ID

32703

Beschrijving

Study ID: 107038 Clinical Study ID: LPL107038 Study Title: Study to Estimate the Dose Proportionality of the Enteric-Coated Freebase Formulation of SB-480848 Patient Level Data:  Clinicaltrials.gov Identifier:  Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 1 Study Recruitment Status: Completed Generic Name: darapladib Trade Name: Tyrisa ,US Study Indication: Atherosclerosis

Trefwoorden

  1. 13-11-18 13-11-18 -
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GSK group of companies

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13 november 2018

DOI

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Creative Commons BY-NC 3.0

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Estimation of Dose Proportionality of Darapladib - 107038

Follow-Up: 12-lead ECG Abnormalities

Administrative data
Beschrijving

Administrative data

Date of ECG
Beschrijving

Date of ECG

Datatype

date

Time of ECG
Beschrijving

Time of ECG

Datatype

time

Record clinically significant abnormalities below.
Beschrijving

Record clinically significant abnormalities below.

Check YES for all that apply:
Beschrijving

Check YES for all that apply:

Datatype

text

A. Rhythm
Beschrijving

A. Rhythm

Sinus bradycardia
Beschrijving

Sinus bradycardia

Datatype

boolean

Sinus bradycardia (heart rate 40-50 bpm)
Beschrijving

Sinus bradycardia (heart rate 40-50 bpm)

Datatype

boolean

Sinus bradycardia (heart rate 30-39 bpm)
Beschrijving

Sinus bradycardia (heart rate 30-39 bpm)

Datatype

boolean

Sinus bradycardia (heart rate <30 bpm)
Beschrijving

Sinus bradycardia (heart rate <30 bpm)

Datatype

boolean

Sinus pause
Beschrijving

Sinus pause

Datatype

boolean

Sinus tachycardia (heart rate >100 bpm)
Beschrijving

Sinus tachycardia (heart rate >100 bpm)

Datatype

boolean

Ectopic supraventricular beats
Beschrijving

Ectopic supraventricular beats

Datatype

boolean

Ectopic supraventricular rhythm
Beschrijving

Ectopic supraventricular rhythm

Datatype

boolean

Wandering atrial pacemaker
Beschrijving

Wandering atrial pacemaker

Datatype

boolean

Multifocal atrial tachycardia (Wandering atrial pacemaker with heart rate >100 bpm)
Beschrijving

Multifocal atrial tachycardia (Wandering atrial pacemaker with heart rate >100 bpm)

Datatype

boolean

Supraventricular tachycardia (heart rate >100 bpm)
Beschrijving

Supraventricular tachycardia (heart rate >100 bpm)

Datatype

boolean

Atrial flutter
Beschrijving

Atrial flutter

Datatype

boolean

Atrial fibrillation
Beschrijving

Atrial fibrillation

Datatype

boolean

Junctional rhythm (heart rate <=100 bpm)
Beschrijving

Junctional rhythm (heart rate <=100 bpm)

Datatype

boolean

Junctional rhythm
Beschrijving

Junctional rhythm

Datatype

boolean

Junctional tachycardia (heart rate > 100 bpm)
Beschrijving

Junctional tachycardia (heart rate > 100 bpm)

Datatype

boolean

Ectopic ventricular beats
Beschrijving

Ectopic ventricular beats

Datatype

boolean

Ventricular couplets
Beschrijving

Ventricular couplets

Datatype

boolean

Bigeminy
Beschrijving

Bigeminy

Datatype

boolean

Trigeminy
Beschrijving

Trigeminy

Datatype

boolean

Electrical alternans
Beschrijving

Electrical alternans

Datatype

boolean

R on T phenomenon
Beschrijving

R on T phenomenon

Datatype

boolean

Ventricular fibrillation
Beschrijving

Ventricular fibrillation

Datatype

boolean

Idioventricular rhythm (heart rate < 100 bpm)
Beschrijving

Idioventricular rhythm (heart rate < 100 bpm)

Datatype

boolean

Sustained ventricular tachycardia
Beschrijving

Sustained ventricular tachycardia

Datatype

boolean

Non-sustained ventricular tachycardia
Beschrijving

Non-sustained ventricular tachycardia

Datatype

boolean

Wide QRS Tachycardia (diagnosis unknown)
Beschrijving

Wide QRS Tachycardia (diagnosis unknown)

Datatype

boolean

Ventricular tachycardia
Beschrijving

Ventricular tachycardia

Datatype

boolean

Monomorphic ventricular tachycardia
Beschrijving

Monomorphic ventricular tachycardia

Datatype

boolean

Torsades de Pointes (Polymosphic ventricular tachycardia with prolonged QT)
Beschrijving

Torsades de Pointes (Polymosphic ventricular tachycardia with prolonged QT)

Datatype

boolean

Polymorphic (sustained and non-sustained) ventricular tachycardia
Beschrijving

Polymorphic (sustained and non-sustained) ventricular tachycardia

Datatype

boolean

Artificial pacemaker
Beschrijving

Artificial pacemaker

Datatype

boolean

Other abnormal rhythm
Beschrijving

add comment

Datatype

text

B. P-Wave Morphology
Beschrijving

B. P-Wave Morphology

Left atrial abnormality (P mitrale)
Beschrijving

Left atrial abnormality (P mitrale)

Datatype

boolean

Rightatrial abnormality (P pulmonale)
Beschrijving

Rightatrial abnormality (P pulmonale)

Datatype

boolean

Right ventricular hypertrophy
Beschrijving

Right ventricular hypertrophy

Datatype

boolean

Intraatrial conduction delay
Beschrijving

Intraatrial conduction delay

Datatype

boolean

Increased voltage consistent with left ventricular hypertrophy
Beschrijving

Increased voltage consistent with left ventricular hypertrophy

Datatype

boolean

Other morphology
Beschrijving

specify

Datatype

text

C. Conduction
Beschrijving

C. Conduction

First degree AV block (PR interval > 200 msec)
Beschrijving

First degree AV block (PR interval > 200 msec)

Datatype

boolean

Short PR interval
Beschrijving

Short PR interval

Datatype

boolean

Second degree AV block (Mobitz type 1)
Beschrijving

Second degree AV block (Mobitz type 1)

Datatype

boolean

Second degree AV block (Mobitz type 2)
Beschrijving

Second degree AV block (Mobitz type 2)

Datatype

boolean

Second degree AV block (Mobitz type 2)
Beschrijving

Second degree AV block (Mobitz type 2)

Datatype

boolean

2:1 AV block
Beschrijving

2:1 AV block

Datatype

boolean

Third degree AV block
Beschrijving

Third degree AV block

Datatype

boolean

Left axis deviation (QRS axis more negative than -30°)
Beschrijving

Left axis deviation (QRS axis more negative than -30°)

Datatype

boolean

Right axis deviation (QRS axis more positive than +110°)
Beschrijving

Right axis deviation (QRS axis more positive than +110°)

Datatype

boolean

Incomplete right bundle branch block
Beschrijving

Incomplete right bundle branch block

Datatype

boolean

Incomplete left bundle branch block
Beschrijving

Incomplete left bundle branch block

Datatype

boolean

Right bundle branch block
Beschrijving

Right bundle branch block

Datatype

boolean

Left anterior hemiblock (synonymous to left anterior fascicular block)
Beschrijving

Left anterior hemiblock (synonymous to left anterior fascicular block)

Datatype

boolean

Left posterior hemiblock (synonymous to left posterior fascicular block)
Beschrijving

Left posterior hemiblock (synonymous to left posterior fascicular block)

Datatype

boolean

Left bundle branch block
Beschrijving

Left bundle branch block

Datatype

boolean

Bifascicular block
Beschrijving

Bifascicular block

Datatype

boolean

Non-specific intraventricular conduction delay (QRS >=120msec)
Beschrijving

Non-specific intraventricular conduction delay (QRS >=120msec)

Datatype

boolean

Accessory pathway (Wolff-Parkinson White, Lown-Ganong-Levine)
Beschrijving

Accessory pathway (Wolff-Parkinson White, Lown-Ganong-Levine)

Datatype

boolean

Prolonged QT interval
Beschrijving

Prolonged QT interval

Datatype

boolean

QT/QTc prolongation >=500 msec
Beschrijving

QT/QTc prolongation >=500 msec

Datatype

boolean

AV dissociation
Beschrijving

AV dissociation

Datatype

boolean

Other conduction
Beschrijving

Other conduction

Datatype

text

D. Myocardial Infraction
Beschrijving

D. Myocardial Infraction

Myocardial infraction, old
Beschrijving

Myocardial infraction, old

Datatype

boolean

Myocardial infraction, anterior
Beschrijving

Myocardial infraction, anterior

Datatype

boolean

Myocardial infraction, lateral
Beschrijving

Myocardial infraction, lateral

Datatype

boolean

Myocardial infraction, posterior
Beschrijving

Myocardial infraction, posterior

Datatype

boolean

Myocardial infraction, inferior
Beschrijving

Myocardial infraction, inferior

Datatype

boolean

Myocardial infraction, septal
Beschrijving

Myocardial infraction, septal

Datatype

boolean

Myocardial infraction, Non-Q wave
Beschrijving

Myocardial infraction, Non-Q wave

Datatype

boolean

Other myocardial infraction
Beschrijving

Other myocardial infraction

Datatype

text

E. Depolarisation/Repolarisation (QRS-T)
Beschrijving

E. Depolarisation/Repolarisation (QRS-T)

Non-specific ST-T changes
Beschrijving

Non-specific ST-T changes

Datatype

boolean

J point elevation
Beschrijving

J point elevation

Datatype

boolean

ST elevation
Beschrijving

ST elevation

Datatype

boolean

ST elevation-pericarditis
Beschrijving

ST elevation-pericarditis

Datatype

boolean

ST depression
Beschrijving

ST depression

Datatype

boolean

U waves abnormal
Beschrijving

U waves abnormal

Datatype

boolean

T wave inversion
Beschrijving

T wave inversion

Datatype

boolean

T wave peaked
Beschrijving

T wave peaked

Datatype

boolean

T waves flat
Beschrijving

T waves flat

Datatype

boolean

T waves biphasic
Beschrijving

T waves biphasic

Datatype

boolean

Notched T-waves
Beschrijving

Notched T-waves

Datatype

boolean

Low QRS voltage
Beschrijving

Low QRS voltage

Datatype

boolean

T-wave flattening/inversion
Beschrijving

T-wave flattening/inversion

Datatype

boolean

Other depolarisation/repolarisation
Beschrijving

Other depolarisation/repolarisation

Datatype

text

F. Other
Beschrijving

F. Other

Other Abnormalities, enter comment
Beschrijving

Other Abnormalities, enter comment

Datatype

text

Similar models

Follow-Up: 12-lead ECG Abnormalities

Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Administrative data
Date of ECG
Item
Date of ECG
date
Time of ECG
Item
Time of ECG
time
Item Group
Record clinically significant abnormalities below.
Check YES for all that apply:
Item
Check YES for all that apply:
text
Item Group
A. Rhythm
Sinus bradycardia
Item
Sinus bradycardia
boolean
Sinus bradycardia (heart rate 40-50 bpm)
Item
Sinus bradycardia (heart rate 40-50 bpm)
boolean
Sinus bradycardia (heart rate 30-39 bpm)
Item
Sinus bradycardia (heart rate 30-39 bpm)
boolean
Sinus bradycardia (heart rate <30 bpm)
Item
Sinus bradycardia (heart rate <30 bpm)
boolean
Sinus pause
Item
Sinus pause
boolean
Sinus tachycardia (heart rate >100 bpm)
Item
Sinus tachycardia (heart rate >100 bpm)
boolean
Ectopic supraventricular beats
Item
Ectopic supraventricular beats
boolean
Ectopic supraventricular rhythm
Item
Ectopic supraventricular rhythm
boolean
Wandering atrial pacemaker
Item
Wandering atrial pacemaker
boolean
Multifocal atrial tachycardia (Wandering atrial pacemaker with heart rate >100 bpm)
Item
Multifocal atrial tachycardia (Wandering atrial pacemaker with heart rate >100 bpm)
boolean
Supraventricular tachycardia (heart rate >100 bpm)
Item
Supraventricular tachycardia (heart rate >100 bpm)
boolean
Atrial flutter
Item
Atrial flutter
boolean
Atrial fibrillation
Item
Atrial fibrillation
boolean
Junctional rhythm (heart rate <=100 bpm)
Item
Junctional rhythm (heart rate <=100 bpm)
boolean
Junctional rhythm
Item
Junctional rhythm
boolean
Junctional tachycardia (heart rate > 100 bpm)
Item
Junctional tachycardia (heart rate > 100 bpm)
boolean
Ectopic ventricular beats
Item
Ectopic ventricular beats
boolean
Ventricular couplets
Item
Ventricular couplets
boolean
Bigeminy
Item
Bigeminy
boolean
Trigeminy
Item
Trigeminy
boolean
Electrical alternans
Item
Electrical alternans
boolean
R on T phenomenon
Item
R on T phenomenon
boolean
Ventricular fibrillation
Item
Ventricular fibrillation
boolean
Idioventricular rhythm (heart rate < 100 bpm)
Item
Idioventricular rhythm (heart rate < 100 bpm)
boolean
Sustained ventricular tachycardia
Item
Sustained ventricular tachycardia
boolean
Non-sustained ventricular tachycardia
Item
Non-sustained ventricular tachycardia
boolean
Wide QRS Tachycardia (diagnosis unknown)
Item
Wide QRS Tachycardia (diagnosis unknown)
boolean
Ventricular tachycardia
Item
Ventricular tachycardia
boolean
Monomorphic ventricular tachycardia
Item
Monomorphic ventricular tachycardia
boolean
Torsades de Pointes (Polymosphic ventricular tachycardia with prolonged QT)
Item
Torsades de Pointes (Polymosphic ventricular tachycardia with prolonged QT)
boolean
Polymorphic (sustained and non-sustained) ventricular tachycardia
Item
Polymorphic (sustained and non-sustained) ventricular tachycardia
boolean
Artificial pacemaker
Item
Artificial pacemaker
boolean
Other abnormal rhythm
Item
Other abnormal rhythm
text
Item Group
B. P-Wave Morphology
Left atrial abnormality (P mitrale)
Item
Left atrial abnormality (P mitrale)
boolean
Rightatrial abnormality (P pulmonale)
Item
Rightatrial abnormality (P pulmonale)
boolean
Right ventricular hypertrophy
Item
Right ventricular hypertrophy
boolean
Intraatrial conduction delay
Item
Intraatrial conduction delay
boolean
Increased voltage consistent with left ventricular hypertrophy
Item
Increased voltage consistent with left ventricular hypertrophy
boolean
Other morphology
Item
Other morphology
text
Item Group
C. Conduction
First degree AV block (PR interval > 200 msec)
Item
First degree AV block (PR interval > 200 msec)
boolean
Short PR interval
Item
Short PR interval
boolean
Second degree AV block (Mobitz type 1)
Item
Second degree AV block (Mobitz type 1)
boolean
Second degree AV block (Mobitz type 2)
Item
Second degree AV block (Mobitz type 2)
boolean
Second degree AV block (Mobitz type 2)
Item
Second degree AV block (Mobitz type 2)
boolean
2:1 AV block
Item
2:1 AV block
boolean
Third degree AV block
Item
Third degree AV block
boolean
Left axis deviation (QRS axis more negative than -30°)
Item
Left axis deviation (QRS axis more negative than -30°)
boolean
Right axis deviation (QRS axis more positive than +110°)
Item
Right axis deviation (QRS axis more positive than +110°)
boolean
Incomplete right bundle branch block
Item
Incomplete right bundle branch block
boolean
Incomplete left bundle branch block
Item
Incomplete left bundle branch block
boolean
Right bundle branch block
Item
Right bundle branch block
boolean
Left anterior hemiblock (synonymous to left anterior fascicular block)
Item
Left anterior hemiblock (synonymous to left anterior fascicular block)
boolean
Left posterior hemiblock (synonymous to left posterior fascicular block)
Item
Left posterior hemiblock (synonymous to left posterior fascicular block)
boolean
Left bundle branch block
Item
Left bundle branch block
boolean
Bifascicular block
Item
Bifascicular block
boolean
Non-specific intraventricular conduction delay (QRS >=120msec)
Item
Non-specific intraventricular conduction delay (QRS >=120msec)
boolean
Accessory pathway (Wolff-Parkinson White, Lown-Ganong-Levine)
Item
Accessory pathway (Wolff-Parkinson White, Lown-Ganong-Levine)
boolean
Prolonged QT interval
Item
Prolonged QT interval
boolean
QT/QTc prolongation >=500 msec
Item
QT/QTc prolongation >=500 msec
boolean
AV dissociation
Item
AV dissociation
boolean
Other conduction
Item
Other conduction
text
Item Group
D. Myocardial Infraction
Myocardial infraction, old
Item
Myocardial infraction, old
boolean
Myocardial infraction, anterior
Item
Myocardial infraction, anterior
boolean
Myocardial infraction, lateral
Item
Myocardial infraction, lateral
boolean
Myocardial infraction, posterior
Item
Myocardial infraction, posterior
boolean
Myocardial infraction, inferior
Item
Myocardial infraction, inferior
boolean
Myocardial infraction, septal
Item
Myocardial infraction, septal
boolean
Myocardial infraction, Non-Q wave
Item
Myocardial infraction, Non-Q wave
boolean
Other myocardial infraction
Item
Other myocardial infraction
text
Item Group
E. Depolarisation/Repolarisation (QRS-T)
Non-specific ST-T changes
Item
Non-specific ST-T changes
boolean
J point elevation
Item
J point elevation
boolean
ST elevation
Item
ST elevation
boolean
ST elevation-pericarditis
Item
ST elevation-pericarditis
boolean
ST depression
Item
ST depression
boolean
U waves abnormal
Item
U waves abnormal
boolean
T wave inversion
Item
T wave inversion
boolean
T wave peaked
Item
T wave peaked
boolean
T waves flat
Item
T waves flat
boolean
T waves biphasic
Item
T waves biphasic
boolean
Notched T-waves
Item
Notched T-waves
boolean
Low QRS voltage
Item
Low QRS voltage
boolean
T-wave flattening/inversion
Item
T-wave flattening/inversion
boolean
Other depolarisation/repolarisation
Item
Other depolarisation/repolarisation
text
Item Group
F. Other
Other Abnormalities, enter comment
Item
Other Abnormalities, enter comment
text

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