ID

33216

Description

Study ID: 107434 Clinical Study ID: NAP107434 Study Title: A randomised, double-blind, double-dummy, placebo controlled, three-way cross-over study to investigate the effect of single oral doses of 100 mg GW273225 (4030W92) and 325 mg LAMICTAL on resting motor threshold in healthy subjects Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: Study Link: Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 1 Study Recruitment Status: Completed Generic Name: GW273225 Trade Name: lamictal Study Indication: Bipolar Disorder This form contains informations about the subjects diagnostic EEG results. It should be filled out at screening visit. Screening Visit: 28 days prior to first dosing. Treatment Period: The day before dosing, until 48h after dosing. Follow-Up: 14-21 days after last dose

Mots-clés

Versions (3)
  1. 01/12/2018 01/12/2018 -
  2. 11/12/2018 11/12/2018 -
  3. 11/12/2018 11/12/2018 -
Détendeur de droits

GlaxoSmithKline

Téléchargé le

1 décembre 2018

DOI

Pour une demande vous connecter.

Licence

Creative Commons BY-NC 3.0
Modèle Commentaires :

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Effect of Lamictal on Resting Motor Threshold

Anglais

EEG

1 Formulaires  
  1. StudyEvent: ODM
    1. EEG
Administrative Data
Description

Administrative Data

Alias
UMLS CUI-1
C1320722
Subject Screening number
Description

Subject Screening No.

Type de données

integer

Alias
UMLS CUI [1,1]
C0220908
UMLS CUI [1,2]
C0600091
Subject no.
Description

Subject Number

Type de données

integer

Alias
UMLS CUI [1]
C2348585
Date Information Collected
Description

Date Information Collected

Type de données

date

Alias
UMLS CUI [1,1]
C3244127
UMLS CUI [1,2]
C0011008
Diagnostic EEG
Description

Diagnostic EEG

Alias
UMLS CUI-1
C0013819
Actual Time
Description

Actual Time

Type de données

datetime

Alias
UMLS CUI [1]
C0040223
EEG Comments
Description

EEG Comments

Type de données

text

Alias
UMLS CUI [1,1]
C0013819
UMLS CUI [1,2]
C0947611
EEG Performed By
Description

Neurophysiologist Staff Initials

Type de données

text

Alias
UMLS CUI [1,1]
C0013819
UMLS CUI [1,2]
C1550369
Clinical Interpretation of EEG
Description

Clinical Interpretation of EEG

Alias
UMLS CUI-1
C4086187
UMLS CUI-2
C0013819
Is the EEG recording normal?
Description

EEG Recording

Type de données

boolean

Alias
UMLS CUI [1]
C0013819
If No, is the abnormality clinically significant?
Description

EEG Abnormality Clinically Significant

Type de données

boolean

Alias
UMLS CUI [1,1]
C0013819
UMLS CUI [1,2]
C1704258
UMLS CUI [1,3]
C2985739
If the EEG recording is abnormal and the abnormality is clinically significant, please comment below and exclude the subject from the trial.
Description

EEG Abnormality Comment

Type de données

text

Alias
UMLS CUI [1,1]
C0013819
UMLS CUI [1,2]
C1704258
UMLS CUI [1,3]
C0947611
Conclusion
Description

Conclusion

Alias
UMLS CUI-1
C1707478
Staff initials
Description

Staff initials

Type de données

text

Alias
UMLS CUI [1,1]
C2986440
UMLS CUI [1,2]
C1552089
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Similar models

EEG

1 Formulaires
  1. StudyEvent: ODM
    1. EEG
Name
Type
Description | Question | Decode (Coded Value)
Type de données
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
Subject Screening No.
Item
Subject Screening number
integer
C0220908 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Subject Number
Item
Subject no.
integer
C2348585 (UMLS CUI [1])
Date Information Collected
Item
Date Information Collected
date
C3244127 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item Group
Diagnostic EEG
C0013819 (UMLS CUI-1)
Actual Time
Item
Actual Time
datetime
C0040223 (UMLS CUI [1])
EEG Comments
Item
EEG Comments
text
C0013819 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
EEG Performed By
Item
EEG Performed By
text
C0013819 (UMLS CUI [1,1])
C1550369 (UMLS CUI [1,2])
Item Group
Clinical Interpretation of EEG
C4086187 (UMLS CUI-1)
C0013819 (UMLS CUI-2)
EEG Recording
Item
Is the EEG recording normal?
boolean
C0013819 (UMLS CUI [1])
EEG Abnormality Clinically Significant
Item
If No, is the abnormality clinically significant?
boolean
C0013819 (UMLS CUI [1,1])
C1704258 (UMLS CUI [1,2])
C2985739 (UMLS CUI [1,3])
EEG Abnormality Comment
Item
If the EEG recording is abnormal and the abnormality is clinically significant, please comment below and exclude the subject from the trial.
text
C0013819 (UMLS CUI [1,1])
C1704258 (UMLS CUI [1,2])
C0947611 (UMLS CUI [1,3])
Item Group
Conclusion
C1707478 (UMLS CUI-1)
Staff initials
Item
Staff initials
text
C2986440 (UMLS CUI [1,1])
C1552089 (UMLS CUI [1,2])
Retour au début de la page 

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