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ID

32645

Descrizione

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. 09/11/18 09/11/18 -
  2. 11/01/19 11/01/19 -
Titolare del copyright

GSK group of companies

Caricato su

9 novembre 2018

DOI

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Licenza

Creative Commons BY-NC 3.0

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

    Pharmacogenetics Research Consent Form

    Administrative data
    Descrizione

    Administrative data

    Site
    Descrizione

    Site

    Tipo di dati

    text

    Patient
    Descrizione

    Patient

    Tipo di dati

    text

    Patient Number
    Descrizione

    Patient Number

    Tipo di dati

    integer

    Date of Visit/Assessment
    Descrizione

    Date of Visit/Assessment

    Tipo di dati

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    Date of Visit/Assessment
    Descrizione

    Date of Visit/Assessment

    Date
    Descrizione

    Date

    Tipo di dati

    date

    PGx Research Consent
    Descrizione

    PGx Research Consent

    Has informed consent been obtained for PGx-Pharmacogenetic research?
    Descrizione

    Has informed consent been obtained for PGx-Pharmacogenetic research?

    Tipo di dati

    boolean

    If YES, record date informed consent obtained for PGx-Pharmacogenetic research
    Descrizione

    If YES, record date informed consent obtained for PGx-Pharmacogenetic research

    Tipo di dati

    date

    Has a blood sample been collected for PGx-Pharmacogenetic (DNA) research
    Descrizione

    Has a blood sample been collected for PGx-Pharmacogenetic (DNA) research

    Tipo di dati

    boolean

    If YES, record date sample taken
    Descrizione

    If YES, record date sample taken

    Tipo di dati

    date

    If NO informed consent obtained, check reason
    Descrizione

    If NO informed consent obtained, check reason

    Tipo di dati

    text

    If Other, specify
    Descrizione

    If Other, specify

    Tipo di dati

    text

    Genetics Type
    Descrizione

    Genetics Type

    Tipo di dati

    text

    Similar models

    Pharmacogenetics Research Consent Form

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    Item
    If YES, record date informed consent obtained for PGx-Pharmacogenetic research
    date
    Has a blood sample been collected for PGx-Pharmacogenetic (DNA) research
    Item
    Has a blood sample been collected for PGx-Pharmacogenetic (DNA) research
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    If YES, record date sample taken
    Item
    If YES, record date sample taken
    date
    Item
    If NO informed consent obtained, check reason
    text
    Code List
    If NO informed consent obtained, check reason
    CL Item
    Subject declined (1)
    CL Item
    Subject not asked by Investigator (2)
    CL Item
    Other (3)
    If Other, specify
    Item
    If Other, specify
    text
    Genetics Type
    Item
    Genetics Type
    text

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