ID

38437

Descrição

Study ID: 108062 Clinical Study ID: 108062 Study Title: A three part, staggered cohort, open-label and double blind, randomized, placebo controlled study to investigate the efficacy, safety, tolerability and pharmacokinetics of eltrombopag, a thrombopoietin receptor agonist, in previously treated pediatric patients with chronic idiopathic thrombocytopenic purpura (ITP). Eltrombopag PETIT: Eltrombopag in PEdiatric patients with Thrombocytopenia from ITP Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00908037 https://clinicaltrials.gov/ct2/show/NCT00908037 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 2 Study Recruitment Status: Completed Generic Name: eltrombopag, Placebo Trade Name: N/A Study Indication: Purpura, Thrombocytopaenic, Idiopathic The study consists of a screening, Day 1 and three parts. All subjects were supposed to receive 24 weeks (6 months) of eltrombopag treatment during Part 2/3. Screening period: Up to 28 days prior to Day 1 of treatment. Day 1 Part 1 (Dose Finding Phase): A 24-week (6 months) open label treatment period for 5 subjects in each age cohort. (short: P1W1-P1W7, P1W8-23, P1W24/EW). A safety, PK and platelet count review took place after 12 weeks (3 months) of treatment. Subjects in the Dose Finding Phase did not participate in the Randomized Period. Part 2 (Randomized Period): A 7-week randomized, double-blind, placebo-controlled period involving 18 subjects per cohort (short: P2W1-P2W7). Part 3: An open-label treatment period where subjects randomized to eltrombopag in Part 2 received an additional 17 weeks of eltrombopag in Part 3 and subjects randomized to placebo in Part 2 received 24 weeks of eltrombopag in Part 3 (short: P3W8-P3W23, P3W24/EW, P3W8-30, P3W31/EW). Follow-up: 4 weeks following the last dose of eltrombopag (short: FUW1- FUW4). Additional ocular examinations were performed at 12 and 24 weeks (3 and 6 months) after the last dose of eltrombopag (short: FUM3, FUM6). The subjects were enrolled in 3 cohorts: Cohort 1: Subjects between 12 and 17 years old (<18 years of age at Day 1). Cohort 2: Subjects between 6 and 11 years old (<12 years of age at Day 1). Cohort 3: Subjects between 1 and 5 years old (<6 years of age at Day 1). The enrollment was started with the oldest cohort (Cohort 1). The younger cohorts were not enrolled until safety, PK and platelet counts had been reviewed in the older cohort(s). This document contains the Ocular history form. It has to be filled in for screening and for Day 1.

Link

https://clinicaltrials.gov/ct2/show/NCT00908037

Palavras-chave

  1. 17/10/2019 17/10/2019 -
  2. 26/11/2019 26/11/2019 - Sarah Riepenhausen
Titular dos direitos

GlaxoSmithKline

Transferido a

17 de outubro de 2019

DOI

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Licença

Creative Commons BY-NC 3.0

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Effects of eltrombopag in children with chronic idiopathic thrombocytopenic purpura, NCT00908037

Ocular history

  1. StudyEvent: ODM
    1. Ocular history
Administrative Data
Descrição

Administrative Data

Alias
UMLS CUI-1
C1320722
Subject number
Descrição

Subject number

Tipo de dados

integer

Alias
UMLS CUI [1]
C2348585
Date of Visit
Descrição

day month year

Tipo de dados

date

Alias
UMLS CUI [1]
C1320303
Visit type
Descrição

Please note for which visit you'll fill in this document.

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0545082
UMLS CUI [1,2]
C0332307
Ocular history and risk factors
Descrição

Ocular history and risk factors

Alias
UMLS CUI-1
C1299003
UMLS CUI-2
C0262926
UMLS CUI-3
C1299003
UMLS CUI-4
C0035648
Actual Date of Assessment
Descrição

day month year

Tipo de dados

date

Alias
UMLS CUI [1]
C2985720
Subject has visually significant cataracts
Descrição

Visually significant cataracts

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0086543
UMLS CUI [1,2]
C3665347
Cataract risk factors: Chronic steroid use
Descrição

Cataract risk factors: Chronic steroid use

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0086543
UMLS CUI [1,2]
C0035648
UMLS CUI [2,1]
C0281991
UMLS CUI [2,2]
C0205191
Cataract risk factors: Family history of cataract at a young (<60 yo) age
Descrição

Cataract risk factors: Family history of cataract

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0086543
UMLS CUI [1,2]
C0035648
UMLS CUI [2,1]
C0241889
UMLS CUI [2,2]
C0086543
UMLS CUI [2,3]
C1833334
Cataract risk factors: History of radiation treatment to the head or orbit
Descrição

Cataract risk factors: History of radiation treatment to the head or orbit

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0086543
UMLS CUI [1,2]
C0035648
UMLS CUI [2,1]
C0262926
UMLS CUI [2,2]
C1522449
UMLS CUI [2,3]
C0018670
UMLS CUI [3,1]
C0262926
UMLS CUI [3,2]
C1522449
UMLS CUI [3,3]
C0029180
Cataract risk factors: Diabetes mellitus
Descrição

Cataract risk factors: Diabetes mellitus

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0086543
UMLS CUI [1,2]
C0035648
UMLS CUI [2]
C0011849
Cataract risk factors: History of intraocular surgery
Descrição

Cataract risk factors: History of intraocular surgery

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0086543
UMLS CUI [1,2]
C0035648
UMLS CUI [2,1]
C0262926
UMLS CUI [2,2]
C0543467
UMLS CUI [2,3]
C3282905
Cataract risk factors: History of ocular disease requiring medical treatment
Descrição

Cataract risk factors: History of ocular disease requiring medical treatment

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0086543
UMLS CUI [1,2]
C0035648
UMLS CUI [2,1]
C0262926
UMLS CUI [2,2]
C0015397
UMLS CUI [2,3]
C1514873
UMLS CUI [2,4]
C0087111
Cataract risk factors: Serious eye trauma
Descrição

Cataract risk factors: Serious eye trauma

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0086543
UMLS CUI [1,2]
C0035648
UMLS CUI [2,1]
C0205404
UMLS CUI [2,2]
C0015408
Cataract risk factors: Chronic exposure to UV light
Descrição

Cataract risk factors: Chronic exposure to UV light

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0086543
UMLS CUI [1,2]
C0035648
UMLS CUI [2,1]
C0205191
UMLS CUI [2,2]
C0332157
UMLS CUI [2,3]
C0041625
Cataract risk factors: Gout
Descrição

Cataract risk factors: Gout

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0086543
UMLS CUI [1,2]
C0035648
UMLS CUI [2]
C0018099
Cataract risk factors: Cigarette use
Descrição

Cataract risk factors: Cigarette use

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0086543
UMLS CUI [1,2]
C0035648
UMLS CUI [2]
C0694535
Cataract risk factors: Alcohol abuse
Descrição

Cataract risk factors: Alcohol abuse

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0086543
UMLS CUI [1,2]
C0035648
UMLS CUI [2]
C0085762
Cataract risk factors: Other
Descrição

Cataract risk factors: Other

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0086543
UMLS CUI [1,2]
C0035648
UMLS CUI [1,3]
C0205394
If other cataract risk factors, please specify
Descrição

Other cataract risk factors, specification

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0086543
UMLS CUI [1,2]
C0035648
UMLS CUI [1,3]
C0205394
UMLS CUI [1,4]
C2348235

Similar models

Ocular history

  1. StudyEvent: ODM
    1. Ocular history
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
Subject number
Item
Subject number
integer
C2348585 (UMLS CUI [1])
Date of Visit
Item
Date of Visit
date
C1320303 (UMLS CUI [1])
Item
Visit type
integer
C0545082 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
Code List
Visit type
CL Item
Screening (1)
CL Item
Day 1 (2)
Item Group
Ocular history and risk factors
C1299003 (UMLS CUI-1)
C0262926 (UMLS CUI-2)
C1299003 (UMLS CUI-3)
C0035648 (UMLS CUI-4)
Actual Date of Assessment
Item
Actual Date of Assessment
date
C2985720 (UMLS CUI [1])
Item
Subject has visually significant cataracts
text
C0086543 (UMLS CUI [1,1])
C3665347 (UMLS CUI [1,2])
Code List
Subject has visually significant cataracts
CL Item
No (N)
CL Item
OD (Right Eye) (OD)
CL Item
OS (Left Eye) (OS)
CL Item
OU (Both Eyes) (OU)
Item
Cataract risk factors: Chronic steroid use
text
C0086543 (UMLS CUI [1,1])
C0035648 (UMLS CUI [1,2])
C0281991 (UMLS CUI [2,1])
C0205191 (UMLS CUI [2,2])
Code List
Cataract risk factors: Chronic steroid use
CL Item
Yes (Y)
CL Item
No (N)
Item
Cataract risk factors: Family history of cataract at a young (<60 yo) age
text
C0086543 (UMLS CUI [1,1])
C0035648 (UMLS CUI [1,2])
C0241889 (UMLS CUI [2,1])
C0086543 (UMLS CUI [2,2])
C1833334 (UMLS CUI [2,3])
Code List
Cataract risk factors: Family history of cataract at a young (<60 yo) age
CL Item
Yes (Y)
CL Item
No (N)
Item
Cataract risk factors: History of radiation treatment to the head or orbit
text
C0086543 (UMLS CUI [1,1])
C0035648 (UMLS CUI [1,2])
C0262926 (UMLS CUI [2,1])
C1522449 (UMLS CUI [2,2])
C0018670 (UMLS CUI [2,3])
C0262926 (UMLS CUI [3,1])
C1522449 (UMLS CUI [3,2])
C0029180 (UMLS CUI [3,3])
Code List
Cataract risk factors: History of radiation treatment to the head or orbit
CL Item
Yes (Y)
CL Item
No (N)
Item
Cataract risk factors: Diabetes mellitus
text
C0086543 (UMLS CUI [1,1])
C0035648 (UMLS CUI [1,2])
C0011849 (UMLS CUI [2])
Code List
Cataract risk factors: Diabetes mellitus
CL Item
Yes (Y)
CL Item
No (N)
Item
Cataract risk factors: History of intraocular surgery
text
C0086543 (UMLS CUI [1,1])
C0035648 (UMLS CUI [1,2])
C0262926 (UMLS CUI [2,1])
C0543467 (UMLS CUI [2,2])
C3282905 (UMLS CUI [2,3])
Code List
Cataract risk factors: History of intraocular surgery
CL Item
Yes (Y)
CL Item
No (N)
Item
Cataract risk factors: History of ocular disease requiring medical treatment
text
C0086543 (UMLS CUI [1,1])
C0035648 (UMLS CUI [1,2])
C0262926 (UMLS CUI [2,1])
C0015397 (UMLS CUI [2,2])
C1514873 (UMLS CUI [2,3])
C0087111 (UMLS CUI [2,4])
Code List
Cataract risk factors: History of ocular disease requiring medical treatment
CL Item
Yes (Y)
CL Item
No (N)
Item
Cataract risk factors: Serious eye trauma
text
C0086543 (UMLS CUI [1,1])
C0035648 (UMLS CUI [1,2])
C0205404 (UMLS CUI [2,1])
C0015408 (UMLS CUI [2,2])
Code List
Cataract risk factors: Serious eye trauma
CL Item
Yes (Y)
CL Item
No (N)
Item
Cataract risk factors: Chronic exposure to UV light
text
C0086543 (UMLS CUI [1,1])
C0035648 (UMLS CUI [1,2])
C0205191 (UMLS CUI [2,1])
C0332157 (UMLS CUI [2,2])
C0041625 (UMLS CUI [2,3])
Code List
Cataract risk factors: Chronic exposure to UV light
CL Item
Yes (Y)
CL Item
No (N)
Item
Cataract risk factors: Gout
text
C0086543 (UMLS CUI [1,1])
C0035648 (UMLS CUI [1,2])
C0018099 (UMLS CUI [2])
Code List
Cataract risk factors: Gout
CL Item
Yes (Y)
CL Item
No (N)
Item
Cataract risk factors: Cigarette use
text
C0086543 (UMLS CUI [1,1])
C0035648 (UMLS CUI [1,2])
C0694535 (UMLS CUI [2])
Code List
Cataract risk factors: Cigarette use
CL Item
Yes (Y)
CL Item
No (N)
Item
Cataract risk factors: Alcohol abuse
text
C0086543 (UMLS CUI [1,1])
C0035648 (UMLS CUI [1,2])
C0085762 (UMLS CUI [2])
Code List
Cataract risk factors: Alcohol abuse
CL Item
Yes (Y)
CL Item
No (N)
Item
Cataract risk factors: Other
text
C0086543 (UMLS CUI [1,1])
C0035648 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
Code List
Cataract risk factors: Other
CL Item
Yes (Y)
CL Item
No (N)
Other cataract risk factors, specification
Item
If other cataract risk factors, please specify
text
C0086543 (UMLS CUI [1,1])
C0035648 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])

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