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janssen/Medidata/downloads/2026-05-21_06-26_EDC_MDD3003_QueryDetails.csv

1.5 MiB

1Country/RegionSite NumberSitesSubjectsSubject StatusVisitsPagesQueries (Op/Ans/SDV)RecordPositionFieldQuery GroupQueryID(ReQry)QueryStatusOpened ByOpened DateAnswered ByAnswered DateClosed ByClosed DateDaysNotYetClosedDays to AnswerDays to CloseQueryTextAnswer Text (if any)StudyParameterSiteGroupParameterSiteNumberParameterSiteParameterSubjectParameterSubjectStatusParameterFolderParameterFormParameterFieldParameterMarkingGroupParameterQueryStatusParameterIncludeInactivePagesParameterPageSDVParameterPageFrozenParameterPageLockedParameterStartDateParameterEndDateParameterMilestoneParameterReportTypeParameterVersionNumberPrintDateTimeTimeZoneRunUserErrorStringOpenedDateSrtbleAnsweredDateSrtbleClosedDateSrtbleVisitSiteLevelVisitCountryLevelVisitStudyLevelPageSubjectLevelPageSiteLevelPageCountryLevelPageStudyLevel
2CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledConcomitant TherapyConcomitant Therapy / Medication0/0/V3If Start Date is entirely or partially unknown:Was the medication/therapy taken prior to the study?Auto15263510Closedsystemuser10 Aug 2025 18:13:22:080systemuser10 Aug 2025 18:14:02:703systemuser10 Aug 2025 18:14:02:70300Start Date' is entirely or partially unknown. However, response for 'Was the medication/therapy taken prior to the study?' is missing. Please resolve.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250810 18:13:22.08020250810 18:14:02.70320250810 18:14:02.7039833533531186713713
3CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledInvestigator Periodic Review Acknowledgments/ Interim Signatures 20260224 - Periodic Investigator's EDC Review Acknowledgement0/0/NAs the investigator, I have ensured the accuracy, completeness, and timeliness of the data reported to the sponsor in the CRFs.Auto18823240Closedsystemuser09 Feb 2026 08:04:37:693systemuser24 Feb 2026 07:13:51:017systemuser24 Feb 2026 07:13:51:140150NOTIFICATION: Please ensure the investigator performs periodic review and confirms his/her review by ticking the box.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260209 08:04:37.69320260224 07:13:51.01720260224 07:13:51.1409833533531186713713
4CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledInvestigator Periodic Review Acknowledgments/ Interim Signatures 20260520 - PART1 - Interim Investigator Signature0/0/NI have verified that all data in this case book were completed up to the cutoff and I am ready to proceed with sign-off for interim closure.Auto20933269Closedsystemuser20 May 2026 12:06:05:857systemuser20 May 2026 12:06:28:6130Notification : Please click 'Sign' to sign the page then click 'Save'. (query will automatically close when page is saved).QueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260520 12:06:05.85720260520 12:06:28.6139833533531186713713
5CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledScreening to end of studyPerceived Treatment Group Assignment0/0/NQuestionnaire completed?Auto16456121Closedsystemuser17 Oct 2025 09:46:14:623systemuser20 Oct 2025 07:47:36:4703Please enter Yes or No if questionnaire was completed.QueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251017 09:46:14.62320251020 07:47:36.4709833533531186713713
6CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledScreening Visit 1Date of Visit0/0/NDid this visit occur?DM16431760ClosedSanchariDutta@02516 Oct 2025 06:15:51:413BrezVe120 Oct 2025 08:56:17:217SanchariDutta@02526 Nov 2025 06:23:57:113437ECG: In vendor file, ECG data present for Screening visit of 08-Aug-2025 with EGREFID 143807412. However another collection date is recorded for 19-Aug-2025 with EGREFID 144307755 for Screening visit only. Please check and confirm for the Screening visit ECG was collected twice, if yes kindly provide the reason. Else clarify.retest done on 19Aug2025 - hypertension42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251016 06:15:51.41320251020 08:56:17.21720251126 06:23:57.1139833533531186713713
7CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledScreening Visit 1Date of Visit0/0/NDid this visit occur?DM17300080 (16431760)ClosedSanchariDutta@02526 Nov 2025 06:23:57:173gnovotna@email.cz228 Nov 2025 10:36:55:197SanchariDutta@02501 Dec 2025 06:43:56:80023RQ-ECG1: Thank you for your response. As confirmed, retest was done for ECG on the 19-Aug-2025 in the Screening visit due to hypertension hence kindly add the details for ECG collection of 19-Aug-2025 in the Comments form present in the Screening to end of study folder.updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251126 06:23:57.17320251128 10:36:55.19720251201 06:43:56.8009833533531186713713
8CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledScreening Visit 1Drug Testing0/0/NAmphetamineAuto15263437Closedsystemuser10 Aug 2025 17:49:04:123systemuser10 Aug 2025 17:50:30:437systemuser10 Aug 2025 17:50:30:44000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250810 17:49:04.12320250810 17:50:30.43720250810 17:50:30.4409833533531186713713
9CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledScreening Visit 1Drug Testing0/0/NBarbiturateAuto15263438Closedsystemuser10 Aug 2025 17:49:04:130systemuser10 Aug 2025 17:50:30:440systemuser10 Aug 2025 17:50:30:44000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250810 17:49:04.13020250810 17:50:30.44020250810 17:50:30.4409833533531186713713
10CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledScreening Visit 1Drug Testing0/0/NBenzodiazepineAuto15263439Closedsystemuser10 Aug 2025 17:49:04:137systemuser10 Aug 2025 17:50:30:440systemuser10 Aug 2025 17:50:30:44000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250810 17:49:04.13720250810 17:50:30.44020250810 17:50:30.4409833533531186713713
11CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledScreening Visit 1Drug Testing0/0/NCannabinoidsAuto15263440Closedsystemuser10 Aug 2025 17:49:04:143systemuser10 Aug 2025 17:50:30:440systemuser10 Aug 2025 17:50:30:44000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250810 17:49:04.14320250810 17:50:30.44020250810 17:50:30.4409833533531186713713
12CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledScreening Visit 1Drug Testing0/0/NCocaineAuto15263441Closedsystemuser10 Aug 2025 17:49:04:150systemuser10 Aug 2025 17:50:30:440systemuser10 Aug 2025 17:50:30:44000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250810 17:49:04.15020250810 17:50:30.44020250810 17:50:30.4409833533531186713713
13CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledScreening Visit 1Drug Testing0/0/NCollection TimeAuto15263436Closedsystemuser10 Aug 2025 17:49:04:117systemuser10 Aug 2025 17:50:30:467systemuser10 Aug 2025 17:50:30:46700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250810 17:49:04.11720250810 17:50:30.46720250810 17:50:30.4679833533531186713713
14CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledScreening Visit 1Drug Testing0/0/NMDMA (Ecstasy)Auto15263442Closedsystemuser10 Aug 2025 17:49:04:160systemuser10 Aug 2025 17:50:30:467systemuser10 Aug 2025 17:50:30:46700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250810 17:49:04.16020250810 17:50:30.46720250810 17:50:30.4679833533531186713713
15CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledScreening Visit 1Drug Testing0/0/NMethamphetamineAuto15263444Closedsystemuser10 Aug 2025 17:49:04:173systemuser10 Aug 2025 17:50:30:467systemuser10 Aug 2025 17:50:30:46700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250810 17:49:04.17320250810 17:50:30.46720250810 17:50:30.4679833533531186713713
16CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledScreening Visit 1Drug Testing0/0/NMethadoneAuto15263443Closedsystemuser10 Aug 2025 17:49:04:170systemuser10 Aug 2025 17:50:30:467systemuser10 Aug 2025 17:50:30:46700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250810 17:49:04.17020250810 17:50:30.46720250810 17:50:30.4679833533531186713713
17CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledScreening Visit 1Drug Testing0/0/NOpiateAuto15263445Closedsystemuser10 Aug 2025 17:49:04:180systemuser10 Aug 2025 17:50:30:467systemuser10 Aug 2025 17:50:30:46700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250810 17:49:04.18020250810 17:50:30.46720250810 17:50:30.4679833533531186713713
18CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledScreening Visit 1Drug Testing0/0/NWas the collection date the same as the visit date?Auto15263435Closedsystemuser10 Aug 2025 17:49:04:103systemuser10 Aug 2025 17:50:30:467systemuser10 Aug 2025 17:50:30:46700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250810 17:49:04.10320250810 17:50:30.46720250810 17:50:30.4679833533531186713713
19CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledScreening Visit 1Neurologic Examination0/0/N5Are there any findings?Auto15905765Closedsystemuser10 Sep 2025 17:03:52:293systemuser22 Sep 2025 07:37:28:777systemuser22 Sep 2025 07:37:28:780120Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250910 17:03:52.29320250922 07:37:28.77720250922 07:37:28.7809833533531186713713
20CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledScreening Visit 1SCID-CT0/0/VLifetime Manic EpisodeAuto15263451Closedsystemuser10 Aug 2025 18:00:44:093systemuser11 Aug 2025 09:56:13:703systemuser11 Aug 2025 09:56:13:70310Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250810 18:00:44.09320250811 09:56:13.70320250811 09:56:13.7039833533531186713713
21CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledScreening Visit 1SCID-CT0/0/VLifetime Hypomanic Episode Auto15263452Closedsystemuser10 Aug 2025 18:00:44:100systemuser11 Aug 2025 09:56:13:703systemuser11 Aug 2025 09:56:13:70310Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250810 18:00:44.10020250811 09:56:13.70320250811 09:56:13.7039833533531186713713
22CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledScreening Visit 1SCID-CT0/0/VHistory of Primary psychotic or psychotic depression symptoms (except during past mood episodes)Auto15263453Closedsystemuser10 Aug 2025 18:00:44:110systemuser11 Aug 2025 09:56:13:703systemuser11 Aug 2025 09:56:13:70310Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250810 18:00:44.11020250811 09:56:13.70320250811 09:56:13.7039833533531186713713
23CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledScreening Visit 1SCID-CT0/0/VModerate to severe Alcohol Use Disorder in past 6 monthsAuto15263454Closedsystemuser10 Aug 2025 18:00:44:120systemuser11 Aug 2025 09:56:13:703systemuser11 Aug 2025 09:56:13:70310Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250810 18:00:44.12020250811 09:56:13.70320250811 09:56:13.7039833533531186713713
24CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledScreening Visit 1SCID-CT0/0/VModerate to severe Substance Use Disorder (other than nicotine) in past 6 monthsAuto15263455Closedsystemuser10 Aug 2025 18:00:44:127systemuser11 Aug 2025 09:56:13:703systemuser11 Aug 2025 09:56:13:70310Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250810 18:00:44.12720250811 09:56:13.70320250811 09:56:13.7039833533531186713713
25CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledScreening Visit 1SCID-CT0/0/VObsessive-Compulsive Disorder in past yearAuto15263456Closedsystemuser10 Aug 2025 18:00:44:133systemuser11 Aug 2025 09:56:13:703systemuser11 Aug 2025 09:56:13:70310Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250810 18:00:44.13320250811 09:56:13.70320250811 09:56:13.7039833533531186713713
26CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledScreening Visit 1SCID-CT0/0/VPTSD in past yearAuto15263457Closedsystemuser10 Aug 2025 18:00:44:140systemuser11 Aug 2025 09:56:13:703systemuser11 Aug 2025 09:56:13:70310Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250810 18:00:44.14020250811 09:56:13.70320250811 09:56:13.7039833533531186713713
27CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledScreening Visit 1SCID-CT0/0/VAnorexia Nervosa in past yearAuto15263458Closedsystemuser10 Aug 2025 18:00:44:147systemuser11 Aug 2025 09:56:13:703systemuser11 Aug 2025 09:56:13:70710Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250810 18:00:44.14720250811 09:56:13.70320250811 09:56:13.7079833533531186713713
28CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledScreening Visit 1SCID-CT0/0/VBulimia Nervosa in past yearAuto15263459Closedsystemuser10 Aug 2025 18:00:44:153systemuser11 Aug 2025 09:56:13:707systemuser11 Aug 2025 09:56:13:70710Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250810 18:00:44.15320250811 09:56:13.70720250811 09:56:13.7079833533531186713713
29CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledScreening Visit 1SCID-CT0/0/VPanic Disorder past 2 years that was focus of txAuto15263460Closedsystemuser10 Aug 2025 18:00:44:163systemuser11 Aug 2025 09:56:13:707systemuser11 Aug 2025 09:56:13:70710Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250810 18:00:44.16320250811 09:56:13.70720250811 09:56:13.7079833533531186713713
30CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledScreening Visit 1SCID-CT0/0/VGeneralized Anxiety Disorder past 2 years that was focus of txAuto15263461Closedsystemuser10 Aug 2025 18:00:44:173systemuser11 Aug 2025 09:56:13:707systemuser11 Aug 2025 09:56:13:70710Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250810 18:00:44.17320250811 09:56:13.70720250811 09:56:13.7079833533531186713713
31CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledScreening Visit 1SCID-CT0/0/VSocial Anxiety Disorder past 2 years that was focus of txAuto15263462Closedsystemuser10 Aug 2025 18:00:44:180systemuser11 Aug 2025 09:56:13:707systemuser11 Aug 2025 09:56:13:70710Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250810 18:00:44.18020250811 09:56:13.70720250811 09:56:13.7079833533531186713713
32CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledScreening Visit 1SCID-CT0/0/VSpecific Phobia past 2 years that was focus of txAuto15263463Closedsystemuser10 Aug 2025 18:00:44:187systemuser11 Aug 2025 09:56:13:707systemuser11 Aug 2025 09:56:13:70710Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250810 18:00:44.18720250811 09:56:13.70720250811 09:56:13.7079833533531186713713
33CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledScreening Visit 1SCID-CT0/0/VSymptoms of insomnia in the MDD criteriaAuto15263450Closedsystemuser10 Aug 2025 18:00:44:087systemuser10 Aug 2025 18:01:03:923systemuser10 Aug 2025 18:01:03:92700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250810 18:00:44.08720250810 18:01:03.92320250810 18:01:03.9279833533531186713713
34CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledScreening Visit 1SCID-CT0/0/VCurrent MDEAuto15263449Closedsystemuser10 Aug 2025 18:00:44:073systemuser10 Aug 2025 18:01:03:927systemuser10 Aug 2025 18:01:03:92700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250810 18:00:44.07320250810 18:01:03.92720250810 18:01:03.9279833533531186713713
35CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledScreening Visit 1Vital Signs0/0/NBody Mass IndexAuto15263433Closedsystemuser10 Aug 2025 17:46:10:080systemuser10 Aug 2025 17:47:40:230systemuser10 Aug 2025 17:47:40:23000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250810 17:46:10.08020250810 17:47:40.23020250810 17:47:40.2309833533531186713713
36CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledScreening Visit 1Vital Signs0/0/NWas the collection date the same as the visit date?Auto15263432Closedsystemuser10 Aug 2025 17:46:10:053systemuser10 Aug 2025 17:47:54:423systemuser10 Aug 2025 17:47:54:42700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250810 17:46:10.05320250810 17:47:54.42320250810 17:47:54.4279833533531186713713
37CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledScreening Visit 2 (1)CLINICAL OUTCOME ASSESSMENTS COMPLETION STATUS0/0/N2Reason not doneAuto15787176Closedsystemuser03 Sep 2025 14:15:49:967systemuser10 Sep 2025 16:48:15:237systemuser10 Sep 2025 16:48:15:24070Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250903 14:15:49.96720250910 16:48:15.23720250910 16:48:15.2409833533531186713713
38CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledStudy Drug Administration (1)Study Drug Administration Double Blind Maintenance0/0/V1Start DateAuto18369265Closedsystemuser09 Jan 2026 09:18:24:037BrezVe126 Jan 2026 07:30:33:603systemuser02 Feb 2026 15:49:39:993177Please enter study drug administration start date as soon as it's availablewill be done42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260109 09:18:24.03720260126 07:30:33.60320260202 15:49:39.9939833533531186713713
39CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledStudy Drug Administration (1)Study Drug Administration Double Blind Part 10/0/V1Number of tablets takenAuto15905547Closedsystemuser10 Sep 2025 16:46:44:563systemuser10 Sep 2025 16:49:08:590systemuser10 Sep 2025 16:49:08:59000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250910 16:46:44.56320250910 16:49:08.59020250910 16:49:08.5909833533531186713713
40CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledStudy Drug Administration (1)Study Drug Administration Double Blind Part 10/0/V1Start DateAuto15831041Closedsystemuser05 Sep 2025 08:23:40:477systemuser10 Sep 2025 16:46:43:8775Please enter study drug administration start date as soon as it's availableQueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250905 08:23:40.47720250910 16:46:43.8779833533531186713713
41CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledStudy Drug Administration (1)Study Drug Administration Open Label Part 2 - Induction0/0/V1End DateDM17788857ClosedJuhita@ksha409 Dec 2025 11:48:49:347BrezVe115 Dec 2025 08:45:11:810Ashwini20116 Dec 2025 10:48:29:37061DM: Kindly update the end date.updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251209 11:48:49.34720251215 08:45:11.81020251216 10:48:29.3709833533531186713713
42CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledStudy Drug Administration (1)Study Drug Administration Open Label Part 2 - Induction0/0/V1End DateDM18018621 (17788857)ClosedAshwini20116 Dec 2025 10:48:29:537BrezVe122 Dec 2025 10:50:22:210shyamaprasad97223 Dec 2025 07:56:58:29061RQ-DM1: Please enter end date for Study Drug during Induction Phase. Per CCGs, as first dose of Stabilization Phase SDA is entered as 14-Nov-2025, End Date for Induction Study Drug should be one day prior if subject did not have any missed doses. Please review and clarify/update.updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251216 10:48:29.53720251222 10:50:22.21020251223 07:56:58.2909833533531186713713
43CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledStudy Drug Administration (1)Study Drug Administration Open Label Part 2 - Induction0/0/V1Start DateAuto16456120Closedsystemuser17 Oct 2025 09:46:14:593systemuser20 Oct 2025 06:26:36:4303Please enter study drug administration start date as soon as it's availableQueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251017 09:46:14.59320251020 06:26:36.4309833533531186713713
44CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledStudy Drug Administration (1)Study Drug Administration Open Label Part 2 - Stabilization0/0/V1End DateDM19612278ClosedJuhita@ksha420 Mar 2026 07:16:42:790BrezVe123 Mar 2026 13:18:41:113Juhita@ksha425 Mar 2026 15:24:59:07732Medical Review I-3085477: Please provide end date.updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260320 07:16:42.79020260323 13:18:41.11320260325 15:24:59.0779833533531186713713
45CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledStudy Drug Administration (1)Study Drug Administration Open Label Part 2 - Stabilization0/0/V1Start DateAuto17002734Closedsystemuser14 Nov 2025 07:48:41:920BrezVe118 Nov 2025 09:13:35:153Ashwini20103 Dec 2025 12:23:16:810415Please enter study drug administration start date as soon as it's availablewill be done asap42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251114 07:48:41.92020251118 09:13:35.15320251203 12:23:16.8109833533531186713713
46CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledStudy Drug Administration (1)Study Drug Administration Open Label Part 2 - Stabilization0/0/V1Start DateDM17543078ClosedAshwini20103 Dec 2025 12:23:46:027BrezVe115 Dec 2025 08:45:07:100Ashwini20115 Dec 2025 14:25:45:130120RQ-DM1: Thank you for the response. Please verify and update the data once available.updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251203 12:23:46.02720251215 08:45:07.10020251215 14:25:45.1309833533531186713713
47CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledStudy Drug Administration (1)Study Drug Administration Open Label Part 2 - Stabilization0/0/V1Start DateDM17995921 (17543078)ClosedAshwini20115 Dec 2025 14:25:45:323BrezVe122 Dec 2025 10:50:05:273shyamaprasad97223 Dec 2025 08:02:26:95071RQ-DM2: Subject meet the evaluation repose at 1.5 visit so kindly update the start date as 14-Nov-2025, else clarify.updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251215 14:25:45.32320251222 10:50:05.27320251223 08:02:26.9509833533531186713713
48CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 1.4 Induction (1)Vital Signs0/0/NTemperature Anatomical LocationAuto16728273Closedsystemuser03 Nov 2025 07:49:01:390systemuser03 Nov 2025 07:49:17:360systemuser03 Nov 2025 07:49:17:36000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251103 07:49:01.39020251103 07:49:17.36020251103 07:49:17.3609833533531186713713
49CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 1.5 Induction (1)Physical Examination0/0/NWas the collection date the same as the visit date?Auto17189582Closedsystemuser21 Nov 2025 11:21:32:253systemuser24 Nov 2025 08:21:37:273systemuser24 Nov 2025 08:21:37:27330Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251121 11:21:32.25320251124 08:21:37.27320251124 08:21:37.2739833533531186713713
50CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 1.5 Induction (1)Vital Signs0/0/NTemperature Anatomical LocationAuto17189564Closedsystemuser21 Nov 2025 11:20:47:400systemuser21 Nov 2025 11:20:54:560systemuser21 Nov 2025 11:20:54:56300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251121 11:20:47.40020251121 11:20:54.56020251121 11:20:54.5639833533531186713713
51CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 2.2 Stabilization (1)Clinical Global Impression - S (Depression)0/0/VRater's InitialsAuto17951601Closedsystemuser12 Dec 2025 08:52:46:550systemuser12 Dec 2025 08:52:56:350systemuser12 Dec 2025 08:52:56:35300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251212 08:52:46.55020251212 08:52:56.35020251212 08:52:56.3539833533531186713713
52CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 2.2 Stabilization (1)Vital Signs0/0/NTemperature Anatomical LocationAuto17984649Closedsystemuser15 Dec 2025 08:23:50:930systemuser15 Dec 2025 08:23:56:007systemuser15 Dec 2025 08:23:56:00700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251215 08:23:50.93020251215 08:23:56.00720251215 08:23:56.0079833533531186713713
53CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 2.3 Stabilization (1)Clinical Global Impression - S (Depression)0/0/VSeverity of illnessAuto18237831Closedsystemuser29 Dec 2025 12:48:05:070systemuser29 Dec 2025 12:49:20:210systemuser29 Dec 2025 12:49:20:21300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251229 12:48:05.07020251229 12:49:20.21020251229 12:49:20.2139833533531186713713
54CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 2.3 Stabilization (1)Clinical Global Impression - S (Depression)0/0/VRater's InitialsAuto18237829Closedsystemuser29 Dec 2025 12:48:05:050systemuser29 Dec 2025 12:49:20:227systemuser29 Dec 2025 12:49:20:22700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251229 12:48:05.05020251229 12:49:20.22720251229 12:49:20.2279833533531186713713
55CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 2.3 Stabilization (1)Clinical Global Impression - S (Depression)0/0/VIf Yes, was the collection date the same as the visit date?Auto18237830Closedsystemuser29 Dec 2025 12:48:05:063systemuser29 Dec 2025 12:49:20:227systemuser29 Dec 2025 12:49:20:22700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251229 12:48:05.06320251229 12:49:20.22720251229 12:49:20.2279833533531186713713
56CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 2.3 Stabilization (1)Vital Signs0/0/NTemperature Anatomical LocationAuto18401903Closedsystemuser12 Jan 2026 17:14:06:993systemuser12 Jan 2026 17:14:19:247systemuser12 Jan 2026 17:14:19:24700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260112 17:14:06.99320260112 17:14:19.24720260112 17:14:19.2479833533531186713713
57CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 3 Part 1 BaselineColumbia-Suicide Severity Rating Scale - Since Last Visit0/0/VSuicidal Ideation1. Wish to be DeadAuto15905010Closedsystemuser10 Sep 2025 16:16:14:407systemuser10 Sep 2025 16:16:53:590systemuser10 Sep 2025 16:16:53:59300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250910 16:16:14.40720250910 16:16:53.59020250910 16:16:53.5939833533531186713713
58CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 3 Part 1 BaselineColumbia-Suicide Severity Rating Scale - Since Last Visit0/0/V2. Non-Specific Active Suicidal ThoughtsAuto15905011Closedsystemuser10 Sep 2025 16:16:14:420systemuser10 Sep 2025 16:16:53:593systemuser10 Sep 2025 16:16:53:59300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250910 16:16:14.42020250910 16:16:53.59320250910 16:16:53.5939833533531186713713
59CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 3 Part 1 BaselineColumbia-Suicide Severity Rating Scale - Since Last Visit0/0/VSuicidal BehaviorActual AttemptAuto15905012Closedsystemuser10 Sep 2025 16:16:14:490systemuser10 Sep 2025 16:16:53:593systemuser10 Sep 2025 16:16:53:59300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250910 16:16:14.49020250910 16:16:53.59320250910 16:16:53.5939833533531186713713
60CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 3 Part 1 BaselineColumbia-Suicide Severity Rating Scale - Since Last Visit0/0/VHas subject engaged in Non-Suicidal Self-Injurious Behavior?Auto15905013Closedsystemuser10 Sep 2025 16:16:14:513systemuser10 Sep 2025 16:16:53:593systemuser10 Sep 2025 16:16:53:59300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250910 16:16:14.51320250910 16:16:53.59320250910 16:16:53.5939833533531186713713
61CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 3 Part 1 BaselineColumbia-Suicide Severity Rating Scale - Since Last Visit0/0/VInterrupted AttemptAuto15905014Closedsystemuser10 Sep 2025 16:16:14:527systemuser10 Sep 2025 16:16:53:593systemuser10 Sep 2025 16:16:53:59300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250910 16:16:14.52720250910 16:16:53.59320250910 16:16:53.5939833533531186713713
62CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 3 Part 1 BaselineColumbia-Suicide Severity Rating Scale - Since Last Visit0/0/VAborted AttemptAuto15905015Closedsystemuser10 Sep 2025 16:16:14:547systemuser10 Sep 2025 16:16:53:593systemuser10 Sep 2025 16:16:53:59300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250910 16:16:14.54720250910 16:16:53.59320250910 16:16:53.5939833533531186713713
63CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 3 Part 1 BaselineColumbia-Suicide Severity Rating Scale - Since Last Visit0/0/VPreparatory Acts or BehaviorAuto15905016Closedsystemuser10 Sep 2025 16:16:14:570systemuser10 Sep 2025 16:16:53:593systemuser10 Sep 2025 16:16:53:59300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250910 16:16:14.57020250910 16:16:53.59320250910 16:16:53.5939833533531186713713
64CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 3 Part 1 BaselineColumbia-Suicide Severity Rating Scale - Since Last Visit0/0/VSuicidal BehaviorAuto15905017Closedsystemuser10 Sep 2025 16:16:14:800systemuser10 Sep 2025 16:16:53:593systemuser10 Sep 2025 16:16:53:59300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250910 16:16:14.80020250910 16:16:53.59320250910 16:16:53.5939833533531186713713
65CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 3 Part 1 BaselineColumbia-Suicide Severity Rating Scale - Since Last Visit0/0/VSuicideAuto15905018Closedsystemuser10 Sep 2025 16:16:14:820systemuser10 Sep 2025 16:16:53:593systemuser10 Sep 2025 16:16:53:59300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250910 16:16:14.82020250910 16:16:53.59320250910 16:16:53.5939833533531186713713
66CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 3 Part 1 BaselineColumbia-Suicide Severity Rating Scale - Since Last Visit0/0/VRater's InitialsAuto15905009Closedsystemuser10 Sep 2025 16:16:14:400systemuser10 Sep 2025 16:16:53:593systemuser10 Sep 2025 16:16:53:59300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250910 16:16:14.40020250910 16:16:53.59320250910 16:16:53.5939833533531186713713
67CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 3 Part 1 BaselineColumbia-Suicide Severity Rating Scale - Since Last Visit0/0/VWas the collection date the same as the visit date?Auto15905008Closedsystemuser10 Sep 2025 16:16:14:380systemuser10 Sep 2025 16:16:53:593systemuser10 Sep 2025 16:16:53:59300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250910 16:16:14.38020250910 16:16:53.59320250910 16:16:53.5939833533531186713713
68CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 3 Part 1 BaselineEQ-5D-5L0/0/NMobilityAuto15905041Closedsystemuser10 Sep 2025 16:17:32:717systemuser10 Sep 2025 16:18:21:017systemuser10 Sep 2025 16:18:21:01700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250910 16:17:32.71720250910 16:18:21.01720250910 16:18:21.0179833533531186713713
69CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 3 Part 1 BaselineEQ-5D-5L0/0/NSelf-CareAuto15905042Closedsystemuser10 Sep 2025 16:17:32:723systemuser10 Sep 2025 16:18:21:017systemuser10 Sep 2025 16:18:21:01700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250910 16:17:32.72320250910 16:18:21.01720250910 16:18:21.0179833533531186713713
70CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 3 Part 1 BaselineEQ-5D-5L0/0/NUsual ActivitiesAuto15905043Closedsystemuser10 Sep 2025 16:17:32:733systemuser10 Sep 2025 16:18:21:017systemuser10 Sep 2025 16:18:21:01700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250910 16:17:32.73320250910 16:18:21.01720250910 16:18:21.0179833533531186713713
71CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 3 Part 1 BaselineEQ-5D-5L0/0/NPain/DiscomfortAuto15905044Closedsystemuser10 Sep 2025 16:17:32:740systemuser10 Sep 2025 16:18:21:017systemuser10 Sep 2025 16:18:21:01700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250910 16:17:32.74020250910 16:18:21.01720250910 16:18:21.0179833533531186713713
72CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 3 Part 1 BaselineEQ-5D-5L0/0/NAnxiety/DepressionAuto15905045Closedsystemuser10 Sep 2025 16:17:32:747systemuser10 Sep 2025 16:18:21:017systemuser10 Sep 2025 16:18:21:01700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250910 16:17:32.74720250910 16:18:21.01720250910 16:18:21.0179833533531186713713
73CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 3 Part 1 BaselineEQ-5D-5L0/0/NYour health todayAuto15905046Closedsystemuser10 Sep 2025 16:17:32:757systemuser10 Sep 2025 16:18:21:017systemuser10 Sep 2025 16:18:21:01700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250910 16:17:32.75720250910 16:18:21.01720250910 16:18:21.0179833533531186713713
74CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 3 Part 1 BaselineEQ-5D-5L0/0/NWas the collection date the same as the visit date?Auto15905040Closedsystemuser10 Sep 2025 16:17:32:697systemuser10 Sep 2025 16:18:21:020systemuser10 Sep 2025 16:18:21:02000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250910 16:17:32.69720250910 16:18:21.02020250910 16:18:21.0209833533531186713713
75CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 3 Part 1 BaselineStructured Interview Guide for the Montgomery-Asberg Depression Rating Scale0/0/V1. Reported SadnessAuto15830634Closedsystemuser05 Sep 2025 08:04:37:280systemuser05 Sep 2025 08:07:08:753systemuser05 Sep 2025 08:07:08:75300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250905 08:04:37.28020250905 08:07:08.75320250905 08:07:08.7539833533531186713713
76CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 3 Part 1 BaselineStructured Interview Guide for the Montgomery-Asberg Depression Rating Scale0/0/V2. Apparent SadnessAuto15830635Closedsystemuser05 Sep 2025 08:04:37:293systemuser05 Sep 2025 08:07:08:753systemuser05 Sep 2025 08:07:08:75300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250905 08:04:37.29320250905 08:07:08.75320250905 08:07:08.7539833533531186713713
77CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 3 Part 1 BaselineStructured Interview Guide for the Montgomery-Asberg Depression Rating Scale0/0/V3. Inner TensionAuto15830636Closedsystemuser05 Sep 2025 08:04:37:303systemuser05 Sep 2025 08:07:08:753systemuser05 Sep 2025 08:07:08:75300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250905 08:04:37.30320250905 08:07:08.75320250905 08:07:08.7539833533531186713713
78CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 3 Part 1 BaselineStructured Interview Guide for the Montgomery-Asberg Depression Rating Scale0/0/V4. Reduced SleepAuto15830637Closedsystemuser05 Sep 2025 08:04:37:317systemuser05 Sep 2025 08:07:08:753systemuser05 Sep 2025 08:07:08:75300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250905 08:04:37.31720250905 08:07:08.75320250905 08:07:08.7539833533531186713713
79CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 3 Part 1 BaselineStructured Interview Guide for the Montgomery-Asberg Depression Rating Scale0/0/V5. Reduced AppetiteAuto15830638Closedsystemuser05 Sep 2025 08:04:37:330systemuser05 Sep 2025 08:07:08:753systemuser05 Sep 2025 08:07:08:75300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250905 08:04:37.33020250905 08:07:08.75320250905 08:07:08.7539833533531186713713
80CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 3 Part 1 BaselineStructured Interview Guide for the Montgomery-Asberg Depression Rating Scale0/0/V6. Concentration DifficultiesAuto15830639Closedsystemuser05 Sep 2025 08:04:37:340systemuser05 Sep 2025 08:07:08:753systemuser05 Sep 2025 08:07:08:75300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250905 08:04:37.34020250905 08:07:08.75320250905 08:07:08.7539833533531186713713
81CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 3 Part 1 BaselineStructured Interview Guide for the Montgomery-Asberg Depression Rating Scale0/0/V7. LassitudeAuto15830640Closedsystemuser05 Sep 2025 08:04:37:350systemuser05 Sep 2025 08:07:08:753systemuser05 Sep 2025 08:07:08:75300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250905 08:04:37.35020250905 08:07:08.75320250905 08:07:08.7539833533531186713713
82CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 3 Part 1 BaselineStructured Interview Guide for the Montgomery-Asberg Depression Rating Scale0/0/V8. Inability to FeelAuto15830641Closedsystemuser05 Sep 2025 08:04:37:367systemuser05 Sep 2025 08:07:08:757systemuser05 Sep 2025 08:07:08:75700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250905 08:04:37.36720250905 08:07:08.75720250905 08:07:08.7579833533531186713713
83CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 3 Part 1 BaselineStructured Interview Guide for the Montgomery-Asberg Depression Rating Scale0/0/V9. Pessimistic ThoughtsAuto15830642Closedsystemuser05 Sep 2025 08:04:37:377systemuser05 Sep 2025 08:07:08:757systemuser05 Sep 2025 08:07:08:75700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250905 08:04:37.37720250905 08:07:08.75720250905 08:07:08.7579833533531186713713
84CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 3 Part 1 BaselineStructured Interview Guide for the Montgomery-Asberg Depression Rating Scale0/0/V10. Suicidal ThoughtsAuto15830643Closedsystemuser05 Sep 2025 08:04:37:393systemuser05 Sep 2025 08:07:08:757systemuser05 Sep 2025 08:07:08:75700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250905 08:04:37.39320250905 08:07:08.75720250905 08:07:08.7579833533531186713713
85CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 3 Part 1 BaselineStructured Interview Guide for the Montgomery-Asberg Depression Rating Scale0/0/VTOTAL MADRS SCALE SCOREAuto15830644Closedsystemuser05 Sep 2025 08:04:37:417systemuser05 Sep 2025 08:07:09:067systemuser05 Sep 2025 08:07:09:06700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250905 08:04:37.41720250905 08:07:09.06720250905 08:07:09.0679833533531186713713
86CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 3 Part 1 BaselineStructured Interview Guide for the Montgomery-Asberg Depression Rating Scale0/0/VRater's InitialsAuto15830633Closedsystemuser05 Sep 2025 08:04:37:270systemuser05 Sep 2025 08:07:08:773systemuser05 Sep 2025 08:07:08:77300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250905 08:04:37.27020250905 08:07:08.77320250905 08:07:08.7739833533531186713713
87CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 3 Part 1 BaselineStructured Interview Guide for the Montgomery-Asberg Depression Rating Scale0/0/VWas the collection date the same as the visit date?Auto15830632Closedsystemuser05 Sep 2025 08:04:37:240systemuser05 Sep 2025 08:07:08:773systemuser05 Sep 2025 08:07:08:77300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250905 08:04:37.24020250905 08:07:08.77320250905 08:07:08.7739833533531186713713
88CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 3 Part 1 BaselineVital Signs0/0/NTemperature Anatomical LocationAuto15904916Closedsystemuser10 Sep 2025 16:10:32:050systemuser10 Sep 2025 16:10:43:000systemuser10 Sep 2025 16:10:43:00300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250910 16:10:32.05020250910 16:10:43.00020250910 16:10:43.0039833533531186713713
89CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 3.5 MaintenanceVital Signs0/0/NTemperature Anatomical LocationAuto20632399Closedsystemuser06 May 2026 05:30:19:990systemuser06 May 2026 05:30:26:263systemuser06 May 2026 05:30:26:26300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260506 05:30:19.99020260506 05:30:26.26320260506 05:30:26.2639833533531186713713
90CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 5 Part 1 (1)Date of Visit0/0/NSubject's StatusAuto15905468Closedsystemuser10 Sep 2025 16:43:52:510gnovotna@email.cz210 Sep 2025 16:50:15:550Ashwini20111 Sep 2025 11:34:29:74001Required field. Please complete or provide a response.entry error42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250910 16:43:52.51020250910 16:50:15.55020250911 11:34:29.7409833533531186713713
91CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 5 Part 1 (1)Date of Visit0/0/NDid this visit occur?Auto15905467Closedsystemuser10 Sep 2025 16:43:52:497gnovotna@email.cz210 Sep 2025 16:50:10:080shyamaprasad97212 Sep 2025 08:19:18:48302Required field. Please complete or provide a response.entry error42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250910 16:43:52.49720250910 16:50:10.08020250912 08:19:18.4839833533531186713713
92CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 5 Part 1 (1)Date of Visit0/0/NType of ContactAuto15905440Closedsystemuser10 Sep 2025 16:42:57:157systemuser12 Sep 2025 06:38:08:253systemuser12 Sep 2025 06:38:08:25720Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250910 16:42:57.15720250912 06:38:08.25320250912 06:38:08.2579833533531186713713
93CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 5 Part 1 (1)Date of Visit0/0/NVisit Start DateAuto15905403Closedsystemuser10 Sep 2025 16:39:04:213systemuser10 Sep 2025 16:40:04:8400Data entered is in the future. Please correct.QueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250910 16:39:04.21320250910 16:40:04.8409833533531186713713
94CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 5 Part 1 (1)Date of Visit0/0/NVisit Start DateAuto15905408Closedsystemuser10 Sep 2025 16:40:05:650systemuser12 Sep 2025 06:38:07:0302Data is not in the expected format. Please Correct.QueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250910 16:40:05.65020250912 06:38:07.0309833533531186713713
95CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 6 Part 1 (1)Vital Signs0/0/NDiastolic Blood PressureAuto16047295Closedsystemuser19 Sep 2025 12:00:43:200systemuser19 Sep 2025 12:01:14:090systemuser19 Sep 2025 12:01:14:09300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250919 12:00:43.20020250919 12:01:14.09020250919 12:01:14.0939833533531186713713
96CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 6 Part 1 (1)Vital Signs0/0/NPulseAuto16047293Closedsystemuser19 Sep 2025 12:00:43:173systemuser19 Sep 2025 12:01:14:100systemuser19 Sep 2025 12:01:14:10000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250919 12:00:43.17320250919 12:01:14.10020250919 12:01:14.1009833533531186713713
97CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 6 Part 1 (1)Vital Signs0/0/NSystolic Blood PressureAuto16047294Closedsystemuser19 Sep 2025 12:00:43:187systemuser19 Sep 2025 12:01:14:103systemuser19 Sep 2025 12:01:14:10300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250919 12:00:43.18720250919 12:01:14.10320250919 12:01:14.1039833533531186713713
98CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 6 Part 1 (1)Vital Signs0/0/NWas the collection date the same as the visit date?Auto16047291Closedsystemuser19 Sep 2025 12:00:43:110systemuser19 Sep 2025 12:01:14:103systemuser19 Sep 2025 12:01:14:10300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250919 12:00:43.11020250919 12:01:14.10320250919 12:01:14.1039833533531186713713
99CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 6 Part 1 (1)Vital Signs0/0/NTemperatureAuto16047292Closedsystemuser19 Sep 2025 12:00:43:157systemuser19 Sep 2025 12:01:14:103systemuser19 Sep 2025 12:01:14:10300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250919 12:00:43.15720250919 12:01:14.10320250919 12:01:14.1039833533531186713713
100CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 8 Part 1 (1)Drug Testing0/0/NAmphetamineAuto16456853Closedsystemuser17 Oct 2025 10:35:34:167systemuser17 Oct 2025 10:36:23:513systemuser17 Oct 2025 10:36:23:51300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251017 10:35:34.16720251017 10:36:23.51320251017 10:36:23.5139833533531186713713
101CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 8 Part 1 (1)Drug Testing0/0/NBarbiturateAuto16456854Closedsystemuser17 Oct 2025 10:35:34:180systemuser17 Oct 2025 10:36:23:513systemuser17 Oct 2025 10:36:23:51300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251017 10:35:34.18020251017 10:36:23.51320251017 10:36:23.5139833533531186713713
102CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 8 Part 1 (1)Drug Testing0/0/NBenzodiazepineAuto16456855Closedsystemuser17 Oct 2025 10:35:34:190systemuser17 Oct 2025 10:36:23:513systemuser17 Oct 2025 10:36:23:51300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251017 10:35:34.19020251017 10:36:23.51320251017 10:36:23.5139833533531186713713
103CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 8 Part 1 (1)Drug Testing0/0/NCannabinoidsAuto16456856Closedsystemuser17 Oct 2025 10:35:34:200systemuser17 Oct 2025 10:36:23:513systemuser17 Oct 2025 10:36:23:51300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251017 10:35:34.20020251017 10:36:23.51320251017 10:36:23.5139833533531186713713
104CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 8 Part 1 (1)Drug Testing0/0/NCocaineAuto16456857Closedsystemuser17 Oct 2025 10:35:34:207systemuser17 Oct 2025 10:36:23:513systemuser17 Oct 2025 10:36:23:51300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251017 10:35:34.20720251017 10:36:23.51320251017 10:36:23.5139833533531186713713
105CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 8 Part 1 (1)Drug Testing0/0/NCollection TimeAuto16456852Closedsystemuser17 Oct 2025 10:35:34:150systemuser17 Oct 2025 10:36:23:5300The time entered is non-conformant. Please resolve.QueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251017 10:35:34.15020251017 10:36:23.5309833533531186713713
106CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 8 Part 1 (1)Drug Testing0/0/NMDMA (Ecstasy)Auto16456858Closedsystemuser17 Oct 2025 10:35:34:217systemuser17 Oct 2025 10:36:23:530systemuser17 Oct 2025 10:36:23:53000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251017 10:35:34.21720251017 10:36:23.53020251017 10:36:23.5309833533531186713713
107CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 8 Part 1 (1)Drug Testing0/0/NMethamphetamineAuto16456860Closedsystemuser17 Oct 2025 10:35:34:233systemuser17 Oct 2025 10:36:23:530systemuser17 Oct 2025 10:36:23:53000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251017 10:35:34.23320251017 10:36:23.53020251017 10:36:23.5309833533531186713713
108CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 8 Part 1 (1)Drug Testing0/0/NMethadoneAuto16456859Closedsystemuser17 Oct 2025 10:35:34:227systemuser17 Oct 2025 10:36:23:530systemuser17 Oct 2025 10:36:23:53000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251017 10:35:34.22720251017 10:36:23.53020251017 10:36:23.5309833533531186713713
109CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 8 Part 1 (1)Drug Testing0/0/NOpiateAuto16456861Closedsystemuser17 Oct 2025 10:35:34:243systemuser17 Oct 2025 10:36:23:530systemuser17 Oct 2025 10:36:23:53000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251017 10:35:34.24320251017 10:36:23.53020251017 10:36:23.5309833533531186713713
110CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 8 Part 1 (1)Neurologic Examination0/0/NDate of AssessmentAuto16456518Closedsystemuser17 Oct 2025 10:06:24:577systemuser20 Oct 2025 07:46:24:710systemuser20 Oct 2025 07:46:24:71330Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251017 10:06:24.57720251020 07:46:24.71020251020 07:46:24.7139833533531186713713
111CZES10-CZ10004Medical Services Prague s.r.o.CZ100040001EnrolledVisit 8 Part 1 (1)Physical Examination0/0/NWas the collection date the same as the visit date?Auto16456833Closedsystemuser17 Oct 2025 10:33:30:150systemuser20 Oct 2025 07:46:32:537systemuser20 Oct 2025 07:46:32:53730Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251017 10:33:30.15020251020 07:46:32.53720251020 07:46:32.5379833533531186713713
112CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledAdverse Events/Serious AEsAdverse Events/Serious Aes0/0/V1Action Taken with Study TreatmentDM17675499ClosedJuhita@ksha405 Dec 2025 13:33:46:587BrezVe108 Dec 2025 08:37:54:710Juhita@ksha409 Dec 2025 06:38:19:61331Medical Review I-941081: Start date for the AE was before the first dose of IP. Kindly update the Correct action taken.updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251205 13:33:46.58720251208 08:37:54.71020251209 06:38:19.6139833533526186713713
113CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledAdverse Events/Serious AEsAdverse Events/Serious Aes0/0/V2End DateAuto18402625Closedsystemuser12 Jan 2026 18:07:13:433gnovotna@email.cz212 Jan 2026 18:07:21:143Ashwini20113 Jan 2026 10:43:01:71001If the Adverse Event is reported as 'Ongoing', an end date should not be present. Please resolve.the symptom appeared after starting the medication42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260112 18:07:13.43320260112 18:07:21.14320260113 10:43:01.7109833533526186713713
114CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledAdverse Events/Serious AEsAdverse Events/Serious Aes0/0/V2OutcomeAuto18402626Closedsystemuser12 Jan 2026 18:07:13:450systemuser12 Jan 2026 18:07:47:323systemuser12 Jan 2026 18:07:47:34300End of event is marked as 'Ongoing' so the outcome is expected to be 'Not Recovered/Not Resolved', 'Recovering/Resolving' or 'Unknown'. Please resolve.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260112 18:07:13.45020260112 18:07:47.32320260112 18:07:47.3439833533526186713713
115CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledAdverse Events/Serious AEsAdverse Events/Serious Aes0/0/V2Relationship to Study TreatmentDM18328091ClosedJuhita@ksha407 Jan 2026 09:46:00:683gnovotna@email.cz212 Jan 2026 18:08:08:130Juhita@ksha413 Jan 2026 14:07:13:49751Medical Review I-1712949: Kindly clarify rationality to consider AE to be related to study drug.the symptom appeared after starting the medication42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260107 09:46:00.68320260112 18:08:08.13020260113 14:07:13.4979833533526186713713
116CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledAdverse Events/Serious AEsAdverse Events/Serious Aes0/0/V2Start TimeAuto17058241Closedsystemuser18 Nov 2025 08:29:48:313systemuser18 Nov 2025 08:29:58:0000The time entered is non-conformant. Please resolve.QueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251118 08:29:48.31320251118 08:29:58.0009833533526186713713
117CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledAdverse Events/Serious AEsAdverse Events/Serious Aes0/0/V3Action Taken with Study TreatmentAuto20758446Closedsystemuser11 May 2026 10:06:44:377systemuser11 May 2026 10:06:50:990systemuser11 May 2026 10:06:50:99300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260511 10:06:44.37720260511 10:06:50.99020260511 10:06:50.9939833533526186713713
118CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledConcomitant TherapyConcomitant Therapy / Medication0/0/V3Dose FormAuto16068755Closedsystemuser22 Sep 2025 14:35:06:253systemuser22 Sep 2025 14:40:16:103systemuser22 Sep 2025 14:40:16:10300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250922 14:35:06.25320250922 14:40:16.10320250922 14:40:16.1039833533526186713713
119CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledConcomitant TherapyConcomitant Therapy / Medication0/0/V3FrequencyAuto16068756Closedsystemuser22 Sep 2025 14:35:06:263systemuser22 Sep 2025 14:40:16:103systemuser22 Sep 2025 14:40:16:10300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250922 14:35:06.26320250922 14:40:16.10320250922 14:40:16.1039833533526186713713
120CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledConcomitant TherapyConcomitant Therapy / Medication0/0/V3Dose UnitAuto16068754Closedsystemuser22 Sep 2025 14:35:06:160systemuser22 Sep 2025 14:40:16:103systemuser22 Sep 2025 14:40:16:10300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250922 14:35:06.16020250922 14:40:16.10320250922 14:40:16.1039833533526186713713
121CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledConcomitant TherapyConcomitant Therapy / Medication0/0/V3What was the individual dose of the medication/therapy?Auto16068753Closedsystemuser22 Sep 2025 14:35:06:147systemuser22 Sep 2025 14:40:16:120systemuser22 Sep 2025 14:40:16:12000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250922 14:35:06.14720250922 14:40:16.12020250922 14:40:16.1209833533526186713713
122CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledConcomitant TherapyConcomitant Therapy / Medication0/0/V3What was the individual dose of the medication/therapy?Auto16068835Closedsystemuser22 Sep 2025 14:40:16:157systemuser22 Sep 2025 14:41:21:3100Dose contains a space or a comma or a non-numeric character; Please correct.QueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250922 14:40:16.15720250922 14:41:21.3109833533526186713713
123CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledConcomitant TherapyConcomitant Therapy / Medication0/0/V3What was the individual dose of the medication/therapy?Auto16068858Closedsystemuser22 Sep 2025 14:41:21:377systemuser22 Sep 2025 14:47:02:793systemuser22 Sep 2025 14:47:02:79700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250922 14:41:21.37720250922 14:47:02.79320250922 14:47:02.7979833533526186713713
124CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledConcomitant TherapyConcomitant Therapy / Medication0/0/V3RouteAuto16068757Closedsystemuser22 Sep 2025 14:35:06:273systemuser22 Sep 2025 14:40:16:120systemuser22 Sep 2025 14:40:16:12000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250922 14:35:06.27320250922 14:40:16.12020250922 14:40:16.1209833533526186713713
125CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledConcomitant TherapyConcomitant Therapy / Medication0/0/V3Start DateAuto16068758Closedsystemuser22 Sep 2025 14:35:06:287systemuser22 Sep 2025 14:38:47:380systemuser22 Sep 2025 14:38:47:38300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250922 14:35:06.28720250922 14:38:47.38020250922 14:38:47.3839833533526186713713
126CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledInvestigator Periodic Review Acknowledgments/ Interim Signatures 20260325 - Periodic Investigator's EDC Review Acknowledgement0/0/NAs the investigator, I have ensured the accuracy, completeness, and timeliness of the data reported to the sponsor in the CRFs.Auto19153601Closedsystemuser24 Feb 2026 13:57:12:293systemuser25 Mar 2026 07:21:44:973systemuser25 Mar 2026 07:21:45:313290NOTIFICATION: Please ensure the investigator performs periodic review and confirms his/her review by ticking the box.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260224 13:57:12.29320260325 07:21:44.97320260325 07:21:45.3139833533526186713713
127CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledScreening to end of studyMenstrual Cycle Tracking Log0/0/N4Stop date of menstrual periodDM19438167ClosedJThoma85810 Mar 2026 08:43:47:730gnovotna@email.cz220 Mar 2026 11:31:02:830JThoma85823 Mar 2026 05:44:09:063103DM :Please update the Menstrual Cycle Tracking Log for the month of Jan and Feb. Else clarifyupdated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260310 08:43:47.73020260320 11:31:02.83020260323 05:44:09.0639833533526186713713
128CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledScreening to end of studyMenstrual Cycle Tracking Log0/0/N4Start date of menstrual periodDM19438144CancelledJThoma85810 Mar 2026 08:43:21:033JThoma85810 Mar 2026 08:43:23:813Please update the Menstrual Cycle Tracking Log for the month of Jan and Feb 2026. Else clarify42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260310 08:43:21.03320260310 08:43:23.8139833533526186713713
129CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledScreening to end of studyPerceived Treatment Group Assignment0/0/NQuestionnaire completed?Auto17405294Closedsystemuser28 Nov 2025 09:37:45:270systemuser28 Nov 2025 10:43:14:9370Please enter Yes or No if questionnaire was completed.QueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251128 09:37:45.27020251128 10:43:14.9379833533526186713713
130CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledScreening Visit 1Date of Visit0/0/NDid this visit occur?DM17286870ClosedAshwini20125 Nov 2025 13:52:22:370gnovotna@email.cz228 Nov 2025 10:45:11:557SanchariDutta@02501 Dec 2025 07:18:19:05333DM: Please verify and update the data on Arizona Sexual Experiences Scale Summary and Local Labs for Background Antidepressant Compliance forms, else clarify.updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251125 13:52:22.37020251128 10:45:11.55720251201 07:18:19.0539833533526186713713
131CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledScreening Visit 1General Medical History0/0/N1Is the medical history disease/condition or event still ongoing?DM18269716ClosedJuhita@ksha431 Dec 2025 12:22:45:913BrezVe105 Jan 2026 09:54:32:967Juhita@ksha406 Jan 2026 12:27:54:60351Medical Review I-941339: Please confirm if MH is still ongoing or else update the end date. Kindly mention the cause of MH term.ongoing42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251231 12:22:45.91320260105 09:54:32.96720260106 12:27:54.6039833533526186713713
132CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledScreening Visit 1General Medical History0/0/N2What is the verbatim term for the medical history condition/event?DM16312156ClosedCoderImport08 Oct 2025 06:09:13:050gnovotna@email.cz210 Oct 2025 09:55:24:083systemuser10 Oct 2025 09:55:24:19720CODING: Reported term contains a medical condition as well as a procedure. Please split the term and record the diagnosis and procedure separately. Example: 1. CYSTS ON BOTH OVARIES and 2. LAPAROSCOPY.updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251008 06:09:13.05020251010 09:55:24.08320251010 09:55:24.1979833533526186713713
133CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledScreening Visit 1General Medical History0/0/N3What is the verbatim term for the medical history condition/event?DM16312157ClosedCoderImport08 Oct 2025 06:09:15:857gnovotna@email.cz210 Oct 2025 09:56:20:187systemuser10 Oct 2025 09:56:20:30720CODING: Reported term contains a medical condition as well as a procedure. Please split the term and record the diagnosis and procedure separately. Example: 1. CYSTS ON BOTH OVARIES and 2. LAPAROSCOPY.updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251008 06:09:15.85720251010 09:56:20.18720251010 09:56:20.3079833533526186713713
134CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledScreening Visit 1General Medical History0/0/N4What is the verbatim term for the medical history condition/event?DM16619228ClosedCoderImport28 Oct 2025 06:34:12:423BrezVe103 Nov 2025 08:40:31:453systemuser03 Nov 2025 08:40:31:58060CODING: Reported term contains a medical condition as well as a procedure. Please split the term and record the diagnosis and procedure separately. Example: 1.CYSTS ON BOTH OVARIES and 2. LAPAROSCOPY.updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251028 06:34:12.42320251103 08:40:31.45320251103 08:40:31.5809833533526186713713
135CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledScreening Visit 1General Medical History0/0/N5What is the verbatim term for the medical history condition/event?DM16619229ClosedCoderImport28 Oct 2025 06:34:15:197BrezVe103 Nov 2025 08:40:44:253systemuser03 Nov 2025 08:40:44:43060CODING: Reported term contains a medical condition as well as a procedure. Please split the term and record the diagnosis and procedure separately. Example: 1.CYSTS ON BOTH OVARIES and 2. LAPAROSCOPY.updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251028 06:34:15.19720251103 08:40:44.25320251103 08:40:44.4309833533526186713713
136CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledScreening Visit 1Menstrual Cycle Tracking0/0/N1Current Method(s) of ContraceptionDM16111828ClosedAshwini20124 Sep 2025 10:28:47:630BrezVe102 Oct 2025 07:00:55:593Ashwini20103 Oct 2025 07:36:10:31081DM: As the logline2 added by error, kindly inactive the same.Inactivated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250924 10:28:47.63020251002 07:00:55.59320251003 07:36:10.3109833533526186713713
137CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledScreening Visit 1Menstrual Cycle Tracking0/0/N1If 'Estrogen/Gestagen', 'Hormonal IUD', or 'Non-hormonal IUD', choose the corresponding CM log line, start date, and termAuto16068121Closedsystemuser22 Sep 2025 14:00:15:630systemuser22 Sep 2025 14:41:44:780systemuser22 Sep 2025 14:41:44:78300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250922 14:00:15.63020250922 14:41:44.78020250922 14:41:44.7839833533526186713713
138CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledScreening Visit 1SCID-CT0/0/VLifetime Manic EpisodeAuto16068428Closedsystemuser22 Sep 2025 14:18:14:257systemuser22 Sep 2025 14:19:12:960systemuser22 Sep 2025 14:19:12:96000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250922 14:18:14.25720250922 14:19:12.96020250922 14:19:12.9609833533526186713713
139CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledScreening Visit 1SCID-CT0/0/VLifetime Hypomanic Episode Auto16068429Closedsystemuser22 Sep 2025 14:18:14:290systemuser22 Sep 2025 14:19:12:960systemuser22 Sep 2025 14:19:12:96000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250922 14:18:14.29020250922 14:19:12.96020250922 14:19:12.9609833533526186713713
140CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledScreening Visit 1SCID-CT0/0/VHistory of Primary psychotic or psychotic depression symptoms (except during past mood episodes)Auto16068430Closedsystemuser22 Sep 2025 14:18:14:323systemuser22 Sep 2025 14:19:12:960systemuser22 Sep 2025 14:19:12:96000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250922 14:18:14.32320250922 14:19:12.96020250922 14:19:12.9609833533526186713713
141CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledScreening Visit 1SCID-CT0/0/VModerate to severe Alcohol Use Disorder in past 6 monthsAuto16068431Closedsystemuser22 Sep 2025 14:18:14:360systemuser22 Sep 2025 14:19:12:960systemuser22 Sep 2025 14:19:12:96000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250922 14:18:14.36020250922 14:19:12.96020250922 14:19:12.9609833533526186713713
142CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledScreening Visit 1SCID-CT0/0/VModerate to severe Substance Use Disorder (other than nicotine) in past 6 monthsAuto16068432Closedsystemuser22 Sep 2025 14:18:14:393systemuser22 Sep 2025 14:19:12:960systemuser22 Sep 2025 14:19:12:96000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250922 14:18:14.39320250922 14:19:12.96020250922 14:19:12.9609833533526186713713
143CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledScreening Visit 1SCID-CT0/0/VObsessive-Compulsive Disorder in past yearAuto16068433Closedsystemuser22 Sep 2025 14:18:14:430systemuser22 Sep 2025 14:19:12:960systemuser22 Sep 2025 14:19:12:96000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250922 14:18:14.43020250922 14:19:12.96020250922 14:19:12.9609833533526186713713
144CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledScreening Visit 1SCID-CT0/0/VPTSD in past yearAuto16068434Closedsystemuser22 Sep 2025 14:18:14:503systemuser22 Sep 2025 14:19:12:960systemuser22 Sep 2025 14:19:12:96000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250922 14:18:14.50320250922 14:19:12.96020250922 14:19:12.9609833533526186713713
145CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledScreening Visit 1SCID-CT0/0/VAnorexia Nervosa in past yearAuto16068435Closedsystemuser22 Sep 2025 14:18:14:533systemuser22 Sep 2025 14:19:12:960systemuser22 Sep 2025 14:19:12:96000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250922 14:18:14.53320250922 14:19:12.96020250922 14:19:12.9609833533526186713713
146CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledScreening Visit 1SCID-CT0/0/VBulimia Nervosa in past yearAuto16068436Closedsystemuser22 Sep 2025 14:18:14:550systemuser22 Sep 2025 14:19:12:960systemuser22 Sep 2025 14:19:12:96000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250922 14:18:14.55020250922 14:19:12.96020250922 14:19:12.9609833533526186713713
147CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledScreening Visit 1SCID-CT0/0/VPanic Disorder past 2 years that was focus of txAuto16068437Closedsystemuser22 Sep 2025 14:18:14:563systemuser22 Sep 2025 14:19:12:960systemuser22 Sep 2025 14:19:12:96000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250922 14:18:14.56320250922 14:19:12.96020250922 14:19:12.9609833533526186713713
148CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledScreening Visit 1SCID-CT0/0/VGeneralized Anxiety Disorder past 2 years that was focus of txAuto16068438Closedsystemuser22 Sep 2025 14:18:14:573systemuser22 Sep 2025 14:19:12:960systemuser22 Sep 2025 14:19:12:96000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250922 14:18:14.57320250922 14:19:12.96020250922 14:19:12.9609833533526186713713
149CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledScreening Visit 1SCID-CT0/0/VSocial Anxiety Disorder past 2 years that was focus of txAuto16068439Closedsystemuser22 Sep 2025 14:18:14:583systemuser22 Sep 2025 14:19:12:960systemuser22 Sep 2025 14:19:12:96000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250922 14:18:14.58320250922 14:19:12.96020250922 14:19:12.9609833533526186713713
150CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledScreening Visit 1SCID-CT0/0/VSpecific Phobia past 2 years that was focus of txAuto16068440Closedsystemuser22 Sep 2025 14:18:14:597systemuser22 Sep 2025 14:19:12:960systemuser22 Sep 2025 14:19:12:96000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250922 14:18:14.59720250922 14:19:12.96020250922 14:19:12.9609833533526186713713
151CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledScreening Visit 1SCID-CT0/0/VSymptoms of insomnia in the MDD criteriaAuto16068427Closedsystemuser22 Sep 2025 14:18:14:217systemuser22 Sep 2025 14:19:12:963systemuser22 Sep 2025 14:19:12:96300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250922 14:18:14.21720250922 14:19:12.96320250922 14:19:12.9639833533526186713713
152CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledScreening Visit 1SCID-CT0/0/VCurrent MDEAuto16068426Closedsystemuser22 Sep 2025 14:18:14:187systemuser22 Sep 2025 14:19:12:963systemuser22 Sep 2025 14:19:12:96300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250922 14:18:14.18720250922 14:19:12.96320250922 14:19:12.9639833533526186713713
153CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledScreening Visit 2 (1)CLINICAL OUTCOME ASSESSMENTS COMPLETION STATUS0/0/N1Assessment Completed?DM16909587ClosedJuhita@ksha411 Nov 2025 07:20:30:677BrezVe118 Nov 2025 09:10:21:810Juhita@ksha424 Nov 2025 08:06:46:61776ECOA: Please verify and update the data for the field "Assessment Completed?"updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251111 07:20:30.67720251118 09:10:21.81020251124 08:06:46.6179833533526186713713
154CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledStudy Drug Administration (1)Study Drug Administration Double Blind Maintenance0/0/V1Start DateAuto19338057Closedsystemuser06 Mar 2026 10:03:12:880systemuser09 Mar 2026 10:23:01:5973Please enter study drug administration start date as soon as it's availableQueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260306 10:03:12.88020260309 10:23:01.5979833533526186713713
155CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledStudy Drug Administration (1)Study Drug Administration Double Blind Part 10/0/V1End DateDM18527647ClosedJuhita@ksha420 Jan 2026 09:18:41:697BrezVe126 Jan 2026 07:32:25:360Juhita@ksha427 Jan 2026 09:25:14:31761DM: Kindly refer the completion guideline and update the end date as appropriate.updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260120 09:18:41.69720260126 07:32:25.36020260127 09:25:14.3179833533526186713713
156CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledStudy Drug Administration (1)Study Drug Administration Double Blind Part 10/0/V1Start DateAuto16458267Closedsystemuser17 Oct 2025 11:41:10:687systemuser20 Oct 2025 07:50:24:9403Please enter study drug administration start date as soon as it's availableQueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251017 11:41:10.68720251020 07:50:24.9409833533526186713713
157CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledStudy Drug Administration (1)Study Drug Administration Double Blind Part 10/0/V1Start DateDM18630752CancelledJuhita@ksha427 Jan 2026 09:25:19:613kminarov127 Jan 2026 12:23:46:467DM: Kindly refer the completion guideline and update the end date as appropriate.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260127 09:25:19.61320260127 12:23:46.4679833533526186713713
158CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledStudy Drug Administration (1)Study Drug Administration Double Blind Part 10/0/V1Start DateDM20823448ClosedJThoma85813 May 2026 12:51:51:393gnovotna@email.cz213 May 2026 13:52:53:817Ashwini20114 May 2026 07:08:45:32701DM: The Start Date of Part 1 should align with Visit Baseline Day 3 or Randomization Date. Kindly recheck and update entry error42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260513 12:51:51.39320260513 13:52:53.81720260514 07:08:45.3279833533526186713713
159CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledStudy Drug Administration (1)Study Drug Administration Open Label Part 2 - Induction0/0/V1End DateDM18764037ClosedJuhita@ksha404 Feb 2026 11:25:56:670BrezVe109 Feb 2026 08:39:26:660Juhita@ksha416 Feb 2026 14:37:41:22757Medical Review I-1908866: Please complete the end date.updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260204 11:25:56.67020260209 08:39:26.66020260216 14:37:41.2279833533526186713713
160CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledStudy Drug Administration (1)Study Drug Administration Open Label Part 2 - Induction0/0/V1End DateDM19098873CancelledJuhita@ksha420 Feb 2026 14:16:26:240kminarov124 Feb 2026 10:38:43:130RQ MR1 I-1908866: Please update the end date as per the completion guidelines.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260220 14:16:26.24020260224 10:38:43.1309833533526186713713
161CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledStudy Drug Administration (1)Study Drug Administration Open Label Part 2 - Induction0/0/V1End DateAuto19138990Closedsystemuser24 Feb 2026 07:16:56:997systemuser24 Feb 2026 07:17:14:687systemuser24 Feb 2026 07:17:14:68700The End Date must be equal to or after the Start Date. Please resolve.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260224 07:16:56.99720260224 07:17:14.68720260224 07:17:14.6879833533526186713713
162CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledStudy Drug Administration (1)Study Drug Administration Open Label Part 2 - Induction0/0/V1Start DateAuto17405293Closedsystemuser28 Nov 2025 09:37:45:257systemuser01 Dec 2025 08:36:47:5433Please enter study drug administration start date as soon as it's availableQueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251128 09:37:45.25720251201 08:36:47.5439833533526186713713
163CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledStudy Drug Administration (1)Study Drug Administration Open Label Part 2 - Stabilization0/0/V1Number of tablets takenAuto19139010Closedsystemuser24 Feb 2026 07:17:57:280systemuser24 Feb 2026 07:18:18:727systemuser24 Feb 2026 07:18:18:72700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260224 07:17:57.28020260224 07:18:18.72720260224 07:18:18.7279833533526186713713
164CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledStudy Drug Administration (1)Study Drug Administration Open Label Part 2 - Stabilization0/0/V1End DateDM19613020ClosedJuhita@ksha420 Mar 2026 07:53:07:357BrezVe123 Mar 2026 13:19:13:727Juhita@ksha425 Mar 2026 15:23:51:03332Medical Review I-3085480: Please provide end date.updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260320 07:53:07.35720260323 13:19:13.72720260325 15:23:51.0339833533526186713713
165CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledStudy Drug Administration (1)Study Drug Administration Open Label Part 2 - Stabilization0/0/V1Start DateAuto18368673Closedsystemuser09 Jan 2026 08:54:57:037BrezVe126 Jan 2026 07:33:23:667Juhita@ksha420 Feb 2026 14:16:43:4701725Please enter study drug administration start date as soon as it's availablewill be done42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260109 08:54:57.03720260126 07:33:23.66720260220 14:16:43.4709833533526186713713
166CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledStudy Drug Administration (1)Study Drug Administration Open Label Part 2 - Stabilization0/0/V1Start DateDM19098884ClosedJuhita@ksha420 Feb 2026 14:17:31:737EHerman224 Feb 2026 07:18:30:140Ashwini20126 Feb 2026 08:32:26:10342RQ DM1: Please verify and update the start date as per the completion guidelines.updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260220 14:17:31.73720260224 07:18:30.14020260226 08:32:26.1039833533526186713713
167CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledVisit 1.4 Induction (1)Clinical Global Impression - S (Depression)0/0/VIf Yes, was the collection date the same as the visit date?Auto17984476Closedsystemuser15 Dec 2025 08:11:37:313systemuser15 Dec 2025 08:11:42:293systemuser15 Dec 2025 08:11:42:29700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251215 08:11:37.31320251215 08:11:42.29320251215 08:11:42.2979833533526186713713
168CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledVisit 1.4 Induction (1)Vital Signs0/0/NTemperature Anatomical LocationAuto17984366Closedsystemuser15 Dec 2025 08:03:17:520systemuser15 Dec 2025 08:05:39:303systemuser15 Dec 2025 08:05:39:30700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251215 08:03:17.52020251215 08:05:39.30320251215 08:05:39.3079833533526186713713
169CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledVisit 1.6 Induction (1)Date of Visit0/0/NVisit Start DateAuto18368084Closedsystemuser09 Jan 2026 08:22:45:707systemuser09 Jan 2026 08:28:31:9130Date of visit should be greater than the last date of visit. Please reconcile.QueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260109 08:22:45.70720260109 08:28:31.9139833533526186713713
170CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledVisit 2.2 Stabilization (1)Vital Signs0/0/NDiastolic Blood PressureAuto18823558Closedsystemuser09 Feb 2026 08:26:27:617systemuser09 Feb 2026 08:26:45:607systemuser09 Feb 2026 08:26:45:61000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260209 08:26:27.61720260209 08:26:45.60720260209 08:26:45.6109833533526186713713
171CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledVisit 2.2 Stabilization (1)Vital Signs0/0/NPulseAuto18823556Closedsystemuser09 Feb 2026 08:26:27:600systemuser09 Feb 2026 08:26:45:617systemuser09 Feb 2026 08:26:45:61700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260209 08:26:27.60020260209 08:26:45.61720260209 08:26:45.6179833533526186713713
172CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledVisit 2.2 Stabilization (1)Vital Signs0/0/NSystolic Blood PressureAuto18823557Closedsystemuser09 Feb 2026 08:26:27:610systemuser09 Feb 2026 08:26:45:620systemuser09 Feb 2026 08:26:45:62000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260209 08:26:27.61020260209 08:26:45.62020260209 08:26:45.6209833533526186713713
173CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledVisit 2.2 Stabilization (1)Vital Signs0/0/NWas the collection date the same as the visit date?Auto18823554Closedsystemuser09 Feb 2026 08:26:27:577systemuser09 Feb 2026 08:26:45:620systemuser09 Feb 2026 08:26:45:62000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260209 08:26:27.57720260209 08:26:45.62020260209 08:26:45.6209833533526186713713
174CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledVisit 2.2 Stabilization (1)Vital Signs0/0/NTemperatureAuto18823555Closedsystemuser09 Feb 2026 08:26:27:590systemuser09 Feb 2026 08:26:45:620systemuser09 Feb 2026 08:26:45:62000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260209 08:26:27.59020260209 08:26:45.62020260209 08:26:45.6209833533526186713713
175CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledVisit 2.2 Stabilization (1)Vital Signs0/0/NTemperature Anatomical LocationAuto18823561Closedsystemuser09 Feb 2026 08:26:45:663systemuser09 Feb 2026 08:27:03:847systemuser09 Feb 2026 08:27:03:85000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260209 08:26:45.66320260209 08:27:03.84720260209 08:27:03.8509833533526186713713
176CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledVisit 2.4 StabilizationClinical Global Impression - S (Depression)0/0/VSeverity of illnessAuto19336124Closedsystemuser06 Mar 2026 08:28:08:773systemuser06 Mar 2026 08:28:40:480systemuser06 Mar 2026 08:28:40:48000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260306 08:28:08.77320260306 08:28:40.48020260306 08:28:40.4809833533526186713713
177CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledVisit 2.4 StabilizationClinical Global Impression - S (Depression)0/0/VRater's InitialsAuto19336122Closedsystemuser06 Mar 2026 08:28:08:753systemuser06 Mar 2026 08:28:40:497systemuser06 Mar 2026 08:28:40:49700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260306 08:28:08.75320260306 08:28:40.49720260306 08:28:40.4979833533526186713713
178CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledVisit 2.4 StabilizationClinical Global Impression - S (Depression)0/0/VIf Yes, was the collection date the same as the visit date?Auto19336123Closedsystemuser06 Mar 2026 08:28:08:767systemuser06 Mar 2026 08:28:40:497systemuser06 Mar 2026 08:28:40:49700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260306 08:28:08.76720260306 08:28:40.49720260306 08:28:40.4979833533526186713713
179CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledVisit 2.4 StabilizationNeurologic Examination0/0/N5Are there any findings?Auto19396887Closedsystemuser09 Mar 2026 10:41:43:360systemuser09 Mar 2026 10:41:56:387systemuser09 Mar 2026 10:41:56:39000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260309 10:41:43.36020260309 10:41:56.38720260309 10:41:56.3909833533526186713713
180CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledVisit 3 Part 1 BaselineDate of Visit0/0/NDid this visit occur?DM18173020ClosedAshwini20123 Dec 2025 07:03:32:433BrezVe105 Jan 2026 09:56:29:570shyamaprasad97206 Jan 2026 11:23:32:980131DM: Please verify and update the data on Arizona Sexual Experiences Scale-Female form, else clarify. updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251223 07:03:32.43320260105 09:56:29.57020260106 11:23:32.9809833533526186713713
181CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledVisit 3 Part 1 BaselineNeurologic Examination0/0/NDate of AssessmentAuto16459162Closedsystemuser17 Oct 2025 11:59:08:200systemuser17 Oct 2025 11:59:25:183systemuser17 Oct 2025 11:59:25:18700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251017 11:59:08.20020251017 11:59:25.18320251017 11:59:25.1879833533526186713713
182CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledVisit 3 Part 1 BaselinePhysical Examination0/0/NWas the collection date the same as the visit date?Auto16459195Closedsystemuser17 Oct 2025 12:00:54:257systemuser20 Oct 2025 07:50:34:810systemuser20 Oct 2025 07:50:34:81030Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251017 12:00:54.25720251020 07:50:34.81020251020 07:50:34.8109833533526186713713
183CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledVisit 6 Part 1 (1)Vital Signs0/0/NDiastolic Blood PressureAuto16729218Closedsystemuser03 Nov 2025 08:24:50:880systemuser03 Nov 2025 08:25:09:110systemuser03 Nov 2025 08:25:09:11300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251103 08:24:50.88020251103 08:25:09.11020251103 08:25:09.1139833533526186713713
184CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledVisit 6 Part 1 (1)Vital Signs0/0/NPulseAuto16729216Closedsystemuser03 Nov 2025 08:24:50:847systemuser03 Nov 2025 08:25:09:123systemuser03 Nov 2025 08:25:09:12300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251103 08:24:50.84720251103 08:25:09.12320251103 08:25:09.1239833533526186713713
185CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledVisit 6 Part 1 (1)Vital Signs0/0/NSystolic Blood PressureAuto16729217Closedsystemuser03 Nov 2025 08:24:50:860systemuser03 Nov 2025 08:25:09:127systemuser03 Nov 2025 08:25:09:12700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251103 08:24:50.86020251103 08:25:09.12720251103 08:25:09.1279833533526186713713
186CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledVisit 6 Part 1 (1)Vital Signs0/0/NWas the collection date the same as the visit date?Auto16729214Closedsystemuser03 Nov 2025 08:24:50:787systemuser03 Nov 2025 08:25:09:127systemuser03 Nov 2025 08:25:09:12700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251103 08:24:50.78720251103 08:25:09.12720251103 08:25:09.1279833533526186713713
187CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledVisit 6 Part 1 (1)Vital Signs0/0/NTemperatureAuto16729215Closedsystemuser03 Nov 2025 08:24:50:830systemuser03 Nov 2025 08:25:09:127systemuser03 Nov 2025 08:25:09:12700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251103 08:24:50.83020251103 08:25:09.12720251103 08:25:09.1279833533526186713713
188CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledVisit 6 Part 1 (1)Vital Signs0/0/NTemperature Anatomical LocationAuto16729228Closedsystemuser03 Nov 2025 08:25:09:313systemuser03 Nov 2025 08:25:14:887systemuser03 Nov 2025 08:25:14:89000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251103 08:25:09.31320251103 08:25:14.88720251103 08:25:14.8909833533526186713713
189CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledVisit 7 Part 1 (1)Patient Health Questionnaire - 9 Item0/0/VOver the last 2 weeks, how often have you been bothered by any of the following problems? 1. Little interest or pleasure in doing things.Auto17057786Closedsystemuser18 Nov 2025 08:18:55:217systemuser18 Nov 2025 08:19:32:423systemuser18 Nov 2025 08:19:32:42700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251118 08:18:55.21720251118 08:19:32.42320251118 08:19:32.4279833533526186713713
190CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledVisit 7 Part 1 (1)Patient Health Questionnaire - 9 Item0/0/V2. Feeling down, depressed, or hopeless.Auto17057787Closedsystemuser18 Nov 2025 08:18:55:223systemuser18 Nov 2025 08:19:32:427systemuser18 Nov 2025 08:19:32:42700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251118 08:18:55.22320251118 08:19:32.42720251118 08:19:32.4279833533526186713713
191CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledVisit 7 Part 1 (1)Patient Health Questionnaire - 9 Item0/0/V3. Trouble falling or staying asleep, or sleeping too much.Auto17057788Closedsystemuser18 Nov 2025 08:18:55:230systemuser18 Nov 2025 08:19:32:427systemuser18 Nov 2025 08:19:32:42700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251118 08:18:55.23020251118 08:19:32.42720251118 08:19:32.4279833533526186713713
192CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledVisit 7 Part 1 (1)Patient Health Questionnaire - 9 Item0/0/V4. Feeling tired or having little energy.Auto17057789Closedsystemuser18 Nov 2025 08:18:55:240systemuser18 Nov 2025 08:19:32:427systemuser18 Nov 2025 08:19:32:42700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251118 08:18:55.24020251118 08:19:32.42720251118 08:19:32.4279833533526186713713
193CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledVisit 7 Part 1 (1)Patient Health Questionnaire - 9 Item0/0/V5. Poor appetite or overeating.Auto17057790Closedsystemuser18 Nov 2025 08:18:55:250systemuser18 Nov 2025 08:19:32:427systemuser18 Nov 2025 08:19:32:42700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251118 08:18:55.25020251118 08:19:32.42720251118 08:19:32.4279833533526186713713
194CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledVisit 7 Part 1 (1)Patient Health Questionnaire - 9 Item0/0/V6. Feeling bad about yourself - or that you are a failure or have let yourself or your family down.Auto17057791Closedsystemuser18 Nov 2025 08:18:55:257systemuser18 Nov 2025 08:19:32:427systemuser18 Nov 2025 08:19:32:42700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251118 08:18:55.25720251118 08:19:32.42720251118 08:19:32.4279833533526186713713
195CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledVisit 7 Part 1 (1)Patient Health Questionnaire - 9 Item0/0/V7. Trouble concentrating on things, such as reading the newspaper or watching television.Auto17057792Closedsystemuser18 Nov 2025 08:18:55:263systemuser18 Nov 2025 08:19:32:427systemuser18 Nov 2025 08:19:32:42700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251118 08:18:55.26320251118 08:19:32.42720251118 08:19:32.4279833533526186713713
196CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledVisit 7 Part 1 (1)Patient Health Questionnaire - 9 Item0/0/V8. Moving or speaking so slowly that other people could have noticed? Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual.Auto17057793Closedsystemuser18 Nov 2025 08:18:55:283systemuser18 Nov 2025 08:19:32:427systemuser18 Nov 2025 08:19:32:42700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251118 08:18:55.28320251118 08:19:32.42720251118 08:19:32.4279833533526186713713
197CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledVisit 7 Part 1 (1)Patient Health Questionnaire - 9 Item0/0/V9. Thoughts that you would be better off dead or of hurting yourself in some way.Auto17057794Closedsystemuser18 Nov 2025 08:18:55:293systemuser18 Nov 2025 08:19:32:427systemuser18 Nov 2025 08:19:32:42700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251118 08:18:55.29320251118 08:19:32.42720251118 08:19:32.4279833533526186713713
198CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledVisit 7 Part 1 (1)Patient Health Questionnaire - 9 Item0/0/VIf you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?Auto17057795Closedsystemuser18 Nov 2025 08:18:55:313systemuser18 Nov 2025 08:19:32:427systemuser18 Nov 2025 08:19:32:42700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251118 08:18:55.31320251118 08:19:32.42720251118 08:19:32.4279833533526186713713
199CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledVisit 7 Part 1 (1)Patient Health Questionnaire - 9 Item0/0/VWas the collection date the same as the visit date?Auto17057785Closedsystemuser18 Nov 2025 08:18:55:203systemuser18 Nov 2025 08:19:32:427systemuser18 Nov 2025 08:19:32:42700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251118 08:18:55.20320251118 08:19:32.42720251118 08:19:32.4279833533526186713713
200CZES10-CZ10004Medical Services Prague s.r.o.CZ100040002EnrolledVisit 7 Part 1 (1)Vital Signs0/0/NTemperature Anatomical LocationAuto17057739Closedsystemuser18 Nov 2025 08:16:35:420systemuser18 Nov 2025 08:17:02:640systemuser18 Nov 2025 08:17:02:64300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251118 08:16:35.42020251118 08:17:02.64020251118 08:17:02.6439833533526186713713
201CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledAdverse Events/Serious AEsAdverse Events/Serious Aes0/0/V2Action Taken with Study TreatmentAuto19645338Closedsystemuser23 Mar 2026 13:01:56:090systemuser23 Mar 2026 13:02:38:650systemuser23 Mar 2026 13:02:38:65700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260323 13:01:56.09020260323 13:02:38.65020260323 13:02:38.6579833533526186713713
202CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledAdverse Events/Serious AEsAdverse Events/Serious Aes0/0/V2Concomitant or additional therapy given for this adverse event?Auto19645339Closedsystemuser23 Mar 2026 13:01:56:100systemuser23 Mar 2026 13:02:38:680systemuser23 Mar 2026 13:02:38:68000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260323 13:01:56.10020260323 13:02:38.68020260323 13:02:38.6809833533526186713713
203CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledAdverse Events/Serious AEsAdverse Events/Serious Aes0/0/V2End TimeAuto19645336Closedsystemuser23 Mar 2026 13:01:56:067systemuser23 Mar 2026 13:02:38:6800The time entered is non-conformant. Please resolve.QueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260323 13:01:56.06720260323 13:02:38.6809833533526186713713
204CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledAdverse Events/Serious AEsAdverse Events/Serious Aes0/0/V2OutcomeAuto19645341Closedsystemuser23 Mar 2026 13:01:56:120systemuser23 Mar 2026 13:02:38:733systemuser23 Mar 2026 13:02:38:73300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260323 13:01:56.12020260323 13:02:38.73320260323 13:02:38.7339833533526186713713
205CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledAdverse Events/Serious AEsAdverse Events/Serious Aes0/0/V2Relationship to Study TreatmentAuto19645340Closedsystemuser23 Mar 2026 13:01:56:110systemuser23 Mar 2026 13:02:38:710systemuser23 Mar 2026 13:02:38:71000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260323 13:01:56.11020260323 13:02:38.71020260323 13:02:38.7109833533526186713713
206CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledAdverse Events/Serious AEsAdverse Events/Serious Aes0/0/V2Is the adverse event serious?Auto19645344Closedsystemuser23 Mar 2026 13:01:56:147systemuser23 Mar 2026 13:02:38:733systemuser23 Mar 2026 13:02:38:73300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260323 13:01:56.14720260323 13:02:38.73320260323 13:02:38.7339833533526186713713
207CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledAdverse Events/Serious AEsAdverse Events/Serious Aes0/0/V2SeverityAuto19645337Closedsystemuser23 Mar 2026 13:01:56:080systemuser23 Mar 2026 13:02:38:710systemuser23 Mar 2026 13:02:38:71000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260323 13:01:56.08020260323 13:02:38.71020260323 13:02:38.7109833533526186713713
208CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledConcomitant TherapyConcomitant Therapy / Medication0/0/NWere any medication(s)/therapy(ies) taken?Site from Medical Reviewer16450227Closedinayath117 Oct 2025 04:02:59:650BrezVe120 Oct 2025 07:53:12:603inayath121 Oct 2025 02:28:10:31731Eligibility: Please confirm the exact dose of Metoprolol subject is taking per day as 2 loglines (CM#5 and CM#6) are updated with different doses and both ongoing.data are correct, subject is taking 50 mg in the morning and a different dose of 25 mg in the evening42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251017 04:02:59.65020251020 07:53:12.60320251021 02:28:10.3179833533526186713713
209CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledConcomitant TherapyConcomitant Therapy / Medication0/0/V3If indication is 'Medical History,' choose the primary corresponding MH log line(s) and term(s)MH log line, and termAuto19065707Closedsystemuser19 Feb 2026 07:39:37:413EHerman219 Feb 2026 07:40:52:457Ashwini20120 Feb 2026 06:57:43:42301The selected logline has been modified from '#002 > HYPERCHOLESTEROLÉMIA' to '#002 > HYPERCHOLESTEROLEMIA' on 'General Medical History' form. Please either confirm by responding in the query answer box or re-select the correct General Medical History from the drop-down.#DSL#confirm42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260219 07:39:37.41320260219 07:40:52.45720260220 06:57:43.4239833533526186713713
210CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledConcomitant TherapyConcomitant Therapy / Medication0/0/V4If indication is 'Medical History,' choose the primary corresponding MH log line(s) and term(s)MH log line, and termAuto19065708Closedsystemuser19 Feb 2026 07:39:37:507EHerman219 Feb 2026 07:41:34:817Ashwini20120 Feb 2026 06:57:54:03301The selected logline has been modified from '#002 > HYPERCHOLESTEROLÉMIA' to '#002 > HYPERCHOLESTEROLEMIA' on 'General Medical History' form. Please either confirm by responding in the query answer box or re-select the correct General Medical History from the drop-down.#DSL#confirm42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260219 07:39:37.50720260219 07:41:34.81720260220 06:57:54.0339833533526186713713
211CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledInvestigator Periodic Review Acknowledgments/ Interim Signatures 20260325 - Periodic Investigator's EDC Review Acknowledgement0/0/NAs the investigator, I have ensured the accuracy, completeness, and timeliness of the data reported to the sponsor in the CRFs.Auto19645327Closedsystemuser23 Mar 2026 13:00:57:817systemuser25 Mar 2026 07:22:24:580systemuser25 Mar 2026 07:22:24:92020NOTIFICATION: Please ensure the investigator performs periodic review and confirms his/her review by ticking the box.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260323 13:00:57.81720260325 07:22:24.58020260325 07:22:24.9209833533526186713713
212CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledInvestigator Periodic Review Acknowledgments/ Interim Signatures 20260520 - PART1 - Interim Investigator Signature0/0/NI have verified that all data in this case book were completed up to the cutoff and I am ready to proceed with sign-off for interim closure.Auto20933281Closedsystemuser20 May 2026 12:07:32:407systemuser20 May 2026 12:07:50:2400Notification : Please click 'Sign' to sign the page then click 'Save'. (query will automatically close when page is saved).QueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260520 12:07:32.40720260520 12:07:50.2409833533526186713713
213CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledScreening to end of studyPerceived Treatment Group Assignment0/0/NQuestionnaire completed?Auto18121392Closedsystemuser19 Dec 2025 09:51:11:170systemuser22 Dec 2025 10:48:45:8333Please enter Yes or No if questionnaire was completed.QueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251219 09:51:11.17020251222 10:48:45.8339833533526186713713
214CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledScreening Visit 1Date of Visit0/0/NDid this visit occur?Site from Medical Reviewer16450305Closedinayath117 Oct 2025 04:24:58:700BrezVe120 Oct 2025 07:54:23:983inayath121 Oct 2025 02:28:56:26331Eligibility: The subject had abnormal urinalysis with presence of bacteria and 3+ leukocyte esterase. Please confirm if this is a clinically significance, per investigator judgment, and exclusion #19 is ruled out.not clinically significant42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251017 04:24:58.70020251020 07:54:23.98320251021 02:28:56.2639833533526186713713
215CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledScreening Visit 1Date of Visit0/0/NDid this visit occur?DM17286944ClosedAshwini20125 Nov 2025 13:55:36:933gnovotna@email.cz228 Nov 2025 10:45:47:890SanchariDutta@02501 Dec 2025 07:17:03:83733DM: Please verify and update the data on Physical Examination, Arizona Sexual Experiences Scale Summary, Educational Level, Local Labs for Background Antidepressant Compliance and Neurologic Examination forms, else clarify.updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251125 13:55:36.93320251128 10:45:47.89020251201 07:17:03.8379833533526186713713
216CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledScreening Visit 1General Medical History0/0/NHas the subject experienced any past and/ or concomitant diseases? If 'Yes', add a log line for each abnormality.Auto16381703Closedsystemuser13 Oct 2025 14:03:36:957systemuser13 Oct 2025 14:04:53:773systemuser13 Oct 2025 14:04:53:77300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251013 14:03:36.95720251013 14:04:53.77320251013 14:04:53.7739833533526186713713
217CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledScreening Visit 1General Medical History0/0/N3What is the verbatim term for the medical history condition/event?DM18305826ClosedJuhita@ksha406 Jan 2026 06:49:22:013gnovotna@email.cz213 Jan 2026 17:24:40:197Juhita@ksha415 Jan 2026 14:17:15:25372Medical Review I-1707449: Kindly mention the type of arrhythmia, the clinical stability and frequency of Cardiac arrhythmia.patient is clinical stably, after starting medication, the arrhythmias disappeared42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260106 06:49:22.01320260113 17:24:40.19720260115 14:17:15.2539833533526186713713
218CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledScreening Visit 1General Medical History0/0/N4What is the verbatim term for the medical history condition/event?Site from Medical Reviewer16450258Closedinayath117 Oct 2025 04:12:12:890BrezVe120 Oct 2025 07:58:22:110inayath121 Oct 2025 02:34:06:16331Eligibility: Please consider updating the indication for surgery also in a separate logline.please unfreeze logline 5 for data entry42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251017 04:12:12.89020251020 07:58:22.11020251021 02:34:06.1639833533526186713713
219CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledScreening Visit 1General Medical History0/0/N4What is the verbatim term for the medical history condition/event?Site from Medical Reviewer16484927 (16450258)Closedinayath121 Oct 2025 02:34:06:307gnovotna@email.cz224 Oct 2025 15:23:45:963inayath125 Oct 2025 10:52:07:98331Eligibility: Please consider updating the details in a new logline.cholecystectomia for cholecystolithiasis, updated in line 542847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251021 02:34:06.30720251024 15:23:45.96320251025 10:52:07.9839833533526186713713
220CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledScreening Visit 1Vital Signs0/0/NTemperature Anatomical LocationAuto16381569Closedsystemuser13 Oct 2025 13:56:00:893systemuser13 Oct 2025 13:56:06:050systemuser13 Oct 2025 13:56:06:05300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251013 13:56:00.89320251013 13:56:06.05020251013 13:56:06.0539833533526186713713
221CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledScreening Visit 2 (1)Date of Visit0/0/NDid this visit occur?DM17675428ClosedAshwini20105 Dec 2025 13:31:24:357BrezVe108 Dec 2025 08:29:58:700Ashwini20109 Dec 2025 10:08:48:94731DM: Please verify and update the data on CLINICAL OUTCOME ASSESSMENTS COMPLETION STATUS form, else clarify.updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251205 13:31:24.35720251208 08:29:58.70020251209 10:08:48.9479833533526186713713
222CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledScreening Visit 2 (1)SIGH-D-170/0/NCollection DateAuto16819247Closedsystemuser06 Nov 2025 08:08:02:013systemuser06 Nov 2025 08:09:23:450systemuser06 Nov 2025 08:09:23:45000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251106 08:08:02.01320251106 08:09:23.45020251106 08:09:23.4509833533526186713713
223CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledStudy Drug Administration (1)Study Drug Administration Double Blind Maintenance0/0/V1Start DateAuto19739140Closedsystemuser27 Mar 2026 09:57:52:020systemuser30 Mar 2026 09:19:06:3003Please enter study drug administration start date as soon as it's availableQueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260327 09:57:52.02020260330 09:19:06.3009833533526186713713
224CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledStudy Drug Administration (1)Study Drug Administration Double Blind Part 10/0/V1End DateDM18527672ClosedJuhita@ksha420 Jan 2026 09:19:32:410BrezVe126 Jan 2026 06:40:04:157Juhita@ksha427 Jan 2026 09:24:21:29361DM: Kindly refer the completion guideline and update the end date as appropriate.updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260120 09:19:32.41020260126 06:40:04.15720260127 09:24:21.2939833533526186713713
225CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledStudy Drug Administration (1)Study Drug Administration Double Blind Part 10/0/V1Start DateAuto16851126Closedsystemuser07 Nov 2025 10:11:08:747systemuser10 Nov 2025 12:38:14:9973Please enter study drug administration start date as soon as it's availableQueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251107 10:11:08.74720251110 12:38:14.9979833533526186713713
226CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledStudy Drug Administration (1)Study Drug Administration Open Label Part 2 - Induction0/0/V1Start DateAuto18121391Closedsystemuser19 Dec 2025 09:51:11:157systemuser22 Dec 2025 10:49:13:3903Please enter study drug administration start date as soon as it's availableQueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251219 09:51:11.15720251222 10:49:13.3909833533526186713713
227CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledStudy Drug Administration (1)Study Drug Administration Open Label Part 2 - Stabilization0/0/V1Start DateAuto18693645Closedsystemuser30 Jan 2026 08:08:11:847systemuser02 Feb 2026 15:51:40:7603Please enter study drug administration start date as soon as it's availableQueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260130 08:08:11.84720260202 15:51:40.7609833533526186713713
228CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledVisit 1.5 Induction (1)Date of Visit0/0/NVisit Start DateAuto18476460Closedsystemuser16 Jan 2026 09:27:36:950systemuser16 Jan 2026 09:27:52:3670Date of visit should be greater than the last date of visit. Please reconcile.QueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260116 09:27:36.95020260116 09:27:52.3679833533526186713713
229CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledVisit 1.5 Induction (1)Vital Signs0/0/NTemperature Anatomical LocationAuto18611495Closedsystemuser26 Jan 2026 06:36:35:650systemuser26 Jan 2026 06:36:42:390systemuser26 Jan 2026 06:36:42:39300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260126 06:36:35.65020260126 06:36:42.39020260126 06:36:42.3939833533526186713713
230CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledVisit 1.6 Induction (1)Sheehan Disability Scale0/0/NThe symptoms have disrupted your work / school workAuto18715622Closedsystemuser02 Feb 2026 08:16:49:360systemuser02 Feb 2026 08:17:41:787systemuser02 Feb 2026 08:17:41:79000Either 'The symptoms have disrupted...' or 'I have not worked/studied ...' must be answered. Please resolve.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260202 08:16:49.36020260202 08:17:41.78720260202 08:17:41.7909833533526186713713
231CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledVisit 1.6 Induction (1)Sheehan Disability Scale0/0/NThe symptoms have disrupted your social life / leisure activitiesAuto18715623Closedsystemuser02 Feb 2026 08:16:49:370systemuser02 Feb 2026 08:17:41:790systemuser02 Feb 2026 08:17:41:79000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260202 08:16:49.37020260202 08:17:41.79020260202 08:17:41.7909833533526186713713
232CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledVisit 1.6 Induction (1)Sheehan Disability Scale0/0/NThe symptoms have disrupted your family life / home responsibilitiesAuto18715624Closedsystemuser02 Feb 2026 08:16:49:377systemuser02 Feb 2026 08:17:41:790systemuser02 Feb 2026 08:17:41:79000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260202 08:16:49.37720260202 08:17:41.79020260202 08:17:41.7909833533526186713713
233CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledVisit 1.6 Induction (1)Sheehan Disability Scale0/0/NOn how many days in the last week did your symptoms cause you to miss school or work or leave you unable to carry out your normal daily responsibilities?Auto18715625Closedsystemuser02 Feb 2026 08:16:49:387systemuser02 Feb 2026 08:17:41:790systemuser02 Feb 2026 08:17:41:79000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260202 08:16:49.38720260202 08:17:41.79020260202 08:17:41.7909833533526186713713
234CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledVisit 1.6 Induction (1)Sheehan Disability Scale0/0/NOn how many days in the last week did you feel so impaired by your symptoms, that even though you went to school or work or had other daily responsibilities, your productivity was reduced?Auto18715626Closedsystemuser02 Feb 2026 08:16:49:420systemuser02 Feb 2026 08:17:41:790systemuser02 Feb 2026 08:17:41:79000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260202 08:16:49.42020260202 08:17:41.79020260202 08:17:41.7909833533526186713713
235CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledVisit 1.6 Induction (1)Sheehan Disability Scale0/0/NWas the collection date the same as the visit date?Auto18715621Closedsystemuser02 Feb 2026 08:16:49:343systemuser02 Feb 2026 08:17:41:790systemuser02 Feb 2026 08:17:41:79000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260202 08:16:49.34320260202 08:17:41.79020260202 08:17:41.7909833533526186713713
236CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledVisit 1.6 Induction (1)Vital Signs0/0/NDiastolic Blood PressureAuto18715353Closedsystemuser02 Feb 2026 07:57:44:863systemuser02 Feb 2026 07:58:20:480systemuser02 Feb 2026 07:58:20:48000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260202 07:57:44.86320260202 07:58:20.48020260202 07:58:20.4809833533526186713713
237CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledVisit 1.6 Induction (1)Vital Signs0/0/NPulseAuto18715351Closedsystemuser02 Feb 2026 07:57:44:847systemuser02 Feb 2026 07:58:20:490systemuser02 Feb 2026 07:58:20:49000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260202 07:57:44.84720260202 07:58:20.49020260202 07:58:20.4909833533526186713713
238CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledVisit 1.6 Induction (1)Vital Signs0/0/NSystolic Blood PressureAuto18715352Closedsystemuser02 Feb 2026 07:57:44:857systemuser02 Feb 2026 07:58:20:497systemuser02 Feb 2026 07:58:20:49700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260202 07:57:44.85720260202 07:58:20.49720260202 07:58:20.4979833533526186713713
239CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledVisit 1.6 Induction (1)Vital Signs0/0/NWas the collection date the same as the visit date?Auto18715348Closedsystemuser02 Feb 2026 07:57:44:817systemuser02 Feb 2026 07:58:20:497systemuser02 Feb 2026 07:58:20:49700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260202 07:57:44.81720260202 07:58:20.49720260202 07:58:20.4979833533526186713713
240CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledVisit 1.6 Induction (1)Vital Signs0/0/NTemperatureAuto18715350Closedsystemuser02 Feb 2026 07:57:44:840systemuser02 Feb 2026 07:58:20:497systemuser02 Feb 2026 07:58:20:49700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260202 07:57:44.84020260202 07:58:20.49720260202 07:58:20.4979833533526186713713
241CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledVisit 1.6 Induction (1)Vital Signs0/0/NWeightAuto18715349Closedsystemuser02 Feb 2026 07:57:44:830systemuser02 Feb 2026 07:58:20:497systemuser02 Feb 2026 07:58:20:49700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260202 07:57:44.83020260202 07:58:20.49720260202 07:58:20.4979833533526186713713
242CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledVisit 2.4 StabilizationPhysical Examination0/0/NWas the collection date the same as the visit date?Auto19753970Closedsystemuser30 Mar 2026 08:22:52:750systemuser30 Mar 2026 08:26:56:013systemuser30 Mar 2026 08:26:56:01300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260330 08:22:52.75020260330 08:26:56.01320260330 08:26:56.0139833533526186713713
243CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledVisit 3 Part 1 BaselineDate of Visit0/0/NDid this visit occur?DM18173047ClosedAshwini20123 Dec 2025 07:06:45:213BrezVe105 Jan 2026 09:58:58:060shyamaprasad97206 Jan 2026 11:28:52:937131DM: Please verify and update the data on Arizona Sexual Experiences Scale-Female form, else clarify. updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251223 07:06:45.21320260105 09:58:58.06020260106 11:28:52.9379833533526186713713
244CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledVisit 3 Part 1 BaselinePhysical Examination0/0/NWas the collection date the same as the visit date?Auto17009071Closedsystemuser14 Nov 2025 11:50:50:913systemuser18 Nov 2025 09:11:02:790systemuser18 Nov 2025 09:11:02:79040Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251114 11:50:50.91320251118 09:11:02.79020251118 09:11:02.7909833533526186713713
245CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledVisit 3 Part 1 BaselineVital Signs0/0/NTemperature Anatomical LocationAuto17009181Closedsystemuser14 Nov 2025 11:54:11:523systemuser18 Nov 2025 09:11:11:500systemuser18 Nov 2025 09:11:11:50040Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251114 11:54:11.52320251118 09:11:11.50020251118 09:11:11.5009833533526186713713
246CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledVisit 3.2 Maintenance (1)Vital Signs0/0/NTemperature Anatomical LocationAuto20425827Closedsystemuser27 Apr 2026 06:58:00:870systemuser27 Apr 2026 06:59:40:830systemuser27 Apr 2026 06:59:40:83300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260427 06:58:00.87020260427 06:59:40.83020260427 06:59:40.8339833533526186713713
247CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledVisit 6 Part 1 (1)Vital Signs0/0/NTemperature Anatomical LocationAuto17209130Closedsystemuser24 Nov 2025 08:01:09:403systemuser24 Nov 2025 08:05:24:837systemuser24 Nov 2025 08:05:24:84000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251124 08:01:09.40320251124 08:05:24.83720251124 08:05:24.8409833533526186713713
248CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledVisit 7 Part 1 (1)Vital Signs0/0/NTemperature Anatomical LocationAuto17731113Closedsystemuser08 Dec 2025 07:58:36:403systemuser08 Dec 2025 07:58:42:790systemuser08 Dec 2025 07:58:42:79300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251208 07:58:36.40320251208 07:58:42.79020251208 07:58:42.7939833533526186713713
249CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledVisit 8 Part 1 (1)Vital Signs0/0/NDiastolic Blood PressureAuto18149017Closedsystemuser22 Dec 2025 07:58:27:333systemuser22 Dec 2025 07:59:20:983systemuser22 Dec 2025 07:59:20:98700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251222 07:58:27.33320251222 07:59:20.98320251222 07:59:20.9879833533526186713713
250CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledVisit 8 Part 1 (1)Vital Signs0/0/NPulseAuto18149015Closedsystemuser22 Dec 2025 07:58:27:317systemuser22 Dec 2025 07:59:20:993systemuser22 Dec 2025 07:59:20:99300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251222 07:58:27.31720251222 07:59:20.99320251222 07:59:20.9939833533526186713713
251CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledVisit 8 Part 1 (1)Vital Signs0/0/NSystolic Blood PressureAuto18149016Closedsystemuser22 Dec 2025 07:58:27:327systemuser22 Dec 2025 07:59:20:997systemuser22 Dec 2025 07:59:20:99700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251222 07:58:27.32720251222 07:59:20.99720251222 07:59:20.9979833533526186713713
252CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledVisit 8 Part 1 (1)Vital Signs0/0/NWas the collection date the same as the visit date?Auto18149012Closedsystemuser22 Dec 2025 07:58:27:280systemuser22 Dec 2025 07:59:20:997systemuser22 Dec 2025 07:59:20:99700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251222 07:58:27.28020251222 07:59:20.99720251222 07:59:20.9979833533526186713713
253CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledVisit 8 Part 1 (1)Vital Signs0/0/NTemperatureAuto18149014Closedsystemuser22 Dec 2025 07:58:27:307systemuser22 Dec 2025 07:59:20:997systemuser22 Dec 2025 07:59:20:99700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251222 07:58:27.30720251222 07:59:20.99720251222 07:59:20.9979833533526186713713
254CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledVisit 8 Part 1 (1)Vital Signs0/0/NTemperature Anatomical LocationAuto18149047Closedsystemuser22 Dec 2025 07:59:21:177systemuser22 Dec 2025 07:59:25:823systemuser22 Dec 2025 07:59:25:83000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251222 07:59:21.17720251222 07:59:25.82320251222 07:59:25.8309833533526186713713
255CZES10-CZ10004Medical Services Prague s.r.o.CZ100040003EnrolledVisit 8 Part 1 (1)Vital Signs0/0/NWeightAuto18149013Closedsystemuser22 Dec 2025 07:58:27:293systemuser22 Dec 2025 07:59:21:000systemuser22 Dec 2025 07:59:21:00000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251222 07:58:27.29320251222 07:59:21.00020251222 07:59:21.0009833533526186713713
256CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledInvestigator Periodic Review Acknowledgments/ Interim Signatures 20260421 - Periodic Investigator's EDC Review Acknowledgement0/0/NAs the investigator, I have ensured the accuracy, completeness, and timeliness of the data reported to the sponsor in the CRFs.Auto19936664Closedsystemuser13 Apr 2026 10:17:06:907systemuser21 Apr 2026 10:23:54:673systemuser21 Apr 2026 10:23:54:84080NOTIFICATION: Please ensure the investigator performs periodic review and confirms his/her review by ticking the box.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260413 10:17:06.90720260421 10:23:54.67320260421 10:23:54.8409833533521186713713
257CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledInvestigator Periodic Review Acknowledgments/ Interim Signatures 20260520 - PART1 - Interim Investigator Signature0/0/NI have verified that all data in this case book were completed up to the cutoff and I am ready to proceed with sign-off for interim closure.Auto20933314Closedsystemuser20 May 2026 12:09:14:457systemuser20 May 2026 12:09:28:4070Notification : Please click 'Sign' to sign the page then click 'Save'. (query will automatically close when page is saved).QueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260520 12:09:14.45720260520 12:09:28.4079833533521186713713
258CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledScreening to end of studyPerceived Treatment Group Assignment0/0/NQuestionnaire completed?Auto18611565Closedsystemuser26 Jan 2026 06:45:00:130systemuser26 Jan 2026 07:36:14:2500Please enter Yes or No if questionnaire was completed.QueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260126 06:45:00.13020260126 07:36:14.2509833533521186713713
259CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledScreening Visit 1Date of Visit0/0/NDid this visit occur?DM18136451CancelledAshwini20119 Dec 2025 14:52:41:943kminarov115 Jan 2026 08:59:00:713DM: Please verify and update the data on Physical Examination, Arizona Sexual Experiences Scale Summary, Educational Level, Local Labs for Background Antidepressant Compliance and Neurologic Examination forms, else clarify.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251219 14:52:41.94320260115 08:59:00.7139833533521186713713
260CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledScreening Visit 1General Medical History0/0/N1Is the medical history disease/condition or event still ongoing?Auto16928104Closedsystemuser11 Nov 2025 15:07:53:720systemuser11 Nov 2025 15:08:51:210systemuser11 Nov 2025 15:08:51:21300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251111 15:07:53.72020251111 15:08:51.21020251111 15:08:51.2139833533521186713713
261CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledScreening Visit 1General Medical History0/0/N1What is the verbatim term for the medical history condition/event?Auto16928103Closedsystemuser11 Nov 2025 15:07:53:70311 Nov 2025 15:08:51:267systemuser11 Nov 2025 15:08:51:26700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251111 15:07:53.70320251111 15:08:51.26720251111 15:08:51.2679833533521186713713
262CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledScreening Visit 1General Medical History0/0/N2What is the verbatim term for the medical history condition/event?DM17009134ClosedCoderImport14 Nov 2025 11:52:09:027BrezVe118 Nov 2025 09:12:45:677systemuser18 Nov 2025 09:12:45:81340CODING: Reported term contains a medical condition as well as a procedure. Please split the term and record the diagnosis and procedure separately. Example: 1. BILATERAL DIAPHRAGMATIC HERNIA and 2. LAPAROSCOPICALLY BILATERAL DIAGPHRAGMATIC HERNIA REPAIR.updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251114 11:52:09.02720251118 09:12:45.67720251118 09:12:45.8139833533521186713713
263CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledScreening Visit 1General Medical History0/0/N3What is the verbatim term for the medical history condition/event?Site from Medical Reviewer17057574Closedkavya@151018 Nov 2025 08:10:32:457BrezVe118 Nov 2025 09:12:19:873kavya@151020 Nov 2025 08:04:43:93302Eligibility: Kindly clarify underlying etiology, other associated signs and symptoms and any investigations done to establish final diagnosis. Kindly also comment subject is clinically stable and meets inclusion criteria #8etiology unknown, stable42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251118 08:10:32.45720251118 09:12:19.87320251120 08:04:43.9339833533521186713713
264CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledScreening Visit 1General Medical History0/0/N3What is the verbatim term for the medical history condition/event?DM19081322ClosedSanchariDutta@02519 Feb 2026 13:40:12:940EHerman224 Feb 2026 07:20:16:300SanchariDutta@02510 Mar 2026 14:34:12:357514Medical Review I-1943314: Kindly mention the etiology for PAIN SYNDROME IN THE LUMBAR SPINE.general non specific degenerative process of spine42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260219 13:40:12.94020260224 07:20:16.30020260310 14:34:12.3579833533521186713713
265CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledScreening Visit 1Physical Examination0/0/NWas the collection date the same as the visit date?Auto18425988Closedsystemuser13 Jan 2026 17:01:29:430systemuser13 Jan 2026 17:01:57:267systemuser13 Jan 2026 17:01:57:27000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260113 17:01:29.43020260113 17:01:57.26720260113 17:01:57.2709833533521186713713
266CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledScreening Visit 1Vital Signs0/0/NTemperature Anatomical LocationAuto16927931Closedsystemuser11 Nov 2025 15:00:54:780systemuser18 Nov 2025 09:11:21:737systemuser18 Nov 2025 09:11:21:73770Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251111 15:00:54.78020251118 09:11:21.73720251118 09:11:21.7379833533521186713713
267CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledScreening Visit 2 (1)Date of Visit0/0/NDid this visit occur?DM18246892ClosedAshwini20130 Dec 2025 06:51:27:237BrezVe105 Jan 2026 10:00:51:533shyamaprasad97206 Jan 2026 11:18:49:46061DM: Please verify and update the data on CLINICAL OUTCOME ASSESSMENTS COMPLETION STATUS form, else clarify.updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251230 06:51:27.23720260105 10:00:51.53320260106 11:18:49.4609833533521186713713
268CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledStudy Drug Administration (1)Study Drug Administration Double Blind Maintenance0/0/N1Start DateAuto20606593Closedsystemuser05 May 2026 06:43:09:783systemuser06 May 2026 07:32:04:9171Please enter study drug administration start date as soon as it's availableQueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260505 06:43:09.78320260506 07:32:04.9179833533521186713713
269CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledStudy Drug Administration (1)Study Drug Administration Double Blind Part 10/0/N1Start DateAuto17647022Closedsystemuser05 Dec 2025 08:56:15:047systemuser08 Dec 2025 08:31:35:1873Please enter study drug administration start date as soon as it's availableQueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251205 08:56:15.04720251208 08:31:35.1879833533521186713713
270CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledStudy Drug Administration (1)Study Drug Administration Open Label Part 2 - Induction0/0/N1Start DateAuto18611564Closedsystemuser26 Jan 2026 06:45:00:110systemuser26 Jan 2026 07:35:26:8500Please enter study drug administration start date as soon as it's availableQueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260126 06:45:00.11020260126 07:35:26.8509833533521186713713
271CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledStudy Drug Administration (1)Study Drug Administration Open Label Part 2 - Stabilization0/0/N1Start DateAuto19501352Closedsystemuser13 Mar 2026 07:38:48:580systemuser20 Mar 2026 11:35:45:3277Please enter study drug administration start date as soon as it's availableQueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260313 07:38:48.58020260320 11:35:45.3279833533521186713713
272CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledVisit 1.4 Induction (1)Structured Interview Guide for the Montgomery-Asberg Depression Rating Scale0/0/N10. Suicidal ThoughtsAuto18716026Closedsystemuser02 Feb 2026 08:36:25:027systemuser02 Feb 2026 08:36:39:623systemuser02 Feb 2026 08:36:39:62700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260202 08:36:25.02720260202 08:36:39.62320260202 08:36:39.6279833533521186713713
273CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledVisit 1.4 Induction (1)Structured Interview Guide for the Montgomery-Asberg Depression Rating Scale0/0/NTOTAL MADRS SCALE SCOREAuto18716027Closedsystemuser02 Feb 2026 08:36:25:040systemuser02 Feb 2026 08:36:39:950systemuser02 Feb 2026 08:36:39:95000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260202 08:36:25.04020260202 08:36:39.95020260202 08:36:39.9509833533521186713713
274CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledVisit 1.5 Induction (1)Vital Signs0/0/NTemperature Anatomical LocationAuto18974408Closedsystemuser16 Feb 2026 11:50:08:263systemuser16 Feb 2026 11:50:13:210systemuser16 Feb 2026 11:50:13:21000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260216 11:50:08.26320260216 11:50:13.21020260216 11:50:13.2109833533521186713713
275CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledVisit 1.7 Induction (1)Patient Health Questionnaire - 9 Item0/0/NOver the last 2 weeks, how often have you been bothered by any of the following problems? 1. Little interest or pleasure in doing things.Auto19522818Closedsystemuser16 Mar 2026 07:58:42:147systemuser16 Mar 2026 07:59:24:143systemuser16 Mar 2026 07:59:24:14300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260316 07:58:42.14720260316 07:59:24.14320260316 07:59:24.1439833533521186713713
276CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledVisit 1.7 Induction (1)Patient Health Questionnaire - 9 Item0/0/N2. Feeling down, depressed, or hopeless.Auto19522819Closedsystemuser16 Mar 2026 07:58:42:153systemuser16 Mar 2026 07:59:24:143systemuser16 Mar 2026 07:59:24:14300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260316 07:58:42.15320260316 07:59:24.14320260316 07:59:24.1439833533521186713713
277CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledVisit 1.7 Induction (1)Patient Health Questionnaire - 9 Item0/0/N3. Trouble falling or staying asleep, or sleeping too much.Auto19522820Closedsystemuser16 Mar 2026 07:58:42:160systemuser16 Mar 2026 07:59:24:143systemuser16 Mar 2026 07:59:24:14300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260316 07:58:42.16020260316 07:59:24.14320260316 07:59:24.1439833533521186713713
278CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledVisit 1.7 Induction (1)Patient Health Questionnaire - 9 Item0/0/N4. Feeling tired or having little energy.Auto19522821Closedsystemuser16 Mar 2026 07:58:42:163systemuser16 Mar 2026 07:59:24:143systemuser16 Mar 2026 07:59:24:14300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260316 07:58:42.16320260316 07:59:24.14320260316 07:59:24.1439833533521186713713
279CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledVisit 1.7 Induction (1)Patient Health Questionnaire - 9 Item0/0/N5. Poor appetite or overeating.Auto19522822Closedsystemuser16 Mar 2026 07:58:42:170systemuser16 Mar 2026 07:59:24:143systemuser16 Mar 2026 07:59:24:14300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260316 07:58:42.17020260316 07:59:24.14320260316 07:59:24.1439833533521186713713
280CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledVisit 1.7 Induction (1)Patient Health Questionnaire - 9 Item0/0/N6. Feeling bad about yourself - or that you are a failure or have let yourself or your family down.Auto19522823Closedsystemuser16 Mar 2026 07:58:42:173systemuser16 Mar 2026 07:59:24:143systemuser16 Mar 2026 07:59:24:14300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260316 07:58:42.17320260316 07:59:24.14320260316 07:59:24.1439833533521186713713
281CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledVisit 1.7 Induction (1)Patient Health Questionnaire - 9 Item0/0/N7. Trouble concentrating on things, such as reading the newspaper or watching television.Auto19522824Closedsystemuser16 Mar 2026 07:58:42:180systemuser16 Mar 2026 07:59:24:143systemuser16 Mar 2026 07:59:24:14300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260316 07:58:42.18020260316 07:59:24.14320260316 07:59:24.1439833533521186713713
282CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledVisit 1.7 Induction (1)Patient Health Questionnaire - 9 Item0/0/N8. Moving or speaking so slowly that other people could have noticed? Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual.Auto19522825Closedsystemuser16 Mar 2026 07:58:42:187systemuser16 Mar 2026 07:59:24:143systemuser16 Mar 2026 07:59:24:14300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260316 07:58:42.18720260316 07:59:24.14320260316 07:59:24.1439833533521186713713
283CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledVisit 1.7 Induction (1)Patient Health Questionnaire - 9 Item0/0/N9. Thoughts that you would be better off dead or of hurting yourself in some way.Auto19522826Closedsystemuser16 Mar 2026 07:58:42:193systemuser16 Mar 2026 07:59:24:143systemuser16 Mar 2026 07:59:24:14300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260316 07:58:42.19320260316 07:59:24.14320260316 07:59:24.1439833533521186713713
284CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledVisit 1.7 Induction (1)Patient Health Questionnaire - 9 Item0/0/NIf you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?Auto19522827Closedsystemuser16 Mar 2026 07:58:42:200systemuser16 Mar 2026 07:59:24:143systemuser16 Mar 2026 07:59:24:14300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260316 07:58:42.20020260316 07:59:24.14320260316 07:59:24.1439833533521186713713
285CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledVisit 1.7 Induction (1)Patient Health Questionnaire - 9 Item0/0/NWas the collection date the same as the visit date?Auto19522817Closedsystemuser16 Mar 2026 07:58:42:137systemuser16 Mar 2026 07:59:24:143systemuser16 Mar 2026 07:59:24:14300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260316 07:58:42.13720260316 07:59:24.14320260316 07:59:24.1439833533521186713713
286CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledVisit 2.3 Stabilization (1)Vital Signs0/0/NTemperature Anatomical LocationAuto20426536Closedsystemuser27 Apr 2026 07:19:30:220systemuser27 Apr 2026 07:19:35:360systemuser27 Apr 2026 07:19:35:36300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260427 07:19:30.22020260427 07:19:35.36020260427 07:19:35.3639833533521186713713
287CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledVisit 3 Part 1 BaselineClinical Global Impression - S (Depression)0/0/NRater's InitialsAuto18427405Closedsystemuser13 Jan 2026 18:55:45:367systemuser26 Jan 2026 07:34:05:540systemuser26 Jan 2026 07:34:05:540130Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260113 18:55:45.36720260126 07:34:05.54020260126 07:34:05.5409833533521186713713
288CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledVisit 3 Part 1 BaselineDate of Visit0/0/NDid this visit occur?DM18174712ClosedAshwini20123 Dec 2025 08:33:14:420BrezVe105 Jan 2026 10:01:40:950Ashwini20109 Jan 2026 08:30:35:950134DM: Please verify and update the data on all blank forms of Visit 3 Part 1 Baseline, else clarify.will be done asap42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251223 08:33:14.42020260105 10:01:40.95020260109 08:30:35.9509833533521186713713
289CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledVisit 3 Part 1 BaselineDate of Visit0/0/NDid this visit occur?DM18368243 (18174712)ClosedAshwini20109 Jan 2026 08:30:36:120BrezVe126 Jan 2026 07:33:56:660shyamaprasad97228 Jan 2026 10:40:07:423172RQ-DM1: Thank you for the response. Please verify and update the data on blanks form once available.All V3 data entered42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260109 08:30:36.12020260126 07:33:56.66020260128 10:40:07.4239833533521186713713
290CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledVisit 3 Part 1 BaselinePhysician Withdrawal Checklist (PWC)0/0/NWas the collection date the same as the visit date?Auto18426122Closedsystemuser13 Jan 2026 17:13:47:840systemuser13 Jan 2026 17:14:38:893systemuser13 Jan 2026 17:14:38:89300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260113 17:13:47.84020260113 17:14:38.89320260113 17:14:38.8939833533521186713713
291CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledVisit 3 Part 1 BaselinePhysician Withdrawal Checklist (PWC)0/0/N1. Loss of appetiteAuto18426123Closedsystemuser13 Jan 2026 17:13:47:907systemuser13 Jan 2026 17:14:38:887systemuser13 Jan 2026 17:14:38:89000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260113 17:13:47.90720260113 17:14:38.88720260113 17:14:38.8909833533521186713713
292CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledVisit 3 Part 1 BaselinePhysician Withdrawal Checklist (PWC)0/0/N2. Nausea - VomitingAuto18426124Closedsystemuser13 Jan 2026 17:13:47:940systemuser13 Jan 2026 17:14:38:890systemuser13 Jan 2026 17:14:38:89000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260113 17:13:47.94020260113 17:14:38.89020260113 17:14:38.8909833533521186713713
293CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledVisit 3 Part 1 BaselinePhysician Withdrawal Checklist (PWC)0/0/N3. DiarrheaAuto18426125Closedsystemuser13 Jan 2026 17:13:48:003systemuser13 Jan 2026 17:14:38:890systemuser13 Jan 2026 17:14:38:89000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260113 17:13:48.00320260113 17:14:38.89020260113 17:14:38.8909833533521186713713
294CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledVisit 3 Part 1 BaselinePhysician Withdrawal Checklist (PWC)0/0/N4. Anxiety, NervousnessAuto18426126Closedsystemuser13 Jan 2026 17:13:48:050systemuser13 Jan 2026 17:14:38:890systemuser13 Jan 2026 17:14:38:89000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260113 17:13:48.05020260113 17:14:38.89020260113 17:14:38.8909833533521186713713
295CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledVisit 3 Part 1 BaselinePhysician Withdrawal Checklist (PWC)0/0/N5. IrritabilityAuto18426127Closedsystemuser13 Jan 2026 17:13:48:107systemuser13 Jan 2026 17:14:38:890systemuser13 Jan 2026 17:14:38:89000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260113 17:13:48.10720260113 17:14:38.89020260113 17:14:38.8909833533521186713713
296CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledVisit 3 Part 1 BaselinePhysician Withdrawal Checklist (PWC)0/0/N6. Dysphoric Mood, DepressionAuto18426128Closedsystemuser13 Jan 2026 17:13:48:160systemuser13 Jan 2026 17:14:38:890systemuser13 Jan 2026 17:14:38:89000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260113 17:13:48.16020260113 17:14:38.89020260113 17:14:38.8909833533521186713713
297CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledVisit 3 Part 1 BaselinePhysician Withdrawal Checklist (PWC)0/0/N7. InsomniaAuto18426129Closedsystemuser13 Jan 2026 17:13:48:197systemuser13 Jan 2026 17:14:38:890systemuser13 Jan 2026 17:14:38:89000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260113 17:13:48.19720260113 17:14:38.89020260113 17:14:38.8909833533521186713713
298CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledVisit 3 Part 1 BaselinePhysician Withdrawal Checklist (PWC)0/0/N8. Fatigue, Lethargy Lack of energyAuto18426130Closedsystemuser13 Jan 2026 17:13:48:233systemuser13 Jan 2026 17:14:38:890systemuser13 Jan 2026 17:14:38:89000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260113 17:13:48.23320260113 17:14:38.89020260113 17:14:38.8909833533521186713713
299CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledVisit 3 Part 1 BaselinePhysician Withdrawal Checklist (PWC)0/0/N9. Poor CoordinationAuto18426131Closedsystemuser13 Jan 2026 17:13:48:277systemuser13 Jan 2026 17:14:38:890systemuser13 Jan 2026 17:14:38:89000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260113 17:13:48.27720260113 17:14:38.89020260113 17:14:38.8909833533521186713713
300CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledVisit 3 Part 1 BaselinePhysician Withdrawal Checklist (PWC)0/0/N10. Restlessness, AgitationAuto18426132Closedsystemuser13 Jan 2026 17:13:48:313systemuser13 Jan 2026 17:14:38:890systemuser13 Jan 2026 17:14:38:89000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260113 17:13:48.31320260113 17:14:38.89020260113 17:14:38.8909833533521186713713
301CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledVisit 3 Part 1 BaselinePhysician Withdrawal Checklist (PWC)0/0/N11. DiaphoresisAuto18426133Closedsystemuser13 Jan 2026 17:13:48:360systemuser13 Jan 2026 17:14:38:890systemuser13 Jan 2026 17:14:38:89000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260113 17:13:48.36020260113 17:14:38.89020260113 17:14:38.8909833533521186713713
302CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledVisit 3 Part 1 BaselinePhysician Withdrawal Checklist (PWC)0/0/N12. Tremor - TremulousnessAuto18426134Closedsystemuser13 Jan 2026 17:13:48:390systemuser13 Jan 2026 17:14:38:890systemuser13 Jan 2026 17:14:38:89000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260113 17:13:48.39020260113 17:14:38.89020260113 17:14:38.8909833533521186713713
303CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledVisit 3 Part 1 BaselinePhysician Withdrawal Checklist (PWC)0/0/N13. Dizziness - LightheadednessAuto18426135Closedsystemuser13 Jan 2026 17:13:48:430systemuser13 Jan 2026 17:14:38:890systemuser13 Jan 2026 17:14:38:89000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260113 17:13:48.43020260113 17:14:38.89020260113 17:14:38.8909833533521186713713
304CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledVisit 3 Part 1 BaselinePhysician Withdrawal Checklist (PWC)0/0/N14. HeadachesAuto18426136Closedsystemuser13 Jan 2026 17:13:48:453systemuser13 Jan 2026 17:14:38:890systemuser13 Jan 2026 17:14:38:89000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260113 17:13:48.45320260113 17:14:38.89020260113 17:14:38.8909833533521186713713
305CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledVisit 3 Part 1 BaselinePhysician Withdrawal Checklist (PWC)0/0/N15. Muscle Aches or StiffnessAuto18426137Closedsystemuser13 Jan 2026 17:13:48:483systemuser13 Jan 2026 17:14:38:890systemuser13 Jan 2026 17:14:38:89300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260113 17:13:48.48320260113 17:14:38.89020260113 17:14:38.8939833533521186713713
306CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledVisit 3 Part 1 BaselinePhysician Withdrawal Checklist (PWC)0/0/N16. WeaknessAuto18426138Closedsystemuser13 Jan 2026 17:13:48:537systemuser13 Jan 2026 17:14:38:893systemuser13 Jan 2026 17:14:38:89300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260113 17:13:48.53720260113 17:14:38.89320260113 17:14:38.8939833533521186713713
307CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledVisit 3 Part 1 BaselinePhysician Withdrawal Checklist (PWC)0/0/N17. Increased acuity for sound, smell, touch or painAuto18426139Closedsystemuser13 Jan 2026 17:13:48:603systemuser13 Jan 2026 17:14:38:893systemuser13 Jan 2026 17:14:38:89300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260113 17:13:48.60320260113 17:14:38.89320260113 17:14:38.8939833533521186713713
308CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledVisit 3 Part 1 BaselinePhysician Withdrawal Checklist (PWC)0/0/N18. ParesthesiasAuto18426140Closedsystemuser13 Jan 2026 17:13:48:643systemuser13 Jan 2026 17:14:38:893systemuser13 Jan 2026 17:14:38:89300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260113 17:13:48.64320260113 17:14:38.89320260113 17:14:38.8939833533521186713713
309CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledVisit 3 Part 1 BaselinePhysician Withdrawal Checklist (PWC)0/0/N19. Difficulty concentrating, rememberingAuto18426141Closedsystemuser13 Jan 2026 17:13:48:650systemuser13 Jan 2026 17:14:38:893systemuser13 Jan 2026 17:14:38:89300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260113 17:13:48.65020260113 17:14:38.89320260113 17:14:38.8939833533521186713713
310CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledVisit 3 Part 1 BaselinePhysician Withdrawal Checklist (PWC)0/0/N20. Depersonalization, DerealizationAuto18426142Closedsystemuser13 Jan 2026 17:13:48:670systemuser13 Jan 2026 17:14:38:893systemuser13 Jan 2026 17:14:38:89300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260113 17:13:48.67020260113 17:14:38.89320260113 17:14:38.8939833533521186713713
311CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledVisit 3 Part 1 BaselinePROMIS - Sleep Disturbance0/0/N1. My sleep quality wasAuto17646785Closedsystemuser05 Dec 2025 08:48:40:420systemuser05 Dec 2025 08:50:05:223systemuser05 Dec 2025 08:50:05:22700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251205 08:48:40.42020251205 08:50:05.22320251205 08:50:05.2279833533521186713713
312CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledVisit 3 Part 1 BaselinePROMIS - Sleep Disturbance0/0/N2. My sleep was refreshingAuto17646786Closedsystemuser05 Dec 2025 08:48:40:457systemuser05 Dec 2025 08:50:05:227systemuser05 Dec 2025 08:50:05:22700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251205 08:48:40.45720251205 08:50:05.22720251205 08:50:05.2279833533521186713713
313CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledVisit 3 Part 1 BaselinePROMIS - Sleep Disturbance0/0/N3. I had a problem with my sleepAuto17646787Closedsystemuser05 Dec 2025 08:48:40:483systemuser05 Dec 2025 08:50:05:227systemuser05 Dec 2025 08:50:05:22700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251205 08:48:40.48320251205 08:50:05.22720251205 08:50:05.2279833533521186713713
314CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledVisit 3 Part 1 BaselinePROMIS - Sleep Disturbance0/0/N4. I had difficulty falling asleepAuto17646788Closedsystemuser05 Dec 2025 08:48:40:540systemuser05 Dec 2025 08:50:05:227systemuser05 Dec 2025 08:50:05:22700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251205 08:48:40.54020251205 08:50:05.22720251205 08:50:05.2279833533521186713713
315CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledVisit 3 Part 1 BaselinePROMIS - Sleep Disturbance0/0/N5. My sleep was restlessAuto17646789Closedsystemuser05 Dec 2025 08:48:40:580systemuser05 Dec 2025 08:50:05:227systemuser05 Dec 2025 08:50:05:22700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251205 08:48:40.58020251205 08:50:05.22720251205 08:50:05.2279833533521186713713
316CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledVisit 3 Part 1 BaselinePROMIS - Sleep Disturbance0/0/N6. I tried hard to get to sleepAuto17646790Closedsystemuser05 Dec 2025 08:48:40:610systemuser05 Dec 2025 08:50:05:227systemuser05 Dec 2025 08:50:05:22700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251205 08:48:40.61020251205 08:50:05.22720251205 08:50:05.2279833533521186713713
317CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledVisit 3 Part 1 BaselinePROMIS - Sleep Disturbance0/0/N7. I worried about not being able to fall asleepAuto17646791Closedsystemuser05 Dec 2025 08:48:40:617systemuser05 Dec 2025 08:50:05:227systemuser05 Dec 2025 08:50:05:22700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251205 08:48:40.61720251205 08:50:05.22720251205 08:50:05.2279833533521186713713
318CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledVisit 3 Part 1 BaselinePROMIS - Sleep Disturbance0/0/N8. I was satisfied with my sleepAuto17646792Closedsystemuser05 Dec 2025 08:48:40:620systemuser05 Dec 2025 08:50:05:227systemuser05 Dec 2025 08:50:05:22700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251205 08:48:40.62020251205 08:50:05.22720251205 08:50:05.2279833533521186713713
319CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledVisit 3 Part 1 BaselinePROMIS - Sleep Disturbance0/0/NWas the collection date the same as the visit date?Auto17646784Closedsystemuser05 Dec 2025 08:48:40:360systemuser05 Dec 2025 08:50:05:227systemuser05 Dec 2025 08:50:05:22700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251205 08:48:40.36020251205 08:50:05.22720251205 08:50:05.2279833533521186713713
320CZES10-CZ10004Medical Services Prague s.r.o.CZ100040004EnrolledVisit 6 Part 1 (1)Vital Signs0/0/NTemperature Anatomical LocationAuto18359435Closedsystemuser08 Jan 2026 16:31:16:867systemuser26 Jan 2026 07:34:11:793systemuser26 Jan 2026 07:34:11:797180Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260108 16:31:16.86720260126 07:34:11.79320260126 07:34:11.7979833533521186713713
321CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledAdverse Events/Serious AEsAdverse Events/Serious Aes0/0/N1Is the adverse event still ongoing?DM19788571ClosedJThoma85801 Apr 2026 06:28:24:477BrezVe101 Apr 2026 08:19:58:773JThoma85802 Apr 2026 06:47:14:01701Medical Review I-3115319: Please clarify if the event is still ongoing.updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260401 06:28:24.47720260401 08:19:58.77320260402 06:47:14.0179833533530186713713
322CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledAdverse Events/Serious AEsAdverse Events/Serious Aes0/0/N1OutcomeAuto19224943Closedsystemuser02 Mar 2026 06:46:53:450systemuser02 Mar 2026 06:48:16:157systemuser02 Mar 2026 06:48:16:16000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260302 06:46:53.45020260302 06:48:16.15720260302 06:48:16.1609833533530186713713
323CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledAdverse Events/Serious AEsAdverse Events/Serious Aes0/0/N1Relationship to Study TreatmentDM19815411ClosedJuhita@ksha402 Apr 2026 13:36:04:210BrezVe120 Apr 2026 11:26:32:690Juhita@ksha422 Apr 2026 08:18:25:260182Medical Review I-3115728: Kindly clarify rationality to consider AE to be related to study drug.PI decision42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260402 13:36:04.21020260420 11:26:32.69020260422 08:18:25.2609833533530186713713
324CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledAdverse Events/Serious AEsAdverse Events/Serious Aes0/0/N1Is the adverse event serious?Auto19224946Closedsystemuser02 Mar 2026 06:46:53:470systemuser02 Mar 2026 06:48:16:160systemuser02 Mar 2026 06:48:16:16000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260302 06:46:53.47020260302 06:48:16.16020260302 06:48:16.1609833533530186713713
325CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledAdverse Events/Serious AEsAdverse Events/Serious Aes0/0/N1What is the adverse event term?DM19788504ClosedJThoma85801 Apr 2026 06:24:44:720BrezVe101 Apr 2026 08:13:19:773JThoma85802 Apr 2026 05:48:57:25001Medical Review I-3115321 : Could you please confirm whether the psychomotor retardation was caused by increased somnolence? Kindly consider which term best describes the event. Otherwise, clarify.Term PSYCHOMOTORIC RETARDATION DURING MORNING correct according to PI42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260401 06:24:44.72020260401 08:13:19.77320260402 05:48:57.2509833533530186713713
326CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledAdverse Events/Serious AEsAdverse Events/Serious Aes0/0/N1What is the adverse event term?DM19788518ClosedJThoma85801 Apr 2026 06:26:50:533BrezVe101 Apr 2026 08:12:47:600JThoma85802 Apr 2026 05:49:55:72301Medical Review I-3115320 : Could you please specify how long during the day the participant continued to experience retardation? Otherwise, clarify.not specified42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260401 06:26:50.53320260401 08:12:47.60020260402 05:49:55.7239833533530186713713
327CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledConcomitant TherapyConcomitant Therapy / Medication0/0/N2If Start Date is entirely or partially unknown:Was the medication/therapy taken prior to the study?Auto18655963Closedsystemuser28 Jan 2026 11:58:29:513EHerman228 Jan 2026 11:59:19:170Ashwini20129 Jan 2026 08:00:36:34701Start Date' is entirely or partially unknown. However, response for 'Was the medication/therapy taken prior to the study?' is missing. Please resolve.updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260128 11:58:29.51320260128 11:59:19.17020260129 08:00:36.3479833533530186713713
328CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledConcomitant TherapyConcomitant Therapy / Medication0/0/N2If Start Date is entirely or partially unknown:Was the medication/therapy taken prior to the study?DM18670013ClosedAshwini20129 Jan 2026 08:00:50:960EHerman203 Feb 2026 06:48:52:060Ashwini20104 Feb 2026 07:51:21:88751RQ-DM1: Thank you for the response. However, the field 'Was the medication/therapy taken prior to the study?' is still not updated. Kindly verify and update the data in the field.updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260129 08:00:50.96020260203 06:48:52.06020260204 07:51:21.8879833533530186713713
329CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledConcomitant TherapyConcomitant Therapy / Medication0/0/N3If Start Date is entirely or partially unknown:Was the medication/therapy taken prior to the study?Auto18655985Closedsystemuser28 Jan 2026 12:00:42:960systemuser28 Jan 2026 12:02:11:950systemuser28 Jan 2026 12:02:11:95000Start Date' is entirely or partially unknown. However, response for 'Was the medication/therapy taken prior to the study?' is missing. Please resolve.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260128 12:00:42.96020260128 12:02:11.95020260128 12:02:11.9509833533530186713713
330CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledInvestigator Periodic Review Acknowledgments/ Interim Signatures 20260520 - PART1 - Interim Investigator Signature0/0/NI have verified that all data in this case book were completed up to the cutoff and I am ready to proceed with sign-off for interim closure.Auto20933321Closedsystemuser20 May 2026 12:10:02:133systemuser20 May 2026 12:10:14:6030Notification : Please click 'Sign' to sign the page then click 'Save'. (query will automatically close when page is saved).QueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260520 12:10:02.13320260520 12:10:14.6039833533530186713713
331CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledScreening to end of studyPerceived Treatment Group Assignment0/0/NQuestionnaire completed?Auto19225539Closedsystemuser02 Mar 2026 07:24:56:597systemuser20 Apr 2026 11:25:05:50049Please enter Yes or No if questionnaire was completed.QueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260302 07:24:56.59720260420 11:25:05.5009833533530186713713
332CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledScreening Visit 1Columbia-Suicide Severity Rating Scale - Baseline/Screening Version0/0/NSuicidal Ideation1. Wish to be DeadLifetimeAuto18654597Closedsystemuser28 Jan 2026 10:46:03:283systemuser28 Jan 2026 10:52:16:527systemuser28 Jan 2026 10:52:16:53000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260128 10:46:03.28320260128 10:52:16.52720260128 10:52:16.5309833533530186713713
333CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledScreening Visit 1Columbia-Suicide Severity Rating Scale - Baseline/Screening Version0/0/NPast 6 MonthsAuto18654598Closedsystemuser28 Jan 2026 10:46:03:290systemuser28 Jan 2026 10:52:16:563systemuser28 Jan 2026 10:52:16:56300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260128 10:46:03.29020260128 10:52:16.56320260128 10:52:16.5639833533530186713713
334CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledScreening Visit 1Columbia-Suicide Severity Rating Scale - Baseline/Screening Version0/0/N2. Non-Specific Active Suicidal ThoughtsLifetimeAuto18654599Closedsystemuser28 Jan 2026 10:46:03:300systemuser28 Jan 2026 10:52:16:563systemuser28 Jan 2026 10:52:16:56300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260128 10:46:03.30020260128 10:52:16.56320260128 10:52:16.5639833533530186713713
335CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledScreening Visit 1Columbia-Suicide Severity Rating Scale - Baseline/Screening Version0/0/NPast 6 MonthsAuto18654600Closedsystemuser28 Jan 2026 10:46:03:307systemuser28 Jan 2026 10:52:16:563systemuser28 Jan 2026 10:52:16:56300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260128 10:46:03.30720260128 10:52:16.56320260128 10:52:16.5639833533530186713713
336CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledScreening Visit 1Columbia-Suicide Severity Rating Scale - Baseline/Screening Version0/0/NSuicidal BehaviorActual AttemptLifetimeAuto18654601Closedsystemuser28 Jan 2026 10:46:03:353systemuser28 Jan 2026 10:52:16:563systemuser28 Jan 2026 10:52:16:56300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260128 10:46:03.35320260128 10:52:16.56320260128 10:52:16.5639833533530186713713
337CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledScreening Visit 1Columbia-Suicide Severity Rating Scale - Baseline/Screening Version0/0/NPast 1 YearsAuto18654602Closedsystemuser28 Jan 2026 10:46:03:360systemuser28 Jan 2026 10:52:16:563systemuser28 Jan 2026 10:52:16:56300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260128 10:46:03.36020260128 10:52:16.56320260128 10:52:16.5639833533530186713713
338CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledScreening Visit 1Columbia-Suicide Severity Rating Scale - Baseline/Screening Version0/0/NHas subject engaged in Non-Suicidal Self-Injurious Behavior?LifetimeAuto18654603Closedsystemuser28 Jan 2026 10:46:03:380systemuser28 Jan 2026 10:52:16:563systemuser28 Jan 2026 10:52:16:56300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260128 10:46:03.38020260128 10:52:16.56320260128 10:52:16.5639833533530186713713
339CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledScreening Visit 1Columbia-Suicide Severity Rating Scale - Baseline/Screening Version0/0/NPast 1 YearsAuto18654604Closedsystemuser28 Jan 2026 10:46:03:390systemuser28 Jan 2026 10:52:16:563systemuser28 Jan 2026 10:52:16:56300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260128 10:46:03.39020260128 10:52:16.56320260128 10:52:16.5639833533530186713713
340CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledScreening Visit 1Columbia-Suicide Severity Rating Scale - Baseline/Screening Version0/0/NInterrupted AttemptLifetimeAuto18654605Closedsystemuser28 Jan 2026 10:46:03:400systemuser28 Jan 2026 10:53:26:423systemuser28 Jan 2026 10:53:26:42700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260128 10:46:03.40020260128 10:53:26.42320260128 10:53:26.4279833533530186713713
341CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledScreening Visit 1Columbia-Suicide Severity Rating Scale - Baseline/Screening Version0/0/NPast 1 YearsAuto18654606Closedsystemuser28 Jan 2026 10:46:03:407systemuser28 Jan 2026 10:53:26:427systemuser28 Jan 2026 10:53:26:42700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260128 10:46:03.40720260128 10:53:26.42720260128 10:53:26.4279833533530186713713
342CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledScreening Visit 1Columbia-Suicide Severity Rating Scale - Baseline/Screening Version0/0/NAborted AttemptLifetimeAuto18654607Closedsystemuser28 Jan 2026 10:46:03:420systemuser28 Jan 2026 10:52:16:563systemuser28 Jan 2026 10:52:16:56300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260128 10:46:03.42020260128 10:52:16.56320260128 10:52:16.5639833533530186713713
343CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledScreening Visit 1Columbia-Suicide Severity Rating Scale - Baseline/Screening Version0/0/NPast 1 YearsAuto18654608Closedsystemuser28 Jan 2026 10:46:03:430systemuser28 Jan 2026 10:52:16:563systemuser28 Jan 2026 10:52:16:56300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260128 10:46:03.43020260128 10:52:16.56320260128 10:52:16.5639833533530186713713
344CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledScreening Visit 1Columbia-Suicide Severity Rating Scale - Baseline/Screening Version0/0/NPreparatory Acts or BehaviorLifetimeAuto18654609Closedsystemuser28 Jan 2026 10:46:03:440systemuser28 Jan 2026 10:52:16:563systemuser28 Jan 2026 10:52:16:56300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260128 10:46:03.44020260128 10:52:16.56320260128 10:52:16.5639833533530186713713
345CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledScreening Visit 1Columbia-Suicide Severity Rating Scale - Baseline/Screening Version0/0/NPast 1 YearsAuto18654610Closedsystemuser28 Jan 2026 10:46:03:450systemuser28 Jan 2026 10:52:16:563systemuser28 Jan 2026 10:52:16:56300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260128 10:46:03.45020260128 10:52:16.56320260128 10:52:16.5639833533530186713713
346CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledScreening Visit 1Columbia-Suicide Severity Rating Scale - Baseline/Screening Version0/0/NSuicidal BehaviorLifetimeAuto18654611Closedsystemuser28 Jan 2026 10:46:03:460systemuser28 Jan 2026 10:52:16:563systemuser28 Jan 2026 10:52:16:56300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260128 10:46:03.46020260128 10:52:16.56320260128 10:52:16.5639833533530186713713
347CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledScreening Visit 1Columbia-Suicide Severity Rating Scale - Baseline/Screening Version0/0/NPast 1 YearsAuto18654612Closedsystemuser28 Jan 2026 10:46:03:470systemuser28 Jan 2026 10:52:16:563systemuser28 Jan 2026 10:52:16:56300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260128 10:46:03.47020260128 10:52:16.56320260128 10:52:16.5639833533530186713713
348CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledScreening Visit 1Columbia-Suicide Severity Rating Scale - Baseline/Screening Version0/0/NRater's InitialsAuto18654596Closedsystemuser28 Jan 2026 10:46:03:280systemuser28 Jan 2026 10:52:16:563systemuser28 Jan 2026 10:52:16:56300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260128 10:46:03.28020260128 10:52:16.56320260128 10:52:16.5639833533530186713713
349CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledScreening Visit 1Columbia-Suicide Severity Rating Scale - Baseline/Screening Version0/0/NWas the collection date the same as the visit date?Auto18654595Closedsystemuser28 Jan 2026 10:46:03:263systemuser28 Jan 2026 10:52:16:563systemuser28 Jan 2026 10:52:16:56300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260128 10:46:03.26320260128 10:52:16.56320260128 10:52:16.5639833533530186713713
350CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledScreening Visit 1Date of Visit0/0/NDid this visit occur?Site from Medical Reviewer18708650CancelledRajani_S_N131 Jan 2026 18:02:10:460Rajani_S_N103 Feb 2026 13:39:13:473ELigibility: Kindly update AE form with details Yes / no 42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260131 18:02:10.46020260203 13:39:13.4739833533530186713713
351CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledScreening Visit 1General Medical History0/0/N3What is the verbatim term for the medical history condition/event?Site from Medical Reviewer18708661ClosedRajani_S_N131 Jan 2026 18:11:22:683EHerman203 Feb 2026 06:47:22:130Rajani_S_N103 Feb 2026 13:38:11:48030Eligibility: Kindly comment on the clinical stability of the medical condition and severitychronic condition with mild severity, not present all the time, present episodically42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260131 18:11:22.68320260203 06:47:22.13020260203 13:38:11.4809833533530186713713
352CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledScreening Visit 1Mini-Mental State Examination0/0/NRater's InitialsAuto18655622Closedsystemuser28 Jan 2026 11:40:20:817systemuser28 Jan 2026 11:44:36:897systemuser28 Jan 2026 11:44:36:90000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260128 11:40:20.81720260128 11:44:36.89720260128 11:44:36.9009833533530186713713
353CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledScreening Visit 1Mini-Mental State Examination0/0/NTotal ScoreAuto18655623Closedsystemuser28 Jan 2026 11:40:20:823systemuser28 Jan 2026 11:44:36:900systemuser28 Jan 2026 11:44:36:90000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260128 11:40:20.82320260128 11:44:36.90020260128 11:44:36.9009833533530186713713
354CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledScreening Visit 1Mini-Mental State Examination0/0/NWas the collection date the same as the visit date?Auto18655621Closedsystemuser28 Jan 2026 11:40:20:803systemuser28 Jan 2026 11:44:36:900systemuser28 Jan 2026 11:44:36:90000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260128 11:40:20.80320260128 11:44:36.90020260128 11:44:36.9009833533530186713713
355CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledScreening Visit 1Neurologic Examination0/0/NDate of AssessmentAuto19111043Closedsystemuser23 Feb 2026 07:47:55:310systemuser23 Feb 2026 07:49:10:937systemuser23 Feb 2026 07:49:10:93700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260223 07:47:55.31020260223 07:49:10.93720260223 07:49:10.9379833533530186713713
356CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledScreening Visit 1Physical Examination0/0/NWas the collection date the same as the visit date?Auto19110929Closedsystemuser23 Feb 2026 07:37:44:573systemuser23 Feb 2026 07:38:02:840systemuser23 Feb 2026 07:38:02:84000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260223 07:37:44.57320260223 07:38:02.84020260223 07:38:02.8409833533530186713713
357CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledScreening Visit 1SIGH-D-170/0/NCollection DateAuto18703176Closedsystemuser30 Jan 2026 15:57:22:960systemuser30 Jan 2026 15:57:44:787systemuser30 Jan 2026 15:57:44:79000If Yes, was the collection date the same as the visit date? Is entered as "No". However the Collection date entered is same as the Date of visit. Please correct.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260130 15:57:22.96020260130 15:57:44.78720260130 15:57:44.7909833533530186713713
358CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledScreening Visit 1Vital Signs0/0/NDiastolic Blood PressureAuto18654047Closedsystemuser28 Jan 2026 10:24:37:333systemuser28 Jan 2026 10:25:24:680systemuser28 Jan 2026 10:25:24:68300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260128 10:24:37.33320260128 10:25:24.68020260128 10:25:24.6839833533530186713713
359CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledScreening Visit 1Vital Signs0/0/NDiastolic Blood PressureAuto18654076Closedsystemuser28 Jan 2026 10:25:25:290systemuser28 Jan 2026 10:25:50:847systemuser28 Jan 2026 10:25:50:85000The 'Diastolic Blood Pressure' is not within the range of '50' to '90'. Please resolve.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260128 10:25:25.29020260128 10:25:50.84720260128 10:25:50.8509833533530186713713
360CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledScreening Visit 1Vital Signs0/0/NPulseAuto18654045Closedsystemuser28 Jan 2026 10:24:37:313systemuser28 Jan 2026 10:25:24:730systemuser28 Jan 2026 10:25:24:73000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260128 10:24:37.31320260128 10:25:24.73020260128 10:25:24.7309833533530186713713
361CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledScreening Visit 1Vital Signs0/0/NSystolic Blood PressureAuto18654046Closedsystemuser28 Jan 2026 10:24:37:323systemuser28 Jan 2026 10:25:24:750systemuser28 Jan 2026 10:25:24:75000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260128 10:24:37.32320260128 10:25:24.75020260128 10:25:24.7509833533530186713713
362CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledScreening Visit 1Vital Signs0/0/NTemperatureAuto18654044Closedsystemuser28 Jan 2026 10:24:37:300systemuser28 Jan 2026 10:25:24:750systemuser28 Jan 2026 10:25:24:75000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260128 10:24:37.30020260128 10:25:24.75020260128 10:25:24.7509833533530186713713
363CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledScreening Visit 2 (1)CLINICAL OUTCOME ASSESSMENTS COMPLETION STATUS0/0/N2Reason not doneAuto19111069Closedsystemuser23 Feb 2026 07:50:15:153systemuser23 Feb 2026 07:50:51:857systemuser23 Feb 2026 07:50:51:86000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260223 07:50:15.15320260223 07:50:51.85720260223 07:50:51.8609833533530186713713
364CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledScreening Visit 2 (1)CLINICAL OUTCOME ASSESSMENTS COMPLETION STATUS0/0/N2Assessment Completed?Auto19111068Closedsystemuser23 Feb 2026 07:50:08:937systemuser23 Feb 2026 07:50:15:120systemuser23 Feb 2026 07:50:15:12300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260223 07:50:08.93720260223 07:50:15.12020260223 07:50:15.1239833533530186713713
365CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledStudy Drug Administration (1)Study Drug Administration Double Blind Part 10/0/N1Start DateAuto19095586Closedsystemuser20 Feb 2026 11:11:16:217systemuser23 Feb 2026 08:35:56:1173Please enter study drug administration start date as soon as it's availableQueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260220 11:11:16.21720260223 08:35:56.1179833533530186713713
366CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledStudy Drug Administration (1)Study Drug Administration Open Label Part 2 - Induction0/0/N1Start DateAuto19866145Closedsystemuser08 Apr 2026 10:35:41:853systemuser20 Apr 2026 11:15:17:65712Please enter study drug administration start date as soon as it's availableQueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260408 10:35:41.85320260420 11:15:17.6579833533530186713713
367CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 3 Part 1 BaselineArizona Sexual Experiences Scale-Female0/0/N1. How strong is your sex drive?Auto19111322Closedsystemuser23 Feb 2026 08:09:35:117systemuser23 Feb 2026 08:10:01:447systemuser23 Feb 2026 08:10:01:44700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260223 08:09:35.11720260223 08:10:01.44720260223 08:10:01.4479833533530186713713
368CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 3 Part 1 BaselineArizona Sexual Experiences Scale-Female0/0/N2. How easily are you sexually aroused (turned on)?Auto19111323Closedsystemuser23 Feb 2026 08:09:35:123systemuser23 Feb 2026 08:10:01:447systemuser23 Feb 2026 08:10:01:44700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260223 08:09:35.12320260223 08:10:01.44720260223 08:10:01.4479833533530186713713
369CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 3 Part 1 BaselineArizona Sexual Experiences Scale-Female0/0/N3. How easily does your vagina become moist or wet during sex?Auto19111324Closedsystemuser23 Feb 2026 08:09:35:130systemuser23 Feb 2026 08:10:01:447systemuser23 Feb 2026 08:10:01:44700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260223 08:09:35.13020260223 08:10:01.44720260223 08:10:01.4479833533530186713713
370CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 3 Part 1 BaselineArizona Sexual Experiences Scale-Female0/0/N4. How easily can you reach an orgasm?Auto19111325Closedsystemuser23 Feb 2026 08:09:35:137systemuser23 Feb 2026 08:10:01:447systemuser23 Feb 2026 08:10:01:44700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260223 08:09:35.13720260223 08:10:01.44720260223 08:10:01.4479833533530186713713
371CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 3 Part 1 BaselineArizona Sexual Experiences Scale-Female0/0/N5. Are your orgasms satisfying?Auto19111326Closedsystemuser23 Feb 2026 08:09:35:143systemuser23 Feb 2026 08:10:01:450systemuser23 Feb 2026 08:10:01:45000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260223 08:09:35.14320260223 08:10:01.45020260223 08:10:01.4509833533530186713713
372CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 3 Part 1 BaselineArizona Sexual Experiences Scale-Female0/0/NWas the collection date the same as the visit date?Auto19111321Closedsystemuser23 Feb 2026 08:09:35:103systemuser23 Feb 2026 08:10:01:450systemuser23 Feb 2026 08:10:01:45000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260223 08:09:35.10320260223 08:10:01.45020260223 08:10:01.4509833533530186713713
373CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 3 Part 1 BaselineColumbia-Suicide Severity Rating Scale - Since Last Visit0/0/NSuicidal Ideation1. Wish to be DeadAuto19111468Closedsystemuser23 Feb 2026 08:15:37:320systemuser23 Feb 2026 08:16:43:813systemuser23 Feb 2026 08:16:43:81700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260223 08:15:37.32020260223 08:16:43.81320260223 08:16:43.8179833533530186713713
374CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 3 Part 1 BaselineColumbia-Suicide Severity Rating Scale - Since Last Visit0/0/N2. Non-Specific Active Suicidal ThoughtsAuto19111469Closedsystemuser23 Feb 2026 08:15:37:327systemuser23 Feb 2026 08:16:43:817systemuser23 Feb 2026 08:16:43:81700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260223 08:15:37.32720260223 08:16:43.81720260223 08:16:43.8179833533530186713713
375CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 3 Part 1 BaselineColumbia-Suicide Severity Rating Scale - Since Last Visit0/0/NSuicidal BehaviorActual AttemptAuto19111470Closedsystemuser23 Feb 2026 08:15:37:350systemuser23 Feb 2026 08:16:43:817systemuser23 Feb 2026 08:16:43:81700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260223 08:15:37.35020260223 08:16:43.81720260223 08:16:43.8179833533530186713713
376CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 3 Part 1 BaselineColumbia-Suicide Severity Rating Scale - Since Last Visit0/0/NHas subject engaged in Non-Suicidal Self-Injurious Behavior?Auto19111471Closedsystemuser23 Feb 2026 08:15:37:357systemuser23 Feb 2026 08:16:43:817systemuser23 Feb 2026 08:16:43:81700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260223 08:15:37.35720260223 08:16:43.81720260223 08:16:43.8179833533530186713713
377CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 3 Part 1 BaselineColumbia-Suicide Severity Rating Scale - Since Last Visit0/0/NInterrupted AttemptAuto19111472Closedsystemuser23 Feb 2026 08:15:37:360systemuser23 Feb 2026 08:16:43:817systemuser23 Feb 2026 08:16:43:81700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260223 08:15:37.36020260223 08:16:43.81720260223 08:16:43.8179833533530186713713
378CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 3 Part 1 BaselineColumbia-Suicide Severity Rating Scale - Since Last Visit0/0/NAborted AttemptAuto19111473Closedsystemuser23 Feb 2026 08:15:37:370systemuser23 Feb 2026 08:16:43:817systemuser23 Feb 2026 08:16:43:81700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260223 08:15:37.37020260223 08:16:43.81720260223 08:16:43.8179833533530186713713
379CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 3 Part 1 BaselineColumbia-Suicide Severity Rating Scale - Since Last Visit0/0/NPreparatory Acts or BehaviorAuto19111474Closedsystemuser23 Feb 2026 08:15:37:373systemuser23 Feb 2026 08:16:43:817systemuser23 Feb 2026 08:16:43:81700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260223 08:15:37.37320260223 08:16:43.81720260223 08:16:43.8179833533530186713713
380CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 3 Part 1 BaselineColumbia-Suicide Severity Rating Scale - Since Last Visit0/0/NSuicidal BehaviorAuto19111475Closedsystemuser23 Feb 2026 08:15:37:380systemuser23 Feb 2026 08:16:43:817systemuser23 Feb 2026 08:16:43:81700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260223 08:15:37.38020260223 08:16:43.81720260223 08:16:43.8179833533530186713713
381CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 3 Part 1 BaselineColumbia-Suicide Severity Rating Scale - Since Last Visit0/0/NSuicideAuto19111476Closedsystemuser23 Feb 2026 08:15:37:390systemuser23 Feb 2026 08:16:43:817systemuser23 Feb 2026 08:16:43:81700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260223 08:15:37.39020260223 08:16:43.81720260223 08:16:43.8179833533530186713713
382CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 3 Part 1 BaselineColumbia-Suicide Severity Rating Scale - Since Last Visit0/0/NRater's InitialsAuto19111467Closedsystemuser23 Feb 2026 08:15:37:317systemuser23 Feb 2026 08:16:43:817systemuser23 Feb 2026 08:16:43:81700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260223 08:15:37.31720260223 08:16:43.81720260223 08:16:43.8179833533530186713713
383CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 3 Part 1 BaselineColumbia-Suicide Severity Rating Scale - Since Last Visit0/0/NWas the collection date the same as the visit date?Auto19111466Closedsystemuser23 Feb 2026 08:15:37:310systemuser23 Feb 2026 08:16:43:817systemuser23 Feb 2026 08:16:43:81700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260223 08:15:37.31020260223 08:16:43.81720260223 08:16:43.8179833533530186713713
384CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 3 Part 1 BaselineNeurologic Examination0/0/NDate of AssessmentAuto19111541Closedsystemuser23 Feb 2026 08:21:18:697systemuser23 Feb 2026 08:21:42:297systemuser23 Feb 2026 08:21:42:30000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260223 08:21:18.69720260223 08:21:42.29720260223 08:21:42.3009833533530186713713
385CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 3 Part 1 BaselinePatient Global Impression of Severity - Insomnia0/0/NThinking about the past 7 days, please choose the response below that best describes the problem of not feeling rested the next day.Auto19111292Closedsystemuser23 Feb 2026 08:08:27:373systemuser23 Feb 2026 08:08:41:683systemuser23 Feb 2026 08:08:41:68700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260223 08:08:27.37320260223 08:08:41.68320260223 08:08:41.6879833533530186713713
386CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 3 Part 1 BaselinePatient Global Impression of Severity - Insomnia0/0/NIn the past 7 days, how would you describe your difficulty falling asleep or staying asleep? Select one response.Auto19111291Closedsystemuser23 Feb 2026 08:08:27:370systemuser23 Feb 2026 08:08:41:687systemuser23 Feb 2026 08:08:41:68700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260223 08:08:27.37020260223 08:08:41.68720260223 08:08:41.6879833533530186713713
387CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 3 Part 1 BaselinePatient Global Impression of Severity - Insomnia0/0/NIn the past 7 days, how would you describe your sleep problems?Auto19111293Closedsystemuser23 Feb 2026 08:08:27:380systemuser23 Feb 2026 08:08:41:687systemuser23 Feb 2026 08:08:41:68700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260223 08:08:27.38020260223 08:08:41.68720260223 08:08:41.6879833533530186713713
388CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 3 Part 1 BaselinePatient Global Impression of Severity - Insomnia0/0/NIf Yes, was the collection date the same as the visit date?Auto19111290Closedsystemuser23 Feb 2026 08:08:27:360systemuser23 Feb 2026 08:08:41:687systemuser23 Feb 2026 08:08:41:68700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260223 08:08:27.36020260223 08:08:41.68720260223 08:08:41.6879833533530186713713
389CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 3 Part 1 BaselinePhysical Examination0/0/NWas the collection date the same as the visit date?Auto19111238Closedsystemuser23 Feb 2026 08:05:32:270systemuser23 Feb 2026 08:05:41:303systemuser23 Feb 2026 08:05:41:30700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260223 08:05:32.27020260223 08:05:41.30320260223 08:05:41.3079833533530186713713
390CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 3 Part 1 BaselineStructured Interview Guide for the Montgomery-Asberg Depression Rating Scale0/0/N1. Reported SadnessAuto19095216Closedsystemuser20 Feb 2026 10:42:08:240systemuser20 Feb 2026 10:43:16:473systemuser20 Feb 2026 10:43:16:47300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260220 10:42:08.24020260220 10:43:16.47320260220 10:43:16.4739833533530186713713
391CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 3 Part 1 BaselineStructured Interview Guide for the Montgomery-Asberg Depression Rating Scale0/0/N2. Apparent SadnessAuto19095217Closedsystemuser20 Feb 2026 10:42:08:243systemuser20 Feb 2026 10:43:16:473systemuser20 Feb 2026 10:43:16:47300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260220 10:42:08.24320260220 10:43:16.47320260220 10:43:16.4739833533530186713713
392CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 3 Part 1 BaselineStructured Interview Guide for the Montgomery-Asberg Depression Rating Scale0/0/N3. Inner TensionAuto19095218Closedsystemuser20 Feb 2026 10:42:08:250systemuser20 Feb 2026 10:43:16:473systemuser20 Feb 2026 10:43:16:47300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260220 10:42:08.25020260220 10:43:16.47320260220 10:43:16.4739833533530186713713
393CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 3 Part 1 BaselineStructured Interview Guide for the Montgomery-Asberg Depression Rating Scale0/0/N4. Reduced SleepAuto19095219Closedsystemuser20 Feb 2026 10:42:08:257systemuser20 Feb 2026 10:43:16:473systemuser20 Feb 2026 10:43:16:47300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260220 10:42:08.25720260220 10:43:16.47320260220 10:43:16.4739833533530186713713
394CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 3 Part 1 BaselineStructured Interview Guide for the Montgomery-Asberg Depression Rating Scale0/0/N5. Reduced AppetiteAuto19095220Closedsystemuser20 Feb 2026 10:42:08:260systemuser20 Feb 2026 10:43:16:473systemuser20 Feb 2026 10:43:16:47300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260220 10:42:08.26020260220 10:43:16.47320260220 10:43:16.4739833533530186713713
395CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 3 Part 1 BaselineStructured Interview Guide for the Montgomery-Asberg Depression Rating Scale0/0/N6. Concentration DifficultiesAuto19095221Closedsystemuser20 Feb 2026 10:42:08:267systemuser20 Feb 2026 10:43:16:473systemuser20 Feb 2026 10:43:16:47300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260220 10:42:08.26720260220 10:43:16.47320260220 10:43:16.4739833533530186713713
396CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 3 Part 1 BaselineStructured Interview Guide for the Montgomery-Asberg Depression Rating Scale0/0/N7. LassitudeAuto19095222Closedsystemuser20 Feb 2026 10:42:08:270systemuser20 Feb 2026 10:43:16:473systemuser20 Feb 2026 10:43:16:47300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260220 10:42:08.27020260220 10:43:16.47320260220 10:43:16.4739833533530186713713
397CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 3 Part 1 BaselineStructured Interview Guide for the Montgomery-Asberg Depression Rating Scale0/0/N8. Inability to FeelAuto19095223Closedsystemuser20 Feb 2026 10:42:08:277systemuser20 Feb 2026 10:43:16:473systemuser20 Feb 2026 10:43:16:47300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260220 10:42:08.27720260220 10:43:16.47320260220 10:43:16.4739833533530186713713
398CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 3 Part 1 BaselineStructured Interview Guide for the Montgomery-Asberg Depression Rating Scale0/0/N9. Pessimistic ThoughtsAuto19095224Closedsystemuser20 Feb 2026 10:42:08:280systemuser20 Feb 2026 10:43:16:473systemuser20 Feb 2026 10:43:16:47300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260220 10:42:08.28020260220 10:43:16.47320260220 10:43:16.4739833533530186713713
399CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 3 Part 1 BaselineStructured Interview Guide for the Montgomery-Asberg Depression Rating Scale0/0/N10. Suicidal ThoughtsAuto19095225Closedsystemuser20 Feb 2026 10:42:08:287systemuser20 Feb 2026 10:43:16:473systemuser20 Feb 2026 10:43:16:47300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260220 10:42:08.28720260220 10:43:16.47320260220 10:43:16.4739833533530186713713
400CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 3 Part 1 BaselineStructured Interview Guide for the Montgomery-Asberg Depression Rating Scale0/0/NTOTAL MADRS SCALE SCOREAuto19095226Closedsystemuser20 Feb 2026 10:42:08:290systemuser20 Feb 2026 10:43:16:730systemuser20 Feb 2026 10:43:16:73000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260220 10:42:08.29020260220 10:43:16.73020260220 10:43:16.7309833533530186713713
401CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 3 Part 1 BaselineStructured Interview Guide for the Montgomery-Asberg Depression Rating Scale0/0/NRater's InitialsAuto19095215Closedsystemuser20 Feb 2026 10:42:08:233systemuser20 Feb 2026 10:43:16:490systemuser20 Feb 2026 10:43:16:49000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260220 10:42:08.23320260220 10:43:16.49020260220 10:43:16.4909833533530186713713
402CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 3 Part 1 BaselineStructured Interview Guide for the Montgomery-Asberg Depression Rating Scale0/0/NWas the collection date the same as the visit date?Auto19095214Closedsystemuser20 Feb 2026 10:42:08:223systemuser20 Feb 2026 10:43:16:490systemuser20 Feb 2026 10:43:16:49000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260220 10:42:08.22320260220 10:43:16.49020260220 10:43:16.4909833533530186713713
403CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 3 Part 1 BaselineVital Signs0/0/NBody Mass IndexAuto19111129Closedsystemuser23 Feb 2026 07:59:15:197systemuser23 Feb 2026 08:00:50:210systemuser23 Feb 2026 08:00:50:21000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260223 07:59:15.19720260223 08:00:50.21020260223 08:00:50.2109833533530186713713
404CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 3 Part 1 BaselineVital Signs0/0/NDiastolic Blood PressureAuto19111133Closedsystemuser23 Feb 2026 07:59:15:220systemuser23 Feb 2026 08:04:09:543systemuser23 Feb 2026 08:04:09:54300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260223 07:59:15.22020260223 08:04:09.54320260223 08:04:09.5439833533530186713713
405CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 3 Part 1 BaselineVital Signs0/0/NPulseAuto19111131Closedsystemuser23 Feb 2026 07:59:15:210systemuser23 Feb 2026 08:04:09:553systemuser23 Feb 2026 08:04:09:55300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260223 07:59:15.21020260223 08:04:09.55320260223 08:04:09.5539833533530186713713
406CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 3 Part 1 BaselineVital Signs0/0/NSystolic Blood PressureAuto19111132Closedsystemuser23 Feb 2026 07:59:15:217systemuser23 Feb 2026 08:04:09:557systemuser23 Feb 2026 08:04:09:55700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260223 07:59:15.21720260223 08:04:09.55720260223 08:04:09.5579833533530186713713
407CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 3 Part 1 BaselineVital Signs0/0/NWas the collection date the same as the visit date?Auto19111127Closedsystemuser23 Feb 2026 07:59:15:183systemuser23 Feb 2026 08:00:50:213systemuser23 Feb 2026 08:00:50:21300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260223 07:59:15.18320260223 08:00:50.21320260223 08:00:50.2139833533530186713713
408CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 3 Part 1 BaselineVital Signs0/0/NTemperatureAuto19111130Closedsystemuser23 Feb 2026 07:59:15:203systemuser23 Feb 2026 08:04:09:560systemuser23 Feb 2026 08:04:09:56000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260223 07:59:15.20320260223 08:04:09.56020260223 08:04:09.5609833533530186713713
409CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 3 Part 1 BaselineVital Signs0/0/NWeightAuto19111128Closedsystemuser23 Feb 2026 07:59:15:193systemuser23 Feb 2026 08:00:50:213systemuser23 Feb 2026 08:00:50:21300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260223 07:59:15.19320260223 08:00:50.21320260223 08:00:50.2139833533530186713713
410CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 7 Part 1 (1)Date of Visit0/0/NDid this visit occur?DM19826791ClosedJuhita@ksha403 Apr 2026 16:29:36:310BrezVe120 Apr 2026 11:17:23:113Juhita@ksha422 Apr 2026 08:47:01:863172DM: Please verify and updated the visit 8 part 1.updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260403 16:29:36.31020260420 11:17:23.11320260422 08:47:01.8639833533530186713713
411CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 7 Part 1 (1)Vital Signs0/0/NDiastolic Blood PressureAuto19758826Closedsystemuser30 Mar 2026 12:30:07:610systemuser30 Mar 2026 12:32:35:927systemuser30 Mar 2026 12:32:35:93000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260330 12:30:07.61020260330 12:32:35.92720260330 12:32:35.9309833533530186713713
412CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 7 Part 1 (1)Vital Signs0/0/NPulseAuto19758823Closedsystemuser30 Mar 2026 12:30:07:593systemuser30 Mar 2026 12:32:35:937systemuser30 Mar 2026 12:32:35:93700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260330 12:30:07.59320260330 12:32:35.93720260330 12:32:35.9379833533530186713713
413CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 7 Part 1 (1)Vital Signs0/0/NSystolic Blood PressureAuto19758824Closedsystemuser30 Mar 2026 12:30:07:600systemuser30 Mar 2026 12:32:35:943systemuser30 Mar 2026 12:32:35:94300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260330 12:30:07.60020260330 12:32:35.94320260330 12:32:35.9439833533530186713713
414CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 7 Part 1 (1)Vital Signs0/0/NWas the collection date the same as the visit date?Auto19758820Closedsystemuser30 Mar 2026 12:30:07:570systemuser30 Mar 2026 12:32:35:943systemuser30 Mar 2026 12:32:35:94300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260330 12:30:07.57020260330 12:32:35.94320260330 12:32:35.9439833533530186713713
415CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 7 Part 1 (1)Vital Signs0/0/NTemperatureAuto19758821Closedsystemuser30 Mar 2026 12:30:07:587systemuser30 Mar 2026 12:32:35:943systemuser30 Mar 2026 12:32:35:94300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260330 12:30:07.58720260330 12:32:35.94320260330 12:32:35.9439833533530186713713
416CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 8 Part 1 (1)Arizona Sexual Experiences Scale-Female0/0/N1. How strong is your sex drive?Auto19866306Closedsystemuser08 Apr 2026 10:39:35:260systemuser08 Apr 2026 10:41:00:107systemuser08 Apr 2026 10:41:00:10700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260408 10:39:35.26020260408 10:41:00.10720260408 10:41:00.1079833533530186713713
417CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 8 Part 1 (1)Arizona Sexual Experiences Scale-Female0/0/N2. How easily are you sexually aroused (turned on)?Auto19866307Closedsystemuser08 Apr 2026 10:39:35:270systemuser08 Apr 2026 10:41:00:107systemuser08 Apr 2026 10:41:00:10700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260408 10:39:35.27020260408 10:41:00.10720260408 10:41:00.1079833533530186713713
418CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 8 Part 1 (1)Arizona Sexual Experiences Scale-Female0/0/N3. How easily does your vagina become moist or wet during sex?Auto19866308Closedsystemuser08 Apr 2026 10:39:35:277systemuser08 Apr 2026 10:41:00:107systemuser08 Apr 2026 10:41:00:10700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260408 10:39:35.27720260408 10:41:00.10720260408 10:41:00.1079833533530186713713
419CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 8 Part 1 (1)Arizona Sexual Experiences Scale-Female0/0/N4. How easily can you reach an orgasm?Auto19866309Closedsystemuser08 Apr 2026 10:39:35:283systemuser08 Apr 2026 10:41:00:110systemuser08 Apr 2026 10:41:00:11000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260408 10:39:35.28320260408 10:41:00.11020260408 10:41:00.1109833533530186713713
420CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 8 Part 1 (1)Arizona Sexual Experiences Scale-Female0/0/N5. Are your orgasms satisfying?Auto19866310Closedsystemuser08 Apr 2026 10:39:35:293systemuser08 Apr 2026 10:41:00:110systemuser08 Apr 2026 10:41:00:11000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260408 10:39:35.29320260408 10:41:00.11020260408 10:41:00.1109833533530186713713
421CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 8 Part 1 (1)Arizona Sexual Experiences Scale-Female0/0/NWas the collection date the same as the visit date?Auto19866305Closedsystemuser08 Apr 2026 10:39:35:247systemuser08 Apr 2026 10:41:00:110systemuser08 Apr 2026 10:41:00:11000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260408 10:39:35.24720260408 10:41:00.11020260408 10:41:00.1109833533530186713713
422CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 8 Part 1 (1)EQ-5D-5L0/0/NMobilityAuto19888919Closedsystemuser09 Apr 2026 10:43:01:103systemuser09 Apr 2026 10:44:05:370systemuser09 Apr 2026 10:44:05:37000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260409 10:43:01.10320260409 10:44:05.37020260409 10:44:05.3709833533530186713713
423CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 8 Part 1 (1)EQ-5D-5L0/0/NSelf-CareAuto19888920Closedsystemuser09 Apr 2026 10:43:01:113systemuser09 Apr 2026 10:44:05:370systemuser09 Apr 2026 10:44:05:37000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260409 10:43:01.11320260409 10:44:05.37020260409 10:44:05.3709833533530186713713
424CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 8 Part 1 (1)EQ-5D-5L0/0/NUsual ActivitiesAuto19888921Closedsystemuser09 Apr 2026 10:43:01:120systemuser09 Apr 2026 10:44:05:370systemuser09 Apr 2026 10:44:05:37000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260409 10:43:01.12020260409 10:44:05.37020260409 10:44:05.3709833533530186713713
425CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 8 Part 1 (1)EQ-5D-5L0/0/NPain/DiscomfortAuto19888922Closedsystemuser09 Apr 2026 10:43:01:127systemuser09 Apr 2026 10:44:05:370systemuser09 Apr 2026 10:44:05:37000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260409 10:43:01.12720260409 10:44:05.37020260409 10:44:05.3709833533530186713713
426CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 8 Part 1 (1)EQ-5D-5L0/0/NAnxiety/DepressionAuto19888923Closedsystemuser09 Apr 2026 10:43:01:133systemuser09 Apr 2026 10:44:05:370systemuser09 Apr 2026 10:44:05:37000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260409 10:43:01.13320260409 10:44:05.37020260409 10:44:05.3709833533530186713713
427CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 8 Part 1 (1)EQ-5D-5L0/0/NYour health todayAuto19888924Closedsystemuser09 Apr 2026 10:43:01:140systemuser09 Apr 2026 10:44:05:370systemuser09 Apr 2026 10:44:05:37000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260409 10:43:01.14020260409 10:44:05.37020260409 10:44:05.3709833533530186713713
428CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 8 Part 1 (1)EQ-5D-5L0/0/NWas the collection date the same as the visit date?Auto19888918Closedsystemuser09 Apr 2026 10:43:01:090systemuser09 Apr 2026 10:44:05:370systemuser09 Apr 2026 10:44:05:37000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260409 10:43:01.09020260409 10:44:05.37020260409 10:44:05.3709833533530186713713
429CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 8 Part 1 (1)Neurologic Examination0/0/NDate of AssessmentAuto19889091Closedsystemuser09 Apr 2026 10:50:52:147systemuser20 Apr 2026 11:16:28:840systemuser20 Apr 2026 11:16:28:843110Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260409 10:50:52.14720260420 11:16:28.84020260420 11:16:28.8439833533530186713713
430CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 8 Part 1 (1)Patient Global Impression of Severity - Insomnia0/0/NThinking about the past 7 days, please choose the response below that best describes the problem of not feeling rested the next day.Auto19888942Closedsystemuser09 Apr 2026 10:45:16:040systemuser09 Apr 2026 10:46:10:640systemuser09 Apr 2026 10:46:10:64300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260409 10:45:16.04020260409 10:46:10.64020260409 10:46:10.6439833533530186713713
431CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 8 Part 1 (1)Patient Global Impression of Severity - Insomnia0/0/NIn the past 7 days, how would you describe your difficulty falling asleep or staying asleep? Select one response.Auto19888941Closedsystemuser09 Apr 2026 10:45:16:030systemuser09 Apr 2026 10:46:10:643systemuser09 Apr 2026 10:46:10:64300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260409 10:45:16.03020260409 10:46:10.64320260409 10:46:10.6439833533530186713713
432CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 8 Part 1 (1)Patient Global Impression of Severity - Insomnia0/0/NIn the past 7 days, how would you describe your sleep problems?Auto19888943Closedsystemuser09 Apr 2026 10:45:16:047systemuser09 Apr 2026 10:46:10:643systemuser09 Apr 2026 10:46:10:64300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260409 10:45:16.04720260409 10:46:10.64320260409 10:46:10.6439833533530186713713
433CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 8 Part 1 (1)Patient Global Impression of Severity - Insomnia0/0/NIf Yes, was the collection date the same as the visit date?Auto19888940Closedsystemuser09 Apr 2026 10:45:16:020systemuser09 Apr 2026 10:46:10:643systemuser09 Apr 2026 10:46:10:64300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260409 10:45:16.02020260409 10:46:10.64320260409 10:46:10.6439833533530186713713
434CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 8 Part 1 (1)Physical Examination0/0/NWas the collection date the same as the visit date?Auto19866258Closedsystemuser08 Apr 2026 10:38:23:520systemuser08 Apr 2026 10:38:33:053systemuser08 Apr 2026 10:38:33:05700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260408 10:38:23.52020260408 10:38:33.05320260408 10:38:33.0579833533530186713713
435CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 8 Part 1 (1)Physician Withdrawal Checklist (PWC)0/0/N1. Loss of appetiteAuto19889270Closedsystemuser09 Apr 2026 10:53:38:547systemuser09 Apr 2026 10:54:51:480systemuser09 Apr 2026 10:54:51:48000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260409 10:53:38.54720260409 10:54:51.48020260409 10:54:51.4809833533530186713713
436CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 8 Part 1 (1)Physician Withdrawal Checklist (PWC)0/0/N2. Nausea - VomitingAuto19889271Closedsystemuser09 Apr 2026 10:53:38:557systemuser09 Apr 2026 10:54:51:483systemuser09 Apr 2026 10:54:51:48300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260409 10:53:38.55720260409 10:54:51.48320260409 10:54:51.4839833533530186713713
437CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 8 Part 1 (1)Physician Withdrawal Checklist (PWC)0/0/N3. DiarrheaAuto19889272Closedsystemuser09 Apr 2026 10:53:38:567systemuser09 Apr 2026 10:54:51:483systemuser09 Apr 2026 10:54:51:48300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260409 10:53:38.56720260409 10:54:51.48320260409 10:54:51.4839833533530186713713
438CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 8 Part 1 (1)Physician Withdrawal Checklist (PWC)0/0/N4. Anxiety, NervousnessAuto19889273Closedsystemuser09 Apr 2026 10:53:38:573systemuser09 Apr 2026 10:54:51:483systemuser09 Apr 2026 10:54:51:48300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260409 10:53:38.57320260409 10:54:51.48320260409 10:54:51.4839833533530186713713
439CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 8 Part 1 (1)Physician Withdrawal Checklist (PWC)0/0/N5. IrritabilityAuto19889274Closedsystemuser09 Apr 2026 10:53:38:583systemuser09 Apr 2026 10:54:51:483systemuser09 Apr 2026 10:54:51:48300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260409 10:53:38.58320260409 10:54:51.48320260409 10:54:51.4839833533530186713713
440CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 8 Part 1 (1)Physician Withdrawal Checklist (PWC)0/0/N6. Dysphoric Mood, DepressionAuto19889275Closedsystemuser09 Apr 2026 10:53:38:590systemuser09 Apr 2026 10:54:51:483systemuser09 Apr 2026 10:54:51:48300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260409 10:53:38.59020260409 10:54:51.48320260409 10:54:51.4839833533530186713713
441CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 8 Part 1 (1)Physician Withdrawal Checklist (PWC)0/0/N7. InsomniaAuto19889276Closedsystemuser09 Apr 2026 10:53:38:600systemuser09 Apr 2026 10:54:51:483systemuser09 Apr 2026 10:54:51:48300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260409 10:53:38.60020260409 10:54:51.48320260409 10:54:51.4839833533530186713713
442CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 8 Part 1 (1)Physician Withdrawal Checklist (PWC)0/0/N8. Fatigue, Lethargy Lack of energyAuto19889277Closedsystemuser09 Apr 2026 10:53:38:610systemuser09 Apr 2026 10:54:51:483systemuser09 Apr 2026 10:54:51:48300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260409 10:53:38.61020260409 10:54:51.48320260409 10:54:51.4839833533530186713713
443CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 8 Part 1 (1)Physician Withdrawal Checklist (PWC)0/0/N9. Poor CoordinationAuto19889278Closedsystemuser09 Apr 2026 10:53:38:617systemuser09 Apr 2026 10:54:51:483systemuser09 Apr 2026 10:54:51:48300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260409 10:53:38.61720260409 10:54:51.48320260409 10:54:51.4839833533530186713713
444CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 8 Part 1 (1)Physician Withdrawal Checklist (PWC)0/0/N10. Restlessness, AgitationAuto19889279Closedsystemuser09 Apr 2026 10:53:38:627systemuser09 Apr 2026 10:54:51:483systemuser09 Apr 2026 10:54:51:48300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260409 10:53:38.62720260409 10:54:51.48320260409 10:54:51.4839833533530186713713
445CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 8 Part 1 (1)Physician Withdrawal Checklist (PWC)0/0/N11. DiaphoresisAuto19889280Closedsystemuser09 Apr 2026 10:53:38:633systemuser09 Apr 2026 10:54:51:483systemuser09 Apr 2026 10:54:51:48300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260409 10:53:38.63320260409 10:54:51.48320260409 10:54:51.4839833533530186713713
446CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 8 Part 1 (1)Physician Withdrawal Checklist (PWC)0/0/N12. Tremor - TremulousnessAuto19889281Closedsystemuser09 Apr 2026 10:53:38:640systemuser09 Apr 2026 10:54:51:483systemuser09 Apr 2026 10:54:51:48300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260409 10:53:38.64020260409 10:54:51.48320260409 10:54:51.4839833533530186713713
447CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 8 Part 1 (1)Physician Withdrawal Checklist (PWC)0/0/N13. Dizziness - LightheadednessAuto19889282Closedsystemuser09 Apr 2026 10:53:38:650systemuser09 Apr 2026 10:54:51:483systemuser09 Apr 2026 10:54:51:48300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260409 10:53:38.65020260409 10:54:51.48320260409 10:54:51.4839833533530186713713
448CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 8 Part 1 (1)Physician Withdrawal Checklist (PWC)0/0/N14. HeadachesAuto19889283Closedsystemuser09 Apr 2026 10:53:38:657systemuser09 Apr 2026 10:54:51:483systemuser09 Apr 2026 10:54:51:48300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260409 10:53:38.65720260409 10:54:51.48320260409 10:54:51.4839833533530186713713
449CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 8 Part 1 (1)Physician Withdrawal Checklist (PWC)0/0/N15. Muscle Aches or StiffnessAuto19889284Closedsystemuser09 Apr 2026 10:53:38:663systemuser09 Apr 2026 10:54:51:483systemuser09 Apr 2026 10:54:51:48300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260409 10:53:38.66320260409 10:54:51.48320260409 10:54:51.4839833533530186713713
450CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 8 Part 1 (1)Physician Withdrawal Checklist (PWC)0/0/N16. WeaknessAuto19889285Closedsystemuser09 Apr 2026 10:53:38:673systemuser09 Apr 2026 10:54:51:483systemuser09 Apr 2026 10:54:51:48300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260409 10:53:38.67320260409 10:54:51.48320260409 10:54:51.4839833533530186713713
451CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 8 Part 1 (1)Physician Withdrawal Checklist (PWC)0/0/N17. Increased acuity for sound, smell, touch or painAuto19889286Closedsystemuser09 Apr 2026 10:53:38:680systemuser09 Apr 2026 10:54:51:483systemuser09 Apr 2026 10:54:51:48300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260409 10:53:38.68020260409 10:54:51.48320260409 10:54:51.4839833533530186713713
452CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 8 Part 1 (1)Physician Withdrawal Checklist (PWC)0/0/N18. ParesthesiasAuto19889287Closedsystemuser09 Apr 2026 10:53:38:683systemuser09 Apr 2026 10:54:51:483systemuser09 Apr 2026 10:54:51:48300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260409 10:53:38.68320260409 10:54:51.48320260409 10:54:51.4839833533530186713713
453CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 8 Part 1 (1)Physician Withdrawal Checklist (PWC)0/0/N19. Difficulty concentrating, rememberingAuto19889288Closedsystemuser09 Apr 2026 10:53:38:690systemuser09 Apr 2026 10:54:51:483systemuser09 Apr 2026 10:54:51:48300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260409 10:53:38.69020260409 10:54:51.48320260409 10:54:51.4839833533530186713713
454CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 8 Part 1 (1)Physician Withdrawal Checklist (PWC)0/0/N20. Depersonalization, DerealizationAuto19889289Closedsystemuser09 Apr 2026 10:53:38:700systemuser09 Apr 2026 10:54:51:483systemuser09 Apr 2026 10:54:51:48300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260409 10:53:38.70020260409 10:54:51.48320260409 10:54:51.4839833533530186713713
455CZES10-CZ10004Medical Services Prague s.r.o.CZ100040005EnrolledVisit 8 Part 1 (1)Physician Withdrawal Checklist (PWC)0/0/NWas the collection date the same as the visit date?Auto19889269Closedsystemuser09 Apr 2026 10:53:38:533systemuser09 Apr 2026 10:54:51:483systemuser09 Apr 2026 10:54:51:48300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260409 10:53:38.53320260409 10:54:51.48320260409 10:54:51.4839833533530186713713
456CZES10-CZ10004Medical Services Prague s.r.o.CZ100040006EnrolledConcomitant TherapyConcomitant Therapy / Medication0/0/V3If Start Date is entirely or partially unknown:Was the medication/therapy taken prior to the study?Auto18724963Closedsystemuser02 Feb 2026 15:30:16:610systemuser02 Feb 2026 15:30:57:317systemuser02 Feb 2026 15:30:57:32000Start Date' is entirely or partially unknown. However, response for 'Was the medication/therapy taken prior to the study?' is missing. Please resolve.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260202 15:30:16.61020260202 15:30:57.31720260202 15:30:57.3209833533516186713713
457CZES10-CZ10004Medical Services Prague s.r.o.CZ100040006EnrolledConcomitant TherapyConcomitant Therapy / Medication0/0/V5Dose FormDM19831711ClosedJuhita@ksha406 Apr 2026 07:45:28:657BrezVe120 Apr 2026 11:29:26:733Juhita@ksha422 Apr 2026 08:20:01:520142Medical Review I-3115960: Kindly update dose form to implantupdated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260406 07:45:28.65720260420 11:29:26.73320260422 08:20:01.5209833533516186713713
458CZES10-CZ10004Medical Services Prague s.r.o.CZ100040006EnrolledInvestigator Periodic Review Acknowledgments/ Interim Signatures 20260520 - PART1 - Interim Investigator Signature0/0/NI have verified that all data in this case book were completed up to the cutoff and I am ready to proceed with sign-off for interim closure.Auto20933410Closedsystemuser20 May 2026 12:11:52:903systemuser20 May 2026 12:12:07:2500Notification : Please click 'Sign' to sign the page then click 'Save'. (query will automatically close when page is saved).QueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260520 12:11:52.90320260520 12:12:07.2509833533516186713713
459CZES10-CZ10004Medical Services Prague s.r.o.CZ100040006EnrolledScreening to end of studyMenstrual Cycle Tracking Log0/0/N1OngoingSite from Medical Reviewer19780205Closedewajs131 Mar 2026 14:58:18:067BrezVe101 Apr 2026 08:17:44:593ewajs122 Apr 2026 09:49:46:110121Did the participant had menstrual period after January? updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260331 14:58:18.06720260401 08:17:44.59320260422 09:49:46.1109833533516186713713
460CZES10-CZ10004Medical Services Prague s.r.o.CZ100040006EnrolledScreening to end of studyMenstrual Cycle Tracking Log0/0/N1OngoingSite from Medical Reviewer19780237Closedewajs131 Mar 2026 14:58:49:267BrezVe101 Apr 2026 08:18:06:720ewajs122 Apr 2026 09:49:49:640121Did the participant menstruated regularly prior to the study even if they had a hormonal IUD?regular 42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260331 14:58:49.26720260401 08:18:06.72020260422 09:49:49.6409833533516186713713
461CZES10-CZ10004Medical Services Prague s.r.o.CZ100040006EnrolledScreening to end of studyPerceived Treatment Group Assignment0/0/NQuestionnaire completed?Auto19910694Closedsystemuser10 Apr 2026 11:11:31:410systemuser20 Apr 2026 11:38:19:35010Please enter Yes or No if questionnaire was completed.QueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260410 11:11:31.41020260420 11:38:19.3509833533516186713713
462CZES10-CZ10004Medical Services Prague s.r.o.CZ100040006EnrolledScreening Visit 1Date of Visit0/0/NDid this visit occur?DM19523574ClosedAshwini20116 Mar 2026 08:23:15:543BrezVe123 Mar 2026 13:24:51:430Ashwini20125 Mar 2026 08:23:19:48772DM: Please verify and update the data on Physical Examination, Arizona Sexual Experiences Scale Summary, Educational Level, Local Labs for Background Antidepressant Compliance and Neurologic Examination forms, else clarify.updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260316 08:23:15.54320260323 13:24:51.43020260325 08:23:19.4879833533516186713713
463CZES10-CZ10004Medical Services Prague s.r.o.CZ100040006EnrolledScreening Visit 1General Medical History0/0/N2What is the verbatim term for the medical history condition/event?DM18899111ClosedCoderImport12 Feb 2026 06:28:18:150BrezVe116 Feb 2026 12:32:13:037systemuser16 Feb 2026 12:32:13:24340CODING: The verbatim "APPENDECTOMIA" in the verbatim term "APPENDECTOMIA FOR APPENDICITIS" is not reported in English. Please translate it in English and update the Medical history name field accordingly.Thank you.will be done but please unfreeze lgline 5 for data entry42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260212 06:28:18.15020260216 12:32:13.03720260216 12:32:13.2439833533516186713713
464CZES10-CZ10004Medical Services Prague s.r.o.CZ100040006EnrolledScreening Visit 1General Medical History0/0/N3What is the verbatim term for the medical history condition/event?DM18789150ClosedCoderImport05 Feb 2026 13:57:27:370BrezVe109 Feb 2026 08:41:25:993systemuser09 Feb 2026 08:41:26:10740CODING: Reported term contains a medical condition as well as a procedure. Please split the term and record the diagnosis and procedure separately. Example: 1. CYSTS ON THE LEFT OVARY and 2. UNILATERAL OOPHORECTOMY . Thank you.please unfreeze logline 5 to enter the procedure42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260205 13:57:27.37020260209 08:41:25.99320260209 08:41:26.1079833533516186713713
465CZES10-CZ10004Medical Services Prague s.r.o.CZ100040006EnrolledScreening Visit 1General Medical History0/0/N3What is the verbatim term for the medical history condition/event?Site from Medical Reviewer18804188ClosedRajani_S_N106 Feb 2026 09:12:57:993BrezVe109 Feb 2026 08:41:43:683Rajani_S_N109 Feb 2026 11:08:45:11030Eliibility: Kindly mention the etiology and clarify if malignantnot specified as malignant42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260206 09:12:57.99320260209 08:41:43.68320260209 11:08:45.1109833533516186713713
466CZES10-CZ10004Medical Services Prague s.r.o.CZ100040006EnrolledScreening Visit 1Menstrual Cycle Tracking0/0/N1If 'Estrogen/Gestagen', 'Hormonal IUD', or 'Non-hormonal IUD', choose the corresponding CM log line, start date, and termAuto18724469Closedsystemuser02 Feb 2026 15:06:41:680systemuser02 Feb 2026 15:40:34:157systemuser02 Feb 2026 15:40:34:15700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260202 15:06:41.68020260202 15:40:34.15720260202 15:40:34.1579833533516186713713
467CZES10-CZ10004Medical Services Prague s.r.o.CZ100040006EnrolledScreening Visit 1Vital Signs0/0/NTemperature Anatomical LocationAuto18724356Closedsystemuser02 Feb 2026 15:00:08:523systemuser02 Feb 2026 15:00:25:190systemuser02 Feb 2026 15:00:25:19700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260202 15:00:08.52320260202 15:00:25.19020260202 15:00:25.1979833533516186713713
468CZES10-CZ10004Medical Services Prague s.r.o.CZ100040006EnrolledScreening Visit 2 (1)CLINICAL OUTCOME ASSESSMENTS COMPLETION STATUS0/0/N1Assessment Completed?DM19449854ClosedJuhita@ksha410 Mar 2026 16:06:26:983gnovotna@email.cz220 Mar 2026 11:37:45:100Juhita@ksha420 Mar 2026 14:12:01:263100ECOA: Please verify and update the data for the field "Assessment Completed?"updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260310 16:06:26.98320260320 11:37:45.10020260320 14:12:01.2639833533516186713713
469CZES10-CZ10004Medical Services Prague s.r.o.CZ100040006EnrolledScreening Visit 2 (1)CLINICAL OUTCOME ASSESSMENTS COMPLETION STATUS0/0/N2Reason not doneAuto19619883Closedsystemuser20 Mar 2026 11:38:02:817systemuser20 Mar 2026 11:39:25:677systemuser20 Mar 2026 11:39:25:67700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260320 11:38:02.81720260320 11:39:25.67720260320 11:39:25.6779833533516186713713
470CZES10-CZ10004Medical Services Prague s.r.o.CZ100040006EnrolledScreening Visit 2 (1)Date of Visit0/0/NDid this visit occur?DM19501289ClosedAshwini20113 Mar 2026 07:34:17:357gnovotna@email.cz220 Mar 2026 11:41:06:517shyamaprasad97223 Mar 2026 08:47:54:08073DM: Please verify and update the data on CLINICAL OUTCOME ASSESSMENTS COMPLETION STATUS form, else clarify.updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260313 07:34:17.35720260320 11:41:06.51720260323 08:47:54.0809833533516186713713
471CZES10-CZ10004Medical Services Prague s.r.o.CZ100040006EnrolledStudy Drug Administration (1)Study Drug Administration Double Blind Part 10/0/V1End DateDM20108885ClosedJuhita@ksha422 Apr 2026 10:26:11:037BrezVe122 Apr 2026 12:44:05:667Juhita@ksha424 Apr 2026 08:54:53:21302Medical Review I-5159256: Please provide end date.updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260422 10:26:11.03720260422 12:44:05.66720260424 08:54:53.2139833533516186713713
472CZES10-CZ10004Medical Services Prague s.r.o.CZ100040006EnrolledStudy Drug Administration (1)Study Drug Administration Double Blind Part 10/0/V1Start DateAuto19214180Closedsystemuser27 Feb 2026 12:30:12:993systemuser09 Mar 2026 10:21:03:11710Please enter study drug administration start date as soon as it's availableQueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260227 12:30:12.99320260309 10:21:03.1179833533516186713713
473CZES10-CZ10004Medical Services Prague s.r.o.CZ100040006EnrolledStudy Drug Administration (1)Study Drug Administration Open Label Part 2 - Induction0/0/V1Start DateAuto19910693Closedsystemuser10 Apr 2026 11:11:31:393systemuser20 Apr 2026 11:19:18:14710Please enter study drug administration start date as soon as it's availableQueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260410 11:11:31.39320260420 11:19:18.1479833533516186713713
474CZES10-CZ10004Medical Services Prague s.r.o.CZ100040006EnrolledVisit 1.5 Induction (1)Vital Signs0/0/NTemperature Anatomical LocationAuto20632994Closedsystemuser06 May 2026 06:20:15:500systemuser06 May 2026 06:20:19:740systemuser06 May 2026 06:20:19:74700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260506 06:20:15.50020260506 06:20:19.74020260506 06:20:19.7479833533516186713713
475CZES10-CZ10004Medical Services Prague s.r.o.CZ100040006EnrolledVisit 3 Part 1 BaselineDate of Visit0/0/NDid this visit occur?DM20050987ClosedSanchariDutta@02520 Apr 2026 06:37:50:523BrezVe120 Apr 2026 11:28:45:643SanchariDutta@02506 May 2026 12:50:15:523016ECG: Please verify if the ECG was collected at Visit 3 Part 1 Baseline and sent to vendor, else clarify.ecg sent42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260420 06:37:50.52320260420 11:28:45.64320260506 12:50:15.5239833533516186713713
476CZES10-CZ10004Medical Services Prague s.r.o.CZ100040006EnrolledVisit 3 Part 1 BaselineDate of Visit0/0/NDid this visit occur?DM20742599ClosedSanchariDutta@02511 May 2026 07:54:04:230BrezVe111 May 2026 08:52:31:163SanchariDutta@02512 May 2026 06:12:15:14301RQ-ECG1: In vendor file ECG collected for Visit 3 Part 1 Baseline (DOUBLE-BLIND DAY 1) is recorded with the date 25-Mar-2026. Kindly check and confirm the correct collection date and time along with provide the transmittal number in query response. ECG under unscheduled, transmittal number is 153775953, DCF will be done in ERT Clario42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260511 07:54:04.23020260511 08:52:31.16320260512 06:12:15.1439833533516186713713
477CZES10-CZ10004Medical Services Prague s.r.o.CZ100040006EnrolledVisit 8 Part 1 (1)Date of Visit0/1/NDid this visit occur?DM20915933Answeredshyamaprasad97219 May 2026 12:47:10:123EHerman220 May 2026 12:02:23:56721Medical Review I-12758914: Kindly provide the clinical significance of high triglyceride as there is reported hypercholesterolemia in MH page. Kindly clarify if there is any worsening of existing MH.not clinically significant42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260519 12:47:10.12320260520 12:02:23.5679833533516186713713
478CZES10-CZ10004Medical Services Prague s.r.o.CZ100040006EnrolledVisit 8 Part 1 (1)Patient Global Impression of Change - Depression/Insomnia0/0/NCompared to when you started this study, how would you describe your sleep problems?Auto19937298Closedsystemuser13 Apr 2026 10:47:26:567systemuser20 Apr 2026 07:36:03:707systemuser20 Apr 2026 07:36:03:71070Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260413 10:47:26.56720260420 07:36:03.70720260420 07:36:03.7109833533516186713713
479CZES10-CZ10004Medical Services Prague s.r.o.CZ100040007EnrolledInvestigator Periodic Review Acknowledgments/ Interim Signatures 20260520 - PART1 - Interim Investigator Signature0/0/NI have verified that all data in this case book were completed up to the cutoff and I am ready to proceed with sign-off for interim closure.Auto20933431Closedsystemuser20 May 2026 12:12:32:870systemuser20 May 2026 12:16:26:9230Notification : Please click 'Sign' to sign the page then click 'Save'. (query will automatically close when page is saved).QueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260520 12:12:32.87020260520 12:16:26.9239833533513186713713
480CZES10-CZ10004Medical Services Prague s.r.o.CZ100040007EnrolledScreening to end of studyPerceived Treatment Group Assignment0/0/NQuestionnaire completed?Auto20607114Closedsystemuser05 May 2026 07:18:17:060systemuser06 May 2026 07:33:47:3471Please enter Yes or No if questionnaire was completed.QueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260505 07:18:17.06020260506 07:33:47.3479833533513186713713
481CZES10-CZ10004Medical Services Prague s.r.o.CZ100040007EnrolledScreening Visit 1Date of Visit0/0/NDid this visit occur?Site from Medical Reviewer19433992Closedkavya@151010 Mar 2026 04:02:05:080gnovotna@email.cz219 Mar 2026 13:14:29:967kavya@151020 Mar 2026 05:38:11:86091Eligibility: Kindly update the AE page with appropriate details.updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260310 04:02:05.08020260319 13:14:29.96720260320 05:38:11.8609833533513186713713
482CZES10-CZ10004Medical Services Prague s.r.o.CZ100040007EnrolledScreening Visit 1General Medical History0/0/N1What is the verbatim term for the medical history condition/event?Site from Medical Reviewer19470782Closedkavya@151011 Mar 2026 15:08:54:607gnovotna@email.cz219 Mar 2026 13:17:00:517kavya@151020 Mar 2026 05:35:52:38381Eligibility: Kindly confirm if there is any plan for revision surgery and if participant is on any medication for this condition.There is no plan for revision surgery and the participant is not taking any medications for this condition.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260311 15:08:54.60720260319 13:17:00.51720260320 05:35:52.3839833533513186713713
483CZES10-CZ10004Medical Services Prague s.r.o.CZ100040007EnrolledScreening Visit 1General Medical History0/0/N1What is the verbatim term for the medical history condition/event?DM20424991ClosedJuhita@ksha427 Apr 2026 06:33:14:383BrezVe127 Apr 2026 08:33:59:727Juhita@ksha427 Apr 2026 13:05:15:17700Medical Review I-7088767: Kindly mention the indication for surgical procedure in a separate log line.updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260427 06:33:14.38320260427 08:33:59.72720260427 13:05:15.1779833533513186713713
484CZES10-CZ10004Medical Services Prague s.r.o.CZ100040007EnrolledScreening Visit 1General Medical History0/0/N2What is the verbatim term for the medical history condition/event?Site from Medical Reviewer19470677Closedkavya@151011 Mar 2026 14:57:32:933gnovotna@email.cz219 Mar 2026 13:25:18:790kavya@151020 Mar 2026 05:35:36:93781Eligibility: Kindly clarify the underlying cause for the recorded MH, also confirm clinical stability and functional impact during study period.These are occasional, mild back pains that require the use of analgesics once every 1 to 2 months. They are most likely caused by age-related arthritic changes. These pains do not have a significant impact on the patient's functioning.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260311 14:57:32.93320260319 13:25:18.79020260320 05:35:36.9379833533513186713713
485CZES10-CZ10004Medical Services Prague s.r.o.CZ100040007EnrolledScreening Visit 1MGH ATRQ, Geriatric, Section I and II0/0/N1Generic NameAuto19240762Closedsystemuser02 Mar 2026 18:06:59:180systemuser02 Mar 2026 18:09:30:137systemuser02 Mar 2026 18:09:30:13700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260302 18:06:59.18020260302 18:09:30.13720260302 18:09:30.1379833533513186713713
486CZES10-CZ10004Medical Services Prague s.r.o.CZ100040007EnrolledScreening Visit 1Physical Examination0/0/NWas the collection date the same as the visit date?Auto20115487Closedsystemuser22 Apr 2026 12:55:47:927systemuser22 Apr 2026 12:55:57:450systemuser22 Apr 2026 12:55:57:45300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260422 12:55:47.92720260422 12:55:57.45020260422 12:55:57.4539833533513186713713
487CZES10-CZ10004Medical Services Prague s.r.o.CZ100040007EnrolledScreening Visit 2 (1)Date of Visit0/0/NDid this visit occur?DM19882661ClosedAshwini20109 Apr 2026 07:12:20:510BrezVe120 Apr 2026 11:21:04:493Ashwini20121 Apr 2026 15:12:26:987111DM: Please verify and update the data on CLINICAL OUTCOME ASSESSMENTS COMPLETION STATUS form, else clarify.updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260409 07:12:20.51020260420 11:21:04.49320260421 15:12:26.9879833533513186713713
488CZES10-CZ10004Medical Services Prague s.r.o.CZ100040007EnrolledStudy Drug Administration (1)Study Drug Administration Double Blind Part 10/0/N1Start DateAuto19688496Closedsystemuser25 Mar 2026 07:41:23:090systemuser30 Mar 2026 09:19:41:2335Please enter study drug administration start date as soon as it's availableQueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260325 07:41:23.09020260330 09:19:41.2339833533513186713713
489CZES10-CZ10004Medical Services Prague s.r.o.CZ100040007EnrolledStudy Drug Administration (1)Study Drug Administration Open Label Part 2 - Induction0/0/N1Start DateAuto20607113Closedsystemuser05 May 2026 07:18:16:987systemuser06 May 2026 07:32:37:0371Please enter study drug administration start date as soon as it's availableQueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260505 07:18:16.98720260506 07:32:37.0379833533513186713713
490CZES10-CZ10004Medical Services Prague s.r.o.CZ100040007EnrolledVisit 3 Part 1 BaselineDate of Visit0/0/NDid this visit occur?DM20744202ClosedSanchariDutta@02511 May 2026 08:53:37:857BrezVe111 May 2026 10:10:50:913SanchariDutta@02512 May 2026 06:13:33:24701ECG: Please verify if the ECG was collected at Visit 3 Part 1 Baseline and sent to vendor. If collected, kindly provide the transmittal number in query response.transmittal number is 154868756. DCF will be added to ERT Clario42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260511 08:53:37.85720260511 10:10:50.91320260512 06:13:33.2479833533513186713713
491CZES10-CZ10004Medical Services Prague s.r.o.CZ100040007EnrolledVisit 3 Part 1 BaselineStructured Interview Guide for the Montgomery-Asberg Depression Rating Scale0/0/N1. Reported SadnessAuto19688384Closedsystemuser25 Mar 2026 07:38:29:087systemuser25 Mar 2026 07:39:42:380systemuser25 Mar 2026 07:39:42:38000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260325 07:38:29.08720260325 07:39:42.38020260325 07:39:42.3809833533513186713713
492CZES10-CZ10004Medical Services Prague s.r.o.CZ100040007EnrolledVisit 3 Part 1 BaselineStructured Interview Guide for the Montgomery-Asberg Depression Rating Scale0/0/N2. Apparent SadnessAuto19688385Closedsystemuser25 Mar 2026 07:38:29:093systemuser25 Mar 2026 07:39:42:380systemuser25 Mar 2026 07:39:42:38000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260325 07:38:29.09320260325 07:39:42.38020260325 07:39:42.3809833533513186713713
493CZES10-CZ10004Medical Services Prague s.r.o.CZ100040007EnrolledVisit 3 Part 1 BaselineStructured Interview Guide for the Montgomery-Asberg Depression Rating Scale0/0/N3. Inner TensionAuto19688386Closedsystemuser25 Mar 2026 07:38:29:103systemuser25 Mar 2026 07:39:42:380systemuser25 Mar 2026 07:39:42:38000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260325 07:38:29.10320260325 07:39:42.38020260325 07:39:42.3809833533513186713713
494CZES10-CZ10004Medical Services Prague s.r.o.CZ100040007EnrolledVisit 3 Part 1 BaselineStructured Interview Guide for the Montgomery-Asberg Depression Rating Scale0/0/N4. Reduced SleepAuto19688387Closedsystemuser25 Mar 2026 07:38:29:110systemuser25 Mar 2026 07:39:42:380systemuser25 Mar 2026 07:39:42:38000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260325 07:38:29.11020260325 07:39:42.38020260325 07:39:42.3809833533513186713713
495CZES10-CZ10004Medical Services Prague s.r.o.CZ100040007EnrolledVisit 3 Part 1 BaselineStructured Interview Guide for the Montgomery-Asberg Depression Rating Scale0/0/N5. Reduced AppetiteAuto19688388Closedsystemuser25 Mar 2026 07:38:29:113systemuser25 Mar 2026 07:39:42:380systemuser25 Mar 2026 07:39:42:38000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260325 07:38:29.11320260325 07:39:42.38020260325 07:39:42.3809833533513186713713
496CZES10-CZ10004Medical Services Prague s.r.o.CZ100040007EnrolledVisit 3 Part 1 BaselineStructured Interview Guide for the Montgomery-Asberg Depression Rating Scale0/0/N6. Concentration DifficultiesAuto19688389Closedsystemuser25 Mar 2026 07:38:29:120systemuser25 Mar 2026 07:39:42:380systemuser25 Mar 2026 07:39:42:38000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260325 07:38:29.12020260325 07:39:42.38020260325 07:39:42.3809833533513186713713
497CZES10-CZ10004Medical Services Prague s.r.o.CZ100040007EnrolledVisit 3 Part 1 BaselineStructured Interview Guide for the Montgomery-Asberg Depression Rating Scale0/0/N7. LassitudeAuto19688390Closedsystemuser25 Mar 2026 07:38:29:127systemuser25 Mar 2026 07:39:42:380systemuser25 Mar 2026 07:39:42:38000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260325 07:38:29.12720260325 07:39:42.38020260325 07:39:42.3809833533513186713713
498CZES10-CZ10004Medical Services Prague s.r.o.CZ100040007EnrolledVisit 3 Part 1 BaselineStructured Interview Guide for the Montgomery-Asberg Depression Rating Scale0/0/N8. Inability to FeelAuto19688391Closedsystemuser25 Mar 2026 07:38:29:133systemuser25 Mar 2026 07:39:42:380systemuser25 Mar 2026 07:39:42:38000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260325 07:38:29.13320260325 07:39:42.38020260325 07:39:42.3809833533513186713713
499CZES10-CZ10004Medical Services Prague s.r.o.CZ100040007EnrolledVisit 3 Part 1 BaselineStructured Interview Guide for the Montgomery-Asberg Depression Rating Scale0/0/N9. Pessimistic ThoughtsAuto19688392Closedsystemuser25 Mar 2026 07:38:29:140systemuser25 Mar 2026 07:39:42:380systemuser25 Mar 2026 07:39:42:38000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260325 07:38:29.14020260325 07:39:42.38020260325 07:39:42.3809833533513186713713
500CZES10-CZ10004Medical Services Prague s.r.o.CZ100040007EnrolledVisit 3 Part 1 BaselineStructured Interview Guide for the Montgomery-Asberg Depression Rating Scale0/0/N10. Suicidal ThoughtsAuto19688393Closedsystemuser25 Mar 2026 07:38:29:147systemuser25 Mar 2026 07:39:42:380systemuser25 Mar 2026 07:39:42:38000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260325 07:38:29.14720260325 07:39:42.38020260325 07:39:42.3809833533513186713713
501CZES10-CZ10004Medical Services Prague s.r.o.CZ100040007EnrolledVisit 3 Part 1 BaselineStructured Interview Guide for the Montgomery-Asberg Depression Rating Scale0/0/NTOTAL MADRS SCALE SCOREAuto19688394Closedsystemuser25 Mar 2026 07:38:29:153systemuser25 Mar 2026 07:39:42:633systemuser25 Mar 2026 07:39:42:63300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260325 07:38:29.15320260325 07:39:42.63320260325 07:39:42.6339833533513186713713
502CZES10-CZ10004Medical Services Prague s.r.o.CZ100040007EnrolledVisit 3 Part 1 BaselineStructured Interview Guide for the Montgomery-Asberg Depression Rating Scale0/0/NRater's InitialsAuto19688383Closedsystemuser25 Mar 2026 07:38:29:080systemuser25 Mar 2026 07:39:42:397systemuser25 Mar 2026 07:39:42:39700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260325 07:38:29.08020260325 07:39:42.39720260325 07:39:42.3979833533513186713713
503CZES10-CZ10004Medical Services Prague s.r.o.CZ100040007EnrolledVisit 3 Part 1 BaselineStructured Interview Guide for the Montgomery-Asberg Depression Rating Scale0/0/NWas the collection date the same as the visit date?Auto19688382Closedsystemuser25 Mar 2026 07:38:29:073systemuser25 Mar 2026 07:39:42:380systemuser25 Mar 2026 07:39:42:38000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260325 07:38:29.07320260325 07:39:42.38020260325 07:39:42.3809833533513186713713
504CZES10-CZ10004Medical Services Prague s.r.o.CZ100040007EnrolledVisit 5 Part 1 (1)Columbia-Suicide Severity Rating Scale - Since Last Visit0/0/NSuicidal Ideation1. Wish to be DeadAuto19868675Closedsystemuser08 Apr 2026 12:08:33:327systemuser08 Apr 2026 12:09:09:760systemuser08 Apr 2026 12:09:09:76000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260408 12:08:33.32720260408 12:09:09.76020260408 12:09:09.7609833533513186713713
505CZES10-CZ10004Medical Services Prague s.r.o.CZ100040007EnrolledVisit 5 Part 1 (1)Columbia-Suicide Severity Rating Scale - Since Last Visit0/0/N2. Non-Specific Active Suicidal ThoughtsAuto19868676Closedsystemuser08 Apr 2026 12:08:33:337systemuser08 Apr 2026 12:09:09:760systemuser08 Apr 2026 12:09:09:76000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260408 12:08:33.33720260408 12:09:09.76020260408 12:09:09.7609833533513186713713
506CZES10-CZ10004Medical Services Prague s.r.o.CZ100040007EnrolledVisit 5 Part 1 (1)Columbia-Suicide Severity Rating Scale - Since Last Visit0/0/NSuicidal BehaviorActual AttemptAuto19868677Closedsystemuser08 Apr 2026 12:08:33:373systemuser08 Apr 2026 12:09:09:777systemuser08 Apr 2026 12:09:09:77700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260408 12:08:33.37320260408 12:09:09.77720260408 12:09:09.7779833533513186713713
507CZES10-CZ10004Medical Services Prague s.r.o.CZ100040007EnrolledVisit 5 Part 1 (1)Columbia-Suicide Severity Rating Scale - Since Last Visit0/0/NHas subject engaged in Non-Suicidal Self-Injurious Behavior?Auto19868678Closedsystemuser08 Apr 2026 12:08:33:383systemuser08 Apr 2026 12:09:09:777systemuser08 Apr 2026 12:09:09:77700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260408 12:08:33.38320260408 12:09:09.77720260408 12:09:09.7779833533513186713713
508CZES10-CZ10004Medical Services Prague s.r.o.CZ100040007EnrolledVisit 5 Part 1 (1)Columbia-Suicide Severity Rating Scale - Since Last Visit0/0/NInterrupted AttemptAuto19868679Closedsystemuser08 Apr 2026 12:08:33:390systemuser08 Apr 2026 12:09:09:780systemuser08 Apr 2026 12:09:09:78000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260408 12:08:33.39020260408 12:09:09.78020260408 12:09:09.7809833533513186713713
509CZES10-CZ10004Medical Services Prague s.r.o.CZ100040007EnrolledVisit 5 Part 1 (1)Columbia-Suicide Severity Rating Scale - Since Last Visit0/0/NAborted AttemptAuto19868680Closedsystemuser08 Apr 2026 12:08:33:400systemuser08 Apr 2026 12:09:09:780systemuser08 Apr 2026 12:09:09:78000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260408 12:08:33.40020260408 12:09:09.78020260408 12:09:09.7809833533513186713713
510CZES10-CZ10004Medical Services Prague s.r.o.CZ100040007EnrolledVisit 5 Part 1 (1)Columbia-Suicide Severity Rating Scale - Since Last Visit0/0/NPreparatory Acts or BehaviorAuto19868681Closedsystemuser08 Apr 2026 12:08:33:410systemuser08 Apr 2026 12:09:09:780systemuser08 Apr 2026 12:09:09:78000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260408 12:08:33.41020260408 12:09:09.78020260408 12:09:09.7809833533513186713713
511CZES10-CZ10004Medical Services Prague s.r.o.CZ100040007EnrolledVisit 5 Part 1 (1)Columbia-Suicide Severity Rating Scale - Since Last Visit0/0/NSuicidal BehaviorAuto19868682Closedsystemuser08 Apr 2026 12:08:33:420systemuser08 Apr 2026 12:09:09:780systemuser08 Apr 2026 12:09:09:78000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260408 12:08:33.42020260408 12:09:09.78020260408 12:09:09.7809833533513186713713
512CZES10-CZ10004Medical Services Prague s.r.o.CZ100040007EnrolledVisit 5 Part 1 (1)Columbia-Suicide Severity Rating Scale - Since Last Visit0/0/NSuicideAuto19868683Closedsystemuser08 Apr 2026 12:08:33:427systemuser08 Apr 2026 12:09:09:780systemuser08 Apr 2026 12:09:09:78000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260408 12:08:33.42720260408 12:09:09.78020260408 12:09:09.7809833533513186713713
513CZES10-CZ10004Medical Services Prague s.r.o.CZ100040007EnrolledVisit 5 Part 1 (1)Columbia-Suicide Severity Rating Scale - Since Last Visit0/0/NRater's InitialsAuto19868674Closedsystemuser08 Apr 2026 12:08:33:320systemuser08 Apr 2026 12:09:09:780systemuser08 Apr 2026 12:09:09:78000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260408 12:08:33.32020260408 12:09:09.78020260408 12:09:09.7809833533513186713713
514CZES10-CZ10004Medical Services Prague s.r.o.CZ100040007EnrolledVisit 5 Part 1 (1)Columbia-Suicide Severity Rating Scale - Since Last Visit0/0/NWas the collection date the same as the visit date?Auto19868673Closedsystemuser08 Apr 2026 12:08:33:310systemuser08 Apr 2026 12:09:09:780systemuser08 Apr 2026 12:09:09:78000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260408 12:08:33.31020260408 12:09:09.78020260408 12:09:09.7809833533513186713713
515CZES10-CZ10004Medical Services Prague s.r.o.CZ100040007EnrolledVisit 6 Part 1 (1)Vital Signs0/0/NTemperature Anatomical LocationAuto19936534Closedsystemuser13 Apr 2026 10:08:41:383systemuser13 Apr 2026 10:08:56:837systemuser13 Apr 2026 10:08:56:84000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260413 10:08:41.38320260413 10:08:56.83720260413 10:08:56.8409833533513186713713
516CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledAdverse Events/Serious AEsAdverse Events/Serious Aes0/0/V1End DateAuto20424960Closedsystemuser27 Apr 2026 06:32:21:070systemuser27 Apr 2026 06:33:01:427systemuser27 Apr 2026 06:33:01:45000If the Adverse Event is reported as 'Ongoing', an end date should not be present. Please resolve.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260427 06:32:21.07020260427 06:33:01.42720260427 06:33:01.4509833533515186713713
517CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledAdverse Events/Serious AEsAdverse Events/Serious Aes0/0/V1OutcomeDM20744052ClosedAshwini20111 May 2026 08:46:50:330BrezVe111 May 2026 09:00:58:680Ashwini20111 May 2026 12:39:44:35000DM: End date is updated as 08Apr2026 however outcome reported as Not Recovered or Not Resolved. Please verify and update the data as appropriate, else clarify. updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260511 08:46:50.33020260511 09:00:58.68020260511 12:39:44.3509833533515186713713
518CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledAdverse Events/Serious AEsAdverse Events/Serious Aes0/0/V1What is the adverse event term?DM20882876ClosedJuhita@ksha418 May 2026 07:13:12:357EHerman219 May 2026 08:45:55:507Juhita@ksha419 May 2026 09:21:23:13010Medical Review I-12758848: Kindly clarify time of the day when AE occurs, if it is continuous or intermittent and if it affect daily routine activity.cuntinuous, daily routine activity mildly affected42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260518 07:13:12.35720260519 08:45:55.50720260519 09:21:23.1309833533515186713713
519CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledConcomitant TherapyConcomitant Therapy / Medication0/0/V1FrequencySite from Medical Reviewer19527250ClosedRajani_S_N116 Mar 2026 10:48:52:137EHerman219 Mar 2026 07:16:54:707Rajani_S_N119 Mar 2026 11:24:58:14730Eligibility: Kindly mention the frequency at which subject needs to take NIMESULIDEapproximately 2 times in month42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260316 10:48:52.13720260319 07:16:54.70720260319 11:24:58.1479833533515186713713
520CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledConcomitant TherapyConcomitant Therapy / Medication0/0/V1If Start Date is entirely or partially unknown:Was the medication/therapy taken prior to the study?Auto19424767Closedsystemuser09 Mar 2026 13:19:10:440systemuser09 Mar 2026 13:20:23:663systemuser09 Mar 2026 13:20:23:66700Start Date' is entirely or partially unknown. However, response for 'Was the medication/therapy taken prior to the study?' is missing. Please resolve.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260309 13:19:10.44020260309 13:20:23.66320260309 13:20:23.6679833533515186713713
521CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledConcomitant TherapyConcomitant Therapy / Medication0/0/V1Start DateAuto19424784Closedsystemuser09 Mar 2026 13:20:23:787systemuser09 Mar 2026 13:20:51:017systemuser09 Mar 2026 13:20:51:03700Response to 'Was the medication/therapy taken prior to the study' is No, however, 'Start Date' is prior to the 'Informed Consent Date' ("<core:link text='datapoint.uservalue' formoid='DM_GL_900' folderoid='SCREEN' fieldoid='RFICDAT' />") on the "<core:link text='Demographics' formoid='DM_GL_900' folderoid='SCREEN' />" form. Please resolve.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260309 13:20:23.78720260309 13:20:51.01720260309 13:20:51.0379833533515186713713
522CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledConcomitant TherapyConcomitant Therapy / Medication0/0/V1If indication is 'Medical History,' choose the primary corresponding MH log line(s) and term(s)MH log line, and termDM20566175Closedshyamaprasad97230 Apr 2026 11:50:39:370BrezVe104 May 2026 09:28:45:500Ashwini20104 May 2026 11:08:02:07340DM: Please verify and update the correct spelling of the indication.updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260430 11:50:39.37020260504 09:28:45.50020260504 11:08:02.0739833533515186713713
523CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledConcomitant TherapyConcomitant Therapy / Medication0/0/V1If indication is 'Medical History,' choose the primary corresponding MH log line(s) and term(s)MH log line, and termAuto20589161Closedsystemuser04 May 2026 09:28:17:163BrezVe104 May 2026 09:28:39:377Ashwini20104 May 2026 11:07:19:25300The selected logline has been modified from '#001 > CARVICOBRACHIAL SYNDROME' to '#001 > CERVICOBRACHIAL SYNDROME' on 'General Medical History' form. Please either confirm by responding in the query answer box or re-select the correct General Medical History from the drop-down.#DSL#updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260504 09:28:17.16320260504 09:28:39.37720260504 11:07:19.2539833533515186713713
524CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledInvestigator Periodic Review Acknowledgments/ Interim Signatures 20260520 - PART1 - Interim Investigator Signature0/0/NI have verified that all data in this case book were completed up to the cutoff and I am ready to proceed with sign-off for interim closure.Auto20933457Closedsystemuser20 May 2026 12:13:25:987systemuser20 May 2026 12:13:41:3630Notification : Please click 'Sign' to sign the page then click 'Save'. (query will automatically close when page is saved).QueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260520 12:13:25.98720260520 12:13:41.3639833533515186713713
525CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledScreening to end of studyPerceived Treatment Group Assignment0/0/NQuestionnaire completed?Auto20639879Closedsystemuser06 May 2026 07:45:41:780systemuser06 May 2026 08:44:50:4000Please enter Yes or No if questionnaire was completed.QueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260506 07:45:41.78020260506 08:44:50.4009833533515186713713
526CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledScreening Visit 1Alcohol Test0/0/NAlcohol Test ResultAuto19423582Closedsystemuser09 Mar 2026 12:54:59:050systemuser09 Mar 2026 12:55:14:493systemuser09 Mar 2026 12:55:14:49700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260309 12:54:59.05020260309 12:55:14.49320260309 12:55:14.4979833533515186713713
527CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledScreening Visit 1Alcohol Test0/0/NCollection DateAuto19423581Closedsystemuser09 Mar 2026 12:54:59:040systemuser09 Mar 2026 12:55:14:497systemuser09 Mar 2026 12:55:14:49700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260309 12:54:59.04020260309 12:55:14.49720260309 12:55:14.4979833533515186713713
528CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledScreening Visit 1General Medical History0/0/N1What is the verbatim term for the medical history condition/event?Site from Medical Reviewer19527423ClosedRajani_S_N116 Mar 2026 10:53:06:733EHerman219 Mar 2026 07:18:22:820Rajani_S_N119 Mar 2026 11:29:24:00730Eligibility: Kindly mention the severity and clinical stability of medical condition - Cervicobrachial syndromechronic relatively stabile condition, mild severity, approximately one times in month requires analgetic. 42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260316 10:53:06.73320260319 07:18:22.82020260319 11:29:24.0079833533515186713713
529CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledScreening Visit 2 (1)Date of Visit0/0/NDid this visit occur?DM19882667ClosedAshwini20109 Apr 2026 07:13:28:930BrezVe120 Apr 2026 11:21:12:690Ashwini20121 Apr 2026 15:12:11:383111DM: Please verify and update the data on CLINICAL OUTCOME ASSESSMENTS COMPLETION STATUS form, else clarify.updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260409 07:13:28.93020260420 11:21:12.69020260421 15:12:11.3839833533515186713713
530CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledStudy Drug Administration (1)Study Drug Administration Double Blind Part 10/0/V1Start DateAuto19693540Closedsystemuser25 Mar 2026 10:47:30:980systemuser30 Mar 2026 09:20:17:3035Please enter study drug administration start date as soon as it's availableQueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260325 10:47:30.98020260330 09:20:17.3039833533515186713713
531CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledStudy Drug Administration (1)Study Drug Administration Open Label Part 2 - Induction0/0/V1Start DateAuto20639878Closedsystemuser06 May 2026 07:45:41:737systemuser06 May 2026 07:54:01:2970Please enter study drug administration start date as soon as it's availableQueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260506 07:45:41.73720260506 07:54:01.2979833533515186713713
532CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledVisit 3 Part 1 BaselineInsomnia Severity Index0/0/N1. Difficulty falling asleep:Auto19693474Closedsystemuser25 Mar 2026 10:45:23:383systemuser25 Mar 2026 10:46:21:547systemuser25 Mar 2026 10:46:21:55000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260325 10:45:23.38320260325 10:46:21.54720260325 10:46:21.5509833533515186713713
533CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledVisit 3 Part 1 BaselineInsomnia Severity Index0/0/N2. Difficulty staying asleep:Auto19693475Closedsystemuser25 Mar 2026 10:45:23:393systemuser25 Mar 2026 10:46:21:550systemuser25 Mar 2026 10:46:21:55000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260325 10:45:23.39320260325 10:46:21.55020260325 10:46:21.5509833533515186713713
534CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledVisit 3 Part 1 BaselineInsomnia Severity Index0/0/N3. Problem waking up too early in the morning:Auto19693476Closedsystemuser25 Mar 2026 10:45:23:400systemuser25 Mar 2026 10:46:21:550systemuser25 Mar 2026 10:46:21:55000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260325 10:45:23.40020260325 10:46:21.55020260325 10:46:21.5509833533515186713713
535CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledVisit 3 Part 1 BaselineInsomnia Severity Index0/0/N4. How SATISFIED/dissatisfied are you with your current sleep pattern?Auto19693477Closedsystemuser25 Mar 2026 10:45:23:410systemuser25 Mar 2026 10:46:21:550systemuser25 Mar 2026 10:46:21:55000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260325 10:45:23.41020260325 10:46:21.55020260325 10:46:21.5509833533515186713713
536CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledVisit 3 Part 1 BaselineInsomnia Severity Index0/0/N5. To what extent do you consider your sleep problem to INTERFERE with your daily functioning (e.g.,daytime fatigue, ability to function at work/daily chores, concentration, memory, mood)?Auto19693478Closedsystemuser25 Mar 2026 10:45:23:417systemuser25 Mar 2026 10:46:21:550systemuser25 Mar 2026 10:46:21:55000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260325 10:45:23.41720260325 10:46:21.55020260325 10:46:21.5509833533515186713713
537CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledVisit 3 Part 1 BaselineInsomnia Severity Index0/0/N6. How NOTICEABLE to others do you think your sleeping problem is in terms of impairing the quality ofyour life?Auto19693479Closedsystemuser25 Mar 2026 10:45:23:423systemuser25 Mar 2026 10:46:21:550systemuser25 Mar 2026 10:46:21:55000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260325 10:45:23.42320260325 10:46:21.55020260325 10:46:21.5509833533515186713713
538CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledVisit 3 Part 1 BaselineInsomnia Severity Index0/0/N7. How WORRIED/distressed are you about your current sleep problem?Auto19693480Closedsystemuser25 Mar 2026 10:45:23:430systemuser25 Mar 2026 10:46:21:550systemuser25 Mar 2026 10:46:21:55000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260325 10:45:23.43020260325 10:46:21.55020260325 10:46:21.5509833533515186713713
539CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledVisit 3 Part 1 BaselineInsomnia Severity Index0/0/NWas the collection date the same as the visit date?Auto19693473Closedsystemuser25 Mar 2026 10:45:23:370systemuser25 Mar 2026 10:46:21:550systemuser25 Mar 2026 10:46:21:55000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260325 10:45:23.37020260325 10:46:21.55020260325 10:46:21.5509833533515186713713
540CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledVisit 3 Part 1 BaselinePROMIS - Sleep Disturbance0/0/V1. My sleep quality wasAuto19693435Closedsystemuser25 Mar 2026 10:43:14:070systemuser25 Mar 2026 10:44:56:527systemuser25 Mar 2026 10:44:56:52700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260325 10:43:14.07020260325 10:44:56.52720260325 10:44:56.5279833533515186713713
541CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledVisit 3 Part 1 BaselinePROMIS - Sleep Disturbance0/0/V2. My sleep was refreshingAuto19693436Closedsystemuser25 Mar 2026 10:43:14:080systemuser25 Mar 2026 10:44:56:527systemuser25 Mar 2026 10:44:56:52700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260325 10:43:14.08020260325 10:44:56.52720260325 10:44:56.5279833533515186713713
542CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledVisit 3 Part 1 BaselinePROMIS - Sleep Disturbance0/0/V3. I had a problem with my sleepAuto19693437Closedsystemuser25 Mar 2026 10:43:14:087systemuser25 Mar 2026 10:44:56:527systemuser25 Mar 2026 10:44:56:52700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260325 10:43:14.08720260325 10:44:56.52720260325 10:44:56.5279833533515186713713
543CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledVisit 3 Part 1 BaselinePROMIS - Sleep Disturbance0/0/V4. I had difficulty falling asleepAuto19693438Closedsystemuser25 Mar 2026 10:43:14:090systemuser25 Mar 2026 10:44:56:527systemuser25 Mar 2026 10:44:56:52700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260325 10:43:14.09020260325 10:44:56.52720260325 10:44:56.5279833533515186713713
544CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledVisit 3 Part 1 BaselinePROMIS - Sleep Disturbance0/0/V5. My sleep was restlessAuto19693439Closedsystemuser25 Mar 2026 10:43:14:097systemuser25 Mar 2026 10:44:56:527systemuser25 Mar 2026 10:44:56:52700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260325 10:43:14.09720260325 10:44:56.52720260325 10:44:56.5279833533515186713713
545CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledVisit 3 Part 1 BaselinePROMIS - Sleep Disturbance0/0/V6. I tried hard to get to sleepAuto19693440Closedsystemuser25 Mar 2026 10:43:14:103systemuser25 Mar 2026 10:44:56:527systemuser25 Mar 2026 10:44:56:52700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260325 10:43:14.10320260325 10:44:56.52720260325 10:44:56.5279833533515186713713
546CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledVisit 3 Part 1 BaselinePROMIS - Sleep Disturbance0/0/V7. I worried about not being able to fall asleepAuto19693441Closedsystemuser25 Mar 2026 10:43:14:113systemuser25 Mar 2026 10:44:56:527systemuser25 Mar 2026 10:44:56:52700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260325 10:43:14.11320260325 10:44:56.52720260325 10:44:56.5279833533515186713713
547CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledVisit 3 Part 1 BaselinePROMIS - Sleep Disturbance0/0/V8. I was satisfied with my sleepAuto19693442Closedsystemuser25 Mar 2026 10:43:14:117systemuser25 Mar 2026 10:44:56:527systemuser25 Mar 2026 10:44:56:52700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260325 10:43:14.11720260325 10:44:56.52720260325 10:44:56.5279833533515186713713
548CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledVisit 3 Part 1 BaselinePROMIS - Sleep Disturbance0/0/VWas the collection date the same as the visit date?Auto19693434Closedsystemuser25 Mar 2026 10:43:14:060systemuser25 Mar 2026 10:44:56:527systemuser25 Mar 2026 10:44:56:52700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260325 10:43:14.06020260325 10:44:56.52720260325 10:44:56.5279833533515186713713
549CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledVisit 3 Part 1 BaselineVital Signs0/0/NBody Mass IndexAuto19790121Closedsystemuser01 Apr 2026 07:49:42:180systemuser01 Apr 2026 07:50:11:860systemuser01 Apr 2026 07:50:11:86300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260401 07:49:42.18020260401 07:50:11.86020260401 07:50:11.8639833533515186713713
550CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledVisit 3 Part 1 BaselineVital Signs0/0/NDiastolic Blood PressureAuto19790125Closedsystemuser01 Apr 2026 07:49:42:317systemuser01 Apr 2026 07:50:11:877systemuser01 Apr 2026 07:50:11:87700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260401 07:49:42.31720260401 07:50:11.87720260401 07:50:11.8779833533515186713713
551CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledVisit 3 Part 1 BaselineVital Signs0/0/NPulseAuto19790123Closedsystemuser01 Apr 2026 07:49:42:253systemuser01 Apr 2026 07:50:11:887systemuser01 Apr 2026 07:50:11:88700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260401 07:49:42.25320260401 07:50:11.88720260401 07:50:11.8879833533515186713713
552CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledVisit 3 Part 1 BaselineVital Signs0/0/NSystolic Blood PressureAuto19790124Closedsystemuser01 Apr 2026 07:49:42:283systemuser01 Apr 2026 07:50:11:893systemuser01 Apr 2026 07:50:11:89300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260401 07:49:42.28320260401 07:50:11.89320260401 07:50:11.8939833533515186713713
553CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledVisit 3 Part 1 BaselineVital Signs0/0/NWas the collection date the same as the visit date?Auto19790119Closedsystemuser01 Apr 2026 07:49:42:117systemuser01 Apr 2026 07:50:11:893systemuser01 Apr 2026 07:50:11:89300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260401 07:49:42.11720260401 07:50:11.89320260401 07:50:11.8939833533515186713713
554CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledVisit 3 Part 1 BaselineVital Signs0/0/NTemperatureAuto19790122Closedsystemuser01 Apr 2026 07:49:42:213systemuser01 Apr 2026 07:50:11:893systemuser01 Apr 2026 07:50:11:89300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260401 07:49:42.21320260401 07:50:11.89320260401 07:50:11.8939833533515186713713
555CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledVisit 3 Part 1 BaselineVital Signs0/0/NWeightAuto19790120Closedsystemuser01 Apr 2026 07:49:42:157systemuser01 Apr 2026 07:50:11:893systemuser01 Apr 2026 07:50:11:89300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260401 07:49:42.15720260401 07:50:11.89320260401 07:50:11.8939833533515186713713
556CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledVisit 5 Part 1 (1)Columbia-Suicide Severity Rating Scale - Since Last Visit0/0/VSuicidal Ideation1. Wish to be DeadAuto19865696Closedsystemuser08 Apr 2026 10:13:48:173systemuser08 Apr 2026 10:14:19:817systemuser08 Apr 2026 10:14:19:82000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260408 10:13:48.17320260408 10:14:19.81720260408 10:14:19.8209833533515186713713
557CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledVisit 5 Part 1 (1)Columbia-Suicide Severity Rating Scale - Since Last Visit0/0/V2. Non-Specific Active Suicidal ThoughtsAuto19865697Closedsystemuser08 Apr 2026 10:13:48:183systemuser08 Apr 2026 10:14:19:820systemuser08 Apr 2026 10:14:19:82000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260408 10:13:48.18320260408 10:14:19.82020260408 10:14:19.8209833533515186713713
558CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledVisit 5 Part 1 (1)Columbia-Suicide Severity Rating Scale - Since Last Visit0/0/VSuicidal BehaviorActual AttemptAuto19865698Closedsystemuser08 Apr 2026 10:13:48:220systemuser08 Apr 2026 10:14:19:840systemuser08 Apr 2026 10:14:19:84000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260408 10:13:48.22020260408 10:14:19.84020260408 10:14:19.8409833533515186713713
559CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledVisit 5 Part 1 (1)Columbia-Suicide Severity Rating Scale - Since Last Visit0/0/VHas subject engaged in Non-Suicidal Self-Injurious Behavior?Auto19865699Closedsystemuser08 Apr 2026 10:13:48:257systemuser08 Apr 2026 10:14:19:840systemuser08 Apr 2026 10:14:19:84000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260408 10:13:48.25720260408 10:14:19.84020260408 10:14:19.8409833533515186713713
560CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledVisit 5 Part 1 (1)Columbia-Suicide Severity Rating Scale - Since Last Visit0/0/VInterrupted AttemptAuto19865700Closedsystemuser08 Apr 2026 10:13:48:267systemuser08 Apr 2026 10:14:19:840systemuser08 Apr 2026 10:14:19:84000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260408 10:13:48.26720260408 10:14:19.84020260408 10:14:19.8409833533515186713713
561CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledVisit 5 Part 1 (1)Columbia-Suicide Severity Rating Scale - Since Last Visit0/0/VAborted AttemptAuto19865701Closedsystemuser08 Apr 2026 10:13:48:277systemuser08 Apr 2026 10:14:19:840systemuser08 Apr 2026 10:14:19:84300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260408 10:13:48.27720260408 10:14:19.84020260408 10:14:19.8439833533515186713713
562CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledVisit 5 Part 1 (1)Columbia-Suicide Severity Rating Scale - Since Last Visit0/0/VPreparatory Acts or BehaviorAuto19865702Closedsystemuser08 Apr 2026 10:13:48:297systemuser08 Apr 2026 10:14:19:843systemuser08 Apr 2026 10:14:19:84300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260408 10:13:48.29720260408 10:14:19.84320260408 10:14:19.8439833533515186713713
563CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledVisit 5 Part 1 (1)Columbia-Suicide Severity Rating Scale - Since Last Visit0/0/VSuicidal BehaviorAuto19865703Closedsystemuser08 Apr 2026 10:13:48:313systemuser08 Apr 2026 10:14:19:843systemuser08 Apr 2026 10:14:19:84300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260408 10:13:48.31320260408 10:14:19.84320260408 10:14:19.8439833533515186713713
564CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledVisit 5 Part 1 (1)Columbia-Suicide Severity Rating Scale - Since Last Visit0/0/VSuicideAuto19865704Closedsystemuser08 Apr 2026 10:13:48:327systemuser08 Apr 2026 10:14:19:843systemuser08 Apr 2026 10:14:19:84300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260408 10:13:48.32720260408 10:14:19.84320260408 10:14:19.8439833533515186713713
565CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledVisit 5 Part 1 (1)Columbia-Suicide Severity Rating Scale - Since Last Visit0/0/VRater's InitialsAuto19865695Closedsystemuser08 Apr 2026 10:13:48:167systemuser08 Apr 2026 10:14:19:843systemuser08 Apr 2026 10:14:19:84300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260408 10:13:48.16720260408 10:14:19.84320260408 10:14:19.8439833533515186713713
566CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledVisit 5 Part 1 (1)Columbia-Suicide Severity Rating Scale - Since Last Visit0/0/VWas the collection date the same as the visit date?Auto19865694Closedsystemuser08 Apr 2026 10:13:48:150systemuser08 Apr 2026 10:14:19:843systemuser08 Apr 2026 10:14:19:84300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260408 10:13:48.15020260408 10:14:19.84320260408 10:14:19.8439833533515186713713
567CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledVisit 7 Part 1 (1)Columbia-Suicide Severity Rating Scale - Since Last Visit0/0/VSuicidal Ideation1. Wish to be DeadAuto20428553Closedsystemuser27 Apr 2026 08:26:06:767systemuser27 Apr 2026 08:26:27:517systemuser27 Apr 2026 08:26:27:52300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260427 08:26:06.76720260427 08:26:27.51720260427 08:26:27.5239833533515186713713
568CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledVisit 7 Part 1 (1)Columbia-Suicide Severity Rating Scale - Since Last Visit0/0/V2. Non-Specific Active Suicidal ThoughtsAuto20428554Closedsystemuser27 Apr 2026 08:26:06:777systemuser27 Apr 2026 08:26:27:527systemuser27 Apr 2026 08:26:27:52700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260427 08:26:06.77720260427 08:26:27.52720260427 08:26:27.5279833533515186713713
569CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledVisit 7 Part 1 (1)Columbia-Suicide Severity Rating Scale - Since Last Visit0/0/VSuicidal BehaviorActual AttemptAuto20428555Closedsystemuser27 Apr 2026 08:26:06:807systemuser27 Apr 2026 08:26:27:553systemuser27 Apr 2026 08:26:27:55300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260427 08:26:06.80720260427 08:26:27.55320260427 08:26:27.5539833533515186713713
570CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledVisit 7 Part 1 (1)Columbia-Suicide Severity Rating Scale - Since Last Visit0/0/VHas subject engaged in Non-Suicidal Self-Injurious Behavior?Auto20428556Closedsystemuser27 Apr 2026 08:26:06:817systemuser27 Apr 2026 08:26:27:553systemuser27 Apr 2026 08:26:27:55300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260427 08:26:06.81720260427 08:26:27.55320260427 08:26:27.5539833533515186713713
571CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledVisit 7 Part 1 (1)Columbia-Suicide Severity Rating Scale - Since Last Visit0/0/VInterrupted AttemptAuto20428557Closedsystemuser27 Apr 2026 08:26:06:827systemuser27 Apr 2026 08:26:27:553systemuser27 Apr 2026 08:26:27:55300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260427 08:26:06.82720260427 08:26:27.55320260427 08:26:27.5539833533515186713713
572CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledVisit 7 Part 1 (1)Columbia-Suicide Severity Rating Scale - Since Last Visit0/0/VAborted AttemptAuto20428558Closedsystemuser27 Apr 2026 08:26:06:837systemuser27 Apr 2026 08:26:27:553systemuser27 Apr 2026 08:26:27:55300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260427 08:26:06.83720260427 08:26:27.55320260427 08:26:27.5539833533515186713713
573CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledVisit 7 Part 1 (1)Columbia-Suicide Severity Rating Scale - Since Last Visit0/0/VPreparatory Acts or BehaviorAuto20428559Closedsystemuser27 Apr 2026 08:26:06:850systemuser27 Apr 2026 08:26:27:557systemuser27 Apr 2026 08:26:27:55700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260427 08:26:06.85020260427 08:26:27.55720260427 08:26:27.5579833533515186713713
574CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledVisit 7 Part 1 (1)Columbia-Suicide Severity Rating Scale - Since Last Visit0/0/VSuicidal BehaviorAuto20428560Closedsystemuser27 Apr 2026 08:26:06:860systemuser27 Apr 2026 08:26:27:557systemuser27 Apr 2026 08:26:27:55700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260427 08:26:06.86020260427 08:26:27.55720260427 08:26:27.5579833533515186713713
575CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledVisit 7 Part 1 (1)Columbia-Suicide Severity Rating Scale - Since Last Visit0/0/VSuicideAuto20428561Closedsystemuser27 Apr 2026 08:26:06:870systemuser27 Apr 2026 08:26:27:557systemuser27 Apr 2026 08:26:27:55700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260427 08:26:06.87020260427 08:26:27.55720260427 08:26:27.5579833533515186713713
576CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledVisit 7 Part 1 (1)Columbia-Suicide Severity Rating Scale - Since Last Visit0/0/VRater's InitialsAuto20428552Closedsystemuser27 Apr 2026 08:26:06:760systemuser27 Apr 2026 08:26:27:557systemuser27 Apr 2026 08:26:27:55700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260427 08:26:06.76020260427 08:26:27.55720260427 08:26:27.5579833533515186713713
577CZES10-CZ10004Medical Services Prague s.r.o.CZ100040008EnrolledVisit 7 Part 1 (1)Columbia-Suicide Severity Rating Scale - Since Last Visit0/0/VWas the collection date the same as the visit date?Auto20428551Closedsystemuser27 Apr 2026 08:26:06:733systemuser27 Apr 2026 08:26:27:557systemuser27 Apr 2026 08:26:27:55700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260427 08:26:06.73320260427 08:26:27.55720260427 08:26:27.5579833533515186713713
578CZES10-CZ10004Medical Services Prague s.r.o.CZ100040009EnrolledConcomitant TherapyConcomitant Therapy / Medication0/0/V3FrequencySite from Medical Reviewer20021675ClosedMamatha.K117 Apr 2026 06:14:12:037BrezVe120 Apr 2026 11:22:20:627Mamatha.K121 Apr 2026 03:43:26:21331Eligibility : Kindly clarify if the &quot;as necessary&quot; usage has been stable for at least 12 weeks and is expected to remain stable during the course of the trialstable42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260417 06:14:12.03720260420 11:22:20.62720260421 03:43:26.213983353358186713713
579CZES10-CZ10004Medical Services Prague s.r.o.CZ100040009EnrolledInvestigator Periodic Review Acknowledgments/ Interim Signatures 20260520 - PART1 - Interim Investigator Signature0/0/NI have verified that all data in this case book were completed up to the cutoff and I am ready to proceed with sign-off for interim closure.Auto20933474Closedsystemuser20 May 2026 12:14:11:487systemuser20 May 2026 12:14:27:5930Notification : Please click 'Sign' to sign the page then click 'Save'. (query will automatically close when page is saved).QueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260520 12:14:11.48720260520 12:14:27.593983353358186713713
580CZES10-CZ10004Medical Services Prague s.r.o.CZ100040009EnrolledScreening Visit 1Date of Visit0/0/NDid this visit occur?DM20841000ClosedAshwini20114 May 2026 10:14:00:767BrezVe118 May 2026 08:25:28:157Ashwini20118 May 2026 09:32:29:53040DM: Please verify and update the data on Physical Examination, Arizona Sexual Experiences Scale Summary, Educational Level, Local Labs for Background Antidepressant Compliance and Neurologic Examination forms, else clarify.updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260514 10:14:00.76720260518 08:25:28.15720260518 09:32:29.530983353358186713713
581CZES10-CZ10004Medical Services Prague s.r.o.CZ100040009EnrolledScreening Visit 1Demographics0/0/VWhat is the subject's childbearing potential?Site from Medical Reviewer20021790ClosedMamatha.K117 Apr 2026 06:16:21:937BrezVe120 Apr 2026 11:54:40:870Mamatha.K121 Apr 2026 03:45:24:69031Eligibility: Please clarify if the subject is permanently sterilized or postmenopausal. Update as applicabledata are correct42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260417 06:16:21.93720260420 11:54:40.87020260421 03:45:24.690983353358186713713
582CZES10-CZ10004Medical Services Prague s.r.o.CZ100040009EnrolledScreening Visit 1Demographics0/0/VWhat is the subject's childbearing potential?Site from Medical Reviewer20069479 (20021790)ClosedMamatha.K121 Apr 2026 03:45:24:867BrezVe122 Apr 2026 12:50:23:640Mamatha.K123 Apr 2026 05:10:12:78311Eligibility Re- Query : Thank you for the confirmation. Please provide when was the last menses or since when is the subject Menopausalwill be reviewed42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260421 03:45:24.86720260422 12:50:23.64020260423 05:10:12.783983353358186713713
583CZES10-CZ10004Medical Services Prague s.r.o.CZ100040009EnrolledScreening Visit 1Demographics0/0/VWhat is the subject's childbearing potential?Site from Medical Reviewer20128411 (20069479)ClosedMamatha.K123 Apr 2026 05:10:12:987gnovotna@email.cz223 Apr 2026 14:15:54:603Mamatha.K124 Apr 2026 04:33:50:05301Eligibility Re-Query: Kindly note, this information is needed for determining the subject eligibility because per protocol &quot;A postmenopausal state is defined as no menses for 12 months without an alternative medical cause.&quot;.Please provide the details once availablepateint is permanently sterilized from 200542847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260423 05:10:12.98720260423 14:15:54.60320260424 04:33:50.053983353358186713713
584CZES10-CZ10004Medical Services Prague s.r.o.CZ100040009EnrolledScreening Visit 1Demographics0/0/VWhat is the subject's childbearing potential?Site from Medical Reviewer20163350 (20128411)ClosedMamatha.K124 Apr 2026 04:33:50:500gnovotna@email.cz228 Apr 2026 13:15:48:793Mamatha.K129 Apr 2026 04:06:52:56741Eligibility : thank you for the confirmation. Please select the appropriate child beraring potential as per your responseupdated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260424 04:33:50.50020260428 13:15:48.79320260429 04:06:52.567983353358186713713
585CZES10-CZ10004Medical Services Prague s.r.o.CZ100040009EnrolledScreening Visit 1General Medical History0/0/N2What is the verbatim term for the medical history condition/event?DM20078473ClosedCoderImport21 Apr 2026 10:39:43:553BrezVe122 Apr 2026 12:47:59:660systemuser22 Apr 2026 12:48:00:81310CODING: Reported term contains a medical condition as well as a procedure. Please split the term and record the diagnosis and procedure separately. Example: 1.OSTEOTOMY FOR GRADE 3 OSTEOARTHRITIS OF THE KNEE OF THE RIGHT LOWER LIMB and 2. OSTEOTOMY. Thank you.updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260421 10:39:43.55320260422 12:47:59.66020260422 12:48:00.813983353358186713713
586CZES10-CZ10004Medical Services Prague s.r.o.CZ100040009EnrolledScreening Visit 1General Medical History0/0/N4What is the verbatim term for the medical history condition/event?Site from Medical Reviewer20021686ClosedMamatha.K117 Apr 2026 06:14:59:720BrezVe120 Apr 2026 11:55:00:603Mamatha.K121 Apr 2026 03:45:52:65031Eligibility: Please clarify if this was total hysterectomy or partialpartial42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260417 06:14:59.72020260420 11:55:00.60320260421 03:45:52.650983353358186713713
587CZES10-CZ10004Medical Services Prague s.r.o.CZ100040009EnrolledScreening Visit 1General Medical History0/0/N4What is the verbatim term for the medical history condition/event?DM20078470ClosedCoderImport21 Apr 2026 10:38:45:050BrezVe122 Apr 2026 12:46:44:277systemuser22 Apr 2026 12:46:44:98310CODING: Reported term contains a medical condition as well as a procedure. Please split the term and record the diagnosis and procedure separately. Example: 1. MYOMA and 2. HYSTERECTOMY AND OVARIECTOMY. Thank you.updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260421 10:38:45.05020260422 12:46:44.27720260422 12:46:44.983983353358186713713
588CZES10-CZ10004Medical Services Prague s.r.o.CZ100040009EnrolledScreening Visit 2 (1)CLINICAL OUTCOME ASSESSMENTS COMPLETION STATUS0/0/N2Reason not doneAuto20625662Closedsystemuser05 May 2026 14:29:39:990systemuser05 May 2026 14:31:19:430systemuser05 May 2026 14:31:19:43300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260505 14:29:39.99020260505 14:31:19.43020260505 14:31:19.433983353358186713713
589CZES10-CZ10004Medical Services Prague s.r.o.CZ100040009EnrolledStudy Drug Administration (1)Study Drug Administration Open Label Part 2 - Induction0/0/V1Start DateAuto20625655Closedsystemuser05 May 2026 14:29:04:153systemuser06 May 2026 07:35:33:5631Please enter study drug administration start date as soon as it's availableQueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260505 14:29:04.15320260506 07:35:33.563983353358186713713
590CZES10-CZ10004Medical Services Prague s.r.o.CZ100040009EnrolledVisit 1.1 Induction Baseline (1)Date of Visit0/0/NVisit Start DateAuto20633606Closedsystemuser06 May 2026 07:08:12:080BrezVe106 May 2026 07:09:14:597systemuser06 May 2026 09:39:50:36000Date of visit should be greater than the last date of visit. Please reconcile.data are correct42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260506 07:08:12.08020260506 07:09:14.59720260506 09:39:50.360983353358186713713
591CZES10-CZ10005A-Shine s.r.o.CZ100050001Screen FailedConcomitant TherapyConcomitant Therapy / Medication0/0/N7If Yes, Medication or TherapySite from Medical Reviewer16041202Closedinayath119 Sep 2025 05:42:17:200spinkova@email.cz203 Oct 2025 07:54:03:017meghal.choksi@iqvia.com103 Oct 2025 10:19:26:423140Eligibility: Please justify updating Duloxetine in 2 loglines without change in dosage. there is a change in dosage42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250919 05:42:17.20020251003 07:54:03.01720251003 10:19:26.4236335335611713713
592CZES10-CZ10005A-Shine s.r.o.CZ100050001Screen FailedInvestigator Periodic Review Acknowledgments/ Interim Signatures 20251003 - Periodic Investigator's EDC Review Acknowledgement0/0/NAs the investigator, I have ensured the accuracy, completeness, and timeliness of the data reported to the sponsor in the CRFs.Auto16252402Closedsystemuser03 Oct 2025 07:51:36:110systemuser03 Oct 2025 07:55:06:530systemuser03 Oct 2025 07:55:06:65000NOTIFICATION: Date of discontinuation/completion has been completed for the subject. To ensure compliance with regulatory requirements for data oversight, please mark the tick box after you have reviewed the subject’s data in EDC.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251003 07:51:36.11020251003 07:55:06.53020251003 07:55:06.6506335335611713713
593CZES10-CZ10005A-Shine s.r.o.CZ100050001Screen FailedScreening Visit 1Columbia-Suicide Severity Rating Scale - Baseline/Screening Version0/0/NSuicidal Ideation1. Wish to be DeadLifetimeAuto15875831Closedsystemuser09 Sep 2025 10:17:25:517systemuser09 Sep 2025 10:19:36:537systemuser09 Sep 2025 10:19:36:54000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250909 10:17:25.51720250909 10:19:36.53720250909 10:19:36.5406335335611713713
594CZES10-CZ10005A-Shine s.r.o.CZ100050001Screen FailedScreening Visit 1Columbia-Suicide Severity Rating Scale - Baseline/Screening Version0/0/NPast 6 MonthsAuto15875832Closedsystemuser09 Sep 2025 10:17:25:530systemuser09 Sep 2025 10:19:36:553systemuser09 Sep 2025 10:19:36:55300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250909 10:17:25.53020250909 10:19:36.55320250909 10:19:36.5536335335611713713
595CZES10-CZ10005A-Shine s.r.o.CZ100050001Screen FailedScreening Visit 1Columbia-Suicide Severity Rating Scale - Baseline/Screening Version0/0/N2. Non-Specific Active Suicidal ThoughtsLifetimeAuto15875833Closedsystemuser09 Sep 2025 10:17:25:543systemuser09 Sep 2025 10:19:36:553systemuser09 Sep 2025 10:19:36:55300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250909 10:17:25.54320250909 10:19:36.55320250909 10:19:36.5536335335611713713
596CZES10-CZ10005A-Shine s.r.o.CZ100050001Screen FailedScreening Visit 1Columbia-Suicide Severity Rating Scale - Baseline/Screening Version0/0/NPast 6 MonthsAuto15875834Closedsystemuser09 Sep 2025 10:17:25:553systemuser09 Sep 2025 10:19:36:553systemuser09 Sep 2025 10:19:36:55300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250909 10:17:25.55320250909 10:19:36.55320250909 10:19:36.5536335335611713713
597CZES10-CZ10005A-Shine s.r.o.CZ100050001Screen FailedScreening Visit 1Columbia-Suicide Severity Rating Scale - Baseline/Screening Version0/0/NSuicidal BehaviorActual AttemptLifetimeAuto15875835Closedsystemuser09 Sep 2025 10:17:25:730systemuser09 Sep 2025 10:19:36:557systemuser09 Sep 2025 10:19:36:55700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250909 10:17:25.73020250909 10:19:36.55720250909 10:19:36.5576335335611713713
598CZES10-CZ10005A-Shine s.r.o.CZ100050001Screen FailedScreening Visit 1Columbia-Suicide Severity Rating Scale - Baseline/Screening Version0/0/NPast 1 YearsAuto15875836Closedsystemuser09 Sep 2025 10:17:25:743systemuser09 Sep 2025 10:19:36:557systemuser09 Sep 2025 10:19:36:55700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250909 10:17:25.74320250909 10:19:36.55720250909 10:19:36.5576335335611713713
599CZES10-CZ10005A-Shine s.r.o.CZ100050001Screen FailedScreening Visit 1Columbia-Suicide Severity Rating Scale - Baseline/Screening Version0/0/NHas subject engaged in Non-Suicidal Self-Injurious Behavior?LifetimeAuto15875837Closedsystemuser09 Sep 2025 10:17:25:777systemuser09 Sep 2025 10:19:36:557systemuser09 Sep 2025 10:19:36:55700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250909 10:17:25.77720250909 10:19:36.55720250909 10:19:36.5576335335611713713
600CZES10-CZ10005A-Shine s.r.o.CZ100050001Screen FailedScreening Visit 1Columbia-Suicide Severity Rating Scale - Baseline/Screening Version0/0/NPast 1 YearsAuto15875838Closedsystemuser09 Sep 2025 10:17:25:787systemuser09 Sep 2025 10:19:36:557systemuser09 Sep 2025 10:19:36:55700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250909 10:17:25.78720250909 10:19:36.55720250909 10:19:36.5576335335611713713
601CZES10-CZ10005A-Shine s.r.o.CZ100050001Screen FailedScreening Visit 1Columbia-Suicide Severity Rating Scale - Baseline/Screening Version0/0/NInterrupted AttemptLifetimeAuto15875839Closedsystemuser09 Sep 2025 10:17:25:797systemuser09 Sep 2025 10:19:36:557systemuser09 Sep 2025 10:19:36:55700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250909 10:17:25.79720250909 10:19:36.55720250909 10:19:36.5576335335611713713
602CZES10-CZ10005A-Shine s.r.o.CZ100050001Screen FailedScreening Visit 1Columbia-Suicide Severity Rating Scale - Baseline/Screening Version0/0/NPast 1 YearsAuto15875840Closedsystemuser09 Sep 2025 10:17:25:807systemuser09 Sep 2025 10:19:36:557systemuser09 Sep 2025 10:19:36:55700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250909 10:17:25.80720250909 10:19:36.55720250909 10:19:36.5576335335611713713
603CZES10-CZ10005A-Shine s.r.o.CZ100050001Screen FailedScreening Visit 1Columbia-Suicide Severity Rating Scale - Baseline/Screening Version0/0/NAborted AttemptLifetimeAuto15875841Closedsystemuser09 Sep 2025 10:17:25:837systemuser09 Sep 2025 10:19:36:557systemuser09 Sep 2025 10:19:36:55700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250909 10:17:25.83720250909 10:19:36.55720250909 10:19:36.5576335335611713713
604CZES10-CZ10005A-Shine s.r.o.CZ100050001Screen FailedScreening Visit 1Columbia-Suicide Severity Rating Scale - Baseline/Screening Version0/0/NPast 1 YearsAuto15875842Closedsystemuser09 Sep 2025 10:17:25:853systemuser09 Sep 2025 10:19:36:557systemuser09 Sep 2025 10:19:36:55700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250909 10:17:25.85320250909 10:19:36.55720250909 10:19:36.5576335335611713713
605CZES10-CZ10005A-Shine s.r.o.CZ100050001Screen FailedScreening Visit 1Columbia-Suicide Severity Rating Scale - Baseline/Screening Version0/0/NPreparatory Acts or BehaviorLifetimeAuto15875843Closedsystemuser09 Sep 2025 10:17:25:880systemuser09 Sep 2025 10:19:36:557systemuser09 Sep 2025 10:19:36:55700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250909 10:17:25.88020250909 10:19:36.55720250909 10:19:36.5576335335611713713
606CZES10-CZ10005A-Shine s.r.o.CZ100050001Screen FailedScreening Visit 1Columbia-Suicide Severity Rating Scale - Baseline/Screening Version0/0/NPast 1 YearsAuto15875844Closedsystemuser09 Sep 2025 10:17:25:890systemuser09 Sep 2025 10:19:36:557systemuser09 Sep 2025 10:19:36:55700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250909 10:17:25.89020250909 10:19:36.55720250909 10:19:36.5576335335611713713
607CZES10-CZ10005A-Shine s.r.o.CZ100050001Screen FailedScreening Visit 1Columbia-Suicide Severity Rating Scale - Baseline/Screening Version0/0/NSuicidal BehaviorLifetimeAuto15875845Closedsystemuser09 Sep 2025 10:17:25:907systemuser09 Sep 2025 10:19:36:557systemuser09 Sep 2025 10:19:36:55700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250909 10:17:25.90720250909 10:19:36.55720250909 10:19:36.5576335335611713713
608CZES10-CZ10005A-Shine s.r.o.CZ100050001Screen FailedScreening Visit 1Columbia-Suicide Severity Rating Scale - Baseline/Screening Version0/0/NPast 1 YearsAuto15875846Closedsystemuser09 Sep 2025 10:17:25:917systemuser09 Sep 2025 10:19:36:557systemuser09 Sep 2025 10:19:36:55700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250909 10:17:25.91720250909 10:19:36.55720250909 10:19:36.5576335335611713713
609CZES10-CZ10005A-Shine s.r.o.CZ100050001Screen FailedScreening Visit 1Columbia-Suicide Severity Rating Scale - Baseline/Screening Version0/0/NRater's InitialsAuto15875830Closedsystemuser09 Sep 2025 10:17:25:507systemuser09 Sep 2025 10:19:36:553systemuser09 Sep 2025 10:19:36:55700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250909 10:17:25.50720250909 10:19:36.55320250909 10:19:36.5576335335611713713
610CZES10-CZ10005A-Shine s.r.o.CZ100050001Screen FailedScreening Visit 1Columbia-Suicide Severity Rating Scale - Baseline/Screening Version0/0/NWas the collection date the same as the visit date?Auto15875829Closedsystemuser09 Sep 2025 10:17:25:480systemuser09 Sep 2025 10:19:36:553systemuser09 Sep 2025 10:19:36:55300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250909 10:17:25.48020250909 10:19:36.55320250909 10:19:36.5536335335611713713
611CZES10-CZ10005A-Shine s.r.o.CZ100050001Screen FailedScreening Visit 1Date of Visit0/0/NSubject's StatusAuto16252400Closedsystemuser03 Oct 2025 07:50:57:867spinkova@email.cz203 Oct 2025 07:54:47:593shyamaprasad97206 Oct 2025 06:17:53:70303Were all eligibility criteria met?’ was answered as ‘No’, the subject’s status got updated to ‘Discontinuing Study’. Please confirm by responding in the query answer box.I confirm42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251003 07:50:57.86720251003 07:54:47.59320251006 06:17:53.7036335335611713713
612CZES10-CZ10005A-Shine s.r.o.CZ100050001Screen FailedScreening Visit 1General Medical History0/0/N1What is the verbatim term for the medical history condition/event?DM15953427ClosedCoderImport14 Sep 2025 06:07:02:803spinkova@email.cz203 Oct 2025 07:46:34:010systemuser03 Oct 2025 07:46:34:190190CODING: Reported term contains a medical condition as well as a procedure. Please split the term and record the diagnosis and procedure separately. Example: 1. MYOMA and 2. HYSTERECTOMY.updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250914 06:07:02.80320251003 07:46:34.01020251003 07:46:34.1906335335611713713
613CZES10-CZ10005A-Shine s.r.o.CZ100050001Screen FailedScreening Visit 1General Medical History0/0/N1What is the verbatim term for the medical history condition/event?Site from Medical Reviewer16041221Closedinayath119 Sep 2025 05:47:10:473spinkova@email.cz203 Oct 2025 07:46:39:603meghal.choksi@iqvia.com103 Oct 2025 10:19:26:497140Eligibility: Please confirm whether hysterectomy was partial or complete. updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250919 05:47:10.47320251003 07:46:39.60320251003 10:19:26.4976335335611713713
614CZES10-CZ10005A-Shine s.r.o.CZ100050001Screen FailedScreening Visit 1General Medical History0/0/N7What is the verbatim term for the medical history condition/event?DM16340823ClosedCoderImport09 Oct 2025 14:12:18:973spinkova@email.cz219 Nov 2025 16:16:49:787systemuser19 Nov 2025 16:16:49:940410CODING: Reported term contains a medical condition as well as a procedure. Please split the term and record the diagnosis and procedure separately. Example: 1. UTERINE MYOMA and 2. HYSTERECTOMY.updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251009 14:12:18.97320251119 16:16:49.78720251119 16:16:49.9406335335611713713
615CZES10-CZ10005A-Shine s.r.o.CZ100050001Screen FailedScreening Visit 1General Medical History0/0/N7Start DateAuto17104107Closedsystemuser19 Nov 2025 16:15:24:390systemuser19 Nov 2025 16:15:35:8900Data is not in the expected format. Please Correct.QueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251119 16:15:24.39020251119 16:15:35.8906335335611713713
616CZES10-CZ10005A-Shine s.r.o.CZ100050001Screen FailedScreening Visit 1Vital Signs0/0/NTemperature Anatomical LocationAuto15886841Closedsystemuser09 Sep 2025 18:01:13:100systemuser09 Sep 2025 18:01:29:863systemuser09 Sep 2025 18:01:29:86300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250909 18:01:13.10020250909 18:01:29.86320250909 18:01:29.8636335335611713713
617CZES10-CZ10005A-Shine s.r.o.CZ100050002Screen FailedConcomitant TherapyConcomitant Therapy / Medication0/0/N3If Start Date is entirely or partially unknown:Was the medication/therapy taken prior to the study?Auto16773754Closedsystemuser04 Nov 2025 13:15:44:733systemuser04 Nov 2025 13:18:27:157systemuser04 Nov 2025 13:18:27:16000Start Date' is entirely or partially unknown. However, response for 'Was the medication/therapy taken prior to the study?' is missing. Please resolve.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251104 13:15:44.73320251104 13:18:27.15720251104 13:18:27.1606335335511713713
618CZES10-CZ10005A-Shine s.r.o.CZ100050002Screen FailedConcomitant TherapyConcomitant Therapy / Medication0/0/N3If indication is 'Medical History,' choose the primary corresponding MH log line(s) and term(s)MH log line, and termAuto18723689Closedsystemuser02 Feb 2026 14:26:22:177systemuser02 Feb 2026 14:29:31:210systemuser02 Feb 2026 14:29:31:21000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260202 14:26:22.17720260202 14:29:31.21020260202 14:29:31.2106335335511713713
619CZES10-CZ10005A-Shine s.r.o.CZ100050002Screen FailedConcomitant TherapyConcomitant Therapy / Medication0/0/N3IndicationSite from Medical Reviewer16932878Closedjoetrombello111 Nov 2025 20:20:46:790spinkova@email.cz219 Nov 2025 16:19:43:590MAhmad20319 Nov 2025 19:13:29:00080medical reviewer: Pls clarify if the primary indication was major depression or related conditions like insomnia or anxiety. Please review and revise here and in MH if deemed clinically necessary.insomnia in depressive disorder42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251111 20:20:46.79020251119 16:19:43.59020251119 19:13:29.0006335335511713713
620CZES10-CZ10005A-Shine s.r.o.CZ100050002Screen FailedConcomitant TherapyConcomitant Therapy / Medication0/0/N3IndicationSite from Medical Reviewer17108322 (16932878)ClosedMAhmad20319 Nov 2025 19:13:29:220spinkova@email.cz202 Feb 2026 14:26:30:617ewajs112 Feb 2026 13:59:09:7937510Since Trazodone was given for insomnia, please update indication to insomnia, and add insomnia to Medical History pageupdated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251119 19:13:29.22020260202 14:26:30.61720260212 13:59:09.7936335335511713713
621CZES10-CZ10005A-Shine s.r.o.CZ100050002Screen FailedConcomitant TherapyConcomitant Therapy / Medication0/0/N3IndicationSite from Medical Reviewer18037493ClosedMAhmad20317 Dec 2025 03:25:01:397spinkova@email.cz202 Feb 2026 14:26:42:047ewajs112 Feb 2026 13:59:15:6134710Since Trazodone was given for insomnia, please update indication to insomnia, and add insomnia to Medical History page. Insomnia is a comorbidity of MDD.updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251217 03:25:01.39720260202 14:26:42.04720260212 13:59:15.6136335335511713713
622CZES10-CZ10005A-Shine s.r.o.CZ100050002Screen FailedConcomitant TherapyConcomitant Therapy / Medication0/0/N3IndicationAuto18723688Closedsystemuser02 Feb 2026 14:26:22:163spinkova@email.cz202 Feb 2026 14:26:35:477Ashwini20105 Feb 2026 09:53:06:33003"Is this a medication/therapy taken for current episode of depression?" is 'Yes', however, Indication is not selected as 'Trial Indication'. Please resolve.updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260202 14:26:22.16320260202 14:26:35.47720260205 09:53:06.3306335335511713713
623CZES10-CZ10005A-Shine s.r.o.CZ100050002Screen FailedConcomitant TherapyConcomitant Therapy / Medication0/0/N4IndicationSite from Medical Reviewer16932856Closedjoetrombello111 Nov 2025 20:20:24:310spinkova@email.cz219 Nov 2025 16:20:04:587MAhmad20319 Nov 2025 19:15:31:99780medical reviewer: Pls clarify if the primary indication was major depression or related conditions like insomnia or anxiety. Please review and revise here and in MH if deemed clinically necessary.insomnia in depressive disorder42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251111 20:20:24.31020251119 16:20:04.58720251119 19:15:31.9976335335511713713
624CZES10-CZ10005A-Shine s.r.o.CZ100050002Screen FailedConcomitant TherapyConcomitant Therapy / Medication0/0/N4IndicationSite from Medical Reviewer17108379 (16932856)ClosedMAhmad20319 Nov 2025 19:15:32:157spinkova@email.cz202 Feb 2026 14:30:23:670ewajs112 Feb 2026 14:00:46:3177510Since quetiapine was given for insomnia, please update indication to insomnia, and add insomnia to Medical History pageupdated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251119 19:15:32.15720260202 14:30:23.67020260212 14:00:46.3176335335511713713
625CZES10-CZ10005A-Shine s.r.o.CZ100050002Screen FailedConcomitant TherapyConcomitant Therapy / Medication0/0/N4IndicationSite from Medical Reviewer18037500ClosedMAhmad20317 Dec 2025 03:25:47:727spinkova@email.cz202 Feb 2026 14:30:38:450ewajs112 Feb 2026 14:00:49:9604710Since quetiapine was given for insomnia, please update indication to insomnia, and add insomnia to Medical History page Insomnia is a comorbidity of MDDupdated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251217 03:25:47.72720260202 14:30:38.45020260212 14:00:49.9606335335511713713
626CZES10-CZ10005A-Shine s.r.o.CZ100050002Screen FailedConcomitant TherapyConcomitant Therapy / Medication0/0/N4IndicationAuto18723777Closedsystemuser02 Feb 2026 14:29:56:473spinkova@email.cz202 Feb 2026 14:30:31:563Ashwini20105 Feb 2026 09:53:16:66303"Is this a medication/therapy taken for current episode of depression?" is 'Yes', however, Indication is not selected as 'Trial Indication'. Please resolve.updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260202 14:29:56.47320260202 14:30:31.56320260205 09:53:16.6636335335511713713
627CZES10-CZ10005A-Shine s.r.o.CZ100050002Screen FailedConcomitant TherapyConcomitant Therapy / Medication0/0/N4End DateSite from Medical Reviewer17004570Cancelledkavya@151014 Nov 2025 09:07:50:083kavya@151020 Nov 2025 20:21:36:950Eligibility: Please note, ongoing Antipsychotics are prohibited at least 14 days prior to Day 1 until the Follow-up visit. Kindly comment if the subject agrees to discontinue drug &amp; PI consider Clinically indicated to discontinue. If so, Can PI confirm whether drug can be safely tapered off with washout of 14 days as per exclusion #29 &amp; prohibited medication section 6.9.2.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251114 09:07:50.08320251120 20:21:36.9506335335511713713
628CZES10-CZ10005A-Shine s.r.o.CZ100050002Screen FailedInvestigator Periodic Review Acknowledgments/ Interim Signatures 20260211 - Periodic Investigator's EDC Review Acknowledgement0/0/NAs the investigator, I have ensured the accuracy, completeness, and timeliness of the data reported to the sponsor in the CRFs.Auto17104258Closedsystemuser19 Nov 2025 16:23:30:060systemuser11 Feb 2026 12:26:55:840systemuser11 Feb 2026 12:26:55:997840NOTIFICATION: Date of discontinuation/completion has been completed for the subject. To ensure compliance with regulatory requirements for data oversight, please mark the tick box after you have reviewed the subject’s data in EDC.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251119 16:23:30.06020260211 12:26:55.84020260211 12:26:55.9976335335511713713
629CZES10-CZ10005A-Shine s.r.o.CZ100050002Screen FailedScreening Visit 1Date of Visit0/0/NSubject's StatusAuto17104254Closedsystemuser19 Nov 2025 16:22:36:277spinkova@email.cz219 Nov 2025 16:25:32:903Ashwini20121 Nov 2025 09:08:28:39702Were all eligibility criteria met?’ was answered as ‘No’, the subject’s status got updated to ‘Discontinuing Study’. Please confirm by responding in the query answer box.I confirm42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251119 16:22:36.27720251119 16:25:32.90320251121 09:08:28.3976335335511713713
630CZES10-CZ10005A-Shine s.r.o.CZ100050002Screen FailedScreening Visit 1Date of Visit0/0/NDid this visit occur?Site from Medical Reviewer16996619Closedkavya@151013 Nov 2025 20:10:53:490spinkova@email.cz219 Nov 2025 16:18:15:230kavya@151020 Nov 2025 20:21:03:40361Eligibility: Kindly update details in the AE page with Yes or No.the page is complete42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251113 20:10:53.49020251119 16:18:15.23020251120 20:21:03.4036335335511713713
631CZES10-CZ10005A-Shine s.r.o.CZ100050002Screen FailedScreening Visit 1Date of Visit0/0/NDid this visit occur?DM18173132ClosedAshwini20123 Dec 2025 07:08:45:840spinkova@email.cz202 Feb 2026 14:31:28:140shyamaprasad97203 Feb 2026 08:38:05:610411DM: Please verify and update the field 'Were any adverse events experienced?' on Adverse event form.updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251223 07:08:45.84020260202 14:31:28.14020260203 08:38:05.6106335335511713713
632CZES10-CZ10005A-Shine s.r.o.CZ100050002Screen FailedScreening Visit 1Demographics0/0/NSex reported at birthAuto16765790Closedsystemuser04 Nov 2025 09:43:51:270systemuser04 Nov 2025 09:44:15:627systemuser04 Nov 2025 09:44:15:64000Sex reported at birth is 'Male. However, What is the subject's childbearing potential? is selected other than 'Not Applicable'. Please review.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251104 09:43:51.27020251104 09:44:15.62720251104 09:44:15.6406335335511713713
633CZES10-CZ10005A-Shine s.r.o.CZ100050002Screen FailedScreening Visit 1Psychiatric History for Major Depressive Disorder0/0/N1Psychiatric DisorderAuto16770588Closedsystemuser04 Nov 2025 11:48:48:333systemuser04 Nov 2025 11:49:22:097systemuser04 Nov 2025 11:49:22:10000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251104 11:48:48.33320251104 11:49:22.09720251104 11:49:22.1006335335511713713
634CZES10-CZ10008Clintrial s r oCZ100080001CompletedConcomitant TherapyConcomitant Therapy / Medication0/0/V2Is the medication/therapy still ongoing?DM19723934ClosedJThoma85826 Mar 2026 11:48:28:717v.smidkova109 Apr 2026 06:31:57:270JThoma85813 Apr 2026 07:22:23:443144DM: Please note the drug is given for current episode of depression and recorded in MGH ATRQ-Non Geriatric Section I and II , however the drug is not ongoing in CM form. As per guidance &quot; End Date should be blank (if there are multiple records, then previous record may have end date/dose change, but current record should match MGH-ATRQ&quot;'. Kindly recheck and verify. Else clarifyThe subject used dose 300 mg of Venlafaxine from 22Feb2023 (150 mg twice daily) and then the dose 75 mg was added on 18Sep2024. The total dose from 18 Sep2024 was 375 mg (this dose is mentioned in MGH-ATRQ)42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260326 11:48:28.71720260409 06:31:57.27020260413 07:22:23.4439433533537231713713
635CZES10-CZ10008Clintrial s r oCZ100080001CompletedConcomitant TherapyConcomitant Therapy / Medication0/0/V2Start DateDM18628769ClosedLisa23227 Jan 2026 08:11:58:273v.smidkova129 Jan 2026 07:31:11:753Lisa23212 Feb 2026 11:01:21:600214DM: The start date 18 Sep 2024 of the logline#2 is overlapping with the end date 30 Jan 2025 of logline #1. Please verify and update the dates accordingly. The patient was taking 150 mg from 22.2.2023, on 18.9.2024 the dose was increased from 75 mg to 225 mg daily.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260127 08:11:58.27320260129 07:31:11.75320260212 11:01:21.6009433533537231713713
636CZES10-CZ10008Clintrial s r oCZ100080001CompletedConcomitant TherapyConcomitant Therapy / Medication0/0/V2Start DateDM18906071CancelledLisa23212 Feb 2026 11:03:13:677Lisa23212 Feb 2026 11:04:45:677RQ-DM1: Response noted, however the start date of logline 6 cannot be the same as the end date of logline 3. Please verify and update the dates accordingly.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260212 11:03:13.67720260212 11:04:45.6779433533537231713713
637CZES10-CZ10008Clintrial s r oCZ100080001CompletedConcomitant TherapyConcomitant Therapy / Medication0/0/V2Start DateDM18906145ClosedLisa23212 Feb 2026 11:05:02:080v.smidkova117 Feb 2026 07:38:36:860Lisa23223 Feb 2026 07:58:54:97056RQ-DM1: As per query response, CM dose was increased on 18 Sep 2024, however, start date of logline 2 is overlapping with logline 1. Please review and amend or clarify.ADT does not overlap, as 150mg was increased by 75mg for a total daily intake of 225mg. 150mg was taken twice daily 75mg was taken once daily42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260212 11:05:02.08020260217 07:38:36.86020260223 07:58:54.9709433533537231713713
638CZES10-CZ10008Clintrial s r oCZ100080001CompletedConcomitant TherapyConcomitant Therapy / Medication0/0/V7If Prophylaxis or Other, SpecifyAuto14468174Closedsystemuser17 Jul 2025 09:43:16:880systemuser17 Jul 2025 09:47:02:313systemuser17 Jul 2025 09:47:02:31300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250717 09:43:16.88020250717 09:47:02.31320250717 09:47:02.3139433533537231713713
639CZES10-CZ10008Clintrial s r oCZ100080001CompletedFollow-up 7-14 Days After (1)Structured Interview Guide for the Montgomery-Asberg Depression Rating Scale0/0/VWas the collection date the same as the visit date?Auto17207779Closedsystemuser24 Nov 2025 07:14:28:817systemuser24 Nov 2025 07:14:35:507systemuser24 Nov 2025 07:14:35:51000Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251124 07:14:28.81720251124 07:14:35.50720251124 07:14:35.5109433533537231713713
640CZES10-CZ10008Clintrial s r oCZ100080001CompletedInvestigator Periodic Review Acknowledgments/ Interim Signatures 20251211 - Periodic Investigator's EDC Review Acknowledgement0/0/NAs the investigator, I have ensured the accuracy, completeness, and timeliness of the data reported to the sponsor in the CRFs.Auto17891908Closedsystemuser10 Dec 2025 11:17:04:190systemuser11 Dec 2025 07:42:01:720systemuser11 Dec 2025 07:42:01:83310NOTIFICATION: Date of discontinuation/completion has been completed for the subject. To ensure compliance with regulatory requirements for data oversight, please mark the tick box after you have reviewed the subject’s data in EDC.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251210 11:17:04.19020251211 07:42:01.72020251211 07:42:01.8339433533537231713713
641CZES10-CZ10008Clintrial s r oCZ100080001CompletedInvestigator Periodic Review Acknowledgments/ Interim Signatures 20260520 - PART1 - Interim Investigator Signature0/0/NI have verified that all data in this case book were completed up to the cutoff and I am ready to proceed with sign-off for interim closure.Auto20933069Closedsystemuser20 May 2026 11:56:48:300systemuser20 May 2026 11:57:37:7530Notification : Please click 'Sign' to sign the page then click 'Save'. (query will automatically close when page is saved).QueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260520 11:56:48.30020260520 11:57:37.7539433533537231713713
642CZES10-CZ10008Clintrial s r oCZ100080001CompletedScreening to end of studyDrug Expiry Information0/0/NDid the subject take all investigational medication within the expiry timeframe?Auto18571810Closedsystemuser22 Jan 2026 06:46:38:950systemuser22 Jan 2026 06:46:52:907systemuser22 Jan 2026 06:46:52:90700There are no active logline in this form. Please resolve.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260122 06:46:38.95020260122 06:46:52.90720260122 06:46:52.9079433533537231713713
643CZES10-CZ10008Clintrial s r oCZ100080001CompletedScreening to end of studyMenstrual Cycle Tracking Log0/0/N1Start date of menstrual periodDM15765188ClosedAshwini20102 Sep 2025 15:44:45:360v.smidkova111 Sep 2025 11:14:35:773Ashwini20114 Oct 2025 13:35:32:047933DM: Please verify and update the menstrual cycle data for month of Jul and Aug 2025, else clarify.added42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250902 15:44:45.36020250911 11:14:35.77320251014 13:35:32.0479433533537231713713
644CZES10-CZ10008Clintrial s r oCZ100080001CompletedScreening to end of studyMenstrual Cycle Tracking Log0/0/N2Stop date of menstrual periodDM16398884ClosedAshwini20114 Oct 2025 13:37:27:723m.deif216 Oct 2025 07:55:08:213Ashwini20116 Oct 2025 08:34:20:31020DM: Please verify and update the end date as appropriate, else clarify. updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251014 13:37:27.72320251016 07:55:08.21320251016 08:34:20.3109433533537231713713
645CZES10-CZ10008Clintrial s r oCZ100080001CompletedScreening to end of studyMenstrual Cycle Tracking Log0/0/N3Stop date of menstrual periodDM19445871CancelledJThoma85810 Mar 2026 13:43:33:933JThoma85810 Mar 2026 13:43:43:343DM: Please update the Menstrual Cycle Tracking Log for the month of Sep and Oct c 2025. else clarify.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260310 13:43:33.93320260310 13:43:43.3439433533537231713713
646CZES10-CZ10008Clintrial s r oCZ100080001CompletedScreening to end of studyMenstrual Cycle Tracking Log0/0/N3Stop date of menstrual periodDM19445879ClosedJThoma85810 Mar 2026 13:44:03:500v.smidkova112 Mar 2026 07:42:30:470JThoma85816 Mar 2026 05:43:02:29724DM: Please update the Menstrual Cycle Tracking Log for the month of Sep and Oct 2025. else clarifyadded42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260310 13:44:03.50020260312 07:42:30.47020260316 05:43:02.2979433533537231713713
647CZES10-CZ10008Clintrial s r oCZ100080001CompletedScreening to end of studyMenstrual Cycle Tracking Log0/0/N5Stop date of menstrual periodDM20567074ClosedJThoma85830 Apr 2026 12:45:34:723v.smidkova106 May 2026 09:02:07:683JThoma85807 May 2026 08:28:31:27361DM: Kindly update the menstrual cycle data for the month of Nov 2025.the last menstrual cycle record is 9.10-14.10.202542847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260430 12:45:34.72320260506 09:02:07.68320260507 08:28:31.2739433533537231713713
648CZES10-CZ10008Clintrial s r oCZ100080001CompletedScreening to end of studyPerceived Treatment Group Assignment0/0/NQuestionnaire completed?Auto15895070Closedsystemuser10 Sep 2025 08:51:06:850systemuser11 Sep 2025 11:18:02:9131Please enter Yes or No if questionnaire was completed.QueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250910 08:51:06.85020250911 11:18:02.9139433533537231713713
649CZES10-CZ10008Clintrial s r oCZ100080001CompletedScreening to end of studyTreatment Disposition - Induction0/0/VTreatment Disposition DateDM19612747ClosedJuhita@ksha420 Mar 2026 07:38:16:723v.smidkova125 Mar 2026 12:15:18:540Juhita@ksha425 Mar 2026 15:05:41:02750Medical Review I-3085490: Please revise the date to align with the date of in-clinic visit where the decision to discontinue treatment occurred.done42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260320 07:38:16.72320260325 12:15:18.54020260325 15:05:41.0279433533537231713713
650CZES10-CZ10008Clintrial s r oCZ100080001CompletedScreening to end of studyTrial Disposition Completion/ Discontinuation0/0/VDisposition DateAuto17891929Closedsystemuser10 Dec 2025 11:18:12:573systemuser11 Dec 2025 07:27:53:967systemuser11 Dec 2025 07:27:53:96710The 'Disposition Date' is not equal to or after the 'Treatment Disposition Date' "<core:link text='datapoint.uservalue' formoid='DS_GL_908' folderoid='SCRDS' fieldoid='DSSTDAT_TDD' />" on the "<core:link text='Treatment Disposition' formoid='DS_GL_908' folderoid='SCRDS' />" form. Please resolve.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251210 11:18:12.57320251211 07:27:53.96720251211 07:27:53.9679433533537231713713
651CZES10-CZ10008Clintrial s r oCZ100080001CompletedScreening to end of studyTrial Disposition Completion/ Discontinuation0/0/VDisposition DateDM18460679ClosedAshwini20115 Jan 2026 13:04:54:990v.smidkova122 Jan 2026 06:48:07:680shyamaprasad97222 Jan 2026 14:46:51:62770DM: Please verify and update the data on all blank forms of Screening to end of study, else clarify.added42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260115 13:04:54.99020260122 06:48:07.68020260122 14:46:51.6279433533537231713713
652CZES10-CZ10008Clintrial s r oCZ100080001CompletedScreening Visit 1Arizona Sexual Experiences Scale Summary0/0/NWhich version of the Arizona Sexual Experiences Scale will be used?DM15661544Closedshyamaprasad97228 Aug 2025 08:45:42:283v.smidkova108 Sep 2025 11:30:37:463shyamaprasad97210 Sep 2025 13:52:22:177112DM: This form is asking which ASEX will be used for this subject, not if it was completed during this visit. Please update to generate form for V3 assessment.updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250828 08:45:42.28320250908 11:30:37.46320250910 13:52:22.1779433533537231713713
653CZES10-CZ10008Clintrial s r oCZ100080001CompletedScreening Visit 1Date of Visit0/0/NSubject's StatusSite from Medical Reviewer14344059Closedinayath115 Jul 2025 13:17:12:307v.smidkova116 Jul 2025 12:15:29:003inayath116 Jul 2025 13:08:23:06310Eligibility: Please update the AE form. In case subject did not experience any Adverse event, please updates the response to datapoint 'Were any adverse events experienced?' as 'No'.added42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250715 13:17:12.30720250716 12:15:29.00320250716 13:08:23.0639433533537231713713
654CZES10-CZ10008Clintrial s r oCZ100080001CompletedScreening Visit 1Date of Visit0/0/NDid this visit occur?Site from Medical Reviewer14344053Closedinayath115 Jul 2025 13:16:36:503v.smidkova116 Jul 2025 12:14:45:160inayath116 Jul 2025 13:08:43:07310Eligibility: Please fill Drug Testing and alcohol testing forms. added42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250715 13:16:36.50320250716 12:14:45.16020250716 13:08:43.0739433533537231713713
655CZES10-CZ10008Clintrial s r oCZ100080001CompletedScreening Visit 1Date of Visit0/0/NDid this visit occur?DM15552688ClosedAshwini20125 Aug 2025 10:00:38:473v.smidkova125 Aug 2025 11:54:55:840Ashwini20126 Aug 2025 07:47:00:98001DM: Please verify and update the data on Educational Level form, else clarify.added42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250825 10:00:38.47320250825 11:54:55.84020250826 07:47:00.9809433533537231713713
656CZES10-CZ10008Clintrial s r oCZ100080001CompletedScreening Visit 1Date of Visit0/0/NDid this visit occur?DM15582050ClosedAshwini20126 Aug 2025 07:53:39:833v.smidkova128 Aug 2025 06:10:09:490shyamaprasad97228 Aug 2025 08:45:19:57720DM: Please reactivate the Arizona Sexual Experiences Scale Summary form and update the data as appropriate, else clarify.added42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250826 07:53:39.83320250828 06:10:09.49020250828 08:45:19.5779433533537231713713
657CZES10-CZ10008Clintrial s r oCZ100080001CompletedScreening Visit 1Date of Visit0/0/NDid this visit occur?DM18460722ClosedAshwini20115 Jan 2026 13:06:53:950v.smidkova122 Jan 2026 06:45:23:157shyamaprasad97222 Jan 2026 14:47:56:30070DM: Please verify and update the field 'Has the subject undergone any procedure?' on Procedures form.Procedures were added42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20260115 13:06:53.95020260122 06:45:23.15720260122 14:47:56.3009433533537231713713
658CZES10-CZ10008Clintrial s r oCZ100080001CompletedScreening Visit 1Demographics0/0/VWhat is the subject's childbearing potential?Site from Medical Reviewer14343775Closedinayath115 Jul 2025 13:08:54:143v.smidkova117 Jul 2025 08:06:12:990meghal.choksi@iqvia.com118 Sep 2025 11:12:11:967263Eligibility: As per updates the subject is of childbearing potential. Please update the contraceptive method being used by the subject.ADDED42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250715 13:08:54.14320250717 08:06:12.99020250918 11:12:11.9679433533537231713713
659CZES10-CZ10008Clintrial s r oCZ100080001CompletedScreening Visit 1Demographics0/0/VWhat was the date of the signature on informed consent?Auto13950832Closedsystemuser07 Jul 2025 08:45:48:930systemuser08 Jul 2025 09:26:05:607systemuser08 Jul 2025 09:26:05:60710Date of the signature on informed consent is before or equal to the 'What is the protocol date the subject consented to at study start'. Please resolve.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250707 08:45:48.93020250708 09:26:05.60720250708 09:26:05.6079433533537231713713
660CZES10-CZ10008Clintrial s r oCZ100080001CompletedScreening Visit 1Demographics0/0/VSex reported at birthSite from Medical Reviewer14344103Closedinayath115 Jul 2025 13:18:27:210v.smidkova116 Jul 2025 12:15:45:830inayath116 Jul 2025 13:11:22:42710Eligibility: Please fill Menstrual Cycle Tracking form as per completion guidelines.added42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250715 13:18:27.21020250716 12:15:45.83020250716 13:11:22.4279433533537231713713
661CZES10-CZ10008Clintrial s r oCZ100080001CompletedScreening Visit 1Demographics0/0/VWhat is the protocol date the subject consented to at study start?Auto13950833Closedsystemuser07 Jul 2025 08:45:48:990systemuser08 Jul 2025 09:26:05:610systemuser08 Jul 2025 09:26:05:61010The 'Date of the protocol the subject consented to at study enrollment' is equal to or after the 'Date of the signature on informed consent'. Please resolve.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250707 08:45:48.99020250708 09:26:05.61020250708 09:26:05.6109433533537231713713
662CZES10-CZ10008Clintrial s r oCZ100080001CompletedScreening Visit 1Menstrual Cycle Tracking0/0/N1Start DateAuto14446782Closedsystemuser16 Jul 2025 12:06:35:770systemuser17 Jul 2025 08:05:29:590systemuser17 Jul 2025 08:05:29:59310Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250716 12:06:35.77020250717 08:05:29.59020250717 08:05:29.5939433533537231713713
663CZES10-CZ10008Clintrial s r oCZ100080001CompletedScreening Visit 1Menstrual Cycle Tracking0/0/N1Is it ongoing?Auto14446783Closedsystemuser16 Jul 2025 12:06:35:787systemuser17 Jul 2025 08:05:29:593systemuser17 Jul 2025 08:05:29:59310Please enter the response for 'End Date' or 'Is it ongoing'.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250716 12:06:35.78720250717 08:05:29.59320250717 08:05:29.5939433533537231713713
664CZES10-CZ10008Clintrial s r oCZ100080001CompletedScreening Visit 1Physical Examination0/0/NWas the collection date the same as the visit date?Auto15089446Closedsystemuser01 Aug 2025 08:49:42:567systemuser01 Aug 2025 08:51:11:300systemuser01 Aug 2025 08:51:11:30700Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250801 08:49:42.56720250801 08:51:11.30020250801 08:51:11.3079433533537231713713
665CZES10-CZ10008Clintrial s r oCZ100080001CompletedScreening Visit 1Pregnancy Test0/0/NPregnancy Test ResultAuto13950840Closedsystemuser07 Jul 2025 08:46:54:727systemuser10 Jul 2025 10:51:20:600systemuser10 Jul 2025 10:51:20:60330Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250707 08:46:54.72720250710 10:51:20.60020250710 10:51:20.6039433533537231713713
666CZES10-CZ10008Clintrial s r oCZ100080001CompletedScreening Visit 1Vital Signs0/0/NTemperature Anatomical LocationAuto13964535Closedsystemuser07 Jul 2025 13:19:49:323systemuser08 Jul 2025 09:24:07:583systemuser08 Jul 2025 09:24:07:58310Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250707 13:19:49.32320250708 09:24:07.58320250708 09:24:07.5839433533537231713713
667CZES10-CZ10008Clintrial s r oCZ100080001CompletedScreening Visit 2 (1)CLINICAL OUTCOME ASSESSMENTS COMPLETION STATUS0/0/N2Reason not doneAuto15605971Closedsystemuser27 Aug 2025 10:08:18:913systemuser27 Aug 2025 10:08:37:743systemuser27 Aug 2025 10:08:37:74300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250827 10:08:18.91320250827 10:08:37.74320250827 10:08:37.7439433533537231713713
668CZES10-CZ10008Clintrial s r oCZ100080001CompletedScreening Visit 2 (1)Date of Visit0/0/NSubject's StatusAuto15016522Closedsystemuser29 Jul 2025 05:43:27:960systemuser29 Jul 2025 05:43:42:423systemuser29 Jul 2025 05:43:42:42300Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250729 05:43:27.96020250729 05:43:42.42320250729 05:43:42.4239433533537231713713
669CZES10-CZ10008Clintrial s r oCZ100080001CompletedScreening Visit 2 (1)Date of Visit0/0/NVisit Start DateAuto15020947Closedsystemuser29 Jul 2025 09:12:54:567systemuser29 Jul 2025 09:13:03:6630Data is not in the expected format. Please Correct.QueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250729 09:12:54.56720250729 09:13:03.6639433533537231713713
670CZES10-CZ10008Clintrial s r oCZ100080001CompletedScreening Visit 2 (1)Date of Visit0/0/NVisit Start DateAuto15020952Closedsystemuser29 Jul 2025 09:13:06:183systemuser29 Jul 2025 09:20:17:7770Date of visit should be greater than the last date of visit. Please reconcile.QueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250729 09:13:06.18320250729 09:20:17.7779433533537231713713
671CZES10-CZ10008Clintrial s r oCZ100080001CompletedStudy Drug Administration (1)Study Drug Administration Double Blind Part 10/0/V1End DateSite from Medical Reviewer16801433Closedewajs105 Nov 2025 11:25:40:117v.smidkova112 Nov 2025 12:56:21:550ewajs126 Nov 2025 09:18:08:570714Please verify the end date and correct all the end dates on this page. The participant had last visit (V.8) in the Double Blind Part 1 on 10 Sep25, the last dose would be 09 Sep25 Sep25updated42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251105 11:25:40.11720251112 12:56:21.55020251126 09:18:08.5709433533537231713713
672CZES10-CZ10008Clintrial s r oCZ100080001CompletedStudy Drug Administration (1)Study Drug Administration Open Label Part 2 - Induction0/0/V1Start DateAuto15895069Closedsystemuser10 Sep 2025 08:51:06:807systemuser11 Sep 2025 11:15:04:7671Please enter study drug administration start date as soon as it's availableQueryCloseBySystem42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20250910 08:51:06.80720250911 11:15:04.7679433533537231713713
673CZES10-CZ10008Clintrial s r oCZ100080001CompletedStudy Drug Administration (1)Study Drug Administration Open Label Part 2 - Induction0/0/V5End DateAuto16956037Closedsystemuser12 Nov 2025 12:59:56:273systemuser12 Nov 2025 13:01:40:553systemuser12 Nov 2025 13:01:40:55700The End Date must be equal to or after the Start Date. Please resolve.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251112 12:59:56.27320251112 13:01:40.55320251112 13:01:40.5579433533537231713713
674CZES10-CZ10008Clintrial s r oCZ100080001CompletedVisit 1.5 Induction (1)Clinical Global Impression - S (Depression)0/0/VRater's InitialsAuto16317799Closedsystemuser08 Oct 2025 10:37:10:350systemuser09 Oct 2025 09:24:35:773systemuser09 Oct 2025 09:24:35:78310Required field. Please complete or provide a response.Value changed.42847922MDD3003 [Prod]CZEAllAllAllNoneAllAllAllAllAllNoNoneNoneNoneNoneNoneFinalWith Text5.6 - 1.05/21/2026 4:26:25 AMGMTVladimir Buzalka [Site Manager]20251008 10:37:10.35020251009 09:24:35.77320251009 09:24:35.7839433533537231713713
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