ID

26028

Descrizione

Study ID: 100601 Clinical Study ID: LPL100601 Study Title: LPL100601, A Clinical Outcomes Study of Darapladib versus Placebo in Subjects with Chronic Coronary Heart Disease to Compare the Incidence of Major Adverse Cardiovascular Events (MACE) Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00799903 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: phase 3 Study Recruitment Status: Completed Generic Name: darapladib Trade Name: darapladib Study Indication: Atherosclerosis Study part: GI procedured report form - Repeating form (Scheduled visits)

Keywords

versioni (4)
  1. 04/10/17 04/10/17 -
  2. 13/10/17 13/10/17 -
  3. 23/10/17 23/10/17 -
  4. 01/01/18 01/01/18 -
Titolare del copyright

GlaxoSmithKline

Caricato su

4 ottobre 2017

DOI

Per favore, per richiedere un accesso.

Licenza

Creative Commons BY-NC 3.0
Commenti del modello :

Puoi commentare il modello dati qui. Tramite i fumetti nei gruppi di articoli e articoli è possibile aggiungere commenti a quelli in modo specifico.

Torna ai commenti del modello
Commenti del gruppo di articoli per :

Commenti dell'articolo per :

Per scaricare i modelli di dati devi essere registrato. Per favore accesso o registrati GRATIS.

GI procedures Repeating form GSK study Chronic Coronary Heart Disease NCT00799903

Inglese

GI procedures Repeating form GSK study Chronic Coronary Heart Disease NCT00799903

1 moduli  
GI procedures performed post-randomization form
Descrizione

GI procedures performed post-randomization form

1. Date of procedure(s)
Descrizione

Date of procedure

Tipo di dati

date

GI procedures entry
Descrizione

GI procedures entry

2.a GI Procedure
Descrizione

GI Procedure

Tipo di dati

text

If other GI endoscopic procedure, specify:
Descrizione

Other GI endoscopic procedure specification

Tipo di dati

text

2.b Reason for GI procedure: [1] Routine screening study
Descrizione

Tick all that apply

Tipo di dati

boolean

2.b Reason for GI procedure: [2] Procedure for surveillance for Barrett's esophagus
Descrizione

Tick all that apply

Tipo di dati

boolean

2.b Reason for GI procedure: [3] Procedure for surveillance for family history of colorectal cancer
Descrizione

Tick all that apply

Tipo di dati

boolean

2.b Reason for GI procedure: [4] Procedure that was prompted by blood in stool or evidence of GI bleeding (upper or lower)
Descrizione

Tick all that apply

Tipo di dati

boolean

2.b Reason for GI procedure: [5] Procedure that was prompted by anemia
Descrizione

Tick all that apply

Tipo di dati

boolean

2.b Reason for GI procedure: [6] Procedure that was prompted by difficulty swallowing
Descrizione

Tick all that apply

Tipo di dati

boolean

2.b Reason for GI procedure: [7] Procedure that was prompted by esophageal reflux
Descrizione

Tick all that apply

Tipo di dati

boolean

2.b Reason for GI procedure: [8] Procedure that was prompted by diarrhoea
Descrizione

Tick all that apply

Tipo di dati

boolean

2.b Reason for GI procedure: [9] Procedure that was prompted by abdominal pain
Descrizione

Tick all that apply

Tipo di dati

boolean

2.b Reason for GI procedure: [UNK] Unknown
Descrizione

Tick all that apply

Tipo di dati

boolean

2.b Reason for GI procedure: [OT] Procedure that was precipitated by other symptom or finding
Descrizione

Tick all that apply

Tipo di dati

boolean

2.b Reason for GI procedure: If Procedure that was precipitated by other symptom or finding, specify
Descrizione

Tick all that apply

Tipo di dati

text

3. Was a cancer identified?
Descrizione

cancer identified

Tipo di dati

text

4. Was a benign GI polyp(s) (1), a benign GI neoplasms(s) or a neoplasm(s) unable to be determined as benign or malignant identified?
Descrizione

1=neoplastic or non-neoplastic

Tipo di dati

text

Ritorna all'inizio della pagina

Similar models

GI procedures Repeating form GSK study Chronic Coronary Heart Disease NCT00799903

1 moduli
Name
genere
Description | Question | Decode (Coded Value)
Tipo di dati
Alias
Item Group
GI procedures performed post-randomization form
Date of procedure
Item
1. Date of procedure(s)
date
Item Group
GI procedures entry
Item
2.a GI Procedure
text
GI Procedure
Code List
2.a GI Procedure
CL Item
Upper endoscopy (1)
CL Item
Capsule endoscopy (2)
CL Item
Push enteroscopy (3)
CL Item
Colonoscopy (4)
CL Item
Sigmoidoscopy only (5)
CL Item
Other GI endoscopic procedure (specify) (OT)
Other GI endoscopic procedure specification
Item
If other GI endoscopic procedure, specify:
text
Routine screening study
Item
2.b Reason for GI procedure: [1] Routine screening study
boolean
surveillance for Barrett's esophagus
Item
2.b Reason for GI procedure: [2] Procedure for surveillance for Barrett's esophagus
boolean
surveillance for family history of colorectal cancer
Item
2.b Reason for GI procedure: [3] Procedure for surveillance for family history of colorectal cancer
boolean
blood in stool or evidence of GI bleeding
Item
2.b Reason for GI procedure: [4] Procedure that was prompted by blood in stool or evidence of GI bleeding (upper or lower)
boolean
anemia
Item
2.b Reason for GI procedure: [5] Procedure that was prompted by anemia
boolean
difficulty swallowing
Item
2.b Reason for GI procedure: [6] Procedure that was prompted by difficulty swallowing
boolean
esophageal reflux
Item
2.b Reason for GI procedure: [7] Procedure that was prompted by esophageal reflux
boolean
diarrhoea
Item
2.b Reason for GI procedure: [8] Procedure that was prompted by diarrhoea
boolean
abdominal pain
Item
2.b Reason for GI procedure: [9] Procedure that was prompted by abdominal pain
boolean
Reason for GI procedure unknown
Item
2.b Reason for GI procedure: [UNK] Unknown
boolean
other symptom or finding
Item
2.b Reason for GI procedure: [OT] Procedure that was precipitated by other symptom or finding
boolean
other symptom or finding specification
Item
2.b Reason for GI procedure: If Procedure that was precipitated by other symptom or finding, specify
text
Item
3. Was a cancer identified?
text
cancer identified
Code List
3. Was a cancer identified?
CL Item
No (confirmed by procedure/pathology report) (N)
CL Item
Yes, please complete the cancer/GI neoplasm/polyp form and report as an AE/SAE as appropriate (Y)
CL Item
Unknown (U)
Item
4. Was a benign GI polyp(s) (1), a benign GI neoplasms(s) or a neoplasm(s) unable to be determined as benign or malignant identified?
text
cancer identified
Code List
4. Was a benign GI polyp(s) (1), a benign GI neoplasms(s) or a neoplasm(s) unable to be determined as benign or malignant identified?
CL Item
No (confirmed by procedure/pathology report) (N)
CL Item
Yes, please complete the cancer/GI neoplasm/polyp form and report as an AE/SAE as appropriate (Y)
CL Item
Unknown (U)
Ritorna all'inizio della pagina 

Contatto

Si prega di utilizzare questo modulo per feedback, domande e suggerimenti per miglioramenti.

I campi contrassegnati da * sono obbligatori.

Aiuto

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