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ID

22476

Beschrijving

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.

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Versies (1)
  1. 05-06-17 05-06-17 -
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GlaxoSmithKline

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5 juni 2017

DOI

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Creative Commons BY-NC 3.0
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    Investigators signature Mepolizumab HES NCT00086658

    Engels

    Investigators signature

    1 Formulieren  
    INVESTIGATOR’S SIGNATURE
    Beschrijving

    INVESTIGATOR’S SIGNATURE

    Alias
    UMLS CUI-1
    C2346576 (Investigator Signature)
    Subject ID
    Beschrijving

    Subject ID

    Datatype

    text

    Alias
    UMLS CUI [1]
    C2348585 (Clinical Trial Subject Unique Identifier)
    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.
    Beschrijving

    consent

    Datatype

    boolean

    Alias
    UMLS CUI [1]
    C1511481 (Consent)
    LOINC
    LP100037-3
    Investigator’s Signature :
    Beschrijving

    Investigators signature

    Datatype

    text

    Alias
    UMLS CUI [1]
    C2346576 (Investigator Signature)
    Investigator’s name
    Beschrijving

    Investigator name

    Datatype

    text

    Alias
    UMLS CUI [1]
    C2826892 (Investigator Name)
    Date
    Beschrijving

    Date

    Datatype

    date

    Alias
    UMLS CUI [1]
    C0011008 (Date in time)
    SNOMED
    410671006
    Terug naar het begin van de pagina

    Similar models

    Investigators signature

    1 Formulieren
    Name
    Type
    Description | Question | Decode (Coded Value)
    Datatype
    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])
    Terug naar het begin van de pagina 

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