ID
28271
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: Cancer / GI Neoplasm / Polyp Report Form (CNP) - Repeating form (Scheduled visits)
Nyckelord
Versioner (6)
- 2017-10-02 2017-10-02 -
- 2017-10-04 2017-10-04 -
- 2017-10-04 2017-10-04 -
- 2017-10-13 2017-10-13 -
- 2017-10-23 2017-10-23 -
- 2018-01-01 2018-01-01 -
Rättsinnehavare
GlaxoSmithKline
Uppladdad den
1 januari 2018
DOI
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Licens
Creative Commons BY-NC 3.0
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Cancer GI Neoplasm Polyp Report Form GSK study Chronic Coronary Heart Disease NCT00799903
Cancer GI Neoplasm Polyp Report Form GSK study Chronic Coronary Heart Disease NCT00799903
Beskrivning
2. Type of cancer, GI neoplasm or GI polyp diagnosis
Beskrivning
3. New cancer or Recurrence or progression (2) of cancer details
Beskrivning
Date of diagnosis
Datatyp
date
Alias
- UMLS CUI [1]
- C2316983
Beskrivning
Source of information supporting diagnosis date
Datatyp
text
Alias
- UMLS CUI [1]
- C0683836
Beskrivning
Procedure specification
Datatyp
text
Alias
- UMLS CUI [1]
- C2348235
Beskrivning
Other source of information specification
Datatyp
text
Alias
- UMLS CUI [1]
- C0683836
Beskrivning
Site of Primary cancer
Datatyp
text
Alias
- UMLS CUI [1]
- C0449695
Beskrivning
Only complete specify box if no primary cancer site has been selected OR if 'Other gastrointestinal cancer, specify' OR 'Other cancer site, specify' OR 'Small intestinal cancer other, specify' is selected from the site list, otherwise leave blank
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0205394
- UMLS CUI [1,2]
- C2348235
Beskrivning
3Metastatic disease = cancer that has spread beyond primary organ (i.e. lymph nodes, contiguous structure, secondary location)
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0027627
Beskrivning
metastatic disease location
Datatyp
integer
Alias
- UMLS CUI [1]
- C0027627
Beskrivning
metastatic disease other location
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C1515974
- UMLS CUI [1,2]
- C0027627
Beskrivning
Note: If there are multiple metastatic sites, please list them in the "Other location(s), specify" section
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0872338
- UMLS CUI [1,2]
- C2348235
Beskrivning
4. Benign GI Polyp(s) (1), other benign GI neoplasm(s), and those neoplasms unable to be determined as benign or malignant
Beskrivning
Date of procedure
Datatyp
date
Alias
- UMLS CUI [1]
- C2584899
Beskrivning
Location of polyp/neoplasm Small intestine
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0153425
Beskrivning
Location of polyp/neoplasm Colon
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C0009376
- UMLS CUI [1,2]
- C0450429
Beskrivning
Location of polyp/neoplasm Anus
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C0009376
- UMLS CUI [1,2]
- C0450429
Beskrivning
Location of polyp/neoplasm Stomach
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C0009376
- UMLS CUI [1,2]
- C0450429
Beskrivning
Location of polyp/neoplasm Esophagus
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C0009376
- UMLS CUI [1,2]
- C0450429
- UMLS CUI [1,3]
- C0014876
Beskrivning
Location of polyp/neoplasm Biliary system
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C0032584
- UMLS CUI [1,2]
- C0450429
- UMLS CUI [1,3]
- C0854196
Beskrivning
Location of polyp/neoplasm Liver
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C0450429
- UMLS CUI [1,2]
- C0023884
- UMLS CUI [1,3]
- C0032584
Beskrivning
Location of polyp/neoplasm Pancreas
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C0030274
- UMLS CUI [1,2]
- C0032584
Beskrivning
Location of polyp/neoplasm Other
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C0006826
- UMLS CUI [1,2]
- C0450429
- UMLS CUI [1,3]
- C0032584
Beskrivning
Location of polyp/neoplasm Other specification
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0205394
- UMLS CUI [1,2]
- C2348235
Beskrivning
5. Required source documents sent
Beskrivning
Source documents to send (source documents are required if you answered Yes to question 1): Pathology Report Operative Report Imaging study report Oncology/surgical consult notes Endoscopy Report (upper and lower) GI capsule study report Hospital Discharge Summary (if applicable)
Datatyp
text
Alias
- UMLS CUI [1]
- C1301746
Beskrivning
required source documents sent date
Datatyp
date
Alias
- UMLS CUI [1]
- C0011008
Beskrivning
CEC Status
Beskrivning
[read-only] Item is not required
Datatyp
text
Alias
- UMLS CUI [1]
- C2826275
Beskrivning
[hidden] Item is not required
Datatyp
text
Alias
- UMLS CUI [1]
- C1444748
Beskrivning
[hidden]. Item is not required.
Datatyp
integer
Alias
- UMLS CUI [1]
- C0449438
Beskrivning
[hidden]
Datatyp
date
Alias
- UMLS CUI [1,1]
- C0011008
- UMLS CUI [1,2]
- C0443172
Beskrivning
[hidden]. Item is not required.
Datatyp
text
Beskrivning
Use AE Sequence number from the corresponding SAE/AE form (the last item on the form, in the "Non- Clinical" section) [hidden]. Item is not required.
Datatyp
text
Alias
- UMLS CUI [1,1]
- C1519255
- UMLS CUI [1,2]
- C2348585
Beskrivning
Copy Adverse Event term from corresponding SAE/AE form [hidden]. Item is not required.
Datatyp
text
Alias
- UMLS CUI [1]
- C2826934
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Cancer GI Neoplasm Polyp Report Form GSK study Chronic Coronary Heart Disease NCT00799903
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C0685938 (UMLS CUI-2)
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C0221099 (UMLS CUI [1,2])
C0017178 (UMLS CUI [1,3])
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C0003461 (UMLS CUI-2)
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C0006826 (UMLS CUI-2)
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C0205394 (UMLS CUI-2)
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C2945843 (UMLS CUI-2)
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C2348235 (UMLS CUI [1,2])
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C0027627 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,2])
C0450429 (UMLS CUI [1,2])
C0450429 (UMLS CUI [1,2])
C0450429 (UMLS CUI [1,2])
C0450429 (UMLS CUI [1,2])
C0014876 (UMLS CUI [1,3])
C0450429 (UMLS CUI [1,2])
C0854196 (UMLS CUI [1,3])
C0023884 (UMLS CUI [1,2])
C0032584 (UMLS CUI [1,3])
C0032584 (UMLS CUI [1,2])
C0450429 (UMLS CUI [1,2])
C0032584 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,2])
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(Comment:en)
(Comment:en)
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C0443172 (UMLS CUI [1,2])
C2348585 (UMLS CUI [1,2])
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