ID

32641

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

  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

Logs and Repeats: 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

Vitals Signs
Description

Vitals Signs

Actual date
Description

Actual date

Data type

date

Actual time
Description

Actual time

Data type

time

Subject Position
Description

Subject Position

Data type

text

Blood Pressure tested?
Description

Blood Pressure tested?

Data type

boolean

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 measured?
Description

Heart Rate measured?

Data type

boolean

Heart Rate
Description

Heart Rate

Data type

integer

Measurement units
  • bpm
bpm

Similar models

Logs and Repeats: 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
Vitals Signs
Actual date
Item
Actual date
date
Actual time
Item
Actual time
time
Item
Subject Position
text
Code List
Subject Position
CL Item
Supine (1)
CL Item
Sitting (2)
CL Item
Standing (3)
CL Item
Semi-supine (4)
Blood Pressure tested?
Item
Blood Pressure tested?
boolean
Blood Pressure Systolic
Item
Blood Pressure Systolic
integer
Blood Pressure Diastolic
Item
Blood Pressure Diastolic
integer
Heart Rate measured?
Item
Heart Rate measured?
boolean
Heart Rate
Item
Heart Rate
integer

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