ID

32561

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 (2)
  1. 2018-11-06 2018-11-06 -
  2. 2018-12-06 2018-12-06 -
Rättsinnehavare

GSK group of companies

Uppladdad den

6 november 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.

Tillbaka till modellkommentarer
Itemgroup-kommentar för :

Item-kommentar för :

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

A Parallel Group Study of Fluticasone Furoate/Vilanterol in Subjects with Asthma - 106837

Engelsk

Pharmacogenetik Research Consent Withdrawal

1 Formulär  
Withdrawal of concent for PGx/Sample Destruction
Beskrivning

Withdrawal of concent for PGx/Sample Destruction

Has subject withdrawn consent for PGx research?
Beskrivning

Has subject withdrawn consent for PGx research?

Datatyp

boolean

If YES, record the date consent withdrawn
Beskrivning

If YES, record the date consent withdrawn

Datatyp

date

Has a request been made for sample destruction?
Beskrivning

Has a request been made for sample destruction?

Datatyp

boolean

If YES, check reason
Beskrivning

If YES, check reason

Datatyp

text

If OTHER, specify
Beskrivning

If OTHER, specify

Datatyp

text

Sample type
Beskrivning

Sample type

Datatyp

text

Tillbaka till toppen

Similar models

Pharmacogenetik Research Consent Withdrawal

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Withdrawal of concent for PGx/Sample Destruction
Has subject withdrawn consent for PGx research?
Item
Has subject withdrawn consent for PGx research?
boolean
If YES, record the date consent withdrawn
Item
If YES, record the date consent withdrawn
date
Has a request been made for sample destruction?
Item
Has a request been made for sample destruction?
boolean
Item
If YES, check reason
text
If YES, check reason
Code List
If YES, check reason
CL Item
Subject withdrew consent for PGx (1)
CL Item
Screen failure (2)
CL Item
Other (3)
If OTHER, specify
Item
If OTHER, specify
text
Sample type
Item
Sample type
text
Tillbaka till toppen 

Kontakt

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

Fält markerade med * är obligatoriska.

Hjälp

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