ID

32633

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

Mots-clés

Versions (2)
  1. 09/11/2018 09/11/2018 -
  2. 11/01/2019 11/01/2019 -
Détendeur de droits

GSK group of companies

Téléchargé le

9 novembre 2018

DOI

Pour une demande vous connecter.

Licence

Creative Commons BY-NC 3.0
Modèle Commentaires :

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A Cross-Over Study of Alcohol Effect on the Pharmacokinetics of Carvedilol - 106904

Anglais

Follow-Up: Pregnancy Information

1 Formulaires  
Administrative data
Description

Administrative data

Site
Description

Site

Type de données

text

Patient
Description

Patient

Type de données

text

Patient Number
Description

Patient Number

Type de données

integer

Pregnancy Information
Description

Pregnancy Information

Did the subject become pregnant during the study?
Description

For each study session Pregnancy test should be done at Predose

Type de données

boolean

If YES, complete the paper Pregnancy Notification form
Description

If YES, complete the paper Pregnancy Notification form

Type de données

text

Pregnancy Information Part 2
Description

Pregnancy Information Part 2

Did a female partner of the male subject become pregnant during the study?
Description

If YES, complete the paper Pregnancy Notification form

Type de données

text

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Similar models

Follow-Up: Pregnancy Information

1 Formulaires
Name
Type
Description | Question | Decode (Coded Value)
Type de données
Alias
Item Group
Administrative data
Site
Item
Site
text
Patient
Item
Patient
text
Patient Number
Item
Patient Number
integer
Item Group
Pregnancy Information
Did the subject become pregnant during the study?
Item
Did the subject become pregnant during the study?
boolean
If YES, complete the paper Pregnancy Notification form
Item
If YES, complete the paper Pregnancy Notification form
text
Item Group
Pregnancy Information Part 2
Item
Did a female partner of the male subject become pregnant during the study?
text
Did a female partner of the male subject become pregnant during the study?
Code List
Did a female partner of the male subject become pregnant during the study?
CL Item
No (1)
CL Item
Yes (2)
CL Item
Not Applicable (Check Not Applicable if female partner not of childbearing or no female partner) (3)
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