ID

17697

Beschrijving

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 8/Visit 8.

Trefwoorden

  1. 28-09-16 28-09-16 -
  2. 05-12-16 05-12-16 -
Geüploaded op

28 september 2016

DOI

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Licentie

Creative Commons BY-NC 3.0

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NCT00334568/ GSK-AVA100193: M.Alzheimer GSK - Book 8

NCT00334568/ GSK-AVA100193: M.Alzheimer GSK - Book 8

General Information
Beschrijving

General Information

Protocol Identifier: AVA100193
Beschrijving

Protocol Identifier

Datatype

boolean

Subject Identifier
Beschrijving

Subject Identifier

Datatype

integer

Visit Date
Beschrijving

Visit Date

Datatype

date

Visit Description: Visit 8
Beschrijving

Visit Description

Datatype

boolean

Instructions
Beschrijving

Instructions

Instructions completed
Beschrijving

Instructions completed

Datatype

boolean

Vital signs
Beschrijving

Vital signs

Weight
Beschrijving

Weight

Datatype

float

Maateenheden
  • kg
Alias
UMLS CUI [1]
C0005910
kg
Blood pressure: systolic
Beschrijving

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

Datatype

integer

Blood pressure: diastolic
Beschrijving

Blood pressure

Datatype

integer

Maateenheden
  • mmHg
mmHg
Heart rate
Beschrijving

Heart rate

Datatype

integer

Maateenheden
  • bpm
bpm
Neurological Exam
Beschrijving

Neurological Exam

Results of Neurological Exam
Beschrijving

Results of Neurological Exam

Datatype

text

Central Laboratory (Fasting samples)
Beschrijving

Central Laboratory (Fasting samples)

Date samples taken
Beschrijving

Date samples taken

Datatype

date

Pregnancy Test
Beschrijving

Pregnancy Test

Result of pregnancy test
Beschrijving

Result of pregnancy test

Datatype

text

Pharmacogenetic (PGx) and Pharmacogenomic (PGm) Research
Beschrijving

Pharmacogenetic (PGx) and Pharmacogenomic (PGm) Research

Pharmacogenetic (PGx) and Pharmacogenomic (PGm) Research completed
Beschrijving

Pharmacogenetic (PGx) and Pharmacogenomic (PGm) Research completed

Datatype

boolean

PGm-Transcriptomic Research
Beschrijving

PGm-Transcriptomic Research

Has a blood sample been collected for PGm-Transcriptomic research?
Beschrijving

Blood sample collection

Datatype

boolean

If yes, record date and time sample taken
Beschrijving

Date

Datatype

datetime

PGm-Proteomic Research
Beschrijving

PGm-Proteomic Research

Has a blood sample been collected for PGm-Proteomic research?
Beschrijving

Blood sample collection

Datatype

boolean

If yes, record date and time sample taken
Beschrijving

Date and time

Datatype

datetime

Volume of one aliquot
Beschrijving

Volume

Datatype

float

Maateenheden
  • ml
ml
Length of time the centrifuge ran
Beschrijving

Length of time the centrifuge ran

Datatype

integer

Maateenheden
  • minutes
minutes
Temperature of the centrifuge
Beschrijving

Temperature of the centrifuge

Datatype

text

Centrifugation speed
Beschrijving

Centrifugation speed

Datatype

integer

Maateenheden
  • r.p.m
r.p.m
Centrifugation rotor radius
Beschrijving

Centrifugation rotor radius

Datatype

integer

Maateenheden
  • cm
cm
Time aliquotted samples were placed in the freezer
Beschrijving

Time aliquotted samples were placed in the freezer

Datatype

time

Temperature of freezer
Beschrijving

Temperature of freezer

Datatype

integer

Maateenheden
  • -°C
-°C
12-Lead ECG
Beschrijving

12-Lead ECG

Date of the ECG
Beschrijving

Date

Datatype

date

Result of the ECG
Beschrijving

Result

Datatype

text

Concomitant Medications
Beschrijving

Concomitant Medications

Concomitant Medications recorded -if applicable-
Beschrijving

Concomitant Medications

Datatype

boolean

Adverse Events
Beschrijving

Adverse Events

Adverse Events
Beschrijving

Adverse Events

Datatype

text

Physical Examination
Beschrijving

Physical Examination

Results of physical examination
Beschrijving

Results of physical examination

Datatype

text

Pedal Oedema
Beschrijving

Pedal Oedema

Depth of Indentation
Beschrijving

Depth of Indentation

Datatype

text

Indicate which ankle was assessed at this visit
Beschrijving

Ankle

Datatype

text

Rating Scale Instructions
Beschrijving

Rating Scale Instructions

Rating Scale Instructions completed
Beschrijving

Rating Scale Instructions

Datatype

boolean

Investigational Product Compliance
Beschrijving

Investigational Product Compliance

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

Has the subject missed taking investigational product for > 7 consecutive days

Datatype

boolean

End of visit reminder
Beschrijving

End of visit reminder

All required sections completed?
Beschrijving

All required sections completed?

Datatype

boolean

Similar models

NCT00334568/ GSK-AVA100193: M.Alzheimer GSK - Book 8

Name
Type
Description | Question | Decode (Coded Value)
Datatype
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 8
boolean
Item Group
Instructions
Instructions completed
Item
Instructions completed
boolean
Item Group
Vital signs
Weight
Item
Weight
float
C0005910 (UMLS CUI [1])
Blood pressure
Item
Blood pressure: systolic
integer
Blood pressure
Item
Blood pressure: diastolic
integer
Heart rate
Item
Heart rate
integer
Item Group
Neurological Exam
Results of Neurological Exam
Item
Results of Neurological Exam
text
Item Group
Central Laboratory (Fasting samples)
Date samples taken
Item
Date samples taken
date
Item Group
Pregnancy Test
Item
Result of pregnancy test
text
Code List
Result of pregnancy test
CL Item
Pregnant (1)
CL Item
Not pregnant (2)
Item Group
Pharmacogenetic (PGx) and Pharmacogenomic (PGm) Research
Pharmacogenetic (PGx) and Pharmacogenomic (PGm) Research completed
Item
Pharmacogenetic (PGx) and Pharmacogenomic (PGm) Research completed
boolean
Item Group
PGm-Transcriptomic Research
Blood sample collection
Item
Has a blood sample been collected for PGm-Transcriptomic research?
boolean
Date
Item
If yes, record date and time sample taken
datetime
Item Group
PGm-Proteomic Research
Blood sample collection
Item
Has a blood sample been collected for PGm-Proteomic research?
boolean
Date and time
Item
If yes, record date and time sample taken
datetime
Volume
Item
Volume of one aliquot
float
Length of time the centrifuge ran
Item
Length of time the centrifuge ran
integer
Item
Temperature of the centrifuge
text
Code List
Temperature of the centrifuge
CL Item
Room temperature (1)
CL Item
Refrigerated centrifuge (2)
Centrifugation speed
Item
Centrifugation speed
integer
Centrifugation rotor radius
Item
Centrifugation rotor radius
integer
Time aliquotted samples were placed in the freezer
Item
Time aliquotted samples were placed in the freezer
time
Temperature of freezer
Item
Temperature of freezer
integer
Item Group
12-Lead ECG
Date
Item
Date of the ECG
date
Item
Result of the ECG
text
Code List
Result of the ECG
CL Item
Normal (1)
CL Item
Abnormal - not clinically significant (2)
CL Item
Abnormal - clinically significant (-> complete an Adverse Event or Serious Adverse Event page) (3)
Item Group
Concomitant Medications
Concomitant Medications
Item
Concomitant Medications recorded -if applicable-
boolean
Item Group
Adverse Events
Adverse Events
Item
Adverse Events
text
Item Group
Physical Examination
Results of physical examination
Item
Results of physical examination
text
Item Group
Pedal Oedema
Item
Depth of Indentation
text
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
Indicate which ankle was assessed at this visit
text
Code List
Indicate which ankle was assessed at this visit
CL Item
Right Ankle (1)
CL Item
Left Ankle (2)
Item Group
Rating Scale Instructions
Rating Scale Instructions
Item
Rating Scale Instructions completed
boolean
Item Group
Investigational Product Compliance
Has the subject missed taking investigational product for > 7 consecutive days
Item
Has the subject missed taking investigational product for > 7 consecutive days?
boolean
Item Group
End of visit reminder
All required sections completed?
Item
All required sections completed?
boolean

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