ID

22476

Description

Study part: Investigators signature.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.

Keywords

Versions (1)
  1. 6/5/17 6/5/17 -
Copyright Holder

GlaxoSmithKline

Uploaded on

June 5, 2017

DOI

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License

Creative Commons BY-NC 3.0
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Investigators signature Mepolizumab HES NCT00086658

English

Investigators signature

1 forms  
INVESTIGATOR’S SIGNATURE
Description

INVESTIGATOR’S SIGNATURE

Alias
UMLS CUI-1
C2346576
Subject ID
Description

Subject ID

Data type

text

Alias
UMLS CUI [1]
C2348585
I confirm that I have reviewed the data in this Case Report Form for this subject. All information entered by myself or my colleagues is, to the best of my knowledge, complete and accurate, as of the date below.
Description

consent

Data type

boolean

Alias
UMLS CUI [1]
C1511481
Investigator’s Signature :
Description

Investigators signature

Data type

text

Alias
UMLS CUI [1]
C2346576
Investigator’s name
Description

Investigator name

Data type

text

Alias
UMLS CUI [1]
C2826892
Date
Description

Date

Data type

date

Alias
UMLS CUI [1]
C0011008
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Similar models

Investigators signature

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
INVESTIGATOR’S SIGNATURE
C2346576 (UMLS CUI-1)
Subject ID
Item
Subject ID
text
C2348585 (UMLS CUI [1])
consent
Item
I confirm that I have reviewed the data in this Case Report Form for this subject. All information entered by myself or my colleagues is, to the best of my knowledge, complete and accurate, as of the date below.
boolean
C1511481 (UMLS CUI [1])
Investigators signature
Item
Investigator’s Signature :
text
C2346576 (UMLS CUI [1])
Investigator name
Item
Investigator’s name
text
C2826892 (UMLS CUI [1])
Date
Item
Date
date
C0011008 (UMLS CUI [1])
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