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?
Route
If 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 Date
Is the treatment ongoing?
End Date
What was the reason for treatment discontinuation?
Biologic
Non-Biologic
Phototherapy
Choose
Oral
Subcutaneous
Topical
Transdermal
Choose
CAPSULE
g
IU
mg
mL
PUFF
TABLET
ug
mg/kg
Choose
Single-Dose Pen
Multiple-Dose Pen
Pre-Filled Syringe
Syringe
Not Applicable
01 Jan 2000
Yes
No
01 Jan 2000
Inadequate Efficacy
Adverse Event
Other-Not Related to Efficacy/Adverse Events
*
Mandatory field