ID

32740

Beskrivning

Study ID: 107085 Clinical Study ID: GLP107085 Study Title: A Randomized, Double-blind, Parallel, Nested Crossover Study to Investigate the Effect of Albiglutide on Cardiac Repolarization (corrected QT Interval) Compared With Placebo in Healthy Male and Female Subjects: A Thorough ECG Study Employing Placebo, Albiglutide, and a Positive Control (Moxifloxacin) Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT01406262 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 1 Study Recruitment Status: Completed Generic Name: albiglutide Trade Name: Tanzeum,Eperzan Study Indication: Diabetes Mellitus, Type 2

Nyckelord

Versioner (1)
  1. 2018-11-14 2018-11-14 -
Rättsinnehavare

GSK group of companies

Uppladdad den

14 november 2018

DOI

För en begäran logga in.

Licens

Creative Commons BY-NC 3.0
Modellkommentarer :

Här kan du kommentera modellen. Med hjälp av pratbubblor i Item-grupperna och Item kan du lägga in specifika kommentarer.

Tillbaka till modellkommentarer
Itemgroup-kommentar för :

Item-kommentar för :

Du måste vara inloggad för att kunna ladda ner formulär. Var vänlig logga in eller registrera dig utan kostnad.

The Effect of Albiglutide on Cardiac Repolarisation Compared with Placebo 107085

Engelsk

Prior Concomitant Medications and Non-Drug Therapies

1 Formulär  
Administrative data
Beskrivning

Administrative data

Study Name
Beskrivning

Study Name

Datatyp

text

Site
Beskrivning

Site

Datatyp

text

Subject
Beskrivning

Subject

Datatyp

text

Visit Name
Beskrivning

Visit Name

Datatyp

text

DCI Name/Shortname
Beskrivning

DCI Name/Shortname

Datatyp

text

Status
Beskrivning

Status

Datatyp

text

Doc#
Beskrivning

Doc#

Datatyp

integer

Visit #
Beskrivning

Visit #

Datatyp

float

Prior Medications and Therapies
Beskrivning

Prior Medications and Therapies

Did the subject participate in any Non-Drug Therapies or take Concomitant medications within 30 days prior to screening and/or during the study?
Beskrivning

Did the subject participate in any Non-Drug Therapies or take Concomitant medications within 30 days prior to screening and/or during the study?

Datatyp

boolean

If Yes, add details on next page (includes over-the counter and prescription drugs) below
Beskrivning

If Yes, add details on next page (includes over-the counter and prescription drugs) below

Drug Name
Beskrivning

Trade name peferred

Datatyp

text

Unit Dose
Beskrivning

Unit Dose

Datatyp

float

Unit
Beskrivning

Unit

Datatyp

text

Frequency
Beskrivning

Frequency

Datatyp

text

Route
Beskrivning

Route

Datatyp

text

Reason for medication
Beskrivning

if SAE/AE enter Event Term

Datatyp

text

AE/SAE Event Number
Beskrivning

If applicable

Datatyp

integer

Start date
Beskrivning

Start date

Datatyp

date

Stop Date
Beskrivning

Stop Date

Datatyp

date

Mark if continuing
Beskrivning

Mark if continuing

Datatyp

text

Taken prior to study
Beskrivning

Taken prior to study

Datatyp

boolean

Tillbaka till toppen

Similar models

Prior Concomitant Medications and Non-Drug Therapies

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Administrative data
Study Name
Item
Study Name
text
Site
Item
Site
text
Subject
Item
Subject
text
Visit Name
Item
Visit Name
text
DCI Name/Shortname
Item
DCI Name/Shortname
text
Status
Item
Status
text
Doc#
Item
Doc#
integer
Visit #
Item
Visit #
float
Item Group
Prior Medications and Therapies
Did the subject participate in any Non-Drug Therapies or take Concomitant medications within 30 days prior to screening and/or during the study?
Item
Did the subject participate in any Non-Drug Therapies or take Concomitant medications within 30 days prior to screening and/or during the study?
boolean
Item Group
If Yes, add details on next page (includes over-the counter and prescription drugs) below
Drug Name
Item
Drug Name
text
Unit Dose
Item
Unit Dose
float
Unit
Item
Unit
text
Frequency
Item
Frequency
text
Route
Item
Route
text
Reason for medication
Item
Reason for medication
text
AE/SAE Event Number
Item
AE/SAE Event Number
integer
Start date
Item
Start date
date
Stop Date
Item
Stop Date
date
Item
Mark if continuing
text
Mark if continuing
Code List
Mark if continuing
CL Item
Yes (1)
Taken prior to study
Item
Taken prior to study
boolean
Tillbaka till toppen 

Kontakt

Använd detta formulär för feedback, frågor och förslag på förbättringar.

Fält markerade med * är obligatoriska.

Hjälp

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