ID

32578

Description

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

Keywords

Versions (2)
  1. 11/7/18 11/7/18 -
  2. 12/7/18 12/7/18 -
Copyright Holder

GSK group of companies

Uploaded on

November 7, 2018

DOI

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License

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

English

Patient's Diary Card 1: Screening/Run-In Visit 1

1 forms  
Administrative data
Description

Administrative data

Subject Identifier
Description

Subject Identifier

Data type

integer

Daily Assessments
Description

Daily Assessments

Date
Description

Date

Data type

text

Asthma symptoms score over the past 24 hours
Description

0 = No symptoms during the day or previous night 1 = Symptoms for one short period during the day or previous night 2 = Symptoms for two or more short periods during the day or previous night 3 = Symptoms for most of the day or previous night which did not affect my normal activities 4 = Symptoms for most of the day or previous night which did affect my normal activities 5 = Symptoms so severe that I could not go to work or perform normal activities Circle only one number

Data type

text

Number of puffs albuterol/salbutamol taken in the past 24 hours
Description

if nono, enter zero (0)

Data type

integer

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Similar models

Patient's Diary Card 1: Screening/Run-In Visit 1

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative data
Subject Identifier
Item
Subject Identifier
integer
Item Group
Daily Assessments
Item
Date
text
Date
Code List
Date
CL Item
Date 1 (1)
CL Item
Date 2 (2)
CL Item
Date 3 (3)
CL Item
Date 4 (4)
CL Item
Date 5 (5)
CL Item
Date 6 (6)
CL Item
Date 7 (7)
CL Item
Date 8 (8)
CL Item
Date 9 (9)
CL Item
Date 10 (10)
CL Item
Date 11 (11)
CL Item
Date 12 (12)
CL Item
Date 13 (13)
CL Item
Date 14 (14)
CL Item
Date 15 (15)
CL Item
Date 16 (16)
CL Item
Date 17 (17)
CL Item
Date 18 (18)
CL Item
Date 19 (19)
CL Item
Date 20 (20)
CL Item
Date 21 (21)
CL Item
Date 22 (22)
Item
Asthma symptoms score over the past 24 hours
text
Asthma symptoms score over the past 24 hours
Code List
Asthma symptoms score over the past 24 hours
CL Item
1 (1)
CL Item
2 (2)
CL Item
3 (3)
CL Item
4 (4)
CL Item
5 (5)
Number of puffs albuterol/salbutamol taken in the past 24 hours
Item
Number of puffs albuterol/salbutamol taken in the past 24 hours
integer
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