ID

37588

Beschreibung

Study ID: 108504 Clinical Study ID: 108504 Study Title: An Open Label, Single Dose, Randomised, Parallel Group Pharmacokinetic Study to Evaluate a Combination Product Containing Naproxen Sodium and Sumatriptan in Adolescent Subjects With Migraine and Healthy Adult Subjects Administered at Three Doses. Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00989625 Sponsor: GlaxoSmithKline Phase: Phase 1 Study Recruitment Status: Completed Generic Name: This is a pharmacokinetic study (Treximet) Trade Name: Naproxen Sodium and Sumatriptan Study Indication: Migraine Disorders

Stichworte

  1. 08.08.19 08.08.19 -
Rechteinhaber

GlaxoSmithKline

Hochgeladen am

8. August 2019

DOI

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Evaluation of Naproxen Sodium and Sumatriptan in Adolescent Subjects With Migraine and Healthy Adult Subjects NCT00989625

Logs/ Repeats - Logs and Repeats; Non- Serious Adverse Events; Serious Adverse Events

Logs and Repeats
Beschreibung

Logs and Repeats

Alias
UMLS CUI-1
C1708728
UMLS CUI-2
C0205341
Date of visit/assessment
Beschreibung

Date of visit/assessment

Datentyp

date

Alias
UMLS CUI [1,1]
C1320303
UMLS CUI [1,2]
C2985720
Logs and Repeats - Adverse event/ Concomitant Medication/ Repeat Assessment Check Questions
Beschreibung

Logs and Repeats - Adverse event/ Concomitant Medication/ Repeat Assessment Check Questions

Alias
UMLS CUI-1
C1708728
UMLS CUI-2
C0205341
UMLS CUI-3
C0877248
UMLS CUI-4
C1516048
UMLS CUI-5
C2347852
UMLS CUI-6
C1516048
Were any concomitant medications taken by the subject during the study?
Beschreibung

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

Datentyp

boolean

Alias
UMLS CUI [1]
C2347852
Did the subject experience any non-serious adverse events during the study?
Beschreibung

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

Datentyp

boolean

Alias
UMLS CUI [1]
C1518404
Did the subject experience any serious adverse events during the study?
Beschreibung

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

Datentyp

boolean

Alias
UMLS CUI [1]
C1519255
Were any repeat haematology or clinical chemistry samples taken?
Beschreibung

Were any repeat haematology or clinical chemistry samples taken?

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0018941
UMLS CUI [1,2]
C0200345
Were any repeat urinalysis samples taken?
Beschreibung

Were any repeat urinalysis samples taken?

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0042014
UMLS CUI [1,2]
C0200345
UMLS CUI [1,3]
C0205341
Were any repeat vital signs recorded?
Beschreibung

Were any repeat vital signs recorded?

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0518766
UMLS CUI [1,2]
C0205341
Non-serious Adverse Event (AE)
Beschreibung

Non-serious Adverse Event (AE)

Alias
UMLS CUI-1
C1518404
Sequence Number
Beschreibung

Sequence Number

Datentyp

integer

Alias
UMLS CUI [1]
C2348184
Event
Beschreibung

Diagnosis Only (if known) Otherwise Sign/Symptom

Datentyp

text

Alias
UMLS CUI [1]
C0877248
Modified term
Beschreibung

Modified term

Datentyp

text

Alias
UMLS CUI [1]
C2826302
MedDRA synonym
Beschreibung

MedDRA synonym

Datentyp

text

Alias
UMLS CUI [1]
C1140263
MedDRA lower level term code
Beschreibung

MedDRA lower level term code

Datentyp

text

Alias
UMLS CUI [1]
C3898442
Failed coding
Beschreibung

Failed coding

Datentyp

text

Alias
UMLS CUI [1,1]
C0805701
UMLS CUI [1,2]
C0231175
Non-serious Adverse Event Start Date and Time
Beschreibung

Non-serious Adverse Event Start Date and Time

Datentyp

datetime

Alias
UMLS CUI [1,1]
C1518404
UMLS CUI [1,2]
C0808070
UMLS CUI [2,1]
C1518404
UMLS CUI [2,2]
C1301880
Non-serious Adverse Event Outcome
Beschreibung

Non-serious Adverse Event Outcome

Datentyp

integer

Alias
UMLS CUI [1,1]
C1518404
UMLS CUI [1,2]
C1705586
Non-serious Adverse Event End Date and Time
Beschreibung

Non-serious Adverse Event End Date and Time

Datentyp

datetime

Alias
UMLS CUI [1,1]
C1518404
UMLS CUI [1,2]
C0806020
UMLS CUI [2,1]
C1518404
UMLS CUI [2,2]
C1522314
Non-serious Adverse Event Frequency
Beschreibung

Non-serious Adverse Event Frequency

Datentyp

integer

Alias
UMLS CUI [1,1]
C1518404
UMLS CUI [1,2]
C0439603
Non-serious Adverse Event Maximum Intensity
Beschreibung

Non-serious Adverse Event Maximum Intensity

Datentyp

integer

Alias
UMLS CUI [1,1]
C1518404
UMLS CUI [1,2]
C0518690
Non-serious Adverse Event Maximum Grade
Beschreibung

Non-serious Adverse Event Maximum Grade

Datentyp

integer

Alias
UMLS CUI [1,1]
C1518404
UMLS CUI [1,2]
C0441800
UMLS CUI [1,3]
C0806909
Non-serious Adverse Event Maximum Grade or Intensity
Beschreibung

Non-serious Adverse Event Maximum Grade or Intensity

Datentyp

integer

Alias
UMLS CUI [1,1]
C1518404
UMLS CUI [1,2]
C0441800
UMLS CUI [1,3]
C0806909
UMLS CUI [2,1]
C1518404
UMLS CUI [2,2]
C0518690
UMLS CUI [2,3]
C0806909
Action Taken with Investigational Product(s) as a Result of the AE
Beschreibung

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

Datentyp

integer

Alias
UMLS CUI [1,1]
C1704758
UMLS CUI [1,2]
C1518404
Did the subject withdraw from study as a result of this AE?
Beschreibung

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

Datentyp

boolean

Alias
UMLS CUI [1,1]
C1710677
UMLS CUI [1,2]
C1518404
Is there a reasonable possibility that the AE may have been caused by the investigational product?
Beschreibung

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

Datentyp

boolean

Alias
UMLS CUI [1,1]
C1518404
UMLS CUI [1,2]
C0013230
UMLS CUI [1,3]
C0439849
Duration of AE if < 24 hours
Beschreibung

Duration of AE if < 24 hours

Datentyp

durationDatetime

Alias
UMLS CUI [1,1]
C1519255
UMLS CUI [1,2]
C0449238
Time to Onset Since Last Dose
Beschreibung

Time to Onset Since Last Dose

Datentyp

durationDatetime

Alias
UMLS CUI [1,1]
C0332162
UMLS CUI [1,2]
C0040223
UMLS CUI [1,3]
C3174092
UMLS CUI [1,4]
C1517741
Serious Adverse Events (SAE)
Beschreibung

Serious Adverse Events (SAE)

Alias
UMLS CUI-1
C1519255
Initial Report
Beschreibung

Initial Report

Datentyp

integer

Alias
UMLS CUI [1,1]
C0684224
UMLS CUI [1,2]
C0205265
Follow-Up Report
Beschreibung

Follow-Up Report

Datentyp

integer

Alias
UMLS CUI [1]
C1704685
Did SAE occur after initiation of study medication?
Beschreibung

Did SAE occur after initiation of study medication?

Datentyp

boolean

Alias
UMLS CUI [1,1]
C1519255
UMLS CUI [1,2]
C0304229
SAE Sequence Number
Beschreibung

SAE Sequence Number

Datentyp

integer

Alias
UMLS CUI [1,1]
C1519255
UMLS CUI [1,2]
C2348184
Serious Adverse Event
Beschreibung

Diagnosis Only (if known) Otherwise Sign/Symptom

Datentyp

text

Alias
UMLS CUI [1]
C1519255
Modified term
Beschreibung

Modified term

Datentyp

text

Alias
UMLS CUI [1]
C2826302
MedDRA synonym
Beschreibung

MedDRA synonym

Datentyp

text

Alias
UMLS CUI [1]
C1140263
MedDRA lower level term code
Beschreibung

MedDRA lower level term code

Datentyp

text

Alias
UMLS CUI [1]
C3898442
Failed coding
Beschreibung

Failed coding

Datentyp

text

Alias
UMLS CUI [1,1]
C0805701
UMLS CUI [1,2]
C0231175
Serious Adverse Events Start Date and Time
Beschreibung

Serious Adverse Events Start Date and Time

Datentyp

datetime

Alias
UMLS CUI [1,1]
C1519255
UMLS CUI [1,2]
C0808070
UMLS CUI [2,1]
C1519255
UMLS CUI [2,2]
C1301880
Serious Adverse Events Outcome
Beschreibung

Serious Adverse Events Outcome

Datentyp

integer

Alias
UMLS CUI [1,1]
C1519255
UMLS CUI [1,2]
C1705586
Serious Adverse Events End Date and Time
Beschreibung

Serious Adverse Events End Date and Time

Datentyp

datetime

Alias
UMLS CUI [1,1]
C1519255
UMLS CUI [1,2]
C0806020
UMLS CUI [2,1]
C1519255
UMLS CUI [2,2]
C1522314
Serious Adverse Events Maximum Intensity
Beschreibung

Serious Adverse Events Maximum Intensity

Datentyp

integer

Alias
UMLS CUI [1,1]
C1519255
UMLS CUI [1,2]
C0518690
UMLS CUI [1,3]
C0806909
Serious Adverse Event Maximum Grade
Beschreibung

Serious Adverse Event Maximum Grade

Datentyp

integer

Alias
UMLS CUI [1,1]
C1519255
UMLS CUI [1,2]
C0441800
UMLS CUI [1,3]
C0806909
Serious Adverse Event Maximum Grade or Intensity
Beschreibung

Serious Adverse Event Maximum Grade or Intensity

Datentyp

integer

Alias
UMLS CUI [1,1]
C1519255
UMLS CUI [1,2]
C0441800
UMLS CUI [1,3]
C0806909
UMLS CUI [2,1]
C1519255
UMLS CUI [2,2]
C0518690
UMLS CUI [2,3]
C0806909
Action Taken with Investigational Product(s) as a Result of the AE
Beschreibung

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

Datentyp

integer

Alias
UMLS CUI [1,1]
C1704758
UMLS CUI [1,2]
C1519255
Did the subject withdraw from study as a result of this AE?
Beschreibung

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

Datentyp

boolean

Alias
UMLS CUI [1,1]
C1710677
UMLS CUI [1,2]
C1519255
Is there a reasonable possibility that the AE may have been caused by the investigational product?
Beschreibung

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

Datentyp

boolean

Alias
UMLS CUI [1,1]
C1519255
UMLS CUI [1,2]
C0013230
UMLS CUI [1,3]
C0439849
Duration of AE if < 24 hours
Beschreibung

Duration of AE if < 24 hours

Datentyp

durationDatetime

Alias
UMLS CUI [1,1]
C1519255
UMLS CUI [1,2]
C0449238
Time to Onset Since Last Dose
Beschreibung

Time to Onset Since Last Dose

Datentyp

durationDatetime

Alias
UMLS CUI [1,1]
C0332162
UMLS CUI [1,2]
C0040223
UMLS CUI [1,3]
C3174092
UMLS CUI [1,4]
C1517741
Was SAE caused by activities related to study participation (e.g. procedures)?
Beschreibung

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

Datentyp

boolean

Alias
UMLS CUI [1,1]
C3641099
UMLS CUI [1,2]
C1519255
Was the event serious?
Beschreibung

Was the event serious?

Datentyp

boolean

Alias
UMLS CUI [1]
C1519255
Specify the reason for considering this an SAE.
Beschreibung

Check all that apply.

Datentyp

text

Alias
UMLS CUI [1,1]
C1519255
UMLS CUI [1,2]
C0392360
Serious Adverse Event - Concomitant Medication
Beschreibung

Serious Adverse Event - Concomitant Medication

Alias
UMLS CUI-1
C1519255
UMLS CUI-2
C2347852
CM Sequence Number
Beschreibung

CM Sequence Number

Datentyp

integer

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C2348184
Drug Name
Beschreibung

(Trade Name preferred)

Datentyp

text

Alias
UMLS CUI [1]
C0013227
Concomitant Medication Dose
Beschreibung

Concomitant Medication Dose

Datentyp

text

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C3174092
Concomitant Medication Unit
Beschreibung

Concomitant Medication Unit

Datentyp

integer

Alias
UMLS CUI [1]
C2826646
Concomitant Medication Frequency
Beschreibung

Concomitant Medication Frequency

Datentyp

integer

Alias
UMLS CUI [1]
C2826654
Concomitant Medication Route
Beschreibung

Concomitant Medication Route

Datentyp

integer

Alias
UMLS CUI [1]
C2826730
Concomitant Medication Start Date
Beschreibung

Concomitant Medication Start Date

Datentyp

date

Alias
UMLS CUI [1]
C2826734
Concomitant Medication Ongoing?
Beschreibung

Concomitant Medication Ongoing?

Datentyp

boolean

Alias
UMLS CUI [1]
C2826666
If concomitant medication not ongoing, specify end date
Beschreibung

If concomitant medication not ongoing, specify end date

Datentyp

date

Alias
UMLS CUI [1,1]
C2826666
UMLS CUI [1,2]
C2826744
Concomitant medication Primary Indication
Beschreibung

Concomitant medication Primary Indication

Datentyp

text

Alias
UMLS CUI [1]
C2826696
Concomitant Medication Drug Type
Beschreibung

Drug Type

Datentyp

integer

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C0457591
Serious Adverse Event - Medical Conditions/ Risk Factors
Beschreibung

Serious Adverse Event - Medical Conditions/ Risk Factors

Alias
UMLS CUI-1
C1519255
UMLS CUI-2
C0012634
UMLS CUI-3
C0035648
MHx Sequence Number
Beschreibung

MHx Sequence Number

Datentyp

text

Alias
UMLS CUI [1,1]
C2348184
UMLS CUI [1,2]
C0262926
Specific Condition Name
Beschreibung

Specific Condition Name

Datentyp

text

Alias
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C2348235
Medical Conditions - Date of onset
Beschreibung

Medical Conditions - Date of onset

Datentyp

datetime

Alias
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C0574845
Medical Conditions/ Risk Factors Continuing?
Beschreibung

Medical Conditions/ Risk Factors Continuing?

Datentyp

text

Alias
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C0549178
UMLS CUI [2,1]
C0035648
UMLS CUI [2,2]
C0549178
If Medical Conditions/ Risk Factors not Continuing, specify date of last occurence
Beschreibung

If Medical Conditions/ Risk Factors not Continuing, specify date of last occurence

Datentyp

date

Alias
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C0011008
UMLS CUI [1,3]
C2745955
UMLS CUI [2,1]
C0035648
UMLS CUI [2,2]
C0011008
UMLS CUI [2,3]
C2745955
Relevant Medical History/ Risk Factors not noted above
Beschreibung

Relevant Medical History/ Risk Factors not noted above

Datentyp

text

Alias
UMLS CUI [1]
C0012634
UMLS CUI [2]
C0035648
Serious Adverse Events - Relevant diagnostic results
Beschreibung

Serious Adverse Events - Relevant diagnostic results

Alias
UMLS CUI-1
C1519255
UMLS CUI-2
C0430022
UMLS CUI-3
C0456984
Lab Sequence Number
Beschreibung

Lab Sequence Number

Datentyp

integer

Alias
UMLS CUI [1,1]
C0022885
UMLS CUI [1,2]
C2348184
Test Name
Beschreibung

Test Name

Datentyp

integer

Alias
UMLS CUI [1]
C0022885
Test Date
Beschreibung

Test Date

Datentyp

date

Alias
UMLS CUI [1]
C2826247
Test Result
Beschreibung

Test Result

Datentyp

text

Alias
UMLS CUI [1]
C0587081
Test Units
Beschreibung

Test Units

Datentyp

text

Alias
UMLS CUI [1]
C1519795
Normal Low Range
Beschreibung

Normal Low Range

Datentyp

text

Alias
UMLS CUI [1,1]
C0086715
UMLS CUI [1,2]
C0205251
Normal High Range
Beschreibung

Normal High Range

Datentyp

text

Alias
UMLS CUI [1,1]
C0086715
UMLS CUI [1,2]
C0205250
Relevant diagnostic results not noted above
Beschreibung

Relevant diagnostic results not noted above

Datentyp

text

Alias
UMLS CUI [1]
C0587081
Serious Adverse Events - Investigational Products
Beschreibung

Serious Adverse Events - Investigational Products

Alias
UMLS CUI-1
C1519255
UMLS CUI-2
C0013230
If Investigational product(s) stopped, did the reported event(s) recur after further investigational product(s) were administered?
Beschreibung

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

Datentyp

text

Alias
UMLS CUI [1,1]
C0013230
UMLS CUI [1,2]
C1272691
UMLS CUI [2,1]
C1519255
UMLS CUI [2,2]
C0034897
Serious Adverse Events - General narrative comments
Beschreibung

Serious Adverse Events - General narrative comments

Alias
UMLS CUI-1
C1519255
UMLS CUI-2
C0947611
General narrative comments
Beschreibung

General narrative comments

Datentyp

text

Alias
UMLS CUI [1]
C0947611
Serious Adverse Events - Non clinical
Beschreibung

Serious Adverse Events - Non clinical

Alias
UMLS CUI-1
C1519255
UMLS CUI-2
C0205210
UMLS CUI-3
C1298908
Send incomplete SAE data to GSK Safety
Beschreibung

Send incomplete SAE data to GSK Safety

Datentyp

integer

Alias
UMLS CUI [1,1]
C1519255
UMLS CUI [1,2]
C1511726
UMLS CUI [1,3]
C0205257
Receipt by GSK date
Beschreibung

Receipt by GSK date

Datentyp

datetime

Alias
UMLS CUI [1]
C2985846
Was the event serious?
Beschreibung

Was the event serious?

Datentyp

boolean

Alias
UMLS CUI [1]
C1519255
SAE Sequence Number
Beschreibung

SAE Sequence Number

Datentyp

text

Alias
UMLS CUI [1,1]
C1519255
UMLS CUI [1,2]
C2348184
Version Number
Beschreibung

Version Number

Datentyp

text

Alias
UMLS CUI [1,1]
C0333052
UMLS CUI [1,2]
C0237753
Case ID
Beschreibung

Case ID

Datentyp

text

Alias
UMLS CUI [1,1]
C1698493
UMLS CUI [1,2]
C0600091
Randomisation Number
Beschreibung

Randomisation Number

Datentyp

integer

Alias
UMLS CUI [1,1]
C0034656
UMLS CUI [1,2]
C0237753
OCEANS Code
Beschreibung

OCEANS Code

Datentyp

text

Alias
UMLS CUI [1]
C0805701
Email Flag
Beschreibung

Email Flag

Datentyp

text

Alias
UMLS CUI [1]
C0013849

Ähnliche Modelle

Logs/ Repeats - Logs and Repeats; Non- Serious Adverse Events; Serious Adverse Events

Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Logs and Repeats
C1708728 (UMLS CUI-1)
C0205341 (UMLS CUI-2)
Date of visit/assessment
Item
Date of visit/assessment
date
C1320303 (UMLS CUI [1,1])
C2985720 (UMLS CUI [1,2])
Item Group
Logs and Repeats - Adverse event/ Concomitant Medication/ Repeat Assessment Check Questions
C1708728 (UMLS CUI-1)
C0205341 (UMLS CUI-2)
C0877248 (UMLS CUI-3)
C1516048 (UMLS CUI-4)
C2347852 (UMLS CUI-5)
C1516048 (UMLS CUI-6)
Were any concomitant medications taken by the subject during the study?
Item
Were any concomitant medications taken by the subject during the study?
boolean
C2347852 (UMLS CUI [1])
Did the subject experience any non-serious adverse events during the study?
Item
Did the subject experience any non-serious adverse events during the study?
boolean
C1518404 (UMLS CUI [1])
Did the subject experience any serious adverse events during the study?
Item
Did the subject experience any serious adverse events during the study?
boolean
C1519255 (UMLS CUI [1])
Were any repeat haematology or clinical chemistry samples taken?
Item
Were any repeat haematology or clinical chemistry samples taken?
boolean
C0018941 (UMLS CUI [1,1])
C0200345 (UMLS CUI [1,2])
Were any repeat urinalysis samples taken?
Item
Were any repeat urinalysis samples taken?
boolean
C0042014 (UMLS CUI [1,1])
C0200345 (UMLS CUI [1,2])
C0205341 (UMLS CUI [1,3])
Were any repeat vital signs recorded?
Item
Were any repeat vital signs recorded?
boolean
C0518766 (UMLS CUI [1,1])
C0205341 (UMLS CUI [1,2])
Item Group
Non-serious Adverse Event (AE)
C1518404 (UMLS CUI-1)
Sequence Number
Item
Sequence Number
integer
C2348184 (UMLS CUI [1])
Event
Item
Event
text
C0877248 (UMLS CUI [1])
Modified term
Item
Modified term
text
C2826302 (UMLS CUI [1])
MedDRA synonym
Item
MedDRA synonym
text
C1140263 (UMLS CUI [1])
MedDRA lower level term code
Item
MedDRA lower level term code
text
C3898442 (UMLS CUI [1])
Failed coding
Item
Failed coding
text
C0805701 (UMLS CUI [1,1])
C0231175 (UMLS CUI [1,2])
Non-serious Adverse Event Start Date and Time
Item
Non-serious Adverse Event Start Date and Time
datetime
C1518404 (UMLS CUI [1,1])
C0808070 (UMLS CUI [1,2])
C1518404 (UMLS CUI [2,1])
C1301880 (UMLS CUI [2,2])
Item
Non-serious Adverse Event Outcome
integer
C1518404 (UMLS CUI [1,1])
C1705586 (UMLS CUI [1,2])
Code List
Non-serious Adverse Event Outcome
CL Item
Recovered/Resolved, provide End Date and Time (1)
CL Item
Recovering/Resolving (2)
CL Item
Not recovered/Not resolved (3)
CL Item
Recovered/Resolved with sequelae, provide End Date and Time (4)
Non-serious Adverse Event End Date and Time
Item
Non-serious Adverse Event End Date and Time
datetime
C1518404 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
C1518404 (UMLS CUI [2,1])
C1522314 (UMLS CUI [2,2])
Item
Non-serious Adverse Event Frequency
integer
C1518404 (UMLS CUI [1,1])
C0439603 (UMLS CUI [1,2])
Code List
Non-serious Adverse Event Frequency
CL Item
Single Episode (1)
CL Item
Intermittent (2)
Item
Non-serious Adverse Event Maximum Intensity
integer
C1518404 (UMLS CUI [1,1])
C0518690 (UMLS CUI [1,2])
Code List
Non-serious Adverse Event Maximum Intensity
CL Item
Mild (1)
CL Item
Moderate (2)
CL Item
Severe (3)
CL Item
Not applicable (4)
Item
Non-serious Adverse Event Maximum Grade
integer
C1518404 (UMLS CUI [1,1])
C0441800 (UMLS CUI [1,2])
C0806909 (UMLS CUI [1,3])
Code List
Non-serious Adverse Event Maximum Grade
CL Item
Grade 1 (1)
CL Item
Grade 2 (2)
CL Item
Grade 3 (3)
CL Item
Grade 4 (4)
CL Item
Grade 5 (5)
CL Item
Not applicable (6)
Item
Non-serious Adverse Event Maximum Grade or Intensity
integer
C1518404 (UMLS CUI [1,1])
C0441800 (UMLS CUI [1,2])
C0806909 (UMLS CUI [1,3])
C1518404 (UMLS CUI [2,1])
C0518690 (UMLS CUI [2,2])
C0806909 (UMLS CUI [2,3])
Code List
Non-serious Adverse Event Maximum Grade or Intensity
CL Item
Mild or Grade 1 (1)
CL Item
Moderate or Grade 2 (2)
CL Item
Severe or Grade 3 (3)
CL Item
Grade 4 (4)
CL Item
Grade 5 (5)
CL Item
Not applicable (6)
Item
Action Taken with Investigational Product(s) as a Result of the AE
integer
C1704758 (UMLS CUI [1,1])
C1518404 (UMLS CUI [1,2])
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)
Did the subject withdraw from study as a result of this AE?
Item
Did the subject withdraw from study as a result of this AE?
boolean
C1710677 (UMLS CUI [1,1])
C1518404 (UMLS CUI [1,2])
Is there a reasonable possibility that the AE may have been caused by the investigational product?
Item
Is there a reasonable possibility that the AE may have been caused by the investigational product?
boolean
C1518404 (UMLS CUI [1,1])
C0013230 (UMLS CUI [1,2])
C0439849 (UMLS CUI [1,3])
Duration of AE if < 24 hours
Item
Duration of AE if < 24 hours
durationDatetime
C1519255 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Time to Onset Since Last Dose
Item
Time to Onset Since Last Dose
durationDatetime
C0332162 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
C3174092 (UMLS CUI [1,3])
C1517741 (UMLS CUI [1,4])
Item Group
Serious Adverse Events (SAE)
C1519255 (UMLS CUI-1)
Item
Initial Report
integer
C0684224 (UMLS CUI [1,1])
C0205265 (UMLS CUI [1,2])
Code List
Initial Report
CL Item
Initial (1)
Item
Follow-Up Report
integer
C1704685 (UMLS CUI [1])
Code List
Follow-Up Report
CL Item
Follow- Up (1)
Did SAE occur after initiation of study medication?
Item
Did SAE occur after initiation of study medication?
boolean
C1519255 (UMLS CUI [1,1])
C0304229 (UMLS CUI [1,2])
SAE Sequence Number
Item
SAE Sequence Number
integer
C1519255 (UMLS CUI [1,1])
C2348184 (UMLS CUI [1,2])
Serious Adverse Event
Item
Serious Adverse Event
text
C1519255 (UMLS CUI [1])
Modified term
Item
Modified term
text
C2826302 (UMLS CUI [1])
MedDRA synonym
Item
MedDRA synonym
text
C1140263 (UMLS CUI [1])
MedDRA lower level term code
Item
MedDRA lower level term code
text
C3898442 (UMLS CUI [1])
Failed coding
Item
Failed coding
text
C0805701 (UMLS CUI [1,1])
C0231175 (UMLS CUI [1,2])
Serious Adverse Events Start Date and Time
Item
Serious Adverse Events Start Date and Time
datetime
C1519255 (UMLS CUI [1,1])
C0808070 (UMLS CUI [1,2])
C1519255 (UMLS CUI [2,1])
C1301880 (UMLS CUI [2,2])
Item
Serious Adverse Events Outcome
integer
C1519255 (UMLS CUI [1,1])
C1705586 (UMLS CUI [1,2])
Code List
Serious Adverse Events Outcome
CL Item
Recovered/Resolved, provide End Date (1)
CL Item
Recovering/Resolving (2)
CL Item
Not recovered/Not resolved (3)
CL Item
Recovered/Resolved with sequelae, provide End Date (4)
CL Item
Fatal, record Date and Time of Death (5)
Serious Adverse Events End Date and Time
Item
Serious Adverse Events End Date and Time
datetime
C1519255 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
C1519255 (UMLS CUI [2,1])
C1522314 (UMLS CUI [2,2])
Item
Serious Adverse Events Maximum Intensity
integer
C1519255 (UMLS CUI [1,1])
C0518690 (UMLS CUI [1,2])
C0806909 (UMLS CUI [1,3])
Code List
Serious Adverse Events Maximum Intensity
CL Item
Mild  (1)
CL Item
Moderate  (2)
CL Item
Severe  (3)
CL Item
Not applicable (4)
Item
Serious Adverse Event Maximum Grade
integer
C1519255 (UMLS CUI [1,1])
C0441800 (UMLS CUI [1,2])
C0806909 (UMLS CUI [1,3])
Code List
Serious Adverse Event Maximum Grade
CL Item
Grade 1  (1)
CL Item
Grade 2  (2)
CL Item
Grade 3  (3)
CL Item
Grade 4  (4)
CL Item
Grade 5  (5)
CL Item
Not applicable (6)
Item
Serious Adverse Event Maximum Grade or Intensity
integer
C1519255 (UMLS CUI [1,1])
C0441800 (UMLS CUI [1,2])
C0806909 (UMLS CUI [1,3])
C1519255 (UMLS CUI [2,1])
C0518690 (UMLS CUI [2,2])
C0806909 (UMLS CUI [2,3])
Code List
Serious Adverse Event Maximum Grade or Intensity
CL Item
Mild or Grade 1  (1)
CL Item
Moderate or Grade 2  (2)
CL Item
Severe or Grade 3  (3)
CL Item
Grade 4  (4)
CL Item
Grade 5  (5)
CL Item
Not applicable (6)
Item
Action Taken with Investigational Product(s) as a Result of the AE
integer
C1704758 (UMLS CUI [1,1])
C1519255 (UMLS CUI [1,2])
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)
Did the subject withdraw from study as a result of this AE?
Item
Did the subject withdraw from study as a result of this AE?
boolean
C1710677 (UMLS CUI [1,1])
C1519255 (UMLS CUI [1,2])
Is there a reasonable possibility that the AE may have been caused by the investigational product?
Item
Is there a reasonable possibility that the AE may have been caused by the investigational product?
boolean
C1519255 (UMLS CUI [1,1])
C0013230 (UMLS CUI [1,2])
C0439849 (UMLS CUI [1,3])
Duration of AE if < 24 hours
Item
Duration of AE if < 24 hours
durationDatetime
C1519255 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Time to Onset Since Last Dose
Item
Time to Onset Since Last Dose
durationDatetime
C0332162 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
C3174092 (UMLS CUI [1,3])
C1517741 (UMLS CUI [1,4])
Was SAE caused by activities related to study participation (e.g. procedures)?
Item
Was SAE caused by activities related to study participation (e.g. procedures)?
boolean
C3641099 (UMLS CUI [1,1])
C1519255 (UMLS CUI [1,2])
Was the event serious?
Item
Was the event serious?
boolean
C1519255 (UMLS CUI [1])
Item
Specify the reason for considering this an SAE.
text
C1519255 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])
Code List
Specify the reason for considering this an SAE.
CL Item
Results in death (A)
CL Item
Is life-threatening (B)
CL Item
Requires hospitalisation or prolongation of existing hospitalisation (C)
CL Item
Results in disability/incapacity (D)
CL Item
Congenital anomaly/birth defect (E)
CL Item
Other, specify within general narrative comment (F)
Item Group
Serious Adverse Event - Concomitant Medication
C1519255 (UMLS CUI-1)
C2347852 (UMLS CUI-2)
CM Sequence Number
Item
CM Sequence Number
integer
C2347852 (UMLS CUI [1,1])
C2348184 (UMLS CUI [1,2])
Drug Name
Item
Drug Name
text
C0013227 (UMLS CUI [1])
Concomitant Medication Dose
Item
Concomitant Medication Dose
text
C2347852 (UMLS CUI [1,1])
C3174092 (UMLS CUI [1,2])
Item
Concomitant Medication Unit
integer
C2826646 (UMLS CUI [1])
Code List
Concomitant Medication 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
Microgram (MCG)  (16)
CL Item
Microgram (UG)  (17)
CL Item
Microgram/kilogram  (18)
CL Item
Microgram/kilogram per minute  (19)
CL Item
Micrograms per minute  (20)
CL Item
Microlitre (21)
CL Item
Milliequivalent (22)
CL Item
Milliequivalent 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
Concomitant Medication Frequency
integer
C2826654 (UMLS CUI [1])
Code List
Concomitant Medication 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
TID  (31)
CL Item
Unknown (32)
Item
Concomitant Medication Route
integer
C2826730 (UMLS CUI [1])
Code List
Concomitant Medication 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)
Concomitant Medication Start Date
Item
Concomitant Medication Start Date
date
C2826734 (UMLS CUI [1])
Concomitant Medication Ongoing?
Item
Concomitant Medication Ongoing?
boolean
C2826666 (UMLS CUI [1])
If concomitant medication not ongoing, specify end date
Item
If concomitant medication not ongoing, specify end date
date
C2826666 (UMLS CUI [1,1])
C2826744 (UMLS CUI [1,2])
Concomitant medication Primary Indication
Item
Concomitant medication Primary Indication
text
C2826696 (UMLS CUI [1])
Item
Concomitant Medication Drug Type
integer
C2347852 (UMLS CUI [1,1])
C0457591 (UMLS CUI [1,2])
Code List
Concomitant Medication Drug Type
CL Item
Concomitant  (1)
CL Item
Treatment (2)
CL Item
Cause of SAE (3)
Item Group
Serious Adverse Event - Medical Conditions/ Risk Factors
C1519255 (UMLS CUI-1)
C0012634 (UMLS CUI-2)
C0035648 (UMLS CUI-3)
MHx Sequence Number
Item
MHx Sequence Number
text
C2348184 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
Specific Condition Name
Item
Specific Condition Name
text
C0012634 (UMLS CUI [1,1])
C2348235 (UMLS CUI [1,2])
Medical Conditions - Date of onset
Item
Medical Conditions - Date of onset
datetime
C0012634 (UMLS CUI [1,1])
C0574845 (UMLS CUI [1,2])
Item
Medical Conditions/ Risk Factors Continuing?
text
C0012634 (UMLS CUI [1,1])
C0549178 (UMLS CUI [1,2])
C0035648 (UMLS CUI [2,1])
C0549178 (UMLS CUI [2,2])
Code List
Medical Conditions/ Risk Factors Continuing?
CL Item
Yes (Y)
CL Item
No (N)
CL Item
Unknown (U)
If Medical Conditions/ Risk Factors not Continuing, specify date of last occurence
Item
If Medical Conditions/ Risk Factors not Continuing, specify date of last occurence
date
C0012634 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C2745955 (UMLS CUI [1,3])
C0035648 (UMLS CUI [2,1])
C0011008 (UMLS CUI [2,2])
C2745955 (UMLS CUI [2,3])
Relevant Medical History/ Risk Factors not noted above
Item
Relevant Medical History/ Risk Factors not noted above
text
C0012634 (UMLS CUI [1])
C0035648 (UMLS CUI [2])
Item Group
Serious Adverse Events - Relevant diagnostic results
C1519255 (UMLS CUI-1)
C0430022 (UMLS CUI-2)
C0456984 (UMLS CUI-3)
Lab Sequence Number
Item
Lab Sequence Number
integer
C0022885 (UMLS CUI [1,1])
C2348184 (UMLS CUI [1,2])
Item
Test Name
integer
C0022885 (UMLS CUI [1])
Code List
Test Name
CL Item
Activated partial thromboplastin 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
Erythrocyte sedimentation rate  (28)
CL Item
Fasting blood glucose  (29)
CL Item
FEV 1 (30)
CL Item
Gamma-glutamyltransferase  (31)
CL Item
Glutamic-oxaloacetic transferase  (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
Platelet 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 I  (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
C2826247 (UMLS CUI [1])
Test Result
Item
Test Result
text
C0587081 (UMLS CUI [1])
Test Units
Item
Test Units
text
C1519795 (UMLS CUI [1])
Normal Low Range
Item
Normal Low Range
text
C0086715 (UMLS CUI [1,1])
C0205251 (UMLS CUI [1,2])
Normal High Range
Item
Normal High Range
text
C0086715 (UMLS CUI [1,1])
C0205250 (UMLS CUI [1,2])
Relevant diagnostic results not noted above
Item
Relevant diagnostic results not noted above
text
C0587081 (UMLS CUI [1])
Item Group
Serious Adverse Events - Investigational Products
C1519255 (UMLS CUI-1)
C0013230 (UMLS CUI-2)
Item
If Investigational product(s) stopped, did the reported event(s) recur after further investigational product(s) were administered?
text
C0013230 (UMLS CUI [1,1])
C1272691 (UMLS CUI [1,2])
C1519255 (UMLS CUI [2,1])
C0034897 (UMLS CUI [2,2])
Code List
If Investigational product(s) stopped, did the reported event(s) recur after further investigational product(s) were administered?
CL Item
No (N)
CL Item
Yes (Y)
CL Item
Unknown (U)
CL Item
Not applicable (X)
Item Group
Serious Adverse Events - General narrative comments
C1519255 (UMLS CUI-1)
C0947611 (UMLS CUI-2)
General narrative comments
Item
General narrative comments
text
C0947611 (UMLS CUI [1])
Item Group
Serious Adverse Events - Non clinical
C1519255 (UMLS CUI-1)
C0205210 (UMLS CUI-2)
C1298908 (UMLS CUI-3)
Item
Send incomplete SAE data to GSK Safety
integer
C1519255 (UMLS CUI [1,1])
C1511726 (UMLS CUI [1,2])
C0205257 (UMLS CUI [1,3])
Code List
Send incomplete SAE data to GSK Safety
CL Item
Incomplete SAE (3)
Receipt by GSK date
Item
Receipt by GSK date
datetime
C2985846 (UMLS CUI [1])
Was the event serious?
Item
Was the event serious?
boolean
C1519255 (UMLS CUI [1])
SAE Sequence Number
Item
SAE Sequence Number
text
C1519255 (UMLS CUI [1,1])
C2348184 (UMLS CUI [1,2])
Version Number
Item
Version Number
text
C0333052 (UMLS CUI [1,1])
C0237753 (UMLS CUI [1,2])
Case ID
Item
Case ID
text
C1698493 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Randomisation Number
Item
Randomisation Number
integer
C0034656 (UMLS CUI [1,1])
C0237753 (UMLS CUI [1,2])
OCEANS Code
Item
OCEANS Code
text
C0805701 (UMLS CUI [1])
Email Flag
Item
Email Flag
text
C0013849 (UMLS CUI [1])

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