ID

32946

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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. 2018-11-21 2018-11-21 -
Rättsinnehavare

GSK group of companies

Uppladdad den

21 november 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

Engelsk

Liver Imaging Form 1

1 Formulär  
  1. StudyEvent: ODM
    1. Liver Imaging Form 1
Administrative data
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Administrative data

Study Name
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Study Name

Datatyp

text

Site
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Site

Datatyp

text

Subject
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Subject

Datatyp

text

Visit Name
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Visit Name

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text

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DCI Name/Shortname

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text

Status
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Status

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text

Doc#
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Doc#

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integer

Visit #
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Visit #

Datatyp

float

Complete a separate form for each individual imaging test performed.
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Complete a separate form for each individual imaging test performed.

Date of hepatic or liver imaging test
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Date of hepatic or liver imaging test

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date

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Liver Imaging Form 1

1 Formulär
  1. StudyEvent: ODM
    1. Liver Imaging Form 1
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
Complete a separate form for each individual imaging test performed.
Date of hepatic or liver imaging test
Item
Date of hepatic or liver imaging test
date
Item
What method was used for this imaging test?
text
What method was used for this imaging test?
Code List
What method was used for this imaging test?
CL Item
Ultrasound - transabdominal (1)
CL Item
Ultrasound - endoscopic (2)
CL Item
Magnetic Resonance Imaging (MRI) (3)
CL Item
Computerised Tomography (CT) (4)
CL Item
Endoscopic Retrograde Cholangiopancreatography (ERCP) (5)
CL Item
Positron Emission Tomography (PET) (6)
CL Item
Positron Emission Tomography/Computed Tomography (PET/CT) (7)
CL Item
Other (8)
If Other, specify
Item
If Other, specify
text
Item Group
Image Quality
Item
Are images technically adequate?
text
Are images technically adequate?
Code List
Are images technically adequate?
CL Item
Optimal (1)
CL Item
Readable, but not optimal (2)
CL Item
Not readable (3)
CL Item
Other (4)
If Other, specify
Item
If Other, specify
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