ID

23003

Description

Study ID: 100527 Clinical Study ID: B2E100527 Study Title: A randomised, double blind, placebo controlled, parellel group study to examine the efficacy, safety, tolerability and systemic pharmacokinetic profile of repeated inhaled doses of GSK159797 Sponsor: GlaxoSmithKline Phase: phase 2 Study Recruitment Status: Completed Generic Name: milveterol Trade Name: Milveterol Study Indication: Pulmonary Disease, Chronic Obstructive

Keywords

  1. 6/19/17 6/19/17 -
Uploaded on

June 19, 2017

DOI

To request one please log in.

License

Creative Commons BY-NC 3.0

Model comments :

You can comment on the data model here. Via the speech bubbles at the itemgroups and items you can add comments to those specificially.

Itemgroup comments for :

Item comments for :

In order to download data models you must be logged in. Please log in or register for free.

Pharmacogenetic Research - GSK Milveterol COPD 100527

Pharmacogenetic Research - GSK Milveterol COPD 100527

Consent for Pharmacogenetic Research
Description

Consent for Pharmacogenetic Research

Alias
UMLS CUI-1
C0031325
UMLS CUI-2
C0021430
Has informed consent been obtained for Pharmacogenetic Research?
Description

Informed consent Pharmacogenetic Research

Data type

boolean

Alias
UMLS CUI [1,1]
C0031325
UMLS CUI [1,2]
C0021430
lf 'Yes', date informed consent obtained for Pharmacogenetic Research:
Description

Date of consent

Data type

date

Measurement units
  • dd.mm.yyyy
Alias
UMLS CUI [1]
C2985782
dd.mm.yyyy
If 'No', specify reason below:
Description

reason for no consent

Data type

text

Alias
UMLS CUI [1,1]
C0566251
UMLS CUI [1,2]
C0021430
UMLS CUI [1,3]
C1705492
Blood Sample Collection
Description

Blood Sample Collection

Alias
UMLS CUI-1
C0005834
Has a blood sample been collected for Pharmacogenetic Research?
Description

blood sample collected for Pharmacogenetic Research

Data type

boolean

Alias
UMLS CUI [1,1]
C0005834
UMLS CUI [1,2]
C0031325
If 'Yes', date sample taken:
Description

Date of blood collection

Data type

date

Measurement units
  • dd.mm.yyyy
Alias
UMLS CUI [1]
C1302413
dd.mm.yyyy
Withdrawal of Consent
Description

Withdrawal of Consent

Alias
UMLS CUI-1
C2349954
UMLS CUI-2
C0021430
Has this subject withdrawn consent for Pharmacogenetic Research?
Description

withdraw consent

Data type

boolean

Alias
UMLS CUI [1,1]
C2349954
UMLS CUI [1,2]
C0021430
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

request sample destruction

Data type

boolean

Alias
UMLS CUI [1,1]
C1272683
UMLS CUI [1,2]
C1948029
UMLS CUI [1,3]
C0178913
If 'Yes', one reason:
Description

Reason for request sample destruction

Data type

integer

Alias
UMLS CUI [1,1]
C0566251
UMLS CUI [1,2]
C1272683
UMLS CUI [1,3]
C1948029
UMLS CUI [1,4]
C0178913

Similar models

Pharmacogenetic Research - GSK Milveterol COPD 100527

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Consent for Pharmacogenetic Research
C0031325 (UMLS CUI-1)
C0021430 (UMLS CUI-2)
Informed consent Pharmacogenetic Research
Item
Has informed consent been obtained for Pharmacogenetic Research?
boolean
C0031325 (UMLS CUI [1,1])
C0021430 (UMLS CUI [1,2])
Date of consent
Item
lf 'Yes', date informed consent obtained for Pharmacogenetic Research:
date
C2985782 (UMLS CUI [1])
Item
If 'No', specify reason below:
text
C0566251 (UMLS CUI [1,1])
C0021430 (UMLS CUI [1,2])
C1705492 (UMLS CUI [1,3])
Code List
If 'No', specify reason below:
CL Item
Subject declined (Subject declined)
CL Item
Subject not asked by investigator (Subject not asked by investigator)
CL Item
Other (Other)
Item Group
Blood Sample Collection
C0005834 (UMLS CUI-1)
blood sample collected for Pharmacogenetic Research
Item
Has a blood sample been collected for Pharmacogenetic Research?
boolean
C0005834 (UMLS CUI [1,1])
C0031325 (UMLS CUI [1,2])
Date of blood collection
Item
If 'Yes', date sample taken:
date
C1302413 (UMLS CUI [1])
Item Group
Withdrawal of Consent
C2349954 (UMLS CUI-1)
C0021430 (UMLS CUI-2)
withdraw consent
Item
Has this subject withdrawn consent for Pharmacogenetic Research?
boolean
C2349954 (UMLS CUI [1,1])
C0021430 (UMLS CUI [1,2])
Item Group
Blood Sample Destruction
C1948029 (UMLS CUI-1)
C0178913 (UMLS CUI-2)
request sample destruction
Item
Has a request been made for sample destruction?
boolean
C1272683 (UMLS CUI [1,1])
C1948029 (UMLS CUI [1,2])
C0178913 (UMLS CUI [1,3])
Item
If 'Yes', one reason:
integer
C0566251 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C1948029 (UMLS CUI [1,3])
C0178913 (UMLS CUI [1,4])
Code List
If 'Yes', one reason:
CL Item
Subject's request (1)
CL Item
Screen failure (2)
CL Item
Other (3)

Please use this form for feedback, questions and suggestions for improvements.

Fields marked with * are required.

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial