| [Origin] Collected (Source: Investigator) | |
| AEOUT | Outcome of Adverse Event | text | Record Qualifier | 32 | Outcome of Event [6 Terms] | [Origin] Collected (Source: Investigator) | |
| AESCAN | Involves Cancer | text | Record Qualifier | 1 | No Yes Response, subset for variables with only "Y" or "N" val
| [Origin] Collected (Source: Investigator) | |
| AESCONG | Congenital Anomaly or Birth Defect | text | Record Qualifier | 1 | No Yes Response, subset for variables with only "Y" or "N" val
| [Origin] Collected (Source: Investigator) | |
| AESDISAB | Persist or Signif Disability/Incapacity | text | Record Qualifier | 1 | No Yes Response, subset for variables with only "Y" or "N" val
| [Origin] Collected (Source: Investigator) | |
| AESDTH | Results in Death | text | Record Qualifier | 1 | No Yes Response, subset for variables with only "Y" or "N" val
| [Origin] Collected (Source: Investigator) | |
| AESHOSP | Requires or Prolongs Hospitalization | text | Record Qualifier | 1 | No Yes Response, subset for variables with only "Y" or "N" val
| [Origin] Collected (Source: Investigator) | |
| AESLIFE | Is Life Threatening | text | Record Qualifier | 1 | No Yes Response, subset for variables with only "Y" or "N" val
| [Origin] Collected (Source: Investigator) | |
| AESOD | Occurred with Overdose | text | Record Qualifier | 1 | No Yes Response, subset for variables with only "Y" or "N" val
| [Origin] Collected (Source: Investigator) | |
| EPOCH | Epoch | text | Timing | 9 | Epoch
| [Origin] Derived (Source: Sponsor) [Method]EPOCH from SE where date >= SESTDTC and date < SEENDTC | |
| AESTDTC | Start Date/Time of Adverse Event | date | Timing | ISO 8601 | [Origin] Collected (Source: Investigator) | ||
| AEENDTC | End Date/Time of Adverse Event | date | Timing | ISO 8601 | [Origin] Collected (Source: Investigator) | ||
| AESTDY | Study Day of Start of Adverse Event | integer | Timing | 8 | [Origin] Derived (Source: Sponsor) [Method]Study day relative to RFSTDTC. Date - RFSTDTC + 1 if on or after RFSTDTC. Date - RFSTDTC if date precedes RFSTDTC. | ||
| AEENDY | Study Day of End of Adverse Event | integer | Timing | 8 | [Origin] Derived (Source: Sponsor) [Method]Study day relative to RFSTDTC. Date - RFSTDTC + 1 if on or after RFSTDTC. Date - RFSTDTC if date precedes RFSTDTC. | ||
| AEENRTPT | End Relative to Reference Time Point | text | Timing | 7 | Relation to Reference Period, subset used for AE and CM.
| [Origin] Collected (Source: Investigator) | |
| AEENTPT | End Reference Time Point | date | Timing | ISO 8601 | [Origin] Derived (Source: Sponsor) [Method]If AEENRTPT is populated, AEENTPT is DM.RFPENDTC for the subject. |
Go to the top of the Define-XML document
Disposition (DS)
| Variable | Where Condition | Label / Description | Type | Role | Length [SignificantDigits] : Display Format | Controlled Terms or ISO Format | Origin / Source / Method / Comment |
|---|---|---|---|---|---|---|---|
| STUDYID | Study Identifier | text | Identifier | 12 | [Origin] Protocol (Source: Sponsor) | ||
| DOMAIN | Domain Abbreviation | text | Identifier | 2 | SDTM Domain Abbreviation, subset used for Disposition
| [Origin] Assigned (Source: Sponsor) | |
| USUBJID | Unique Subject Identifier | text | Identifier | 8 | [Origin] Assigned (Source: Sponsor) | ||
| DSSEQ | Sequence Number | integer | Identifier | 3 | [Origin] Derived (Source: Sponsor) [Method]Unique sequence number within a subject, restarting at 1 for every subject, applied to sorted data. | ||
| DSLNKID | Link ID | text | Identifier | 50 | [Origin] Collected (Source: Investigator) | ||
| DSTERMVLM | Reported Term for the Disposition Event | text | Topic | 200 | |||
| DSSCAT ≠"" | Reported Term for the Disposition Event | text | 200 | [Origin] Collected (Source: Investigator) | |||
| DSSCAT = "" | Reported Term for the Disposition Event | text | 200 | [Origin] Assigned (Source: Sponsor) Annotated CRF [5 ] | |||
| DSDECODVLM | Standardized Disposition Term | text | Synonym Qualifier | 29 | |||
| DSSCAT ≠"" | Standardized Disposition Term | text | 29 | Completion/Reason for Non-Completion [13 Terms] | [Origin] Collected (Source: Investigator) | ||
| DSSCAT = "" | Standardized Disposition Term | text | 29 | Protocol Milestone
| [Origin] Assigned (Source: Sponsor) Annotated CRF [5 ] | ||
| DSCAT | Category for Disposition Event | text | Grouping Qualifier | 18 | Category for Disposition Event
| [Origin] Assigned (Source: Sponsor) [Comment] Variable is Assigned but there are annotations to help understand the data and so references to the proper pages are included | |
| DSSCAT | Subcategory for Disposition Event | text | Grouping Qualifier | 19 | Subcategory for Disposition Event
| [Origin] Assigned (Source: Sponsor) [Comment] Variable is Assigned but there are annotations to help understand the data and so references to the proper pages are included | |
| EPOCH | Epoch | text | Timing | 9 | Epoch
| [Origin] Derived (Source: Sponsor) [Method]EPOCH from SE where date >= SESTDTC and date < SEENDTC | |
| DSSTDTC | Start Date/Time of Disposition Event | date | Timing | ISO 8601 | [Origin] Collected (Source: Investigator) | ||
| DSSTDY | Study Day of Start of Disposition Event | integer | Timing | 8 | [Origin] Derived (Source: Sponsor) [Method]Study day relative to RFSTDTC. Date - RFSTDTC + 1 if on or after RFSTDTC. Date - RFSTDTC if date precedes RFSTDTC. |
Go to the top of the Define-XML document
Medical History (MH)
| Variable | Label / Description | Type | Role | Length [SignificantDigits] : Display Format | Controlled Terms or ISO Format | Origin / Source / Method / Comment |
|---|---|---|---|---|---|---|
| STUDYID | Study Identifier | text | Identifier | 12 | [Origin] Protocol (Source: Sponsor) | |
| DOMAIN | Domain Abbreviation | text | Identifier | 2 | SDTM Domain Abbreviation, subset used for Medical History
| [Origin] Assigned (Source: Sponsor) |
| USUBJID | Unique Subject Identifier | text | Identifier | 8 | [Origin] Assigned (Source: Sponsor) | |
| MHSEQ | Sequence Number | integer | Identifier | 3 | [Origin] Derived (Source: Sponsor) [Method]Unique sequence number within a subject, restarting at 1 for every subject, applied to sorted data. | |
| MHTERM | Reported Term for the Medical History | text | Topic | 19 | Medical History Term
| [Origin] Assigned (Source: Sponsor) |
| MHEVDTYP | Medical History Event Date Type | text | Variable Qualifier | 13 | Medical History Event Date Type, subset used for MHEVDTP
| [Origin] Assigned (Source: Sponsor) Annotated CRF [7 ] |
| MHSTDTC | Start Date/Time of Medical History Event | date | Timing | ISO 8601 | [Origin] Collected (Source: Investigator) Annotated CRF [7 ] | |
| MHSTDY | Study Day of Start of Observation | integer | Timing | 8 | [Origin] Derived (Source: Sponsor) [Method]Study day relative to RFSTDTC. Date - RFSTDTC + 1 if on or after RFSTDTC. Date - RFSTDTC if date precedes RFSTDTC. |
Go to the top of the Define-XML document
Death Details (DD)
| Variable | Label / Description | Type | Role | Length [SignificantDigits] : Display Format | Controlled Terms or ISO Format | Origin / Source / Method / Comment |
|---|---|---|---|---|---|---|
| STUDYID | Study Identifier | text | Identifier | 12 | [Origin] Assigned (Source: Sponsor) | |
| DOMAIN | Domain Abbreviation | text | Identifier | 2 | SDTM Domain Abbreviation, subset used for Death Diagnosis
| [Origin] Assigned (Source: Sponsor) |
| USUBJID | Unique Subject Identifier | text | Identifier | 8 | [Origin] Assigned (Source: Sponsor) | |
| DDSEQ | Sequence Number | integer | Identifier | 3 | [Origin] Derived (Source: Sponsor) [Method]Unique sequence number within a subject, restarting at 1 for every subject, applied to sorted data. | |
| DDLNKID | Link ID | text | Identifier | 50 | [Origin] Collected (Source: Investigator) Annotated CRF [26 ] | |
| DDTESTCD | Death Detail Assessment Short Name | text | Topic | 6 | Death Details Test Codes
| [Origin] Assigned (Source: Sponsor) |
| DDTEST | Death Detail Assessment Name | text | Synonym Qualifier | 22 | Death Details Tests
| [Origin] Assigned (Source: Sponsor) |
| DDORRES | Result or Finding as Collected | text | Result Qualifier | 200 | [Origin] Collected (Source: Investigator) Annotated CRF [26 ] | |
| DDSTRESC | Character Result/Finding in Std Format | text | Result Qualifier | 200 | [Origin] Predecessor: DDORRES | |
| EPOCH | Epoch | text | Timing | 9 | Epoch
| [Origin] Derived (Source: Sponsor) [Method]EPOCH from SE where date >= SESTDTC and date < SEENDTC |
| DDDTC | Date/Time of Collection | date | Timing | ISO 8601 | [Origin] Collected (Source: Investigator) Annotated CRF [26 ] | |
| DDDY | Study Day of Collection | integer | Timing | 8 | [Origin] Derived (Source: Sponsor) [Method]Study day relative to RFSTDTC. Date - RFSTDTC + 1 if on or after RFSTDTC. Date - RFSTDTC if date precedes RFSTDTC. |
Go to the top of the Define-XML document
Functional Tests (FT)
| Variable | Where Condition | Label / Description | Type | Role | Length [SignificantDigits] : Display Format | Controlled Terms or ISO Format | Origin / Source / Method / Comment |
|---|---|---|---|---|---|---|---|
| STUDYID | Study Identifier | text | Identifier | 12 | [Origin] Protocol (Source: Sponsor) | ||
| DOMAIN | Domain Abbreviation | text | Identifier | 2 | SDTM Domain Abbreviation, subset used for Functional Tests
| [Origin] Assigned (Source: Sponsor) | |
| USUBJID | Unique Subject Identifier | text | Identifier | 8 | [Origin] Assigned (Source: Sponsor) | ||
| FTSEQ | Sequence Number | integer | Identifier | 3 | [Origin] Derived (Source: Sponsor) [Method]Unique sequence number within a subject, restarting at 1 for every subject, applied to sorted data. | ||
| FTTESTCD | Short Name of Test | text | Topic | 7 | Rey Auditory Verbal Learning Test Functional Test Code [34 Terms] | [Origin] Assigned (Source: Sponsor) | |
| FTTEST | Name of Test | text | Synonym Qualifier | 23 | Rey Auditory Verbal Learning Test Functional Test Name [34 Terms] | [Origin] Assigned (Source: Sponsor) | |
| FTCAT | Category | text | Grouping Qualifier | 8 | Category of Functional Test, subset used for FTCAT
| [Origin] Assigned (Source: Sponsor) Annotated CRF [17 ] | |
| FTSCAT | Subcategory | text | Grouping Qualifier | 200 | [Origin] Assigned (Source: Sponsor) Annotated CRF [17 ] | ||
| FTORRESVLM | Result or Finding in Original Units | text | Result Qualifier | 12 | |||
| 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 1-15 | text | 12 | Rey Auditory Verbal Learning Test Functional Test Response
| [Origin] Collected (Source: Investigator) | ||
| FTTESTCD IN ( "AVL0216" (AVLT-REY - List A Total), "AVL0217" (AVLT-REY - List A Intrusions) ) | AVLT-REY List A Item 16-17 | integer | 8 | [Origin] Collected (Source: Investigator) | |||
| 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 18-32 | text | 12 | Rey Auditory Verbal Learning Test Functional Test Response
| [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 33-34 | integer | 8 | [Origin] Collected (Source: Investigator) Annotated CRF [17 ] | |||
| FTSTRESC | Result or Finding in Standard Format | text | Result Qualifier | 200 | [Origin] Predecessor: FTORRES | ||
| FTSTRESN | Numeric Result/Finding in Standard Units | integer | Result Qualifier | 8 | [Origin] Derived (Source: Sponsor) [Method]If FTSTRESC is numeric then FTSTRESN=FTSTRESC in numeric format, else null. | ||
| FTLOBXFL | Last Observation Before Exposure Flag | text | Record Qualifier | 1 | No Yes Response, subset for variables with only "Y" or null values
| [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. | |
| FTREPNUM | Repetition Number | integer | Record Qualifier | 8 | [Origin] Assigned (Source: Sponsor) | ||
| VISITNUM | Visit Number | float | Timing | 8 [2] | [Origin] Assigned (Source: Sponsor) | ||
| VISIT | Visit Name | text | Timing | 200 | [Origin] Assigned (Source: Sponsor) | ||
| EPOCH | Epoch | text | Timing | 9 | Epoch
| [Origin] Derived (Source: Sponsor) [Method]EPOCH from SE where date >= SESTDTC and date < SEENDTC | |
| FTDTC | Date/Time of Test | partialDatetime | Timing | ISO 8601 | [Origin] Collected (Source: Investigator) [Comment] DataType is 'partialDatetime' instead of 'datetime' since datetime values are planned to be collected without seconds for this study. | ||
| FTDY | Study Day of Test | integer | Timing | 8 | [Origin] Derived (Source: Sponsor) [Method]Study day relative to RFSTDTC. Date - RFSTDTC + 1 if on or after RFSTDTC. Date - RFSTDTC if date precedes RFSTDTC. | ||
| FTTPT | Planned Time Point Name | text | Timing | 200 | [Origin] Assigned (Source: Sponsor) | ||
| FTTPTNUM | Planned Time Point Number | integer | Timing | 8 | [Origin] Assigned (Source: Sponsor) | ||
| FTELTM | Planned Elapsed Time from Time Point Ref | text | Timing | 200 | [Origin] Assigned (Source: Sponsor) Annotated CRF [18 ] | ||
| FTTPTREF | Time Point Reference | text | Timing | 200 | [Origin] Assigned (Source: Sponsor) |
Go to the top of the Define-XML document
Inclusion/Exclusion Criteria Not Met (IE)
| Variable | Label / Description | Type | Role | Length [SignificantDigits] : Display Format | Controlled Terms or ISO Format | Origin / Source / Method / Comment |
|---|---|---|---|---|---|---|
| STUDYID | Study Identifier | text | Identifier | 12 | [Origin] Protocol (Source: Sponsor) | |
| DOMAIN | Domain Abbreviation | text | Identifier | 2 | SDTM Domain Abbreviation, subset used for Inclusion/Exclusion
| [Origin] Assigned (Source: Sponsor) |
| USUBJID | Unique Subject Identifier | text | Identifier | 8 | [Origin] Assigned (Source: Sponsor) | |
| IESEQ | Sequence Number | integer | Identifier | 3 | [Origin] Derived (Source: Sponsor) [Method]Unique sequence number within a subject, restarting at 1 for every subject, applied to sorted data. | |
| IETESTCD | Inclusion/Exclusion Criterion Short Name | text | Topic | 7 | Incl/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. |
| IETEST | Inclusion/Exclusion Criterion | text | Synonym Qualifier | 196 | Inclusion/Exclusion Criterion [33 Terms] | [Origin] Assigned (Source: Sponsor) [Comment] Please see Appendix 1 of the cSDRG for complete versions of IETESTCD and IETEST. |
| IECAT | Inclusion/Exclusion Category | text | Grouping Qualifier | 9 | Category for Inclusion/Exclusion
| [Origin] Collected (Source: Investigator) Annotated CRF [6 ] |
| IEORRES | I/E Criterion Original Result | text | Result Qualifier | 1 | No Yes Response, subset for variables with only "Y" or "N" val
| [Origin] Derived (Source: Sponsor) Annotated CRF [6 ] [Method]If IECAT=INCLUSION then IEORRES=N, else if IECAT=EXCLUSION then IEORRES=Y |
| IESTRESC | I/E Criterion Result in Std Format | text | Result Qualifier | 1 | No Yes Response, subset for variables with only "Y" or "N" val
| [Origin] Predecessor: IEORRES |
| EPOCH | Epoch | text | Timing | 9 | Epoch
| [Origin] Derived (Source: Sponsor) [Method]EPOCH from SE where date >= SESTDTC and date < SEENDTC |
| IEDTC | Date/Time of Collection | date | Timing | ISO 8601 | [Origin] Collected (Source: Investigator) Annotated CRF [6 ] | |
| IEDY | Study Day of Collection | integer | Timing | 8 | [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. |
Go to the top of the Define-XML document
Laboratory Test Results (LB)
| Variable | Where Condition | Label / Description | Type | Role | Length [SignificantDigits] : Display Format | Controlled Terms or ISO Format | Origin / Source / Method / Comment |
|---|---|---|---|---|---|---|---|
| STUDYID | Study Identifier | text | Identifier | 12 | [Origin] Protocol (Source: Sponsor) | ||
| DOMAIN | Domain Abbreviation | text | Identifier | 2 | SDTM Domain Abbreviation, subset used for Laboratory Data
| [Origin] Assigned (Source: Sponsor) | |
| USUBJID | Unique Subject Identifier | text | Identifier | 8 | [Origin] Assigned (Source: Sponsor) | ||
| LBSEQ | Sequence Number | integer | Identifier | 3 | [Origin] Derived (Source: Vendor) [Method]Unique sequence number within a subject, restarting at 1 for every subject, applied to sorted data. | ||
| LBTESTCD | Lab Test or Examination Short Name | text | Topic | 7 | Laboratory Test Code [40 Terms] | [Origin] Assigned (Source: Sponsor) | |
| LBTEST | Lab Test or Examination Name | text | Synonym Qualifier | 39 | Laboratory Test Name [40 Terms] | [Origin] Assigned (Source: Sponsor) | |
| LBCAT | Category for Lab Test | text | Grouping Qualifier | 10 | Laboratory Test Category
| [Origin] Collected (Source: Vendor) | |
| LBORRESVLM | Result or Finding in Original Units | text | Result Qualifier | 6 | [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 1 | float | 3 [1] | ||||
| LBTESTCD IN ( "HCT" (Hematocrit Measurement), "HGB" (Hemoglobin Measurement) ) | Lab Result or Finding in Original Units - Set 2 | float | 4 [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 3 | float | 5 [2] | ||||
| LBTESTCD = "SPGRAV" (Specific Gravity) | Lab Result or Finding in Original Units - Specific Gravity | float | 5 [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 4 | integer | 1 | ||||
| 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 5 | integer | 3 | ||||
| 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 6 | integer | 4 | ||||
| LBTESTCD = "COLOR" (Color Assessment) | Lab Result or Finding in Original Units - Color | text | 6 | ||||
| LBTESTCD = "GLUC" (Glucose Measurement) | Lab Result or Finding in Original Units - Glucose | text | 3 | ||||
| LBORRESUVLM | Original Units | text | Variable Qualifier | 7 | [Origin] Collected (Source: Vendor) | ||
| LBTESTCD = "ALT" (Alanine Aminotransferase Measurement) | Lab Result Units - ALT | text | 3 | Unit, subset to be used in VLM for tests with U/L as the unit
| |||
| LBTESTCD = "ALB" (Albumin Measurement) | Lab Result Units - ALB | text | 4 | Unit, subset to be used in VLM for tests with g/dL as the unit
| |||
| LBTESTCD = "ALP" (Alkaline Phosphatase Measurement) | Lab Result Units - ALP | text | 3 | Unit, subset to be used in VLM for tests with U/L as the unit
| |||
| LBTESTCD = "AST" (Aspartate Aminotransferase Measurement) | Lab Result Units - AST | text | 3 | Unit, subset to be used in VLM for tests with U/L as the unit
| |||
| LBTESTCD = "BASO" (Total Basophil Count) | Lab Result Units - BASO | text | 6 | Unit, subset to be used in VLM for tests with 10^9/L as the unit
| |||
| LBTESTCD = "BILI" (Total Bilirubin Measurement) | Lab Result Units - BILI | text | 5 | Unit, subset to be used in VLM for tests with mg/dL as the unit
| |||
| LBTESTCD = "CA" (Calcium Measurement) | Lab Result Units - CA | text | 5 | Unit, subset to be used in VLM for tests with mg/dL as the unit
| |||
| LBTESTCD = "CL" (Chloride Measurement) | Lab Result Units - CL | text | 5 | Unit, subset to be used in VLM for tests with mEq/L as the unit
| |||
| LBTESTCD = "CHOL" (Cholesterol Measurement) | Lab Result Units - CHOL | text | 5 | Unit, subset to be used in VLM for tests with mg/dL as the unit
| |||
| LBTESTCD = "CK" (Creatine Kinase Measurement) | Lab Result Units - CK | text | 3 | Unit, subset to be used in VLM for tests with U/L as the unit
| |||
| LBTESTCD = "CREAT" (Creatinine Measurement) | Lab Result Units - CREAT | text | 5 | Unit, subset to be used in VLM for tests with mg/dL as the unit
| |||
| LBTESTCD = "EOS" (Eosinophil Count) | Lab Result Units - EOS | text | 6 | Unit, subset to be used in VLM for tests with 10^9/L as the unit
| |||
| LBTESTCD = "MCH" (Erythrocyte Mean Corpuscular Hemoglobin) | Lab Result Units - MCH | text | 2 | Unit, subset to be used in VLM for tests with pg as the unit
| |||
| LBTESTCD = "MCHC" (Erythrocyte Mean Corpuscular Hemoglobin Concentration) | Lab Result Units - MCHC | text | 4 | Unit, subset to be used in VLM for tests with g/dL as the unit
| |||
| LBTESTCD = "MCV" (Erythrocyte Mean Corpuscular Volume) | Lab Result Units - MCV | text | 2 | Unit, subset to be used in VLM for tests with fL as the unit
| |||
| LBTESTCD = "RBC" (Erythrocyte Count) | Lab Result Units - RBC | text | 7 | Unit, subset to be used in VLM for tests with 10^12/L as the unit
| |||
| LBTESTCD = "GGT" (Gamma Glutamyl Transpeptidase Measurement) | Lab Result Units - GGT | text | 3 | Unit, subset to be used in VLM for tests with U/L as the unit
| |||
| LBTESTCD = "GLUC" (Glucose Measurement) | Lab Result Units - GLUC | text | 5 | Unit, subset to be used in VLM for tests with mg/dL as the unit
| |||
| LBTESTCD = "HCT" (Hematocrit Measurement) | Lab Result Units - HCT | text | 1 | Unit, subset to be used in VLM for tests with % as the unit
| |||
| LBTESTCD = "HGB" (Hemoglobin Measurement) | Lab Result Units - HGB | text | 4 | Unit, subset to be used in VLM for tests with g/dL as the unit
| |||
| LBTESTCD = "WBC" (Leukocyte Count) | Lab Result Units - WBC | text | 6 | Unit, subset to be used in VLM for tests with 10^9/L as the unit
| |||
| LBTESTCD = "LYM" (Lymphocyte Count) | Lab Result Units - LYM | text | 6 | Unit, subset to be used in VLM for tests with 10^9/L as the unit
| |||
| LBTESTCD = "MONO" (Monocyte Count) | Lab Result Units - MONO | text | 6 | Unit, subset to be used in VLM for tests with 10^9/L as the unit
| |||
| LBTESTCD = "PHOS" (Phosphate Measurement) | Lab Result Units - PHOS | text | 5 | Unit, subset to be used in VLM for tests with mg/dL as the unit
| |||
| LBTESTCD = "PLAT" (Platelet Count) | Lab Result Units - PLAT | text | 6 | Unit, subset to be used in VLM for tests with 10^9/L as the unit
| |||
| LBTESTCD = "K" (Potassium Measurement) | Lab Result Units - K | text | 5 | Unit, subset to be used in VLM for tests with mEq/L as the unit
| |||
| LBTESTCD = "PROT" (Total Protein Measurement) | Lab Result Units - PROT | text | 4 | Unit, subset to be used in VLM for tests with g/dL as the unit
| |||
| LBTESTCD = "SODIUM" (Sodium Measurement) | Lab Result Units - SODIUM | text | 5 | Unit, subset to be used in VLM for tests with mEq/L as the unit
| |||
| LBTESTCD = "TSH" (Thyrotropin Measurement) | Lab Result Units - TSH | text | 5 | Unit, subset to be used in VLM for tests with mIU/L as the unit
| |||
| LBTESTCD = "URATE" (Urate Measurement) | Lab Result Units - URATE | text | 5 | Unit, subset to be used in VLM for tests with mg/dL as the unit
| |||
| LBTESTCD = "UREAN" (Urea Nitrogen Measurement) | Lab Result Units - UREAN | text | 5 | Unit, subset to be used in VLM for tests with mg/dL as the unit
| |||
| LBTESTCD = "VITB12" (Vitamin B12 Measurement) | Lab Result Units - VITB12 | text | 4 | Unit, subset to be used in VLM for tests with ng/L as the unit
| |||
| LBORNRLO | Reference Range Lower Limit in Orig Unit | text | Variable Qualifier | 200 | [Origin] Collected (Source: Vendor) | ||
| LBORNRHI | Reference Range Upper Limit in Orig Unit | text | Variable Qualifier | 200 | [Origin] Collected (Source: Vendor) | ||
| LBSTRESCVLM | Character Result/Finding in Std Format | text | Result Qualifier | 8 | [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 - K | float | 2 [1] | ||||
| LBTESTCD = "RBC" (Erythrocyte Count) | Character Result/Finding in Std Format - RBC | float | 3 [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 1 | float | 3 [2] | ||||
| LBTESTCD = "BILI" (Total Bilirubin Measurement) | Character Result/Finding in Std Format - BILI | float | 4 [2] | ||||
| LBTESTCD IN ( "SPGRAV" (Specific Gravity), "UREAN" (Urea Nitrogen Measurement) ) | Character Result/Finding in Std Format - Set 2 | float | 4 [3] | ||||
| LBTESTCD = "CREAT" (Creatinine Measurement) | Character Result/Finding in Std Format - CREAT | float | 5 [2] | ||||
| LBTESTCD = "URATE" (Urate Measurement) | Character Result/Finding in Std Format - URATE | float | 6 [3] | ||||
| LBTESTCD = "MCHC" (Erythrocyte Mean Corpuscular Hemoglobin Concentration) | Character Result/Finding in Std Format - MCHC | float | 6 [4] | ||||
| LBTESTCD IN ( "CA" (Calcium Measurement), "CHOL" (Cholesterol Measurement), "MCH" (Erythrocyte Mean Corpuscular Hemoglobin), "PHOS" (Phosphate Measurement) ) | Character Result/Finding in Std Format - Set 3 | float | 6 [5] | ||||
| LBTESTCD = "VITB12" (Vitamin B12 Measurement) | Character Result/Finding in Std Format - VITB12 | float | 7 [4] | ||||
| LBTESTCD = "HGB" (Hemoglobin Measurement) | Character Result/Finding in Std Format - HGB | float | 7 [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 4 | integer | 1 | ||||
| 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 5 | integer | 2 | ||||
| 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 6 | integer | 3 | ||||
| LBTESTCD = "CK" (Creatine Kinase Measurement) | Character Result/Finding in Std Format - CK | integer | 4 | ||||
| LBTESTCD = "COLOR" (Color Assessment) | Character Result/Finding in Std Format - COLOR | text | 1 | Normal Abnormal Response, subset used in OE and NV.
| |||
| LBTESTCD = "GLUC" (Glucose Measurement) | Character Result/Finding in Std Format - GLUC | text | 8 | ||||
| LBSTRESN | Numeric Result/Finding in Standard Units | float | Result Qualifier | 8 [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. | ||
| LBSTRESUVLM | Standard Units | text | Variable Qualifier | 7 | [Origin] Assigned (Source: Vendor) | ||
| LBTESTCD = "ALT" (Alanine Aminotransferase Measurement) | Lab Result Standard Units - ALT | text | 3 | Unit, subset to be used in VLM for tests with U/L as the unit
| |||
| LBTESTCD = "ALB" (Albumin Measurement) | Lab Result Standard Units - ALB | text | 3 | Unit, subset to be used in VLM for tests with g/L as the unit
| |||
| LBTESTCD = "ALP" (Alkaline Phosphatase Measurement) | Lab Result Standard Units - ALP | text | 3 | Unit, subset to be used in VLM for tests with U/L as the unit
| |||
| LBTESTCD = "AST" (Aspartate Aminotransferase Measurement) | Lab Result Standard Units - AST | text | 3 | Unit, subset to be used in VLM for tests with U/L as the unit
| |||
| LBTESTCD = "BASO" (Total Basophil Count) | Lab Result Standard Units - BASO | text | 6 | Unit, subset to be used in VLM for tests with 10^9/L as the unit
| |||
| LBTESTCD = "BILI" (Total Bilirubin Measurement) | Lab Result Standard Units - BILI | text | 6 | Unit, subset to be used in VLM for tests with umol/L as the unit
| |||
| LBTESTCD = "CA" (Calcium Measurement) | Lab Result Standard Units - CA | text | 6 | Unit, subset to be used in VLM for tests with mmol/L as the unit
| |||
| LBTESTCD = "CL" (Chloride Measurement) | Lab Result Standard Units - CL | text | 6 | Unit, subset to be used in VLM for tests with mmol/L as the unit
| |||
| LBTESTCD = "CHOL" (Cholesterol Measurement) | Lab Result Standard Units - CHOL | text | 6 | Unit, subset to be used in VLM for tests with mmol/L as the unit
| |||
| LBTESTCD = "CK" (Creatine Kinase Measurement) | Lab Result Standard Units - CK | text | 3 | Unit, subset to be used in VLM for tests with U/L as the unit
| |||
| LBTESTCD = "CREAT" (Creatinine Measurement) | Lab Result Standard Units - CREAT | text | 6 | Unit, subset to be used in VLM for tests with umol/L as the unit
| |||
| LBTESTCD = "EOS" (Eosinophil Count) | Lab Result Standard Units - EOS | text | 6 | Unit, subset to be used in VLM for tests with 10^9/L as the unit
| |||
| LBTESTCD = "MCH" (Erythrocyte Mean Corpuscular Hemoglobin) | Lab Result Standard Units - MCH | text | 4 | Unit, subset to be used in VLM for tests with fmol as the unit
| |||
| LBTESTCD = "MCHC" (Erythrocyte Mean Corpuscular Hemoglobin Concentration) | Lab Result Standard Units - MCHC | text | 6 | Unit, subset to be used in VLM for tests with mmol/L as the unit
| |||
| LBTESTCD = "MCV" (Erythrocyte Mean Corpuscular Volume) | Lab Result Standard Units - MCV | text | 2 | Unit, subset to be used in VLM for tests with fL as the unit
| |||
| LBTESTCD = "RBC" (Erythrocyte Count) | Lab Result Standard Units - RBC | text | 7 | Unit, subset to be used in VLM for tests with 10^12/L as the unit
| |||
| LBTESTCD = "GGT" (Gamma Glutamyl Transpeptidase Measurement) | Lab Result Standard Units - GGT | text | 3 | Unit, subset to be used in VLM for tests with U/L as the unit
| |||
| LBTESTCD = "GLUC" (Glucose Measurement) | Lab Result Standard Units - GLUC | text | 6 | Unit, subset to be used in VLM for tests with mmol/L as the unit
| |||
| LBTESTCD = "HGB" (Hemoglobin Measurement) | Lab Result Standard Units - HGB | text | 6 | Unit, subset to be used in VLM for tests with mmol/L as the unit
| |||
| LBTESTCD = "WBC" (Leukocyte Count) | Lab Result Standard Units - WBC | text | 6 | Unit, subset to be used in VLM for tests with 10^9/L as the unit
| |||
| LBTESTCD = "LYM" (Lymphocyte Count) | Lab Result Standard Units - LYM | text | 6 | Unit, subset to be used in VLM for tests with 10^9/L as the unit
| |||
| LBTESTCD = "MONO" (Monocyte Count) | Lab Result Standard Units - MONO | text | 6 | Unit, subset to be used in VLM for tests with 10^9/L as the unit
| |||
| LBTESTCD = "PHOS" (Phosphate Measurement) | Lab Result Standard Units - PHOS | text | 6 | Unit, subset to be used in VLM for tests with mmol/L as the unit
| |||
| LBTESTCD = "PLAT" (Platelet Count) | Lab Result Standard Units - PLAT | text | 6 | Unit, subset to be used in VLM for tests with 10^9/L as the unit
| |||
| LBTESTCD = "K" (Potassium Measurement) | Lab Result Standard Units - K | text | 6 | Unit, subset to be used in VLM for tests with mmol/L as the unit
| |||
| LBTESTCD = "PROT" (Total Protein Measurement) | Lab Result Standard Units - PROT | text | 3 | Unit, subset to be used in VLM for tests with g/L as the unit
| |||
| LBTESTCD = "SODIUM" (Sodium Measurement) | Lab Result Standard Units - SODIUM | text | 6 | Unit, subset to be used in VLM for tests with mmol/L as the unit
| |||
| LBTESTCD = "TSH" (Thyrotropin Measurement) | Lab Result Standard Units - TSH | text | 4 | Unit, subset to be used in VLM for tests with mU/L as the unit
| |||
| LBTESTCD = "URATE" (Urate Measurement) | Lab Result Standard Units - URATE | text | 6 | Unit, subset to be used in VLM for tests with umol/L as the unit
| |||
| LBTESTCD = "UREAN" (Urea Nitrogen Measurement) | Lab Result Standard Units - UREAN | text | 6 | Unit, subset to be used in VLM for tests with mmol/L as the unit
| |||
| LBTESTCD = "VITB12" (Vitamin B12 Measurement) | Lab Result Standard Units - VITB12 | text | 6 | Unit, subset to be used in VLM for tests with pmol/L as the unit
| |||
| LBSTNRLO | Reference Range Lower Limit-Std Units | float | Variable Qualifier | 5 [3] | [Origin] Assigned (Source: Vendor) | ||
| LBSTNRHI | Reference Range Upper Limit-Std Units | float | Variable Qualifier | 5 [2] | [Origin] Assigned (Source: Vendor) | ||
| LBNRIND | Reference Range Indicator | text | Variable Qualifier | 8 | Normal Range Indicator
| [Origin] Collected (Source: Vendor) | |
| LBLOBXFL | Last Observation Before Exposure Flag | text | Record Qualifier | 1 | No Yes Response, subset for variables with only "Y" or null values
| [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. | |
| VISITNUM | Visit Number | float | Timing | 8 [2] | [Origin] Collected (Source: Vendor) | ||
| VISIT | Visit Name | text | Timing | 200 | [Origin] Collected (Source: Vendor) | ||
| EPOCH | Epoch | text | Timing | 9 | Epoch
| [Origin] Derived (Source: Vendor) [Method]EPOCH from SE where date >= SESTDTC and date < SEENDTC | |
| LBDTC | Date/Time of Specimen Collection | partialDatetime | Timing | ISO 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. | ||
| LBDY | Study Day of Specimen Collection | integer | Timing | 8 | [Origin] Derived (Source: Vendor) [Method]Study day relative to RFSTDTC. Date - RFSTDTC + 1 if on or after RFSTDTC. Date - RFSTDTC if date precedes RFSTDTC. |
Go to the top of the Define-XML document
Nervous System Findings (NV)
| Related Supplemental Qualifiers Dataset: SUPPNV (Supplemental Qualifiers for NV) | |||||||
| Variable | Label / Description | Type | Role | Length [SignificantDigits] : Display Format | Controlled Terms or ISO Format | Origin / Source / Method / Comment | |
|---|---|---|---|---|---|---|---|
| STUDYID | Study Identifier | text | Identifier | 12 | [Origin] Protocol (Source: Sponsor) | ||
| DOMAIN | Domain Abbreviation | text | Identifier | 2 | SDTM Domain Abbreviation, subset used for Nervous System Findings
| [Origin] Assigned (Source: Sponsor) | |
| USUBJID | Unique Subject Identifier | text | Identifier | 8 | [Origin] Assigned (Source: Sponsor) | ||
| NVSEQ | Sequence Number | integer | Identifier | 3 | [Origin] Derived (Source: Sponsor) [Method]Unique sequence number within a subject, restarting at 1 for every subject, applied to sorted data. | ||
| NVTESTCD | Short Name of Nervous System Test | text | Topic | 4 | Nervous System Test Code
| [Origin] Assigned (Source: Sponsor) | |
| NVTEST | Name of Nervous System Test | text | Synonym Qualifier | 14 | Nervous System Test
| [Origin] Assigned (Source: Sponsor) | |
| NVORRES | Result or Finding in Original Units | text | Result Qualifier | 8 | Normal Abnormal Response, subset used in OE and NV.
| [Origin] Collected (Source: Investigator) Annotated CRF [20 ] | |
| NVSTRESC | Character Result/Finding in Std Format | text | Result Qualifier | 8 | Normal Abnormal Response, subset used in OE and NV.
| [Origin] Predecessor: NVORRES | |
| VISITNUM | Visit Number | float | Timing | 8 [2] | [Origin] Assigned (Source: Sponsor) | ||
| EPOCH | Epoch | text | Timing | 9 | Epoch
| [Origin] Derived (Source: Sponsor) [Method]EPOCH from SE where date >= SESTDTC and date < SEENDTC | |
| NVDTC | Date/Time of Collection | date | Timing | ISO 8601 | [Origin] Collected (Source: Investigator) Annotated CRF [20 ] | ||
| NVDY | Study Day of Visit/Collection/Exam | integer | Timing | 8 | [Origin] Derived (Source: Sponsor) [Method]Study day relative to RFSTDTC. Date - RFSTDTC + 1 if on or after RFSTDTC. Date - RFSTDTC if date precedes RFSTDTC. | ||
Go to the top of the Define-XML document
Ophthalmic Examinations (OE)
| Related Supplemental Qualifiers Dataset: SUPPOE (Supplemental Qualifiers for OE) | |||||||
| Variable | Where Condition | Label / Description | Type | Role | Length [SignificantDigits] : Display Format | Controlled Terms or ISO Format | Origin / Source / Method / Comment |
|---|---|---|---|---|---|---|---|
| STUDYID | Study Identifier | text | Identifier | 12 | [Origin] Assigned (Source: Sponsor) | ||
| DOMAIN | Domain Abbreviation | text | Identifier | 2 | SDTM Domain Abbreviation, subset used for Ophthalmic Examinations
| [Origin] Assigned (Source: Sponsor) | |
| USUBJID | Unique Subject Identifier | text | Identifier | 8 | [Origin] Assigned (Source: Sponsor) | ||
| FOCID | Focus of Study-Specific Interest | text | Identifier | 2 | Ophthalmic Focus of Study Specific Interest
| [Origin] Collected (Source: Investigator) Annotated CRF [21 ] | |
| OESEQ | Sequence Number | integer | Identifier | 3 | [Origin] Derived (Source: Sponsor) [Method]Unique sequence number within a subject, restarting at 1 for every subject, applied to sorted data. | ||
| OETESTCD | Short Name of Ophthalmic Test or Exam | text | Topic | 8 | Ophthalmic Exam Test Code
| [Origin] Assigned (Source: Sponsor) | |
| OETEST | Name of Ophthalmic Test or Exam | text | Synonym Qualifier | 18 | Ophthalmic Exam Test
| [Origin] Assigned (Source: Sponsor) | |
| OEORRESVLM | Result or Finding in Original Units | text | Result Qualifier | 200 | [Origin] Collected (Source: Investigator) Annotated CRF [21 ] | ||
| OETESTCD = "INTP" (Interpretation) | Result or Finding in Original Units | text | 8 | Normal Abnormal Response, subset used in OE and NV.
| |||
| OETESTCD = "ABDETAIL" (Abnormality Detail) | Result or Finding in Original Units | text | 200 | ||||
| OESTRESC | Character Result/Finding in Std Format | text | Result Qualifier | 200 | [Origin] Predecessor: OEORRES | ||
| OELOC | Location Used for the Measurement | text | Record Qualifier | 21 | Anatomical Location, subset used for OELOC
| [Origin] Collected (Source: Investigator) Annotated CRF [21 ] | |
| OELAT | Laterality | text | Variable Qualifier | 5 | Laterality, subset to be used in OE
| [Origin] Collected (Source: Investigator) Annotated CRF [21 ] | |
| OEMETHOD | Method of Test or Examination | text | Record Qualifier | 9 | Method, subset used for OEMETHOD
| [Origin] Assigned (Source: Sponsor) Annotated CRF [21 ] | |
| OELOBXFL | Last Observation Before Exposure Flag | text | Record Qualifier | 1 | No Yes Response, subset for variables with only "Y" or null values
| [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. | |
| VISITNUM | Visit Number | float | Timing | 8 [2] | [Origin] Assigned (Source: Sponsor) | ||
| VISIT | Visit Name | text | Timing | 200 | [Origin] Collected (Source: Investigator) Annotated CRF [21 ] | ||
| EPOCH | Epoch | text | Timing | 9 | Epoch
| [Origin] Derived (Source: Sponsor) [Method]EPOCH from SE where date >= SESTDTC and date < SEENDTC | |
| OEDTC | Date/Time of Collection | text | Timing | 200 | [Origin] Collected (Source: Investigator) Annotated CRF [21 ] | ||
| OEDY | Study Day of Visit/Collection/Exam | integer | Timing | 8 | [Origin] Derived (Source: Sponsor) [Method]Study day relative to RFSTDTC. Date - RFSTDTC + 1 if on or after RFSTDTC. Date - RFSTDTC if date precedes RFSTDTC. | ||
Go to the top of the Define-XML document
Questionnaires (PHQ-9) (QSPH)
| Variable | Where Condition | Label / Description | Type | Role | Length [SignificantDigits] : Display Format | Controlled Terms or ISO Format | Origin / Source / Method / Comment |
|---|---|---|---|---|---|---|---|
| STUDYID | Study Identifier | text | Identifier | 12 | [Origin] Protocol (Source: Sponsor) | ||
| DOMAIN | Domain Abbreviation | text | Identifier | 4 | SDTM Domain Abbreviation, subset used for Questionnaires
| [Origin] Assigned (Source: Sponsor) | |
| USUBJID | Unique Subject Identifier | text | Identifier | 8 | [Origin] Assigned (Source: Sponsor) | ||
| QSSEQ | Sequence Number | integer | Identifier | 3 | [Origin] Derived (Source: Sponsor) [Method]Unique sequence number within a subject, restarting at 1 for every subject, applied to sorted data. | ||
| QSTESTCD | Question Short Name | text | Topic | 7 | Patient Health Questionnaire - 9 Item Questionnaire Test Code [11 Terms] | [Origin] Assigned (Source: Sponsor) | |
| QSTEST | Question Name | text | Synonym Qualifier | 40 | Patient Health Questionnaire - 9 Item Questionnaire Test Name [11 Terms] | [Origin] Assigned (Source: Sponsor) | |
| QSCAT | Category of Question | text | Grouping Qualifier | 5 | Category of Questionnaire for PHQ-9
| [Origin] Assigned (Source: Sponsor) Annotated CRF [15 ] | |
| QSORRESVLM | Finding in Original Units | text | Result Qualifier | 23 | [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 1-9 | text | 23 | Patient Health Questionnaire Responses
| |||
| QSTESTCD = "PHQ0110" (PHQ01-Difficult to Work/Take Care Things) | PHQ-9 Question 10 | text | 20 | Patient Health Questionnaire Responses-Question 10
| |||
| QSTESTCD = "PHQ0111" (PHQ01-Total Score) | PHQ-9 Question Total | integer | 8 | ||||
| QSSTRESCVLM | Character Result/Finding in Std Format | text | Result Qualifier | 20 | |||
| 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, Standardized | integer | 8 | Patient Health Questionnaire Responses Standardized
| [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, Standardized | text | 20 | Patient Health Questionnaire Responses-Question 10
| [Origin] Derived (Source: Sponsor) Annotated CRF [15 ] [Method]QSSTRESC=QSORRES | ||
| QSTESTCD = "PHQ0111" (PHQ01-Total Score) | PHQ-9 Question Total, Standardized | integer | 8 | [Origin] Predecessor: QSORRES where QSTESTCD EQ PHQ0111 Annotated CRF [15 ] | |||
| QSSTRESN | Numeric Finding in Standard Units | integer | Result Qualifier | 8 | [Origin] Derived (Source: Sponsor) Annotated CRF [15 ] [Method]If QSSTRESC is numeric then QSSTRESN=QSSTRESC in numeric format, else null. | ||
| QSLOBXFL | Last Observation Before Exposure Flag | text | Record Qualifier | 1 | No Yes Response, subset for variables with only "Y" or null values
| [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. | |
| VISITNUM | Visit Number | float | Timing | 8 [2] | [Origin] Assigned (Source: Sponsor) | ||
| VISIT | Visit Name | text | Timing | 200 | [Origin] Assigned (Source: Sponsor) | ||
| EPOCH | Epoch | text | Timing | 9 | Epoch
| [Origin] Derived (Source: Sponsor) [Method]EPOCH from SE where date >= SESTDTC and date < SEENDTC | |
| QSDTC | Date/Time of Finding | date | Timing | ISO 8601 | [Origin] Assigned (Source: Sponsor) | ||
| QSDY | Study Day of Finding | integer | Timing | 8 | [Origin] Derived (Source: Sponsor) [Method]Study day relative to RFSTDTC. Date - RFSTDTC + 1 if on or after RFSTDTC. Date - RFSTDTC if date precedes RFSTDTC. | ||
| QSEVLINT | Evaluation Interval | durationDatetime | Timing | ISO 8601 | [Origin] Assigned (Source: Sponsor) Annotated CRF [15 ] |
Go to the top of the Define-XML document
Questionnaires (SQLS) (QSSL)
| Variable | Label / Description | Type | Role | Length [SignificantDigits] : Display Format | Controlled Terms or ISO Format | Origin / Source / Method / Comment |
|---|---|---|---|---|---|---|
| STUDYID | Study Identifier | text | Identifier | 12 | [Origin] Protocol (Source: Sponsor) | |
| DOMAIN | Domain Abbreviation | text | Identifier | 4 | SDTM Domain Abbreviation, subset used for Questionnaires
| [Origin] Assigned (Source: Sponsor) |
| USUBJID | Unique Subject Identifier | text | Identifier | 8 | [Origin] Assigned (Source: Sponsor) | |
| QSSEQ | Sequence Number | integer | Identifier | 3 | [Origin] Derived (Source: Sponsor) [Method]Unique sequence number within a subject, restarting at 1 for every subject, applied to sorted data. | |
| QSTESTCD | Question Short Name | text | Topic | 8 | Satisfaction With Life Scale Questionnaire Test Code
| [Origin] Assigned (Source: Sponsor) |
| QSTEST | Question Name | text | Synonym Qualifier | 39 | Satisfaction With Life Scale Questionnaire Test Name
| [Origin] Assigned (Source: Sponsor) |
| QSCAT | Category of Question | text | Grouping Qualifier | 4 | Category of Questionnaire for SWLS
| [Origin] Assigned (Source: Sponsor) Annotated CRF [16 ] |
| QSORRES | Finding in Original Units | text | Result Qualifier | 26 | SWLS-Responses [7 Terms] | [Origin] Collected (Source: Investigator) Annotated CRF [16 ] |
| QSSTRESC | Character Result/Finding in Std Format | text | Result Qualifier | 1 | SWLS-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 |
| QSSTRESN | Numeric Finding in Standard Units | integer | Result Qualifier | 8 | [Origin] Derived (Source: Sponsor) Annotated CRF [16 ] [Method]If QSSTRESC is numeric then QSSTRESN=QSSTRESC in numeric format, else null. | |
| QSLOBXFL | Last Observation Before Exposure Flag | text | Record Qualifier | 1 | No Yes Response, subset for variables with only "Y" or null values
| [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. |
| VISITNUM | Visit Number | float | Timing | 8 [2] | [Origin] Assigned (Source: Sponsor) | |
| VISIT | Visit Name | text | Timing | 200 | [Origin] Assigned (Source: Sponsor) | |
| EPOCH | Epoch | text | Timing | 9 | Epoch
| [Origin] Derived (Source: Sponsor) [Method]EPOCH from SE where date >= SESTDTC and date < SEENDTC |
| QSDTC | Date/Time of Finding | date | Timing | ISO 8601 | [Origin] Assigned (Source: Sponsor) | |
| QSDY | Study Day of Finding | integer | Timing | 8 | [Origin] Derived (Source: Sponsor) [Method]Study day relative to RFSTDTC. Date - RFSTDTC + 1 if on or after RFSTDTC. Date - RFSTDTC if date precedes RFSTDTC. |
Go to the top of the Define-XML document
Disease Response and Clin Classification (RS)
| Variable | Where Condition | Label / Description | Type | Role | Length [SignificantDigits] : Display Format | Controlled Terms or ISO Format | Origin / Source / Method / Comment |
|---|---|---|---|---|---|---|---|
| STUDYID | Study Identifier | text | Identifier | 12 | [Origin] Protocol (Source: Sponsor) | ||
| DOMAIN | Domain Abbreviation | text | Identifier | 2 | SDTM Domain Abbreviation, subset used for Disease Response and Clin Classification
| [Origin] Assigned (Source: Sponsor) | |
| USUBJID | Unique Subject Identifier | text | Identifier | 8 | [Origin] Assigned (Source: Sponsor) | ||
| RSSEQ | Sequence Number | integer | Identifier | 3 | [Origin] Derived (Source: Sponsor) [Method]Unique sequence number within a subject, restarting at 1 for every subject, applied to sorted data. | ||
| RSTESTCD | Assessment Short Name | text | Topic | 8 | Hamilton Depression Rating Scale - 17 Item Clinical Classification Test Code [19 Terms] | [Origin] Assigned (Source: Sponsor) | |
| RSTEST | Assessment Name | text | Synonym Qualifier | 37 | Hamilton Depression Rating Scale - 17 Item Clinical Classification Test Name [19 Terms] | [Origin] Assigned (Source: Sponsor) | |
| RSCAT | Category for Assessment | text | Grouping Qualifier | 7 | Category of Clinical Classification, subset to be used for RSCAT
| [Origin] Assigned (Source: Sponsor) Annotated CRF [19 ] | |
| RSORRESVLM | Result or Finding in Original Units | text | Result Qualifier | 198 | [Origin] Collected (Source: Investigator) Annotated CRF [19 ] | ||
| RSTESTCD = "HAMD101" (HAMD1-Depressed Mood) | HAMD-17 Question 1 | text | 111 | Hamilton Depression Rating Scale - 17 Item - Question 1
| [Origin] Collected (Source: Investigator) Annotated CRF [19 ] | ||
| RSTESTCD = "HAMD102" (HAMD1-Feelings of Guilt) | HAMD-17 Question 2 | text | 93 | Hamilton Depression Rating Scale - 17 Item - Question 2
| [Origin] Collected (Source: Investigator) Annotated CRF [19 ] | ||
| RSTESTCD = "HAMD103" (HAMD1-Suicide) | HAMD-17 Question 3 | text | 66 | Hamilton Depression Rating Scale - 17 Item - Question 3
| [Origin] Collected (Source: Investigator) Annotated CRF [19 ] | ||
| RSTESTCD = "HAMD104" (HAMD1-Insomnia Early - Early Night) | HAMD-17 Question 4 | text | 74 | Hamilton Depression Rating Scale - 17 Item - Question 4
| [Origin] Collected (Source: Investigator) Annotated CRF [19 ] | ||
| RSTESTCD = "HAMD105" (HAMD1-Insomnia Middle - Middle Night) | HAMD-17 Question 5 | text | 90 | Hamilton Depression Rating Scale - 17 Item - Question 5
| [Origin] Collected (Source: Investigator) Annotated CRF [19 ] | ||
| RSTESTCD = "HAMD106" (HAMD1-Insomnia Early Hours - Morning) | HAMD-17 Question 6 | text | 60 | Hamilton Depression Rating Scale - 17 Item - Question 6
| [Origin] Collected (Source: Investigator) Annotated CRF [19 ] | ||
| RSTESTCD = "HAMD107" (HAMD1-Work and Activities) | HAMD-17 Question 7 | text | 198 | Hamilton Depression Rating Scale - 17 Item - Question 7
| [Origin] Collected (Source: Investigator) Annotated CRF [19 ] | ||
| RSTESTCD = "HAMD108" (HAMD1-Retardation) | HAMD-17 Question 8 | text | 41 | Hamilton Depression Rating Scale - 17 Item - Question 8
| [Origin] Collected (Source: Investigator) Annotated CRF [19 ] | ||
| RSTESTCD = "HAMD109" (HAMD1-Agitation) | HAMD-17 Question 9 | text | 57 | Hamilton Depression Rating Scale - 17 Item - Question 9
| [Origin] Collected (Source: Investigator) Annotated CRF [19 ] | ||
| RSTESTCD = "HAMD110" (HAMD1-Anxiety Psychic) | HAMD-17 Question 10 | text | 49 | Hamilton Depression Rating Scale - 17 Item - Question 10
| [Origin] Collected (Source: Investigator) Annotated CRF [19 ] | ||
| RSTESTCD = "HAMD111" (HAMD1-Anxiety Somatic) | HAMD-17 Question 11 | text | 15 | Hamilton Depression Rating Scale - 17 Item - Question 11
| [Origin] Collected (Source: Investigator) Annotated CRF [19 ] | ||
| RSTESTCD = "HAMD112" (HAMD1-Somatic Symptoms GI) | HAMD-17 Question 12 | text | 141 | Hamilton Depression Rating Scale - 17 Item - Question 12
| [Origin] Collected (Source: Investigator) Annotated CRF [19 ] | ||
| RSTESTCD = "HAMD113" (HAMD1-General Somatic Symptoms) | HAMD-17 Question 13 | text | 102 | Hamilton Depression Rating Scale - 17 Item - Question 13
| [Origin] Collected (Source: Investigator) Annotated CRF [19 ] | ||
| RSTESTCD = "HAMD114" (HAMD1-Genital Symptoms) | HAMD-17 Question 14 | text | 7 | Hamilton Depression Rating Scale - 17 Item - Question 14
| [Origin] Collected (Source: Investigator) Annotated CRF [19 ] | ||
| RSTESTCD = "HAMD115" (HAMD1-Hypochondriasis) | HAMD-17 Question 15 | text | 44 | Hamilton Depression Rating Scale - 17 Item - Question 15
| [Origin] Collected (Source: Investigator) Annotated CRF [19 ] | ||
| RSTESTCD = "HAMD116A" (HAMD1-Loss of WT According to Patient) | HAMD-17 Question 16A | text | 53 | Hamilton Depression Rating Scale - 17 Item - Question 16A
| [Origin] Collected (Source: Investigator) Annotated CRF [19 ] | ||
| RSTESTCD = "HAMD116B" (HAMD1-Loss of WT According to WK Meas) | HAMD-17 Question 16B | text | 42 | Hamilton Depression Rating Scale - 17 Item - Question 16B
| [Origin] Collected (Source: Investigator) Annotated CRF [19 ] | ||
| RSTESTCD = "HAMD117" (HAMD1-Insight) | HAMD-17 Question 17 | text | 100 | Hamilton Depression Rating Scale - 17 Item - Question 17
| [Origin] Collected (Source: Investigator) Annotated CRF [19 ] | ||
| RSTESTCD = "HAMD118" (HAMD1-Total Score) | HAMD-17 Question 18 | integer | 8 | [Origin] Collected (Source: Investigator) Annotated CRF [19 ] | |||
| RSSTRESCVLM | Character Result/Finding in Std Format | text | Result Qualifier | 8 | [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 Standardized | integer | 8 | Hamilton Depression Rating Scale - 17 Item - Question 1 Standardized
| [Origin] Collected (Source: Investigator) Annotated CRF [19 ] | ||
| RSTESTCD = "HAMD102" (HAMD1-Feelings of Guilt) | HAMD-17 Question 2 Standardized | integer | 8 | Hamilton Depression Rating Scale - 17 Item - Question 2 Standardized
| [Origin] Collected (Source: Investigator) Annotated CRF [19 ] | ||
| RSTESTCD = "HAMD103" (HAMD1-Suicide) | HAMD-17 Question 3 Standardized | integer | 8 | Hamilton Depression Rating Scale - 17 Item - Question 3 Standardized
| [Origin] Collected (Source: Investigator) Annotated CRF [19 ] | ||
| RSTESTCD = "HAMD104" (HAMD1-Insomnia Early - Early Night) | HAMD-17 Question 4 Standardized | integer | 8 | Hamilton Depression Rating Scale - 17 Item - Question 4 Standardized
| [Origin] Collected (Source: Investigator) Annotated CRF [19 ] | ||
| RSTESTCD = "HAMD105" (HAMD1-Insomnia Middle - Middle Night) | HAMD-17 Question 5 Standardized | integer | 8 | Hamilton Depression Rating Scale - 17 Item - Question 5 Standardized
| [Origin] Collected (Source: Investigator) Annotated CRF [19 ] | ||
| RSTESTCD = "HAMD106" (HAMD1-Insomnia Early Hours - Morning) | HAMD-17 Question 6 Standardized | integer | 8 | Hamilton Depression Rating Scale - 17 Item - Question 6 Standardized
| [Origin] Collected (Source: Investigator) Annotated CRF [19 ] | ||
| RSTESTCD = "HAMD107" (HAMD1-Work and Activities) | HAMD-17 Question 7 Standardized | integer | 8 | Hamilton Depression Rating Scale - 17 Item - Question 7 Standardized
| [Origin] Collected (Source: Investigator) Annotated CRF [19 ] | ||
| RSTESTCD = "HAMD108" (HAMD1-Retardation) | HAMD-17 Question 8 Standardized | integer | 8 | Hamilton Depression Rating Scale - 17 Item - Question 8 Standardized
| [Origin] Collected (Source: Investigator) Annotated CRF [19 ] | ||
| RSTESTCD = "HAMD109" (HAMD1-Agitation) | HAMD-17 Question 9 Standardized | integer | 8 | Hamilton Depression Rating Scale - 17 Item - Question 9 Standardized
| [Origin] Collected (Source: Investigator) Annotated CRF [19 ] | ||
| RSTESTCD = "HAMD110" (HAMD1-Anxiety Psychic) | HAMD-17 Question 10 Standardized | integer | 8 | Hamilton Depression Rating Scale - 17 Item - Question 10 Standardized
| [Origin] Collected (Source: Investigator) Annotated CRF [19 ] | ||
| RSTESTCD = "HAMD111" (HAMD1-Anxiety Somatic) | HAMD-17 Question 11 Standardized | integer | 8 | Hamilton Depression Rating Scale - 17 Item - Question 11 Standardized
| [Origin] Collected (Source: Investigator) Annotated CRF [19 ] | ||
| RSTESTCD = "HAMD112" (HAMD1-Somatic Symptoms GI) | HAMD-17 Question 12 Standardized | integer | 8 | Hamilton Depression Rating Scale - 17 Item - Question 12 Standardized
| [Origin] Collected (Source: Investigator) Annotated CRF [19 ] | ||
| RSTESTCD = "HAMD113" (HAMD1-General Somatic Symptoms) | HAMD-17 Question 13 Standardized | integer | 8 | Hamilton Depression Rating Scale - 17 Item - Question 13 Standardized
| [Origin] Collected (Source: Investigator) Annotated CRF [19 ] | ||
| RSTESTCD = "HAMD114" (HAMD1-Genital Symptoms) | HAMD-17 Question 14 Standardized | integer | 8 | Hamilton Depression Rating Scale - 17 Item - Question 14 Standardized
| [Origin] Collected (Source: Investigator) Annotated CRF [19 ] | ||
| RSTESTCD = "HAMD115" (HAMD1-Hypochondriasis) | HAMD-17 Question 15 Standardized | integer | 8 | Hamilton Depression Rating Scale - 17 Item - Question 15 Standardized
| [Origin] Collected (Source: Investigator) Annotated CRF [19 ] | ||
| RSTESTCD = "HAMD116A" (HAMD1-Loss of WT According to Patient) | HAMD-17 Question 16A Standardized | integer | 8 | Hamilton Depression Rating Scale - 17 Item - Question 16A Standardized
| [Origin] Collected (Source: Investigator) Annotated CRF [19 ] | ||
| RSTESTCD = "HAMD116B" (HAMD1-Loss of WT According to WK Meas) | HAMD-17 Question 16B Standardized | integer | 8 | Hamilton Depression Rating Scale - 17 Item - Question 16B Standardized
| [Origin] Collected (Source: Investigator) Annotated CRF [19 ] | ||
| RSTESTCD = "HAMD117" (HAMD1-Insight) | HAMD-17 Question 17 Standardized | integer | 8 | Hamilton Depression Rating Scale - 17 Item - Question 17 Standardized
| [Origin] Collected (Source: Investigator) Annotated CRF [19 ] | ||
| RSTESTCD = "HAMD118" (HAMD1-Total Score) | HAMD-17 Question 18 Standardized | integer | 8 | [Origin] Collected (Source: Investigator) Annotated CRF [19 ] | |||
| RSSTRESN | Numeric Result/Finding in Standard Units | integer | Result Qualifier | 8 | [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. | ||
| RSLOBXFL | Last Observation Before Exposure Flag | text | Record Qualifier | 1 | No Yes Response, subset for variables with only "Y" or null values
| [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. | |
| VISITNUM | Visit Number | float | Timing | 8 [2] | [Origin] Assigned (Source: Sponsor) | ||
| VISIT | Visit Name | text | Timing | 200 | [Origin] Assigned (Source: Sponsor) | ||
| EPOCH | Epoch | text | Timing | 9 | Epoch
| [Origin] Derived (Source: Sponsor) [Method]EPOCH from SE where date >= SESTDTC and date < SEENDTC | |
| RSDTC | Date/Time of Assessment | date | Timing | ISO 8601 | [Origin] Assigned (Source: Sponsor) | ||
| RSDY | Study Day of Assessment | integer | Timing | 8 | [Origin] Derived (Source: Sponsor) [Method]Study day relative to RFSTDTC. Date - RFSTDTC + 1 if on or after RFSTDTC. Date - RFSTDTC if date precedes RFSTDTC. | ||
| RSEVLINT | Evaluation Interval | durationDatetime | Timing | ISO 8601 | [Origin] Assigned (Source: Sponsor) Annotated CRF [19 ] |
Go to the top of the Define-XML document
Vital Signs (VS)
| Variable | Where Condition | Label / Description | Type | Role | Length [SignificantDigits] : Display Format | Controlled Terms or ISO Format | Origin / Source / Method / Comment |
|---|---|---|---|---|---|---|---|
| STUDYID | Study Identifier | text | Identifier | 12 | [Origin] Protocol (Source: Sponsor) | ||
| DOMAIN | Domain Abbreviation | text | Identifier | 2 | SDTM Domain Abbreviation, subset used for Vital Signs
| [Origin] Assigned (Source: Sponsor) | |
| USUBJID | Unique Subject Identifier | text | Identifier | 8 | [Origin] Assigned (Source: Sponsor) | ||
| VSSEQ | Sequence Number | integer | Identifier | 3 | [Origin] Derived (Source: Sponsor) [Method]Unique sequence number within a subject, restarting at 1 for every subject, applied to sorted data. | ||
| VSTESTCD | Vital Signs Test Short Name | text | Topic | 6 | Vital Signs Test Code [6 Terms] | [Origin] Assigned (Source: Sponsor) | |
| VSTEST | Vital Signs Test Name | text | Synonym Qualifier | 24 | Vital Signs Test Name [6 Terms] | [Origin] Assigned (Source: Sponsor) | |
| VSPOS | Vital Signs Position of Subject | text | Record Qualifier | 8 | Position, subset to be used for VSPOS
| [Origin] Assigned (Source: Sponsor) | |
| VSORRESVLM | Result or Finding in Original Units | text | Result Qualifier | 8 | |||
| VSTESTCD IN ( "DIABP" (Diastolic Blood Pressure), "SYSBP" (Systolic Blood Pressure) ) | Blood Pressure | integer | 8 | [Origin] Collected (Source: Investigator) | |||
| VSTESTCD = "HEIGHT" (Height) | Height | float | 8 [2] | [Origin] Collected (Source: Investigator) | |||
| VSTESTCD = "PULSE" (Pulse Rate) | Pulse Rate | integer | 8 | [Origin] Collected (Source: Investigator) | |||
| VSTESTCD = "TEMP" (Temperature) | Temperature | float | 8 [2] | [Origin] Collected (Source: Investigator) | |||
| VSTESTCD = "WEIGHT" (Weight) | Weight | float | 8 [2] | [Origin] Collected (Source: Investigator) | |||
| VSORRESUVLM | Original Units | text | Variable Qualifier | 9 | |||
| VSTESTCD IN ( "DIABP" (Diastolic Blood Pressure), "SYSBP" (Systolic Blood Pressure) ) | Blood Pressure Units | text | 4 | Units for Vital Signs Results, subset for Blood Pressure
| [Origin] Collected (Source: Investigator) | ||
| VSTESTCD = "HEIGHT" (Height) | Height Units | text | 2 | Units for Vital Signs Results, subset for Height
| [Origin] Collected (Source: Investigator) | ||
| VSTESTCD = "PULSE" (Pulse Rate) | Pulse Rate Units | text | 9 | Units for Vital Signs Results, subset for Pulse
| [Origin] Collected (Source: Investigator) | ||
| VSTESTCD = "TEMP" (Temperature) | Temperature Units | text | 1 | Units for Vital Signs Results, subset for Temperature
| [Origin] Collected (Source: Investigator) | ||
| VSTESTCD = "WEIGHT" (Weight) | Weight Units | text | 2 | Units for Vital Signs Results, subset for Weight
| [Origin] Collected (Source: Investigator) | ||
| VSSTRESC | Character Result/Finding in Std Format | text | Result Qualifier | 200 | [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). | ||
| VSSTRESN | Numeric Result/Finding in Standard Units | float | Result Qualifier | 8 [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. | ||
| VSSTRESUVLM | Standard Units | text | Variable Qualifier | 9 | [Origin] Assigned (Source: Sponsor) | ||
| VSTESTCD IN ( "DIABP" (Diastolic Blood Pressure), "SYSBP" (Systolic Blood Pressure) ) | Blood Pressure Units Std | text | 4 | Units for Vital Signs Results, subset for Blood Pressure Std
| |||
| VSTESTCD = "HEIGHT" (Height) | Height Units Std | text | 2 | Units for Vital Signs Results, subset for Height Std
| |||
| VSTESTCD = "PULSE" (Pulse Rate) | Pulse Rate Units Std | text | 9 | Units for Vital Signs Results, subset for Pulse Std
| |||
| VSTESTCD = "TEMP" (Temperature) | Temperature Units Std | text | 1 | Units for Vital Signs Results, subset for Temperature Std
| |||
| VSTESTCD = "WEIGHT" (Weight) | Weight Units Std | text | 2 | Units for Vital Signs Results, subset for Weight Std
| |||
| VSSTAT[No Data] | Completion Status | text | Record Qualifier | 8 | 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. | |
| VSLOC | Location of Vital Signs Measurement | text | Record Qualifier | 11 | Anatomical Location
| [Origin] Collected (Source: Investigator) | |
| VSLOBXFL | Last Observation Before Exposure Flag | text | Record Qualifier | 1 | No Yes Response, subset for variables with only "Y" or null values
| [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. | |
| VSREPNUM | Repetition Number | integer | Record Qualifier | 8 | [Origin] Assigned (Source: Sponsor) | ||
| VISITNUM | Visit Number | float | Timing | 8 [2] | [Origin] Assigned (Source: Sponsor) | ||
| VISIT | Visit Name | text | Timing | 200 | [Origin] Collected (Source: Investigator) | ||
| EPOCH | Epoch | text | Timing | 9 | Epoch
| [Origin] Derived (Source: Sponsor) [Method]EPOCH from SE where date >= SESTDTC and date < SEENDTC | |
| VSDTC | Date/Time of Measurements | date | Timing | ISO 8601 | [Origin] Collected (Source: Investigator) | ||
| VSDY | Study Day of Vital Signs | integer | Timing | 8 | [Origin] Derived (Source: Sponsor) [Method]Study day relative to RFSTDTC. Date - RFSTDTC + 1 if on or after RFSTDTC. Date - RFSTDTC if date precedes RFSTDTC. |
Go to the top of the Define-XML document
Findings About Events or Interventions (FA)
| Variable | Where Condition | Label / Description | Type | Role | Length [SignificantDigits] : Display Format | Controlled Terms or ISO Format | Origin / Source / Method / Comment |
|---|---|---|---|---|---|---|---|
| STUDYID | Study Identifier | text | Identifier | 12 | [Origin] Protocol (Source: Sponsor) | ||
| DOMAIN | Domain Abbreviation | text | Identifier | 2 | SDTM Domain Abbreviation, subset used for Findings About Events or Interventions
| [Origin] Assigned (Source: Sponsor) | |
| USUBJID | Unique Subject Identifier | text | Identifier | 8 | [Origin] Assigned (Source: Sponsor) | ||
| FASEQ | Sequence Number | integer | Identifier | 3 | [Origin] Derived (Source: Sponsor) [Method]Unique sequence number within a subject, restarting at 1 for every subject, applied to sorted data. | ||
| FALNKGRP | Link Group ID | text | Identifier | 200 | [Origin] Collected (Source: Investigator) Annotated CRF [23 ] | ||
| FATESTCD | Findings About Test Short Name | text | Topic | 5 | Findings About Adverse Events Test Code
| [Origin] Assigned (Source: Sponsor) | |
| FATEST | Findings About Test Name | text | Synonym Qualifier | 20 | Findings About Adverse Events Test Name
| [Origin] Assigned (Source: Sponsor) | |
| FAOBJ | Object of the Observation | text | Record Qualifier | 10 | FA Object
| [Origin] Assigned (Source: Sponsor) Annotated CRF [24 ] | |
| FACAT | Category for Findings About | text | Grouping Qualifier | 23 | FA Category
| [Origin] Assigned (Source: Sponsor) Annotated CRF [24 ] | |
| FAORRESVLM | Result or Finding in Original Units | text | Result Qualifier | 8 | [Origin] Collected (Source: Investigator) Annotated CRF [24 ] | ||
| FATESTCD = "SEV" (Severity/Intensity) | Result or Finding in Original Units | text | 8 | Severity
| |||
| FATESTCD = "OCCUR" (Occurrence Indicator) | Result or Finding in Original Units | text | 1 | Occurrence
| |||
| FASTRESCVLM | Character Result/Finding in Std Format | text | Result Qualifier | 8 | [Origin] Predecessor: FAORRES | ||
| FATESTCD = "SEV" (Severity/Intensity) | Character Result/Finding in Std Format | text | 8 | Severity
| |||
| FATESTCD = "OCCUR" (Occurrence Indicator) | Character Result/Finding in Std Format | text | 1 | Occurrence
| |||
| FALOC | Location of the Finding About | text | Record Qualifier | 3 | Location
| [Origin] Assigned (Source: Sponsor) | |
| VISITNUM | Visit Number | float | Timing | 8 [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. | ||
| EPOCH | Epoch | text | Timing | 9 | Epoch
| [Origin] Assigned (Source: Sponsor) | |
| FADTC | Date/Time of Collection | date | Timing | ISO 8601 | [Origin] Collected (Source: Investigator) Annotated CRF [23 ] | ||
| FADY | Study Day of Collection | integer | Timing | 8 | [Origin] Derived (Source: Sponsor) [Method]Study day relative to RFSTDTC. Date - RFSTDTC + 1 if on or after RFSTDTC. Date - RFSTDTC if date precedes RFSTDTC. |
Go to the top of the Define-XML document
Related Records (RELREC)
| Variable | Label / Description | Type | Role | Length [SignificantDigits] : Display Format | Controlled Terms or ISO Format | Origin / Source / Method / Comment |
|---|---|---|---|---|---|---|
| STUDYID | Study Identifier | text | Identifier | 12 | [Origin] Protocol (Source: Sponsor) | |
| RDOMAIN | Related Domain Abbreviation | text | Identifier | 6 | SDTM Domain Abbreviation, subset used for RELREC
| [Origin] Assigned (Source: Sponsor) |
| USUBJID | Unique Subject Identifier | text | Identifier | 8 | [Origin] Assigned (Source: Sponsor) | |
| IDVAR | Identifying Variable | text | Identifier | 200 | [Origin] Assigned (Source: Sponsor) | |
| IDVARVAL | Identifying Variable Value | text | Identifier | 200 | [Origin] Assigned (Source: Sponsor) | |
| RELTYPE | Relationship Type | text | Record Qualifier | 4 | Relationship Type
| [Origin] Assigned (Source: Sponsor) |
| RELID | Relationship Identifier | text | Record Qualifier | 200 | [Origin] Assigned (Source: Sponsor) |
Go to the top of the Define-XML document
Supplemental Qualifiers for DM (SUPPDM)
| Related Parent Dataset: DM (Demographics) | |||||||
| Variable | Label / Description | Type | Role | Length [SignificantDigits] : Display Format | Controlled Terms or ISO Format | Origin / Source / Method / Comment | |
|---|---|---|---|---|---|---|---|
| STUDYID | Study Identifier | text | Identifier | 12 | [Origin] Protocol (Source: Sponsor) | ||
| RDOMAIN | Related Domain Abbreviation | text | Identifier | 6 | SDTM Domain Abbreviation, subset used for Demographics
| [Origin] Assigned (Source: Sponsor) | |
| USUBJID | Unique Subject Identifier | text | Identifier | 8 | [Origin] Assigned (Source: Sponsor) | ||
| IDVAR | Identifying Variable | text | Identifier | 200 | [Origin] Assigned (Source: Sponsor) | ||
| IDVARVAL | Identifying Variable Value | text | Identifier | 200 | [Origin] Assigned (Source: Sponsor) | ||
| QNAM | Qualifier Variable Name | text | Topic | 5 | [Origin] Assigned (Source: Sponsor) | ||
| QLABEL | Qualifier Variable Label | text | Synonym Qualifier | 40 | [Origin] Assigned (Source: Sponsor) | ||
| QVALVLM | Data Value | text | Result Qualifier | 41 | |||
➤ QNAM = "RACE1" | Race 1 | text | Result Qualifier | 41 | Race
| [Origin] Collected (Source: Investigator) Annotated CRF [5 ] | |
➤ QNAM = "RACE2" | Race 2 | text | Result Qualifier | 41 | Race
| [Origin] Collected (Source: Investigator) Annotated CRF [5 ] | |
➤ QNAM = "RACE3" | Race 3 | text | Result Qualifier | 41 | Race
| [Origin] Collected (Source: Investigator) Annotated CRF [5 ] | |
➤ QNAM = "RACE4" [No Data] | Race 4 | text | Result Qualifier | 41 | Race
| [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 5 | text | Result Qualifier | 41 | Race
| [Origin] Collected (Source: Investigator) Annotated CRF [5 ] [Comment] Since no subjects had more than 3 Races, RACE5 was not used. | |
| QORIG | Origin | text | Record Qualifier | 13 | [Origin] Assigned (Source: Sponsor) | ||
| QEVAL | Evaluator | text | Record Qualifier | 200 | [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. | ||
Go to the top of the Define-XML document
Supplemental Qualifiers for EC (SUPPEC)
| Related Parent Dataset: EC (Exposure as Collected) | |||||||
| Variable | Label / Description | Type | Role | Length [SignificantDigits] : Display Format | Controlled Terms or ISO Format | Origin / Source / Method / Comment | |
|---|---|---|---|---|---|---|---|
| STUDYID | Study Identifier | text | Identifier | 12 | [Origin] Protocol (Source: Sponsor) | ||
| RDOMAIN | Related Domain Abbreviation | text | Identifier | 6 | [Origin] Assigned (Source: Sponsor) | ||
| USUBJID | Unique Subject Identifier | text | Identifier | 8 | [Origin] Assigned (Source: Sponsor) | ||
| IDVAR | Identifying Variable | text | Identifier | 200 | [Origin] Assigned (Source: Sponsor) | ||
| IDVARVAL | Identifying Variable Value | text | Identifier | 200 | [Origin] Assigned (Source: Sponsor) | ||
| QNAM | Qualifier Variable Name | text | Topic | 8 | [Origin] Assigned (Source: Sponsor) | ||
| QLABEL | Qualifier Variable Label | text | Synonym Qualifier | 40 | [Origin] Assigned (Source: Sponsor) | ||
| QVALVLM | Data Value | text | Result Qualifier | 200 | |||
➤ QNAM = "ECREASOC" | Reason for Occur Value | text | Variable Qualifier | 200 | [Origin] Collected (Source: Investigator) Annotated CRF [14 ] | ||
| QORIG | Origin | text | Record Qualifier | 13 | [Origin] Assigned (Source: Sponsor) | ||
| QEVAL | Evaluator | text | Record Qualifier | 200 | [Origin] Assigned (Source: Sponsor) | ||
Go to the top of the Define-XML document
Supplemental Qualifiers for NV (SUPPNV)
| Related Parent Dataset: NV (Nervous System Findings) | |||||||
| Variable | Label / Description | Type | Role | Length [SignificantDigits] : Display Format | Controlled Terms or ISO Format | Origin / Source / Method / Comment | |
|---|---|---|---|---|---|---|---|
| STUDYID | Study Identifier | text | Identifier | 12 | [Origin] Protocol (Source: Sponsor) | ||
| RDOMAIN | Related Domain Abbreviation | text | Identifier | 6 | SDTM Domain Abbreviation, subset used for Nervous System Findings
| [Origin] Assigned (Source: Sponsor) | |
| USUBJID | Unique Subject Identifier | text | Identifier | 8 | [Origin] Assigned (Source: Sponsor) | ||
| IDVAR | Identifying Variable | text | Identifier | 200 | [Origin] Assigned (Source: Sponsor) | ||
| IDVARVAL | Identifying Variable Value | text | Identifier | 200 | [Origin] Assigned (Source: Sponsor) | ||
| QNAM | Qualifier Variable Name | text | Topic | 7 | [Origin] Assigned (Source: Sponsor) | ||
| QLABEL | Qualifier Variable Label | text | Synonym Qualifier | 40 | [Origin] Assigned (Source: Sponsor) | ||
| QVALVLM | Data Value | text | Result Qualifier | 1 | |||
➤ QNAM = "NVCLSIG" | Clinically Significant | text | Result Qualifier | 1 | No Yes Response, subset for variables with only "Y" or null values
| [Origin] Collected (Source: Investigator) Annotated CRF [20 ] | |
| QORIG | Origin | text | Record Qualifier | 13 | [Origin] Assigned (Source: Sponsor) | ||
| QEVAL | Evaluator | text | Record Qualifier | 200 | [Origin] Assigned (Source: Sponsor) | ||
Go to the top of the Define-XML document
Supplemental Qualifiers for OE (SUPPOE)
| Related Parent Dataset: OE (Ophthalmic Examinations) | |||||||
| Variable | Label / Description | Type | Role | Length [SignificantDigits] : Display Format | Controlled Terms or ISO Format | Origin / Source / Method / Comment | |
|---|---|---|---|---|---|---|---|
| STUDYID | Study Identifier | text | Identifier | 12 | [Origin] Protocol (Source: Sponsor) | ||
| RDOMAIN | Related Domain Abbreviation | text | Identifier | 6 | SDTM Domain Abbreviation, subset used for Ophthalmic Examinations
| [Origin] Assigned (Source: Sponsor) | |
| USUBJID | Unique Subject Identifier | text | Identifier | 8 | [Origin] Assigned (Source: Sponsor) | ||
| IDVAR | Identifying Variable | text | Identifier | 200 | [Origin] Assigned (Source: Sponsor) | ||
| IDVARVAL | Identifying Variable Value | text | Identifier | 200 | [Origin] Assigned (Source: Sponsor) | ||
| QNAM | Qualifier Variable Name | text | Topic | 7 | [Origin] Assigned (Source: Sponsor) | ||
| QLABEL | Qualifier Variable Label | text | Synonym Qualifier | 40 | [Origin] Assigned (Source: Sponsor) | ||
| QVALVLM | Data Value | text | Result Qualifier | 1 | |||
➤ QNAM = "OECLSIG" | Clinically Significant | text | Result Qualifier | 1 | No Yes Response, subset for variables with only "Y" or "N" val
| [Origin] Collected (Source: Investigator) Annotated CRF [21 ] | |
| QORIG | Origin | text | Record Qualifier | 13 | [Origin] Assigned (Source: Sponsor) | ||
| QEVAL | Evaluator | text | Record Qualifier | 200 | [Origin] Assigned (Source: Sponsor) | ||
Go to the top of the Define-XML document
Device Identifiers (DI)
| Variable | Label / Description | Type | Role | Length [SignificantDigits] : Display Format | Controlled Terms or ISO Format | Origin / Source / Method / Comment |
|---|---|---|---|---|---|---|
| STUDYID | Study Identifier | text | Identifier | 12 | [Origin] Assigned (Source: Sponsor) | |
| DOMAIN | Domain Abbreviation | text | Identifier | 2 | SDTM Domain Abbreviation, subset used for Device Identifiers
| [Origin] Assigned (Source: Sponsor) |
| SPDEVID | Sponsor Device Identifier | text | Identifier | 200 | [Origin] Assigned (Source: Sponsor) | |
| DISEQ | Sequence Number | integer | Identifier | 3 | [Origin] Derived (Source: Sponsor) [Method]Starts at "1" for first device identifier and increments by one for each DIPARM | |
| DIPARMCD | Device Identifier Element Short Name | text | Topic | 7 | Device Identifier Element Short Name
| [Origin] Assigned (Source: Sponsor) |
| DIPARM | Device Identifier Element Name | text | Synonym Qualifier | 13 | Device Identifier Element Name
| [Origin] Assigned (Source: Sponsor) |
| DIVAL | Device Identifier Element Value | text | Result Qualifier | 200 | [Origin] Assigned (Source: Sponsor) |
Go to the top of the Define-XML document
CodeLists
| 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 |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| RELATED | Related |
| UNLIKELY RELATED | Unlikely Related |
| POSSIBLY RELATED | Possibly Related |
| NOT RELATED | Not Related |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| MILD [C41338] | Mild |
| MODERATE [C41339] | Moderate |
| SEVERE [C41340] | Severe |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| YEARS [C29848] | Years |
| Permitted Value (Code) |
|---|
| Placebo |
| Zanomaline Low Dose (54 mg) |
| Zanomaline High Dose (81 mg) |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| PLACEBO | Placebo |
| ZAN_LOW | Zanomaline Low Dose (54 mg) |
| ZAN_HIGH | Zanomaline High Dose (81 mg) |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| SCREEN FAILURE [C49628] | Trial Screen Failure |
| 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 |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| RECALLED | Recalled |
| NOT RECALLED | Not Recalled |
| 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] |
| Permitted Value (Code) |
|---|
| Primary Cause of Death [C99531] |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| PRCDTH [C99531] | Primary Cause of Death |
| Permitted Value (Code) |
|---|
| Device Type [C53265] |
| Serial Number [C73518] |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| DEVTYPE [C53265] | Device Type |
| SERIAL [C73518] | Serial Number |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| AE [C49562] | Adverse Events |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| CM [C49568] | Concomitant/Prior Medications |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| DD [C95087] | Death Details |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| DI [C102618] | Device Identifiers |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| DM [C49572] | Demographics |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| DS [C49576] | Disposition |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| EC [C117466] | Exposure as Collected |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| EX [C49587] | Exposure |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| FA [C85442] | Findings About Events or Interventions |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| FT [C117756] | Functional Tests |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| IE [C61536] | Inclusion/Exclusion Criteria Not Met |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| LB [C49592] | Laboratory Test Results |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| MH [C49603] | Medical History |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| NV [C49592] | Nervous Sysytem Findings |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| OE [C147180] | Ophthalmic Examinations |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| QS [C49609] | Questionnaires |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| RS [C107097] | Disease Response and Clin Classification |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| SE [C49616] | Subject Elements |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| SV [C49617] | Subject Visits |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| TA [C49618] | Trial Arms |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| TE [C49619] | Trial Elements |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| TI [C49620] | Trial Inclusion |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| TS [C53483] | Trial Summary |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| TV [C49621] | Trial Visits |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| VS [C49622] | Vital Signs |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| DISPOSITION EVENT [C74590] | Disposition Event |
| PROTOCOL MILESTONE [C74588] | Protocol Milestone |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| STUDY TREATMENT | Study Treatment |
| STUDY PARTICIPATION | Study Participation |
| Permitted Value (Code) |
|---|
| Screening |
| Placebo |
| Zanomaline 54 mg |
| Zanomaline 54 mg Titration |
| Zanomaline 81 mg |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| ONGOING [C53279] | Ongoing |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| SCREENING [C48262] | Screening |
| TREATMENT [C101526] | Treatment |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| HIGH | Zanomaline 81 mg |
| LOW | Zanomaline 54 mg |
| PLACEBO | Placebo |
| SCREEN | Screening |
| TITRATE | Zanomaline 54 mg Titration |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| HISPANIC OR LATINO [C17459] | Hispanic or Latino |
| NOT HISPANIC OR LATINO [C17459] | Not Hispanic or Latino |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| PLACEBO | Placebo |
| ZANOMALINE | Zanomaline |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| INJECTION SITE REACTION | Injection Site Reaction |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| ERYTHEMA | Erythema |
| PAIN | Pain |
| INDURATION | Induration |
| PRURITUS | Pruritus |
| EDEMA | Edema |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| N [C49487] | No |
| Y [C49488] | Yes |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| MILD [C41338] | Mild |
| MODERATE [C41339] | Moderate |
| SEVERE [C41340] | Severe |
| Permitted Value (Code) |
|---|
| Occurrence Indicator |
| Severity/Intensity |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| OCCUR | Occurrence Indicator |
| SEV | Severity/Intensity |
| 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 |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| QD [C25473] | Daily |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| INJECTION [C42946] | Injectable Dosage Form |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| AVLT-REY [C123668] | Rey Auditory Verbal Learning Functional Test |
| 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. |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| 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. |
| 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. |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| 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. |
| 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). |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| 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). |
| 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. |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| 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. |
| 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). |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| 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). |
| 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. |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| 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. |
| 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. |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| 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. |
| Permitted Value (Code) |
|---|
| Normal speech and thought. |
| Slight retardation during the interview. |
| Obvious retardation during the interview. |
| Interview difficult. |
| Complete stupor. |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| 0 | Normal speech and thought. |
| 1 | Slight retardation during the interview. |
| 2 | Obvious retardation during the interview. |
| 3 | Interview difficult. |
| 4 | Complete stupor. |
| Permitted Value (Code) |
|---|
| None. |
| Fidgetiness. |
| Playing with hands, hair, etc. |
| Moving about, cannot sit still. |
| Hand wringing, nail biting, hair-pulling, biting of lips. |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| 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. |
| Permitted Value (Code) |
|---|
| No difficulty. |
| Subjective tension and irritability. |
| Worrying about minor matters. |
| Apprehensive attitude apparent in face or speech. |
| Fears expressed without questioning. |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| 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. |
| Permitted Value (Code) |
|---|
| Absent. |
| Mild. |
| Moderate. |
| Severe. |
| Incapacitating. |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| 0 | Absent. |
| 1 | Mild. |
| 2 | Moderate. |
| 3 | Severe. |
| 4 | Incapacitating. |
| 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. |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| 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. |
| 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. |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| 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. |
| Permitted Value (Code) |
|---|
| Absent. |
| Mild. |
| Severe. |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| 0 | Absent. |
| 1 | Mild. |
| 2 | Severe. |
| Permitted Value (Code) |
|---|
| Not present. |
| Self-absorption (bodily). |
| Preoccupation with health. |
| Frequent complaints, requests for help, etc. |
| Hypochondriacal delusions. |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| 0 | Not present. |
| 1 | Self-absorption (bodily). |
| 2 | Preoccupation with health. |
| 3 | Frequent complaints, requests for help, etc. |
| 4 | Hypochondriacal delusions. |
| Permitted Value (Code) |
|---|
| No weight loss. |
| Probable weight loss associated with present illness. |
| Definite (according to patient) weight loss. |
| Not assessed. |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| 0 | No weight loss. |
| 1 | Probable weight loss associated with present illness. |
| 2 | Definite (according to patient) weight loss. |
| 3 | Not assessed. |
| 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. |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| 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. |
| 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. |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| 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. |
| 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 |
| 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] |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| EXCLUSION [C25370] | Exclusion |
| INCLUSION [C25532] | Inclusion |
| 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) |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| INCL01 | Males and postmenopausal females at least 50 years of age. |
| INCL02 | Diagnosis of probable AD as defined by NINCDS and the ADRDA guidelines. |
| INCL03 | MMSE score of 10 to 23. |
| INCL04 | Modified Hachinski Ischemic Scale score of <= 4. |
| INCL05 | CNS imaging (CT scan or MRI of brain) compatible with AD within past 1 year. (See Protocol for incompatible findings.) |
| INCL06 | Investigator has obtained informed consent signed by the patient (and/or legal representative) and by the caregiver. |
| INCL07 | Geographic proximity to investigator's site that allows adequate follow-up. |
| INCL08 | Caregiver will monitor administration of prescribed medications, and will be responsible for the overall care of the patient at home. |
| EXCL09 | Persons who have previously completed or withdrawn from this study or any other investigating xanomeline TTS or the oral formulation of Zanomaline. |
| EXCL10 | Use of any investigational agent or approved Alzheimer's therapeutic medication within 30 days prior to enrollment into the study. |
| EXCL11 | Serious illness which required hospitalization within 3 months of screening. |
| EXCL12 | Diagnosis of serious neurological conditions |
| EXCL13 | Episode of depression meeting DSM-IV criteria within 3 months of screening. |
| EXCL14 | A history within the last 5 years of the following: a) Schizophrenia b) Bipolar Disease c) Ethanol or psychoactive drug abuse or dependence. |
| EXCL15 | A history of syncope within the last 5 years. |
| EXCL16 | 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) |
| EXCL17 | A history within the last 5 years of a serious cardiovascular disorder, including a) Clinically significant arrhythmia (See Protocol for Remainder) |
| EXCL18 | 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) |
| EXCL19 | 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) |
| EXCL20 | 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. |
| EXCL21 | A history within the last 5 years of a serious genitourinary disorder, including a) Renal failure b) Uncontrolled urinary retention |
| EXCL22 | A history within the last 5 years of a serious rheumatologic disorder, including a) Lupus b) Temporal arteritis c) Severe rheumatoid arthritis |
| EXCL23 | A known history of human immunodeficiency virus (HIV) within the last 5 years. |
| EXCL24 | A history within the last 5 years of a serious infectious disease including a) Neurosyphilis b) Meningitis c) Encephalitis |
| EXCL25 | A history within the last 5 years of a primary or recurrent malignant disease (See Exceptions in Protocol). |
| EXCL26 | Visual, hearing, or communication disabilities impairing the ability to participate in the study; (for example, inability to speak or understand English, illiteracy). |
| EXCL27 | 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) |
| EXCL28 | Central laboratory test values below reference range for folate, and vitamin B12, and outside reference range for thyroid function tests. |
| EXCL29 | Positive syphilis screening with confirmatory testing. |
| EXCL30 | Central laboratory test value above reference range for glycosylated hemoglobin (A1C) (insulin dependent diabetes mellitus patients only). |
| EXCL31 | Treatment with medications within 1 month prior to enrollment a) Anticonvulsants b) Alpha receptor blockers c) Calcium channel blockers that are CNS active |
| EXCL12A | Diagnosis of serious neurological conditions (Amend 1) |
| EXCL31A | Treatment with medications within 1 month prior to enrollment a) Anticonvulsants b) Alpha receptor blockers c) Calcium channel blockers that are CNS active (Amend 1) |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| PARALLEL [C82639] | Parallel |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| DRUG [C1909] | Drug |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| LEFT [C25229] | Left |
| RIGHT [C25228] | Right |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| CHEMISTRY | Chemistry |
| HEMATOLOGY | Hematology |
| URINALYSIS | Urinalysis |
| OTHER | Other |
| 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] |
| 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 |
| Permitted Value (Code) |
|---|
| ARM [C32141] |
| 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 |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| EAR [C12394] | Ear |
| ORAL CAVITY [C12421] | Oral Cavity |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| SYMPTOM ONSET [C124353] | Symptom Onset |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| ALZHEIMER'S DISEASE | Alzheimer's Disease |
| 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 |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| NOT DONE [C49484] | Not Done |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| ABNORMAL [C25401] | Abnormal |
| NORMAL [C14165] | Normal |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| ABNORMAL [C78802] | Abnormal |
| HIGH [C78800] | High |
| LOW [C78801] | Low |
| NORMAL [C78727] | Normal |
| Permitted Value (Code) |
|---|
| Interpretation [*] |
* Extended Value
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| INTP [*] | Interpretation |
* Extended Value
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| N [C49487] | No |
| Y [C49488] | Yes |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| Y [C49488] | Yes |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| OD [C119333] | Right Eye |
| OS [C119334] | Left Eye |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| SLIT LAMP [C75583] | Slit-lamp Examination |
| Permitted Value (Code) |
|---|
| Abnormality Detail [*] |
| Interpretation [C41255] |
* Extended Value
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| ABDETAIL [*] | Abnormality Detail |
| INTP [C41255] | Interpretation |
* Extended Value
| 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 |
| 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 |
| Permitted Value (Code) |
|---|
| Not at all |
| Several days |
| More than half the days |
| Nearly every day |
| Permitted Value (Code) |
|---|
| Not difficult at all |
| Somewhat difficult |
| Very difficult |
| Extremely Difficult |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| 0 | Not at all |
| 1 | Several days |
| 2 | More than half the days |
| 3 | Nearly every day |
| 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] |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| STANDING [C62166] | Standing |
| SUPINE [C62167] | Supine |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| INFORMED CONSENT OBTAINED [C16735] | Informed Consent |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| PHQ-9 [C103526] | Patient Health Questionnaire - 9 Item |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| SWLS [C115799] | Satisfaction With Life Scale Questionnaire |
| 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 |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| MULTIPLE | Multiple |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| AE [C49562] | Adverse Events |
| DS [C49576] | Disposition |
| DD [C95087] | Death Details |
| FA [C85442] | Findings About Events or Interventions |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| MANY [C78728] | Many |
| ONE [C66832] | One |
| 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 |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| SUBCUTANEOUS [C38299] | Subcutaneous Route of Administration |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| HAMD 17 [C100767] | Hamilton Depression Rating Scale 17 Item Clinical Classification |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| F [C16576] | Female |
| M [C20197] | Male |
| Permitted Value (Code) |
|---|
| 701 |
| 704 |
| 708 |
| 710 |
| 711 |
| 718 |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| INTERVENTIONAL [C98388] | Interventional |
| 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 |
| 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] |
| Permitted Value (Code) |
|---|
| Strongly disagree |
| Disagree |
| Slightly disagree |
| Neither agree nor disagree |
| Slightly agree |
| Agree |
| Strongly agree |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| 1 | Strongly disagree |
| 2 | Disagree |
| 3 | Slightly disagree |
| 4 | Neither agree nor disagree |
| 5 | Slightly agree |
| 6 | Agree |
| 7 | Strongly agree |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| DOUBLE BLIND [C15228] | Double Blind |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| PLACEBO [C49648] | Placebo |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| TREATMENT [C49656] | Treatment |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| PHASE II TRIAL [C15601] | Phase II Trial |
| 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] |
| 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 |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| EFFICACY [C49666] | Efficacy |
| PHARMACOKINETIC [C49663] | Pharmacokinetic |
| SAFETY [C49667] | Safety |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| mg [C28253] | Milligram |
| ng [C48516] | Nanogram |
| TABLET [C42998] | Tablet |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| mL [C25613] | Milliliter |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| g/L [C42576] | Gram per Liter |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| mg [C28253] | Milligram |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| 10^12/L [C67308] | Million per Microliter |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| 10^9/L [C67255] | Billion per Liter |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| % [C25613] | Percentage |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| U/L [C67456] | Unit per Liter |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| fL [C64780] | Femtoliter |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| fmol [C42576] | Femtomole |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| g/L [C68854] | Femtomole |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| g/dL [C64783] | Gram per Deciliter |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| mEq/L [C67474] | Milliequivalent Per Liter |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| mIU/L [C67405] | Microinternational Unit per Milliliter |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| mU/L [C48508] | Microunit per Milliliter |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| mg/dL [C67015] | Milligram per Deciliter |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| mmol/L [C64387] | Millimole per Liter |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| ng/L [C67327] | Nanogram per Liter |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| pg [C64551] | Picogram |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| pmol/L [C67434] | Picomole per Liter |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| umol/L [C67408] | Micromole per Liter |
| Permitted Value (Code) |
|---|
| Diastolic Blood Pressure [C25299] |
| Pulse Rate [C49676] |
| Height [C25347] |
| Systolic Blood Pressure [C25298] |
| Temperature [C25206] |
| Weight [C25208] |
| 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 |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| mmHg [C49670] | Millimeter of Mercury |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| mmHg [C49670] | Millimeter of Mercury |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| in [C48500] | Inch |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| cm [C49668] | Centimeter |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| beats/min [C49673] | Beats per Minute |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| beats/min [C49673] | Beats per Minute |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| F [C44277] | Degree Fahrenheit |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| C [C42559] | Degree Celsius |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| LB [C48531] | Pound |
| Permitted Value (Code) | Display Value (Decode) |
|---|---|
| kg [C28252] | Kilogram |
Go to the top of the Define-XML document
External Dictionaries
| Reference Name | External Dictionary | Dictionary Version |
|---|---|---|
| Null Flavors | ISO 21090 NullFlavor | 2017 |
| Country Codes | ISO 3166-1 Alpha-3 | 2013-11-15 |
| Adverse Events Dictionary | MedDRA | 22.0 |
| Trial Summary Medical Dictionary | SNOMED | 2019-09-01 |
Go to the top of the Define-XML document
Methods
| Method | Type | Description |
|---|---|---|
| Algorithm to derive AEENTPT | Computation | If AEENRTPT is populated, AEENTPT is DM.RFPENDTC for the subject. |
| Algorithm to derive CMENTPT | Computation | If CMENRTPT is populated, CMENTPT is DM.RFPENDTC for the subject. |
| Algorithm to derive DAYCALC | Computation | Study day relative to RFSTDTC. Date - RFSTDTC + 1 if on or after RFSTDTC. Date - RFSTDTC if date precedes RFSTDTC. |
| Algorithm to derive DISEQ | Computation | Starts at "1" for first device identifier and increments by one for each DIPARM |
| Algorithm to derive DTHFL | Computation | If DTHDTC is populated then DTHFL='Y' |
| Algorithm to derive EPOCH | Computation | EPOCH from SE where date >= SESTDTC and date < SEENDTC |
| Algorithm to derive EXDOSE | Computation | EXDOSE = ECDOSE * ECPSTRG expressed in mg. |
| Algorithm to derive FTSTRESN | Computation | If FTSTRESC is numeric then FTSTRESN=FTSTRESC in numeric format, else null. |
| Algorithm to derive IEORRES | Computation | If IECAT=INCLUSION then IEORRES=N, else if IECAT=EXCLUSION then IEORRES=Y |
| Algorithm to derive LBSTRESC | Computation | LBSTRESC is equal to LBORRES or the value in standard units if a conversion is necessary. |
| Algorithm to derive LOBXFL | Computation | 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_PH | Computation | 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_11 | Computation | QSSTRESC=QSORRES |
| Algorithm to derive QSSTRESC_SL | Computation | 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 QSSTRESN | Computation | If QSSTRESC is numeric then QSSTRESN=QSSTRESC in numeric format, else null. |
| Algorithm to derive RFENDTC | Computation | The Date of Study Completion or Early Termination. Null for screen failures. |
| Algorithm to derive RFPENDTC | Computation | 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 RFSTDTC | Computation | The first date/time of study drug. Null for screen failures. |
| Algorithm to derive RFXENDTC | Computation | The last date/time of study drug administration. Null for subjects with no treatment data. |
| Algorithm to derive RFXSTDTC | Computation | The first date/time of study drug administration. Null for subjects with no treatment data. |
| Algorithm to derive RSSTRESC | Computation | RSSTRESC is the corresponding numeric value of RSORRES according the values shown on the HAMD-17 CRF page. |
| Algorithm to derive SEENDTC | Computation | SEENDTC is set to the start of the next Element, or RFPENDTC for the last Element. |
| Algorithm to derive SEQ | Computation | Unique sequence number within a subject, restarting at 1 for every subject, applied to sorted data. |
| Algorithm to derive SESTDTC | Computation | 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 STRESN | Computation | If --STRESC represents a numeric value then --STRESN is the numeric version of --STRESC, else null. "--" represents the domain code. |
| Algorithm to derive SVENDTC | Computation | 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 SVSTDTC | Computation | 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 TSSEQ | Computation | Unique sequence number within each TSPARM, restarting at 1 for per TSPARM, applied to sorted data. |
| Algorithm to derive VSSTRESC | Computation | Data collected in conventional units (i.e. F, lbs, inches) is converted using standard conversion factors to standard units (C, kg, cm). |
Go to the top of the Define-XML document
Comments
| CommentOID | Description |
|---|---|
| COM.AE2 | Even though the variable is 'Assigned' an annotation has been added to page 23 to clarify the assignment. |
| COM.AE3 | Coding variables are not populated due to the proprietary coding dictionary, but the variables are included as they are Expected or Required. |
| COM.AEDECOD | 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. |
| COM.AESER | 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. |
| COM.CMINDC | If the CM is not taken for a 'Primary Study Condition' then CMINDC would be 'Prophylaxis or Non-therapeutic use' |
| COM.DM2 | Since no collected data was subjective then QEVAL was not populated. It is an 'Expected' variable and so is included. |
| COM.DM3 | Since no subjects had more than 3 Races, RACE4 was not used. |
| COM.DM4 | Since no subjects had more than 3 Races, RACE5 was not used. |
| COM.DS1 | Variable is Assigned but there are annotations to help understand the data and so references to the proper pages are included |
| COM.DTC1 | DataType is 'partialDatetime' instead of 'datetime' since datetime values are planned to be collected without seconds for this study. |
| COM.FA1 | All values are null as the findings are not visit based. The variable is Expected and so is included. |
| COM.FA2 | The FA domain contains Findings About Injection Site Reaction Adverse Events |
| COM.IE1 | 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. |
| COM.IE2 | Please see Appendix 1 of the cSDRG for complete versions of IETESTCD and IETEST. |
| COM.MDV | 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. |
| COM.NV1 | 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. |
| COM.NV2 | 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. |
| COM.OE1 | 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. |
| COM.QS1 | QSPH contains the PATIENT HEALTH QUESTIONNAIRE-9 (PHQ-9) questionnaire data. |
| COM.QS2 | QSSL contains the SATISFACTION WITH LIFE SURVEY (SWLS) questionnaire data. |
| COM.ST1 | Study Data Tabulation Model Implementation Guide: Human Clinical Trials Version 3.3 |
| COM.ST2 | Study Data Tabulation Model Implementation Guide for Medical Devices Version 1.0 |
| COM.ST3 | This was the latest release of CDISC CT available when this sample submission was completed. |
| COM.ST4 | This was the CDISC CT Package associated to the CDISC Define-XML Specification Version 2.1 when this sample submission was completed. |
| COM.VS1 | 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. |
Go to the top of the Define-XML document