ID

30191

Descripción

Study ID: 102123 Clinical Study ID: FFR102123 Study Title: A randomised double-blind placebo controlled parallel group multicentre long term study to evaluate the safety of once-daily, intranasal administration of GW685698X aqueous nasal spray 100mcg* for 52 weeks in adult and adolescent subjects with perennial allergic rhinitis. Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: N/A Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 3 Study Recruitment Status: Completed Generic Name: fluticasone furoate Trade Name: FLUTIDE, Allermist, Veramyst, FLUNASE, FLIXOTAIDE, FLUTAIDE, FLIXOVATE, Avamys; Veramyst, Avamys, Allermist Study Indication: Rhinitis, Allergic, Perennial This ODM-file contains Administrative Data (Visit 1).

Palabras clave

Versiones (1)
  1. 18/5/18 18/5/18 - Sarah Riepenhausen
Titular de derechos de autor

GlaxoSmithKline

Subido en

18 de mayo de 2018

DOI

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Licencia

Creative Commons BY-NC 3.0
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Safety of once-daily administration of Fluticasone nasal spray in adults and adolescents with perennial allergic rhinitis GSK 102123

Inglés

Administrative Data - Visit 1

1 formularios  
Administrative Data
Descripción

Administrative Data

Alias
UMLS CUI-1
C1320722
Subject identifier
Descripción

Subject identifier

Tipo de datos

text

Alias
UMLS CUI [1]
C2348585
Centre Number
Descripción

Centre Number

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0600091
UMLS CUI [1,2]
C0019994
Visit Date
Descripción

Visit Date

Tipo de datos

date

Alias
UMLS CUI [1]
C1320303
Demography
Descripción

Demography

Alias
UMLS CUI-1
C0011298
Date of Birth
Descripción

Date of Birth

Tipo de datos

date

Alias
UMLS CUI [1]
C0421451
Sex
Descripción

Gender

Tipo de datos

text

Alias
UMLS CUI [1]
C0079399
Pick the racial group which best describes the subject’s racial origin.
Descripción

The racial groups below are based on the subject’s genotypical racial origin, not nationality or where they currently reside. American Hispanic: With racial origin in Central or South America Arabic/North African: With racial origin in North Africa/Middle East Black: With racial origin in Central, East or West Africa East and South East Asian: With racial origin in East and South East Asia, e.g., Chinese, Korean, Thai, Vietnamese Japanese: With racial origin in Japan South Asian: With racial origin in South Asia e.g., Indian, Pakistani White/Caucasian: With racial origin in Europe Other: With racial origin not represented above or whose predominate origin can not be determined

Tipo de datos

text

Alias
UMLS CUI [1]
C0034510
Screen Failure
Descripción

Screen Failure

Alias
UMLS CUI-1
C1710476
Was this subject a screen failure?
Descripción

A subject who is assigned a subject number, but is not randomised has failed screening.

Tipo de datos

text

Alias
UMLS CUI [1]
C1710476
Screen Failure Date
Descripción

Screen Failure Date

Tipo de datos

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C1710476
If screen failure, what was the primary reason?
Descripción

If adverse event, record details in the Non-Serious Adverse Events or Serious Adverse Event forms as appropriate.

Tipo de datos

text

Alias
UMLS CUI [1,1]
C1710476
UMLS CUI [1,2]
C0392360
If other reason for screen failure, specify:
Descripción

Other Reason for Screen Failure

Tipo de datos

text

Alias
UMLS CUI [1,1]
C1710476
UMLS CUI [1,2]
C0392360
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Similar models

Administrative Data - Visit 1

1 formularios
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
Subject identifier
Item
Subject identifier
text
C2348585 (UMLS CUI [1])
Centre Number
Item
Centre Number
text
C0600091 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
Visit Date
Item
Visit Date
date
C1320303 (UMLS CUI [1])
Item Group
Demography
C0011298 (UMLS CUI-1)
Date of Birth
Item
Date of Birth
date
C0421451 (UMLS CUI [1])
Item
Sex
text
C0079399 (UMLS CUI [1])
Gender
Code List
Sex
CL Item
Male (M)
CL Item
Female (F)
Item
Pick the racial group which best describes the subject’s racial origin.
text
C0034510 (UMLS CUI [1])
Race
Code List
Pick the racial group which best describes the subject’s racial origin.
CL Item
American Hispanic (1)
CL Item
Arabic/North African (2)
CL Item
Black (3)
CL Item
East and South East Asian (4)
CL Item
Japanese (5)
CL Item
South Asian (6)
CL Item
White/Caucasian (7)
CL Item
Other (Z)
Item Group
Screen Failure
C1710476 (UMLS CUI-1)
Item
Was this subject a screen failure?
text
C1710476 (UMLS CUI [1])
Screen failure
Code List
Was this subject a screen failure?
CL Item
Yes (Y)
CL Item
No (N)
Screen Failure Date
Item
Screen Failure Date
date
C0011008 (UMLS CUI [1,1])
C1710476 (UMLS CUI [1,2])
Item
If screen failure, what was the primary reason?
text
C1710476 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])
Primary reason for screen failure
Code List
If screen failure, what was the primary reason?
CL Item
Adverse Event (1)
CL Item
Lost to follow-up (2)
CL Item
protocol violation (3)
CL Item
Subject decided to withdraw from study (4)
CL Item
Did not fulfill eligibility criteria (6)
CL Item
Other (OT)
Other Reason for Screen Failure
Item
If other reason for screen failure, specify:
text
C1710476 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])
Volver a la parte superior de la página 

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