0 Beoordelingen
ID

33414

Beschrijving

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

Trefwoorden

Versies (2)
  1. 07-11-18 07-11-18 -
  2. 07-12-18 07-12-18 -
Houder van rechten

GSK group of companies

Geüploaded op

7 december 2018

DOI

Voor een aanvraag inloggen.

Licentie

Creative Commons BY-NC 3.0
Model Commentaren :

Hier kunt u commentaar leveren op het model. U kunt de tekstballonnen bij de itemgroepen en items gebruiken om er specifiek commentaar op te geven.

Terug naar het model Commentaren
Itemgroep Commentaren voor :

Item Commentaren voor :

  • Nieuwste
  • Oudste
  • Populair
  • Nieuwste
    • Nieuwste
    • Oudste
    • Populair

    Geen commentaren

    U moet ingelogd zijn om formulieren te downloaden. AUB inloggen of schrijf u gratis in.

    A Parallel Group Study of Fluticasone Furoate/Vilanterol in Subjects with Asthma - 106837

    Engels

    Patient's Diary Card 1: Screening/Run-In Visit 1

    1 Formulieren  
    Administrative data
    Beschrijving

    Administrative data

    Alias
    UMLS CUI-1
    C1320722 (Administrative documentation)
    SNOMED
    405624007
    Subject Identifier
    Beschrijving

    Subject Identifier

    Datatype

    integer

    Alias
    UMLS CUI [1]
    C2348585 (Clinical Trial Subject Unique Identifier)
    Daily Assessments
    Beschrijving

    Daily Assessments

    Alias
    UMLS CUI-1
    C0220825 (Evaluation)
    LOINC
    LP36377-7
    UMLS CUI-2
    C0332173 (Daily)
    SNOMED
    69620002
    LOINC
    LA14799-3
    Assessment Date
    Beschrijving

    Date

    Datatype

    text

    Alias
    UMLS CUI [1]
    C2985720 (Assessment Date)
    Asthma symptoms score over the past 24 hours
    Beschrijving

    0 = No symptoms during the day or previous night 1 = Symptoms for one short period during the day or previous night 2 = Symptoms for two or more short periods during the day or previous night 3 = Symptoms for most of the day or previous night which did not affect my normal activities 4 = Symptoms for most of the day or previous night which did affect my normal activities 5 = Symptoms so severe that I could not go to work or perform normal activities Circle only one number

    Datatype

    text

    Alias
    UMLS CUI [1,1]
    C0004096 (Asthma)
    SNOMED
    195967001
    LOINC
    MTHU020815
    UMLS CUI [1,2]
    C1457887 (Symptoms)
    LOINC
    MTHU021540
    Number of puffs albuterol/salbutamol taken in the past 24 hours
    Beschrijving

    if nono, enter zero (0)

    Datatype

    integer

    Alias
    UMLS CUI [1,1]
    C1533107 (Puff unit dose)
    SNOMED
    415215001
    UMLS CUI [1,2]
    C0001927 (albuterol)
    SNOMED
    372897005
    Terug naar het begin van de pagina

    Similar models

    Patient's Diary Card 1: Screening/Run-In Visit 1

    1 Formulieren
    Name
    Type
    Description | Question | Decode (Coded Value)
    Datatype
    Alias
    Item Group
    Administrative data
    C1320722 (UMLS CUI-1)
    Subject Identifier
    Item
    Subject Identifier
    integer
    C2348585 (UMLS CUI [1])
    Item Group
    Daily Assessments
    C0220825 (UMLS CUI-1)
    C0332173 (UMLS CUI-2)
    Item
    Assessment Date
    text
    C2985720 (UMLS CUI [1])
    Date
    Code List
    Assessment Date
    CL Item
    Date 1 (1)
    CL Item
    Date 2 (2)
    CL Item
    Date 3 (3)
    CL Item
    Date 4 (4)
    CL Item
    Date 5 (5)
    CL Item
    Date 6 (6)
    CL Item
    Date 7 (7)
    CL Item
    Date 8 (8)
    CL Item
    Date 9 (9)
    CL Item
    Date 10 (10)
    CL Item
    Date 11 (11)
    CL Item
    Date 12 (12)
    CL Item
    Date 13 (13)
    CL Item
    Date 14 (14)
    CL Item
    Date 15 (15)
    CL Item
    Date 16 (16)
    CL Item
    Date 17 (17)
    CL Item
    Date 18 (18)
    CL Item
    Date 19 (19)
    CL Item
    Date 20 (20)
    CL Item
    Date 21 (21)
    CL Item
    Date 22 (22)
    Item
    Asthma symptoms score over the past 24 hours
    text
    C0004096 (UMLS CUI [1,1])
    C1457887 (UMLS CUI [1,2])
    Asthma symptoms score over the past 24 hours
    Code List
    Asthma symptoms score over the past 24 hours
    CL Item
    1 (1)
    CL Item
    2 (2)
    CL Item
    3 (3)
    CL Item
    4 (4)
    CL Item
    5 (5)
    Number of puffs albuterol/salbutamol taken in the past 24 hours
    Item
    Number of puffs albuterol/salbutamol taken in the past 24 hours
    integer
    C1533107 (UMLS CUI [1,1])
    C0001927 (UMLS CUI [1,2])
    Terug naar het begin van de pagina 

    Help

    Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

    Watch Tutorial