ID

21395

Beschreibung

NCT00340080 / VIIV-CNA106030 A phase IV, randomised, multicentre, double-blind, study to evaluate the clinical utility of prospective genetic screening (HLA-B*5701) for susceptibility to abacavir hypersensitivity Assessment: Day 1 (Baseline) Medicine: abacavir, Condition: Infection, Human Immunodeficiency Virus, Phase: 4, Clinical Study ID: CNA106030, Sponsor: ViiV

Stichworte

  1. 19.04.17 19.04.17 -
Hochgeladen am

19. April 2017

DOI

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Genetic Screening For HLA-B*5701 in Patients with HIV Day 1 NCT00340080

Genetic Screening For HLA-B*5701 Day 1 NCT00340080

Day 1 (Baseline)
Beschreibung

Day 1 (Baseline)

Alias
UMLS CUI-1
C1516637
Subject Identifier
Beschreibung

Subject Identifier

Datentyp

text

Alias
UMLS CUI [1]
C2348585
Visit Date
Beschreibung

Visit Date

Datentyp

date

Alias
UMLS CUI [1]
C1320303
Did subject meet all the entry criteria?
Beschreibung

If No, 􏰀check all boxes corresponding to violations of any inclusion/exclusion criteria. Do not start ABC-Containing product and withdraw the subject from the study.

Datentyp

text

Alias
UMLS CUI [1]
C1516637
Check the boxes corresponding to any of the exclusion criteria that disqualified the subject from entry.
Beschreibung

Exclusion Criteria

Datentyp

integer

Alias
UMLS CUI [1]
C0680251
Has the subject previously received and permanently stopped antiretroviral therapy prior to ABC-containing product initiation?
Beschreibung

If Yes, record each medication on a separate line using Trade Names where possible.

Datentyp

text

Alias
UMLS CUI [1]
C1963724
Drug Name (Trade name preferred)
Beschreibung

If Yes, record each medication on a separate line using Trade Names where possible.

Datentyp

text

Alias
UMLS CUI [1,1]
C2360065
UMLS CUI [1,2]
C1963724
Start Date
Beschreibung

If Yes, record each medication on a separate line using Trade Names where possible.

Datentyp

date

Alias
UMLS CUI [1,1]
C0808070
UMLS CUI [1,2]
C1963724
Stop Date
Beschreibung

If Yes, record each medication on a separate line using Trade Names where possible.

Datentyp

date

Alias
UMLS CUI [1,1]
C0806020
UMLS CUI [1,2]
C1963724
Ongoing Medication?
Beschreibung

If Yes, record each medication on a separate line using Trade Names where possible.

Datentyp

text

Alias
UMLS CUI [1,1]
C2826666
UMLS CUI [1,2]
C1963724
Medical Conditions
Beschreibung

(previous form)

Datentyp

text

Alias
UMLS CUI [1]
C0012634
Record the subject’s Baseline CDC classification below, check 􏰀one in Category A, B, or C
Beschreibung

CDC classification

Datentyp

integer

Alias
UMLS CUI [1]
C2319244
Vital signs: Blood pressure systolic
Beschreibung

Blood pressure systolic

Datentyp

integer

Maßeinheiten
  • mmHg
Alias
UMLS CUI [1]
C0871470
mmHg
Vital signs: Blood pressure diastolic
Beschreibung

Blood pressure diastolic

Datentyp

integer

Maßeinheiten
  • mmHg
Alias
UMLS CUI [1]
C0428883
mmHg
Vital signs: Heart rate
Beschreibung

Heart rate

Datentyp

integer

Maßeinheiten
  • beats/minute
Alias
UMLS CUI [1]
C0018810
beats/minute
Vital signs: Temperature
Beschreibung

Temperature

Datentyp

float

Maßeinheiten
  • °C
Alias
UMLS CUI [1]
C0005903
°C
Date sample taken
Beschreibung

Complete for Female Subjects Only

Datentyp

date

Alias
UMLS CUI [1,1]
C0032976
UMLS CUI [1,2]
C0011008
Pregnancy test results
Beschreibung

Pregnancy test results

Datentyp

integer

Alias
UMLS CUI [1,1]
C0032976
UMLS CUI [1,2]
C1274040

Ähnliche Modelle

Genetic Screening For HLA-B*5701 Day 1 NCT00340080

Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Day 1 (Baseline)
C1516637 (UMLS CUI-1)
Subject Identifier
Item
Subject Identifier
text
C2348585 (UMLS CUI [1])
Visit Date
Item
Visit Date
date
C1320303 (UMLS CUI [1])
Item
Did subject meet all the entry criteria?
text
C1516637 (UMLS CUI [1])
Code List
Did subject meet all the entry criteria?
CL Item
Yes (Y)
CL Item
No (N)
Item
Check the boxes corresponding to any of the exclusion criteria that disqualified the subject from entry.
integer
C0680251 (UMLS CUI [1])
Code List
Check the boxes corresponding to any of the exclusion criteria that disqualified the subject from entry.
CL Item
Did not meet treatment eligibility criteria (14)
CL Item
The investigational site does not receive written notification that it is appropriate to initiate ABC- containing HAART as part of this study. (15)
Item
Has the subject previously received and permanently stopped antiretroviral therapy prior to ABC-containing product initiation?
text
C1963724 (UMLS CUI [1])
Code List
Has the subject previously received and permanently stopped antiretroviral therapy prior to ABC-containing product initiation?
CL Item
Yes (Y)
CL Item
No (N)
Drug Name
Item
Drug Name (Trade name preferred)
text
C2360065 (UMLS CUI [1,1])
C1963724 (UMLS CUI [1,2])
Start Date
Item
Start Date
date
C0808070 (UMLS CUI [1,1])
C1963724 (UMLS CUI [1,2])
Stop Date
Item
Stop Date
date
C0806020 (UMLS CUI [1,1])
C1963724 (UMLS CUI [1,2])
Item
Ongoing Medication?
text
C2826666 (UMLS CUI [1,1])
C1963724 (UMLS CUI [1,2])
Code List
Ongoing Medication?
CL Item
Yes (Y)
CL Item
No (N)
Medical Conditions
Item
Medical Conditions
text
C0012634 (UMLS CUI [1])
Item
Record the subject’s Baseline CDC classification below, check 􏰀one in Category A, B, or C
integer
C2319244 (UMLS CUI [1])
Code List
Record the subject’s Baseline CDC classification below, check 􏰀one in Category A, B, or C
CL Item
Category A: Asymptomatic HIV infection/Persistent generalized lymphadenopathy/Acute (primary) HIV infection with accompanying illness or history of acute HIV (1)
CL Item
Category B: Symptomatic (non-AIDS) conditions (2)
CL Item
Category C: AIDS Indicator Conditions as defined by diagnostic or presumptive measures (3)
Blood pressure systolic
Item
Vital signs: Blood pressure systolic
integer
C0871470 (UMLS CUI [1])
Blood pressure diastolic
Item
Vital signs: Blood pressure diastolic
integer
C0428883 (UMLS CUI [1])
Heart rate
Item
Vital signs: Heart rate
integer
C0018810 (UMLS CUI [1])
Temperature
Item
Vital signs: Temperature
float
C0005903 (UMLS CUI [1])
Pregnancy test date
Item
Date sample taken
date
C0032976 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
Pregnancy test results
integer
C0032976 (UMLS CUI [1,1])
C1274040 (UMLS CUI [1,2])
Code List
Pregnancy test results
CL Item
Positive (1)
CL Item
Negative (2)
CL Item
Not applicable (Not of childbearing potential) (3)

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