ID

32635

Beschreibung

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

Stichworte

Versionen (2)
  1. 09.11.18 09.11.18 -
  2. 11.01.19 11.01.19 -
Rechteinhaber

GSK group of companies

Hochgeladen am

9. November 2018

DOI

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Lizenz

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

Englisch

Logs and Repeats: Adverse Event and Concomitant Medication Questions

1 Formulare  
Administrative data
Beschreibung

Administrative data

Site
Beschreibung

Site

Datentyp

text

Patient
Beschreibung

Patient

Datentyp

text

Patient Number
Beschreibung

Patient Number

Datentyp

integer

Date of Visit/Assessment
Beschreibung

Date of Visit/Assessment

Date below is the start of the study for this subject
Beschreibung

Date below is the start of the study for this subject

Datentyp

date

Adverse Event/Concomitant Medications/Repeat Assessment (Check Questions)
Beschreibung

Adverse Event/Concomitant Medications/Repeat Assessment (Check Questions)

Were any concomitant medications taken by the subject during the study?
Beschreibung

Were any concomitant medications taken by the subject during the study?

Datentyp

boolean

Did the subject experience any adverse events during the study?
Beschreibung

Did the subject experience any adverse events during the study?

Datentyp

boolean

Were any repeat ECGs performed?
Beschreibung

Were any repeat ECGs performed?

Datentyp

boolean

Did the subject have any abnormal ECGs during the study?
Beschreibung

Did the subject have any abnormal ECGs during the study?

Datentyp

boolean

Were any repeat vital signs recorded?
Beschreibung

Were any repeat vital signs recorded?

Datentyp

boolean

Were any repeat PK taken?
Beschreibung

Were any repeat PK taken?

Datentyp

boolean

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Ähnliche Modelle

Logs and Repeats: Adverse Event and Concomitant Medication Questions

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Administrative data
Site
Item
Site
text
Patient
Item
Patient
text
Patient Number
Item
Patient Number
integer
Item Group
Date of Visit/Assessment
Date below is the start of the study for this subject
Item
Date below is the start of the study for this subject
date
Item Group
Adverse Event/Concomitant Medications/Repeat Assessment (Check Questions)
Were any concomitant medications taken by the subject during the study?
Item
Were any concomitant medications taken by the subject during the study?
boolean
Did the subject experience any adverse events during the study?
Item
Did the subject experience any adverse events during the study?
boolean
Were any repeat ECGs performed?
Item
Were any repeat ECGs performed?
boolean
Did the subject have any abnormal ECGs during the study?
Item
Did the subject have any abnormal ECGs during the study?
boolean
Were any repeat vital signs recorded?
Item
Were any repeat vital signs recorded?
boolean
Were any repeat PK taken?
Item
Were any repeat PK taken?
boolean
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