ID

33913

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. 07-01-19 07-01-19 -
Houder van rechten

GSK group of companies

Geüploaded op

7 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 - Coronary Revascularization

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

Coronary Revascularization
Beschrijving

Coronary Revascularization

Please document all coronary revascularizations
Beschrijving

e.g., elective, planned, non-urgent, non-emergency, and non-elective, non-planned, urgent, emergency. Please complete a separate Coronary Revascularization form for each coronary revascularization procedure.

Datatype

text

Percutaneous coronary intervention
Beschrijving

Percutaneous coronary intervention

Date
Beschrijving

Date

Datatype

date

Time
Beschrijving

Time

Datatype

time

Were stents placed?
Beschrijving

Were stents placed?

Datatype

boolean

If Yes, type of stent
Beschrijving

If Yes, type of stent

Datatype

text

Number of stents
Beschrijving

Number of stents

Datatype

integer

Coronary artery bypass graft procedure
Beschrijving

Coronary artery bypass graft procedure

Date
Beschrijving

Date

Datatype

date

Time
Beschrijving

Time

Datatype

time

Number of bypassed vessels
Beschrijving

Number of bypassed vessels

Datatype

integer

Specify other coronary revascularization procedure
Beschrijving

Specify other coronary revascularization procedure

Type
Beschrijving

Type

Datatype

text

Date
Beschrijving

Date

Datatype

date

Time
Beschrijving

Time

Datatype

time

AE Details
Beschrijving

AE Details

AE / SAE Number
Beschrijving

AE / SAE Number

Datatype

integer

Did the subject have this coronary revascularization procedure during a hospitalization for an acute myocardial infraction or angina or chest pain?
Beschrijving

Did the subject have this coronary revascularization procedure during a hospitalization for an acute myocardial infraction or angina or chest pain?

Datatype

text

Was this an elective/non-emergency procedure?
Beschrijving

Was this an elective/non-emergency procedure?

Datatype

boolean

Did the subject have this procedure as a result of another Adverse Event or Serious Adverse Event?
Beschrijving

Did the subject have this procedure as a result of another Adverse Event or Serious Adverse Event?

Datatype

boolean

If Yes, please record AE/SAE number
Beschrijving

If Yes, please record AE/SAE number

Datatype

integer

Did myocardial infraction occur during or after the procedure?
Beschrijving

please submit a copy of the cardiac enzyme/marker report, if available

Datatype

text

Enzyme Value Data
Beschrijving

Enzyme Value Data

Did a cerebrovascular accident (CVA) occur after the procedure?
Beschrijving

Did a cerebrovascular accident (CVA) occur after the procedure?

Datatype

integer

Did the subject die as a direct consequence of the procedure?
Beschrijving

Did the subject die as a direct consequence of the procedure?

Datatype

text

CK-MB
Beschrijving

CK-MB

Was the value examination done?
Beschrijving

Was the value examination done?

Datatype

boolean

Pre-Procedure value
Beschrijving

the lab result value that most immediately precede the procedure

Datatype

text

Date sample taken
Beschrijving

Date sample taken

Datatype

date

Time
Beschrijving

Time

Datatype

time

Post-Procedure peak value
Beschrijving

Post-Procedure peak value

Datatype

text

Date sample taken
Beschrijving

Date sample taken

Datatype

date

Time
Beschrijving

Time

Datatype

time

Upper Limit of Normal
Beschrijving

Upper Limit of Normal

Datatype

text

Enzyme Unit
Beschrijving

Enzyme Unit

Datatype

text

Troponin I
Beschrijving

Troponin I

Was the value examination done?
Beschrijving

Was the value examination done?

Datatype

boolean

Pre-Procedure value
Beschrijving

the lab result value that most immediately precede the procedure

Datatype

text

Date sample taken
Beschrijving

Date sample taken

Datatype

date

Time
Beschrijving

Time

Datatype

time

Post-Procedure peak value
Beschrijving

Post-Procedure peak value

Datatype

text

Date sample taken
Beschrijving

Date sample taken

Datatype

date

Time
Beschrijving

Time

Datatype

time

Upper Limit of Normal
Beschrijving

Upper Limit of Normal

Datatype

text

Enzyme Unit
Beschrijving

Enzyme Unit

Datatype

text

Troponin T
Beschrijving

Troponin T

Was the value examination done?
Beschrijving

Was the value examination done?

Datatype

boolean

Pre-Procedure value
Beschrijving

the lab result value that most immediately precede the procedure

Datatype

text

Date sample taken
Beschrijving

Date sample taken

Datatype

date

Time
Beschrijving

Time

Datatype

time

Post-Procedure peak value
Beschrijving

Post-Procedure peak value

Datatype

text

Date sample taken
Beschrijving

Date sample taken

Datatype

date

Time
Beschrijving

Time

Datatype

time

Upper Limit of Normal
Beschrijving

Upper Limit of Normal

Datatype

text

Enzyme Unit
Beschrijving

Enzyme Unit

Datatype

text

Similar models

Adjudication Events - Coronary Revascularization

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
Coronary Revascularization
Item
Please document all coronary revascularizations
text
Code List
Please document all coronary revascularizations
CL Item
Percutaneous coronary intervention (1)
CL Item
Coronary artery bypass graft procedure (2)
CL Item
Other coronary revascularization procedure (3)
Item Group
Percutaneous coronary intervention
Date
Item
Date
date
Time
Item
Time
time
Were stents placed?
Item
Were stents placed?
boolean
Item
If Yes, type of stent
text
Code List
If Yes, type of stent
CL Item
Bare-metal (1)
CL Item
Drug-eluting (2)
Number of stents
Item
Number of stents
integer
Item Group
Coronary artery bypass graft procedure
Date
Item
Date
date
Time
Item
Time
time
Number of bypassed vessels
Item
Number of bypassed vessels
integer
Item Group
Specify other coronary revascularization procedure
Type
Item
Type
text
Date
Item
Date
date
Time
Item
Time
time
Item Group
AE Details
AE / SAE Number
Item
AE / SAE Number
integer
Item
Did the subject have this coronary revascularization procedure during a hospitalization for an acute myocardial infraction or angina or chest pain?
text
Code List
Did the subject have this coronary revascularization procedure during a hospitalization for an acute myocardial infraction or angina or chest pain?
CL Item
Yes (please complete this form and provide the AE/SAE event number) (1)
CL Item
No (2)
Was this an elective/non-emergency procedure?
Item
Was this an elective/non-emergency procedure?
boolean
Did the subject have this procedure as a result of another Adverse Event or Serious Adverse Event?
Item
Did the subject have this procedure as a result of another Adverse Event or Serious Adverse Event?
boolean
If Yes, please record AE/SAE number
Item
If Yes, please record AE/SAE number
integer
Item
Did myocardial infraction occur during or after the procedure?
text
Code List
Did myocardial infraction occur during or after the procedure?
CL Item
Yes (please record event on Acute Myocardial Infraction/Hospitalized Angina or Chest Pain form) (1)
CL Item
No (please fill in all the cardiac enzyme/marker measurements available. For a specific enzyme/marker both the peak value and the upper limit of normal should be stated in the same unit) (2)
Item Group
Enzyme Value Data
Item
Did a cerebrovascular accident (CVA) occur after the procedure?
integer
Code List
Did a cerebrovascular accident (CVA) occur after the procedure?
CL Item
Yes (record event on the Stroke/TIA form) (1)
CL Item
No (2)
Item
Did the subject die as a direct consequence of the procedure?
text
Code List
Did the subject die as a direct consequence of the procedure?
CL Item
Yes, complete the Death form (1)
CL Item
No (2)
Item Group
CK-MB
Was the value examination done?
Item
Was the value examination done?
boolean
Pre-Procedure value
Item
Pre-Procedure value
text
Date sample taken
Item
Date sample taken
date
Time
Item
Time
time
Post-Procedure peak value
Item
Post-Procedure peak value
text
Date sample taken
Item
Date sample taken
date
Time
Item
Time
time
Upper Limit of Normal
Item
Upper Limit of Normal
text
Enzyme Unit
Item
Enzyme Unit
text
Item Group
Troponin I
Was the value examination done?
Item
Was the value examination done?
boolean
Pre-Procedure value
Item
Pre-Procedure value
text
Date sample taken
Item
Date sample taken
date
Time
Item
Time
time
Post-Procedure peak value
Item
Post-Procedure peak value
text
Date sample taken
Item
Date sample taken
date
Time
Item
Time
time
Upper Limit of Normal
Item
Upper Limit of Normal
text
Enzyme Unit
Item
Enzyme Unit
text
Item Group
Troponin T
Was the value examination done?
Item
Was the value examination done?
boolean
Pre-Procedure value
Item
Pre-Procedure value
text
Date sample taken
Item
Date sample taken
date
Time
Item
Time
time
Post-Procedure peak value
Item
Post-Procedure peak value
text
Date sample taken
Item
Date sample taken
date
Time
Item
Time
time
Upper Limit of Normal
Item
Upper Limit of Normal
text
Enzyme Unit
Item
Enzyme Unit
text

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