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ID
19104
Description
NCT01117584 Astellas Phase 2b, Double-Blind, Randomized, Multicenter, Parallel Group, Placebo-Controlled, Dose-Finding Study to Evaluate the Efficacy, Safety and Tolerability of a 12- Week Treatment with ASP1941 in Combination with Metformin in Patients with Type 2 Diabetes Mellitus Who Have Inadequate Glycemic Control on Metformin Alone.
Keywords
Versions (2)
- 12/5/16 12/5/16 -
- 1/28/17 1/28/17 -
Uploaded on
December 5, 2016
DOI
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License
Creative Commons BY-NC 3.0
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Visit 1 Run-In Genital infection History [MH 5] NCT01117584
Visit 1 Run-In Genital infection History NCT01117584
- StudyEvent: ODM
Similar models
Visit 1 Run-In Genital infection History NCT01117584
- StudyEvent: ODM
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Diagnosis
Item
Diagnosis
text
History of Genital Infections
Item
Does the subject have a history of Genital Infection(s)?
boolean
Number of Genital Infections
Item
If yes, how many genital infections did the subject have in the past year?
integer
Details of most recent infection
Item
If one or more, please provide the details of the most recent historical infection.
text
CL Item
Vaginal (1)
CL Item
Labia (2)
CL Item
Uterus/Fallopian tubes/Ovaries (3)
CL Item
Urethra (4)
CL Item
Penis (5)
CL Item
Foreskin/Glands (6)
CL Item
Testicles/Epididymis (7)
CL Item
Other (8)
Specification of other site of Infection
Item
If Other, please specify
text
CL Item
Bacterial (1)
CL Item
Viral (2)
CL Item
Fungal (3)
CL Item
Unknown (4)
CL Item
No (1)
CL Item
Yes (2)
CL Item
Unknown (3)
Onset Date
Item
Onset Date
date
CL Item
No (1)
CL Item
Yes (2)
Recovered Date
Item
Recovered Date
date
CL Item
No (1)
CL Item
Yes (2)
CL Item
Unknown (3)
CL Item
No (1)
CL Item
Yes (2)
CL Item
Unknown (3)
LLT Code
Item
LLT Code
text
LLT Term
Item
LLT Term
text
PT Code
Item
PT Code
text
PT Term
Item
PT Term
text
HLT Code
Item
HLT Code
text
HLT Term
Item
HLT Term
text
HLGT Code
Item
HLGT Code
text
HLGT Term
Item
HLGT Term
text
SOC Code
Item
SOC Code
text
SOC Term
Item
SOC Code
text