ID

33859

Descripción

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

Palabras clave

  1. 4/1/19 4/1/19 -
Titular de derechos de autor

GSK group of companies

Subido en

4 de enero de 2019

DOI

Para solicitar uno, por favor iniciar sesión.

Licencia

Creative Commons BY-NC 3.0

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

Adjudication Events - Heart Failure

Administrative data
Descripción

Administrative data

Site
Descripción

Site

Tipo de datos

text

Subject
Descripción

Subject

Tipo de datos

text

Visit Name
Descripción

Visit Name

Tipo de datos

text

Status
Descripción

Status

Tipo de datos

text

Document Number
Descripción

Document Number

Tipo de datos

text

Hospitalization for Heart Failure
Descripción

Hospitalization for Heart Failure

AE / SAE Number
Descripción

AE / SAE Number

Tipo de datos

integer

Was the subject hospitalized for this event?
Descripción

Was the subject hospitalized for this event?

Tipo de datos

boolean

Date of hospitalization
Descripción

Date of hospitalization

Tipo de datos

date

Was the event primary reason for hospitalization?
Descripción

Was the event primary reason for hospitalization?

Tipo de datos

boolean

If No, specify the primary reason for hospitalization:
Descripción

If No, specify the primary reason for hospitalization:

Tipo de datos

text

Record corresponding AE/SAE number
Descripción

Record corresponding AE/SAE number

Tipo de datos

integer

Did the subject die due to this event?
Descripción

If Yes, please record details on the Death Form

Tipo de datos

boolean

Clinical Symptoms of Heart Failure
Descripción

Clinical Symptoms of Heart Failure

Date of Onset
Descripción

Date of Onset

Tipo de datos

date

Time of Onset
Descripción

Time of Onset

Tipo de datos

time

New or worsening dyspnoea at rest
Descripción

New or worsening dyspnoea at rest

Tipo de datos

boolean

New or worsening dyspnoea on exertion
Descripción

New or worsening dyspnoea on exertion

Tipo de datos

boolean

New or worsening orthopnoea
Descripción

New or worsening orthopnoea

Tipo de datos

boolean

New or worsening PND (paroxymal nocturnal dyspnoea)
Descripción

New or worsening PND (paroxymal nocturnal dyspnoea)

Tipo de datos

boolean

New or worsening peripheral oedema
Descripción

New or worsening peripheral oedema

Tipo de datos

boolean

New or worsening pulmonary crackles / crepitations
Descripción

New or worsening pulmonary crackles / crepitations

Tipo de datos

boolean

New or worsening elevated JVP (jugular venous pressure)
Descripción

New or worsening elevated JVP (jugular venous pressure)

Tipo de datos

boolean

New or worsening third heart sounds ("S3") or gallop rhythm
Descripción

New or worsening third heart sounds ("S3") or gallop rhythm

Tipo de datos

boolean

New or worsening peripheral oedema
Descripción

New or worsening peripheral oedema

Tipo de datos

boolean

New or worsening other clinical evidence of heart failure
Descripción

Please, specify below

Tipo de datos

boolean

Specify
Descripción

Specify

Tipo de datos

text

Investigative Evidence of Structural or Functional Heart Disease
Descripción

Investigative Evidence of Structural or Functional Heart Disease

Please record the details in the following section
Descripción

Please record the details in the following section

Tipo de datos

text

Chest X-Ray
Descripción

Chest X-Ray

Was a chest x-ray performed?
Descripción

Was a chest x-ray performed?

Tipo de datos

boolean

Date of chest x-ray?
Descripción

Please submit a copy of the chest x-ray report, if available

Tipo de datos

date

Cardiomegaly, i.e cardiothoracic ratio
Descripción

CTR >=0.5; If Yes, provide CTR, if available

Tipo de datos

boolean

Upper zone flow redistribution (cephalisation of pulmonary veins)
Descripción

Upper zone flow redistribution (cephalisation of pulmonary veins)

Tipo de datos

boolean

Interstitial pulmanory oedema
Descripción

Interstitial pulmanory oedema

Tipo de datos

boolean

Alveolar pulmonary oedema
Descripción

Alveolar pulmonary oedema

Tipo de datos

boolean

Pleural effusion(s)
Descripción

Pleural effusion(s)

Tipo de datos

boolean

If Yes, specify here
Descripción

If Yes, specify here

Tipo de datos

text

Other x-ray features consistent with heart failure
Descripción

Other x-ray features consistent with heart failure

Tipo de datos

boolean

If Yes, specify
Descripción

If Yes, specify

Tipo de datos

text

Echocardiography
Descripción

Echocardiography

Was an echocardiogram performed?
Descripción

Please submit a copy of the electrocardiogram report, if available

Tipo de datos

date

Was Left ventricular end diastolic diameter (LVEDD) documented?
Descripción

Was Left ventricular end diastolic diameter (LVEDD) documented?

Tipo de datos

boolean

(LVEDD)
Descripción

(LVEDD)

Tipo de datos

float

Unidades de medida
  • cm
cm
Dilated left ventricle
Descripción

Dilated left ventricle

Tipo de datos

boolean

Left ventricular hypertrophy
Descripción

Left ventricular hypertrophy

Tipo de datos

boolean

Was intraventricular septal thickness during diastole (IVSd) documented?
Descripción

Was intraventricular septal thickness during diastole (IVSd) documented?

Tipo de datos

boolean

IVSd
Descripción

IVSd

Tipo de datos

float

Unidades de medida
  • cm
cm
Was left posterior wall thickness during diastole (LVPWd) documented?
Descripción

Was left posterior wall thickness during diastole (LVPWd) documented?

Tipo de datos

boolean

LVPWd
Descripción

LVPWd

Tipo de datos

float

Unidades de medida
  • cm
cm
Was ejection fraction (EF) documented?
Descripción

Was ejection fraction (EF) documented?

Tipo de datos

boolean

EF
Descripción

EF

Tipo de datos

float

Unidades de medida
  • %
%
Left ventricular systolic dysfunction / impairment
Descripción

Left ventricular systolic dysfunction / impairment

Was the echocardiogram reported as showing left ventricular systolic dysfunction / impairment?
Descripción

Was the echocardiogram reported as showing left ventricular systolic dysfunction / impairment?

Tipo de datos

boolean

If Yes, was this systolic dysfunction / impairment reported to be:
Descripción

If Yes, was this systolic dysfunction / impairment reported to be:

Tipo de datos

text

If Other, specify
Descripción

If Other, specify

Tipo de datos

text

Was left atrial diameter documented?
Descripción

Was left atrial diameter documented?

Tipo de datos

boolean

Left atrial diameter
Descripción

Left atrial diameter

Tipo de datos

float

Unidades de medida
  • cm
cm
Dilated left atrium
Descripción

Dilated left atrium

Tipo de datos

boolean

Significant valvular heart disease
Descripción

Significant valvular heart disease

Significant valvular heart disease
Descripción

Significant valvular heart disease

Tipo de datos

boolean

Mitral stenosis
Descripción

Mitral stenosis

Tipo de datos

boolean

Mitral regurgitation
Descripción

Mitral regurgitation

Tipo de datos

boolean

Tricuspid stenosis
Descripción

Tricuspid stenosis

Tipo de datos

boolean

Tricuspid regurgitation
Descripción

Tricuspid regurgitation

Tipo de datos

boolean

Aortic stenosis
Descripción

Aortic stenosis

Tipo de datos

boolean

Aortic regurgitation
Descripción

Aortic regurgitation

Tipo de datos

boolean

Other
Descripción

Other

Tipo de datos

boolean

Specify
Descripción

Specify

Tipo de datos

text

Evidence of diastolic dysfunction
Descripción

Evidence of diastolic dysfunction

Tipo de datos

boolean

Specify
Descripción

Specify

Tipo de datos

text

Other relevant echocardiogram findings
Descripción

Other relevant echocardiogram findings

Tipo de datos

boolean

Specify
Descripción

Specify

Tipo de datos

text

BNP (B-type natriuretic peptide) or NT-proBNP (N-terminal proBNP)
Descripción

BNP (B-type natriuretic peptide) or NT-proBNP (N-terminal proBNP)

Was BNP/NT-proBNP measured in view of this event?
Descripción

If Yes, please submit a copy of the BNP or NT-proBNP report, if available

Tipo de datos

boolean

Peak BNP/NT-proBNP value + the laboratory upper reference limit
Descripción

Peak BNP/NT-proBNP value + the laboratory upper reference limit

Please provide the peak BNP/NT-proBNP value that obtained during this event along with the laboratory upper reference limit.
Descripción

Please provide the peak BNP/NT-proBNP value that obtained during this event along with the laboratory upper reference limit.

Tipo de datos

text

BNP
Descripción

BNP

Was peak value recorded?
Descripción

Was peak value recorded?

Tipo de datos

boolean

Peak Value
Descripción

Peak Value

Tipo de datos

float

Date sample taken
Descripción

Date sample taken

Tipo de datos

date

Upper limit of normal
Descripción

Upper limit of normal

Tipo de datos

float

Unit
Descripción

Unit

Tipo de datos

text

NT-proBNP
Descripción

NT-proBNP

Was peak value recorded?
Descripción

Was peak value recorded?

Tipo de datos

boolean

Peak Value
Descripción

Peak Value

Tipo de datos

float

Date sample taken
Descripción

Date sample taken

Tipo de datos

date

Upper limit of normal
Descripción

Upper limit of normal

Tipo de datos

float

Unit
Descripción

Unit

Tipo de datos

text

Other Investigations
Descripción

Other Investigations

Were any other investigations undertaken in view of possible heart failure?
Descripción

e.g., cardiac magnetic resonance imaging (CMRI), radionuclide ventriculogram scan (RNVG), pulmonary artery catheterization

Tipo de datos

boolean

Please specify the type of investigation(s) performed and briefly describe the result(s) or any relevant findings
Descripción

Please specify the type of investigation(s) performed and briefly describe the result(s) or any relevant findings

Tipo de datos

text

Date of Investigation
Descripción

Date of Investigation

Tipo de datos

date

Treatment
Descripción

Treatment

During this event, did the subject receive any of the following specifically for the treatment of heart failure?
Descripción

During this event, did the subject receive any of the following specifically for the treatment of heart failure?

Tipo de datos

boolean

If Yes, please check all that apply
Descripción

If Yes, please check all that apply

Tipo de datos

integer

If Other, specify
Descripción

If Other, specify

Tipo de datos

text

Date of Treatment
Descripción

Date of Treatment

Tipo de datos

date

Description of Event
Descripción

Description of Event

Please provide sufficient description of event to allow the Endpoint Committee to accurately classify this event.
Descripción

Describe signs and symptoms, results of investigations that provided evidence for a diagnosis of heart failure, treatment and outcome, including autopsy if appropriate. If you have already provided an adequate summary of the event on another accompanying event form or Adverse Event form, the information need not be duplicated here. A copy of the hospital discharge summary should be submitted.

Tipo de datos

text

Similar models

Adjudication Events - Heart Failure

Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Administrative data
Site
Item
Site
text
Subject
Item
Subject
text
Item
Visit Name
text
Code List
Visit Name
CL Item
Adjudication (1)
Status
Item
Status
text
Document Number
Item
Document Number
text
Item Group
Hospitalization for Heart Failure
AE / SAE Number
Item
AE / SAE Number
integer
Was the subject hospitalized for this event?
Item
Was the subject hospitalized for this event?
boolean
Date of hospitalization
Item
Date of hospitalization
date
Was the event primary reason for hospitalization?
Item
Was the event primary reason for hospitalization?
boolean
If No, specify the primary reason for hospitalization:
Item
If No, specify the primary reason for hospitalization:
text
Record corresponding AE/SAE number
Item
Record corresponding AE/SAE number
integer
Did the subject die due to this event?
Item
Did the subject die due to this event?
boolean
Item Group
Clinical Symptoms of Heart Failure
Date of Onset
Item
Date of Onset
date
Time of Onset
Item
Time of Onset
time
New or worsening dyspnoea at rest
Item
New or worsening dyspnoea at rest
boolean
New or worsening dyspnoea on exertion
Item
New or worsening dyspnoea on exertion
boolean
New or worsening orthopnoea
Item
New or worsening orthopnoea
boolean
New or worsening PND (paroxymal nocturnal dyspnoea)
Item
New or worsening PND (paroxymal nocturnal dyspnoea)
boolean
New or worsening peripheral oedema
Item
New or worsening peripheral oedema
boolean
New or worsening pulmonary crackles / crepitations
Item
New or worsening pulmonary crackles / crepitations
boolean
New or worsening elevated JVP (jugular venous pressure)
Item
New or worsening elevated JVP (jugular venous pressure)
boolean
New or worsening third heart sounds ("S3") or gallop rhythm
Item
New or worsening third heart sounds ("S3") or gallop rhythm
boolean
New or worsening peripheral oedema
Item
New or worsening peripheral oedema
boolean
New or worsening other clinical evidence of heart failure
Item
New or worsening other clinical evidence of heart failure
boolean
Specify
Item
Specify
text
Item Group
Investigative Evidence of Structural or Functional Heart Disease
Please record the details in the following section
Item
Please record the details in the following section
text
Item Group
Chest X-Ray
Was a chest x-ray performed?
Item
Was a chest x-ray performed?
boolean
Date of chest x-ray?
Item
Date of chest x-ray?
date
Cardiomegaly, i.e cardiothoracic ratio
Item
Cardiomegaly, i.e cardiothoracic ratio
boolean
Upper zone flow redistribution (cephalisation of pulmonary veins)
Item
Upper zone flow redistribution (cephalisation of pulmonary veins)
boolean
Interstitial pulmanory oedema
Item
Interstitial pulmanory oedema
boolean
Alveolar pulmonary oedema
Item
Alveolar pulmonary oedema
boolean
Pleural effusion(s)
Item
Pleural effusion(s)
boolean
Item
If Yes, specify here
text
Code List
If Yes, specify here
CL Item
Unilateral (1)
CL Item
Bilateral (2)
CL Item
Unknown (3)
Other x-ray features consistent with heart failure
Item
Other x-ray features consistent with heart failure
boolean
If Yes, specify
Item
If Yes, specify
text
Item Group
Echocardiography
Was an echocardiogram performed?
Item
Was an echocardiogram performed?
date
Was Left ventricular end diastolic diameter (LVEDD) documented?
Item
Was Left ventricular end diastolic diameter (LVEDD) documented?
boolean
(LVEDD)
Item
(LVEDD)
float
Dilated left ventricle
Item
Dilated left ventricle
boolean
Left ventricular hypertrophy
Item
Left ventricular hypertrophy
boolean
Was intraventricular septal thickness during diastole (IVSd) documented?
Item
Was intraventricular septal thickness during diastole (IVSd) documented?
boolean
IVSd
Item
IVSd
float
Was left posterior wall thickness during diastole (LVPWd) documented?
Item
Was left posterior wall thickness during diastole (LVPWd) documented?
boolean
LVPWd
Item
LVPWd
float
Was ejection fraction (EF) documented?
Item
Was ejection fraction (EF) documented?
boolean
EF
Item
EF
float
Item Group
Left ventricular systolic dysfunction / impairment
Was the echocardiogram reported as showing left ventricular systolic dysfunction / impairment?
Item
Was the echocardiogram reported as showing left ventricular systolic dysfunction / impairment?
boolean
Item
If Yes, was this systolic dysfunction / impairment reported to be:
text
Code List
If Yes, was this systolic dysfunction / impairment reported to be:
CL Item
Mild (1)
CL Item
Mild to moderate (2)
CL Item
Moderate (3)
CL Item
Moderate to severe (4)
CL Item
Severe (5)
CL Item
Other (6)
If Other, specify
Item
If Other, specify
text
Was left atrial diameter documented?
Item
Was left atrial diameter documented?
boolean
Left atrial diameter
Item
Left atrial diameter
float
Dilated left atrium
Item
Dilated left atrium
boolean
Item Group
Significant valvular heart disease
Significant valvular heart disease
Item
Significant valvular heart disease
boolean
Mitral stenosis
Item
Mitral stenosis
boolean
Mitral regurgitation
Item
Mitral regurgitation
boolean
Tricuspid stenosis
Item
Tricuspid stenosis
boolean
Tricuspid regurgitation
Item
Tricuspid regurgitation
boolean
Aortic stenosis
Item
Aortic stenosis
boolean
Aortic regurgitation
Item
Aortic regurgitation
boolean
Other
Item
Other
boolean
Specify
Item
Specify
text
Evidence of diastolic dysfunction
Item
Evidence of diastolic dysfunction
boolean
Specify
Item
Specify
text
Other relevant echocardiogram findings
Item
Other relevant echocardiogram findings
boolean
Specify
Item
Specify
text
Item Group
BNP (B-type natriuretic peptide) or NT-proBNP (N-terminal proBNP)
Was BNP/NT-proBNP measured in view of this event?
Item
Was BNP/NT-proBNP measured in view of this event?
boolean
Item Group
Peak BNP/NT-proBNP value + the laboratory upper reference limit
Please provide the peak BNP/NT-proBNP value that obtained during this event along with the laboratory upper reference limit.
Item
Please provide the peak BNP/NT-proBNP value that obtained during this event along with the laboratory upper reference limit.
text
Item Group
BNP
Was peak value recorded?
Item
Was peak value recorded?
boolean
Peak Value
Item
Peak Value
float
Date sample taken
Item
Date sample taken
date
Upper limit of normal
Item
Upper limit of normal
float
Item
Unit
text
Code List
Unit
CL Item
pg/mol (1)
CL Item
ng/L (2)
Item Group
NT-proBNP
Was peak value recorded?
Item
Was peak value recorded?
boolean
Peak Value
Item
Peak Value
float
Date sample taken
Item
Date sample taken
date
Upper limit of normal
Item
Upper limit of normal
float
Item
Unit
text
Code List
Unit
CL Item
pg/mol (1)
CL Item
ng/L (2)
Item Group
Other Investigations
Were any other investigations undertaken in view of possible heart failure?
Item
Were any other investigations undertaken in view of possible heart failure?
boolean
Please specify the type of investigation(s) performed and briefly describe the result(s) or any relevant findings
Item
Please specify the type of investigation(s) performed and briefly describe the result(s) or any relevant findings
text
Date of Investigation
Item
Date of Investigation
date
Item Group
Treatment
During this event, did the subject receive any of the following specifically for the treatment of heart failure?
Item
During this event, did the subject receive any of the following specifically for the treatment of heart failure?
boolean
Item
If Yes, please check all that apply
integer
Code List
If Yes, please check all that apply
CL Item
Cardiac resynchronization therapy (biventricular or multisite pacing) (1)
CL Item
CPAP or BiPAP ventilation (2)
CL Item
Mechanical circulatory support (e.g., intra-aortic balloon pump, ventricular assist device) (3)
CL Item
Haemofiltration / ultrafiltration / haemodialysis / peritoneal dialysis (specifically directed at heart failure) (4)
CL Item
Other non-pharmacological treatment for this event (5)
If Other, specify
Item
If Other, specify
text
Date of Treatment
Item
Date of Treatment
date
Item Group
Description of Event
Please provide sufficient description of event to allow the Endpoint Committee to accurately classify this event.
Item
Please provide sufficient description of event to allow the Endpoint Committee to accurately classify this event.
text

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