ID

32581

Beschrijving

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

Trefwoorden

Versies (2)
  1. 07-11-18 07-11-18 -
  2. 07-12-18 07-12-18 -
Houder van rechten

GSK group of companies

Geüploaded op

7 november 2018

DOI

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Licentie

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

Engels

Diary Card 2: Medical Problems - Visit 1-12

1 Formulieren  
Administrative data
Beschrijving

Administrative data

Subject Identifier
Beschrijving

Subject Identifier

Datatype

integer

Medical problem
Beschrijving

Medical problem

Medical Problem
Beschrijving

Record all medical problem(s) you have experienced AND record all medication(s) you took on that date to treat the problem(s). Do NOT include study-related medications

Datatype

text

Date Medical Problem Started
Beschrijving

Date Medical Problem Started

Datatype

date

Date Medical Problem Stopped
Beschrijving

Date Medical Problem Stopped

Datatype

date

Medications Taken for Medical Problem
Beschrijving

Medications Taken for Medical Problem

Datatype

text

Date Medication Started
Beschrijving

Date Medication Started

Datatype

date

Date Medication Stopped
Beschrijving

Date Medication Stopped

Datatype

date

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Similar models

Diary Card 2: Medical Problems - Visit 1-12

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Administrative data
Subject Identifier
Item
Subject Identifier
integer
Item Group
Medical problem
Item
Medical Problem
text
Medical Problem
Code List
Medical Problem
CL Item
Problem 1 (1)
CL Item
Problem 2 (2)
CL Item
Problem 3 (3)
CL Item
Problem 4 (4)
CL Item
Problem 5 (5)
CL Item
Problem 6 (6)
CL Item
Problem 7 (7)
CL Item
Problem 8 (8)
CL Item
Problem 9 (9)
CL Item
Problem 10 (10)
CL Item
Problem 11 (11)
CL Item
Problem 12 (12)
CL Item
Problem 13 (13)
CL Item
Problem 14 (14)
CL Item
Problem 15 (15)
CL Item
Problem 16 (16)
CL Item
Problem 17 (17)
CL Item
Problem 18 (18)
CL Item
Problem 19 (19)
CL Item
Problem 20 (20)
Date Medical Problem Started
Item
Date Medical Problem Started
date
Date Medical Problem Stopped
Item
Date Medical Problem Stopped
date
Medications Taken for Medical Problem
Item
Medications Taken for Medical Problem
text
Date Medication Started
Item
Date Medication Started
date
Date Medication Stopped
Item
Date Medication Stopped
date
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