ID

32730

Descrição

Study ID: 109059 Clinical Study ID: OTB109059 Study Title: TXA107979:A Phase II Study to Evaluate: Delay in Intravaginal Ejaculatory Latency Time (IELT), Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Two Oral Doses of GSK557296 in a Randomized, Double Blind, Placebo-Controlled, Parallel Group Study in Men with Premature Ejaculation Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT01021553 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 2 Study Recruitment Status: Completed Generic Name: epelsiban Trade Name: Study Indication: Premature Ejaculation

Palavras-chave

  1. 13/11/2018 13/11/2018 -
Titular dos direitos

GlaxoSmithKline

Transferido a

13 de novembro de 2018

DOI

Para um pedido faça login.

Licença

Creative Commons BY-NC 3.0

Comentários do modelo :

Aqui pode comentar o modelo. Pode comentá-lo especificamente através dos balões de texto nos grupos de itens e itens.

Comentários do grupo de itens para :

Comentários do item para :

Para descarregar formulários, precisa de ter uma sessão iniciada. Por favor faça login ou registe-se gratuitamente.

Delay in IELT, Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of GSK557296 in Men with Premature Ejaculation, 109059

PGx-Pharmacogenetic Research Consent

PGx-Pharmacogenetic Research Consent
Descrição

PGx-Pharmacogenetic Research Consent

Alias
UMLS CUI-1
C2347500
UMLS CUI-2
C0021430
Has informed consent been obtained for PGx- Pharmacogenetic research?
Descrição

Pharmacogenetic Test, Informed Consent

Tipo de dados

boolean

Alias
UMLS CUI [1,1]
C2347500
UMLS CUI [1,2]
C0021430
Date informed consent obtained for PGx-Pharmacogenetic research
Descrição

Pharmacogenetic Test, Informed Consent, Date in time

Tipo de dados

date

Alias
UMLS CUI [1,1]
C2347500
UMLS CUI [1,2]
C0021430
UMLS CUI [1,3]
C0011008
No informed consent for PGx- Pharmacogenetic research obtained - Reason
Descrição

Pharmacogenetic Test, Informed Consent, Indication

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0031325
UMLS CUI [1,2]
C0021430
UMLS CUI [1,3]
C0392360
Has a blood sample been collected for PGx-pharmacogenetic (DNA) research?
Descrição

Pharmacogenetic Test, Collection of blood specimen for laboratory procedure

Tipo de dados

boolean

Alias
UMLS CUI [1,1]
C0031325
UMLS CUI [1,2]
C0005834
Date sample taken
Descrição

Pharmacogenetic Test, Collection of blood specimen for laboratory procedure, Date in time

Tipo de dados

date

Alias
UMLS CUI [1,1]
C0031325
UMLS CUI [1,2]
C0005834
UMLS CUI [1,3]
C0011008
Withdrawal of Consent for PGx (DNA) Sample Destruction
Descrição

Withdrawal of Consent for PGx (DNA) Sample Destruction

Alias
UMLS CUI-1
C0444245
UMLS CUI-2
C1948029
UMLS CUI-3
C1707492
Has subject withdrawn consent for PGx research?
Descrição

Pharmacogenetic Test, Consent withdrawn

Tipo de dados

boolean

Alias
UMLS CUI [1,1]
C2347500
UMLS CUI [1,2]
C1707492
Date informed consent withdrawn
Descrição

Pharmacogenetic Test, Consent withdrawn, Date in time

Tipo de dados

date

Alias
UMLS CUI [1,1]
C2347500
UMLS CUI [1,2]
C1707492
UMLS CUI [1,3]
C0011008
Has a request been made for sample destruction?
Descrição

DNA sample, Destruction, Request

Tipo de dados

boolean

Alias
UMLS CUI [1,1]
C0444245
UMLS CUI [1,2]
C1948029
UMLS CUI [1,3]
C1272683
Has a request been made for sample destruction? - Reason
Descrição

DNA sample, Destruction, Request, Indication

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0444245
UMLS CUI [1,2]
C1948029
UMLS CUI [1,3]
C1272683
UMLS CUI [1,4]
C0392360

Similar models

PGx-Pharmacogenetic Research Consent

Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
Item Group
PGx-Pharmacogenetic Research Consent
C2347500 (UMLS CUI-1)
C0021430 (UMLS CUI-2)
Pharmacogenetic Test, Informed Consent
Item
Has informed consent been obtained for PGx- Pharmacogenetic research?
boolean
C2347500 (UMLS CUI [1,1])
C0021430 (UMLS CUI [1,2])
Pharmacogenetic Test, Informed Consent, Date in time
Item
Date informed consent obtained for PGx-Pharmacogenetic research
date
C2347500 (UMLS CUI [1,1])
C0021430 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Item
No informed consent for PGx- Pharmacogenetic research obtained - Reason
text
C0031325 (UMLS CUI [1,1])
C0021430 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Code List
No informed consent for PGx- Pharmacogenetic research obtained - Reason
CL Item
Subject declined (Subject declined)
CL Item
Subject not asked by Investigator (Subject not asked by Investigator)
CL Item
Other (Other)
Pharmacogenetic Test, Collection of blood specimen for laboratory procedure
Item
Has a blood sample been collected for PGx-pharmacogenetic (DNA) research?
boolean
C0031325 (UMLS CUI [1,1])
C0005834 (UMLS CUI [1,2])
Pharmacogenetic Test, Collection of blood specimen for laboratory procedure, Date in time
Item
Date sample taken
date
C0031325 (UMLS CUI [1,1])
C0005834 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Item Group
Withdrawal of Consent for PGx (DNA) Sample Destruction
C0444245 (UMLS CUI-1)
C1948029 (UMLS CUI-2)
C1707492 (UMLS CUI-3)
Pharmacogenetic Test, Consent withdrawn
Item
Has subject withdrawn consent for PGx research?
boolean
C2347500 (UMLS CUI [1,1])
C1707492 (UMLS CUI [1,2])
Pharmacogenetic Test, Consent withdrawn, Date in time
Item
Date informed consent withdrawn
date
C2347500 (UMLS CUI [1,1])
C1707492 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
DNA sample, Destruction, Request
Item
Has a request been made for sample destruction?
boolean
C0444245 (UMLS CUI [1,1])
C1948029 (UMLS CUI [1,2])
C1272683 (UMLS CUI [1,3])
Item
Has a request been made for sample destruction? - Reason
text
C0444245 (UMLS CUI [1,1])
C1948029 (UMLS CUI [1,2])
C1272683 (UMLS CUI [1,3])
C0392360 (UMLS CUI [1,4])
Code List
Has a request been made for sample destruction? - Reason
CL Item
Subject withdrew consent for PGx (Subject withdrew consent for PGx)
CL Item
Screen failure (Screen failure)
CL Item
Other (Other)

Use este formulário para feedback, perguntas e sugestões de aperfeiçoamento.

Campos marcados com * são obrigatórios.

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial