ID

38476

Descripción

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 be supposed to receive 24 weeks (6 months) of eltrombopag treatment during Part 2/3. Sreening 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, placebocontrolled 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: P3W8-30, 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. after that in month 3 and 6 (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). This document contains the Adverse event/ Concomitant medication/ Repeat assessment check and Liver event form. It has to be filled in for logs and repeats.

Link

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

Palabras clave

  1. 21/10/19 21/10/19 -
  2. 21/10/19 21/10/19 -
Titular de derechos de autor

GlaxoSmithKline

Subido en

21 de octubre de 2019

DOI

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Licencia

Creative Commons BY-NC 3.0

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

Logs and repeats: Adverse event/ Concomitant medication/ Repeat assessment check, Liver event

Administrative Data
Descripción

Administrative Data

Alias
UMLS CUI-1
C1320722
Subject number
Descripción

Subject number

Tipo de datos

integer

Alias
UMLS CUI [1]
C2348585
Date of visit/assessment
Descripción

day month year. Date is the start of the study for this subject.

Tipo de datos

date

Alias
UMLS CUI [1]
C1320303
UMLS CUI [2]
C2985720
Unscheduled Visit
Descripción

Unscheduled Visit

Alias
UMLS CUI-1
C0545082
UMLS CUI-2
C3854240
Did the subject have an unscheduled visit?
Descripción

Unscheduled Visit

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0545082
UMLS CUI [1,2]
C3854240
Adverse event/ Concomitant medication/ Repeat assessment check
Descripción

Adverse event/ Concomitant medication/ Repeat assessment check

Alias
UMLS CUI-1
C0877248
UMLS CUI-2
C2347852
UMLS CUI-3
C0205341
UMLS CUI-4
C1516048
Did the subject receive investigational product?
Descripción

Investigational product

Tipo de datos

text

Alias
UMLS CUI [1]
C0304229
Did the subject experience any non-serious adverse events during the study?
Descripción

NSAE during study

Tipo de datos

text

Alias
UMLS CUI [1,1]
C1518404
UMLS CUI [1,2]
C0347984
UMLS CUI [1,3]
C0008976
Did the subject experience any serious adverse events during the study?
Descripción

SAE during study

Tipo de datos

text

Alias
UMLS CUI [1,1]
C1519255
UMLS CUI [1,2]
C0347984
UMLS CUI [1,3]
C0008976
Did the subject receive ITP therapy?
Descripción

ITP therapy

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0398650
UMLS CUI [1,2]
C0087111
Were any concomitant medications taken by the subject during the study?
Descripción

Concomitant medications during study

Tipo de datos

text

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C0347984
UMLS CUI [1,3]
C0008976
Were any concomitant medications affecting ocular health taken by the subject during the study?
Descripción

Concomitant medications affecting ocular health during study

Tipo de datos

text

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C0392760
UMLS CUI [1,3]
C1299003
UMLS CUI [1,4]
C0018759
UMLS CUI [1,5]
C0347984
UMLS CUI [1,6]
C0008976
Were any blood products and blood supportive care products taken by the subject?
Descripción

Blood products, blood supportive care products

Tipo de datos

text

Alias
UMLS CUI [1]
C0456388
UMLS CUI [2]
C0018938
Did the subject have any medical/surgical procedures during the study?
Descripción

(Ensure that any dental/preventative procedures that were performed during the study are included)

Tipo de datos

text

Alias
UMLS CUI [1,1]
C1948041
UMLS CUI [1,2]
C0347984
UMLS CUI [1,3]
C0008976
Was subject unblinded as a result of an emergency?
Descripción

Subject unblinded as result of an emergency

Tipo de datos

text

Alias
UMLS CUI [1,1]
C2826259
UMLS CUI [1,2]
C0013956
Liver event
Descripción

Liver event

Alias
UMLS CUI-1
C0023884
UMLS CUI-2
C0877248
Have liver chemistry results reached or exceeded protocol-defined investigational product stopping criteria?
Descripción

If Yes to Liver Events, go to the LE DETAILS visit and complete the Liver Event forms

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0232741
UMLS CUI [1,2]
C0008000
UMLS CUI [1,3]
C0587081
UMLS CUI [1,4]
C0304229
UMLS CUI [1,5]
C2746065
UMLS CUI [1,6]
C0243161

Similar models

Logs and repeats: Adverse event/ Concomitant medication/ Repeat assessment check, Liver event

Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
Subject number
Item
Subject number
integer
C2348585 (UMLS CUI [1])
Date of visit/assessment
Item
Date of visit/assessment
date
C1320303 (UMLS CUI [1])
C2985720 (UMLS CUI [2])
Item Group
Unscheduled Visit
C0545082 (UMLS CUI-1)
C3854240 (UMLS CUI-2)
Item
Did the subject have an unscheduled visit?
text
C0545082 (UMLS CUI [1,1])
C3854240 (UMLS CUI [1,2])
Code List
Did the subject have an unscheduled visit?
CL Item
Yes (Y)
CL Item
No (N)
Item Group
Adverse event/ Concomitant medication/ Repeat assessment check
C0877248 (UMLS CUI-1)
C2347852 (UMLS CUI-2)
C0205341 (UMLS CUI-3)
C1516048 (UMLS CUI-4)
Item
Did the subject receive investigational product?
text
C0304229 (UMLS CUI [1])
Code List
Did the subject receive investigational product?
CL Item
Yes (Y)
CL Item
No (N)
Item
Did the subject experience any non-serious adverse events during the study?
text
C1518404 (UMLS CUI [1,1])
C0347984 (UMLS CUI [1,2])
C0008976 (UMLS CUI [1,3])
Code List
Did the subject experience any non-serious adverse events during the study?
CL Item
Yes (Y)
CL Item
No (N)
Item
Did the subject experience any serious adverse events during the study?
text
C1519255 (UMLS CUI [1,1])
C0347984 (UMLS CUI [1,2])
C0008976 (UMLS CUI [1,3])
Code List
Did the subject experience any serious adverse events during the study?
CL Item
Yes (Y)
CL Item
No (N)
Item
Did the subject receive ITP therapy?
text
C0398650 (UMLS CUI [1,1])
C0087111 (UMLS CUI [1,2])
Code List
Did the subject receive ITP therapy?
CL Item
Yes (Y)
CL Item
No (N)
Item
Were any concomitant medications taken by the subject during the study?
text
C2347852 (UMLS CUI [1,1])
C0347984 (UMLS CUI [1,2])
C0008976 (UMLS CUI [1,3])
Code List
Were any concomitant medications taken by the subject during the study?
CL Item
Yes (Y)
CL Item
No (N)
Item
Were any concomitant medications affecting ocular health taken by the subject during the study?
text
C2347852 (UMLS CUI [1,1])
C0392760 (UMLS CUI [1,2])
C1299003 (UMLS CUI [1,3])
C0018759 (UMLS CUI [1,4])
C0347984 (UMLS CUI [1,5])
C0008976 (UMLS CUI [1,6])
Code List
Were any concomitant medications affecting ocular health taken by the subject during the study?
CL Item
Yes (Y)
CL Item
No (N)
Item
Were any blood products and blood supportive care products taken by the subject?
text
C0456388 (UMLS CUI [1])
C0018938 (UMLS CUI [2])
Code List
Were any blood products and blood supportive care products taken by the subject?
CL Item
Yes (Y)
CL Item
No (N)
Item
Did the subject have any medical/surgical procedures during the study?
text
C1948041 (UMLS CUI [1,1])
C0347984 (UMLS CUI [1,2])
C0008976 (UMLS CUI [1,3])
Code List
Did the subject have any medical/surgical procedures during the study?
CL Item
Yes (Y)
CL Item
No (N)
Item
Was subject unblinded as a result of an emergency?
text
C2826259 (UMLS CUI [1,1])
C0013956 (UMLS CUI [1,2])
Code List
Was subject unblinded as a result of an emergency?
CL Item
Yes (Y)
CL Item
No (N)
Item Group
Liver event
C0023884 (UMLS CUI-1)
C0877248 (UMLS CUI-2)
Item
Have liver chemistry results reached or exceeded protocol-defined investigational product stopping criteria?
text
C0232741 (UMLS CUI [1,1])
C0008000 (UMLS CUI [1,2])
C0587081 (UMLS CUI [1,3])
C0304229 (UMLS CUI [1,4])
C2746065 (UMLS CUI [1,5])
C0243161 (UMLS CUI [1,6])
Code List
Have liver chemistry results reached or exceeded protocol-defined investigational product stopping criteria?
CL Item
Yes (Y)
CL Item
No (N)

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