ID

21158

Beschrijving

A Retrospective Case-Control Study to Estimate the Sensitivity and Specificity of a Pharmacogenetic Marker (HLA-B*5701) in Subjects With and Without Hypersensitivity to Abacavir Assessment: Inform Screening NCT00373945 / VIIV-ABC107442 Annotated Design For Trial:abc442_lgm Protocol:ABC107442 Medicine: abacavir, Condition: Infection, Human Immunodeficiency Virus I, Phase: 4, Clinical Study ID: ABC107442, Sponsor: ViiV

Trefwoorden

  1. 12-04-17 12-04-17 -
Geüploaded op

12 april 2017

DOI

Voor een aanvraag inloggen.

Licentie

Creative Commons BY-NC 3.0

Model Commentaren :

Hier kunt u commentaar leveren op het model. U kunt de tekstballonnen bij de itemgroepen en items gebruiken om er specifiek commentaar op te geven.

Itemgroep Commentaren voor :

Item Commentaren voor :

U moet ingelogd zijn om formulieren te downloaden. AUB inloggen of schrijf u gratis in.

HLA-B*5701 And Hypersensitivity To Abacavir Inform Screening NCT00373945

HLA-B*5701 And Hypersensitivity To Abacavir Inform Screening NCT00373945

Inform Screening
Beschrijving

Inform Screening

Alias
UMLS CUI-1
C1710477
Subject initials
Beschrijving

Subject initials

Datatype

text

Alias
UMLS CUI [1]
C2986440
Date of birth
Beschrijving

Date of birth

Datatype

date

Alias
UMLS CUI [1]
C0421451
What is the primary method that prompted the subject's interest in the study?
Beschrijving

interest in the study

Datatype

integer

Alias
UMLS CUI [1,1]
C0008976
UMLS CUI [1,2]
C0543488
UMLS CUI [1,3]
C0392360
Was this subject a screen failure?
Beschrijving

screen failure

Datatype

text

Alias
UMLS CUI [1]
C1710476
Was this subject a screen failure? Yes, select primary reason:
Beschrijving

primary reason for screen failure

Datatype

integer

Alias
UMLS CUI [1,1]
C1710476
UMLS CUI [1,2]
C0392360
primary reason for screen failure
Beschrijving

If other, please specify

Datatype

text

Alias
UMLS CUI [1,1]
C1710476
UMLS CUI [1,2]
C0392360

Similar models

HLA-B*5701 And Hypersensitivity To Abacavir Inform Screening NCT00373945

Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Inform Screening
C1710477 (UMLS CUI-1)
Subject initials
Item
Subject initials
text
C2986440 (UMLS CUI [1])
Date of birth
Item
Date of birth
date
C0421451 (UMLS CUI [1])
Item
What is the primary method that prompted the subject's interest in the study?
integer
C0008976 (UMLS CUI [1,1])
C0543488 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Code List
What is the primary method that prompted the subject's interest in the study?
CL Item
Clinic patient (site actively reviews patient charts and/or databases and initiates contact with patient). (1)
CL Item
Physician referral (e.g., lunch-n-learn, letter to colleagues, etc.) (2)
CL Item
Referred by family member (3)
CL Item
Referred by study participant (4)
CL Item
Subject-initiated internet search (e.g. discovered findclinicalstudy.com) (5)
CL Item
Other internet provider paid by GSK (e.g., harrisinteractive.com), specify (6)
CL Item
Information in clinic (e.g., posters, brochure, etc.) (7)
CL Item
Community outreach (e.g., healthfair, advocacy groups, support groups, etc.) (8)
CL Item
Call center (16)
CL Item
Other, specify (OT)
Item
Was this subject a screen failure?
text
C1710476 (UMLS CUI [1])
Code List
Was this subject a screen failure?
CL Item
No (N)
CL Item
Yes (Y)
Item
Was this subject a screen failure? Yes, select primary reason:
integer
C1710476 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])
Code List
Was this subject a screen failure? Yes, select primary reason:
CL Item
Protocol violation (3)
CL Item
Subject decided to withdraw from the study (4)
CL Item
Non-compliance (8)
CL Item
Other, specify (OT)
primary reason for screen failure
Item
primary reason for screen failure
text
C1710476 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])

Gebruik dit formulier voor feedback, vragen en verbeteringsvoorstellen.

Velden gemarkeerd met een * zijn verplicht.

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