ID

34380

Description

Study ID: 101682 Clinical Study ID: B2E101682 Study Title: A randomised, double-blind, placebo-controlled, parallel group study to examine the safety, tolerability, and pharmacokinetics of repeat inhaled doses of GSK159797 in healthy subjects. Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 1 Study Recruitment Status: Completed Generic Name: milveterol Trade Name: milveterol Study Indication: Pulmonary Disease, Chronic Obstructive.

Mots-clés

Versions (1)
  1. 17/01/2019 17/01/2019 -
Détendeur de droits

GlaxoSmithKline

Téléchargé le

17 janvier 2019

DOI

Pour une demande vous connecter.

Licence

Creative Commons BY-NC 3.0
Modèle Commentaires :

Ici, vous pouvez faire des commentaires sur le modèle. À partir des bulles de texte, vous pouvez laisser des commentaires spécifiques sur les groupes Item et les Item.

Retour au modèle Commentaires
Groupe Item commentaires pour :

Item commentaires pour :

Vous devez être connecté pour pouvoir télécharger des formulaires. Veuillez vous connecter ou s’inscrire gratuitement.

Safety, tolerability and pharmacokinetics of repeat inhaled doses of milveterol in healthy subjects (Study ID: 101682)

Anglais

End of Study Record

1 Formulaires  
  1. StudyEvent: ODM
    1. End of Study Record
Administrative data
Description

Administrative data

Alias
UMLS CUI-1
C1320722
Subject number
Description

Subject number

Type de données

text

Alias
UMLS CUI [1]
C2348585
Status of treatment blind
Description

Status of treatment blind

Alias
UMLS CUI-1
C0749659
UMLS CUI-2
C2347038
Was the treatment blind for this subject broken during the study?
Description

If YES, complete the following.

Type de données

boolean

Alias
UMLS CUI [1]
C3897431
Date of subject unblinding event
Description

Date of subject unblinding event

Type de données

date

Alias
UMLS CUI [1,1]
C3897431
UMLS CUI [1,2]
C0011008
Time of subject unblinding event
Description

Time of subject unblinding event

Type de données

time

Alias
UMLS CUI [1,1]
C3897431
UMLS CUI [1,2]
C0040223
Reason of subject unblinding event
Description

Reason of subject unblinding event

Type de données

integer

Alias
UMLS CUI [1,1]
C3897431
UMLS CUI [1,2]
C0566251
If answer 'Other' was choosen as reason for subject unblinding event, specify:
Description

Specify 'Other' reason for subject unblinding event

Type de données

text

Alias
UMLS CUI [1,1]
C3897431
UMLS CUI [1,2]
C0566251
UMLS CUI [1,3]
C0205394
End of Study Record
Description

End of Study Record

Alias
UMLS CUI-1
C0008976
UMLS CUI-2
C0444930
Date of subject completion or discontinuation from the study
Description

Date of subject completion or discontinuation from the study

Type de données

date

Unités de mesure
  • dd.mm.yyyy
Alias
UMLS CUI [1,1]
C2348577
UMLS CUI [1,2]
C0011008
dd.mm.yyyy
Time of subject completion or discontinuation from the study
Description

Time of subject completion or discontinuation from the study

Type de données

time

Unités de mesure
  • hh:mm
Alias
UMLS CUI [1,1]
C2348577
UMLS CUI [1,2]
C0040223
hh:mm
Did the subject discontinue the study prematurely?
Description

premature discontinuation of study

Type de données

boolean

Alias
UMLS CUI [1,1]
C2348577
UMLS CUI [1,2]
C1279919
If 'Yes', the primary reason for discontinuation:
Description

Record details on NON-SERIOUS ADVERSE EVENTS or SERIOUS ADVERSE EVENT page as appropriate.

Type de données

integer

Alias
UMLS CUI [1,1]
C0566251
UMLS CUI [1,2]
C2348577
UMLS CUI [1,3]
C1279919
If 'Other', please specify:
Description

Specification reason for discontinuation

Type de données

text

Alias
UMLS CUI [1,1]
C2348235
UMLS CUI [1,2]
C0566251
UMLS CUI [1,3]
C2348577
UMLS CUI [1,4]
C1279919
Investigator Comment Log
Description

Investigator Comment Log

Alias
UMLS CUI-1
C0008961
UMLS CUI-2
C0947611
Date of comment
Description

Date of comment

Type de données

date

Alias
UMLS CUI [1,1]
C0947611
UMLS CUI [1,2]
C0011008
CRF page number if applicable
Description

CRF page number

Type de données

integer

Alias
UMLS CUI [1,1]
C1704732
UMLS CUI [1,2]
C1516308
Comment
Description

Comment

Type de données

text

Alias
UMLS CUI [1,1]
C0008961
UMLS CUI [1,2]
C0947611
Investigator's statement: I confirm that I have carefully examined all entries on the Case Report Form for this subject. All information entered by myself or my colleagues is, to the best of my knowledge, correct as of the date below.
Description

Investigator's statement: I confirm that I have carefully examined all entries on the Case Report Form for this subject. All information entered by myself or my colleagues is, to the best of my knowledge, correct as of the date below.

Alias
UMLS CUI-1
C1516308
UMLS CUI-2
C1955348
UMLS CUI-3
C4288115
UMLS CUI-4
C2349182
Date of Investigator's signature
Description

Date of Investigator's signature

Type de données

date

Alias
UMLS CUI [1,1]
C2346576
UMLS CUI [1,2]
C0011008
Investigator's signature
Description

Investigator's signature

Type de données

text

Alias
UMLS CUI [1]
C2346576
Investigator's name - print
Description

Investigator's name - print

Type de données

text

Alias
UMLS CUI [1]
C2826892
Retour au début de la page

Similar models

End of Study Record

1 Formulaires
  1. StudyEvent: ODM
    1. End of Study Record
Name
Type
Description | Question | Decode (Coded Value)
Type de données
Alias
Item Group
Administrative data
C1320722 (UMLS CUI-1)
Subject number
Item
Subject number
text
C2348585 (UMLS CUI [1])
Item Group
Status of treatment blind
C0749659 (UMLS CUI-1)
C2347038 (UMLS CUI-2)
Was the treatment blind for this subject broken during the study?
Item
Was the treatment blind for this subject broken during the study?
boolean
C3897431 (UMLS CUI [1])
Date of subject unblinding event
Item
Date of subject unblinding event
date
C3897431 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Time of subject unblinding event
Item
Time of subject unblinding event
time
C3897431 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
Item
Reason of subject unblinding event
integer
C3897431 (UMLS CUI [1,1])
C0566251 (UMLS CUI [1,2])
Reason of subject unblinding event
Code List
Reason of subject unblinding event
CL Item
Medical emergency requiring identity of investigational product for further treatment  (1)
CL Item
Other (2)
Specify 'Other' reason for subject unblinding event
Item
If answer 'Other' was choosen as reason for subject unblinding event, specify:
text
C3897431 (UMLS CUI [1,1])
C0566251 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
Item Group
End of Study Record
C0008976 (UMLS CUI-1)
C0444930 (UMLS CUI-2)
Date of subject completion or discontinuation from the study
Item
Date of subject completion or discontinuation from the study
date
C2348577 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Time of subject completion or discontinuation from the study
Item
Time of subject completion or discontinuation from the study
time
C2348577 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
premature discontinuation of study
Item
Did the subject discontinue the study prematurely?
boolean
C2348577 (UMLS CUI [1,1])
C1279919 (UMLS CUI [1,2])
Item
If 'Yes', the primary reason for discontinuation:
integer
C0566251 (UMLS CUI [1,1])
C2348577 (UMLS CUI [1,2])
C1279919 (UMLS CUI [1,3])
Reason for premature discontinuation
Code List
If 'Yes', the primary reason for discontinuation:
CL Item
Adverse event (1)
CL Item
Consent withdrawn (2)
CL Item
Lost to follow up (3)
CL Item
Protocol violation (4)
CL Item
Other (please specify below) (5)
Specification reason for discontinuation
Item
If 'Other', please specify:
text
C2348235 (UMLS CUI [1,1])
C0566251 (UMLS CUI [1,2])
C2348577 (UMLS CUI [1,3])
C1279919 (UMLS CUI [1,4])
Item Group
Investigator Comment Log
C0008961 (UMLS CUI-1)
C0947611 (UMLS CUI-2)
Date of comment
Item
Date of comment
date
C0947611 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
CRF page number
Item
CRF page number if applicable
integer
C1704732 (UMLS CUI [1,1])
C1516308 (UMLS CUI [1,2])
Comment
Item
Comment
text
C0008961 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
Item Group
Investigator's statement: I confirm that I have carefully examined all entries on the Case Report Form for this subject. All information entered by myself or my colleagues is, to the best of my knowledge, correct as of the date below.
C1516308 (UMLS CUI-1)
C1955348 (UMLS CUI-2)
C4288115 (UMLS CUI-3)
C2349182 (UMLS CUI-4)
Date of Investigator's signature
Item
Date of Investigator's signature
date
C2346576 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Investigator's signature
Item
Investigator's signature
text
C2346576 (UMLS CUI [1])
Investigator's name - print
Item
Investigator's name - print
text
C2826892 (UMLS CUI [1])
Retour au début de la page 

Contact

Utilisez ce formulaire pour les retours, les questions et les améliorations suggérées.

Les champs marqués d’un * sont obligatoires.

Aide

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial