ID

27401

Beskrivning

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

Nyckelord

Versioner (2)
  1. 2017-11-13 2017-11-13 -
  2. 2017-11-26 2017-11-26 -
Rättsinnehavare

GlaxoSmithKline

Uppladdad den

13 november 2017

DOI

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Creative Commons BY-NC 3.0
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Subject contact worksheet GSK study Prostatic neoplasms NCT00883909

Engelsk

Subject contact worksheet GSK study Prostatic neoplasms NCT00883909

1 Formulär  
Administrative data
Beskrivning

Administrative data

Center
Beskrivning

Center

Datatyp

text

Subject number
Beskrivning

Subject number

Datatyp

text

Year 1 - 1st Attempt
Beskrivning

Year 1 - 1st Attempt

Date of Contact Attempt
Beskrivning

Date of Contact Attempt

Datatyp

date

Contact Made?
Beskrivning

succesful contact attempt

Datatyp

boolean

Year 1 - 2nd Attempt
Beskrivning

Year 1 - 2nd Attempt

Date of Contact Attempt
Beskrivning

Date of Contact Attempt

Datatyp

date

Contact Made?
Beskrivning

succesful contact attempt

Datatyp

boolean

Year 1 - 3rd Attempt
Beskrivning

Year 1 - 3rd Attempt

Date of Contact Attempt
Beskrivning

Date of Contact Attempt

Datatyp

date

Contact Made?
Beskrivning

succesful contact attempt

Datatyp

boolean

Date Faxed To Monitor (if 3rd contact attempt is unsuccessful)
Beskrivning

Date Faxed To Monitor

Datatyp

date

Year 2 - 1st Attempt
Beskrivning

Year 2 - 1st Attempt

Date of Contact Attempt
Beskrivning

Date of Contact Attempt

Datatyp

date

Contact Made?
Beskrivning

succesful contact attempt

Datatyp

boolean

Year 2 - 2nd Attempt
Beskrivning

Year 2 - 2nd Attempt

Date of Contact Attempt
Beskrivning

Date of Contact Attempt

Datatyp

date

Contact Made?
Beskrivning

succesful contact attempt

Datatyp

boolean

Year 2 - 3rd Attempt
Beskrivning

Year 2 - 3rd Attempt

Date of Contact Attempt
Beskrivning

Date of Contact Attempt

Datatyp

date

Contact Made?
Beskrivning

succesful contact attempt

Datatyp

boolean

Date Faxed To Monitor (if 3rd contact attempt is unsuccessful)
Beskrivning

Date Faxed To Monitor

Datatyp

date

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Similar models

Subject contact worksheet GSK study Prostatic neoplasms NCT00883909

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Administrative data
Center
Item
Center
text
Subject number
Item
Subject number
text
Item Group
Year 1 - 1st Attempt
Date of Contact Attempt
Item
Date of Contact Attempt
date
succesful contact attempt
Item
Contact Made?
boolean
Item Group
Year 1 - 2nd Attempt
Date of Contact Attempt
Item
Date of Contact Attempt
date
succesful contact attempt
Item
Contact Made?
boolean
Item Group
Year 1 - 3rd Attempt
Date of Contact Attempt
Item
Date of Contact Attempt
date
succesful contact attempt
Item
Contact Made?
boolean
Date Faxed To Monitor
Item
Date Faxed To Monitor (if 3rd contact attempt is unsuccessful)
date
Item Group
Year 2 - 1st Attempt
Date of Contact Attempt
Item
Date of Contact Attempt
date
succesful contact attempt
Item
Contact Made?
boolean
Item Group
Year 2 - 2nd Attempt
Date of Contact Attempt
Item
Date of Contact Attempt
date
succesful contact attempt
Item
Contact Made?
boolean
Item Group
Year 2 - 3rd Attempt
Date of Contact Attempt
Item
Date of Contact Attempt
date
succesful contact attempt
Item
Contact Made?
boolean
Date Faxed To Monitor
Item
Date Faxed To Monitor (if 3rd contact attempt is unsuccessful)
date
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