ID

32894

Description

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

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Versions (1)
  1. 11/19/18 11/19/18 -
Copyright Holder

GSK group of companies

Uploaded on

November 19, 2018

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Creative Commons BY-NC 3.0
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The Effect of Albiglutide on Cardiac Repolarisation Compared with Placebo 107085

English

Unscheduled Vital Signs Form

1 forms  
Administrative data
Description

Administrative data

Study Name
Description

Study Name

Data type

text

Site
Description

Site

Data type

text

Subject
Description

Subject

Data type

text

Visit Name
Description

Visit Name

Data type

text

DCI Name/Shortname
Description

DCI Name/Shortname

Data type

text

Status
Description

Status

Data type

text

Doc#
Description

Doc#

Data type

integer

Visit #
Description

Visit #

Data type

float

Visit Date
Description

Visit Date

Data type

date

Visit Type
Description

Visit Type

Data type

text

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Description

If Repeat, please specify the original Day below

Data type

text

Vital Signs
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Vital Signs

Day
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Day

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text

Vital Signs Date
Description

Vital Signs Date

Data type

date

Vital Signs Time
Description

Vital Signs Time

Data type

time

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
Pulse
Description

Pulse

Data type

integer

Measurement units
  • bpm
bpm
Temperature
Description

Temperature

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float

Measurement units
  • °C
°C
Body Position
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e.g., Sitting

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text

Height
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Height

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float

Measurement units
  • cm
cm
Weight
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Weight

Data type

float

Measurement units
  • kg
kg
Body Mass Index (BMI)
Description

Body Mass Index (BMI)

Data type

float

Measurement units
  • kg / m2
kg / m2
Comment
Description

Comment

Data type

text

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Unscheduled Vital Signs Form

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Administrative data
Study Name
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Study Name
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Site
Item
Site
text
Subject
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Subject
text
Visit Name
Item
Visit Name
text
DCI Name/Shortname
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DCI Name/Shortname
text
Status
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Status
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Doc#
integer
Visit #
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Visit #
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time
Blood Pressure Systolic
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Blood Pressure Systolic
integer
Blood Pressure Diastolic
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Blood Pressure Diastolic
integer
Pulse
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Pulse
integer
Temperature
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Temperature
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Body Position
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