ID

32497

Beskrivning

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

Nyckelord

Versioner (4)
  1. 2018-11-05 2018-11-05 -
  2. 2018-11-05 2018-11-05 -
  3. 2018-12-04 2018-12-04 -
  4. 2019-10-30 2019-10-30 - Sarah Riepenhausen
Rättsinnehavare

GSK group of companies

Uppladdad den

5 november 2018

DOI

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

Engelsk

Concomitant Medications Form

1 Formulär  
Concomitant Medication Details
Beskrivning

Concomitant Medication Details

Sequence Number
Beskrivning

Sequence Number

Datatyp

text

Drug Name
Beskrivning

Trade Name Preferred

Datatyp

text

Unit Dose
Beskrivning

Unit Dose

Datatyp

integer

Units
Beskrivning

Units

Datatyp

text

Frequency
Beskrivning

Frequency

Datatyp

text

Route
Beskrivning

Route

Datatyp

text

Reason for Medication
Beskrivning

Reason for Medication

Datatyp

text

Generic dispensed?
Beskrivning

Generic dispensed?

Datatyp

boolean

Prescription or OTC?
Beskrivning

Prescription or OTC?

Datatyp

text

Start Date
Beskrivning

Start Date

Datatyp

date

Taken prior to study?
Beskrivning

Taken prior to study?

Datatyp

boolean

Ongoing?
Beskrivning

Ongoing?

Datatyp

boolean

If NO, record the End Date
Beskrivning

If NO, record the End Date

Datatyp

date

Device Used to Administer Medication
Beskrivning

Device Used to Administer Medication

Datatyp

text

Total Daily Dose
Beskrivning

Total Daily Dose

Datatyp

text

Was drug administered for an exacerbation?
Beskrivning

Was drug administered for an exacerbation?

Datatyp

boolean

Was drug administered as a rescue medication?
Beskrivning

Was drug administered as a rescue medication?

Datatyp

boolean

Cumulative Dose Used?
Beskrivning

Cumulative Dose Used?

Datatyp

text

Was drug ever used?
Beskrivning

Was drug ever used?

Datatyp

boolean

Total duration
Beskrivning

Total duration

Datatyp

text

Duration Unit
Beskrivning

Duration Unit

Datatyp

text

Medication Type
Beskrivning

Medication Type

Datatyp

text

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Similar models

Concomitant Medications Form

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
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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