ID

39147

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 Liver Labs (Lab tests exclusive to liver events) and the viral tests for liver events form. It has to be filled in as repeating form.

Link

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

Keywords

  1. 10/24/19 10/24/19 -
  2. 12/5/19 12/5/19 - Sarah Riepenhausen
Copyright Holder

GlaxoSmithKline

Uploaded on

December 5, 2019

DOI

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License

Creative Commons BY-NC 3.0

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Effects of eltrombopag in children with chronic idiopathic thrombocytopenic purpura NCT00908037

Liver Lab tests and viral tests for liver events

Administrative Data
Description

Administrative Data

Alias
UMLS CUI-1
C1320722
Subject number
Description

Subject number

Data type

integer

Alias
UMLS CUI [1]
C2348585
Date of visit
Description

day month year

Data type

date

Alias
UMLS CUI [1]
C1320303
Early withdrawal
Description

Early withdrawal

Data type

boolean

Alias
UMLS CUI [1]
C2349954
Lab name and address
Description

Lab name and address

Alias
UMLS CUI-1
C0022877
UMLS CUI-2
C1442065
UMLS CUI-3
C0027365
Test set type
Description

Test set type

Data type

integer

Alias
UMLS CUI [1,1]
C0022885
UMLS CUI [1,2]
C0332307
Laboratory ID
Description

Laboratory ID

Data type

text

Alias
UMLS CUI [1]
C2986056
Laboratory
Description

If you tick "Different from Screening Lab", please provide the Name and adress of laboratory in the following items.

Data type

text

Alias
UMLS CUI [1]
C0022877
Laboratory name
Description

Laboratory name

Data type

text

Alias
UMLS CUI [1]
C3258037
Laboratory Address
Description

Laboratory Address

Data type

text

Alias
UMLS CUI [1,1]
C1442065
UMLS CUI [1,2]
C0022877
Lab tests exclusive to liver events (Liver Lab)
Description

Lab tests exclusive to liver events (Liver Lab)

Alias
UMLS CUI-1
C0023884
UMLS CUI-2
C0877248
UMLS CUI-3
C0022885
Date sample taken
Description

day month year

Data type

date

Alias
UMLS CUI [1]
C1302413
Time sample taken
Description

00:00-23:59

Data type

time

Alias
UMLS CUI [1,1]
C0040223
UMLS CUI [1,2]
C0200345
Lab tests
Description

Fill in this itemgroup for each procedure.

Data type

integer

Alias
UMLS CUI [1]
C0022885
Lab tests, Result
Description

Fill in the respective item if character or numeric result.

Data type

text

Alias
UMLS CUI [1,1]
C0022885
UMLS CUI [1,2]
C1274040
Numeric result
Description

Numeric result

Data type

float

Alias
UMLS CUI [1]
C2347373
Character result
Description

Character result

Data type

text

Alias
UMLS CUI [1,1]
C2350015
UMLS CUI [1,2]
C1274040
Viral tests for liver events
Description

Viral tests for liver events

Alias
UMLS CUI-1
C1273421
UMLS CUI-2
C0023884
UMLS CUI-3
C0877248
Date sample taken
Description

day month year

Data type

date

Alias
UMLS CUI [1]
C1302413
Viral tests
Description

Fill in this itemgroup for each viral test.

Data type

integer

Alias
UMLS CUI [1]
C1273421
Viral tests, Result
Description

Fill in the respective item if character or numeric result.

Data type

text

Alias
UMLS CUI [1,1]
C1273421
UMLS CUI [1,2]
C1274040
Numeric result
Description

Numeric result

Data type

float

Alias
UMLS CUI [1]
C2347373
Character result
Description

Character result

Data type

text

Alias
UMLS CUI [1,1]
C2350015
UMLS CUI [1,2]
C1274040
Assay Version
Description

Assay Version

Data type

text

Alias
UMLS CUI [1]
C2985700

Similar models

Liver Lab tests and viral tests for liver events

Name
Type
Description | Question | Decode (Coded Value)
Data type
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])
Early withdrawal
Item
Early withdrawal
boolean
C2349954 (UMLS CUI [1])
Item Group
Lab name and address
C0022877 (UMLS CUI-1)
C1442065 (UMLS CUI-2)
C0027365 (UMLS CUI-3)
Item
Test set type
integer
C0022885 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
Code List
Test set type
CL Item
Liver Event exclusive lab tests (1)
CL Item
Viral Tests for liver events (2)
Laboratory ID
Item
Laboratory ID
text
C2986056 (UMLS CUI [1])
Item
Laboratory
text
C0022877 (UMLS CUI [1])
Code List
Laboratory
CL Item
Results from the same lab as in the previous visit (1)
CL Item
Different from Screening Lab (2)
Laboratory name
Item
Laboratory name
text
C3258037 (UMLS CUI [1])
Laboratory Address
Item
Laboratory Address
text
C1442065 (UMLS CUI [1,1])
C0022877 (UMLS CUI [1,2])
Item Group
Lab tests exclusive to liver events (Liver Lab)
C0023884 (UMLS CUI-1)
C0877248 (UMLS CUI-2)
C0022885 (UMLS CUI-3)
Date sample taken
Item
Date sample taken
date
C1302413 (UMLS CUI [1])
Time sample taken
Item
Time sample taken
time
C0040223 (UMLS CUI [1,1])
C0200345 (UMLS CUI [1,2])
Item
Lab tests
integer
C0022885 (UMLS CUI [1])
Code List
Lab tests
CL Item
Creatine Kinase (1)
CL Item
Lactate Dehydrogenase (2)
CL Item
Hepatitis B Surface Antigen (Qualitative) (3)
CL Item
Hepatitis B Core IgM Antibody (Qualitative) (4)
CL Item
Hepatitis A IgM Antibody Total (Qualitative) (5)
CL Item
Anti-Nuclear Antibody-Screen (6)
CL Item
Anti-Nuclear Antibody (7)
CL Item
Anti-Nuclear Antibody Pattern (8)
CL Item
Anti-Nuclear Antibody 2 (9)
CL Item
Anti-Nuclear Antibody Pattern 2 (10)
CL Item
Anti-Nuclear Antibody 3 (11)
CL Item
Anti-Nuclear Antibody Pattern 3 (12)
CL Item
Anti-Nuclear Antibody 4 (13)
CL Item
Anti-Nuclear Antibody Pattern 4 (14)
CL Item
Actin (Smooth Muscle) IgG Antibody (15)
CL Item
Liver Kidney Microsomal Antibody IgG (16)
CL Item
Cytomegalovirus IgM Antibody (17)
CL Item
Epstein-Barr Viral Capsid Antigen IgM Antibody (18)
CL Item
Epstein-Barr Viral Capsid Antigen IgM Antibody Strength of Signal (19)
CL Item
Hepatitis E IgM Antibody (Qualitative) (20)
Item
Lab tests, Result
text
C0022885 (UMLS CUI [1,1])
C1274040 (UMLS CUI [1,2])
Code List
Lab tests, Result
CL Item
Numeric result (N)
CL Item
Character result (C)
CL Item
No result (99)
Numeric result
Item
Numeric result
float
C2347373 (UMLS CUI [1])
Character result
Item
Character result
text
C2350015 (UMLS CUI [1,1])
C1274040 (UMLS CUI [1,2])
Item Group
Viral tests for liver events
C1273421 (UMLS CUI-1)
C0023884 (UMLS CUI-2)
C0877248 (UMLS CUI-3)
Date sample taken
Item
Date sample taken
date
C1302413 (UMLS CUI [1])
Item
Viral tests
integer
C1273421 (UMLS CUI [1])
Code List
Viral tests
CL Item
Hepatitis C RNA PCR, Quantifiable (1)
CL Item
Hepatitis C RNA PCR, Log (2)
Item
Viral tests, Result
text
C1273421 (UMLS CUI [1,1])
C1274040 (UMLS CUI [1,2])
Code List
Viral tests, Result
CL Item
Numeric result (N)
CL Item
Character result (C)
CL Item
No result (99)
Numeric result
Item
Numeric result
float
C2347373 (UMLS CUI [1])
Character result
Item
Character result
text
C2350015 (UMLS CUI [1,1])
C1274040 (UMLS CUI [1,2])
Item
Assay Version
text
C2985700 (UMLS CUI [1])
Code List
Assay Version
CL Item
1.0 Standard 400 (1.0ST400)
CL Item
1.0 Standard Dilution (1.0STDIL)
CL Item
1.0 Ultra Sensitive 50 (1.0US50)
CL Item
1.5 Standard 400 (1.5ST400)
CL Item
1.5 Standard Dilution (1.5STDIL)
CL Item
1.5 Ultra Sensitive 50 (1.5US50)
CL Item
2.0 NucliSens EasyQ (2.0NSEZQ)
CL Item
HBV Roche Real-Time PCR Cobas TaqMan (HBVTQM)
CL Item
HCV R che Cobas TaqMan (HCVTQM)
CL Item
Heptimax HCV RNA (HEPMAXR)
CL Item
HSV Probe Primer gB Section (HSVGB)
CL Item
Unknown (U)

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