ID

32588

Description

Study ID: 106904 Clinical Study ID: CRV106904 Study Title: A Randomized, Open-Label, Single-Dose, Four-Period Cross-Over Study to Determine the Effects of Alcohol on the Pharmacokinetics of Carvedilol CR Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier:  Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 1 Study Recruitment Status: Completed Generic Name: carvedilol Trade Name: Coreg CR,Coreg Study Indication: Hypertension

Keywords

Versions (3)
  1. 11/8/18 11/8/18 -
  2. 12/11/18 12/11/18 -
  3. 12/11/18 12/11/18 -
Copyright Holder

GSK group of companies

Uploaded on

November 8, 2018

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License

Creative Commons BY-NC 3.0
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A Cross-Over Study of Alcohol Effect on the Pharmacokinetics of Carvedilol - 106904

English

Vital Signs Form

1 forms  
  1. StudyEvent: ODM
    1. Vital Signs Form
Administrative data
Description

Administrative data

Site
Description

Site

Data type

text

Patient
Description

Patient

Data type

text

Patient Number
Description

Patient Number

Data type

integer

Sitting Vitals Signs
Description

Sitting Vitals Signs

Actual date
Description

Actual date

Data type

date

Actual time
Description

Actual time

Data type

time

Height
Description

Height

Data type

float

Measurement units
  • cm
cm
Weight
Description

Weight

Data type

float

Measurement units
  • kg
kg
Body Mass Index
Description

Body Mass Index

Data type

text

Blood Pressure Systolic
Description

Blood Pressure Systolic

Data type

integer

Measurement units
  • mmHg
mmHg
Blood Pressure Diastolic
Description

Blood Pressure Diastolic

Data type

integer

Measurement units
  • mmHg
mmHg
Heart Rate
Description

Heart Rate

Data type

integer

Measurement units
  • bpm
bpm
Supine Orthostatic Vitals Signs
Description

Supine Orthostatic Vitals Signs

Actual time
Description

Actual time

Data type

time

Blood Pressure Systolic
Description

Blood Pressure Systolic

Data type

integer

Measurement units
  • mmHg
mmHg
Blood Pressure Diastolic
Description

Blood Pressure Diastolic

Data type

integer

Measurement units
  • mmHg
mmHg
Heart Rate
Description

Heart Rate

Data type

integer

Measurement units
  • bpm
bpm
Sitting Orthostatic Vitals Signs
Description

Sitting Orthostatic Vitals Signs

Actual time
Description

Actual time

Data type

time

Blood Pressure Systolic
Description

Blood Pressure Systolic

Data type

integer

Measurement units
  • mmHg
mmHg
Blood Pressure Diastolic
Description

Blood Pressure Diastolic

Data type

integer

Measurement units
  • mmHg
mmHg
Heart Rate
Description

Heart Rate

Data type

integer

Measurement units
  • bpm
bpm
Standing Orthostatic Vitals Signs
Description

Standing Orthostatic Vitals Signs

Actual time
Description

Actual time

Data type

time

Blood Pressure Systolic
Description

Blood Pressure Systolic

Data type

integer

Measurement units
  • mmHg
mmHg
Blood Pressure Diastolic
Description

Blood Pressure Diastolic

Data type

integer

Measurement units
  • mmHg
mmHg
Heart Rate
Description

Heart Rate

Data type

integer

Measurement units
  • bpm
bpm
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Similar models

Vital Signs Form

1 forms
  1. StudyEvent: ODM
    1. Vital Signs Form
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative data
Site
Item
Site
text
Patient
Item
Patient
text
Patient Number
Item
Patient Number
integer
Item Group
Sitting Vitals Signs
Actual date
Item
Actual date
date
Actual time
Item
Actual time
time
Height
Item
Height
float
Weight
Item
Weight
float
Body Mass Index
Item
Body Mass Index
text
Blood Pressure Systolic
Item
Blood Pressure Systolic
integer
Blood Pressure Diastolic
Item
Blood Pressure Diastolic
integer
Heart Rate
Item
Heart Rate
integer
Item Group
Supine Orthostatic Vitals Signs
Actual time
Item
Actual time
time
Blood Pressure Systolic
Item
Blood Pressure Systolic
integer
Blood Pressure Diastolic
Item
Blood Pressure Diastolic
integer
Heart Rate
Item
Heart Rate
integer
Item Group
Sitting Orthostatic Vitals Signs
Actual time
Item
Actual time
time
Blood Pressure Systolic
Item
Blood Pressure Systolic
integer
Blood Pressure Diastolic
Item
Blood Pressure Diastolic
integer
Heart Rate
Item
Heart Rate
integer
Item Group
Standing Orthostatic Vitals Signs
Actual time
Item
Actual time
time
Blood Pressure Systolic
Item
Blood Pressure Systolic
integer
Blood Pressure Diastolic
Item
Blood Pressure Diastolic
integer
Heart Rate
Item
Heart Rate
integer
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