ID

38087

Beschreibung

Study ID: 103414 Clinical Study ID: 103414 Study Title: A Multicenter, Randomized, Double-blind, Parallel Group Trial to Demonstrate the Efficacy of Fondaparinux Sodium in Association With Intermittent Pneumatic Compression (IPC) Versus IPC Used Alone for the Prevention of Venous Thromboembolic Events in Subjects at Increased Risk Undergoing Major Abdominal surgery Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00038961 https://clinicaltrials.gov/ct2/show/NCT00038961 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 3 Study Recruitment Status: Completed Generic Name: Fondaparinux Sodium Trade Name: Fondaparinux Sodium Study Indication: Thrombosis This phase III placebo-controlled trial studies the efficacy and safety of Fondaparinux as an additional prevention measure of venous thromboembolic events (VTE) in patients above the age of 40 with intermediate or high VTE risk undergoing abdominal surgery. The study consists of a Screening Visit (Visit 0), the baseline visit on Day 1, the day of the surgery (Visit 1), the treatment period (denoted in its entirety as Visit 2) consisting of administration of Fondaparinux (2.5mg subcutaneously once daily) or placebo starting on Day 1 and continuing at least up to Day 5, possibly up to Day 9, in parallel to intermittent pneumatic compression and possibly elastic stockings, followed by a mandatory bilateral venography no longer than 24 hours after study drug cessation, and finally a Follow-up Visit (Visit 3) on Day 30 +/- 2. This form contains information on the adjudication of any suspected DVT, information on which is recorded in a seperate form.

Link

https://clinicaltrials.gov/ct2/show/NCT00038961

Stichworte

Versionen (1)
  1. 16.09.19 16.09.19 -
Rechteinhaber

GlaxoSmithKline

Hochgeladen am

16. September 2019

DOI

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Lizenz

Creative Commons BY-NC 3.0
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Fondaparinux in Addition to Intermittent Pneumatic Compression in Abdominal Surgery Patients at VTE Risk - NCT00038961

Englisch

Suspected DVT Adjudication

1 Formulare  
Administrative data
Beschreibung

Administrative data

Alias
UMLS CUI-1
C1320722
Country No.
Beschreibung

Country No.

Datentyp

integer

Alias
UMLS CUI [1,1]
C0454664
UMLS CUI [1,2]
C0600091
Centre No.
Beschreibung

Centre No.

Datentyp

integer

Alias
UMLS CUI [1,1]
C1301943
UMLS CUI [1,2]
C0600091
Subject No.
Beschreibung

Clinical Trial Subject Unique Identifier

Datentyp

integer

Alias
UMLS CUI [1]
C2348585
Subject Initials
Beschreibung

Subject Initials

Datentyp

text

Alias
UMLS CUI [1,1]
C1997894
UMLS CUI [1,2]
C2986440
Suspected Deep Vein Thrombosis Adjudication Form
Beschreibung

Suspected Deep Vein Thrombosis Adjudication Form

Alias
UMLS CUI-1
C0680730
UMLS CUI-2
C0149871
UMLS CUI-3
C0750491
CRF page number
Beschreibung

CRF page number

Datentyp

float

Alias
UMLS CUI [1,1]
C1704732
UMLS CUI [1,2]
C1516308
Date of symptoms onset
Beschreibung

Date of DVT symptoms onset

Datentyp

date

Alias
UMLS CUI [1,1]
C0149871
UMLS CUI [1,2]
C0574845
UMLS CUI [1,3]
C1457887
Adjudication Results
Beschreibung

Adjudication Results

Alias
UMLS CUI-1
C0680730
UMLS CUI-2
C0149871
UMLS CUI-3
C0750491
UMLS CUI-4
C0456984
Compression ultrasonography: Date
Beschreibung

Compression ultrasonography: Date

Datentyp

date

Alias
UMLS CUI [1,1]
C2317107
UMLS CUI [1,2]
C0011008
Compression ultrasonography result: Left
Beschreibung

Compression ultrasonography result: Left

Datentyp

text

Alias
UMLS CUI [1,1]
C2317107
UMLS CUI [1,2]
C0456984
UMLS CUI [1,3]
C0205091
Compression ultrasonography result: Right
Beschreibung

Compression ultrasonography result: Right

Datentyp

text

Alias
UMLS CUI [1,1]
C2317107
UMLS CUI [1,2]
C0456984
UMLS CUI [1,3]
C0205090
Date of venography: bilateral
Beschreibung

Bilateral Venography Date

Datentyp

date

Alias
UMLS CUI [1,1]
C0031545
UMLS CUI [1,2]
C0011008
UMLS CUI [1,3]
C0238767
Date of venography: Left leg
Beschreibung

Either left leg or right leg

Datentyp

date

Alias
UMLS CUI [1,1]
C0031545
UMLS CUI [1,2]
C0011008
UMLS CUI [1,3]
C0205091
UMLS CUI [1,4]
C1140621
Date of venography: Right leg
Beschreibung

Either left leg or right leg

Datentyp

date

Alias
UMLS CUI [1,1]
C0031545
UMLS CUI [1,2]
C0011008
UMLS CUI [1,3]
C0205090
UMLS CUI [1,4]
C1140621
Venography Adjudication Results
Beschreibung

Venography Adjudication Results

Alias
UMLS CUI-1
C0680730
UMLS CUI-2
C0031545
UMLS CUI-3
C0456984
Venography site
Beschreibung

Fill in itemgroup for each of the four sites.

Datentyp

text

Alias
UMLS CUI [1,1]
C0031545
UMLS CUI [1,2]
C1515974
Venography adjudication result
Beschreibung

Venography adjudication result

Datentyp

text

Alias
UMLS CUI [1,1]
C0680730
UMLS CUI [1,2]
C0031545
UMLS CUI [1,3]
C0456984
Classification Status
Beschreibung

Classification Status

Alias
UMLS CUI-1
C0008902
Acute DVT
Beschreibung

Acute DVT

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0149871
UMLS CUI [1,2]
C0205178
Comment
Beschreibung

DVT Comment

Datentyp

text

Alias
UMLS CUI [1,1]
C0149871
UMLS CUI [1,2]
C0947611
Adjudicators
Beschreibung

Adjudicators

Alias
UMLS CUI-1
C0401783
Adjudicator Signature 1
Beschreibung

Adjudicator Signature 1

Datentyp

text

Alias
UMLS CUI [1,1]
C0401783
UMLS CUI [1,2]
C1519316
Adjudicator Signature 2
Beschreibung

Adjudicator Signature 2

Datentyp

text

Alias
UMLS CUI [1,1]
C0401783
UMLS CUI [1,2]
C1519316
Date of adjudication
Beschreibung

Date of adjudication

Datentyp

text

Alias
UMLS CUI [1]
C4740194
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Ähnliche Modelle

Suspected DVT Adjudication

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Administrative data
C1320722 (UMLS CUI-1)
Country No.
Item
Country No.
integer
C0454664 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Centre No.
Item
Centre No.
integer
C1301943 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Clinical Trial Subject Unique Identifier
Item
Subject No.
integer
C2348585 (UMLS CUI [1])
Subject Initials
Item
Subject Initials
text
C1997894 (UMLS CUI [1,1])
C2986440 (UMLS CUI [1,2])
Item Group
Suspected Deep Vein Thrombosis Adjudication Form
C0680730 (UMLS CUI-1)
C0149871 (UMLS CUI-2)
C0750491 (UMLS CUI-3)
CRF page number
Item
CRF page number
float
C1704732 (UMLS CUI [1,1])
C1516308 (UMLS CUI [1,2])
Date of DVT symptoms onset
Item
Date of symptoms onset
date
C0149871 (UMLS CUI [1,1])
C0574845 (UMLS CUI [1,2])
C1457887 (UMLS CUI [1,3])
Item Group
Adjudication Results
C0680730 (UMLS CUI-1)
C0149871 (UMLS CUI-2)
C0750491 (UMLS CUI-3)
C0456984 (UMLS CUI-4)
Compression ultrasonography: Date
Item
Compression ultrasonography: Date
date
C2317107 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
Compression ultrasonography result: Left
text
C2317107 (UMLS CUI [1,1])
C0456984 (UMLS CUI [1,2])
C0205091 (UMLS CUI [1,3])
Compression ultrasonography result: Left
Code List
Compression ultrasonography result: Left
CL Item
Compressible (Compressible)
CL Item
Non compressible (Non compressible)
CL Item
Indeterminate (Indeterminate)
CL Item
Not done (Not done)
Item
Compression ultrasonography result: Right
text
C2317107 (UMLS CUI [1,1])
C0456984 (UMLS CUI [1,2])
C0205090 (UMLS CUI [1,3])
Compression ultrasonography result: Left
Code List
Compression ultrasonography result: Right
CL Item
Compressible (Compressible)
CL Item
Non compressible (Non compressible)
CL Item
Indeterminate (Indeterminate)
CL Item
Not done (Not done)
Bilateral Venography Date
Item
Date of venography: bilateral
date
C0031545 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0238767 (UMLS CUI [1,3])
Left leg Venography Date
Item
Date of venography: Left leg
date
C0031545 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0205091 (UMLS CUI [1,3])
C1140621 (UMLS CUI [1,4])
Right leg Venography Date
Item
Date of venography: Right leg
date
C0031545 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0205090 (UMLS CUI [1,3])
C1140621 (UMLS CUI [1,4])
Item Group
Venography Adjudication Results
C0680730 (UMLS CUI-1)
C0031545 (UMLS CUI-2)
C0456984 (UMLS CUI-3)
Item
Venography site
text
C0031545 (UMLS CUI [1,1])
C1515974 (UMLS CUI [1,2])
Venography site
Code List
Venography site
CL Item
Left proximal (Left proximal)
CL Item
Left distal (Left distal)
CL Item
Right proximal (Right proximal)
CL Item
Right distal (Right distal)
Item
Venography adjudication result
text
C0680730 (UMLS CUI [1,1])
C0031545 (UMLS CUI [1,2])
C0456984 (UMLS CUI [1,3])
Venography site
Code List
Venography adjudication result
CL Item
Normal (Normal)
CL Item
ILFD (ILFD)
CL Item
Indeterminate (Indeterminate)
CL Item
Not Done (Not Done)
Item Group
Classification Status
C0008902 (UMLS CUI-1)
Acute DVT
Item
Acute DVT
boolean
C0149871 (UMLS CUI [1,1])
C0205178 (UMLS CUI [1,2])
DVT Comment
Item
Comment
text
C0149871 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
Item Group
Adjudicators
C0401783 (UMLS CUI-1)
Adjudicator Signature 1
Item
Adjudicator Signature 1
text
C0401783 (UMLS CUI [1,1])
C1519316 (UMLS CUI [1,2])
Adjudicator Signature 2
Item
Adjudicator Signature 2
text
C0401783 (UMLS CUI [1,1])
C1519316 (UMLS CUI [1,2])
Date of adjudication
Item
Date of adjudication
text
C4740194 (UMLS CUI [1])
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