ID

32581

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. 2018-11-07 2018-11-07 -
  2. 2018-12-07 2018-12-07 -
Rättsinnehavare

GSK group of companies

Uppladdad den

7 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

Diary Card 2: Medical Problems - Visit 1-12

1 Formulär  
Administrative data
Beskrivning

Administrative data

Subject Identifier
Beskrivning

Subject Identifier

Datatyp

integer

Medical problem
Beskrivning

Medical problem

Medical Problem
Beskrivning

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

Datatyp

text

Date Medical Problem Started
Beskrivning

Date Medical Problem Started

Datatyp

date

Date Medical Problem Stopped
Beskrivning

Date Medical Problem Stopped

Datatyp

date

Medications Taken for Medical Problem
Beskrivning

Medications Taken for Medical Problem

Datatyp

text

Date Medication Started
Beskrivning

Date Medication Started

Datatyp

date

Date Medication Stopped
Beskrivning

Date Medication Stopped

Datatyp

date

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Similar models

Diary Card 2: Medical Problems - Visit 1-12

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