ID

33844

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

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  1. 03.01.19 03.01.19 -
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GSK group of companies

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3. Januar 2019

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

Liver Imaging Form + Liver Chemistries Follow-Up

Administrative data
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Administrative data

Site
Beschreibung

Site

Datentyp

text

Subject
Beschreibung

Subject

Datentyp

text

Visit Name
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Visit Name

Datentyp

text

Status
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Status

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text

Document Number
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Document Number

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text

Liver Imaging
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Liver Imaging

Date of hepatic or liver imaging test
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Date of hepatic or liver imaging test

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date

What method was used for this imaging test?
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method for imaging test?

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text

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text

Liver Imaging Quality
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Liver Imaging Quality

Are images technically adequate?
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check one

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text

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text

Liver Imaging Results
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Liver Imaging Results

A. Indicate the liver size
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A. Indicate the liver size

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text

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text

B. Indicate the liver texture
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B. Indicate the liver texture

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text

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text

C. Grade the diffuse and/or geographic fatty infiltrate of the liver
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text

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text

D. Ascites present
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text

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text

E. Are Focal Hepatic Lesions characterisable?
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E. Are Focal Hepatic Lesions characterisable?

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text

If Other, specify
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text

F. Gallstones or gallbladder lesions?
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F. Gallstones or gallbladder lesions?

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text

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text

G. Biliary ductal lesions
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text

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text

H. Portal/Hepatic vein abnormalities
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Check all that apply

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text

If Other, specify
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If Other, specify

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text

Liver Chemistry Follow-Up Chemistries
Beschreibung

Liver Chemistry Follow-Up Chemistries

Date sample taken
Beschreibung

Date sample taken

Datentyp

date

Were liver chemistries (ALT, AST, ALP, bilirubin) performed?
Beschreibung

Were liver chemistries (ALT, AST, ALP, bilirubin) performed?

Datentyp

boolean

Did liver chemistries (ALT, AST, ALP, bilirubin) resolve, stabilize, or return to within Baseline values?
Beschreibung

Did liver chemistries (ALT, AST, ALP, bilirubin) resolve, stabilize, or return to within Baseline values?

Datentyp

boolean

Ähnliche Modelle

Liver Imaging Form + Liver Chemistries Follow-Up

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
Liver Imaging (1)
Status
Item
Status
text
Document Number
Item
Document Number
text
Item Group
Liver Imaging
Date of hepatic or liver imaging test
Item
Date of hepatic or liver imaging test
date
Item
What method was used for this imaging test?
text
Code List
What method was used for this imaging test?
CL Item
Ultrasound - transdominal (1)
CL Item
Ultrasound - endoscopic (2)
CL Item
Magnetic Resonance Imaging (MRI) (3)
CL Item
Computerised Tomography (CT) (4)
CL Item
Endoscopic Retrograde CHolangiopancreatography (ERCP) (5)
CL Item
Positron Emission Tomography (PET) (6)
CL Item
Positron Emission Tomography/Computed Tomography (PET/CT) (7)
CL Item
Other (8)
If Other, specify
Item
If Other, specify
text
Item Group
Liver Imaging Quality
Item
Are images technically adequate?
text
Code List
Are images technically adequate?
CL Item
Optimal (1)
CL Item
Readable, but not optimal (2)
CL Item
Not readable (3)
CL Item
Other (4)
If Other, specify
Item
If Other, specify
text
Item Group
Liver Imaging Results
Item
A. Indicate the liver size
text
Code List
A. Indicate the liver size
CL Item
Normal size (1)
CL Item
Hypertrophy (or enlarged) (2)
CL Item
Atrophy (or smaller than normal) (3)
CL Item
Segmental hypertrophy (4)
CL Item
Other (5)
If Other, specify
Item
If Other, specify
text
Item
B. Indicate the liver texture
text
Code List
B. Indicate the liver texture
CL Item
Normal (1)
CL Item
Heterogeneous (2)
CL Item
Suggestive of fibrosis (3)
CL Item
Nodular or suggestive of cirrhosis (4)
CL Item
Other (5)
If Other, specify
Item
If Other, specify
text
Item
C. Grade the diffuse and/or geographic fatty infiltrate of the liver
text
Code List
C. Grade the diffuse and/or geographic fatty infiltrate of the liver
CL Item
Not applicable - no fatty infiltration (1)
CL Item
Mild (>=25%) (2)
CL Item
Moderate (>25% to <75%) (3)
CL Item
Severe (>=75%) (4)
CL Item
Other (5)
If Other, specify
Item
If Other, specify
text
Item
D. Ascites present
text
Code List
D. Ascites present
CL Item
None present (1)
CL Item
Yes - small amount (2)
CL Item
Yes - moderate or severe amount (3)
CL Item
Other (4)
If Other, specify
Item
If Other, specify
text
Item
E. Are Focal Hepatic Lesions characterisable?
text
Code List
E. Are Focal Hepatic Lesions characterisable?
CL Item
Not applicable - no hepatic lesions (1)
CL Item
Solid (2)
CL Item
Cystic (3)
CL Item
Hemangioma (4)
CL Item
Focal nodular hyperplasia (5)
CL Item
Other (6)
If Other, specify
Item
If Other, specify
text
Item
F. Gallstones or gallbladder lesions?
text
Code List
F. Gallstones or gallbladder lesions?
CL Item
None (1)
CL Item
Gallstones (2)
CL Item
Gallbladder polyps (3)
CL Item
Sludge (4)
CL Item
Gallbladder wall thickening/Oedema (5)
CL Item
Gallbladder wall gas (6)
CL Item
Cholecystitis  (7)
CL Item
Gallbladder wall calcification (8)
CL Item
Gallbladder mass (9)
CL Item
Other (10)
If Other, specify
Item
If Other, specify
text
Item
G. Biliary ductal lesions
text
Code List
G. Biliary ductal lesions
CL Item
None (1)
CL Item
Intrahepatic ductal dilation (focal involving the right hepatic lobe) (2)
CL Item
Intrahepatic ductal dilation (focal involving the left hepatic lobe) (3)
CL Item
Intrahepatic ductal dilation (involving both right and left hepatic lobes) (4)
CL Item
Extrahepatic ductal dilation (5)
CL Item
Diffuse ductal dilation (involving both intrahepatic and extrahepatic ducts) (6)
CL Item
Acute cholangitis (7)
CL Item
Primary sclerosing cholangitis (8)
CL Item
Choledocholitiasis (gullstone in duct) (9)
CL Item
Ductal filling defect(s), other than gallstone (10)
CL Item
Ductal wall thickening or oedema (11)
CL Item
Choledochal cyst (12)
CL Item
Ductal mass (13)
CL Item
Extrinsic mass compressing bile duct(s) (14)
CL Item
Other (15)
If Other, specify
Item
If Other, specify
text
Item
H. Portal/Hepatic vein abnormalities
text
Code List
H. Portal/Hepatic vein abnormalities
CL Item
None (1)
CL Item
Portal vein enlargement (2)
CL Item
Hepatic vein enlargement (3)
CL Item
Nonocclusive portal vein thrombosis (4)
CL Item
Occlusive portal vein thrombosis - bland (5)
CL Item
Hepatic vein thrombosis - bland (6)
CL Item
Occlusive portal vein thrombosis - malignant (7)
CL Item
Hepatic vein thrombosis - malignant (8)
CL Item
Involvement of the main portal vein (9)
CL Item
Involvement of the right portal vein (10)
CL Item
Involvement of the left portal vein (11)
CL Item
Budd-Chiari syndrome (12)
CL Item
Other (13)
If Other, specify
Item
If Other, specify
text
Item Group
Liver Chemistry Follow-Up Chemistries
Date sample taken
Item
Date sample taken
date
Were liver chemistries (ALT, AST, ALP, bilirubin) performed?
Item
Were liver chemistries (ALT, AST, ALP, bilirubin) performed?
boolean
Did liver chemistries (ALT, AST, ALP, bilirubin) resolve, stabilize, or return to within Baseline values?
Item
Did liver chemistries (ALT, AST, ALP, bilirubin) resolve, stabilize, or return to within Baseline values?
boolean

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