ID

26728

Description

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: CEC -revascularisation Repeating form (Scheduled visits)

Keywords

  1. 10/11/17 10/11/17 -
  2. 10/23/17 10/23/17 -
  3. 1/11/18 1/11/18 -
Copyright Holder

GlaxoSmithKline

Uploaded on

October 23, 2017

DOI

To request one please log in.

License

Creative Commons BY-NC 3.0

Model comments :

You can comment on the data model here. Via the speech bubbles at the itemgroups and items you can add comments to those specificially.

Itemgroup comments for :

Item comments for :

In order to download data models you must be logged in. Please log in or register for free.

CEC - revascularisation GSK study Chronic Coronary Heart Disease NCT00799903

CEC - revascularisation GSK study Chronic Coronary Heart Disease NCT00799903

CEC - revascularisation
Description

CEC - revascularisation

1. Date of procedure
Description

[hidden]

Data type

date

1. Start time of procedure
Description

[hidden]

Data type

time

2. Revascularisation procedure
Description

[hidden]

Data type

text

If PCI - single vessel, select one
Description

[hidden]

Data type

text

If PCI - single vessel with stent: C02 Bare metal
Description

[hidden]

Data type

boolean

If PCI - single vessel with stent (bare metal), indicate number of stents
Description

[hidden]

Data type

integer

If PCI - single vessel with stent: C03 Drug-eluting
Description

[hidden]

Data type

boolean

If PCI - single vessel with stent (drug-eluting), indicate number of stents
Description

[hidden]

Data type

integer

If PCI - multiple vessels, select one
Description

[hidden]

Data type

text

If PCI - multiple vessels with stent: C05 Bare metal
Description

[hidden]

Data type

boolean

If PCI - multiple vessels with stent (bare metal), indicate number of stents
Description

[hidden]

Data type

integer

If PCI - multiple vessels with stent: C06 Drug-eluting
Description

[hidden]

Data type

boolean

If PCI - multiple vessels with stent (drug-eluting), indicate number of stents
Description

[hidden]

Data type

integer

If CABG: C07 Arterial graft
Description

[hidden]

Data type

boolean

Number of grafts
Description

[hidden]

Data type

integer

If CABG: C08 Saphenous vein graft
Description

[hidden]

Data type

boolean

Number of grafts
Description

[hidden]

Data type

integer

3. Was this a revascularisation of a target lesion from PCI that was performed prior to randomization?
Description

[hidden]

Data type

text

Urgent coronary revascularisation for myocardial ischemia
Description

Urgent coronary revascularisation for myocardial ischemia

6. Adjudication
Description

[hidden]

Data type

text

If criteria for urgent coronary revscularisation for myocardial ischemia not met, comment
Description

[hidden]

Data type

text

Criteria for urgent coronary revscularisation for myocardial ischemia not met: [71] Non-urgent coronary revascularisation
Description

[hidden]

Data type

boolean

Criteria for urgent coronary revscularisation for myocardial ischemia not met: [99] Revascularisation was a treatment for MI
Description

[hidden]

Data type

boolean

5. Was this event related to a stent thrombosis?
Description

[hidden]

Data type

text

6. Date of adjudication
Description

[hidden]

Data type

date

CEC Status
Description

CEC Status

7. Trigger number
Description

[hidden]

Data type

text

8. CEC Status
Description

[hidden]

Data type

integer

9. Date of status change
Description

[read-only]

Data type

date

10. Physician review #1: Physician
Description

[hidden]

Data type

integer

10. Physician review #1: Date sent to reviewer
Description

[hidden]

Data type

date

10. Physician review #1: Date received from reviewer
Description

[hidden]

Data type

date

11. Physician review #2: Physician
Description

[hidden]

Data type

integer

11. Physician review #2: Date sent to reviewer
Description

[hidden]

Data type

date

11. Physician review #2: Date received from reviewer
Description

[hidden]

Data type

date

12. CEC Coordinator comments
Description

[hidden]

Data type

text

13. CV event number
Description

[hidden]

Data type

text

14. Adverse event reference identifier
Description

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

Data type

text

15. Adverse event term
Description

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

Data type

text

Similar models

CEC - revascularisation GSK study Chronic Coronary Heart Disease NCT00799903

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
CEC - revascularisation
Date of procedure
Item
1. Date of procedure
date
Start time of procedure
Item
1. Start time of procedure
time
Item
2. Revascularisation procedure
text
Code List
2. Revascularisation procedure
CL Item
PCI - single vessel (CA)
CL Item
PCI - multiple vessels (CC)
CL Item
CABG (CE)
CL Item
Revascularisation procedure attempted but not successful (C09)
Item
If PCI - single vessel, select one
text
Code List
If PCI - single vessel, select one
CL Item
without stent (C01)
CL Item
with stent (CB)
PCI single vessel with stent Bare metal
Item
If PCI - single vessel with stent: C02 Bare metal
boolean
number of stents bare metal single vessel
Item
If PCI - single vessel with stent (bare metal), indicate number of stents
integer
PCI single vessel with stent Drug-eluting
Item
If PCI - single vessel with stent: C03 Drug-eluting
boolean
number of stents drug-eluting single vessel
Item
If PCI - single vessel with stent (drug-eluting), indicate number of stents
integer
Item
If PCI - multiple vessels, select one
text
Code List
If PCI - multiple vessels, select one
CL Item
without stent (C04)
CL Item
with stent (CD)
PCI multiple vessels with stent Bare metal
Item
If PCI - multiple vessels with stent: C05 Bare metal
boolean
number of stents bare metal multiple vessels
Item
If PCI - multiple vessels with stent (bare metal), indicate number of stents
integer
PCI multiple vessels with stent Drug-eluting
Item
If PCI - multiple vessels with stent: C06 Drug-eluting
boolean
number of stents drug-eluting multiple vessels
Item
If PCI - multiple vessels with stent (drug-eluting), indicate number of stents
integer
CABG Arterial graft
Item
If CABG: C07 Arterial graft
boolean
CABG arterial graft number
Item
Number of grafts
integer
CABG Saphenous vein graft
Item
If CABG: C08 Saphenous vein graft
boolean
CABG Saphenous vein graft number
Item
Number of grafts
integer
Item
3. Was this a revascularisation of a target lesion from PCI that was performed prior to randomization?
text
Code List
3. Was this a revascularisation of a target lesion from PCI that was performed prior to randomization?
CL Item
Yes (Y)
CL Item
No (N)
CL Item
Unknown (U)
Item Group
Urgent coronary revascularisation for myocardial ischemia
Item
6. Adjudication
text
Code List
6. Adjudication
CL Item
Urgent coronary revascularisation for myocardial ischemia (70)
CL Item
Does not meet criteria for urgent coronary revscularisation for myocardial ischemia (NC)
criteria for urgent coronary revscularisation for myocardial ischemia not met
Item
If criteria for urgent coronary revscularisation for myocardial ischemia not met, comment
text
Non-urgent coronary revascularisation
Item
Criteria for urgent coronary revscularisation for myocardial ischemia not met: [71] Non-urgent coronary revascularisation
boolean
Revascularisation was a treatment for MI
Item
Criteria for urgent coronary revscularisation for myocardial ischemia not met: [99] Revascularisation was a treatment for MI
boolean
Item
5. Was this event related to a stent thrombosis?
text
Code List
5. Was this event related to a stent thrombosis?
CL Item
Definite (DF)
CL Item
Probable (PB)
CL Item
No (N)
CL Item
Unknown (U)
Date of adjudication
Item
6. Date of adjudication
date
Item Group
CEC Status
Trigger number
Item
7. Trigger number
text
Item
8. CEC Status
integer
Code List
8. 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
9. Date of status change
date
Item
10. Physician review #1: Physician
integer
Code List
10. 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
4 (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
4 (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
10. Physician review #1: Date sent to reviewer
date
Physician review 1 Date received from reviewer
Item
10. Physician review #1: Date received from reviewer
date
Item
11. Physician review #2: Physician
integer
Code List
11. 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
4 (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
4 (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
11. Physician review #2: Date sent to reviewer
date
Physician review 2 Date received from reviewer
Item
11. Physician review #2: Date received from reviewer
date
CEC Coordinator comments
Item
12. CEC Coordinator comments
text
CV event number
Item
13. CV event number
text
Adverse event reference identifier
Item
14. Adverse event reference identifier
text
Adverse event term
Item
15. Adverse event term
text

Please use this form for feedback, questions and suggestions for improvements.

Fields marked with * are required.

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