APPENDIX B: CASE REPORT FORMS (CRFs) TEMPLATE

APPENDIX B: CASE REPORT FORMS (CRFs) TEMPLATE

Study Protocol Number: NA-2024-01

Participant ID:

Site ID:

CRF Section 1: Screening & Baseline Demographics (Day 0)

Participant ID: ___________

Date of Birth: __/__/____ (DD/MM/YYYY)

Age (Years): ____

Gender: [ ] Male [ ] Female

Ethnicity: [ ] Caucasian [ ] Asian [ ] African [ ] Other: ______

Medical History (Relevant):

      IBD: [ ] Yes [ ] No

     Diabetes: [ ] Yes [ ] No

     Obesity (BMI): [ ] Yes [ ] No (BMI: ____ kg/m²)

     Pregnancy/Lactation: [ ] Yes [ ] No

     Other Relevant Conditions: ________________________

Hemorrhoid Symptom Duration: ____ weeks / months / years

Anoscopic Examination (Investigator Assessment):

     Hemorrhoid Grade (Goligher): [ ] Grade 1 [ ] Grade 2 [ ] Grade 3 [ ] Grade 4

     Presence of other anorectal conditions (Abscess, Warts, Furuncles, Fissure, etc.):

         [ ] None

         [ ] Abscess

         [ ] Warts

         [ ] Furuncles

         [ ] Anal Fissure

         [ ] Other: ________________________

Inclusion/Exclusion Met? [ ] Yes [ ] No

Informed Consent Obtained? [ ] Yes [ ] No

Date of Randomization: __/__/____ (DD/MM/YYYY)

Allocated Group: [ ] Nimsai Herbal [ ] Placebo (Investigator blinded)

CRF Section 2: Daily Symptom Log (Participant Reported – Day 1 to Day 10)

Participant ID: ___________ Study Day: ____

| Symptom | VAS Score (0-10) – *0=None, 10=Worst imaginable* |

|—|—|

| Pain | ____ |

| Bleeding | ____ |

| Itching | ____ |

| Medication Adherence: (Number of capsules taken today) | ____ |

| Any New/Worsening Symptoms or Adverse Events? (Describe briefly) | ____________________________________________________________________ |

(This section would be repeated for each day of the 10-day intervention period.)

CRF Section 3: Final Assessment & Adverse Events (Day 10)

Participant ID: ___________ Study Day: 10

Date of Final Assessment: __/__/____ (DD/MM/YYYY)

Anoscopic Examination (Investigator Assessment):

     Hemorrhoid Grade (Goligher) at Day 10: [ ] Grade 1 [ ] Grade 2 [ ] Grade 3 [ ] Grade 4

    Hemorrhoid Regression (Reduction of ≥1 Goligher Grade): [ ] Yes [ ] No

Symptom Resolution (Investigator Assessment based on Participant Logs):

     Complete Symptom Resolution (VAS=0 for Pain, Bleeding, Itching): [ ] Yes [ ] No

VAS Scores (Investigator Verified):

     Pain (Day 10): ____

     Bleeding (Day 10): ____

     Itching (Day 10): ____

Adherence Assessment (Capsule Count):

     Number of capsules prescribed: ____

     Number of capsules returned: ____

     Calculated Adherence (%): ____%

Adverse Events (AEs) Overview (Throughout 10-day period):

     Total Number of AEs reported: ____

     Serious AEs (SAEs): [ ] Yes [ ] No (If Yes, attach SAE form)

     Most Frequent AEs (e.g., mild GI discomfort):

         GI discomfort: [ ] Yes [ ] No (Severity: [ ] Mild [ ] Moderate [ ] Severe)

         Other AE 1: ________________ (Severity: [ ] Mild [ ] Moderate [ ] Severe)

         Other AE 2: ________________ (Severity: [ ] Mild [ ] Moderate [ ] Severe)

     Relationship to Study Drug: [ ] Related [ ] Unrelated [ ] Unlikely

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