ID
39941
Descripción
Study ID: 110399 Clinical Study ID: 110399 Study Title: A randomized, double blind, parallel group, placebo controlled 28 day study to investigate the safety, tolerability and pharmacodynamics of SB-656933 in subjects with cystic fibrosis. Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00903201 https://clinicaltrials.gov/ct2/show/NCT00903201?term=NCT00903201 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 2 Study Recruitment Status: Completed Generic Name: SB656933, Placebo Trade Name: N/A Study Indication: Cystic Fibrosis The study consists of a screening, five study visits and a follow-up (time relative to Baseline in days): Visit 1: Screening, Day -28 to -16 Visit 2a: Day -7 to -4 Visit 2b: Day 1 Visit 3: Day 14 Visit 4: Day 21 Visit 5: Day 28 Visit 6: Early Withdrawal/ Follow-up, Day 35 to 42. From day 1 to day 28 the patients will receive daily doses. This document contains the Subject Diary Card form. It has to be filled in at day 2-13, day 15-20 and day 22-27.
Link
https://clinicaltrials.gov/ct2/show/NCT00903201?term=NCT00903201
Palabras clave
Versiones (2)
- 4/3/20 4/3/20 -
- 5/3/20 5/3/20 - Sarah Riepenhausen
Titular de derechos de autor
GlaxoSmithKline
Subido en
5 de marzo de 2020
DOI
Para solicitar uno, por favor iniciar sesión.
Licencia
Creative Commons BY-NC 4.0
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Safety, tolerability and pharmacodynamics of Elubrixin in cystic fibrosis patients, NCT00903201
Subject Diary Card
- StudyEvent: ODM
Descripción
In case of emergency, please contact:
Alias
- UMLS CUI-1
- C0013956
- UMLS CUI-2
- C0332158
Descripción
Investigator
Tipo de datos
text
Alias
- UMLS CUI [1]
- C2826892
Descripción
Study contact
Tipo de datos
text
Alias
- UMLS CUI [1,1]
- C0332158
- UMLS CUI [1,2]
- C0008976
Descripción
Telephone (daytime)
Tipo de datos
integer
Alias
- UMLS CUI [1,1]
- C1515258
- UMLS CUI [1,2]
- C0332169
Descripción
Telephone (evening/weekends)
Tipo de datos
integer
Alias
- UMLS CUI [1,1]
- C1515258
- UMLS CUI [1,2]
- C0587117
- UMLS CUI [2,1]
- C1515258
- UMLS CUI [2,2]
- C0680190
Descripción
Address
Tipo de datos
text
Alias
- UMLS CUI [1]
- C1442065
Descripción
Diary card
Alias
- UMLS CUI-1
- C3890583
Descripción
Note: Please complete the web based diary (questionnaire) daily in the evenings. Note: Day 1 will be dosed in the unit. Note: If you take dose differently to the scheduled dose (1 tablet from bottle A and 1 tablet from bottle B) you should contact the site immediately using the contact details on the cover page.
Tipo de datos
text
Alias
- UMLS CUI [1,1]
- C0010674
- UMLS CUI [1,2]
- C3890583
- UMLS CUI [1,3]
- C0159028
- UMLS CUI [1,4]
- C2349146
- UMLS CUI [1,5]
- C1514821
Descripción
Study drug
Alias
- UMLS CUI-1
- C0304229
Descripción
Note: Do not take bronchodilator prior to clinic visit on Day 14, 21 and 28. Do not perform strenuous exercise 48 hr prior to visit on Day 14, 21 and 28.
Tipo de datos
integer
Alias
- UMLS CUI [1,1]
- C0439228
- UMLS CUI [1,2]
- C0178602
- UMLS CUI [1,3]
- C0304229
Descripción
Other dosing day
Tipo de datos
text
Alias
- UMLS CUI [1,1]
- C0205394
- UMLS CUI [1,2]
- C0439228
- UMLS CUI [1,3]
- C0178602
- UMLS CUI [1,4]
- C0304229
Descripción
day month year
Tipo de datos
date
Alias
- UMLS CUI [1,1]
- C0304229
- UMLS CUI [1,2]
- C0178602
- UMLS CUI [1,3]
- C0011008
Descripción
00:00-23:59
Tipo de datos
time
Alias
- UMLS CUI [1,1]
- C0304229
- UMLS CUI [1,2]
- C0178602
- UMLS CUI [1,3]
- C0040223
Descripción
e.g., 1. Note: If you take dose differently to the scheduled dose (1 tablet from bottle A and 1 tablet from bottle B) you should contact the site immediately using the contact details on the cover page.
Tipo de datos
integer
Alias
- UMLS CUI [1,1]
- C0237753
- UMLS CUI [1,2]
- C0039225
- UMLS CUI [1,3]
- C0179376
Descripción
e.g., 1. Note: If you take dose differently to the scheduled dose (1 tablet from bottle A and 1 tablet from bottle B) you should contact the site immediately using the contact details on the cover page.
Tipo de datos
integer
Alias
- UMLS CUI [1,1]
- C0237753
- UMLS CUI [1,2]
- C0039225
- UMLS CUI [1,3]
- C0179376
Descripción
Exacerbations
Alias
- UMLS CUI-1
- C4086268
Descripción
CF Exacerbation event, record.
Tipo de datos
integer
Alias
- UMLS CUI [1,1]
- C4086268
- UMLS CUI [1,2]
- C0010674
- UMLS CUI [1,3]
- C0332127
Descripción
day month year. Note: If you have an exacerbation, immediately contact the site using the details above. Note: Record your individual symptoms in the itemgroup CHANGES IN HEALTH.
Tipo de datos
date
Alias
- UMLS CUI [1,1]
- C0574845
- UMLS CUI [1,2]
- C0010674
- UMLS CUI [1,3]
- C4086268
Descripción
00:00-23:59
Tipo de datos
time
Alias
- UMLS CUI [1,1]
- C0449244
- UMLS CUI [1,2]
- C0010674
- UMLS CUI [1,3]
- C4086268
Descripción
day month year
Tipo de datos
date
Alias
- UMLS CUI [1,1]
- C0011008
- UMLS CUI [1,2]
- C2699488
- UMLS CUI [1,3]
- C0010674
- UMLS CUI [1,4]
- C4086268
Descripción
00:00-23:59
Tipo de datos
time
Alias
- UMLS CUI [1,1]
- C0040223
- UMLS CUI [1,2]
- C2699488
- UMLS CUI [1,3]
- C0010674
- UMLS CUI [1,4]
- C4086268
Descripción
If Yes, record each antibiotic in the itemgroup OTHER MEDICATIONS.
Tipo de datos
text
Alias
- UMLS CUI [1,1]
- C0003232
- UMLS CUI [1,2]
- C0033080
- UMLS CUI [1,3]
- C0010674
- UMLS CUI [1,4]
- C4086268
Descripción
Exacerbation of CF requiring hospitalisation
Tipo de datos
text
Alias
- UMLS CUI [1,1]
- C0010674
- UMLS CUI [1,2]
- C4086268
- UMLS CUI [1,3]
- C1514873
- UMLS CUI [1,4]
- C0019993
Descripción
Other medications
Alias
- UMLS CUI-1
- C0205394
- UMLS CUI-2
- C0013227
Descripción
Medication record
Tipo de datos
integer
Alias
- UMLS CUI [1,1]
- C0013227
- UMLS CUI [1,2]
- C0332127
Descripción
e.g., Aspirin
Tipo de datos
text
Alias
- UMLS CUI [1]
- C0013227
Descripción
e.g., Tablet
Tipo de datos
text
Alias
- UMLS CUI [1,1]
- C1519795
- UMLS CUI [1,2]
- C0013227
Descripción
Amount Taken of medication
Tipo de datos
integer
Alias
- UMLS CUI [1,1]
- C1265611
- UMLS CUI [1,2]
- C0013227
Descripción
e.g., Headache
Tipo de datos
text
Alias
- UMLS CUI [1,1]
- C0392360
- UMLS CUI [1,2]
- C0013227
Descripción
day month year
Tipo de datos
date
Alias
- UMLS CUI [1,1]
- C0013227
- UMLS CUI [1,2]
- C0808070
Descripción
00:00-23:59
Tipo de datos
time
Alias
- UMLS CUI [1,1]
- C0013227
- UMLS CUI [1,2]
- C1301880
Descripción
day month year
Tipo de datos
date
Alias
- UMLS CUI [1,1]
- C0013227
- UMLS CUI [1,2]
- C0806020
Descripción
00:00-23:59
Tipo de datos
time
Alias
- UMLS CUI [1,1]
- C0013227
- UMLS CUI [1,2]
- C1522314
Descripción
Changes in health
Alias
- UMLS CUI-1
- C0392747
- UMLS CUI-2
- C0018759
Descripción
Changes in health, record.
Tipo de datos
integer
Alias
- UMLS CUI [1,1]
- C0392747
- UMLS CUI [1,2]
- C0018759
- UMLS CUI [1,3]
- C0332127
Descripción
Diagnosis Only (if known) Otherwise Sign/Symptom. e.g., Headache
Tipo de datos
text
Alias
- UMLS CUI [1]
- C0441471
Descripción
day month year
Tipo de datos
date
Alias
- UMLS CUI [1,1]
- C0441471
- UMLS CUI [1,2]
- C0808070
Descripción
00:00-23:59
Tipo de datos
time
Alias
- UMLS CUI [1,1]
- C0441471
- UMLS CUI [1,2]
- C1301880
Descripción
day month year
Tipo de datos
date
Alias
- UMLS CUI [1,1]
- C0441471
- UMLS CUI [1,2]
- C0806020
Descripción
00:00-23:59
Tipo de datos
time
Alias
- UMLS CUI [1,1]
- C0441471
- UMLS CUI [1,2]
- C1522314
Descripción
Maximum intensity of event
Tipo de datos
integer
Alias
- UMLS CUI [1,1]
- C0441471
- UMLS CUI [1,2]
- C0518690
Descripción
Daily Respiratory Symptom Diary for Cystic Fibrosis
Alias
- UMLS CUI-1
- C0034394
- UMLS CUI-2
- C1457887
- UMLS CUI-3
- C0010674
- UMLS CUI-4
- C0332173
Descripción
This item contains the result of clinical outcome assessment data collection questionnaires or indices, which are protected by copyright laws and therefore have been excluded.
Tipo de datos
text
Alias
- UMLS CUI [1,1]
- C1274040
- UMLS CUI [1,2]
- C0034394
- UMLS CUI [1,3]
- C1457887
- UMLS CUI [1,4]
- C0010674
- UMLS CUI [1,5]
- C0332173
Similar models
Subject Diary Card
- StudyEvent: ODM
C0332158 (UMLS CUI-2)
C0008976 (UMLS CUI [1,2])
C0332169 (UMLS CUI [1,2])
C0587117 (UMLS CUI [1,2])
C1515258 (UMLS CUI [2,1])
C0680190 (UMLS CUI [2,2])
C3890583 (UMLS CUI [1,2])
C0159028 (UMLS CUI [1,3])
C2349146 (UMLS CUI [1,4])
C1514821 (UMLS CUI [1,5])
C0178602 (UMLS CUI [1,2])
C0304229 (UMLS CUI [1,3])
C0439228 (UMLS CUI [1,2])
C0178602 (UMLS CUI [1,3])
C0304229 (UMLS CUI [1,4])
C0178602 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
C0178602 (UMLS CUI [1,2])
C0040223 (UMLS CUI [1,3])
C0039225 (UMLS CUI [1,2])
C0179376 (UMLS CUI [1,3])
C0039225 (UMLS CUI [1,2])
C0179376 (UMLS CUI [1,3])
C0010674 (UMLS CUI [1,2])
C0332127 (UMLS CUI [1,3])
C0010674 (UMLS CUI [1,2])
C4086268 (UMLS CUI [1,3])
C0010674 (UMLS CUI [1,2])
C4086268 (UMLS CUI [1,3])
C2699488 (UMLS CUI [1,2])
C0010674 (UMLS CUI [1,3])
C4086268 (UMLS CUI [1,4])
C2699488 (UMLS CUI [1,2])
C0010674 (UMLS CUI [1,3])
C4086268 (UMLS CUI [1,4])
C0033080 (UMLS CUI [1,2])
C0010674 (UMLS CUI [1,3])
C4086268 (UMLS CUI [1,4])
C4086268 (UMLS CUI [1,2])
C1514873 (UMLS CUI [1,3])
C0019993 (UMLS CUI [1,4])
C0332127 (UMLS CUI [1,2])
C0013227 (UMLS CUI [1,2])
C0013227 (UMLS CUI [1,2])
C0013227 (UMLS CUI [1,2])
C0808070 (UMLS CUI [1,2])
C1301880 (UMLS CUI [1,2])
C0806020 (UMLS CUI [1,2])
C1522314 (UMLS CUI [1,2])
C0018759 (UMLS CUI [1,2])
C0332127 (UMLS CUI [1,3])
C0808070 (UMLS CUI [1,2])
C1301880 (UMLS CUI [1,2])
C0806020 (UMLS CUI [1,2])
C1522314 (UMLS CUI [1,2])
C0518690 (UMLS CUI [1,2])
C1457887 (UMLS CUI-2)
C0010674 (UMLS CUI-3)
C0332173 (UMLS CUI-4)
C0034394 (UMLS CUI [1,2])
C1457887 (UMLS CUI [1,3])
C0010674 (UMLS CUI [1,4])
C0332173 (UMLS CUI [1,5])
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