ID
33910
Beskrivning
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
Nyckelord
Versioner (1)
- 2019-01-07 2019-01-07 -
Rättsinnehavare
GSK group of companies
Uppladdad den
7 januari 2019
DOI
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Licens
Creative Commons BY-NC 3.0
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Pharmacokinetics of an oral contraceptive co-administered with Albiglutide in women - 107032
Adjudication Events - Stroke / TIA
- StudyEvent: ODM
Beskrivning
Stroke / TIA
Beskrivning
AE / SAE Number
Datatyp
integer
Beskrivning
Date of Onset
Datatyp
date
Beskrivning
Time of Onset
Datatyp
time
Beskrivning
Was the subject hospitalized for this event?
Datatyp
boolean
Beskrivning
If Yes, please record AE / SAE Number
Datatyp
integer
Beskrivning
Date of hospitalization
Datatyp
date
Beskrivning
If No, did this event occur during an ongoing hospitalization?
Datatyp
boolean
Beskrivning
if Yes, please record details on the Death form
Datatyp
boolean
Beskrivning
Do you consider that the event being reported occurred as a direct consequence of any procedure / operation?
Datatyp
boolean
Beskrivning
If Yes, specify procedure / operation:
Datatyp
text
Beskrivning
Date of procedure/operation
Datatyp
date
Beskrivning
AE / SAE Number
Datatyp
integer
Beskrivning
Neurological Signs / Symptoms
Beskrivning
Focal weakness / paralysis (i.e weakness affecting one side of the body)
Datatyp
boolean
Beskrivning
If Yes, please check all that apply
Datatyp
integer
Beskrivning
Focal numbness / sensory change (i.e sensory change affecting one side)
Datatyp
boolean
Beskrivning
If Yes, check all that apply
Datatyp
integer
Beskrivning
Change in level of consciousness (e.g., coma)
Datatyp
boolean
Beskrivning
Dysplasia / Aphasia
Datatyp
boolean
Beskrivning
Hemianopia (loss of half of the field of vision of one or both eyes)
Datatyp
boolean
Beskrivning
Complete / partial loss of vision of one eye
Datatyp
boolean
Beskrivning
Other neurological sign(s) / symptom(s)
Datatyp
boolean
Beskrivning
If Yes, specify
Datatyp
text
Beskrivning
Neurological Signs / Symptoms Tendencies
Beskrivning
Did the neurological signs / symptoms have a rapid onset?
Datatyp
text
Beskrivning
Did the neurological signs/symptoms last for >=24 hours?
Datatyp
boolean
Beskrivning
e.g. tissue plasminogen activator (t-PA)
Datatyp
boolean
Beskrivning
e.g. intracranial angioplasty
Datatyp
boolean
Beskrivning
If Yes, specify
Datatyp
text
Beskrivning
Date of Procedure
Datatyp
date
Beskrivning
Was there any readily identifiable cause for the clinical representation other that stroke or TIA (transient ishaemic attack)?
Datatyp
boolean
Beskrivning
If Yes, please specify
Datatyp
text
Beskrivning
Did a specialist in neurology or neurosurgery examine the subject?
Datatyp
boolean
Beskrivning
If Yes, in the opinion of this specialist, did a stroke occur?
Datatyp
boolean
Beskrivning
Diagnostic Investigations - CT Brain Scan
Beskrivning
Was a CT brain scan performed?
Datatyp
boolean
Beskrivning
If possible, please submit a copy of the report of the imaging studies
Datatyp
date
Beskrivning
Did this show any evidence of intracerebral haemorrhage?
Datatyp
boolean
Beskrivning
Did this show any evidence of subarachnoid haemorrhage?
Datatyp
boolean
Beskrivning
Did this show any evidence of infarction?
Datatyp
boolean
Beskrivning
Did this show any other finding of clinical significance?
Datatyp
boolean
Beskrivning
If Yes, specify
Datatyp
text
Beskrivning
Diagnostic Investigations - MRI Brain Scan
Beskrivning
If possible, please submit a copy of the report of the imaging studies
Datatyp
boolean
Beskrivning
If Yes, date of scan
Datatyp
date
Beskrivning
Did this show any evidence of intracerebral haemorrhage?
Datatyp
boolean
Beskrivning
Did this show any evidence of subarachnoid haemorrhage?
Datatyp
boolean
Beskrivning
Did this show any evidence of infarction?
Datatyp
boolean
Beskrivning
Did this show any other finding of clinical significance?
Datatyp
boolean
Beskrivning
If Yes, please specify
Datatyp
text
Beskrivning
Diagnostic Investigations - Cerebral Angiography
Beskrivning
If possible, please submit a copy of the report of the imaging studies
Datatyp
boolean
Beskrivning
If Yes, date of cerebral angiography
Datatyp
date
Beskrivning
any evidence of aneurysm or arteriovenous malformation?
Datatyp
boolean
Beskrivning
any significant obstructive disease or occlusion?
Datatyp
boolean
Beskrivning
any other finding or clinical significance?
Datatyp
boolean
Beskrivning
If Yes, specify
Datatyp
text
Beskrivning
Diagnostic Investigations - Lumbar Puncture
Beskrivning
Was a Lumbar Puncture performed?
Datatyp
boolean
Beskrivning
Date of Lumbar Puncture
Datatyp
date
Beskrivning
Was spinal fluid examination diagnostic of intracranial haemorrhage?
Datatyp
boolean
Beskrivning
If possible, please submit a copy of the report of the imaging studies
Datatyp
boolean
Beskrivning
If Yes, please specify the type of investigation(s) performed and briefly describe the result(s) or any relevant finding(s):
Datatyp
text
Beskrivning
Date of Investigation
Datatyp
text
Beskrivning
Please specify the type of investigation(s) performed and briefly describe the result(s) or any relevant finding(s):
Datatyp
text
Beskrivning
Date of Investigation
Datatyp
date
Beskrivning
Final Clinical Diagnosis
Beskrivning
Narrative
Beskrivning
Please include clinical presentation, duration of events, therapy for the events, results of relevant investigations (e.g. CT brain scan) and/or neurology consultation and outcome, including autopsy if appropriate. Please provide sufficient information to allow the Endpoint Committee to accurately classify this event.
Datatyp
text
Beskrivning
Was modified Rankin Criteria evaluated at first follow-up visit for subject after stroke?
Datatyp
boolean
Beskrivning
Date of first follow-up visit for subject after stroke
Datatyp
date
Beskrivning
Outcome of Stroke Event
Datatyp
text
Similar models
Adjudication Events - Stroke / TIA
- StudyEvent: ODM