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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.

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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])
    Back to the top of the page 

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