ID

33812

Beschreibung

Study ID: 107032 Clinical Study ID: GLP107032 Study Title: An open-label study to evaluate the pharmacokinetics of an oral contraceptive containing Norethindrone and Ethinyl Estradiol when co-administered with GSK716155 in healthy adult female subjects Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT01077505 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 1 Study Recruitment Status: Completed Generic Name: albiglutide Trade Name: Tanzeum,Eperzan Study Indication: Diabetes Mellitus, Type 2

Stichworte

  1. 28.12.18 28.12.18 -
Rechteinhaber

GSK group of companies

Hochgeladen am

28. Dezember 2018

DOI

Für eine Beantragung loggen Sie sich ein.

Lizenz

Creative Commons BY-NC 3.0

Modell Kommentare :

Hier können Sie das Modell kommentieren. Über die Sprechblasen an den Itemgruppen und Items können Sie diese spezifisch kommentieren.

Itemgroup Kommentare für :

Item Kommentare für :

Um Formulare herunterzuladen müssen Sie angemeldet sein. Bitte loggen Sie sich ein oder registrieren Sie sich kostenlos.

Pharmacokinetics of an oral contraceptive co-administered with Albiglutide in women - 107032

Unscheduled Visit: Vital Signs, Physical Examination,

Administrative data
Beschreibung

Administrative data

Site
Beschreibung

Site

Datentyp

text

Subject
Beschreibung

Subject

Datentyp

text

Visit Name
Beschreibung

Visit Name

Datentyp

text

Visit Number
Beschreibung

Visit Number

Datentyp

integer

Status
Beschreibung

Status

Datentyp

text

Document Number
Beschreibung

Document Number

Datentyp

text

Visit Date
Beschreibung

Visit Date

Datentyp

date

Vital Sign
Beschreibung

Vital Sign

Duplicate Number
Beschreibung

Duplicate Number

Datentyp

integer

Date of Vital Signs
Beschreibung

Date of Vital Signs

Datentyp

date

Visit Type
Beschreibung

Visit Type

Datentyp

text

If Repeat, please specify original visit
Beschreibung

If Repeat, please specify original visit

Datentyp

text

Blood Pressure
Beschreibung

Blood Pressure

Blood Pressure - Systolic
Beschreibung

Blood Pressure - Systolic

Datentyp

float

Maßeinheiten
  • mmHg
mmHg
Blood Pressure - Diastolic
Beschreibung

Blood Pressure - Diastolic

Datentyp

float

Maßeinheiten
  • mmHg
mmHg
Blood Pressure - Diastolic
Beschreibung

Blood Pressure - Diastolic

Datentyp

float

Maßeinheiten
  • mmHg
mmHg
Body Position
Beschreibung

Body Position

Datentyp

text

Heart Rate
Beschreibung

Heart Rate

Heart Rate
Beschreibung

Heart Rate

Datentyp

integer

Maßeinheiten
  • bpm
bpm
Respiratory Rate
Beschreibung

Respiratory Rate

Respiratory Rate
Beschreibung

Respiratory Rate

Datentyp

integer

Maßeinheiten
  • bpm
bpm
Temperature
Beschreibung

Temperature

Temperature
Beschreibung

Temperature

Datentyp

float

Maßeinheiten
  • °C
°C
Comment on Vital Signs
Beschreibung

Comment on Vital Signs

Datentyp

text

Physical Examination
Beschreibung

Physical Examination

Date of Physical Examination
Beschreibung

Date of Physical Examination

Datentyp

date

Visit Number
Beschreibung

Visit Number

Datentyp

integer

Assessment
Beschreibung

Assessment

Skin including Injection Site
Beschreibung

Skin including Injection Site

Datentyp

text

Specify Abnormality
Beschreibung

if applies

Datentyp

text

Head, Eyes, Ears, Nose, Throat
Beschreibung

Head, Eyes, Ears, Nose, Throat

Datentyp

text

Specify Abnormality
Beschreibung

if applies

Datentyp

text

Thyroid
Beschreibung

Thyroid

Datentyp

text

Specify Abnormality
Beschreibung

if applies

Datentyp

text

Lungs
Beschreibung

Lungs

Datentyp

text

Specify Abnormality
Beschreibung

if applies

Datentyp

text

Cardiovascular
Beschreibung

Cardiovascular

Datentyp

text

Specify Abnormality
Beschreibung

if applies

Datentyp

text

Abdomen (Liver and Spleen)
Beschreibung

Abdomen (Liver and Spleen)

Datentyp

text

Specify Abnormality
Beschreibung

if applies

Datentyp

text

Lymph Nodes
Beschreibung

Lymph Nodes

Datentyp

text

Specify Abnormality
Beschreibung

if applies

Datentyp

text

Neurological
Beschreibung

Neurological

Datentyp

text

Specify Abnormality
Beschreibung

if applies

Datentyp

text

Extremities
Beschreibung

Extremities

Datentyp

text

Specify Abnormality
Beschreibung

if applies

Datentyp

text

Other
Beschreibung

specify below

Datentyp

text

Specify other assessment and possible abnormality
Beschreibung

Specify other assessment and possible abnormality

Datentyp

text

Electrocardiogram
Beschreibung

Electrocardiogram

Visit Type
Beschreibung

Visit Type

Datentyp

text

If Repeated, please specify original visit
Beschreibung

If Repeated, please specify original visit

Datentyp

text

ECG Details
Beschreibung

ECG Details

Date of ECG performed
Beschreibung

Date of ECG performed

Datentyp

date

Time of ECG performed
Beschreibung

Time of ECG performed

Datentyp

time

Heart Rate
Beschreibung

Heart Rate

Datentyp

integer

Maßeinheiten
  • bpm
bpm
PR Interval
Beschreibung

PR Interval

Datentyp

float

Maßeinheiten
  • msec
msec
QRS Duration
Beschreibung

QRS Duration

Datentyp

float

Maßeinheiten
  • msec
msec
QT Interval
Beschreibung

QT Interval

Datentyp

float

Maßeinheiten
  • msec
msec
Q-TcB Interval
Beschreibung

Q-TcB Interval

Datentyp

float

Maßeinheiten
  • msec
msec
Q-TcF Interval
Beschreibung

Q-TcF Interval

Datentyp

float

Maßeinheiten
  • msec
msec
RR Interval
Beschreibung

RR Interval

Datentyp

float

Maßeinheiten
  • msec
msec
Normal Sinus Rhythm?
Beschreibung

Normal Sinus Rhythm?

Datentyp

boolean

Overall Interpretation of ECG
Beschreibung

Overall Interpretation of ECG

Check the result
Beschreibung

Check the result

Datentyp

text

If Abnormal, please specify
Beschreibung

If Abnormal, please specify

Datentyp

text

Central Laboratory Tests
Beschreibung

Central Laboratory Tests

Visit Number
Beschreibung

Visit Number

Datentyp

integer

Visit Date
Beschreibung

Visit Date

Datentyp

date

Blood
Beschreibung

Blood

Check all that apply
Beschreibung

Check all that apply

Datentyp

integer

Visit Type
Beschreibung

Visit Type

Datentyp

text

If Repeat, please specify original visit
Beschreibung

If Repeat, please specify original visit

Datentyp

text

Sample Date
Beschreibung

Sample Date

Datentyp

date

Sample Time
Beschreibung

Sample Time

Datentyp

time

Comment
Beschreibung

Comment

Datentyp

text

Urine
Beschreibung

Urine

Check all that apply
Beschreibung

Check all that apply

Datentyp

text

Visit Type
Beschreibung

Visit Type

Datentyp

text

If Repeat, please specify original visit
Beschreibung

If Repeat, please specify original visit

Datentyp

text

Sample Date
Beschreibung

Sample Date

Datentyp

date

Sample Time
Beschreibung

Sample Time

Datentyp

time

Comment
Beschreibung

Comment

Datentyp

text

Ähnliche Modelle

Unscheduled Visit: Vital Signs, Physical Examination,

Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Administrative data
Site
Item
Site
text
Subject
Item
Subject
text
Item
Visit Name
text
Code List
Visit Name
CL Item
Unscheduled Visit (1)
Visit Number
Item
Visit Number
integer
Status
Item
Status
text
Document Number
Item
Document Number
text
Visit Date
Item
Visit Date
date
Item Group
Vital Sign
Item
Duplicate Number
integer
Code List
Duplicate Number
CL Item
Duplicate 1 (1)
CL Item
Duplicate 2 (2)
CL Item
Duplicate 3 (3)
CL Item
Duplicate 4 (4)
Date of Vital Signs
Item
Date of Vital Signs
date
Item
Visit Type
text
Code List
Visit Type
CL Item
Repeat (1)
CL Item
Unscheduled (2)
If Repeat, please specify original visit
Item
If Repeat, please specify original visit
text
Item Group
Blood Pressure
Blood Pressure - Systolic
Item
Blood Pressure - Systolic
float
Blood Pressure - Diastolic
Item
Blood Pressure - Diastolic
float
Blood Pressure - Diastolic
Item
Blood Pressure - Diastolic
float
Item
Body Position
text
Code List
Body Position
CL Item
Sitting (1)
CL Item
Standing (2)
CL Item
Supine (3)
Item Group
Heart Rate
Heart Rate
Item
Heart Rate
integer
Item Group
Respiratory Rate
Respiratory Rate
Item
Respiratory Rate
integer
Item Group
Temperature
Temperature
Item
Temperature
float
Comment on Vital Signs
Item
Comment on Vital Signs
text
Item Group
Physical Examination
Date of Physical Examination
Item
Date of Physical Examination
date
Visit Number
Item
Visit Number
integer
Item Group
Assessment
Item
Skin including Injection Site
text
Code List
Skin including Injection Site
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not Done (3)
Specify Abnormality
Item
Specify Abnormality
text
Item
Head, Eyes, Ears, Nose, Throat
text
Code List
Head, Eyes, Ears, Nose, Throat
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not Done (3)
Specify Abnormality
Item
Specify Abnormality
text
Item
Thyroid
text
Code List
Thyroid
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not Done (3)
Specify Abnormality
Item
Specify Abnormality
text
Item
Lungs
text
Code List
Lungs
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not Done (3)
Specify Abnormality
Item
Specify Abnormality
text
Item
Cardiovascular
text
Code List
Cardiovascular
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not Done (3)
Specify Abnormality
Item
Specify Abnormality
text
Item
Abdomen (Liver and Spleen)
text
Code List
Abdomen (Liver and Spleen)
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not Done (3)
Specify Abnormality
Item
Specify Abnormality
text
Item
Lymph Nodes
text
Code List
Lymph Nodes
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not Done (3)
Specify Abnormality
Item
Specify Abnormality
text
Item
Neurological
text
Code List
Neurological
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not Done (3)
Specify Abnormality
Item
Specify Abnormality
text
Item
Extremities
text
Code List
Extremities
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not Done (3)
Specify Abnormality
Item
Specify Abnormality
text
Item
Other
text
Code List
Other
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not Done (3)
Specify other assessment and possible abnormality
Item
Specify other assessment and possible abnormality
text
Item Group
Electrocardiogram
Item
Visit Type
text
Code List
Visit Type
CL Item
Repeat (1)
CL Item
Unscheduled (2)
If Repeated, please specify original visit
Item
If Repeated, please specify original visit
text
Item Group
ECG Details
Date of ECG performed
Item
Date of ECG performed
date
Time of ECG performed
Item
Time of ECG performed
time
Heart Rate
Item
Heart Rate
integer
PR Interval
Item
PR Interval
float
QRS Duration
Item
QRS Duration
float
QT Interval
Item
QT Interval
float
Q-TcB Interval
Item
Q-TcB Interval
float
Q-TcF Interval
Item
Q-TcF Interval
float
RR Interval
Item
RR Interval
float
Normal Sinus Rhythm?
Item
Normal Sinus Rhythm?
boolean
Item Group
Overall Interpretation of ECG
Item
Check the result
text
Code List
Check the result
CL Item
Normal (1)
CL Item
Abnormal; Not Clinically Significant (2)
CL Item
Abnormal; Clinically Significant (3)
If Abnormal, please specify
Item
If Abnormal, please specify
text
Item Group
Central Laboratory Tests
Visit Number
Item
Visit Number
integer
Visit Date
Item
Visit Date
date
Item Group
Blood
Item
Check all that apply
integer
Code List
Check all that apply
CL Item
Hematology (1)
CL Item
Chemistry (2)
CL Item
Serology (3)
CL Item
Serum HCG (4)
CL Item
SP Chem (5)
Item
Visit Type
text
Code List
Visit Type
CL Item
Repeat (1)
CL Item
Unscheduled (2)
If Repeat, please specify original visit
Item
If Repeat, please specify original visit
text
Sample Date
Item
Sample Date
date
Sample Time
Item
Sample Time
time
Comment
Item
Comment
text
Item Group
Urine
Item
Check all that apply
text
Code List
Check all that apply
CL Item
UA (1)
CL Item
ADS (2)
CL Item
Urine HCG (3)
CL Item
Urine Chem (4)
Item
Visit Type
text
Code List
Visit Type
CL Item
Repeat (1)
CL Item
Unscheduled (2)
If Repeat, please specify original visit
Item
If Repeat, please specify original visit
text
Sample Date
Item
Sample Date
date
Sample Time
Item
Sample Time
time
Comment
Item
Comment
text

Benutzen Sie dieses Formular für Rückmeldungen, Fragen und Verbesserungsvorschläge.

Mit * gekennzeichnete Felder sind notwendig.

Benötigen Sie Hilfe bei der Suche? Um mehr Details zu erfahren und die Suche effektiver nutzen zu können schauen Sie sich doch das entsprechende Video auf unserer Tutorial Seite an.

Zum Video