ID

17464

Descrição

NCT00334568/ GSK-AVA100193: M.Alzheimer GSK A 24 week double-blind, randomized, placebo-controlled, parallel-group dose-raging study to investigate the effects of rosiglitazone (extended release tablets) on cognition in subjects with mild to moderate Alzheimer´s disease. Medicine: rosiglitazone, Condition: Alzheimer´s Disease, Phase: 2, Clinical Study ID: AVA 100193, Sponsor: GSK. This ODM contains Book 4/Visit 4.

Palavras-chave

Versões (3)
  1. 16/09/2016 16/09/2016 -
  2. 02/10/2016 02/10/2016 -
  3. 14/12/2016 14/12/2016 -
Transferido a

16 de setembro de 2016

DOI

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Licença

Creative Commons BY-NC 3.0
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NCT00334568/ GSK-AVA100193: M.Alzheimer GSK - Book 4

Inglês

NCT00334568/ GSK-AVA100193: M.Alzheimer GSK - Book 4

1 Formulários  
General information
Descrição

General information

Protocol Identifier: AVA100193
Descrição

Protocol Identifier

Tipo de dados

boolean

Subject Identifier
Descrição

Subject Identifier

Tipo de dados

integer

Visit Date
Descrição

Visit Date

Tipo de dados

date

Visit Description: Visit 4
Descrição

Visit Description

Tipo de dados

boolean

Subject Continuation (See Description)
Descrição

If the subject is not continuing the study, complete all assessments for this visit, and also the Early Withdrawal ADAS-cog and CIBIC+ assessments in the Assessment Scale and CIBIC+ folders. The ADAS-cog and CIBIC+ results should then be recorded on the pages at the end of this visit. Ensure that all sections of the CRF (including the Study Conclusion page) are completed appropriately. Schedule an early withdrawal follow-up visit for 14 +/- 7 days after this visit. Make a Withdrawal call to the IVRS system.

Tipo de dados

boolean

Vital signs
Descrição

Vital signs

Weight
Descrição

Weight

Tipo de dados

integer

Unidades de medida
  • kg
kg
Blood pressure (See Description): Systolic
Descrição

Blood pressure and heart rate will be measured once, after the subject sits quietly for at least 5 minutes.

Tipo de dados

integer

Blood pressure: Diastolic
Descrição

Blood pressure

Tipo de dados

integer

Unidades de medida
  • mmHg
mmHg
Heart rate
Descrição

Heart rate

Tipo de dados

integer

Unidades de medida
  • bpm
bpm
Central Laboratory (Non Fasting Samples)
Descrição

Central Laboratory (Non Fasting Samples)

Date samples taken
Descrição

Date samples taken

Tipo de dados

date

Concomitant Medications (See Description)
Descrição

Concomitant Medications (See Description)

Adverse Events (See Description)
Descrição

Adverse Events (See Description)

Physical Examination (See Description)
Descrição

Physical Examination (See Description)

Pedal Oedema (See Description)
Descrição

Pedal Oedema (See Description)

Depth of Indentation
Descrição

Depth of Indentation

Tipo de dados

text

Indication which ankle was assessed at this visit
Descrição

Indication which ankle was assessed at this visit

Tipo de dados

text

Monitor Data Validation Checks (See Description)
Descrição

Monitor Data Validation Checks (See Description)

Investigational Product (See Description)
Descrição

Investigational Product (See Description)

Investigational Product
Descrição

Investigational Product

Tipo de dados

text

Start Date
Descrição

Start Date

Tipo de dados

date

Stop Date
Descrição

Stop Date

Tipo de dados

date

IP Container No.
Descrição

IP Container No.

Tipo de dados

integer

Total Number of Tablets Dispensed
Descrição

Total Number of Tablets Dispensed

Tipo de dados

float

Total Number of Tablets Returned
Descrição

Total Number of Tablets Returned

Tipo de dados

float

Has the subject missed investigational product for > 7 consecutive days?
Descrição

Discontinuation

Tipo de dados

boolean

Alias
UMLS CUI [1]
C0457454
End of visit reminder
Descrição

End of visit reminder

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Similar models

NCT00334568/ GSK-AVA100193: M.Alzheimer GSK - Book 4

1 Formulários
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
Item Group
General information
Protocol Identifier
Item
Protocol Identifier: AVA100193
boolean
Subject Identifier
Item
Subject Identifier
integer
Visit Date
Item
Visit Date
date
Visit Description
Item
Visit Description: Visit 4
boolean
Subject Continuation
Item
Subject Continuation (See Description)
boolean
Item Group
Vital signs
Weight
Item
Weight
integer
Blood pressure (See Description)
Item
Blood pressure (See Description): Systolic
integer
Blood pressure
Item
Blood pressure: Diastolic
integer
Heart rate
Item
Heart rate
integer
Item Group
Central Laboratory (Non Fasting Samples)
Date samples taken
Item
Date samples taken
date
Item Group
Concomitant Medications (See Description)
Item Group
Adverse Events (See Description)
Item Group
Physical Examination (See Description)
Item Group
Pedal Oedema (See Description)
Item
Depth of Indentation
text
Depth of Indentation
Code List
Depth of Indentation
CL Item
< 1 mm (1)
CL Item
1-2 mm (2)
CL Item
3-5 mm (3)
CL Item
6-10 mm (4)
CL Item
> 10 mm (5)
Item
Indication which ankle was assessed at this visit
text
Indication which ankle was assessed at this visit
Code List
Indication which ankle was assessed at this visit
CL Item
Right ankle (1)
CL Item
Left ankle (2)
Item Group
Monitor Data Validation Checks (See Description)
Item Group
Investigational Product (See Description)
Investigational Product
Item
Investigational Product
text
Start Date
Item
Start Date
date
Stop Date
Item
Stop Date
date
IP Container No.
Item
IP Container No.
integer
Total Number of Tablets Dispensed
Item
Total Number of Tablets Dispensed
float
Total Number of Tablets Returned
Item
Total Number of Tablets Returned
float
Discontinuation
Item
Has the subject missed investigational product for > 7 consecutive days?
boolean
C0457454 (UMLS CUI [1])
Item Group
End of visit reminder
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