ID

19104

Beskrivning

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.

Nyckelord

  1. 2016-12-05 2016-12-05 -
  2. 2017-01-28 2017-01-28 -
Uppladdad den

5 december 2016

DOI

För en begäran logga in.

Licens

Creative Commons BY-NC 3.0

Modellkommentarer :

Här kan du kommentera modellen. Med hjälp av pratbubblor i Item-grupperna och Item kan du lägga in specifika kommentarer.

Itemgroup-kommentar för :

Item-kommentar för :

Du måste vara inloggad för att kunna ladda ner formulär. Var vänlig logga in eller registrera dig utan kostnad.

Visit 1 Run-In Genital infection History [MH 5] NCT01117584

Visit 1 Run-In Genital infection History NCT01117584

General Information
Beskrivning

General Information

Diagnosis
Beskrivning

Diagnosis

Datatyp

text

Does the subject have a history of Genital Infection(s)?
Beskrivning

History of Genital Infections

Datatyp

boolean

If yes, how many genital infections did the subject have in the past year?
Beskrivning

Number of Genital Infections

Datatyp

integer

If one or more, please provide the details of the most recent historical infection.
Beskrivning

Details of most recent infection

Datatyp

text

Site of infection
Beskrivning

Site of infection

Datatyp

text

If Other, please specify
Beskrivning

Specification of other site of Infection

Datatyp

text

Organism
Beskrivning

Organism

Datatyp

text

Confirmed by Lab?
Beskrivning

Confirmation by lab

Datatyp

text

Onset Date
Beskrivning

Onset Date

Datatyp

date

Is Medical Condition ongoing?
Beskrivning

Ongoing Medical Condition

Datatyp

text

Recovered Date
Beskrivning

Recovered Date

Datatyp

date

Was the infection symptomatic?
Beskrivning

Symptomatic Infection

Datatyp

text

Was the infection treated?
Beskrivning

Treatment

Datatyp

text

LLT Code
Beskrivning

LLT Code

Datatyp

text

LLT Term
Beskrivning

LLT Term

Datatyp

text

PT Code
Beskrivning

PT Code

Datatyp

text

PT Term
Beskrivning

PT Term

Datatyp

text

HLT Code
Beskrivning

HLT Code

Datatyp

text

HLT Term
Beskrivning

HLT Term

Datatyp

text

HLGT Code
Beskrivning

HLGT Code

Datatyp

text

HLGT Term
Beskrivning

HLGT Term

Datatyp

text

SOC Code
Beskrivning

SOC Code

Datatyp

text

SOC Code
Beskrivning

SOC Term

Datatyp

text

Similar models

Visit 1 Run-In Genital infection History NCT01117584

Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
General Information
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
Item
Site of infection
text
Code List
Site of infection
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
Item
Organism
text
Code List
Organism
CL Item
Bacterial (1)
CL Item
Viral (2)
CL Item
Fungal (3)
CL Item
Unknown (4)
Item
Confirmed by Lab?
text
Code List
Confirmed by Lab?
CL Item
No (1)
CL Item
Yes (2)
CL Item
Unknown (3)
Onset Date
Item
Onset Date
date
Item
Is Medical Condition ongoing?
text
Code List
Is Medical Condition ongoing?
CL Item
No (1)
CL Item
Yes (2)
Recovered Date
Item
Recovered Date
date
Item
Was the infection symptomatic?
text
Code List
Was the infection symptomatic?
CL Item
No (1)
CL Item
Yes (2)
CL Item
Unknown (3)
Item
Was the infection treated?
text
Code List
Was the infection treated?
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

Använd detta formulär för feedback, frågor och förslag på förbättringar.

Fält markerade med * är obligatoriska.

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial