ID

19428

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

  1. 12/31/16 12/31/16 -
  2. 2/4/17 2/4/17 -
Uploaded on

December 31, 2016

DOI

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License

Creative Commons BY-NC 3.0

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Screen Failure Log: Screening Failure [SF_1] NCT01117584

Screen Failure Log: Screening Failure [SF_1] NCT01117584

General Information
Description

General Information

Birth Date
Description

Birth Date

Data type

date

Age
Description

Age

Data type

integer

Age Unit
Description

Age Unit

Data type

boolean

Sex
Description

Sex

Data type

text

Race
Description

Race

Data type

text

If Other, please specify
Description

Other

Data type

text

Ethnicity
Description

Ethnicity

Data type

text

Reason for not meeting admission criteria
Description

Reason for not meeting admission criteria

Data type

text

If Other, please specify
Description

Other

Data type

text

FPG > 270 mg/dL on 2 consecutive measurements
Description

If Reason is "Not meet inclusion/exclusion criteria", select all that apply

Data type

boolean

FPG > 350 mg/dL
Description

FPG > 350 mg/dL

Data type

boolean

FPG < 40 mg/dL
Description

FPG < 40 mg/dL

Data type

boolean

Other Inclusion/Exclusion Criteria Not Met, please specify
Description

Specification

Data type

text

Similar models

Screen Failure Log: Screening Failure [SF_1] NCT01117584

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
General Information
Birth Date
Item
Birth Date
date
Age
Item
Age
integer
Age Unit
Item
Age Unit
boolean
Item
Sex
text
Code List
Sex
CL Item
Male (1)
CL Item
Female (2)
Item
Race
text
Code List
Race
CL Item
White (1)
CL Item
Black or African American (2)
CL Item
Asian (3)
CL Item
Amerikan Indian or Alaska Native (4)
CL Item
Native Hawaiian or Other Pacific Islander (5)
CL Item
Other (6)
Other
Item
If Other, please specify
text
Item
Ethnicity
text
Code List
Ethnicity
CL Item
Not Hispanic or Latino (1)
CL Item
Hispanic or Latino (2)
Item
Reason for not meeting admission criteria
text
Code List
Reason for not meeting admission criteria
CL Item
Not fulfill inclusion or exclusion criteria (1)
CL Item
Adverse Event (2)
CL Item
Withdrawal of consent  (3)
CL Item
Subject lost to follow up (4)
CL Item
Other (5)
Other
Item
If Other, please specify
text
FPG > 270 mg/dL on 2 consecutive measurements
Item
FPG > 270 mg/dL on 2 consecutive measurements
boolean
FPG > 350 mg/dL
Item
FPG > 350 mg/dL
boolean
FPG < 40 mg/dL
Item
FPG < 40 mg/dL
boolean
Specification
Item
Other Inclusion/Exclusion Criteria Not Met, please specify
text

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