Prior Psoriasis Treatments


This example CRF shows data collected on prior psoriasis treatments. The sponsor planned to investigate the use of prior biologic therapies on the results of the study treatment. The specific type and dose of phototherapy were not collected.



Prior Psoriasis Treatments
Prior Treatments
Concomitant Medication Category
Has the subject had any psoriasis treatments before the study start?Yes  No  
Prior Treatments (Log Lines)       [No information given about how to repeat this Field Group] 
What is the subcategory for the treatment?What was the name of the treatment?RouteIf the treatment was systemic, what was the individual dose?What was the unit?If the medication was a biologic, what device was used for drug administration?Start DateIs the treatment ongoing?End DateWhat was the reason for treatment discontinuation?
Biologic  Non-Biologic  Phototherapy  
01 Jan 2000
Yes  No  
01 Jan 2000
Inadequate Efficacy  Adverse Event  Other-Not Related to Efficacy/Adverse Events  
* Mandatory field

Package(s)
Prior_Psoriasis_Treatments_2023_06_27.zip