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ID

38162

Beskrivning

Study ID: 105-123 Clinical Study ID: 105-123 Study Title: Lamotrigine as add-on therapy in patients with clinical diagnosis of a Lennox-Gastaut syndrome (severe generalised epilepsy of childhood onset.) A multicentre, double-blind, placebo controlled parallel group study Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Sponsor: GlaxoSmithKline Phase: Phase 3 Study Recruitment Status: Completed Generic Name: Lamotrigine Study Indication: Seizures

Nyckelord

Versioner (1)
  1. 23-09-19 23-09-19 -
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GlaxoSmithKline

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23 september 2019

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Creative Commons BY-NC 3.0
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    Lamotrigine as add-on therapy in patients with a clinical diagnosis of a Lennox-Gastaut syndrome (105-123)

    Engelsk

    Comment Log; Investigator's Statement

    1 Formulär  
    Administrative
    Beskrivning

    Administrative

    Alias
    UMLS CUI-1
    C1320722
    Patient's initials
    Beskrivning

    Patient's initials

    Datatyp

    text

    Alias
    UMLS CUI [1]
    C2986440
    Patient's trial number
    Beskrivning

    Patient's trial number

    Datatyp

    text

    Alias
    UMLS CUI [1]
    C2348585
    Center number
    Beskrivning

    Center number

    Datatyp

    text

    Alias
    UMLS CUI [1,1]
    C1301943
    UMLS CUI [1,2]
    C0600091
    Comment Log
    Beskrivning

    Comment Log

    Alias
    UMLS CUI-1
    C0947611
    Date
    Beskrivning

    Date

    Datatyp

    date

    Alias
    UMLS CUI [1]
    C0011008
    Comments
    Beskrivning

    Comments

    Datatyp

    text

    Alias
    UMLS CUI [1]
    C0947611
    Investigator's Statement
    Beskrivning

    Investigator's Statement

    Alias
    UMLS CUI-1
    C0008961
    UMLS CUI-2
    C1710187
    Principal Investigator's signature
    Beskrivning

    I confirm that I have carefully examined all entries on the Case Report Forms for this patient. All Information entered by myself or my colleagues is, to the best of my knowledge, correct as of the date below.

    Datatyp

    text

    Alias
    UMLS CUI [1,1]
    C1519316
    UMLS CUI [1,2]
    C1521895
    Principal Investigator's Name
    Beskrivning

    Principal Investigator's Name

    Datatyp

    text

    Alias
    UMLS CUI [1]
    C2826892
    Signature Date
    Beskrivning

    Signature Date

    Datatyp

    date

    Alias
    UMLS CUI [1,1]
    C2346576
    UMLS CUI [1,2]
    C0011008
    Tillbaka till toppen

    Similar models

    Comment Log; Investigator's Statement

    1 Formulär
    Name
    Typ
    Description | Question | Decode (Coded Value)
    Datatyp
    Alias
    Item Group
    Administrative
    C1320722 (UMLS CUI-1)
    Patient's initials
    Item
    Patient's initials
    text
    C2986440 (UMLS CUI [1])
    Patient's trial number
    Item
    Patient's trial number
    text
    C2348585 (UMLS CUI [1])
    Center number
    Item
    Center number
    text
    C1301943 (UMLS CUI [1,1])
    C0600091 (UMLS CUI [1,2])
    Item Group
    Comment Log
    C0947611 (UMLS CUI-1)
    Date
    Item
    Date
    date
    C0011008 (UMLS CUI [1])
    Comments
    Item
    Comments
    text
    C0947611 (UMLS CUI [1])
    Item Group
    Investigator's Statement
    C0008961 (UMLS CUI-1)
    C1710187 (UMLS CUI-2)
    Principal Investigator's signature
    Item
    Principal Investigator's signature
    text
    C1519316 (UMLS CUI [1,1])
    C1521895 (UMLS CUI [1,2])
    Principal Investigator's Name
    Item
    Principal Investigator's Name
    text
    C2826892 (UMLS CUI [1])
    Signature Date
    Item
    Signature Date
    date
    C2346576 (UMLS CUI [1,1])
    C0011008 (UMLS CUI [1,2])
    Tillbaka till toppen 

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