ID

39862

Beschreibung

Study ID: 110852 Clinical Study ID: 110852 Study Title: MD7110852, A Phase 2b Dose-Ranging Study of Pazopanib Eye Drops versus Ranibizumab Intravitreal Injections for the Treatment of Neovascular Age-Related Macular Degeneration Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT01134055 Sponsor: GlaxoSmithKline Phase: Phase 2 Study Recruitment Status: Completed Generic Name: pazopanib eye drops, ranibizumab intravitreal injection, placebo Trade Name: pazopanib, ranibizumab Study Indication: Macular Degeneration

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Versionen (1)
  1. 24.02.20 24.02.20 -
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GlaxoSmithKline

Hochgeladen am

24. Februar 2020

DOI

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Pazopanib Eye Drops versus Ranibizumab Intravitreal Injections for the Treatment of Neovascular Age-Related Macular Degeneration NCT01134055

Englisch

Subject Logs - Medical/ Surgical Procedures; Expanded/ Additional Pharmacogenetic Research Consent and Withdrawal

1 Formulare  
Medical/ Surgical Procedures
Beschreibung

Medical/ Surgical Procedures

Alias
UMLS CUI-1
C1948041
Medical/ Surgical Procedures - Sequence Number
Beschreibung

Medical/ Surgical Procedures - Sequence Number

Datentyp

integer

Alias
UMLS CUI [1,1]
C1948041
UMLS CUI [1,2]
C2348184
Medical/ Surgical Procedures - Specific Procedure
Beschreibung

Medical/ Surgical Procedures - Specific Procedure

Datentyp

text

Alias
UMLS CUI [1,1]
C1948041
UMLS CUI [1,2]
C2348235
Medical/ Surgical Procedures - Modified Term
Beschreibung

Medical/ Surgical Procedures - Modified Term

Datentyp

text

Alias
UMLS CUI [1,1]
C1948041
UMLS CUI [1,2]
C2826302
Medical/ Surgical Procedures - MedDRA Synonym
Beschreibung

Medical/ Surgical Procedures - MedDRA Synonym

Datentyp

text

Alias
UMLS CUI [1,1]
C1948041
UMLS CUI [1,2]
C1140263
Medical/ Surgical Procedures - MedDRA lower level term code
Beschreibung

Medical/ Surgical Procedures - MedDRA lower level term code

Datentyp

text

Alias
UMLS CUI [1,1]
C1948041
UMLS CUI [1,2]
C3898442
Medical/ Surgical Procedures - Failed coding
Beschreibung

Medical/ Surgical Procedures - Failed coding

Datentyp

text

Alias
UMLS CUI [1,1]
C1948041
UMLS CUI [1,2]
C0805701
UMLS CUI [1,3]
C0231175
Medical/ Surgical Procedures - Date of Procedure
Beschreibung

Medical/ Surgical Procedures - Date of Procedure

Datentyp

date

Alias
UMLS CUI [1,1]
C1948041
UMLS CUI [1,2]
C2584899
Reason for Surgical or Medical Procedure
Beschreibung

Reason for Surgical or Medical Procedure

Datentyp

text

Alias
UMLS CUI [1,1]
C1948041
UMLS CUI [1,2]
C0392360
Expanded/ Additional Pharmacogenetic Research Consent
Beschreibung

Expanded/ Additional Pharmacogenetic Research Consent

Alias
UMLS CUI-1
C0021430
UMLS CUI-2
C2347500
UMLS CUI-3
C1524062
Has informed consent been obtained for expanded/additional PGx research?
Beschreibung

Has informed consent been obtained for expanded/additional PGx research?

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0021430
UMLS CUI [1,2]
C2347500
UMLS CUI [1,3]
C1524062
Date informed consent obtained for expanded/additional PGx research
Beschreibung

Date informed consent obtained for expanded/additional PGx research

Datentyp

date

Alias
UMLS CUI [1,1]
C0021430
UMLS CUI [1,2]
C2347500
UMLS CUI [1,3]
C1524062
UMLS CUI [2]
C0011008
Has sample been collected for expanded/additional PGx research?
Beschreibung

Has sample been collected for expanded/additional PGx research?

Datentyp

boolean

Alias
UMLS CUI [1,1]
C2347500
UMLS CUI [1,2]
C0005834
Record date sample taken
Beschreibung

Record date sample taken

Datentyp

date

Alias
UMLS CUI [1,1]
C2347500
UMLS CUI [1,2]
C0005834
UMLS CUI [1,3]
C0011008
If informed consent has not been obtained for expanded/additional PGx research, check reason
Beschreibung

If informed consent has not been obtained for expanded/additional PGx research, check reason

Datentyp

text

Alias
UMLS CUI [1,1]
C0021430
UMLS CUI [1,2]
C2347500
UMLS CUI [1,3]
C1524062
UMLS CUI [1,4]
C0392360
If other reason informed consent has not been obtained for expanded/additional PGx research, specify
Beschreibung

If other reason informed consent has not been obtained for expanded/additional PGx research, specify

Datentyp

text

Alias
UMLS CUI [1,1]
C0021430
UMLS CUI [1,2]
C2347500
UMLS CUI [1,3]
C1524062
UMLS CUI [1,4]
C0392360
UMLS CUI [2]
C0205394
UMLS CUI [3]
C2348235
Sample Type
Beschreibung

Sample Type

Datentyp

text

Alias
UMLS CUI [1]
C2347029
Expanded/ Additional Pharmacogenetic Research Withdrawal
Beschreibung

Expanded/ Additional Pharmacogenetic Research Withdrawal

Alias
UMLS CUI-1
C2349954
UMLS CUI-2
C2347500
UMLS CUI-3
C1524062
Has subject withdrawn consent for expanded/additional PGx research?
Beschreibung

Has subject withdrawn consent for expanded/additional PGx research?

Datentyp

boolean

Alias
UMLS CUI [1,1]
C2349954
UMLS CUI [1,2]
C2347500
UMLS CUI [1,3]
C1524062
Date informed consent withdrawn
Beschreibung

Date informed consent withdrawn

Datentyp

date

Alias
UMLS CUI [1,1]
C2347500
UMLS CUI [1,2]
C0021430
UMLS CUI [1,3]
C2349954
UMLS CUI [1,4]
C0011008
Has a request been made for sample destruction?
Beschreibung

Has a request been made for sample destruction?

Datentyp

boolean

Alias
UMLS CUI [1,1]
C1948029
UMLS CUI [1,2]
C0178913
UMLS CUI [1,3]
C1272683
Check reason for request for sample destruction?
Beschreibung

Check reason for request for sample destruction?

Datentyp

text

Alias
UMLS CUI [1,1]
C1948029
UMLS CUI [1,2]
C0178913
UMLS CUI [1,3]
C1272683
UMLS CUI [2]
C0392360
Sample type
Beschreibung

Sample type

Datentyp

text

Alias
UMLS CUI [1]
C2347029
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Ähnliche Modelle

Subject Logs - Medical/ Surgical Procedures; Expanded/ Additional Pharmacogenetic Research Consent and Withdrawal

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Medical/ Surgical Procedures
C1948041 (UMLS CUI-1)
Medical/ Surgical Procedures - Sequence Number
Item
Medical/ Surgical Procedures - Sequence Number
integer
C1948041 (UMLS CUI [1,1])
C2348184 (UMLS CUI [1,2])
Medical/ Surgical Procedures - Specific Procedure
Item
Medical/ Surgical Procedures - Specific Procedure
text
C1948041 (UMLS CUI [1,1])
C2348235 (UMLS CUI [1,2])
Medical/ Surgical Procedures - Modified Term
Item
Medical/ Surgical Procedures - Modified Term
text
C1948041 (UMLS CUI [1,1])
C2826302 (UMLS CUI [1,2])
Medical/ Surgical Procedures - MedDRA Synonym
Item
Medical/ Surgical Procedures - MedDRA Synonym
text
C1948041 (UMLS CUI [1,1])
C1140263 (UMLS CUI [1,2])
Medical/ Surgical Procedures - MedDRA lower level term code
Item
Medical/ Surgical Procedures - MedDRA lower level term code
text
C1948041 (UMLS CUI [1,1])
C3898442 (UMLS CUI [1,2])
Medical/ Surgical Procedures - Failed coding
Item
Medical/ Surgical Procedures - Failed coding
text
C1948041 (UMLS CUI [1,1])
C0805701 (UMLS CUI [1,2])
C0231175 (UMLS CUI [1,3])
Medical/ Surgical Procedures - Date of Procedure
Item
Medical/ Surgical Procedures - Date of Procedure
date
C1948041 (UMLS CUI [1,1])
C2584899 (UMLS CUI [1,2])
Reason for Surgical or Medical Procedure
Item
Reason for Surgical or Medical Procedure
text
C1948041 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])
Item Group
Expanded/ Additional Pharmacogenetic Research Consent
C0021430 (UMLS CUI-1)
C2347500 (UMLS CUI-2)
C1524062 (UMLS CUI-3)
Has informed consent been obtained for expanded/additional PGx research?
Item
Has informed consent been obtained for expanded/additional PGx research?
boolean
C0021430 (UMLS CUI [1,1])
C2347500 (UMLS CUI [1,2])
C1524062 (UMLS CUI [1,3])
Date informed consent obtained for expanded/additional PGx research
Item
Date informed consent obtained for expanded/additional PGx research
date
C0021430 (UMLS CUI [1,1])
C2347500 (UMLS CUI [1,2])
C1524062 (UMLS CUI [1,3])
C0011008 (UMLS CUI [2])
Has sample been collected for expanded/additional PGx research?
Item
Has sample been collected for expanded/additional PGx research?
boolean
C2347500 (UMLS CUI [1,1])
C0005834 (UMLS CUI [1,2])
Record date sample taken
Item
Record date sample taken
date
C2347500 (UMLS CUI [1,1])
C0005834 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Item
If informed consent has not been obtained for expanded/additional PGx research, check reason
text
C0021430 (UMLS CUI [1,1])
C2347500 (UMLS CUI [1,2])
C1524062 (UMLS CUI [1,3])
C0392360 (UMLS CUI [1,4])
If informed consent has not been obtained for expanded/additional PGx research, check reason
Code List
If informed consent has not been obtained for expanded/additional PGx research, check reason
CL Item
Subject declined (1)
CL Item
Subject not asked by Investigator (2)
CL Item
Other, specify (Z)
If other reason informed consent has not been obtained for expanded/additional PGx research, specify
Item
If other reason informed consent has not been obtained for expanded/additional PGx research, specify
text
C0021430 (UMLS CUI [1,1])
C2347500 (UMLS CUI [1,2])
C1524062 (UMLS CUI [1,3])
C0392360 (UMLS CUI [1,4])
C0205394 (UMLS CUI [2])
C2348235 (UMLS CUI [3])
Sample Type
Item
Sample Type
text
C2347029 (UMLS CUI [1])
Item Group
Expanded/ Additional Pharmacogenetic Research Withdrawal
C2349954 (UMLS CUI-1)
C2347500 (UMLS CUI-2)
C1524062 (UMLS CUI-3)
Has subject withdrawn consent for expanded/additional PGx research?
Item
Has subject withdrawn consent for expanded/additional PGx research?
boolean
C2349954 (UMLS CUI [1,1])
C2347500 (UMLS CUI [1,2])
C1524062 (UMLS CUI [1,3])
Date informed consent withdrawn
Item
Date informed consent withdrawn
date
C2347500 (UMLS CUI [1,1])
C0021430 (UMLS CUI [1,2])
C2349954 (UMLS CUI [1,3])
C0011008 (UMLS CUI [1,4])
Has a request been made for sample destruction?
Item
Has a request been made for sample destruction?
boolean
C1948029 (UMLS CUI [1,1])
C0178913 (UMLS CUI [1,2])
C1272683 (UMLS CUI [1,3])
Item
Check reason for request for sample destruction?
text
C1948029 (UMLS CUI [1,1])
C0178913 (UMLS CUI [1,2])
C1272683 (UMLS CUI [1,3])
C0392360 (UMLS CUI [2])
Check reason for request for sample destruction?
Code List
Check reason for request for sample destruction?
CL Item
Subject withdrew consent for expanded/additional PGx (3)
CL Item
Other, specify (Z)
Sample type
Item
Sample type
text
C2347029 (UMLS CUI [1])
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