ID

33682

Beschrijving

Study ID: 102936 Clinical Study ID: HZA102936 Study Title:A randomised, placebo-controlled, four-way crossover repeat dose study to evaluate the effect of the inhaled fluticasone furoate (FF)/GW642444M combination on electrocardiographic parameters, with moxifloxacin as a positive control, in healthy subjects Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT01209026 https://clinicaltrials.gov/ct2/show/NCT01209026?term=NCT01209026 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 1 Study Recruitment Status: Completed Generic Name: fluticasone furoate Trade Name: Allermist,Veramyst,Avamys; Veramyst,Avamys,Allermist Study Indication: Asthma The study consists of a screening, 8 treatment periods and a follow up. Treatment periods 1-4 are each 7 days long. Treatment period 1 Days 1-6 (TP1D-D6) Treatment period 1 Day 7 (TP1D7) Treatment period 2 Days 1-6 (TP2D1-D6) Treatment period 2 Day 7 (TP2D7) Treatment period 3 Days 1-6 (TP3D1-D6) Treatment period 3 Day 7 (TP3D7) Treatment period 4 Days 1-6 (TP4D1-D6) Treatment period 4 Day 7 (TP4D7) This document contains the Demography of subject and subject data. It has to be filled in for screening.

Link

https://clinicaltrials.gov/ct2/show/NCT01209026?term=NCT01209026

Trefwoorden

Versies (2)
  1. 19-12-18 19-12-18 -
  2. 20-12-18 20-12-18 - Sarah Riepenhausen
Houder van rechten

GlaxoSmithKline

Geüploaded op

19 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 :

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

Effect of inhaled fluticasone furoate combination on electrocardiographic parameters in healthy subjects, NCT01209026

Engels

Demography, subject data

1 Formulieren  
Administrative data
Beschrijving

Administrative data

Alias
UMLS CUI-1
C1320722
Subject number
Beschrijving

Subject number

Datatype

text

Alias
UMLS CUI [1]
C2348585
Date of visit
Beschrijving

day month year

Datatype

date

Alias
UMLS CUI [1]
C1320303
Subject data
Beschrijving

Subject data

Alias
UMLS CUI-1
C1997894
UMLS CUI-2
C2986440
Subject initials
Beschrijving

Item is not required

Datatype

text

Alias
UMLS CUI [1,1]
C1997894
UMLS CUI [1,2]
C2986440
Date of birth
Beschrijving

day month year

Datatype

date

Alias
UMLS CUI [1]
C0421451
Sex
Beschrijving

Sex

Datatype

text

Alias
UMLS CUI [1]
C0079399
If female, record child-bearing potential
Beschrijving

Child-bearing potential

Datatype

integer

Alias
UMLS CUI [1]
C3831118
Ethnicity
Beschrijving

Ethnicity

Alias
UMLS CUI-1
C0015031
Ethnic group
Beschrijving

Ethnic group

Datatype

integer

Alias
UMLS CUI [1]
C0015031
African American/African Heritage
Beschrijving

African American/African Heritage

Datatype

boolean

Alias
UMLS CUI [1]
C0085756
UMLS CUI [2]
C0027567
Amerlcan Indian or Alaskan Native
Beschrijving

American Indian or Alaskan Native

Datatype

boolean

Alias
UMLS CUI [1]
C1515945
Asian - central/South Asian Heritage
Beschrijving

Asian - central/South Asian Heritage

Datatype

boolean

Alias
UMLS CUI [1]
C0238696
UMLS CUI [2]
C1519427
Asian - East Asian Heritage
Beschrijving

Asian - East Asian Heritage

Datatype

boolean

Alias
UMLS CUI [1]
C4540996
Asian - Japanese Heritage
Beschrijving

Asian - Japanese Heritage

Datatype

boolean

Alias
UMLS CUI [1]
C1556094
Asian - South East Asian Heritage
Beschrijving

Asian - South East Asian Heritage

Datatype

boolean

Alias
UMLS CUI [1]
C0238697
Native Hawaiian or Other Pacific Islander
Beschrijving

Native Hawaiian or Other Pacific Islander

Datatype

boolean

Alias
UMLS CUI [1]
C1513907
White - Arabic/North African Heritage
Beschrijving

White - Arabic/North African Heritage

Datatype

boolean

Alias
UMLS CUI [1]
C0238604
UMLS CUI [2]
C0026068
White - White/Caucasian/European Heritage
Beschrijving

White - White/Caucasian/European Heritage

Datatype

boolean

Alias
UMLS CUI [1]
C0043157
Terug naar het begin van de pagina

Similar models

Demography, subject data

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Administrative data
C1320722 (UMLS CUI-1)
Subject number
Item
Subject number
text
C2348585 (UMLS CUI [1])
Date of visit
Item
Date of visit
date
C1320303 (UMLS CUI [1])
Item Group
Subject data
C1997894 (UMLS CUI-1)
C2986440 (UMLS CUI-2)
Subject initials
Item
text
C1997894 (UMLS CUI [1,1])
C2986440 (UMLS CUI [1,2])
Date of birth
Item
Date of birth
date
C0421451 (UMLS CUI [1])
Item
Sex
text
C0079399 (UMLS CUI [1])
Sex
Code List
Sex
CL Item
Male (M)
CL Item
Female (F)
Item
If female, record child-bearing potential
integer
C3831118 (UMLS CUI [1])
Child-bearing potential
Code List
If female, record child-bearing potential
CL Item
Post-menopausal (1)
CL Item
Sterile (of chlld-bearing age) (2)
CL Item
Potentially able to bear children (3)
Item Group
Ethnicity
C0015031 (UMLS CUI-1)
Item
Ethnic group
integer
C0015031 (UMLS CUI [1])
Ethnicity group
Code List
Ethnic group
CL Item
Hispanic or Latino (1)
CL Item
Not Hispanic or Latino (2)
African American/African Heritage
Item
African American/African Heritage
boolean
C0085756 (UMLS CUI [1])
C0027567 (UMLS CUI [2])
American Indian or Alaskan Native
Item
Amerlcan Indian or Alaskan Native
boolean
C1515945 (UMLS CUI [1])
Asian - central/South Asian Heritage
Item
Asian - central/South Asian Heritage
boolean
C0238696 (UMLS CUI [1])
C1519427 (UMLS CUI [2])
Asian - East Asian Heritage
Item
Asian - East Asian Heritage
boolean
C4540996 (UMLS CUI [1])
Asian - Japanese Heritage
Item
Asian - Japanese Heritage
boolean
C1556094 (UMLS CUI [1])
Asian - South East Asian Heritage
Item
Asian - South East Asian Heritage
boolean
C0238697 (UMLS CUI [1])
Native Hawaiian or Other Pacific Islander
Item
Native Hawaiian or Other Pacific Islander
boolean
C1513907 (UMLS CUI [1])
White - Arabic/North African Heritage
Item
White - Arabic/North African Heritage
boolean
C0238604 (UMLS CUI [1])
C0026068 (UMLS CUI [2])
White - White/Caucasian/European Heritage
Item
White - White/Caucasian/European Heritage
boolean
C0043157 (UMLS CUI [1])
Terug naar het begin van de pagina 

Contact

Gebruik dit formulier voor feedback, vragen en verbeteringsvoorstellen.

Velden gemarkeerd met een * zijn verplicht.

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