ID

26708

Descripción

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: Endpoint Stroke/TIA - Repeating form (Scheduled visits)

Palabras clave

Versiones (6)
  1. 6/10/17 6/10/17 -
  2. 6/10/17 6/10/17 -
  3. 16/10/17 16/10/17 -
  4. 23/10/17 23/10/17 -
  5. 3/1/18 3/1/18 -
  6. 4/1/18 4/1/18 -
Titular de derechos de autor

GlaxoSmithKline

Subido en

23 de octubre de 2017

DOI

Para solicitar uno, por favor iniciar sesión.

Licencia

Creative Commons BY-NC 3.0
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Endpoint Stroke/TIA GSK study Chronic Coronary Heart Disease NCT00799903

Inglés

Endpoint Stroke/TIA GSK study Chronic Coronary Heart Disease NCT00799903

1 formularios  
Investigator Section
Descripción

Investigator Section

1. Date of onset of symptoms
Descripción

Date of onset of symptoms

Tipo de datos

date

1. Time of onset of symptoms
Descripción

Time of onset of symptoms

Tipo de datos

time

2. Date of of symptom resolution
Descripción

Date of of symptom resolution

Tipo de datos

date

2. Time of of symptom resolution
Descripción

Time of of symptom resolution

Tipo de datos

date

3. Event
Descripción

Event

Tipo de datos

integer

4. Symptoms: [B01] Motor and/or sensory loss in face,arm,leg
Descripción

Check all that apply

Tipo de datos

boolean

4. Symptoms: [B02] Dysphasia/aphasia (difficulty with language)
Descripción

Check all that apply

Tipo de datos

boolean

4. Symptoms: [B03] Dysarthria/dysphagia (difficulty with speech and swallowing)
Descripción

Check all that apply

Tipo de datos

boolean

4. Symptoms: [B04] Hemianopsia
Descripción

Check all that apply

Tipo de datos

boolean

4. Symptoms: [B05] Dizziness/vertigo
Descripción

Check all that apply

Tipo de datos

boolean

4. Symptoms: [B06] Ataxia
Descripción

Check all that apply

Tipo de datos

boolean

4. Symptoms: [B07] Nystagmus
Descripción

Check all that apply

Tipo de datos

boolean

4. Symptoms: [B08] Diplopia
Descripción

Check all that apply

Tipo de datos

boolean

4. Symptoms: [B09] Acute confusion/cognitive change
Descripción

Check all that apply

Tipo de datos

boolean

4. Symptoms: [B10] Decreased consciousness
Descripción

Check all that apply

Tipo de datos

boolean

5. Did the subject have a new focal neurologic deficit thought to be of vascular origin, with signs or symptoms lasting >24 hours?
Descripción

new focal neurologic deficit

Tipo de datos

boolean

5. If neurologic symptoms <24 hours, was new brain lesion confirmed by diffusion-weighted MRI showing the presence of a new brain infarct?
Descripción

new brain infarct

Tipo de datos

boolean

6. Did neuro-imaging show an ischemic defect matching the clinical symptoms?
Descripción

ischemic defect neuro-imaging

Tipo de datos

text

7. Method of diagnosis: [B11] Neurological exam
Descripción

Check all that apply

Tipo de datos

boolean

7. Method of diagnosis: [B12] Neuro-ophthalmologic exam (retinal embolism, infarction)
Descripción

Check all that apply

Tipo de datos

boolean

7. Method of diagnosis: [B13] CT scan
Descripción

Check all that apply

Tipo de datos

boolean

7. Method of diagnosis: [B14] MRI scan
Descripción

Check all that apply

Tipo de datos

boolean

7. Method of diagnosis: [B15] Invasive angiography
Descripción

Check all that apply

Tipo de datos

boolean

7. Method of diagnosis: [B16] Autopsy
Descripción

Check all that apply

Tipo de datos

boolean

7. Method of diagnosis: [OT] Other
Descripción

Check all that apply

Tipo de datos

boolean

8. Was there a change in the modified Rankin Scale grade?
Descripción

change in modified Rankin Scale grade

Tipo de datos

text

8. Most recent pre-event modified Rankin Scale grade
Descripción

Most recent pre-event modified Rankin Scale grade

Tipo de datos

integer

8. Date of most recent pre-event modified Rankin Scale grade
Descripción

Date of most recent pre-event modified Rankin Scale grade

Tipo de datos

date

8. Latest post-event modified Rankin Scale grade
Descripción

Latest post-event modified Rankin Scale grade

Tipo de datos

integer

8. Date of latest post-event modified Rankin Scale grade
Descripción

Date of latest post-event modified Rankin Scale grade

Tipo de datos

date

9. Type of stroke
Descripción

Type of stroke

Tipo de datos

text

10. Provide narrative
Descripción

narrative

Tipo de datos

text

11. Date documents sent to CEC Document Group
Descripción

Date documents sent to CEC Document Group

Tipo de datos

date

CEC Section
Descripción

CEC Section

8. Adjudication
Descripción

[hidden]

Tipo de datos

text

If non-fatal stroke, select one
Descripción

non-fatal stroke

Tipo de datos

integer

If type of non-fatal stroke uncertain, comment
Descripción

Non-fatal stroke type uncertain

Tipo de datos

text

If fatal stroke, select one
Descripción

fatal stroke

Tipo de datos

integer

If type of fatal stroke uncertain, comment
Descripción

Fatal stroke, type uncertain

Tipo de datos

text

Does not meet criteria for stroke, comment
Descripción

criteria for stroke not met, comment

Tipo de datos

text

If criteria for stroke are not met, selet one
Descripción

criteria for stroke not met

Tipo de datos

text

If other, please comment
Descripción

If criteria for stroke not met

Tipo de datos

text

15. Date of adjudication
Descripción

[hidden]

Tipo de datos

date

CEC STATUS
Descripción

CEC STATUS

16. Trigger number
Descripción

[hidden]

Tipo de datos

text

17. CEC Status
Descripción

[read-only]

Tipo de datos

integer

18. Date of status change
Descripción

[read-only]

Tipo de datos

date

19. Physician review #1: Physician
Descripción

[hidden]

Tipo de datos

integer

19. Physician review #1: Date sent to reviewer
Descripción

[hidden]

Tipo de datos

date

19. Physician review #1: Date received from reviewer
Descripción

[hidden]

Tipo de datos

date

19. Physician review #2: Physician
Descripción

[hidden]

Tipo de datos

integer

19. Physician review #2: Date sent to reviewer
Descripción

[hidden]

Tipo de datos

date

19. Physician review #2: Date received from reviewer
Descripción

[hidden]

Tipo de datos

date

21. CEC Coordinator comments
Descripción

[hidden]

Tipo de datos

text

22. CV event number
Descripción

[hidden]

Tipo de datos

text

23. Adverse event reference identifier
Descripción

Use SAE Sequence number from the corresponding SAE form (the last item on the form, in the "Non- Clinical" section) [hidden]

Tipo de datos

text

24. Adverse event term
Descripción

Copy Serious Adverse Event term from corresponding SAE form [hidden]

Tipo de datos

text

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Similar models

Endpoint Stroke/TIA GSK study Chronic Coronary Heart Disease NCT00799903

1 formularios
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Investigator Section
Date of onset of symptoms
Item
1. Date of onset of symptoms
date
Time of onset of symptoms
Item
1. Time of onset of symptoms
time
Date of of symptom resolution
Item
2. Date of of symptom resolution
date
Time of of symptom resolution
Item
2. Time of of symptom resolution
date
Item
3. Event
integer
Event
Code List
3. Event
CL Item
Non-fatal stroke (44)
CL Item
Fatal stroke (45)
CL Item
TIA (6)
Symptoms Motor and/or sensory loss
Item
4. Symptoms: [B01] Motor and/or sensory loss in face,arm,leg
boolean
Symptoms Dysphasia/aphasia
Item
4. Symptoms: [B02] Dysphasia/aphasia (difficulty with language)
boolean
Symptoms Dysarthria/dysphagia
Item
4. Symptoms: [B03] Dysarthria/dysphagia (difficulty with speech and swallowing)
boolean
Symptoms Hemianopsia
Item
4. Symptoms: [B04] Hemianopsia
boolean
Symptoms Dizziness/vertigo
Item
4. Symptoms: [B05] Dizziness/vertigo
boolean
Symptoms Ataxia
Item
4. Symptoms: [B06] Ataxia
boolean
Symptoms Nystagmus
Item
4. Symptoms: [B07] Nystagmus
boolean
Symptoms Diplopia
Item
4. Symptoms: [B08] Diplopia
boolean
Symptoms Acute confusion/cognitive change
Item
4. Symptoms: [B09] Acute confusion/cognitive change
boolean
Symptoms Decreased consciousness
Item
4. Symptoms: [B10] Decreased consciousness
boolean
new focal neurologic deficit
Item
5. Did the subject have a new focal neurologic deficit thought to be of vascular origin, with signs or symptoms lasting >24 hours?
boolean
new brain infarct
Item
5. If neurologic symptoms <24 hours, was new brain lesion confirmed by diffusion-weighted MRI showing the presence of a new brain infarct?
boolean
Item
6. Did neuro-imaging show an ischemic defect matching the clinical symptoms?
text
ischemic defect neuro-imaging
Code List
6. Did neuro-imaging show an ischemic defect matching the clinical symptoms?
CL Item
Yes (Y)
CL Item
No (N)
CL Item
Not done (ND)
Method of diagnosis Neurological exam
Item
7. Method of diagnosis: [B11] Neurological exam
boolean
Method of diagnosis Neuro-ophthalmologic exam
Item
7. Method of diagnosis: [B12] Neuro-ophthalmologic exam (retinal embolism, infarction)
boolean
Method of diagnosis CT scan
Item
7. Method of diagnosis: [B13] CT scan
boolean
Method of diagnosis MRI scan
Item
7. Method of diagnosis: [B14] MRI scan
boolean
Method of diagnosis Invasive angiography
Item
7. Method of diagnosis: [B15] Invasive angiography
boolean
Method of diagnosis Autopsy
Item
7. Method of diagnosis: [B16] Autopsy
boolean
Method of diagnosis Other
Item
7. Method of diagnosis: [OT] Other
boolean
Item
8. Was there a change in the modified Rankin Scale grade?
text
change in modified Rankin Scale grade
Code List
8. Was there a change in the modified Rankin Scale grade?
CL Item
Yes (Y)
CL Item
No (N)
CL Item
Not available (NV)
Most recent pre-event modified Rankin Scale grade
Item
8. Most recent pre-event modified Rankin Scale grade
integer
Date of most recent pre-event modified Rankin Scale grade
Item
8. Date of most recent pre-event modified Rankin Scale grade
date
Latest post-event modified Rankin Scale grade
Item
8. Latest post-event modified Rankin Scale grade
integer
Date of latest post-event modified Rankin Scale grade
Item
8. Date of latest post-event modified Rankin Scale grade
date
Item
9. Type of stroke
text
Type of stroke
Code List
9. Type of stroke
CL Item
Ischemic (7)
CL Item
Cerebral infarction with blood felt to represent hemorrhagic conversion and not a primary hemorrhage (79)
CL Item
Hemorrhagic (37)
CL Item
Type uncertain (8)
CL Item
Not applicable (NP)
narrative
Item
10. Provide narrative
text
Date documents sent to CEC Document Group
Item
11. Date documents sent to CEC Document Group
date
Item Group
CEC Section
Item
8. Adjudication
text
Adjudication
Code List
8. Adjudication
CL Item
Does not meet criteria for stroke (NC)
CL Item
Non-fatal stroke (44)
CL Item
Fatal stroke (45)
Item
If non-fatal stroke, select one
integer
non-fatal stroke
Code List
If non-fatal stroke, select one
CL Item
Ischemic (7)
CL Item
Cerebral infarction with blood felt to represent hemorrhagic conversion and not a primary hemorrhage (79)
CL Item
Hemorrhagic (37)
CL Item
Type uncertain (8)
Non-fatal stroke type uncertain
Item
If type of non-fatal stroke uncertain, comment
text
Item
If fatal stroke, select one
integer
fatal stroke
Code List
If fatal stroke, select one
CL Item
Ischemic (7)
CL Item
Cerebral infarction with blood felt to represent hemorrhagic conversion and not a primary hemorrhage (79)
CL Item
Hemorrhagic (37)
CL Item
Type uncertain (8)
Fatal stroke, type uncertain
Item
If type of fatal stroke uncertain, comment
text
criteria for stroke not met, comment
Item
Does not meet criteria for stroke, comment
text
Item
If criteria for stroke are not met, selet one
text
criteria for stroke not met
Code List
If criteria for stroke are not met, selet one
CL Item
TIA (6)
CL Item
Other (OT)
criteria for stroke not met, other
Item
If other, please comment
text
Date of adjudication
Item
15. Date of adjudication
date
Item Group
CEC STATUS
Trigger number
Item
16. Trigger number
text
Item
17. CEC Status
integer
CEC Status
Code List
17. CEC Status
CL Item
New (1)
CL Item
Coordinator Screen check (2)
CL Item
Hold (3)
CL Item
Ready for review (4)
CL Item
In Phase I review (5)
CL Item
Queried (InForm) (6)
CL Item
Additional documents required (7)
CL Item
In Phase II committee (8)
CL Item
Data change (9)
CL Item
Re-Review (10)
CL Item
Completed event (11)
CL Item
No event to adjudicate (12)
CL Item
QC Random sample (13)
CL Item
In Translation (14)
Date of status change
Item
18. Date of status change
date
Item
19. Physician review #1: Physician
integer
Physician review 1
Code List
19. Physician review #1: Physician
CL Item
01 (1)
CL Item
02 (2)
CL Item
03 (3)
CL Item
04 (4)
CL Item
05 (5)
CL Item
06 (6)
CL Item
07 (7)
CL Item
08 (8)
CL Item
09 (9)
CL Item
10 (10)
CL Item
11 (11)
CL Item
12 (12)
CL Item
13 (13)
CL Item
14 (14)
CL Item
15 (15)
CL Item
16 (16)
CL Item
17 (17)
CL Item
18 (18)
CL Item
19 (19)
CL Item
20 (20)
CL Item
21 (21)
CL Item
22 (22)
CL Item
23 (23)
CL Item
24 (24)
CL Item
25 (25)
CL Item
26 (26)
CL Item
27 (27)
CL Item
28 (28)
CL Item
29 (29)
CL Item
30 (30)
CL Item
31 (31)
CL Item
32 (32)
CL Item
33 (33)
CL Item
34 (34)
CL Item
35 (35)
CL Item
36 (36)
CL Item
37 (37)
CL Item
38 (38)
CL Item
39 (39)
CL Item
40 (40)
CL Item
41 (41)
CL Item
42 (42)
CL Item
43 (43)
CL Item
44 (44)
CL Item
45 (45)
CL Item
46 (46)
CL Item
47 (47)
CL Item
48 (48)
CL Item
49 (49)
CL Item
50 (50)
Physician review 1 Date sent to reviewer
Item
19. Physician review #1: Date sent to reviewer
date
Physician review 1 Date received from reviewer
Item
19. Physician review #1: Date received from reviewer
date
Item
19. Physician review #2: Physician
integer
Physician review 1
Code List
19. Physician review #2: Physician
CL Item
01 (1)
CL Item
02 (2)
CL Item
03 (3)
CL Item
04 (4)
CL Item
05 (5)
CL Item
06 (6)
CL Item
07 (7)
CL Item
08 (8)
CL Item
09 (9)
CL Item
10 (10)
CL Item
11 (11)
CL Item
12 (12)
CL Item
13 (13)
CL Item
14 (14)
CL Item
15 (15)
CL Item
16 (16)
CL Item
17 (17)
CL Item
18 (18)
CL Item
19 (19)
CL Item
20 (20)
CL Item
21 (21)
CL Item
22 (22)
CL Item
23 (23)
CL Item
24 (24)
CL Item
25 (25)
CL Item
26 (26)
CL Item
27 (27)
CL Item
28 (28)
CL Item
29 (29)
CL Item
30 (30)
CL Item
31 (31)
CL Item
32 (32)
CL Item
33 (33)
CL Item
34 (34)
CL Item
35 (35)
CL Item
36 (36)
CL Item
37 (37)
CL Item
38 (38)
CL Item
39 (39)
CL Item
40 (40)
CL Item
41 (41)
CL Item
42 (42)
CL Item
43 (43)
CL Item
44 (44)
CL Item
45 (45)
CL Item
46 (46)
CL Item
47 (47)
CL Item
48 (48)
CL Item
49 (49)
CL Item
50 (50)
Physician review 2 Date sent to reviewer
Item
19. Physician review #2: Date sent to reviewer
date
Physician review 2 Date received from reviewer
Item
19. Physician review #2: Date received from reviewer
date
CEC Coordinator comments
Item
21. CEC Coordinator comments
text
CV event number
Item
22. CV event number
text
Adverse event reference identifier
Item
23. Adverse event reference identifier
text
Adverse event term
Item
24. Adverse event term
text
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