ID

33859

Descrição

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

Palavras-chave

  1. 04/01/2019 04/01/2019 -
Titular dos direitos

GSK group of companies

Transferido a

4 de janeiro de 2019

DOI

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Licença

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
Descrição

Administrative data

Site
Descrição

Site

Tipo de dados

text

Subject
Descrição

Subject

Tipo de dados

text

Visit Name
Descrição

Visit Name

Tipo de dados

text

Status
Descrição

Status

Tipo de dados

text

Document Number
Descrição

Document Number

Tipo de dados

text

Hospitalization for Heart Failure
Descrição

Hospitalization for Heart Failure

AE / SAE Number
Descrição

AE / SAE Number

Tipo de dados

integer

Was the subject hospitalized for this event?
Descrição

Was the subject hospitalized for this event?

Tipo de dados

boolean

Date of hospitalization
Descrição

Date of hospitalization

Tipo de dados

date

Was the event primary reason for hospitalization?
Descrição

Was the event primary reason for hospitalization?

Tipo de dados

boolean

If No, specify the primary reason for hospitalization:
Descrição

If No, specify the primary reason for hospitalization:

Tipo de dados

text

Record corresponding AE/SAE number
Descrição

Record corresponding AE/SAE number

Tipo de dados

integer

Did the subject die due to this event?
Descrição

If Yes, please record details on the Death Form

Tipo de dados

boolean

Clinical Symptoms of Heart Failure
Descrição

Clinical Symptoms of Heart Failure

Date of Onset
Descrição

Date of Onset

Tipo de dados

date

Time of Onset
Descrição

Time of Onset

Tipo de dados

time

New or worsening dyspnoea at rest
Descrição

New or worsening dyspnoea at rest

Tipo de dados

boolean

New or worsening dyspnoea on exertion
Descrição

New or worsening dyspnoea on exertion

Tipo de dados

boolean

New or worsening orthopnoea
Descrição

New or worsening orthopnoea

Tipo de dados

boolean

New or worsening PND (paroxymal nocturnal dyspnoea)
Descrição

New or worsening PND (paroxymal nocturnal dyspnoea)

Tipo de dados

boolean

New or worsening peripheral oedema
Descrição

New or worsening peripheral oedema

Tipo de dados

boolean

New or worsening pulmonary crackles / crepitations
Descrição

New or worsening pulmonary crackles / crepitations

Tipo de dados

boolean

New or worsening elevated JVP (jugular venous pressure)
Descrição

New or worsening elevated JVP (jugular venous pressure)

Tipo de dados

boolean

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

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

Tipo de dados

boolean

New or worsening peripheral oedema
Descrição

New or worsening peripheral oedema

Tipo de dados

boolean

New or worsening other clinical evidence of heart failure
Descrição

Please, specify below

Tipo de dados

boolean

Specify
Descrição

Specify

Tipo de dados

text

Investigative Evidence of Structural or Functional Heart Disease
Descrição

Investigative Evidence of Structural or Functional Heart Disease

Please record the details in the following section
Descrição

Please record the details in the following section

Tipo de dados

text

Chest X-Ray
Descrição

Chest X-Ray

Was a chest x-ray performed?
Descrição

Was a chest x-ray performed?

Tipo de dados

boolean

Date of chest x-ray?
Descrição

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

Tipo de dados

date

Cardiomegaly, i.e cardiothoracic ratio
Descrição

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

Tipo de dados

boolean

Upper zone flow redistribution (cephalisation of pulmonary veins)
Descrição

Upper zone flow redistribution (cephalisation of pulmonary veins)

Tipo de dados

boolean

Interstitial pulmanory oedema
Descrição

Interstitial pulmanory oedema

Tipo de dados

boolean

Alveolar pulmonary oedema
Descrição

Alveolar pulmonary oedema

Tipo de dados

boolean

Pleural effusion(s)
Descrição

Pleural effusion(s)

Tipo de dados

boolean

If Yes, specify here
Descrição

If Yes, specify here

Tipo de dados

text

Other x-ray features consistent with heart failure
Descrição

Other x-ray features consistent with heart failure

Tipo de dados

boolean

If Yes, specify
Descrição

If Yes, specify

Tipo de dados

text

Echocardiography
Descrição

Echocardiography

Was an echocardiogram performed?
Descrição

Please submit a copy of the electrocardiogram report, if available

Tipo de dados

date

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

Was Left ventricular end diastolic diameter (LVEDD) documented?

Tipo de dados

boolean

(LVEDD)
Descrição

(LVEDD)

Tipo de dados

float

Unidades de medida
  • cm
cm
Dilated left ventricle
Descrição

Dilated left ventricle

Tipo de dados

boolean

Left ventricular hypertrophy
Descrição

Left ventricular hypertrophy

Tipo de dados

boolean

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

Was intraventricular septal thickness during diastole (IVSd) documented?

Tipo de dados

boolean

IVSd
Descrição

IVSd

Tipo de dados

float

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

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

Tipo de dados

boolean

LVPWd
Descrição

LVPWd

Tipo de dados

float

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

Was ejection fraction (EF) documented?

Tipo de dados

boolean

EF
Descrição

EF

Tipo de dados

float

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

Left ventricular systolic dysfunction / impairment

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

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

Tipo de dados

boolean

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

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

Tipo de dados

text

If Other, specify
Descrição

If Other, specify

Tipo de dados

text

Was left atrial diameter documented?
Descrição

Was left atrial diameter documented?

Tipo de dados

boolean

Left atrial diameter
Descrição

Left atrial diameter

Tipo de dados

float

Unidades de medida
  • cm
cm
Dilated left atrium
Descrição

Dilated left atrium

Tipo de dados

boolean

Significant valvular heart disease
Descrição

Significant valvular heart disease

Significant valvular heart disease
Descrição

Significant valvular heart disease

Tipo de dados

boolean

Mitral stenosis
Descrição

Mitral stenosis

Tipo de dados

boolean

Mitral regurgitation
Descrição

Mitral regurgitation

Tipo de dados

boolean

Tricuspid stenosis
Descrição

Tricuspid stenosis

Tipo de dados

boolean

Tricuspid regurgitation
Descrição

Tricuspid regurgitation

Tipo de dados

boolean

Aortic stenosis
Descrição

Aortic stenosis

Tipo de dados

boolean

Aortic regurgitation
Descrição

Aortic regurgitation

Tipo de dados

boolean

Other
Descrição

Other

Tipo de dados

boolean

Specify
Descrição

Specify

Tipo de dados

text

Evidence of diastolic dysfunction
Descrição

Evidence of diastolic dysfunction

Tipo de dados

boolean

Specify
Descrição

Specify

Tipo de dados

text

Other relevant echocardiogram findings
Descrição

Other relevant echocardiogram findings

Tipo de dados

boolean

Specify
Descrição

Specify

Tipo de dados

text

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

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

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

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

Tipo de dados

boolean

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

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.
Descrição

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

Tipo de dados

text

BNP
Descrição

BNP

Was peak value recorded?
Descrição

Was peak value recorded?

Tipo de dados

boolean

Peak Value
Descrição

Peak Value

Tipo de dados

float

Date sample taken
Descrição

Date sample taken

Tipo de dados

date

Upper limit of normal
Descrição

Upper limit of normal

Tipo de dados

float

Unit
Descrição

Unit

Tipo de dados

text

NT-proBNP
Descrição

NT-proBNP

Was peak value recorded?
Descrição

Was peak value recorded?

Tipo de dados

boolean

Peak Value
Descrição

Peak Value

Tipo de dados

float

Date sample taken
Descrição

Date sample taken

Tipo de dados

date

Upper limit of normal
Descrição

Upper limit of normal

Tipo de dados

float

Unit
Descrição

Unit

Tipo de dados

text

Other Investigations
Descrição

Other Investigations

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

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

Tipo de dados

boolean

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

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

Tipo de dados

text

Date of Investigation
Descrição

Date of Investigation

Tipo de dados

date

Treatment
Descrição

Treatment

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

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

Tipo de dados

boolean

If Yes, please check all that apply
Descrição

If Yes, please check all that apply

Tipo de dados

integer

If Other, specify
Descrição

If Other, specify

Tipo de dados

text

Date of Treatment
Descrição

Date of Treatment

Tipo de dados

date

Description of Event
Descrição

Description of Event

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

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 dados

text

Similar models

Adjudication Events - Heart Failure

Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
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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