Completion of Visit Assessments (Visit 2)
All Visit 2 assessments completed and confirm subject is not a run in failure?
boolean
Run- In Failure (Visit 2)
Was this subject a run- in failure?
text
Run- in failure reason
integer
If this subject was a run- in failure because of Investigator descretion, specify.
text
If this subject was a run- in failure because of Withdrew consent, specify.
text
Investigator Siganture (Visit 2)
Date of Visit/ Assessment (Visit 3)
Randomisation Criteria (Visit 3)
Did the subject meet all of the Randomisation criteria?
text
Inclusion Criteria
integer
Exclucion Criteria
text
Run- In Failure (Visit 3)
Was this subject a run- in failure?
text
Run- in failure reason
integer
If this subject was a run- in failure because of Investigator descretion, specify.
text
If this subject was a run- in failure because of Withdrew consent, specify.
text
Investigator Siganture (Visit 3)
ICS/ LABA Concomitant Medications (Visit 3)
Inhaled corticosteroid regimen
integer
What specific inhaled corticosteroid did the subject take during the run- in period?
integer
If other inhaled corticosteroid, specify
text
Total ICS Daily Dose During Run- in
text
Randomisation Number (Visit 3)
Investigatinal Product (Visit 3)
Vital Signs (Visit 3)
Actual date/ time
datetime
Blood pressure
text
Position must be consistent throughout the study.
integer
Heart rate
integer
Temperature
float
Respiration rate
integer
Calculated Subject position
text
Candidiasis Examination (Visit 3)
Electronically transferred lab data (Visit 3)
Urine Cortisol Date sample taken
date
Haem Lab type code
text
Chem Lab type code
text
Urin Lab type code
text
Device Use Assessment (Visit 3)
Did the subject use the device correctly?
boolean
If subject does not use the device correctly, what did subject do incorrectly?
integer
Number of times subject required additional instruction
integer
Subject Withdrawal Status (Visit 3)
Electronically transferred lab data (Visit 3)
Date Sample(s) Taken
date
Haem Lab type code
text
Chem Lab type code
text
Urin Lab type code
text
Liver Events Assessment (Visit 3)
Liver chemistry event for the lab samples collected at this visit
boolean
Specify type of liver chemistry event
integer