0 Ratings
ID

33370

Description

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

Keywords

Versions (2)
  1. 11/6/18 11/6/18 -
  2. 12/6/18 12/6/18 -
Copyright Holder

GSK group of companies

Uploaded on

December 6, 2018

DOI

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License

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

    English

    Pharmacogenetik Research Consent Withdrawal

    1 forms  
    Withdrawal of concent for PGx/Sample Destruction
    Description

    Withdrawal of concent for PGx/Sample Destruction

    Alias
    UMLS CUI-1
    C0031325
    UMLS CUI-2
    C0035168
    UMLS CUI-3
    C1707492
    UMLS CUI-4
    C1948029
    UMLS CUI-5
    C0178913
    Has subject withdrawn consent for PGx research?
    Description

    Has subject withdrawn consent for PGx research?

    Data type

    boolean

    Alias
    UMLS CUI [1,1]
    C0031325
    UMLS CUI [1,2]
    C0035168
    UMLS CUI [1,3]
    C1707492
    If YES, record the date consent withdrawn
    Description

    If YES, record the date consent withdrawn

    Data type

    date

    Alias
    UMLS CUI [1,1]
    C0031325
    UMLS CUI [1,2]
    C0035168
    UMLS CUI [1,3]
    C1707492
    UMLS CUI [1,4]
    C0011008
    Has a request been made for sample destruction?
    Description

    Has a request been made for sample destruction?

    Data type

    boolean

    Alias
    UMLS CUI [1,1]
    C1948029
    UMLS CUI [1,2]
    C0178913
    UMLS CUI [1,3]
    C1272683
    If YES, check reason
    Description

    If YES, check reason

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C1948029
    UMLS CUI [1,2]
    C0178913
    UMLS CUI [1,3]
    C1272683
    UMLS CUI [1,4]
    C0392360
    If OTHER, specify
    Description

    If OTHER, specify

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C1948029
    UMLS CUI [1,2]
    C0178913
    UMLS CUI [1,3]
    C1272683
    UMLS CUI [1,4]
    C0392360
    UMLS CUI [2,1]
    C0205394
    UMLS CUI [2,2]
    C2348235
    Sample type
    Description

    Sample type

    Data type

    text

    Alias
    UMLS CUI [1]
    C2347029
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    Similar models

    Pharmacogenetik Research Consent Withdrawal

    1 forms
    Name
    Type
    Description | Question | Decode (Coded Value)
    Data type
    Alias
    Item Group
    Withdrawal of concent for PGx/Sample Destruction
    C0031325 (UMLS CUI-1)
    C0035168 (UMLS CUI-2)
    C1707492 (UMLS CUI-3)
    C1948029 (UMLS CUI-4)
    C0178913 (UMLS CUI-5)
    Has subject withdrawn consent for PGx research?
    Item
    Has subject withdrawn consent for PGx research?
    boolean
    C0031325 (UMLS CUI [1,1])
    C0035168 (UMLS CUI [1,2])
    C1707492 (UMLS CUI [1,3])
    If YES, record the date consent withdrawn
    Item
    If YES, record the date consent withdrawn
    date
    C0031325 (UMLS CUI [1,1])
    C0035168 (UMLS CUI [1,2])
    C1707492 (UMLS CUI [1,3])
    C0011008 (UMLS CUI [1,4])
    Has a request been made for sample destruction?
    Item
    Has a request been made for sample destruction?
    boolean
    C1948029 (UMLS CUI [1,1])
    C0178913 (UMLS CUI [1,2])
    C1272683 (UMLS CUI [1,3])
    Item
    If YES, check reason
    text
    C1948029 (UMLS CUI [1,1])
    C0178913 (UMLS CUI [1,2])
    C1272683 (UMLS CUI [1,3])
    C0392360 (UMLS CUI [1,4])
    If YES, check reason
    Code List
    If YES, check reason
    CL Item
    Subject withdrew consent for PGx (1)
    CL Item
    Screen failure (2)
    CL Item
    Other (3)
    If OTHER, specify
    Item
    If OTHER, specify
    text
    C1948029 (UMLS CUI [1,1])
    C0178913 (UMLS CUI [1,2])
    C1272683 (UMLS CUI [1,3])
    C0392360 (UMLS CUI [1,4])
    C0205394 (UMLS CUI [2,1])
    C2348235 (UMLS CUI [2,2])
    Sample type
    Item
    Sample type
    text
    C2347029 (UMLS CUI [1])
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