ID

35596

Beschreibung

Study ID: 110978 Clinical Study ID: 110978 Study Title: A Randomized, Double-Blind, Double Dummy, Comparative, Multicenter Study to Assess the Safety and Efficacy of Topical Retapamulin Ointment, 1%, versus Oral Linezolid in the Treatment of Secondarily-Infected Traumatic Lesions and Impetigo Due to Methicillin-Resistant Staphylococcus aureus Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00852540 https://clinicaltrials.gov/ct2/show/NCT00852540 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 3 Study Recruitment Status: Completed Generic Name: Retapamulin Ointment, Oral Linezolid Trade Name: N/A Study Indication: Skin Infections, Bacterial The study consists of 5 vists. The studys period extends over 19 days: Visit 1 (Day 1): Baseline (for both, topical and oral visit) Visit 2 (Day 3-4): On-Therapy (for both, topical and oral visit) Visit 3 (Day 7-9): End of Therapy for topical visit, On-Therapy for oral visit. Visit 4 (Day 12-14): Follow-up for topical visit, End of Therapy for oral visit. Visit 5 (Day 17-19): Final Follow-up for topical visit, Follow-up for oral visit. This document contains the subject diary (For subjects 5-11 years of age; <5 years of age; >=12 years of age) form. It has to be filled in for the end of study. In this Subject Diary, please record the following each day: • the date. • the time that topical medication was applied in the morning. • the time oral suspension medication was taken in the morning. • the time the topical medication was applied in the evening. • the time oral suspension medication was taken in the evening. Please use an ink pen and not a pencil. This medical research study depends on you filling in this diary EVERY DAY. Thank you for your/your child’s participation in this clinical research study. As part of this study, we are asking that, each day, you record in this "Subject Diary" information about how you/your child took the study medication. It is very important that you report in this diary the dosing information for each day that you/your child took study medication. Please bring this diary with you to each of your appointments, until the diary is collected by the study site staff. Following your/your child’s treatment, please return ALL medication tubes and bottles to the study coordinator who gave you the study medication. Thank you very much for your help.

Link

https://clinicaltrials.gov/ct2/show/NCT00852540

Stichworte

  1. 04.03.19 04.03.19 -
  2. 11.03.19 11.03.19 -
Rechteinhaber

GlaxoSmithKline

Hochgeladen am

11. März 2019

DOI

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Lizenz

Creative Commons BY-NC 3.0

Modell Kommentare :

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Safety and efficacy of topical Retapamulin Ointment vs. oral Linezolid in Secondarily-Infected Traumatic Lesions and Impetigo due to MRSA, NCT00852540

Subject Diary

  1. StudyEvent: ODM
    1. Subject Diary
Administrative data
Beschreibung

Administrative data

Alias
UMLS CUI-1
C1320722
Subject Number
Beschreibung

Subject Number

Datentyp

text

Alias
UMLS CUI [1]
C2348585
Center Number
Beschreibung

Center Number

Datentyp

text

Alias
UMLS CUI [1,1]
C1301943
UMLS CUI [1,2]
C0600091
Age group
Beschreibung

Age group

Datentyp

integer

Alias
UMLS CUI [1]
C0001779
Subject diary instruction
Beschreibung

Subject diary instruction

Alias
UMLS CUI-1
C3890583
UMLS CUI-2
C1442085
Contact person
Beschreibung

Should you have any questions about the study medication prior to your next appointment, please contact your study coordinator (see below).

Datentyp

text

Alias
UMLS CUI [1]
C0337611
Contact details
Beschreibung

Contact details

Datentyp

text

Alias
UMLS CUI [1]
C1522508
Medication
Beschreibung

Medication

Alias
UMLS CUI-1
C0013227
Study medication
Beschreibung

Study medication

Datentyp

integer

Alias
UMLS CUI [1]
C0013227
Day of medication
Beschreibung

For oral medication please fill in on all days. For topical medication fill in only on day 1 - day 6.

Datentyp

integer

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0439228
Date of medication
Beschreibung

day month year

Datentyp

date

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0011008
Time of Morning Dose
Beschreibung

24-hr clock

Datentyp

time

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0040223
UMLS CUI [1,3]
C0332170
Time of Evening Dose
Beschreibung

24-hr clock

Datentyp

time

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0040223
UMLS CUI [1,3]
C0587117

Ähnliche Modelle

Subject Diary

  1. StudyEvent: ODM
    1. Subject Diary
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Administrative data
C1320722 (UMLS CUI-1)
Subject Number
Item
Subject Number
text
C2348585 (UMLS CUI [1])
Center Number
Item
Center Number
text
C1301943 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Item
Age group
integer
C0001779 (UMLS CUI [1])
Code List
Age group
CL Item
5-11 years of age  (1)
CL Item
<5 years of age (2)
CL Item
>=12 years of age (3)
Item Group
Subject diary instruction
C3890583 (UMLS CUI-1)
C1442085 (UMLS CUI-2)
Contact person
Item
Contact person
text
C0337611 (UMLS CUI [1])
Contact details
Item
Contact details
text
C1522508 (UMLS CUI [1])
Item Group
Medication
C0013227 (UMLS CUI-1)
Item
Study medication
integer
C0013227 (UMLS CUI [1])
Code List
Study medication
CL Item
Topical Medication (1)
CL Item
Oral suspension Medication (2)
Item
Day of medication
integer
C0013227 (UMLS CUI [1,1])
C0439228 (UMLS CUI [1,2])
Code List
Day of medication
CL Item
Day 1 (1)
CL Item
Day 2 (2)
CL Item
Day 3 (3)
CL Item
Day 4  (4)
CL Item
Day 5 (5)
CL Item
Day 6 (6)
CL Item
Day 7 (7)
CL Item
Day 8 (8)
CL Item
Day 9 (9)
CL Item
Day 10 (10)
CL Item
Day 11 (11)
Date of medication
Item
Date of medication
date
C0013227 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Time of Morning Dose
Item
Time of Morning Dose
time
C0013227 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
C0332170 (UMLS CUI [1,3])
Time of Evening Dose
Item
Time of Evening Dose
time
C0013227 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
C0587117 (UMLS CUI [1,3])

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