ID

26338

Beskrivning

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 conditions of special interest Report form

Nyckelord

Versioner (4)
  1. 2017-10-09 2017-10-09 -
  2. 2017-10-16 2017-10-16 -
  3. 2017-10-23 2017-10-23 -
  4. 2018-01-11 2018-01-11 -
Rättsinnehavare

GlaxoSmithKline

Uppladdad den

16 oktober 2017

DOI

För en begäran logga in.

Licens

Creative Commons BY-NC 3.0
Modellkommentarer :

Här kan du kommentera modellen. Med hjälp av pratbubblor i Item-grupperna och Item kan du lägga in specifika kommentarer.

Tillbaka till modellkommentarer
Itemgroup-kommentar för :

Item-kommentar för :

Du måste vara inloggad för att kunna ladda ner formulär. Var vänlig logga in eller registrera dig utan kostnad.

GI conditions of special interest GSK study Chronic Coronary Heart Disease NCT00799903

Engelsk

GI conditions of special interest GSK study Chronic Coronary Heart Disease NCT00799903

1 Formulär  
GI conditions of special interest completed for all randomized subjects
Beskrivning

GI conditions of special interest completed for all randomized subjects

1. Crohn's disease
Beskrivning

Crohn's disease

Datatyp

text

Month of diagnosis: 1. Crohn's disease
Beskrivning

Month of diagnosis Crohn's disease

Datatyp

text

Year of diagnosis: 1.Crohn's disease
Beskrivning

Year of diagnosis Crohn's disease

Datatyp

integer

2. Celiac disease
Beskrivning

Celiac disease

Datatyp

text

Month of diagnosis: 2. Celiac disease
Beskrivning

Month of diagnosis Celiac disease

Datatyp

text

Year of diagnosis: 2. Celiac disease
Beskrivning

Year of diagnosis Celiac disease

Datatyp

integer

3. Ulcerative colitis
Beskrivning

Ulcerative colitis

Datatyp

text

Month of diagnosis: 3. Ulcerative colitis
Beskrivning

Month of diagnosis Ulcerative colitis

Datatyp

text

Year of diagnosis: 3. Ulcerative colitis
Beskrivning

Year of diagnosis Ulcerative colitis

Datatyp

integer

4. Familial adenomatous polyposis
Beskrivning

(FAP: Autosomal dominant inherited condition that occurs in approximately 1 in 8,000 people)

Datatyp

text

Month of diagnosis: 4. Familial adenomatous polyposis
Beskrivning

Month of diagnosis Familial adenomatous polyposis

Datatyp

text

Year of diagnosis: 4. Familial adenomatous polyposis
Beskrivning

Year of diagnosis Familial adenomatous polyposis

Datatyp

integer

5. Peutz-Jegher's syndrome
Beskrivning

Peutz-Jegher's syndrome

Datatyp

text

Month of diagnosis: 5. Peutz-Jegher's syndrome
Beskrivning

Month of diagnosis Peutz-Jegher's syndrome

Datatyp

text

Year of diagnosis: 5. Peutz-Jegher's syndrome
Beskrivning

Year of diagnosis Peutz-Jegher's syndrome

Datatyp

integer

6. Hereditary non polyposis colorectal cancer syndrome
Beskrivning

Hereditary non polyposis colorectal cancer syndrome

Datatyp

text

Month of diagnosis: 6. Hereditary non polyposis colorectal cancer syndrome
Beskrivning

Month of diagnosis Hereditary non polyposis colorectal cancer syndrome

Datatyp

text

Year of diagnosis: 6. Hereditary non polyposis colorectal cancer syndrome
Beskrivning

Year of diagnosis Hereditary non polyposis colorectal cancer syndrome

Datatyp

integer

History of adenomatous polyps
Beskrivning

History of adenomatous polyps

7. History of adenomatous polyps of the small intestine or colon prior to randomization
Beskrivning

History of adenomatous polyps

Datatyp

text

Family history of intestinal cancer or adenomatous polyps
Beskrivning

Family history of intestinal cancer or adenomatous polyps

8. Family history of intestinal cancer
Beskrivning

Family history of intestinal cancer

Datatyp

text

If family history of intestinal cancer exists, select one
Beskrivning

family history of intestinal cancer site

Datatyp

text

9. Family history of adenomatous polyps
Beskrivning

Family history of adenomatous polyps

Datatyp

text

Tillbaka till toppen

Similar models

GI conditions of special interest GSK study Chronic Coronary Heart Disease NCT00799903

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
GI conditions of special interest completed for all randomized subjects
Item
1. Crohn's disease
text
Crohn's disease
Code List
1. Crohn's disease
CL Item
No (N)
CL Item
Unknown (U)
CL Item
Yes (Y)
Month of diagnosis Crohn's disease
Item
Month of diagnosis: 1. Crohn's disease
text
Year of diagnosis Crohn's disease
Item
Year of diagnosis: 1.Crohn's disease
integer
Item
2. Celiac disease
text
Crohn's disease
Code List
2. Celiac disease
CL Item
No (N)
CL Item
Unknown (U)
CL Item
Yes (Y)
Month of diagnosis Celiac disease
Item
Month of diagnosis: 2. Celiac disease
text
Year of diagnosis Celiac disease
Item
Year of diagnosis: 2. Celiac disease
integer
Item
3. Ulcerative colitis
text
Crohn's disease
Code List
3. Ulcerative colitis
CL Item
No (N)
CL Item
Unknown (U)
CL Item
Yes (Y)
Month of diagnosis Ulcerative colitis
Item
Month of diagnosis: 3. Ulcerative colitis
text
Year of diagnosis Ulcerative colitis
Item
Year of diagnosis: 3. Ulcerative colitis
integer
Item
4. Familial adenomatous polyposis
text
Crohn's disease
Code List
4. Familial adenomatous polyposis
CL Item
No (N)
CL Item
Unknown (U)
CL Item
Yes (Y)
Month of diagnosis Familial adenomatous polyposis
Item
Month of diagnosis: 4. Familial adenomatous polyposis
text
Year of diagnosis Familial adenomatous polyposis
Item
Year of diagnosis: 4. Familial adenomatous polyposis
integer
Item
5. Peutz-Jegher's syndrome
text
Crohn's disease
Code List
5. Peutz-Jegher's syndrome
CL Item
No (N)
CL Item
Unknown (U)
CL Item
Yes (Y)
Month of diagnosis Peutz-Jegher's syndrome
Item
Month of diagnosis: 5. Peutz-Jegher's syndrome
text
Year of diagnosis Peutz-Jegher's syndrome
Item
Year of diagnosis: 5. Peutz-Jegher's syndrome
integer
Item
6. Hereditary non polyposis colorectal cancer syndrome
text
Crohn's disease
Code List
6. Hereditary non polyposis colorectal cancer syndrome
CL Item
No (N)
CL Item
Unknown (U)
CL Item
Yes (Y)
Month of diagnosis Hereditary non polyposis colorectal cancer syndrome
Item
Month of diagnosis: 6. Hereditary non polyposis colorectal cancer syndrome
text
Year of diagnosis Hereditary non polyposis colorectal cancer syndrome
Item
Year of diagnosis: 6. Hereditary non polyposis colorectal cancer syndrome
integer
Item Group
History of adenomatous polyps
Item
7. History of adenomatous polyps of the small intestine or colon prior to randomization
text
Crohn's disease
Code List
7. History of adenomatous polyps of the small intestine or colon prior to randomization
CL Item
No (N)
CL Item
Unknown (U)
CL Item
Yes (Y)
Item Group
Family history of intestinal cancer or adenomatous polyps
Item
8. Family history of intestinal cancer
text
Crohn's disease
Code List
8. Family history of intestinal cancer
CL Item
No (N)
CL Item
Unknown (U)
CL Item
Yes (Y)
Item
If family history of intestinal cancer exists, select one
text
family history of intestinal cancer site
Code List
If family history of intestinal cancer exists, select one
CL Item
Small intestine (HXSMINTC)
CL Item
Colon (includes rectum) (Y)
CL Item
Both small intestine and colon (including rectum) (HXINTCOL)
Item
9. Family history of adenomatous polyps
text
Crohn's disease
Code List
9. Family history of adenomatous polyps
CL Item
No (N)
CL Item
Unknown (U)
CL Item
Yes (Y)
Tillbaka till toppen 

Kontakt

Använd detta formulär för feedback, frågor och förslag på förbättringar.

Fält markerade med * är obligatoriska.

Hjälp

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