ID

32633

Beschrijving

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

Trefwoorden

Versies (2)
  1. 09-11-18 09-11-18 -
  2. 11-01-19 11-01-19 -
Houder van rechten

GSK group of companies

Geüploaded op

9 november 2018

DOI

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Licentie

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

Engels

Follow-Up: Pregnancy Information

1 Formulieren  
Administrative data
Beschrijving

Administrative data

Site
Beschrijving

Site

Datatype

text

Patient
Beschrijving

Patient

Datatype

text

Patient Number
Beschrijving

Patient Number

Datatype

integer

Pregnancy Information
Beschrijving

Pregnancy Information

Did the subject become pregnant during the study?
Beschrijving

For each study session Pregnancy test should be done at Predose

Datatype

boolean

If YES, complete the paper Pregnancy Notification form
Beschrijving

If YES, complete the paper Pregnancy Notification form

Datatype

text

Pregnancy Information Part 2
Beschrijving

Pregnancy Information Part 2

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

If YES, complete the paper Pregnancy Notification form

Datatype

text

Terug naar het begin van de pagina

Similar models

Follow-Up: Pregnancy Information

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
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)
Terug naar het begin van de pagina 

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