ID
39069
Description
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 Laboratories form. It contains the clinical chemistry, renal assessment, clinical haematology, clinical coagulaion and the blood smear result. It has to be filled in for screening and Day 1, for all visits of part 2 and part 3. Clinical chemistry and haematology also has to be filled in for thw weekly follow-up visits.
Link
https://clinicaltrials.gov/ct2/show/NCT00908037
Keywords
Versions (2)
- 10/17/19 10/17/19 -
- 11/26/19 11/26/19 - Sarah Riepenhausen
Copyright Holder
GlaxoSmithKline
Uploaded on
November 26, 2019
DOI
To request one please log in.
License
Creative Commons BY-NC 3.0
Model comments :
You can comment on the data model here. Via the speech bubbles at the itemgroups and items you can add comments to those specificially.
Itemgroup comments for :
Item comments for :
In order to download data models you must be logged in. Please log in or register for free.
Effects of eltrombopag in children with chronic idiopathic thrombocytopenic purpura, NCT00908037
Laboratories
- StudyEvent: ODM
Description
Lab name and address Clinical chemistry
Alias
- UMLS CUI-1
- C0022877
- UMLS CUI-2
- C1442065
- UMLS CUI-3
- C0027365
- UMLS CUI-4
- C0008000
Description
Clinical chemistry
Alias
- UMLS CUI-1
- C0008000
Description
day month year
Data type
date
Alias
- UMLS CUI [1]
- C1302413
Description
Fill in this itemgroup for each analyte.
Data type
integer
Alias
- UMLS CUI [1,1]
- C0022885
- UMLS CUI [1,2]
- C0008000
Description
If you tick "Numeric result" and/or "Character result", fill in for both if clinically significant in the appropriate items.
Data type
text
Alias
- UMLS CUI [1,1]
- C0022885
- UMLS CUI [1,2]
- C0008000
- UMLS CUI [1,3]
- C1274040
Description
Numeric result
Data type
float
Alias
- UMLS CUI [1]
- C2347373
Description
Numeric result, Clinical significance
Data type
text
Alias
- UMLS CUI [1,1]
- C2826293
- UMLS CUI [1,2]
- C0008000
- UMLS CUI [1,3]
- C2347373
Description
Character result
Data type
text
Alias
- UMLS CUI [1,1]
- C2350015
- UMLS CUI [1,2]
- C1274040
Description
Character result, Clinical significance
Data type
text
Alias
- UMLS CUI [1,1]
- C2826293
- UMLS CUI [1,2]
- C0008000
- UMLS CUI [1,3]
- C2350015
Description
Lab name and address renal assessment
Alias
- UMLS CUI-1
- C0022877
- UMLS CUI-2
- C1442065
- UMLS CUI-3
- C0027365
- UMLS CUI-4
- C0022646
- UMLS CUI-5
- C1516048
Description
Renal assessment - Dipstick details
Alias
- UMLS CUI-1
- C0022646
- UMLS CUI-2
- C1516048
- UMLS CUI-3
- C0430370
Description
day month year
Data type
date
Alias
- UMLS CUI [1]
- C1302413
Description
Fill in this itemgroup for each analyte.
Data type
integer
Alias
- UMLS CUI [1]
- C0430370
Description
If you tick "Numeric result" and/or "Character result", fill in for both if clinically significant in the appropriate items.
Data type
text
Alias
- UMLS CUI [1,1]
- C0430370
- UMLS CUI [1,2]
- C0456984
Description
Numeric result
Data type
float
Alias
- UMLS CUI [1]
- C2347373
Description
Numeric result, Clinical significance
Data type
text
Alias
- UMLS CUI [1,1]
- C2826293
- UMLS CUI [1,2]
- C0022646
- UMLS CUI [1,3]
- C1516048
- UMLS CUI [1,4]
- C2347373
Description
Character result
Data type
text
Alias
- UMLS CUI [1,1]
- C2350015
- UMLS CUI [1,2]
- C1274040
Description
Character result, Clinical significance
Data type
text
Alias
- UMLS CUI [1,1]
- C2826293
- UMLS CUI [1,2]
- C0022646
- UMLS CUI [1,3]
- C1516048
- UMLS CUI [1,4]
- C2350015
Description
Renal assessment - Microscopy details
Alias
- UMLS CUI-1
- C0022646
- UMLS CUI-2
- C1516048
- UMLS CUI-3
- C0430397
Description
Fill in this itemgroup for each finding.
Data type
integer
Alias
- UMLS CUI [1]
- C0430397
Description
If you tick "Numeric result" and/or "Character result", fill in for both if clinically significant in the appropriate items.
Data type
text
Alias
- UMLS CUI [1,1]
- C0430397
- UMLS CUI [1,2]
- C0456984
Description
Numeric result
Data type
float
Alias
- UMLS CUI [1]
- C2347373
Description
Numeric result, Clinical significance
Data type
text
Alias
- UMLS CUI [1,1]
- C2826293
- UMLS CUI [1,2]
- C0022646
- UMLS CUI [1,3]
- C1516048
- UMLS CUI [1,4]
- C2347373
Description
Character result
Data type
text
Alias
- UMLS CUI [1,1]
- C2350015
- UMLS CUI [1,2]
- C1274040
Description
Character result, Clinical significance
Data type
text
Alias
- UMLS CUI [1,1]
- C2826293
- UMLS CUI [1,2]
- C0022646
- UMLS CUI [1,3]
- C1516048
- UMLS CUI [1,4]
- C2350015
Description
Creatinine Clearance
Alias
- UMLS CUI-1
- C0373595
Description
If you tick "Numeric result" and/or "Character result", fill in for both if clinically significant in the appropriate items.
Data type
text
Alias
- UMLS CUI [1,1]
- C0373595
- UMLS CUI [1,2]
- C0456984
Description
Numeric result
Data type
float
Alias
- UMLS CUI [1]
- C2347373
Description
Numeric result, Clinical significance
Data type
text
Alias
- UMLS CUI [1,1]
- C2826293
- UMLS CUI [1,2]
- C0373595
- UMLS CUI [1,3]
- C2347373
Description
Character result
Data type
text
Alias
- UMLS CUI [1,1]
- C2350015
- UMLS CUI [1,2]
- C1274040
Description
Character result, Clinical significance
Data type
text
Alias
- UMLS CUI [1,1]
- C2826293
- UMLS CUI [1,2]
- C0373595
- UMLS CUI [1,3]
- C2350015
Description
Urine Total Protein/Creatinine Ratio
Alias
- UMLS CUI-1
- C1096054
Description
If you tick "Numeric result" and/or "Character result", fill in for both if clinically significant in the appropriate items.
Data type
text
Alias
- UMLS CUI [1,1]
- C1096054
- UMLS CUI [1,2]
- C0456984
Description
Numeric result
Data type
float
Alias
- UMLS CUI [1]
- C2347373
Description
Numeric result, Clinical significance
Data type
text
Alias
- UMLS CUI [1,1]
- C2826293
- UMLS CUI [1,2]
- C1096054
- UMLS CUI [1,3]
- C2347373
Description
Character result
Data type
text
Alias
- UMLS CUI [1,1]
- C2350015
- UMLS CUI [1,2]
- C1274040
Description
Character result, Clinical significance
Data type
text
Alias
- UMLS CUI [1,1]
- C2826293
- UMLS CUI [1,2]
- C1096054
- UMLS CUI [1,3]
- C2350015
Description
Urine Protein Electrophoresis
Alias
- UMLS CUI-1
- C0201721
Description
(if UP/C is abnormal) If you tick "Numeric result" and/or "Character result", fill in for both if clinically significant in the appropriate items.
Data type
text
Alias
- UMLS CUI [1,1]
- C0201721
- UMLS CUI [1,2]
- C0456984
Description
Numeric result
Data type
float
Alias
- UMLS CUI [1]
- C2347373
Description
Numeric result, Clinical significance
Data type
text
Alias
- UMLS CUI [1,1]
- C2826293
- UMLS CUI [1,2]
- C0201721
- UMLS CUI [1,3]
- C2347373
Description
Character result
Data type
text
Alias
- UMLS CUI [1,1]
- C2350015
- UMLS CUI [1,2]
- C1274040
Description
Character result, Clinical significance
Data type
text
Alias
- UMLS CUI [1,1]
- C2826293
- UMLS CUI [1,2]
- C0201721
- UMLS CUI [1,3]
- C2350015
Description
Albumin
Data type
float
Measurement units
- %
Alias
- UMLS CUI [1,1]
- C0201838
- UMLS CUI [1,2]
- C0201721
Description
Alpha 1 globulin
Data type
float
Measurement units
- %
Alias
- UMLS CUI [1,1]
- C0860678
- UMLS CUI [1,2]
- C0201721
Description
Alpha 2 globulin
Data type
float
Measurement units
- %
Alias
- UMLS CUI [1,1]
- C0855580
- UMLS CUI [1,2]
- C0201721
Description
Beta globulin
Data type
float
Measurement units
- %
Alias
- UMLS CUI [1,1]
- C0005157
- UMLS CUI [1,2]
- C0201721
Description
Gamma globulin
Data type
float
Measurement units
- %
Alias
- UMLS CUI [1,1]
- C0860681
- UMLS CUI [1,2]
- C0201721
Description
Lab name and address hematology
Alias
- UMLS CUI-1
- C0022877
- UMLS CUI-2
- C1442065
- UMLS CUI-3
- C0027365
- UMLS CUI-4
- C0474523
Description
Haematology
Alias
- UMLS CUI-1
- C0474523
- UMLS CUI-2
- C0022885
Description
day month year
Data type
date
Alias
- UMLS CUI [1]
- C1302413
Description
Note: for Reticulocytes: Enter only if hemoglobin <10 g/dl; otherwise enter No result. Fill in this itemgroup for each test.
Data type
integer
Alias
- UMLS CUI [1]
- C0018941
Description
If you tick "Numeric result" and/or "Character result", fill in for both if clinically significant in the appropriate items.
Data type
text
Alias
- UMLS CUI [1,1]
- C0022885
- UMLS CUI [1,2]
- C0018941
- UMLS CUI [1,3]
- C1274040
Description
Numeric result
Data type
float
Alias
- UMLS CUI [1]
- C2347373
Description
Numeric result, Clinical significance
Data type
text
Alias
- UMLS CUI [1,1]
- C2826293
- UMLS CUI [1,2]
- C0474523
- UMLS CUI [1,3]
- C2347373
Description
Character result
Data type
text
Alias
- UMLS CUI [1,1]
- C2350015
- UMLS CUI [1,2]
- C1274040
Description
Character result, Clinical significance
Data type
text
Alias
- UMLS CUI [1,1]
- C2826293
- UMLS CUI [1,2]
- C0474523
- UMLS CUI [1,3]
- C2350015
Description
Lab name and address coagulation
Alias
- UMLS CUI-1
- C0022877
- UMLS CUI-2
- C1442065
- UMLS CUI-3
- C0027365
- UMLS CUI-4
- C0005778
Description
Coagulation
Alias
- UMLS CUI-1
- C0005778
Description
day month year
Data type
date
Alias
- UMLS CUI [1]
- C1302413
Description
Fill in this itemgroup for each test.
Data type
integer
Alias
- UMLS CUI [1]
- C0018941
Description
If you tick "Numeric result" and/or "Character result", fill in for both if clinically significant in the appropriate items.
Data type
text
Alias
- UMLS CUI [1,1]
- C0022885
- UMLS CUI [1,2]
- C0005790
- UMLS CUI [1,3]
- C1274040
Description
Numeric result
Data type
float
Alias
- UMLS CUI [1]
- C2347373
Description
Numeric result, Clinical significance
Data type
text
Alias
- UMLS CUI [1,1]
- C2826293
- UMLS CUI [1,2]
- C0005778
- UMLS CUI [1,3]
- C2347373
Description
Character result
Data type
text
Alias
- UMLS CUI [1,1]
- C2350015
- UMLS CUI [1,2]
- C1274040
Description
Character result, Clinical significance
Data type
text
Alias
- UMLS CUI [1,1]
- C2826293
- UMLS CUI [1,2]
- C0005778
- UMLS CUI [1,3]
- C2350015
Description
Lab name and address blood smear
Alias
- UMLS CUI-1
- C0022877
- UMLS CUI-2
- C1442065
- UMLS CUI-3
- C0027365
- UMLS CUI-4
- C2238079
Description
Blood smear results
Alias
- UMLS CUI-1
- C1254595
- UMLS CUI-2
- C2238079
Description
day month year
Data type
date
Alias
- UMLS CUI [1,1]
- C2238079
- UMLS CUI [1,2]
- C0011008
Description
Immature, dysplastic cells
Data type
text
Alias
- UMLS CUI [1]
- C0205252
- UMLS CUI [2,1]
- C0334044
- UMLS CUI [2,2]
- C0007634
Description
Fill in this itemgroup for each cell type.
Data type
integer
Alias
- UMLS CUI [1,1]
- C2238079
- UMLS CUI [1,2]
- C0007634
Description
Fill in for each cell type listed. If there is no result, tick the following item. If there is an other result, please specify in the item "Other blood smear result".
Data type
float
Measurement units
- %
Alias
- UMLS CUI [1,1]
- C1254595
- UMLS CUI [1,2]
- C2238079
Description
Tick for each cell if there is no result.
Data type
boolean
Alias
- UMLS CUI [1,1]
- C1274040
- UMLS CUI [1,2]
- C1298908
Description
Other blood smear result
Data type
text
Alias
- UMLS CUI [1,1]
- C0205394
- UMLS CUI [1,2]
- C1254595
- UMLS CUI [1,3]
- C2238079
- UMLS CUI [1,4]
- C2348235
Similar models
Laboratories
- StudyEvent: ODM
C1442065 (UMLS CUI-2)
C0027365 (UMLS CUI-3)
C0008000 (UMLS CUI-4)
C0022877 (UMLS CUI [1,2])
C0008000 (UMLS CUI [1,2])
C0008000 (UMLS CUI [1,2])
C1274040 (UMLS CUI [1,3])
C0008000 (UMLS CUI [1,2])
C2347373 (UMLS CUI [1,3])
C1274040 (UMLS CUI [1,2])
C0008000 (UMLS CUI [1,2])
C2350015 (UMLS CUI [1,3])
C1442065 (UMLS CUI-2)
C0027365 (UMLS CUI-3)
C0022646 (UMLS CUI-4)
C1516048 (UMLS CUI-5)
C0022877 (UMLS CUI [1,2])
C1516048 (UMLS CUI-2)
C0430370 (UMLS CUI-3)
C0456984 (UMLS CUI [1,2])
C0022646 (UMLS CUI [1,2])
C1516048 (UMLS CUI [1,3])
C2347373 (UMLS CUI [1,4])
C1274040 (UMLS CUI [1,2])
C0022646 (UMLS CUI [1,2])
C1516048 (UMLS CUI [1,3])
C2350015 (UMLS CUI [1,4])
C1516048 (UMLS CUI-2)
C0430397 (UMLS CUI-3)
C0456984 (UMLS CUI [1,2])
C0022646 (UMLS CUI [1,2])
C1516048 (UMLS CUI [1,3])
C2347373 (UMLS CUI [1,4])
C1274040 (UMLS CUI [1,2])
C0022646 (UMLS CUI [1,2])
C1516048 (UMLS CUI [1,3])
C2350015 (UMLS CUI [1,4])
C0456984 (UMLS CUI [1,2])
C0373595 (UMLS CUI [1,2])
C2347373 (UMLS CUI [1,3])
C1274040 (UMLS CUI [1,2])
C0373595 (UMLS CUI [1,2])
C2350015 (UMLS CUI [1,3])
C0456984 (UMLS CUI [1,2])
C1096054 (UMLS CUI [1,2])
C2347373 (UMLS CUI [1,3])
C1274040 (UMLS CUI [1,2])
C1096054 (UMLS CUI [1,2])
C2350015 (UMLS CUI [1,3])
C0456984 (UMLS CUI [1,2])
C0201721 (UMLS CUI [1,2])
C2347373 (UMLS CUI [1,3])
C1274040 (UMLS CUI [1,2])
C0201721 (UMLS CUI [1,2])
C2350015 (UMLS CUI [1,3])
C0201721 (UMLS CUI [1,2])
C0201721 (UMLS CUI [1,2])
C0201721 (UMLS CUI [1,2])
C0201721 (UMLS CUI [1,2])
C0201721 (UMLS CUI [1,2])
C1442065 (UMLS CUI-2)
C0027365 (UMLS CUI-3)
C0474523 (UMLS CUI-4)
C0022877 (UMLS CUI [1,2])
C0018941 (UMLS CUI [1,2])
C1274040 (UMLS CUI [1,3])
C0474523 (UMLS CUI [1,2])
C2347373 (UMLS CUI [1,3])
C1274040 (UMLS CUI [1,2])
C0474523 (UMLS CUI [1,2])
C2350015 (UMLS CUI [1,3])
C1442065 (UMLS CUI-2)
C0027365 (UMLS CUI-3)
C0005778 (UMLS CUI-4)
C0022877 (UMLS CUI [1,2])
C0005790 (UMLS CUI [1,2])
C1274040 (UMLS CUI [1,3])
C0005778 (UMLS CUI [1,2])
C2347373 (UMLS CUI [1,3])
C1274040 (UMLS CUI [1,2])
C0005778 (UMLS CUI [1,2])
C2350015 (UMLS CUI [1,3])
C1442065 (UMLS CUI-2)
C0027365 (UMLS CUI-3)
C2238079 (UMLS CUI-4)
C0022877 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,2])
C0334044 (UMLS CUI [2,1])
C0007634 (UMLS CUI [2,2])
C0007634 (UMLS CUI [1,2])
C2238079 (UMLS CUI [1,2])
C1298908 (UMLS CUI [1,2])
C1254595 (UMLS CUI [1,2])
C2238079 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])