ID

33859

Beschrijving

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

Trefwoorden

  1. 04-01-19 04-01-19 -
Houder van rechten

GSK group of companies

Geüploaded op

4 januari 2019

DOI

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Licentie

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
Beschrijving

Administrative data

Site
Beschrijving

Site

Datatype

text

Subject
Beschrijving

Subject

Datatype

text

Visit Name
Beschrijving

Visit Name

Datatype

text

Status
Beschrijving

Status

Datatype

text

Document Number
Beschrijving

Document Number

Datatype

text

Hospitalization for Heart Failure
Beschrijving

Hospitalization for Heart Failure

AE / SAE Number
Beschrijving

AE / SAE Number

Datatype

integer

Was the subject hospitalized for this event?
Beschrijving

Was the subject hospitalized for this event?

Datatype

boolean

Date of hospitalization
Beschrijving

Date of hospitalization

Datatype

date

Was the event primary reason for hospitalization?
Beschrijving

Was the event primary reason for hospitalization?

Datatype

boolean

If No, specify the primary reason for hospitalization:
Beschrijving

If No, specify the primary reason for hospitalization:

Datatype

text

Record corresponding AE/SAE number
Beschrijving

Record corresponding AE/SAE number

Datatype

integer

Did the subject die due to this event?
Beschrijving

If Yes, please record details on the Death Form

Datatype

boolean

Clinical Symptoms of Heart Failure
Beschrijving

Clinical Symptoms of Heart Failure

Date of Onset
Beschrijving

Date of Onset

Datatype

date

Time of Onset
Beschrijving

Time of Onset

Datatype

time

New or worsening dyspnoea at rest
Beschrijving

New or worsening dyspnoea at rest

Datatype

boolean

New or worsening dyspnoea on exertion
Beschrijving

New or worsening dyspnoea on exertion

Datatype

boolean

New or worsening orthopnoea
Beschrijving

New or worsening orthopnoea

Datatype

boolean

New or worsening PND (paroxymal nocturnal dyspnoea)
Beschrijving

New or worsening PND (paroxymal nocturnal dyspnoea)

Datatype

boolean

New or worsening peripheral oedema
Beschrijving

New or worsening peripheral oedema

Datatype

boolean

New or worsening pulmonary crackles / crepitations
Beschrijving

New or worsening pulmonary crackles / crepitations

Datatype

boolean

New or worsening elevated JVP (jugular venous pressure)
Beschrijving

New or worsening elevated JVP (jugular venous pressure)

Datatype

boolean

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

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

Datatype

boolean

New or worsening peripheral oedema
Beschrijving

New or worsening peripheral oedema

Datatype

boolean

New or worsening other clinical evidence of heart failure
Beschrijving

Please, specify below

Datatype

boolean

Specify
Beschrijving

Specify

Datatype

text

Investigative Evidence of Structural or Functional Heart Disease
Beschrijving

Investigative Evidence of Structural or Functional Heart Disease

Please record the details in the following section
Beschrijving

Please record the details in the following section

Datatype

text

Chest X-Ray
Beschrijving

Chest X-Ray

Was a chest x-ray performed?
Beschrijving

Was a chest x-ray performed?

Datatype

boolean

Date of chest x-ray?
Beschrijving

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

Datatype

date

Cardiomegaly, i.e cardiothoracic ratio
Beschrijving

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

Datatype

boolean

Upper zone flow redistribution (cephalisation of pulmonary veins)
Beschrijving

Upper zone flow redistribution (cephalisation of pulmonary veins)

Datatype

boolean

Interstitial pulmanory oedema
Beschrijving

Interstitial pulmanory oedema

Datatype

boolean

Alveolar pulmonary oedema
Beschrijving

Alveolar pulmonary oedema

Datatype

boolean

Pleural effusion(s)
Beschrijving

Pleural effusion(s)

Datatype

boolean

If Yes, specify here
Beschrijving

If Yes, specify here

Datatype

text

Other x-ray features consistent with heart failure
Beschrijving

Other x-ray features consistent with heart failure

Datatype

boolean

If Yes, specify
Beschrijving

If Yes, specify

Datatype

text

Echocardiography
Beschrijving

Echocardiography

Was an echocardiogram performed?
Beschrijving

Please submit a copy of the electrocardiogram report, if available

Datatype

date

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

Was Left ventricular end diastolic diameter (LVEDD) documented?

Datatype

boolean

(LVEDD)
Beschrijving

(LVEDD)

Datatype

float

Maateenheden
  • cm
cm
Dilated left ventricle
Beschrijving

Dilated left ventricle

Datatype

boolean

Left ventricular hypertrophy
Beschrijving

Left ventricular hypertrophy

Datatype

boolean

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

Was intraventricular septal thickness during diastole (IVSd) documented?

Datatype

boolean

IVSd
Beschrijving

IVSd

Datatype

float

Maateenheden
  • cm
cm
Was left posterior wall thickness during diastole (LVPWd) documented?
Beschrijving

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

Datatype

boolean

LVPWd
Beschrijving

LVPWd

Datatype

float

Maateenheden
  • cm
cm
Was ejection fraction (EF) documented?
Beschrijving

Was ejection fraction (EF) documented?

Datatype

boolean

EF
Beschrijving

EF

Datatype

float

Maateenheden
  • %
%
Left ventricular systolic dysfunction / impairment
Beschrijving

Left ventricular systolic dysfunction / impairment

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

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

Datatype

boolean

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

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

Datatype

text

If Other, specify
Beschrijving

If Other, specify

Datatype

text

Was left atrial diameter documented?
Beschrijving

Was left atrial diameter documented?

Datatype

boolean

Left atrial diameter
Beschrijving

Left atrial diameter

Datatype

float

Maateenheden
  • cm
cm
Dilated left atrium
Beschrijving

Dilated left atrium

Datatype

boolean

Significant valvular heart disease
Beschrijving

Significant valvular heart disease

Significant valvular heart disease
Beschrijving

Significant valvular heart disease

Datatype

boolean

Mitral stenosis
Beschrijving

Mitral stenosis

Datatype

boolean

Mitral regurgitation
Beschrijving

Mitral regurgitation

Datatype

boolean

Tricuspid stenosis
Beschrijving

Tricuspid stenosis

Datatype

boolean

Tricuspid regurgitation
Beschrijving

Tricuspid regurgitation

Datatype

boolean

Aortic stenosis
Beschrijving

Aortic stenosis

Datatype

boolean

Aortic regurgitation
Beschrijving

Aortic regurgitation

Datatype

boolean

Other
Beschrijving

Other

Datatype

boolean

Specify
Beschrijving

Specify

Datatype

text

Evidence of diastolic dysfunction
Beschrijving

Evidence of diastolic dysfunction

Datatype

boolean

Specify
Beschrijving

Specify

Datatype

text

Other relevant echocardiogram findings
Beschrijving

Other relevant echocardiogram findings

Datatype

boolean

Specify
Beschrijving

Specify

Datatype

text

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

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

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

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

Datatype

boolean

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

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.
Beschrijving

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

Datatype

text

BNP
Beschrijving

BNP

Was peak value recorded?
Beschrijving

Was peak value recorded?

Datatype

boolean

Peak Value
Beschrijving

Peak Value

Datatype

float

Date sample taken
Beschrijving

Date sample taken

Datatype

date

Upper limit of normal
Beschrijving

Upper limit of normal

Datatype

float

Unit
Beschrijving

Unit

Datatype

text

NT-proBNP
Beschrijving

NT-proBNP

Was peak value recorded?
Beschrijving

Was peak value recorded?

Datatype

boolean

Peak Value
Beschrijving

Peak Value

Datatype

float

Date sample taken
Beschrijving

Date sample taken

Datatype

date

Upper limit of normal
Beschrijving

Upper limit of normal

Datatype

float

Unit
Beschrijving

Unit

Datatype

text

Other Investigations
Beschrijving

Other Investigations

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

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

Datatype

boolean

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

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

Datatype

text

Date of Investigation
Beschrijving

Date of Investigation

Datatype

date

Treatment
Beschrijving

Treatment

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

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

Datatype

boolean

If Yes, please check all that apply
Beschrijving

If Yes, please check all that apply

Datatype

integer

If Other, specify
Beschrijving

If Other, specify

Datatype

text

Date of Treatment
Beschrijving

Date of Treatment

Datatype

date

Description of Event
Beschrijving

Description of Event

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

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.

Datatype

text

Similar models

Adjudication Events - Heart Failure

Name
Type
Description | Question | Decode (Coded Value)
Datatype
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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