ID

35618

Descrição

Study ID: 111611 Clinical Study ID: 111611 Study Title: A randomised, double-blind, placebo-controlled study to assess the effect of oral, single dose SB-705498 in a validated intranasal capsaicin challenge model in healthy volunteers. Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00731250 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 1 Study Recruitment Status: Completed Generic Name: SB-705498, Placebo, Caspaicin Trade Name: N/A Study Indication: Rhinitis

Palavras-chave

  1. 12/03/2019 12/03/2019 -
Titular dos direitos

GSK group of companies

Transferido a

12 de março de 2019

DOI

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Licença

Creative Commons BY-NC 3.0

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The effect of intranasal capsaicin challenge model in healthy volunteers - 111611

  1. StudyEvent: ODM
    1. Follow-Up
Administrative data
Descrição

Administrative data

Date of Visit
Descrição

Date of Visit

Tipo de dados

date

STATUS OF TREATMENT BLIND
Descrição

STATUS OF TREATMENT BLIND

Was the treatment blind broken during the study?
Descrição

If Yes, complete the Adverse Event Form and/or Investigational Product forms as appropriate

Tipo de dados

boolean

Date blind broken
Descrição

Date Blind Broken

Tipo de dados

date

Reason blind broken
Descrição

Reason Blind Broken

Tipo de dados

text

If Other, please specify
Descrição

Specify Other

Tipo de dados

text

STUDY CONCLUSION
Descrição

STUDY CONCLUSION

Date of subject completion or withdrawal
Descrição

Date of completion or withdrawal

Tipo de dados

date

Was the subject withdrawn from the study?
Descrição

subject withdrawal

Tipo de dados

boolean

Reasons for withdrawal
Descrição

Mark primary reason only

Tipo de dados

text

If Investigator discretion, specify
Descrição

Investigator discretion, specify

Tipo de dados

text

PREGNANCY INFORMATION
Descrição

PREGNANCY INFORMATION

Did the subject become pregnant during the study?
Descrição

Pregnancy during the Study

Tipo de dados

boolean

Did a female partner of the male subject become pregnant during the study?
Descrição

Pregnancy of a Partner during the Study

Tipo de dados

text

Adverse Event/Concomitant Medications/Repeat Assessment (Check Questions)
Descrição

Adverse Event/Concomitant Medications/Repeat Assessment (Check Questions)

Were any concomitant medications taken by the subject during the study?
Descrição

Concomitant Medication

Tipo de dados

boolean

Did the subject experience any non-serious adverse events during the study?
Descrição

Non-Serious Adverse Events

Tipo de dados

boolean

Did the subject experience any serious adverse events during the study?
Descrição

Serious Adverse Events

Tipo de dados

boolean

Were any abnormal, clinically significant ECG measurements recorded for this subject during the study?
Descrição

Clinically Significant ECG Measurements

Tipo de dados

boolean

Were any repeat hematology or clinical chemistry samples taken?
Descrição

Repeat Hematology/ Clinical Chemistry

Tipo de dados

boolean

Were any repeat ECGs performed?
Descrição

Repeat ECGs

Tipo de dados

boolean

Were any repeat vital signs or temperature measurements recorded?
Descrição

Repeat Vital Signs / Temperature

Tipo de dados

boolean

Were any repeat PK blood samples taken?
Descrição

Repeat PK Blood Samples

Tipo de dados

boolean

Were any repeat Peak Nasal Inspiratory Flow tests performed?
Descrição

Repeat Peak Nasal Inspiratory Flow Tests

Tipo de dados

boolean

NON-SERIOUS ADVERSE EVENTS
Descrição

NON-SERIOUS ADVERSE EVENTS

Event Number
Descrição

Event Number

Tipo de dados

integer

Event Description
Descrição

Diagnosis or Signs/Symptoms

Tipo de dados

text

Start Date and Time
Descrição

Start Date and Time

Tipo de dados

datetime

End Date and Time
Descrição

End Date and Time

Tipo de dados

datetime

Outcome
Descrição

Outcome

Tipo de dados

text

Frequency
Descrição

Frequency

Tipo de dados

text

Maximum Intensity
Descrição

Maximum Intensity

Tipo de dados

text

Action Taken with Investigational Product(s) as a result of the AE?
Descrição

Action Taken

Tipo de dados

text

Did the subject withdraw from study as a result of this AE?
Descrição

Subject Withdrawal

Tipo de dados

boolean

Is there a reasonable possibility tha the AE may have been caused by the investigational product?
Descrição

Causality

Tipo de dados

boolean

SERIOUS ADVERSE EVENTS
Descrição

SERIOUS ADVERSE EVENTS

SAE Number
Descrição

SAE Number

Tipo de dados

integer

Serious Adverse Event Description
Descrição

Diagnosis or Sighs/Symptoms

Tipo de dados

text

Start Date and Time
Descrição

Start Date and Time

Tipo de dados

datetime

End Date and Time
Descrição

End Date and Time

Tipo de dados

datetime

Outcome
Descrição

Outcome

Tipo de dados

text

Maximum Intensity
Descrição

Maximum Intensity

Tipo de dados

text

Action Taken with Investigational Product(s) as a Result of the SAE
Descrição

Action Taken

Tipo de dados

text

Did the subject withdraw from the study as a result of this SAE?
Descrição

Subject Withdrawn

Tipo de dados

boolean

Is there a reasonable possibility tha the AE may have been caused by the investigational product?
Descrição

Causality

Tipo de dados

boolean

Was SAE cause by activities related to study participation(e.g. procedures)?
Descrição

Was SAE study related?

Tipo de dados

boolean

Was the event serious
Descrição

Seriousness of Event

Tipo de dados

boolean

How serious was the SAE?
Descrição

SAE Seriousness Level

Tipo de dados

text

If Other, please specify
Descrição

Specify Other

Tipo de dados

text

Did SAE occur after initiation of study medication?
Descrição

SAE Occurrence after study initiation

Tipo de dados

boolean

Type of Report
Descrição

Type of Report

Tipo de dados

text

RELEVANT CONCOMITANT/TREATMENT MEDICATIONS
Descrição

RELEVANT CONCOMITANT/TREATMENT MEDICATIONS

Drug/Medication sequence number
Descrição

Drug/Medication sequence number

Tipo de dados

integer

Drug Name
Descrição

Trade name preferred

Tipo de dados

text

Dose
Descrição

Dose

Tipo de dados

text

Unit
Descrição

Unit

Tipo de dados

text

Frequency
Descrição

Frequency

Tipo de dados

text

Route
Descrição

Route

Tipo de dados

text

Start Date
Descrição

Start Date

Tipo de dados

date

Ongoing?
Descrição

Ongoing?

Tipo de dados

boolean

Primary Indication
Descrição

Primary Indication

Tipo de dados

text

RELEVANT MEDICAL CONDITION/RISK FACTORS
Descrição

RELEVANT MEDICAL CONDITION/RISK FACTORS

Condition number
Descrição

Condition number

Tipo de dados

integer

Specific Condition Name
Descrição

Specific Condition Name

Tipo de dados

text

Date of onset
Descrição

Start Date

Tipo de dados

date

Ongoing?
Descrição

Ongoing?

Tipo de dados

text

Date of last occurrence
Descrição

End Date

Tipo de dados

date

Relevant Medical History / Risk Factors not noted above
Descrição

Medical History

Tipo de dados

text

RELEVANT DIAGNOSTIC RESULTS
Descrição

RELEVANT DIAGNOSTIC RESULTS

Lab sequence number
Descrição

Lab sequence number

Tipo de dados

integer

Test Name
Descrição

Test Name

Tipo de dados

text

Test Date
Descrição

Test Date

Tipo de dados

date

Test Result
Descrição

Test Result

Tipo de dados

text

Test Unit
Descrição

Test Unit

Tipo de dados

date

Comment
Descrição

Comment

Tipo de dados

text

INVESTIGATIONAL PRODUCTS
Descrição

INVESTIGATIONAL PRODUCTS

If investigational product(s) stopped, did the reported event(s) recur after further investigational product(s) were administered?
Descrição

Investigational Product Stopped

Tipo de dados

text

GENERAL NARRATIVE COMMENTS
Descrição

GENERAL NARRATIVE COMMENTS

Provide a brief narrative description of SAE, possible other causes of the event (e.g. lack of efficacy, withdrawal of investigational product, the disease under study or other medical condition) and details of the treatment.
Descrição

General narrative comments

Tipo de dados

text

Provide a brief narrative description of SAE, possible other causes of the event (e.g. lack of efficacy, withdrawal of investigational product, the disease under study or other medical condition) and details of the treatment.
Descrição

General Narrative Comments

Tipo de dados

text

Similar models

  1. StudyEvent: ODM
    1. Follow-Up
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
Item Group
Administrative data
Date of Visit
Item
Date of Visit
date
Item Group
STATUS OF TREATMENT BLIND
Status of Treatment Blind
Item
Was the treatment blind broken during the study?
boolean
Date Blind Broken
Item
Date blind broken
date
Item
Reason blind broken
text
Code List
Reason blind broken
CL Item
medical emergency requiring identification of investigational product for further treatment (1)
CL Item
Other (2)
Specify Other
Item
If Other, please specify
text
Item Group
STUDY CONCLUSION
Date of completion or withdrawal
Item
Date of subject completion or withdrawal
date
subject withdrawal
Item
Was the subject withdrawn from the study?
boolean
Item
Reasons for withdrawal
text
Code List
Reasons for withdrawal
CL Item
Adverse Event (1)
CL Item
Protocol Violation (2)
CL Item
Subject reached protocol defined stopping criteria (3)
CL Item
Study closed / terminated (4)
CL Item
Lost to Follow-up (5)
CL Item
Investigator discretion (6)
CL Item
Withdrew consent (7)
Investigator discretion, specify
Item
If Investigator discretion, specify
text
Item Group
PREGNANCY INFORMATION
Pregnancy during the Study
Item
Did the subject become pregnant during the study?
boolean
Item
Did a female partner of the male subject become pregnant during the study?
text
Code List
Did a female partner of the male subject become pregnant during the study?
CL Item
No (1)
CL Item
Yes (2)
CL Item
Not Applicable (if female partner not of childbearing potential or no female partner) (3)
Item Group
Adverse Event/Concomitant Medications/Repeat Assessment (Check Questions)
Concomitant Medication
Item
Were any concomitant medications taken by the subject during the study?
boolean
Non-Serious Adverse Events
Item
Did the subject experience any non-serious adverse events during the study?
boolean
Serious Adverse Events
Item
Did the subject experience any serious adverse events during the study?
boolean
Clinically Significant ECG Measurements
Item
Were any abnormal, clinically significant ECG measurements recorded for this subject during the study?
boolean
Repeat Hematology/ Clinical Chemistry
Item
Were any repeat hematology or clinical chemistry samples taken?
boolean
Repeat ECGs
Item
Were any repeat ECGs performed?
boolean
Repeat Vital Signs / Temperature
Item
Were any repeat vital signs or temperature measurements recorded?
boolean
Repeat PK Blood Samples
Item
Were any repeat PK blood samples taken?
boolean
Repeat Peak Nasal Inspiratory Flow Tests
Item
Were any repeat Peak Nasal Inspiratory Flow tests performed?
boolean
Item Group
NON-SERIOUS ADVERSE EVENTS
Event Number
Item
Event Number
integer
Event Description
Item
Event Description
text
Start Date and Time
Item
Start Date and Time
datetime
End Date and Time
Item
End Date and Time
datetime
Item
Outcome
text
Code List
Outcome
CL Item
Recovered/Resolved  (1)
CL Item
Recovering/Resolving (2)
CL Item
Not recovered/not resolved (3)
CL Item
Recovered/Resolved with sequelae (4)
Item
Frequency
text
Code List
Frequency
CL Item
Single episode (1)
CL Item
Intermittent (2)
Item
Maximum Intensity
text
Code List
Maximum Intensity
CL Item
Mild (1)
CL Item
Moderate (2)
CL Item
Severe (3)
CL Item
Not applicable (4)
Item
Action Taken with Investigational Product(s) as a result of the AE?
text
Code List
Action Taken with Investigational Product(s) as a result of the AE?
CL Item
Investigational Product(s) withdrawn (1)
CL Item
Dose reduced (2)
CL Item
Dose increased (3)
CL Item
Dose not changed (4)
CL Item
Dose interrupted (5)
CL Item
Not applicable (6)
Subject Withdrawal
Item
Did the subject withdraw from study as a result of this AE?
boolean
Causality
Item
Is there a reasonable possibility tha the AE may have been caused by the investigational product?
boolean
Item Group
SERIOUS ADVERSE EVENTS
SAE Number
Item
SAE Number
integer
SAE Description
Item
Serious Adverse Event Description
text
Start Date and Time
Item
Start Date and Time
datetime
End Date and Time
Item
End Date and Time
datetime
Item
Outcome
text
Code List
Outcome
CL Item
Recovered/Resolved  (1)
CL Item
Recovering/Resolving (2)
CL Item
Not recovered/not resolved (3)
CL Item
Recovered/Resolved with sequelae (4)
Item
Maximum Intensity
text
Code List
Maximum Intensity
CL Item
Mild (1)
CL Item
Moderate (2)
CL Item
Severe (3)
CL Item
Not applicable (4)
Item
Action Taken with Investigational Product(s) as a Result of the SAE
text
Code List
Action Taken with Investigational Product(s) as a Result of the SAE
CL Item
Investigational Product(s) withdrawn (1)
CL Item
Dose reduced (2)
CL Item
Dose increased (3)
CL Item
Dose not changed (4)
CL Item
Dose interrupted (5)
CL Item
Not applicable (6)
Subject Withdrawn
Item
Did the subject withdraw from the study as a result of this SAE?
boolean
Causality
Item
Is there a reasonable possibility tha the AE may have been caused by the investigational product?
boolean
Was SAE study related?
Item
Was SAE cause by activities related to study participation(e.g. procedures)?
boolean
Seriousness of Event
Item
Was the event serious
boolean
Item
How serious was the SAE?
text
Code List
How serious was the SAE?
CL Item
results in death (1)
CL Item
is life-threatening (2)
CL Item
requires hospitalisation or prolongation of existing hospitalisation (3)
CL Item
results in disability/incapacity (4)
CL Item
congenital anomaly/birth defect (5)
CL Item
Other (6)
Specify Other
Item
If Other, please specify
text
SAE Occurrence after study initiation
Item
Did SAE occur after initiation of study medication?
boolean
Item
Type of Report
text
Code List
Type of Report
CL Item
Initial (1)
CL Item
Follow-Up (2)
Item Group
RELEVANT CONCOMITANT/TREATMENT MEDICATIONS
Drug/Medication sequence number
Item
Drug/Medication sequence number
integer
Drug Name
Item
Drug Name
text
Dose
Item
Dose
text
Item
Unit
text
Code List
Unit
CL Item
Actuation (1)
CL Item
Ampoule (2)
CL Item
Application (3)
CL Item
Bottle (4)
CL Item
Capsule (5)
CL Item
Cubic centimeter (6)
CL Item
Drops (7)
CL Item
Gram (8)
CL Item
International Units (9)
CL Item
International Units per kilogram (10)
CL Item
International Units per millilitre (11)
CL Item
Litre (12)
CL Item
Litre per minute (13)
CL Item
lozenge (14)
CL Item
Megaunits (million units) (15)
CL Item
Megaunits (MCG) (16)
CL Item
Megaunits (UG) (17)
CL Item
Microgram/kilogram (18)
CL Item
Microgram/kilogram per minute (19)
CL Item
Migrograms per minute (20)
CL Item
Microlitre (21)
CL Item
Milliequvalent (22)
CL Item
Milliequvalent per 24 hours (23)
CL Item
Milligram (24)
CL Item
Milligrams percent (25)
CL Item
Milligram per hour (26)
CL Item
Milligram/kilogram (27)
CL Item
Milligram/kilogram per hour (28)
CL Item
Milligram/kilogram per minute (29)
CL Item
Milligram/metre squared (30)
CL Item
Milligram/millilitre (31)
CL Item
Millilitre (32)
CL Item
Millilitre per hour (33)
CL Item
Millilitre per minute (34)
CL Item
Millimole (35)
CL Item
Million international units (36)
CL Item
Minimum alveolar concentration (37)
CL Item
Nebule (38)
CL Item
Patch (39)
CL Item
Percent (40)
CL Item
Puff (41)
CL Item
Sachet (42)
CL Item
Spray (43)
CL Item
Suppository (44)
CL Item
Tablespoon (45)
CL Item
Tablet (46)
CL Item
Teaspoon (47)
CL Item
Units (48)
CL Item
Unknown (49)
CL Item
Vial (50)
Item
Frequency
text
Code List
Frequency
CL Item
2 times per week (1)
CL Item
3 times per week (2)
CL Item
4 times per week (3)
CL Item
5 times per day (4)
CL Item
5 times per week (5)
CL Item
AC (6)
CL Item
BID (7)
CL Item
Continuous infusion (8)
CL Item
Every 2 weeks (9)
CL Item
Every 3 weeks (10)
CL Item
Every 3 months (11)
CL Item
Every other day (12)
CL Item
At bedtime (13)
CL Item
Once a month (14)
CL Item
Once a week (15)
CL Item
Once daily (16)
CL Item
Once only (17)
CL Item
PC (18)
CL Item
PRN (19)
CL Item
Q2H (20)
CL Item
Q3D (21)
CL Item
Q4D (22)
CL Item
Q4H (23)
CL Item
Q6H (24)
CL Item
Q8H (25)
CL Item
Q12H (26)
CL Item
QAM (27)
CL Item
QH (28)
CL Item
QID (29)
CL Item
QPM (30)
CL Item
TIO (31)
CL Item
Unknown (32)
Item
Route
text
Code List
Route
CL Item
Both eyes (1)
CL Item
Epidural (2)
CL Item
Gastrostomy tube (3)
CL Item
Inhalation (4)
CL Item
Injection (5)
CL Item
Intra-arterial (6)
CL Item
Intra-bursa (7)
CL Item
Intralesional (8)
CL Item
Intramuscular (9)
CL Item
Intranasal (10)
CL Item
Intraocular (11)
CL Item
Intraosteal (12)
CL Item
Intraperitoneal (13)
CL Item
Intrathecal (14)
CL Item
Intrauterine (15)
CL Item
Intravenous (16)
CL Item
Nasal (17)
CL Item
Oral (18)
CL Item
Rectal (19)
CL Item
Subcutaneous (20)
CL Item
Sublingual (21)
CL Item
Topical (22)
CL Item
Transdermal (23)
CL Item
Unknown (24)
CL Item
Vaginal (25)
Start Date
Item
Start Date
date
Ongoing?
Item
Ongoing?
boolean
Primary Indication
Item
Primary Indication
text
Item Group
RELEVANT MEDICAL CONDITION/RISK FACTORS
Condition number
Item
Condition number
integer
Specific Condition Name
Item
Specific Condition Name
text
Start Date
Item
Date of onset
date
Item
Ongoing?
text
Code List
Ongoing?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
End Date
Item
Date of last occurrence
date
Medical History
Item
Relevant Medical History / Risk Factors not noted above
text
Item Group
RELEVANT DIAGNOSTIC RESULTS
Lab sequence number
Item
Lab sequence number
integer
Item
Test Name
text
Code List
Test Name
CL Item
Activated partical tromboplastin time (1)
CL Item
Albumin (2)
CL Item
Alkaline phosphatase (3)
CL Item
Amylase (4)
CL Item
Basophils (5)
CL Item
Bicarbonate (6)
CL Item
Bilirubin (7)
CL Item
Bilirubin direct (8)
CL Item
Bilirubin total (9)
CL Item
Blood myoglobin (10)
CL Item
Blood pH (11)
CL Item
Blood Pressure (12)
CL Item
Blood urea nitrogen (13)
CL Item
Body temperature (14)
CL Item
Calcium (15)
CL Item
CD4 Lymphocytes (16)
CL Item
CD8 lymphocytes (17)
CL Item
Chloride (18)
CL Item
Cholesterol total (19)
CL Item
C-reactive protein (20)
CL Item
Creatine (21)
CL Item
Creatine phosphokinase (22)
CL Item
Creatine phosphokinase MB (23)
CL Item
Creatinine (24)
CL Item
Creatinine clearance (25)
CL Item
Diastolic blood pressure (26)
CL Item
Eosinophils (27)
CL Item
Erithrocyte sedimentation rate (28)
CL Item
Fasting blood glucose (29)
CL Item
FEV 1 (30)
CL Item
Gamma-glutamyltransferase (31)
CL Item
Glutamic-oxaloacetic transaminase (32)
CL Item
Glutamic-pyruvate transaminase (33)
CL Item
HbA1c (34)
CL Item
HBV-DNA decreased (35)
CL Item
HBV-DNA increased (36)
CL Item
Heart rate (37)
CL Item
Hematocrit (38)
CL Item
Hemoglobin (39)
CL Item
High density lipoprotein (40)
CL Item
HIV viral load (41)
CL Item
INR (42)
CL Item
Lactic dehydrogenase (43)
CL Item
Lipase (44)
CL Item
Low density lipoprotein (45)
CL Item
Lymphocytes (46)
CL Item
Magnesium (47)
CL Item
Mean cell hemoglobin concentration (48)
CL Item
Mean corpuscular hemoglobin (49)
CL Item
Mean corpuscular volume (50)
CL Item
Monocytes (51)
CL Item
Neutrophils (52)
CL Item
Oxygen saturation (53)
CL Item
pCO2 (54)
CL Item
pH (55)
CL Item
Phosphate (56)
CL Item
Palatelet count (57)
CL Item
pO2 (58)
CL Item
Potassium (59)
CL Item
Protein total (60)
CL Item
Prothrombin time (61)
CL Item
Red blood cell count (62)
CL Item
Respiratory rate (63)
CL Item
Reticulocyte count (64)
CL Item
Serum glucose (65)
CL Item
Serum uric acid (66)
CL Item
Sodium (67)
CL Item
Systolic blood pressure (68)
CL Item
Thrombin time (69)
CL Item
Total lung capacity (70)
CL Item
Triglycerides (71)
CL Item
Troponin (72)
CL Item
Troponin 1 (73)
CL Item
Troponin T (74)
CL Item
Urine myoglobin (75)
CL Item
Urine pH (76)
CL Item
Vital capacity (77)
CL Item
White blood cell count (78)
Test Date
Item
Test Date
date
Item
Test Result
text
Code List
Test Result
Test Unit
Item
Test Unit
date
Comment
Item
Comment
text
Item Group
INVESTIGATIONAL PRODUCTS
Item
If investigational product(s) stopped, did the reported event(s) recur after further investigational product(s) were administered?
text
Code List
If investigational product(s) stopped, did the reported event(s) recur after further investigational product(s) were administered?
CL Item
No (1)
CL Item
Yes (2)
CL Item
Unknown at this time (3)
CL Item
Not applicable (4)
Item Group
GENERAL NARRATIVE COMMENTS
General narrative comments
Item
Provide a brief narrative description of SAE, possible other causes of the event (e.g. lack of efficacy, withdrawal of investigational product, the disease under study or other medical condition) and details of the treatment.
text
General Narrative Comments
Item
Provide a brief narrative description of SAE, possible other causes of the event (e.g. lack of efficacy, withdrawal of investigational product, the disease under study or other medical condition) and details of the treatment.
text

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