0 Ratings
ID

33415

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 (3)
  1. 11/7/18 11/7/18 -
  2. 11/7/18 11/7/18 -
  3. 12/7/18 12/7/18 -
Copyright Holder

GSK group of companies

Uploaded on

December 7, 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

    Diary Card 1: Medical Problems - Screening/Run-In Visit 1

    1 forms  
    Administrative data
    Description

    Administrative data

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

    Subject Identifier

    Data type

    integer

    Alias
    UMLS CUI [1]
    C2348585 (Clinical Trial Subject Unique Identifier)
    Medical problem
    Description

    Medical problem

    Alias
    UMLS CUI-1
    C1254481 (Patient Problem)
    Medical Problem
    Description

    Record all medical problem(s) you have experienced AND record all medication(s) you took on that date to treat the problem(s). Do NOT include study-related medications

    Data type

    text

    Alias
    UMLS CUI [1]
    C1254481 (Patient Problem)
    Date Medical Problem Started
    Description

    Date Medical Problem Started

    Data type

    date

    Alias
    UMLS CUI [1,1]
    C1254481 (Patient Problem)
    UMLS CUI [1,2]
    C0808070 (Start Date)
    Date Medical Problem Stopped
    Description

    Date Medical Problem Stopped

    Data type

    date

    Alias
    UMLS CUI [1,1]
    C1254481 (Patient Problem)
    UMLS CUI [1,2]
    C0806020 (End date)
    SNOMED
    454551000124105
    LOINC
    MTHU008302
    Medications Taken for Medical Problem
    Description

    Medications Taken for Medical Problem

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C1254481 (Patient Problem)
    UMLS CUI [1,2]
    C0013227 (Pharmaceutical Preparations)
    SNOMED
    763158003
    LOINC
    LP100609-9
    Date Medication Started
    Description

    Date Medication Started

    Data type

    date

    Alias
    UMLS CUI [1]
    C3173309 (Date treatment or therapy started)
    LOINC
    LP262646-5
    Date Medication Stopped
    Description

    Date Medication Stopped

    Data type

    date

    Alias
    UMLS CUI [1]
    C1531784 (Date treatment stopped)
    SNOMED
    413947000
    Back to the top of the page

    Similar models

    Diary Card 1: Medical Problems - Screening/Run-In Visit 1

    1 forms
    Name
    Type
    Description | Question | Decode (Coded Value)
    Data type
    Alias
    Item Group
    Administrative data
    C1320722 (UMLS CUI-1)
    Subject Identifier
    Item
    Subject Identifier
    integer
    C2348585 (UMLS CUI [1])
    Item Group
    Medical problem
    C1254481 (UMLS CUI-1)
    Item
    Medical Problem
    text
    C1254481 (UMLS CUI [1])
    Medical Problem
    Code List
    Medical Problem
    CL Item
    Problem 1 (1)
    CL Item
    Problem 2 (2)
    CL Item
    Problem 3 (3)
    CL Item
    Problem 4 (4)
    CL Item
    Problem 5 (5)
    CL Item
    Problem 6 (6)
    CL Item
    Problem 7 (7)
    CL Item
    Problem 8 (8)
    CL Item
    Problem 9 (9)
    CL Item
    Problem 10 (10)
    CL Item
    Problem 11 (11)
    CL Item
    Problem 12 (12)
    CL Item
    Problem 13 (13)
    CL Item
    Problem 14 (14)
    CL Item
    Problem 15 (15)
    CL Item
    Problem 16 (16)
    CL Item
    Problem 17 (17)
    CL Item
    Problem 18 (18)
    CL Item
    Problem 19 (19)
    CL Item
    Problem 20 (20)
    Date Medical Problem Started
    Item
    Date Medical Problem Started
    date
    C1254481 (UMLS CUI [1,1])
    C0808070 (UMLS CUI [1,2])
    Date Medical Problem Stopped
    Item
    Date Medical Problem Stopped
    date
    C1254481 (UMLS CUI [1,1])
    C0806020 (UMLS CUI [1,2])
    Medications Taken for Medical Problem
    Item
    Medications Taken for Medical Problem
    text
    C1254481 (UMLS CUI [1,1])
    C0013227 (UMLS CUI [1,2])
    Date Medication Started
    Item
    Date Medication Started
    date
    C3173309 (UMLS CUI [1])
    Date Medication Stopped
    Item
    Date Medication Stopped
    date
    C1531784 (UMLS CUI [1])
    Back to the top of the page 

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