ID

22460

Description

Study part: PGx- Pharmacogenetic Research.A Phase 2 Multicenter, Double-blind, Placebo-controlled, Study to to Evaluate the Corticosteroid- sparing effects of Mepolizumab in Subjects with Hypereosinophilic Syndromes (HES) and Evaluate Efficacy and Safety of Mepolizumab in Controlling the Clinical Signs and Symptoms of subjects with HES Patient Level Data: Study Listed on ClinicalStudyDataRequest.com. Sponsor: GlaxoSmithKline. Study ID: 100185, Clinical Study ID:MHE100185.

Mots-clés

Versions (1)
  1. 05/06/2017 05/06/2017 -
Détendeur de droits

GlaxoSmithKline

Téléchargé le

5 juin 2017

DOI

Pour une demande vous connecter.

Licence

Creative Commons BY-NC 3.0
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Pharmacogenetic Research Mepolizumab HES NCT00086658

Anglais

PGx- Pharmacogenetic Research

1 Formulaires  
CONSENT FOR PGx-PHARMACOGENETIC RESEARCH
Description

CONSENT FOR PGx-PHARMACOGENETIC RESEARCH

Alias
UMLS CUI-1
C0021430
UMLS CUI-2
C2347500
Study ID
Description

Study ID

Type de données

text

Alias
UMLS CUI [1]
C2826693
Has informed consent been obtained for PGx-Pharmacogenetic research?
Description

informed consent Pharmacogenetic Test

Type de données

boolean

Alias
UMLS CUI [1,1]
C0021430
UMLS CUI [1,2]
C2347500
If Yes,the date informed consent obtained for PGx-Pharmacogenetic research
Description

date Pharmacogenetic Test

Type de données

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C2347500
If No,reason:
Description

reason Pharmacogenetic Test

Type de données

text

Alias
UMLS CUI [1,1]
C0392360
UMLS CUI [1,2]
C2347500
If other, please specify
Description

Other

Type de données

text

Alias
UMLS CUI [1]
C0205394
BLOOD SAMPLE COLLECTION (DNA)
Description

BLOOD SAMPLE COLLECTION (DNA)

Alias
UMLS CUI-1
C0005834
Has a blood sample been collected for PGx-pharmacogenetic research?
Description

BLOOD SAMPLE COLLECTION

Type de données

boolean

Alias
UMLS CUI [1]
C0005834
If Yes, the date sample taken
Description

date BLOOD SAMPLE COLLECTION

Type de données

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0005834
WITHDRAWAL OF CONSENT
Description

WITHDRAWAL OF CONSENT

Alias
UMLS CUI-1
C1707492
Has subject withdrawn consent for PGx-Pharmacogenetic research?
Description

WITHDRAWAL OF CONSENT

Type de données

boolean

Alias
UMLS CUI [1]
C1707492
BLOOD SAMPLE DESTRUCTION
Description

BLOOD SAMPLE DESTRUCTION

Alias
UMLS CUI-1
C1948029
UMLS CUI-2
C0178913
Has a request been made for sample destruction?
Description

BLOOD SAMPLE DESTRUCTION

Type de données

boolean

Alias
UMLS CUI [1,1]
C1948029
UMLS CUI [1,2]
C0178913
If Yes,reason:
Description

reason BLOOD SAMPLE DESTRUCTION

Type de données

text

Alias
UMLS CUI [1,1]
C0392360
UMLS CUI [1,2]
C1948029
UMLS CUI [1,3]
C0178913
If other, please specify
Description

Other

Type de données

text

Alias
UMLS CUI [1]
C0205394
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Similar models

PGx- Pharmacogenetic Research

1 Formulaires
Name
Type
Description | Question | Decode (Coded Value)
Type de données
Alias
Item Group
CONSENT FOR PGx-PHARMACOGENETIC RESEARCH
C0021430 (UMLS CUI-1)
C2347500 (UMLS CUI-2)
Study ID
Item
Study ID
text
C2826693 (UMLS CUI [1])
informed consent Pharmacogenetic Test
Item
Has informed consent been obtained for PGx-Pharmacogenetic research?
boolean
C0021430 (UMLS CUI [1,1])
C2347500 (UMLS CUI [1,2])
date Pharmacogenetic Test
Item
If Yes,the date informed consent obtained for PGx-Pharmacogenetic research
date
C0011008 (UMLS CUI [1,1])
C2347500 (UMLS CUI [1,2])
Item
If No,reason:
text
C0392360 (UMLS CUI [1,1])
C2347500 (UMLS CUI [1,2])
reason
Code List
If No,reason:
CL Item
Subject declined (Subject declined)
CL Item
Subject not asked by Investigator (Subject not asked by Investigator)
CL Item
Other, specify (Other, specify)
Other
Item
If other, please specify
text
C0205394 (UMLS CUI [1])
Item Group
BLOOD SAMPLE COLLECTION (DNA)
C0005834 (UMLS CUI-1)
BLOOD SAMPLE COLLECTION
Item
Has a blood sample been collected for PGx-pharmacogenetic research?
boolean
C0005834 (UMLS CUI [1])
date BLOOD SAMPLE COLLECTION
Item
If Yes, the date sample taken
date
C0011008 (UMLS CUI [1,1])
C0005834 (UMLS CUI [1,2])
Item Group
WITHDRAWAL OF CONSENT
C1707492 (UMLS CUI-1)
WITHDRAWAL OF CONSENT
Item
Has subject withdrawn consent for PGx-Pharmacogenetic research?
boolean
C1707492 (UMLS CUI [1])
Item Group
BLOOD SAMPLE DESTRUCTION
C1948029 (UMLS CUI-1)
C0178913 (UMLS CUI-2)
BLOOD SAMPLE DESTRUCTION
Item
Has a request been made for sample destruction?
boolean
C1948029 (UMLS CUI [1,1])
C0178913 (UMLS CUI [1,2])
Item
If Yes,reason:
text
C0392360 (UMLS CUI [1,1])
C1948029 (UMLS CUI [1,2])
C0178913 (UMLS CUI [1,3])
reason BLOOD SAMPLE DESTRUCTION
Code List
If Yes,reason:
CL Item
Subject requested (Subject requested)
CL Item
Screen failure (Screen failure)
C1710476 (UMLS CUI-1)
CL Item
Other, specify (Other, specify)
C0205394 (UMLS CUI-1)
Other
Item
If other, please specify
text
C0205394 (UMLS CUI [1])
Retour au début de la page 

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