ID

21401

Description

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: Demography Medicine: abacavir, Condition: Infection, Human Immunodeficiency Virus, Phase: 4, Clinical Study ID: CNA106030, Sponsor: ViiV

Keywords

Versions (1)
  1. 4/19/17 4/19/17 -
Uploaded on

April 19, 2017

DOI

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License

Creative Commons BY-NC 3.0
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Genetic Screening For HLA-B*5701 in Patients with HIV Demography NCT00340080

English

Genetic Screening For HLA-B*5701 Demography NCT00340080

1 forms  
Demography
Description

Demography

Alias
UMLS CUI-1
C0011298
Subject Identifier
Description

Subject Identifier

Data type

text

Alias
UMLS CUI [1]
C2348585
Date of birth
Description

Date of birth

Data type

date

Alias
UMLS CUI [1]
C0421451
Sex
Description

Sex

Data type

text

Alias
UMLS CUI [1]
C0079399
Ethnicity: check one
Description

Ethnicity

Data type

integer

Alias
UMLS CUI [1]
C0015031
Geographic Ancestry: check all that apply
Description

Geographic Ancestry

Data type

integer

Alias
UMLS CUI [1,1]
C3841890
UMLS CUI [1,2]
C0034510
Geographic Ancestry Mother
Description

Specify country of origin and geographic ancestry of the following biological relative:

Data type

integer

Alias
UMLS CUI [1,1]
C3841890
UMLS CUI [1,2]
C0026591
Geographic Ancestry Maternal Grandmother
Description

Specify country of origin and geographic ancestry of the following biological relative:

Data type

integer

Alias
UMLS CUI [1,1]
C3841890
UMLS CUI [1,2]
C1273525
Geographic Ancestry Maternal Grandfather
Description

Specify country of origin and geographic ancestry of the following biological relative:

Data type

integer

Alias
UMLS CUI [1,1]
C3841890
UMLS CUI [1,2]
C1273523
Geographic Ancestry Father
Description

Specify country of origin and geographic ancestry of the following biological relative:

Data type

integer

Alias
UMLS CUI [1,1]
C3841890
UMLS CUI [1,2]
C0015671
Geographic Ancestry Paternal Grandmother
Description

Specify country of origin and geographic ancestry of the following biological relative:

Data type

integer

Alias
UMLS CUI [1,1]
C3841890
UMLS CUI [1,2]
C1273524
Geographic Ancestry Paternal Grandfather
Description

Specify country of origin and geographic ancestry of the following biological relative:

Data type

integer

Alias
UMLS CUI [1,1]
C3841890
UMLS CUI [1,2]
C1273522
Country of Origin Mother
Description

Specify country of origin and geographic ancestry of the following biological relatives:

Data type

text

Alias
UMLS CUI [1,1]
C1300001
UMLS CUI [1,2]
C0026591
Country of Origin Maternal Grandmother
Description

Specify country of origin and geographic ancestry of the following biological relative:

Data type

text

Alias
UMLS CUI [1,1]
C1300001
UMLS CUI [1,2]
C1273525
Country of Origin Maternal Grandfather
Description

Specify country of origin and geographic ancestry of the following biological relative:

Data type

text

Alias
UMLS CUI [1,1]
C1300001
UMLS CUI [1,2]
C1273523
Country of Origin Father
Description

Specify country of origin and geographic ancestry of the following biological relative:

Data type

text

Alias
UMLS CUI [1,1]
C1300001
UMLS CUI [1,2]
C0015671
Country of Origin Paternal Grandmother
Description

Specify country of origin and geographic ancestry of the following biological relative:

Data type

text

Alias
UMLS CUI [1,1]
C1300001
UMLS CUI [1,2]
C1273524
Country of Origin Paternal Grandfather
Description

Specify country of origin and geographic ancestry of the following biological relative:

Data type

text

Alias
UMLS CUI [1,1]
C1300001
UMLS CUI [1,2]
C1273522
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Similar models

Genetic Screening For HLA-B*5701 Demography NCT00340080

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Demography
C0011298 (UMLS CUI-1)
Subject Identifier
Item
Subject Identifier
text
C2348585 (UMLS CUI [1])
Date of birth
Item
Date of birth
date
C0421451 (UMLS CUI [1])
Item
Sex
text
C0079399 (UMLS CUI [1])
Sex
Code List
Sex
CL Item
Male (M)
CL Item
Female (F)
Item
Ethnicity: check one
integer
C0015031 (UMLS CUI [1])
Ethnicity
Code List
Ethnicity: check one
CL Item
Hispanic or Latino (1)
CL Item
Not Hispanic or Latino (2)
Item
Geographic Ancestry: check all that apply
integer
C3841890 (UMLS CUI [1,1])
C0034510 (UMLS CUI [1,2])
Geographic Ancestry
Code List
Geographic Ancestry: check all that apply
CL Item
African American/African Heritage (11)
CL Item
American Indian or Alaskan Native (12)
CL Item
Asian - Central/South Asian Heritage (13)
CL Item
Asian - East Asian Heritage (14)
CL Item
Asian - Japanese Heritage (15)
CL Item
Asian - South East Asian Heritage (16)
CL Item
Native Hawaiian or Other Pacific Islander (17)
CL Item
White - Arabic/North African Heritage (18)
CL Item
White - White/Caucasian/European Heritage (19)
Item
Geographic Ancestry Mother
integer
C3841890 (UMLS CUI [1,1])
C0026591 (UMLS CUI [1,2])
Geographic Ancestry
Code List
Geographic Ancestry Mother
CL Item
African American/African Heritage (11)
CL Item
American Indian or Alaskan Native (12)
CL Item
Asian - Central/South Asian Heritage (13)
CL Item
Asian - East Asian Heritage (14)
CL Item
Asian - Japanese Heritage (15)
CL Item
Asian - South East Asian Heritage (16)
CL Item
Native Hawaiian or Other Pacific Islander (17)
CL Item
White - Arabic/North African Heritage (18)
CL Item
White - White/Caucasian/European Heritage (19)
Item
Geographic Ancestry Maternal Grandmother
integer
C3841890 (UMLS CUI [1,1])
C1273525 (UMLS CUI [1,2])
Geographic Ancestry
Code List
Geographic Ancestry Maternal Grandmother
CL Item
African American/African Heritage (11)
CL Item
American Indian or Alaskan Native (12)
CL Item
Asian - Central/South Asian Heritage (13)
CL Item
Asian - East Asian Heritage (14)
CL Item
Asian - Japanese Heritage (15)
CL Item
Asian - South East Asian Heritage (16)
CL Item
Native Hawaiian or Other Pacific Islander (17)
CL Item
White - Arabic/North African Heritage (18)
CL Item
White - White/Caucasian/European Heritage (19)
Item
Geographic Ancestry Maternal Grandfather
integer
C3841890 (UMLS CUI [1,1])
C1273523 (UMLS CUI [1,2])
Geographic Ancestry
Code List
Geographic Ancestry Maternal Grandfather
CL Item
African American/African Heritage (11)
CL Item
American Indian or Alaskan Native (12)
CL Item
Asian - Central/South Asian Heritage (13)
CL Item
Asian - East Asian Heritage (14)
CL Item
Asian - Japanese Heritage (15)
CL Item
Asian - South East Asian Heritage (16)
CL Item
Native Hawaiian or Other Pacific Islander (17)
CL Item
White - Arabic/North African Heritage (18)
CL Item
White - White/Caucasian/European Heritage (19)
Item
Geographic Ancestry Father
integer
C3841890 (UMLS CUI [1,1])
C0015671 (UMLS CUI [1,2])
Geographic Ancestry
Code List
Geographic Ancestry Father
CL Item
African American/African Heritage (11)
CL Item
American Indian or Alaskan Native (12)
CL Item
Asian - Central/South Asian Heritage (13)
CL Item
Asian - East Asian Heritage (14)
CL Item
Asian - Japanese Heritage (15)
CL Item
Asian - South East Asian Heritage (16)
CL Item
Native Hawaiian or Other Pacific Islander (17)
CL Item
White - Arabic/North African Heritage (18)
CL Item
White - White/Caucasian/European Heritage (19)
Item
Geographic Ancestry Paternal Grandmother
integer
C3841890 (UMLS CUI [1,1])
C1273524 (UMLS CUI [1,2])
Geographic Ancestry
Code List
Geographic Ancestry Paternal Grandmother
CL Item
African American/African Heritage (11)
CL Item
American Indian or Alaskan Native (12)
CL Item
Asian - Central/South Asian Heritage (13)
CL Item
Asian - East Asian Heritage (14)
CL Item
Asian - Japanese Heritage (15)
CL Item
Asian - South East Asian Heritage (16)
CL Item
Native Hawaiian or Other Pacific Islander (17)
CL Item
White - Arabic/North African Heritage (18)
CL Item
White - White/Caucasian/European Heritage (19)
Item
Geographic Ancestry Paternal Grandfather
integer
C3841890 (UMLS CUI [1,1])
C1273522 (UMLS CUI [1,2])
Geographic Ancestry
Code List
Geographic Ancestry Paternal Grandfather
CL Item
African American/African Heritage (11)
CL Item
American Indian or Alaskan Native (12)
CL Item
Asian - Central/South Asian Heritage (13)
CL Item
Asian - East Asian Heritage (14)
CL Item
Asian - Japanese Heritage (15)
CL Item
Asian - South East Asian Heritage (16)
CL Item
Native Hawaiian or Other Pacific Islander (17)
CL Item
White - Arabic/North African Heritage (18)
CL Item
White - White/Caucasian/European Heritage (19)
Country of Origin Mother
Item
Country of Origin Mother
text
C1300001 (UMLS CUI [1,1])
C0026591 (UMLS CUI [1,2])
Country of Origin Maternal Grandmother
Item
Country of Origin Maternal Grandmother
text
C1300001 (UMLS CUI [1,1])
C1273525 (UMLS CUI [1,2])
Country of Origin Maternal Grandfather
Item
Country of Origin Maternal Grandfather
text
C1300001 (UMLS CUI [1,1])
C1273523 (UMLS CUI [1,2])
Country of Origin Father
Item
Country of Origin Father
text
C1300001 (UMLS CUI [1,1])
C0015671 (UMLS CUI [1,2])
Country of Origin Paternal Grandmother
Item
Country of Origin Paternal Grandmother
text
C1300001 (UMLS CUI [1,1])
C1273524 (UMLS CUI [1,2])
Country of Origin Paternal Grandfather
Item
Country of Origin Paternal Grandfather
text
C1300001 (UMLS CUI [1,1])
C1273522 (UMLS CUI [1,2])
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