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Part 2: Repeat Dose Phase - Day 21 - Treatment confirmation

1 Formulär  
Administrative data
Beskrivning

Administrative data

Subject Identifier
Beskrivning

Subject Identifier

Datatyp

integer

Investigational Product
Beskrivning

Investigational Product

Planned Timepoint
Beskrivning

Planned Timepoint

Datatyp

integer

Investigational Product
Beskrivning

Investigational Product

Datatyp

text

Date of Dose
Beskrivning

Date of Dose

Datatyp

date

Time of Dose
Beskrivning

Time of Dose

Datatyp

time

Treatment Confirmation
Beskrivning

Treatment Confirmation

Did the subject receive the correct treatment (e.g, treatment which the subject was assigned to) during this dosing interval?
Beskrivning

Did the subject receive the correct treatment (e.g, treatment which the subject was assigned to) during this dosing interval?

Datatyp

boolean

If NO, record reason(s)
Beskrivning

If NO, record reason(s)

Datatyp

text

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Similar models

Part 2: Repeat Dose Phase - Day 21 - Treatment confirmation

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Administrative data
Subject Identifier
Item
Subject Identifier
integer
Item Group
Investigational Product
Item
Planned Timepoint
integer
Planned Timepoint
Code List
Planned Timepoint
CL Item
Day 20 AM (1)
CL Item
Day 20 AM (2)
CL Item
Day 20 PM (3)
CL Item
Day 20 PM (4)
Item
Investigational Product
text
Investigational Product
Code List
Investigational Product
CL Item
Dustasteride (1)
CL Item
Testosterone (2)
CL Item
Dustasteride (3)
CL Item
Testosterone (4)
Date of Dose
Item
Date of Dose
date
Time of Dose
Item
Time of Dose
time
Item Group
Treatment Confirmation
Did the subject receive the correct treatment (e.g, treatment which the subject was assigned to) during this dosing interval?
Item
Did the subject receive the correct treatment (e.g, treatment which the subject was assigned to) during this dosing interval?
boolean
If NO, record reason(s)
Item
text
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