ID

24555

Beschrijving

NCT00079911 Study ID 100181 Clinical Study ID HS2100181 Study Title: An International, Randomized, Double-Blind, Placebo-Controlled Study of Valaciclovir for the Suppression and Episodic Treatment of Genital HSV Infection in HIV-Infected Persons with CD4+ lymphocyte count <100 cells/mm3. Patient Level Data Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00079911 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 4 Study Recruitment Status: Terminated Generic Name: valaciclovir Trade Name: ZELITREX,Valtrex,RAPIVIR,Novirus Study Indication: Genital Herpes; HIV infection

Trefwoorden

Versies (1)
  1. 06-08-17 06-08-17 -
Houder van rechten

GlaxoSmithKline

Geüploaded op

6 augustus 2017

DOI

Voor een aanvraag inloggen.

Licentie

Creative Commons BY-NC 3.0
Model Commentaren :

Hier kunt u commentaar leveren op het model. U kunt de tekstballonnen bij de itemgroepen en items gebruiken om er specifiek commentaar op te geven.

Terug naar het model Commentaren
Itemgroep Commentaren voor :

Item Commentaren voor :

U moet ingelogd zijn om formulieren te downloaden. AUB inloggen of schrijf u gratis in.

GSK Valaciclovir for the Suppression and Episodic Treatment of Genital HSV Infection in HIV-Infected Persons Subject Diary NCT00079911

Engels

GSK Valaciclovir for the Suppression and Episodic Treatment of Genital HSV Infection in HIV-Infected Persons Subject Diary NCT00079911

1 Formulieren  
Subject Diary
Beschrijving

Subject Diary

Month number
Beschrijving

Month

Datatype

integer

Alias
UMLS CUI [1]
C0439231
Subject Number
Beschrijving

Subject ID

Datatype

integer

Alias
UMLS CUI [1]
C2348585
Date Diary Card Dispensed:
Beschrijving

Date Diary Card Dispensed

Datatype

date

Alias
UMLS CUI [1,1]
C2987124
UMLS CUI [1,2]
C0920316
UMLS CUI [1,3]
C1115441
Date of Next Clinic Visit
Beschrijving

Date of Next Clinic Visit

Datatype

date

Alias
UMLS CUI [1]
C2735342
Genital Herpes Recurrences
Beschrijving

Genital Herpes Recurrences

Date of Onset
Beschrijving

Date of Onset

Datatype

date

Maateenheden
  • day month year
Alias
UMLS CUI [1,1]
C0574845
UMLS CUI [1,2]
C1274323
day month year
Was home viral swab obtained?
Beschrijving

viral swab

Datatype

text

Alias
UMLS CUI [1]
C0563454
Oral/Other Herpes Recurrences
Beschrijving

Oral/Other Herpes Recurrences

Date of Onset
Beschrijving

date of onset

Datatype

date

Maateenheden
  • day month year
Alias
UMLS CUI [1,1]
C0574845
UMLS CUI [1,2]
C1274323
day month year
Location
Beschrijving

location

Datatype

integer

Alias
UMLS CUI [1,1]
C0450429
UMLS CUI [1,2]
C0744883
If Other, specify:
Beschrijving

If Other, specify

Datatype

text

Alias
UMLS CUI [1]
C0449685
lnvestigational Product
Beschrijving

lnvestigational Product

Date
Beschrijving

date tablets missed

Datatype

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C1709043
Number of caplets/tablets missed
Beschrijving

tablets missed

Datatype

integer

Alias
UMLS CUI [1]
C1709043
Record Any Adverse Events / Illnesses
Beschrijving

Record Any Adverse Events / Illnesses

Start Date
Beschrijving

ae start date

Datatype

date

Alias
UMLS CUI [1]
C2697888
End Date
Beschrijving

ae end date

Datatype

date

Alias
UMLS CUI [1]
C2697886
Adverse Event/Illnesses
Beschrijving

Adverse event

Datatype

text

Alias
UMLS CUI [1]
C0877248
Medication Record
Beschrijving

Medication Record

Start Date
Beschrijving

medication start date

Datatype

date

Alias
UMLS CUI [1,1]
C1521826
UMLS CUI [1,2]
C0808070
Stop Date
Beschrijving

medication end date

Datatype

date

Alias
UMLS CUI [1,1]
C1521826
UMLS CUI [1,2]
C0806020
Name of Medication
Beschrijving

medication

Datatype

text

Alias
UMLS CUI [1]
C0013227
Terug naar het begin van de pagina

Similar models

GSK Valaciclovir for the Suppression and Episodic Treatment of Genital HSV Infection in HIV-Infected Persons Subject Diary NCT00079911

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Subject Diary
Month
Item
Month number
integer
C0439231 (UMLS CUI [1])
Subject ID
Item
Subject Number
integer
C2348585 (UMLS CUI [1])
Date Diary Card Dispensed
Item
Date Diary Card Dispensed:
date
C2987124 (UMLS CUI [1,1])
C0920316 (UMLS CUI [1,2])
C1115441 (UMLS CUI [1,3])
Date of Next Clinic Visit
Item
Date of Next Clinic Visit
date
C2735342 (UMLS CUI [1])
Item Group
Genital Herpes Recurrences
Date of Onset
Item
Date of Onset
date
C0574845 (UMLS CUI [1,1])
C1274323 (UMLS CUI [1,2])
Item
Was home viral swab obtained?
text
C0563454 (UMLS CUI [1])
viral swab
Code List
Was home viral swab obtained?
CL Item
Yes (Y)
CL Item
No (N)
Item Group
Oral/Other Herpes Recurrences
date of onset
Item
Date of Onset
date
C0574845 (UMLS CUI [1,1])
C1274323 (UMLS CUI [1,2])
Item
Location
integer
C0450429 (UMLS CUI [1,1])
C0744883 (UMLS CUI [1,2])
location
Code List
Location
CL Item
Oral (1)
CL Item
Other (2)
If Other, specify
Item
If Other, specify:
text
C0449685 (UMLS CUI [1])
Item Group
lnvestigational Product
date tablets missed
Item
Date
date
C0011008 (UMLS CUI [1,1])
C1709043 (UMLS CUI [1,2])
tablets missed
Item
Number of caplets/tablets missed
integer
C1709043 (UMLS CUI [1])
Item Group
Record Any Adverse Events / Illnesses
ae start date
Item
Start Date
date
C2697888 (UMLS CUI [1])
ae end date
Item
End Date
date
C2697886 (UMLS CUI [1])
Adverse event
Item
Adverse Event/Illnesses
text
C0877248 (UMLS CUI [1])
Item Group
Medication Record
medication start date
Item
Start Date
date
C1521826 (UMLS CUI [1,1])
C0808070 (UMLS CUI [1,2])
medication end date
Item
Stop Date
date
C1521826 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
medication
Item
Name of Medication
text
C0013227 (UMLS CUI [1])
Terug naar het begin van de pagina 

Contact

Gebruik dit formulier voor feedback, vragen en verbeteringsvoorstellen.

Velden gemarkeerd met een * zijn verplicht.

Help

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