ID

32637

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 (2)
  1. 11/9/18 11/9/18 -
  2. 1/11/19 1/11/19 -
Copyright Holder

GSK group of companies

Uploaded on

November 9, 2018

DOI

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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

Logs and Repeats: Concomitant Medications

1 forms  
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

Concomitant Medications
Description

Concomitant Medications

Sequence Number
Description

Sequence Number

Data type

integer

Drug name
Description

Trade name preferred

Data type

text

Modified reported term
Description

Modified reported term

Data type

text

Unit dose
Description

Unit dose

Data type

float

Units
Description

Units

Data type

text

Frequency
Description

Frequency

Data type

integer

Route
Description

Route

Data type

text

Reason for medication
Description

Reason for medication

Data type

text

Start Date
Description

Start Date

Data type

date

Start Time
Description

Start Time

Data type

time

Taken prior to study?
Description

Taken prior to study?

Data type

boolean

Ongoing?
Description

Ongoing?

Data type

boolean

If NO, record End Date
Description

If NO, record End Date

Data type

date

If NO, record End Time
Description

If NO, record End Time

Data type

time

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Similar models

Logs and Repeats: Concomitant Medications

1 forms
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
Concomitant Medications
Sequence Number
Item
Sequence Number
integer
Drug name
Item
Drug name
text
Modified reported term
Item
Modified reported term
text
Unit dose
Item
Unit dose
float
Units
Item
Units
text
Frequency
Item
Frequency
integer
Route
Item
Route
text
Reason for medication
Item
Reason for medication
text
Start Date
Item
Start Date
date
Start Time
Item
Start Time
time
Taken prior to study?
Item
Taken prior to study?
boolean
Ongoing?
Item
Ongoing?
boolean
If NO, record End Date
Item
If NO, record End Date
date
If NO, record End Time
Item
If NO, record End Time
time
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