ID

23003

Beschreibung

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

Stichworte

Versionen (1)
  1. 19.06.17 19.06.17 -
Hochgeladen am

19. Juni 2017

DOI

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Pharmacogenetic Research - GSK Milveterol COPD 100527

Englisch

Pharmacogenetic Research - GSK Milveterol COPD 100527

1 Formulare  
Consent for Pharmacogenetic Research
Beschreibung

Consent for Pharmacogenetic Research

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

Informed consent Pharmacogenetic Research

Datentyp

boolean

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

Date of consent

Datentyp

date

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

reason for no consent

Datentyp

text

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

Blood Sample Collection

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

blood sample collected for Pharmacogenetic Research

Datentyp

boolean

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

Date of blood collection

Datentyp

date

Maßeinheiten
  • dd.mm.yyyy
Alias
UMLS CUI [1]
C1302413
dd.mm.yyyy
Withdrawal of Consent
Beschreibung

Withdrawal of Consent

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Has this subject withdrawn consent for Pharmacogenetic Research?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

withdraw consent

Datentyp

boolean

Alias
UMLS CUI [1,1]
C2349954
UMLS CUI [1,2]
C0021430
Blood Sample Destruction
Beschreibung

Blood Sample Destruction

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

request sample destruction

Datentyp

boolean

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

Reason for request sample destruction

Datentyp

integer

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

Pharmacogenetic Research - GSK Milveterol COPD 100527

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
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])
reason for no consent
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])
Reason
Code List
If 'Yes', one reason:
CL Item
Subject's request (1)
CL Item
Screen failure (2)
CL Item
Other (3)
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