ID

38858

Descrição

Study ID: 111364 Clinical Study ID: 111364 Study Title: A 28-Day, Polysomnographic and subjective assessment of Vestipitant (15mg/day) for the treatment of Primary Insomnia in adult Outpatients Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00992160 Clinicaltrials.gov Links: https://clinicaltrials.gov/ct2/show/NCT00992160 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 2 Study Recruitment Status: Completed Generic Name: Vestipitant, Placebo Trade Name: N/A Study Indication: Primary Insomnia, Sleep Disorders This phase II, placebo-controlled, double-blind trial studies the polysomnographic and subjective effect of the neurokinin (NK1) antagonist vestipitant (15mg/day at bedtime) for the treatment of primary insomnia in adult outpatients over a period of four weeks. The study consists of a clinical Screening Visit (Visit 1), up to 21 days before investigational product/placebo initiation, two screening polysomnographies (Visits 2 and 3), followed by a placebo run-in until Visit 4, at which the subject is randomized to vestipitant or placebo, taken every night for 28 days. On Day 1 and 2 (Visits 4 and 5), polysomnographies are performed. Visit 6 is a safety visit on Day 15. On Day 27 and 28, Visits 7 and 8 are performed, which again include polysomnography studies. Subjects then undergo a 7 to 10 day placebo run-out period and have Day 7 and Day 14 Follow-Up Visit (Visits 9 and 10). The purpose of this form is to record the results of the subject's ECG and should be filled out at Visit 1, 6, 7 (10h), EW, Day 7 Follow Up and Day 14 Follow Up and can be repeated in "logs/repeats" (unscheduled).

Link

https://clinicaltrials.gov/ct2/show/NCT00992160

Palavras-chave

  1. 24/02/2019 24/02/2019 -
  2. 01/03/2019 01/03/2019 -
  3. 10/11/2019 10/11/2019 -
Titular dos direitos

GlaxoSmithKline

Transferido a

10 de novembro de 2019

DOI

Para um pedido faça login.

Licença

Creative Commons BY-NC 3.0

Comentários do modelo :

Aqui pode comentar o modelo. Pode comentá-lo especificamente através dos balões de texto nos grupos de itens e itens.

Comentários do grupo de itens para :

Comentários do item para :

Para descarregar formulários, precisa de ter uma sessão iniciada. Por favor faça login ou registe-se gratuitamente.

Polysomnographic Assessment of Vestipitant for the Treatment of Primary Insomnia NCT00992160

  1. StudyEvent: ODM
    1. 12-Lead-ECG
Administrative Data
Descrição

Administrative Data

Alias
UMLS CUI-1
C1320722
Date of Visit/Assessment
Descrição

Date of Visit/Assessment

Tipo de dados

date

Alias
UMLS CUI [1]
C1320303
UMLS CUI [2]
C2985720
Site
Descrição

Study site

Tipo de dados

text

Alias
UMLS CUI [1]
C2825164
Patient
Descrição

Patient

Tipo de dados

text

Alias
UMLS CUI [1]
C1299487
Patient No.
Descrição

Subject No.

Tipo de dados

text

Alias
UMLS CUI [1]
C2348585
Study Visit
Descrição

Visit Type

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0545082
UMLS CUI [1,2]
C0332307
Dosing Date and Time
Descrição

Dosing Date and Time

Alias
UMLS CUI-1
C0013227
UMLS CUI-2
C0178602
UMLS CUI-3
C1264639
Dosing date/time
Descrição

This item applies to Visits 6 and 7 only

Tipo de dados

datetime

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0178602
UMLS CUI [1,3]
C1264639
12-Lead ECG
Descrição

12-Lead ECG

Alias
UMLS CUI-1
C0430456
Measurement Type
Descrição

At Visit 1 / Screening, select "Measurement 1". At Visit 6 and EW, select "Timepoint 1". At Visit 7, select "10h". For all other visits, skip this item.

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0242485
UMLS CUI [1,2]
C0332307
Date and Time of ECG
Descrição

ECG Date/Time

Tipo de dados

datetime

Alias
UMLS CUI [1,1]
C0430456
UMLS CUI [1,2]
C1264639
Result of the ECG
Descrição

If Abnormal - Clinically significant: complete the AE form if the abnormality meets the protocol definition for an AE

Tipo de dados

text

Alias
UMLS CUI [1]
C0438154

Similar models

12-Lead-ECG

  1. StudyEvent: ODM
    1. 12-Lead-ECG
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
Date of Visit/Assessment
Item
Date of Visit/Assessment
date
C1320303 (UMLS CUI [1])
C2985720 (UMLS CUI [2])
Study site
Item
Site
text
C2825164 (UMLS CUI [1])
Patient
Item
Patient
text
C1299487 (UMLS CUI [1])
Subject No.
Item
Patient No.
text
C2348585 (UMLS CUI [1])
Item
Study Visit
text
C0545082 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
Code List
Study Visit
CL Item
Visit 1 (Visit 1)
CL Item
Visit 6 (Visit 6)
CL Item
Visit 7 (Visit 7)
CL Item
EW (EW)
CL Item
Day 7 Follow Up (Day 7 Follow Up)
CL Item
Day 14 Follow Up (Day 14 Follow Up)
CL Item
Logs/Repeats (Logs/Repeats)
Item Group
Dosing Date and Time
C0013227 (UMLS CUI-1)
C0178602 (UMLS CUI-2)
C1264639 (UMLS CUI-3)
Dosing date/time
Item
Dosing date/time
datetime
C0013227 (UMLS CUI [1,1])
C0178602 (UMLS CUI [1,2])
C1264639 (UMLS CUI [1,3])
Item Group
12-Lead ECG
C0430456 (UMLS CUI-1)
Item
Measurement Type
text
C0242485 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
Code List
Measurement Type
CL Item
Measurement 1 (Measurement 1)
CL Item
Timepoint 1 (Timepoint 1)
CL Item
10h (10h)
ECG Date/Time
Item
Date and Time of ECG
datetime
C0430456 (UMLS CUI [1,1])
C1264639 (UMLS CUI [1,2])
Item
Result of the ECG
text
C0438154 (UMLS CUI [1])
Code List
Result of the ECG
CL Item
Normal (Normal)
CL Item
Abnormal - Not clinically significant (Abnormal - Not clinically significant)
CL Item
No result (not available) (No result (not available))
CL Item
Abnormal - Clinically significant (Abnormal - Clinically significant)

Use este formulário para feedback, perguntas e sugestões de aperfeiçoamento.

Campos marcados com * são obrigatórios.

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial