ID

32140

Beskrivning

Study ID: 105548 Clinical Study ID: HZA105548 Study Title: A double-blind, randomized, placebo-controlled, repeat dose, 2-way crossover drug interaction study to investigate the pharmacokinetic and pharmacodynamic effects following administration of fluticasone furoate/GW642444M Inhalation Powder with ketoconazole Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT01165125 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 1 Study Recruitment Status: Completed Generic Name: fluticasone furoate/vilanterol; vilanterol Trade Name: Relvar; vilanterol Study Indication: Asthma

Nyckelord

  1. 2018-10-21 2018-10-21 -
Rättsinnehavare

GlaxoSmithKline

Uppladdad den

21 oktober 2018

DOI

För en begäran logga in.

Licens

Creative Commons BY-NC 3.0

Modellkommentarer :

Här kan du kommentera modellen. Med hjälp av pratbubblor i Item-grupperna och Item kan du lägga in specifika kommentarer.

Itemgroup-kommentar för :

Item-kommentar för :


Inga kommentarer

Du måste vara inloggad för att kunna ladda ner formulär. Var vänlig logga in eller registrera dig utan kostnad.

Pharmacokinetic and pharmacodynamic effects following administration of fluticasone Inhalation Powder with ketoconazole NCT01165125

Status of Treatment Blind, Vital Signs, ECG, Study Conclusion, Pregnancy Information, Electronically Transferred Lab Data - Follow- Up

Status of Treatment blind
Beskrivning

Status of Treatment blind

Alias
UMLS CUI-1
C0749659
UMLS CUI-2
C2347038
Was the treatment blind broken during study? If yes, complete the Adverse Event form and/ or Investigational Product forms as appropriate.
Beskrivning

Treatment blind broken during study

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0749659
UMLS CUI [1,2]
C2347038
UMLS CUI [1,3]
C1709750
If the treatment blind was broken during the study, record date and time of blind broken.
Beskrivning

Date and time of blind broken

Datatyp

datetime

Alias
UMLS CUI [1,1]
C0749659
UMLS CUI [1,2]
C2347038
UMLS CUI [1,3]
C1709750
UMLS CUI [1,4]
C1264639
If the Treatment blind was broken during the study, record reason.
Beskrivning

Reason for blind broken

Datatyp

integer

Alias
UMLS CUI [1,1]
C0749659
UMLS CUI [1,2]
C2347038
UMLS CUI [1,3]
C1709750
UMLS CUI [1,4]
C0566251
Other reason blind broken
Beskrivning

Other reason blind broken

Datatyp

text

Alias
UMLS CUI [1,1]
C0749659
UMLS CUI [1,2]
C2347038
UMLS CUI [1,3]
C1709750
UMLS CUI [1,4]
C0566251
UMLS CUI [1,5]
C0205394
Vital signs
Beskrivning

Vital signs

Alias
UMLS CUI-1
C0518766
Actual time
Beskrivning

Actual Time

Datatyp

time

Alias
UMLS CUI [1]
C0040223
Blood pressure (systolic/ diastolic)
Beskrivning

Blood Pressure

Datatyp

text

Måttenheter
  • mmHg
Alias
UMLS CUI [1]
C0005823
mmHg
Heart rate
Beskrivning

heart rate

Datatyp

integer

Måttenheter
  • beats/min
Alias
UMLS CUI [1]
C0018810
beats/min
12- Lead ECG
Beskrivning

12- Lead ECG

Alias
UMLS CUI-1
C0430456
Time of ECG
Beskrivning

Time of ECG

Datatyp

time

Alias
UMLS CUI [1,1]
C0013798
UMLS CUI [1,2]
C0040223
Heart rate
Beskrivning

heart rate

Datatyp

integer

Måttenheter
  • beats/min
Alias
UMLS CUI [1]
C0018810
beats/min
PR Interval
Beskrivning

Electrocardiogram: P-R interval

Datatyp

float

Måttenheter
  • msec
Alias
UMLS CUI [1]
C0429087
msec
QRS Duration
Beskrivning

QRS complex duration (observable entity)

Datatyp

float

Måttenheter
  • msec
Alias
UMLS CUI [1]
C0429025
msec
Uncorrected QT Interval
Beskrivning

QT interval - finding

Datatyp

float

Måttenheter
  • msec
Alias
UMLS CUI [1]
C1287082
msec
Method of QTc Calculation
Beskrivning

Electrocardiogram QT corrected interval; Evaluation Method

Datatyp

integer

Alias
UMLS CUI [1,1]
C0855331
UMLS CUI [1,2]
C2911685
If QTc interval was calculated mechanical, check method of caluclation
Beskrivning

Electrocardiogram QT corrected interval; Evaluation Method; Mechanical Methods

Datatyp

text

Alias
UMLS CUI [1,1]
C0855331
UMLS CUI [1,2]
C2911685
UMLS CUI [1,3]
C0443254
If QTc interval was calculated mechanically with Bazett's formula, enter finding.
Beskrivning

QTcB - Bazett's Correction Formula; Mechanical Methods

Datatyp

float

Måttenheter
  • msec
Alias
UMLS CUI [1,1]
C1882512
UMLS CUI [1,2]
C0443254
msec
If QTc interval was calculated mechanically with Fridericia's formula, enter finding.
Beskrivning

QTcF - Fridericia's Correction Formula; Mechanical Methods; Finding

Datatyp

float

Måttenheter
  • msec
Alias
UMLS CUI [1,1]
C1882513
UMLS CUI [1,2]
C0443254
UMLS CUI [1,3]
C0243095
msec
If QTc interval was calcualted manually, check method of caluclation.
Beskrivning

Electrocardiogram QT corrected interval; Evaluation Method; Manual

Datatyp

text

Alias
UMLS CUI [1,1]
C0855331
UMLS CUI [1,2]
C2911685
UMLS CUI [1,3]
C0175674
If QTc interval was calculated manually with RR interval, enter finding.
Beskrivning

Electrocardiogram QT corrected interval; Manual; Finding

Datatyp

float

Måttenheter
  • msec
Alias
UMLS CUI [1,1]
C0855331
UMLS CUI [1,2]
C0175674
UMLS CUI [1,3]
C0243095
msec
Result of ECG
Beskrivning

EKG finding

Datatyp

integer

Alias
UMLS CUI [1]
C0438154
Study Conclusion
Beskrivning

Study Conclusion

Alias
UMLS CUI-1
C1707478
UMLS CUI-2
C2603343
Date of last contact
Beskrivning

If the subject completed the study, date of last contact must match the last actual contact with the subject wether or not the contact was a clinic visit.

Datatyp

date

Alias
UMLS CUI [1]
C0805839
Was the subject withdrawn from the study?
Beskrivning

Was the subject withdrawn from the study

Datatyp

boolean

Alias
UMLS CUI [1]
C0422727
If subject was withdrawn from study, record date of decision to withdraw.
Beskrivning

Date of decision to withdraw

Datatyp

date

Alias
UMLS CUI [1,1]
C0422727
UMLS CUI [1,2]
C0679006
UMLS CUI [1,3]
C0011008
If subjects was withdrawn from study, check reason for withdrawal.
Beskrivning

Reason for withdrawal

Datatyp

integer

Alias
UMLS CUI [1,1]
C0422727
UMLS CUI [1,2]
C3146298
Case book ready for signature
Beskrivning

Case book ready for signature

Datatyp

text

Alias
UMLS CUI [1]
C1519316
Pregnancy Information
Beskrivning

Pregnancy Information

Alias
UMLS CUI-1
C0032961
UMLS CUI-2
C1533716
Did the subject become pregnant during the study?
Beskrivning

If yes, complete the paper Pregnancy Notification form.

Datatyp

boolean

Did a female partner of the male subject become pregnant during the study?
Beskrivning

If yes, complete the paper Pregnncy Notification form.

Datatyp

text

Electronically transferred lab data
Beskrivning

Electronically transferred lab data

Alias
UMLS CUI-1
C0022885
UMLS CUI-2
C1320722
Hematology Date and time sample taken
Beskrivning

Hematology Date and time sample taken

Datatyp

datetime

Alias
UMLS CUI [1,1]
C0018943
UMLS CUI [1,2]
C0200345
UMLS CUI [1,3]
C1264639
Clinical Chemistry Date and time sample taken
Beskrivning

Clinical Chemistry Date and time sample taken

Datatyp

datetime

Alias
UMLS CUI [1,1]
C0008000
UMLS CUI [1,2]
C0200345
UMLS CUI [1,3]
C1264639
Urinalysis Date and time sample taken
Beskrivning

Urinalysis Date and time sample taken

Datatyp

datetime

Alias
UMLS CUI [1,1]
C0042014
UMLS CUI [1,2]
C0200345
UMLS CUI [1,3]
C1264639

Similar models

Status of Treatment Blind, Vital Signs, ECG, Study Conclusion, Pregnancy Information, Electronically Transferred Lab Data - Follow- Up

Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Status of Treatment blind
C0749659 (UMLS CUI-1)
C2347038 (UMLS CUI-2)
Treatment blind broken during study
Item
Was the treatment blind broken during study? If yes, complete the Adverse Event form and/ or Investigational Product forms as appropriate.
boolean
C0749659 (UMLS CUI [1,1])
C2347038 (UMLS CUI [1,2])
C1709750 (UMLS CUI [1,3])
Date and time of blind broken
Item
If the treatment blind was broken during the study, record date and time of blind broken.
datetime
C0749659 (UMLS CUI [1,1])
C2347038 (UMLS CUI [1,2])
C1709750 (UMLS CUI [1,3])
C1264639 (UMLS CUI [1,4])
Item
If the Treatment blind was broken during the study, record reason.
integer
C0749659 (UMLS CUI [1,1])
C2347038 (UMLS CUI [1,2])
C1709750 (UMLS CUI [1,3])
C0566251 (UMLS CUI [1,4])
Code List
If the Treatment blind was broken during the study, record reason.
CL Item
Medical emergency requiring identification of investigational product for further treatment (1)
CL Item
Other, specify (2)
Other reason blind broken
Item
Other reason blind broken
text
C0749659 (UMLS CUI [1,1])
C2347038 (UMLS CUI [1,2])
C1709750 (UMLS CUI [1,3])
C0566251 (UMLS CUI [1,4])
C0205394 (UMLS CUI [1,5])
Item Group
Vital signs
C0518766 (UMLS CUI-1)
Actual Time
Item
Actual time
time
C0040223 (UMLS CUI [1])
Blood Pressure
Item
Blood pressure (systolic/ diastolic)
text
C0005823 (UMLS CUI [1])
heart rate
Item
Heart rate
integer
C0018810 (UMLS CUI [1])
Item Group
12- Lead ECG
C0430456 (UMLS CUI-1)
Time of ECG
Item
Time of ECG
time
C0013798 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
heart rate
Item
Heart rate
integer
C0018810 (UMLS CUI [1])
Electrocardiogram: P-R interval
Item
PR Interval
float
C0429087 (UMLS CUI [1])
QRS complex duration (observable entity)
Item
QRS Duration
float
C0429025 (UMLS CUI [1])
QT interval - finding
Item
Uncorrected QT Interval
float
C1287082 (UMLS CUI [1])
Item
Method of QTc Calculation
integer
C0855331 (UMLS CUI [1,1])
C2911685 (UMLS CUI [1,2])
CL Item
Machine; record QTc value(s) generated by the machine (1)
CL Item
Manual; record the RR interval that precedes the measured QT interval (2)
Item
If QTc interval was calculated mechanical, check method of caluclation
text
C0855331 (UMLS CUI [1,1])
C2911685 (UMLS CUI [1,2])
C0443254 (UMLS CUI [1,3])
Code List
If QTc interval was calculated mechanical, check method of caluclation
CL Item
QTcB (Bazett) (B)
CL Item
QTcF (Fridericia) (F)
QTcB - Bazett's Correction Formula; Mechanical Methods
Item
If QTc interval was calculated mechanically with Bazett's formula, enter finding.
float
C1882512 (UMLS CUI [1,1])
C0443254 (UMLS CUI [1,2])
QTcF - Fridericia's Correction Formula; Mechanical Methods; Finding
Item
If QTc interval was calculated mechanically with Fridericia's formula, enter finding.
float
C1882513 (UMLS CUI [1,1])
C0443254 (UMLS CUI [1,2])
C0243095 (UMLS CUI [1,3])
Item
If QTc interval was calcualted manually, check method of caluclation.
text
C0855331 (UMLS CUI [1,1])
C2911685 (UMLS CUI [1,2])
C0175674 (UMLS CUI [1,3])
Code List
If QTc interval was calcualted manually, check method of caluclation.
CL Item
RR interval (RR)
CL Item
RR interval not available (NA)
Electrocardiogram QT corrected interval; Manual; Finding
Item
If QTc interval was calculated manually with RR interval, enter finding.
float
C0855331 (UMLS CUI [1,1])
C0175674 (UMLS CUI [1,2])
C0243095 (UMLS CUI [1,3])
Item
Result of ECG
integer
C0438154 (UMLS CUI [1])
Code List
Result of ECG
CL Item
Normal (1)
CL Item
Abnormal - Not clinically significant (2)
CL Item
Abnormal - Clinically significant (complete the ECG abnormality form for all significant abnormalities, and additionally complete the AE form if the abnormality meets the protocol definition for an AE) (3)
CL Item
No result (not available) (4)
Item Group
Study Conclusion
C1707478 (UMLS CUI-1)
C2603343 (UMLS CUI-2)
Date of last contact
Item
Date of last contact
date
C0805839 (UMLS CUI [1])
Was the subject withdrawn from the study
Item
Was the subject withdrawn from the study?
boolean
C0422727 (UMLS CUI [1])
Date of decision to withdraw
Item
If subject was withdrawn from study, record date of decision to withdraw.
date
C0422727 (UMLS CUI [1,1])
C0679006 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Item
If subjects was withdrawn from study, check reason for withdrawal.
integer
C0422727 (UMLS CUI [1,1])
C3146298 (UMLS CUI [1,2])
Code List
If subjects was withdrawn from study, check reason for withdrawal.
CL Item
Adverse Event (Record details on the Non- Serious Adverse Events or Serious Adverse Events forms as appropriate) (1)
CL Item
Protocol deviation (3)
CL Item
Study closed/ terminated (5)
CL Item
Lost to Follow- up (6)
CL Item
Withdrew consent (8)
Item
Case book ready for signature
text
C1519316 (UMLS CUI [1])
Code List
Case book ready for signature
CL Item
Yes (Y)
Item Group
Pregnancy Information
C0032961 (UMLS CUI-1)
C1533716 (UMLS CUI-2)
Did the subject become pregnant during the study?
Item
Did the subject become pregnant during the study?
boolean
Item
Did a female partner of the male subject become pregnant during the study?
text
Code List
Did a female partner of the male subject become pregnant during the study?
CL Item
No (N)
CL Item
Yes (Y)
CL Item
Not Applicable (Check Not Applicable if female partner not of childbearing potential or no female partner) (X)
Item Group
Electronically transferred lab data
C0022885 (UMLS CUI-1)
C1320722 (UMLS CUI-2)
Hematology Date and time sample taken
Item
Hematology Date and time sample taken
datetime
C0018943 (UMLS CUI [1,1])
C0200345 (UMLS CUI [1,2])
C1264639 (UMLS CUI [1,3])
Clinical Chemistry Date and time sample taken
Item
Clinical Chemistry Date and time sample taken
datetime
C0008000 (UMLS CUI [1,1])
C0200345 (UMLS CUI [1,2])
C1264639 (UMLS CUI [1,3])
Urinalysis Date and time sample taken
Item
Urinalysis Date and time sample taken
datetime
C0042014 (UMLS CUI [1,1])
C0200345 (UMLS CUI [1,2])
C1264639 (UMLS CUI [1,3])

Använd detta formulär för feedback, frågor och förslag på förbättringar.

Fält markerade med * är obligatoriska.

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