0 Evaluaciones
ID

32497

Descripción

Study ID: 106837 Clinical Study ID: HZA106837 Study Title: A Long-Term, Randomized, Double-Blind, Parallel Group Study of Fluticasone Furoate/GW642444 Inhalation Powder Once-Daily and Fluticasone Furoate Inhalation Powder Once-Daily in Subjects with Asthma Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT01086384 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 3 Study Recruitment Status: Completed Generic Name: fluticasone furoate/vilanterol Trade Name: Relvar Study Indication: Asthma

Palabras clave

Versiones (4)
  1. 5/11/18 5/11/18 -
  2. 5/11/18 5/11/18 -
  3. 4/12/18 4/12/18 -
  4. 30/10/19 30/10/19 - Sarah Riepenhausen
Titular de derechos de autor

GSK group of companies

Subido en

5 de noviembre de 2018

DOI

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Licencia

Creative Commons BY-NC 3.0
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    A Parallel Group Study of Fluticasone Furoate/Vilanterol in Subjects with Asthma - 106837

    Inglés

    Concomitant Medications Form

    1 formularios  
    Concomitant Medication Details
    Descripción

    Concomitant Medication Details

    Sequence Number
    Descripción

    Sequence Number

    Tipo de datos

    text

    Drug Name
    Descripción

    Trade Name Preferred

    Tipo de datos

    text

    Unit Dose
    Descripción

    Unit Dose

    Tipo de datos

    integer

    Units
    Descripción

    Units

    Tipo de datos

    text

    Frequency
    Descripción

    Frequency

    Tipo de datos

    text

    Route
    Descripción

    Route

    Tipo de datos

    text

    Reason for Medication
    Descripción

    Reason for Medication

    Tipo de datos

    text

    Generic dispensed?
    Descripción

    Generic dispensed?

    Tipo de datos

    boolean

    Prescription or OTC?
    Descripción

    Prescription or OTC?

    Tipo de datos

    text

    Start Date
    Descripción

    Start Date

    Tipo de datos

    date

    Taken prior to study?
    Descripción

    Taken prior to study?

    Tipo de datos

    boolean

    Ongoing?
    Descripción

    Ongoing?

    Tipo de datos

    boolean

    If NO, record the End Date
    Descripción

    If NO, record the End Date

    Tipo de datos

    date

    Device Used to Administer Medication
    Descripción

    Device Used to Administer Medication

    Tipo de datos

    text

    Total Daily Dose
    Descripción

    Total Daily Dose

    Tipo de datos

    text

    Was drug administered for an exacerbation?
    Descripción

    Was drug administered for an exacerbation?

    Tipo de datos

    boolean

    Was drug administered as a rescue medication?
    Descripción

    Was drug administered as a rescue medication?

    Tipo de datos

    boolean

    Cumulative Dose Used?
    Descripción

    Cumulative Dose Used?

    Tipo de datos

    text

    Was drug ever used?
    Descripción

    Was drug ever used?

    Tipo de datos

    boolean

    Total duration
    Descripción

    Total duration

    Tipo de datos

    text

    Duration Unit
    Descripción

    Duration Unit

    Tipo de datos

    text

    Medication Type
    Descripción

    Medication Type

    Tipo de datos

    text

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    Similar models

    Concomitant Medications Form

    1 formularios
    Name
    Tipo
    Description | Question | Decode (Coded Value)
    Tipo de datos
    Alias
    Item Group
    Concomitant Medication Details
    Sequence Number
    Item
    Sequence Number
    text
    Drug Name
    Item
    Drug Name
    text
    Unit Dose
    Item
    Unit Dose
    integer
    Units
    Item
    Units
    text
    Frequency
    Item
    Frequency
    text
    Route
    Item
    Route
    text
    Reason for Medication
    Item
    Reason for Medication
    text
    Generic dispensed?
    Item
    Generic dispensed?
    boolean
    Item
    Prescription or OTC?
    text
    Prescription of OTC?
    Code List
    Prescription or OTC?
    CL Item
    Prescription (1)
    CL Item
    OTC (2)
    Start Date
    Item
    Start Date
    date
    Taken prior to study?
    Item
    Taken prior to study?
    boolean
    Ongoing?
    Item
    Ongoing?
    boolean
    If NO, record the End Date
    Item
    If NO, record the End Date
    date
    Device Used to Administer Medication
    Item
    Device Used to Administer Medication
    text
    Total Daily Dose
    Item
    Total Daily Dose
    text
    Was drug administered for an exacerbation?
    Item
    Was drug administered for an exacerbation?
    boolean
    Was drug administered as a rescue medication?
    Item
    Was drug administered as a rescue medication?
    boolean
    Cumulative Dose Used?
    Item
    Cumulative Dose Used?
    text
    Was drug ever used?
    Item
    Was drug ever used?
    boolean
    Total duration
    Item
    Total duration
    text
    Item
    Duration Unit
    text
    Duration Unit
    Code List
    Duration Unit
    CL Item
    Days (1)
    CL Item
    Months (2)
    CL Item
    Weeks (3)
    CL Item
    Years (4)
    Item
    Medication Type
    text
    Medication Type
    Code List
    Medication Type
    CL Item
    Non-Asthma (1)
    CL Item
    Asthma (2)
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