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ID

33300

Beschreibung

Study ID: 106837 Clinical Study ID: HZA106837 Study Title: A Long-Term, Randomized, Double-Blind, Parallel Group Study of Fluticasone Furoate/GW642444 Inhalation Powder Once-Daily and Fluticasone Furoate Inhalation Powder Once-Daily in Subjects with Asthma Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT01086384 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 3 Study Recruitment Status: Completed Generic Name: fluticasone furoate/vilanterol Trade Name: Relvar Study Indication: Asthma

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Versionen (2)
  1. 05.11.18 05.11.18 -
  2. 04.12.18 04.12.18 -
Rechteinhaber

GSK group of companies

Hochgeladen am

4. Dezember 2018

DOI

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Creative Commons BY-NC 3.0
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    A Parallel Group Study of Fluticasone Furoate/Vilanterol in Subjects with Asthma - 106837

    Englisch

    Pharmacogenetic Research Consent

    1 Formulare  
    Pharmacogenetic (PGx) Research Consent/ Sample Collection
    Beschreibung

    Pharmacogenetic (PGx) Research Consent/ Sample Collection

    Alias
    UMLS CUI-1
    C0031325 (Pharmacogenetics)
    UMLS CUI-2
    C0035168 (research)
    UMLS CUI-3
    C1511481 (Consent)
    LOINC
    LP100037-3
    UMLS CUI-4
    C0200345 (Specimen Collection)
    SNOMED
    17636008
    Has informed consent been obtained for PGx research?
    Beschreibung

    Has informed consent been obtained for PGx reearch?

    Datentyp

    boolean

    Alias
    UMLS CUI [1]
    C0021430 (Informed Consent)
    UMLS CUI [2,1]
    C0031325 (Pharmacogenetics)
    UMLS CUI [2,2]
    C0035168 (research)
    if YES, record date informed consent obtained for PGx research
    Beschreibung

    if YES, record date informed consent obtained for PGx research

    Datentyp

    text

    Alias
    UMLS CUI [1]
    C2985782 (Informed Consent Date)
    UMLS CUI [2,1]
    C0031325 (Pharmacogenetics)
    UMLS CUI [2,2]
    C0035168 (research)
    If NO, check reason for informed consent not being obtained.
    Beschreibung

    If NO, check reason

    Datentyp

    text

    Alias
    UMLS CUI [1,1]
    C0021430 (Informed Consent)
    UMLS CUI [1,2]
    C1882120 (Not Obtained)
    UMLS CUI [1,3]
    C0392360 (Indication of (contextual qualifier))
    SNOMED
    230165009
    LOINC
    MTHU008319
    If OTHER, specify
    Beschreibung

    If OTHER, specify

    Datentyp

    text

    Alias
    UMLS CUI [1,1]
    C0021430 (Informed Consent)
    UMLS CUI [1,2]
    C1882120 (Not Obtained)
    UMLS CUI [1,3]
    C0392360 (Indication of (contextual qualifier))
    SNOMED
    230165009
    LOINC
    MTHU008319
    UMLS CUI [1,4]
    C0205394 (Other)
    SNOMED
    74964007
    LOINC
    LP21049-9
    UMLS CUI [1,5]
    C2348235 (Specification)
    Has sample been collected for PGx research?
    Beschreibung

    Has sample been collected for PGx research?

    Datentyp

    boolean

    Alias
    UMLS CUI [1]
    C0200345 (Specimen Collection)
    SNOMED
    17636008
    UMLS CUI [2,1]
    C0031325 (Pharmacogenetics)
    UMLS CUI [2,2]
    C0035168 (research)
    If YES, record the date sample taken
    Beschreibung

    If YES, record the date sample taken

    Datentyp

    date

    Alias
    UMLS CUI [1]
    C1302413 (Specimen collection date)
    SNOMED
    399445004
    Sample Type
    Beschreibung

    Sample Type

    Alias
    UMLS CUI-1
    C2347029 (Biospecimen Type)
    Record Sample Type
    Beschreibung

    Record Sample Type

    Datentyp

    text

    Alias
    UMLS CUI [1]
    C2347029 (Biospecimen Type)
    Zum Seitenanfang zurückkehren

    Ähnliche Modelle

    Pharmacogenetic Research Consent

    1 Formulare
    Name
    Typ
    Description | Question | Decode (Coded Value)
    Datentyp
    Alias
    Item Group
    Pharmacogenetic (PGx) Research Consent/ Sample Collection
    C0031325 (UMLS CUI-1)
    C0035168 (UMLS CUI-2)
    C1511481 (UMLS CUI-3)
    C0200345 (UMLS CUI-4)
    Has informed consent been obtained for PGx reearch?
    Item
    Has informed consent been obtained for PGx research?
    boolean
    C0021430 (UMLS CUI [1])
    C0031325 (UMLS CUI [2,1])
    C0035168 (UMLS CUI [2,2])
    if YES, record date informed consent obtained for PGx research
    Item
    if YES, record date informed consent obtained for PGx research
    text
    C2985782 (UMLS CUI [1])
    C0031325 (UMLS CUI [2,1])
    C0035168 (UMLS CUI [2,2])
    Item
    If NO, check reason for informed consent not being obtained.
    text
    C0021430 (UMLS CUI [1,1])
    C1882120 (UMLS CUI [1,2])
    C0392360 (UMLS CUI [1,3])
    If NO, check reason
    Code List
    If NO, check reason for informed consent not being obtained.
    CL Item
    [1] Subject declined (1)
    CL Item
    [2] Subject not asked by Investigator (2)
    CL Item
    [Z] Other (3)
    If OTHER, specify
    Item
    If OTHER, specify
    text
    C0021430 (UMLS CUI [1,1])
    C1882120 (UMLS CUI [1,2])
    C0392360 (UMLS CUI [1,3])
    C0205394 (UMLS CUI [1,4])
    C2348235 (UMLS CUI [1,5])
    Has sample been collected for PGx research?
    Item
    Has sample been collected for PGx research?
    boolean
    C0200345 (UMLS CUI [1])
    C0031325 (UMLS CUI [2,1])
    C0035168 (UMLS CUI [2,2])
    If YES, record the date sample taken
    Item
    If YES, record the date sample taken
    date
    C1302413 (UMLS CUI [1])
    Item Group
    Sample Type
    C2347029 (UMLS CUI-1)
    Record Sample Type
    Item
    Record Sample Type
    text
    C2347029 (UMLS CUI [1])
    Zum Seitenanfang zurückkehren 

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