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This is an example of a clinical trial where the sponsor collected information on previous products used to reduce nicotine dependency. These products are considered medically acceptable drugs and were represented in the Concomitant Medication (CM) domain. 

Panel
title SMOKING CESSATION PRODUCT PRODUCTS USED TO REDUCE NICOTINE DEPENDENCY
Xformpusher
CDASH VariableOrderQuestion TextPromptCRF Completion InstructionsTypeSDTMIG Target VariableSDTMIG Target MappingControlled Terminology Code List NamePermissible ValuesPre-Populated ValueQuery DisplayList StyleHidden
CMCAT1What is the category of the substance used?

TextCMCAT


DRUG  USED IN  NICOTINE DEPENDENCE


CMYN2Did the subject previously use any medically acceptable products to attempted to quit smokingreduce nicotine dependency?
Indicate if the subject had used any medically acceptable products to attempted to quit smokingattempt to reduce nicotine dependencyTextCMOCCURCMOCCUR where CMTRT= "Drug used in nicotine dependenceDRUG USED IN NICOTINE DEPENDENCE(NY)Yes; No



FAORRES3How many times did the subject attempt to quit smoking using a smocking cessation product?  reduce nicotine dependency?Times the subject attempted to quit smoking Subject Attempted to Reduce Nicotine DependencyRecord the number of times a subject attempt to quit smoking. attempted to reduce nicotine dependencyTextFAORRESFAORRES where FAOBJ ="Drug used in nicotine dependence"  DRUG USED IN NICOTINE DEPENDENCE" and FATEST= NUMBER OF ATTEMPTS TP TO QUIT"







Record the information for the last attempt to to quit reduce nicotine dependency for each type of product used.   

Xformpusher
CDASH VariableOrderQuestion TextPromptCRF Completion InstructionsTypeSDTMIG Target VariableSDTMIG Target MappingControlled Terminology Code List NamePermissible ValuesPre-Populated ValueQuery DisplayList StyleHidden
CMCAT1What is the category of the substance product used?


CMCAT


DRUG USED IN  NICOTINE DEPENDENCE


CMSCAT3What is the type of product the subject used to attempted to quit smokingattempt to reduce nicotine dependencySubstance Use CategoryRecord the type of product the subject used to attempted to quit smoking.  reduce nicotine dependency.TextCMSCAT

Nicotine Replacement
Therapy (NRT);

Pharmaceuticals
other than NRTs; 

Other
Smoking Cessation aids







CMTRT4What was the  the name of the product the subject used to attempted to quit smoking reduce nicotine dependency



TextCMTRT






CMDUR6What was the duration of the product usage to quit smoking reduce nicotine dependency?  DurationProvide the duration of the substance use product used TextCMDUR



Prompt

CMCDURU7What was the duration unit of the product used to quit smoking reduce nicotine dependency?  UnitSelect the appropriate duration unit of the  tobacco the product usedTextCMDURU

DAYS; MONTHS; YEARS
Prompt

Dataset wrap
Rowcaps
Row 1:Shows whether the subject has used any products to help with nicotine dependence.   These include nicotine replacement therapies and pharmaceuticals  pharmaceuticals drugs like Varenicline.   The sponsor assigned CMTRT to the name used in the WHO dictionary for these products.   CMDTC is the date this assessment was made.   
Rows 2-6:Show the various smoking cessation products products that were used by subjects.  CMDUR is the collected duration of the product use. This is used only if collected on the CRF and not derived from start and end date/times. CMDUR is provided using ISO 8601 duration notation.  



Dataset2
RowSTUDYIDDOMAINUSUBJIDCMSEQCMTRTCMCATCMSCATCMPRESPCMOCCURCMDTCCMDUR
11234CM12340051DRUG USED IN NICOTINE DEPENDENCE

YY2008-08-08
21234CM12340052Nicotine patchNICOTINE REPLACEMENT THERAPYLAST ATTEMPT WITH THIS PRODUCT


P2M
31234CM12340061Nicotine gumNICOTINE REPLACEMENT THERAPYLAST ATTEMPT WITH THIS PRODUCT


P3M
41234CM12340062Nicotine lozengesNICOTINE REPLACEMENT THERAPYLAST ATTEMPT WITH THIS PRODUCT


P2W
51234CM12340063BupropionSMOKING CESSATION PHARMCEUTICALS DRUG USED IN REDUCING NICOTINE DEPENDENCE OTHER THAN NRTSLAST ATTEMPT WITH THIS PRODUCT


P1M
61234CM12340071VareniclineSMOKING CESSATION PHARMCEUTICALS DRUG USED IN REDUCING NICOTINE DEPENDENCE OTHER THAN NRTSLAST ATTEMPT WITH THIS PRODUCT


P40D

FACM was used to represent the total number of times the subject attempt to quit smoking attempted to reduce nicotine dependency using a medically acceptable smoking cessation product.

Dataset wrap
Namefacm



Dataset2
RowSTUDYIDDOMAINUSUBJIDFASEQFATESTCDFATESTFAOBJFACATFAORRESFASTRESCFADTC
1ABCFAABC-1231
NUMBERDRUG USED IN NICOTINE DEPENDENCETOBACCO CESSATION ATTEMPTS TO REDUCE NICOTINE DEPENDENCE442007-05-16