ID

34939

Description

Study ID: 101888 Clinical Study ID: FFR101888 Study Title: A randomised, placebo-controlled, four way crossover study to evaluate the effect of double-blind 4000 mcg of orally inhaled GW685698X and of 6.25 mg cellobiose octa-acetate on electrocardiographic parameters, with single-blind 400 mg of oral moxifloxacin as a positive control, in 40 healthy male and female subjects. Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 1 Study Recruitment Status: Completed Generic Name: fluticasone furoate Trade Name: Veramyst,Avamys,Allermist Study Indication: Rhinitis, Allergic, Perennial The study consists of a screening, 4 treatment periods (TP) and a follow-up visit. For each TP there is a Day-1 (D-1) and a Day1 (D1). This document contains the Serology - screen for HIV antibody, hepatitis B and C form. It has to be filled in for screening.

Keywords

  1. 2/4/19 2/4/19 -
Copyright Holder

GlaxoSmithKline

Uploaded on

February 4, 2019

DOI

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License

Creative Commons BY-NC 3.0

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Effect of inhaled Fluticasone furoate and cellobiose octa-acetate on electrocardiographic parameters in healthy subjects, Study-ID: 101888

Serology - screen for HIV antibody, hepatitis B and C

Administrative data
Description

Administrative data

Alias
UMLS CUI-1
C1320722
Subject identifier
Description

Subject identifier

Data type

text

Alias
UMLS CUI [1]
C2348585
Serology - screen for HIV antibody, hepatitis B and C
Description

Serology - screen for HIV antibody, hepatitis B and C

Alias
UMLS CUI-1
C0036743
UMLS CUI-2
C0019682
UMLS CUI-3
C0019163
UMLS CUI-4
C0019196
Date sample taken
Description

day month year

Data type

date

Alias
UMLS CUI [1]
C1302413
Serology tests
Description

Tick for each test a result

Data type

integer

Alias
UMLS CUI [1]
C0036743
Serology tests
Description

Tick appropriate box(es). Note: If any of the tests are positive, the subject is not eligible for the study.

Data type

text

Alias
UMLS CUI [1,1]
C0456984
UMLS CUI [1,2]
C0036743

Similar models

Serology - screen for HIV antibody, hepatitis B and C

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative data
C1320722 (UMLS CUI-1)
Subject identifier
Item
Subject identifier
text
C2348585 (UMLS CUI [1])
Item Group
Serology - screen for HIV antibody, hepatitis B and C
C0036743 (UMLS CUI-1)
C0019682 (UMLS CUI-2)
C0019163 (UMLS CUI-3)
C0019196 (UMLS CUI-4)
Date sample taken
Item
Date sample taken
date
C1302413 (UMLS CUI [1])
Item
Serology tests
integer
C0036743 (UMLS CUI [1])
Code List
Serology tests
CL Item
Hepatitis B surface antigen (1)
CL Item
Hepatitis C antibody (2)
CL Item
HIV 1 and 2 antibodies (3)
Item
Serology tests
text
C0456984 (UMLS CUI [1,1])
C0036743 (UMLS CUI [1,2])
Code List
Serology tests
CL Item
Positive (P)
CL Item
Negative (N)

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