0 Ratings
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

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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

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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)
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    Date 3 (3)
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    Date 4 (4)
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    Date 5 (5)
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    Date 6 (6)
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    Date 7 (7)
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    Date 8 (8)
    CL Item
    Date 9 (9)
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    Date 10 (10)
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    Date 11 (11)
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    Date 12 (12)
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    Date 13 (13)
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    Date 14 (14)
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    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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