NCT00334568/ GSK-AVA100193: M.Alzheimer GSK - Book 5

General Information
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General Information

Protocol Identifier: AVA100193
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Protocol Identifier

Datatyp

boolean

Central Laboratory Instructions (Fasting Samples)
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Central Laboratory Instructions (Fasting Samples)

Subject Identifier
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Subject Identifier

Datatyp

integer

Visit Date
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Visit Date

Datatyp

date

Visit Description: Visit 5
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Visit Description

Datatyp

boolean

Date samples taken
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Date

Datatyp

date

Subject Continuation
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Subject Continuation

All assessments completed or early withdrawal scheduled
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All assessments completed or early withdrawal scheduled

Datatyp

boolean

Vital Signs
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Vital Signs

Weight
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Weight

Datatyp

float

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

Datatyp

integer

Blood pressure: Diastolic
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Blood pressure

Datatyp

integer

Måttenheter
  • mmHg
mmHg
Heart rate
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Heart rate

Datatyp

integer

Måttenheter
  • bpm
bpm
Concomitant Medications
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Concomitant Medications

Concomitant Medications
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Concomitant Medications

Datatyp

text

Adverse Events
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Adverse Events

Adverse Events
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Adverse Events

Datatyp

text

Physical Examination
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Physical Examination

Results from Physical Examination
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Results from Physical Examination

Datatyp

text

Pedal Oedema
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Pedal Oedema

Estimated Depth of Indentation
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Estimated Depth of Indentation

Datatyp

text

Indicate which ankle was assessed at this visit
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Ankle

Datatyp

text

Rating scale instructions
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Rating scale instructions

All requested scales completed
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Scales completed

Datatyp

boolean

Monitor Data Validation Checks
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Monitor Data Validation Checks

Monitor Data Validation Check completed
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Monitor Data Validation Check completed

Datatyp

boolean

Investigational Product
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Investigational Product

Investigational Product
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Investigational Product

Datatyp

text

Start Date
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Start Date

Datatyp

date

Stop Date
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Stop Date

Datatyp

date

IP Container No.
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IP Container No.

Datatyp

integer

Total Number of Tablets Dispensed
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Total Number of Tablets Dispensed

Datatyp

float

Total Number of Tablets Returned
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Total Number of Tablets Returned

Datatyp

float

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

Datatyp

boolean

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

Visit 6 scheduled
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Visit 6 scheduled

Datatyp

boolean

Similar models

NCT00334568/ GSK-AVA100193: M.Alzheimer GSK - Book 5

Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
General Information
Protocol Identifier
Item
Protocol Identifier: AVA100193
boolean
Item Group
Central Laboratory Instructions (Fasting Samples)
Subject Identifier
Item
Subject Identifier
integer
Visit Date
Item
Visit Date
date
Visit Description
Item
Visit Description: Visit 5
boolean
Date
Item
Date samples taken
date
Item Group
Subject Continuation
All assessments completed or early withdrawal scheduled
Item
All assessments completed or early withdrawal scheduled
boolean
Item Group
Vital Signs
Weight
Item
Weight
float
Blood pressure
Item
Blood pressure: Systolic
integer
Blood pressure
Item
Blood pressure: Diastolic
integer
Heart rate
Item
Heart rate
integer
Item Group
Concomitant Medications
Concomitant Medications
Item
Concomitant Medications
text
Item Group
Adverse Events
Adverse Events
Item
Adverse Events
text
Item Group
Physical Examination
Results from Physical Examination
Item
Results from Physical Examination
text
Item Group
Pedal Oedema
Item
Estimated Depth of Indentation
text
Code List
Estimated Depth of Indentation
CL Item
< 1mm (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
Scales completed
Item
All requested scales completed
boolean
Item Group
Monitor Data Validation Checks
Monitor Data Validation Check completed
Item
Monitor Data Validation Check completed
boolean
Item Group
Investigational Product
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
Visit 6 scheduled
Item
Visit 6 scheduled
boolean