ID

27361

Descrição

Study ID: 103094 Clinical Study ID: ARI103094 Study Title: ARI103094-Follow-Up Study for REDUCE Study Subjects Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00883909 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 3 Study Recruitment Status: Completed Generic Name: dutasteride Trade Name: Zytefor,Zyfetor,Duagen,Avolve,Avodart,Avidart Study Indication: Neoplasms, Prostate CRF Seiten: 934-977

Palavras-chave

  1. 09/11/2017 09/11/2017 -
  2. 09/11/2017 09/11/2017 -
  3. 26/11/2017 26/11/2017 -
Titular dos direitos

GlaxoSmithKline

Transferido a

9 de novembro de 2017

DOI

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Licença

Creative Commons BY-NC 3.0

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Screen visit GSK study Prostatic neoplasms NCT00883909

Screen visit GSK study Prostatic neoplasms NCT00883909

Administrative data
Descrição

Administrative data

Session number
Descrição

Session number

Tipo de dados

integer

Subject number
Descrição

Subject number

Tipo de dados

text

Previous Subject number
Descrição

Previous Subject number

Date of assessment
Descrição

Date of assessment

Tipo de dados

date

Previous Subject Number from the REDUCE (ARI40006) Study
Descrição

Previous Subject Number

Tipo de dados

text

Inclusion / Exclusion Criteria Worksheet
Descrição

Inclusion / Exclusion Criteria Worksheet

Inclusion criteria: 1. Has the subject signed and dated a written informed consent?
Descrição

If the INCLUSION CRITERIA question is answered NO, this subject must NOT enter this study.

Tipo de dados

text

Inclusion criteria: 2. Did the subject participate in the REDUCE Study and meet the eligibility criteria for Part A, the 2 Year Observational Follow-Up Study and/or Part B, the Prostate Biopsy Tissue Study?
Descrição

If the INCLUSION CRITERIA question is answered NO, this subject must NOT enter this study.

Tipo de dados

text

Exclusion criteria (Part A only): 1. Is the subject unable/unwilling to participate in the Follow-Up Study telephone calls?
Descrição

If any EXCLUSION CRITERIA question is answered YES, this subject must NOT enter this study.

Tipo de dados

text

Inclusion/Exclusion Criteria
Descrição

Inclusion/Exclusion Criteria

Did the subject meet all entry criteria (i.e., All "YES" answers for inclusion criteria, all "NO" answers for exclusion criteria)?
Descrição

See INCLUSION / EXCLUSION CRITERIA WORKSHEET.

Tipo de dados

text

Check all boxes that represent a violation of the inclusion / exclusion criteria: Inclusion criteria 1.
Descrição

informed consent violation

Tipo de dados

boolean

Check all boxes that represent a violation of the inclusion / exclusion criteria: Inclusion criteria 2.
Descrição

eligibility criteria violation

Tipo de dados

boolean

Check all boxes that represent a violation of the inclusion / exclusion criteria: Exclusion criteria 1.
Descrição

participation in Follow-Up Study telephone calls violation

Tipo de dados

boolean

Eligibility Criteria
Descrição

Eligibility Criteria

1. Part A: Any subject who has participated in the REDUCE Study and meets one of the following eligibility criteria for Part A, 2 Year Observational Follow-Up Study.
Descrição

eligibility part A

Tipo de dados

boolean

If Part A is checked, indicate which one of the following Part A Eligibility Criteria the subject meets:
Descrição

Part A Eligibility Criteria

Tipo de dados

text

2. Part B: Any subject who was diagnosed with prostate cancer based on a prostate biopsy during participation in the REDUCE Study, regardless of when their REDUCE study participation ended.
Descrição

eligibility part B

Tipo de dados

boolean

Investigator’s Statement
Descrição

Investigator’s Statement

Date
Descrição

Sign and date this page after all relevant Screening CRF pages, including outstanding test results, are completed. Check that the date of signature is on or after the completion of the Screening Visit.

Tipo de dados

date

Investigator’s Signature
Descrição

Sign and date this page after all relevant Screening CRF pages, including outstanding test results, are completed. "I confirm that I have carefully examined all entries on the Screening Case Report Form for this subject. All information entered by myself or my colleagues is, to the best of my knowledge, correct as of the date."

Tipo de dados

text

Investigator’s Name - Print
Descrição

Investigator’s Name

Tipo de dados

text

Similar models

Screen visit GSK study Prostatic neoplasms NCT00883909

Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
Item Group
Administrative data
Session number
Item
Session number
integer
Subject number
Item
Subject number
text
Item Group
Previous Subject number
Date of assessment
Item
Date of assessment
date
Previous Subject Number
Item
Previous Subject Number from the REDUCE (ARI40006) Study
text
Item Group
Inclusion / Exclusion Criteria Worksheet
Item
Inclusion criteria: 1. Has the subject signed and dated a written informed consent?
text
Code List
Inclusion criteria: 1. Has the subject signed and dated a written informed consent?
CL Item
Yes (Y)
CL Item
No (N)
Item
Inclusion criteria: 2. Did the subject participate in the REDUCE Study and meet the eligibility criteria for Part A, the 2 Year Observational Follow-Up Study and/or Part B, the Prostate Biopsy Tissue Study?
text
Code List
Inclusion criteria: 2. Did the subject participate in the REDUCE Study and meet the eligibility criteria for Part A, the 2 Year Observational Follow-Up Study and/or Part B, the Prostate Biopsy Tissue Study?
CL Item
Yes (Y)
CL Item
No (N)
Item
Exclusion criteria (Part A only): 1. Is the subject unable/unwilling to participate in the Follow-Up Study telephone calls?
text
Code List
Exclusion criteria (Part A only): 1. Is the subject unable/unwilling to participate in the Follow-Up Study telephone calls?
CL Item
Yes (Y)
CL Item
No (N)
Item Group
Inclusion/Exclusion Criteria
Item
Did the subject meet all entry criteria (i.e., All "YES" answers for inclusion criteria, all "NO" answers for exclusion criteria)?
text
Code List
Did the subject meet all entry criteria (i.e., All "YES" answers for inclusion criteria, all "NO" answers for exclusion criteria)?
CL Item
Yes (Y)
CL Item
No (N)
informed consent violation
Item
Check all boxes that represent a violation of the inclusion / exclusion criteria: Inclusion criteria 1.
boolean
eligibility criteria violation
Item
Check all boxes that represent a violation of the inclusion / exclusion criteria: Inclusion criteria 2.
boolean
participation in Follow-Up Study telephone calls violation
Item
Check all boxes that represent a violation of the inclusion / exclusion criteria: Exclusion criteria 1.
boolean
Item Group
Eligibility Criteria
eligibility part A
Item
1. Part A: Any subject who has participated in the REDUCE Study and meets one of the following eligibility criteria for Part A, 2 Year Observational Follow-Up Study.
boolean
Item
If Part A is checked, indicate which one of the following Part A Eligibility Criteria the subject meets:
text
Code List
If Part A is checked, indicate which one of the following Part A Eligibility Criteria the subject meets:
CL Item
Completed 4 years on Investigational Product through the REDUCE 4-Year Study Visit (Visit 10). (a)
CL Item
Was diagnosed with prostate cancer during the REDUCE study, discontinued Investigational Product but participated in REDUCE prostate cancer follow-up visits through the 4-Year Study Visit (Visit 10P). (b)
CL Item
Withdrew from REDUCE study visit participation and Investigational Product (for any reasons) but participated in REDUCE follow-up phone calls every 6 months through the 4 Year Phone Call. (c)
eligibility part B
Item
2. Part B: Any subject who was diagnosed with prostate cancer based on a prostate biopsy during participation in the REDUCE Study, regardless of when their REDUCE study participation ended.
boolean
Item Group
Investigator’s Statement
Date
Item
Date
date
Investigator’s Signature
Item
Investigator’s Signature
text
Investigator’s Name
Item
Investigator’s Name - Print
text

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