ID
39941
Beskrivning
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.
Länk
https://clinicaltrials.gov/ct2/show/NCT00903201?term=NCT00903201
Nyckelord
Versioner (2)
- 2020-03-04 2020-03-04 -
- 2020-03-05 2020-03-05 - Sarah Riepenhausen
Rättsinnehavare
GlaxoSmithKline
Uppladdad den
5 mars 2020
DOI
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Licens
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
Beskrivning
In case of emergency, please contact:
Alias
- UMLS CUI-1
- C0013956
- UMLS CUI-2
- C0332158
Beskrivning
Investigator
Datatyp
text
Alias
- UMLS CUI [1]
- C2826892
Beskrivning
Study contact
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0332158
- UMLS CUI [1,2]
- C0008976
Beskrivning
Telephone (daytime)
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C1515258
- UMLS CUI [1,2]
- C0332169
Beskrivning
Telephone (evening/weekends)
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C1515258
- UMLS CUI [1,2]
- C0587117
- UMLS CUI [2,1]
- C1515258
- UMLS CUI [2,2]
- C0680190
Beskrivning
Address
Datatyp
text
Alias
- UMLS CUI [1]
- C1442065
Beskrivning
Diary card
Alias
- UMLS CUI-1
- C3890583
Beskrivning
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.
Datatyp
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
Beskrivning
Study drug
Alias
- UMLS CUI-1
- C0304229
Beskrivning
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.
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0439228
- UMLS CUI [1,2]
- C0178602
- UMLS CUI [1,3]
- C0304229
Beskrivning
Other dosing day
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0205394
- UMLS CUI [1,2]
- C0439228
- UMLS CUI [1,3]
- C0178602
- UMLS CUI [1,4]
- C0304229
Beskrivning
day month year
Datatyp
date
Alias
- UMLS CUI [1,1]
- C0304229
- UMLS CUI [1,2]
- C0178602
- UMLS CUI [1,3]
- C0011008
Beskrivning
00:00-23:59
Datatyp
time
Alias
- UMLS CUI [1,1]
- C0304229
- UMLS CUI [1,2]
- C0178602
- UMLS CUI [1,3]
- C0040223
Beskrivning
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.
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0237753
- UMLS CUI [1,2]
- C0039225
- UMLS CUI [1,3]
- C0179376
Beskrivning
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.
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0237753
- UMLS CUI [1,2]
- C0039225
- UMLS CUI [1,3]
- C0179376
Beskrivning
Exacerbations
Alias
- UMLS CUI-1
- C4086268
Beskrivning
CF Exacerbation event, record.
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C4086268
- UMLS CUI [1,2]
- C0010674
- UMLS CUI [1,3]
- C0332127
Beskrivning
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.
Datatyp
date
Alias
- UMLS CUI [1,1]
- C0574845
- UMLS CUI [1,2]
- C0010674
- UMLS CUI [1,3]
- C4086268
Beskrivning
00:00-23:59
Datatyp
time
Alias
- UMLS CUI [1,1]
- C0449244
- UMLS CUI [1,2]
- C0010674
- UMLS CUI [1,3]
- C4086268
Beskrivning
day month year
Datatyp
date
Alias
- UMLS CUI [1,1]
- C0011008
- UMLS CUI [1,2]
- C2699488
- UMLS CUI [1,3]
- C0010674
- UMLS CUI [1,4]
- C4086268
Beskrivning
00:00-23:59
Datatyp
time
Alias
- UMLS CUI [1,1]
- C0040223
- UMLS CUI [1,2]
- C2699488
- UMLS CUI [1,3]
- C0010674
- UMLS CUI [1,4]
- C4086268
Beskrivning
If Yes, record each antibiotic in the itemgroup OTHER MEDICATIONS.
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0003232
- UMLS CUI [1,2]
- C0033080
- UMLS CUI [1,3]
- C0010674
- UMLS CUI [1,4]
- C4086268
Beskrivning
Exacerbation of CF requiring hospitalisation
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0010674
- UMLS CUI [1,2]
- C4086268
- UMLS CUI [1,3]
- C1514873
- UMLS CUI [1,4]
- C0019993
Beskrivning
Other medications
Alias
- UMLS CUI-1
- C0205394
- UMLS CUI-2
- C0013227
Beskrivning
Medication record
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0013227
- UMLS CUI [1,2]
- C0332127
Beskrivning
e.g., Aspirin
Datatyp
text
Alias
- UMLS CUI [1]
- C0013227
Beskrivning
e.g., Tablet
Datatyp
text
Alias
- UMLS CUI [1,1]
- C1519795
- UMLS CUI [1,2]
- C0013227
Beskrivning
Amount Taken of medication
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C1265611
- UMLS CUI [1,2]
- C0013227
Beskrivning
e.g., Headache
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0392360
- UMLS CUI [1,2]
- C0013227
Beskrivning
day month year
Datatyp
date
Alias
- UMLS CUI [1,1]
- C0013227
- UMLS CUI [1,2]
- C0808070
Beskrivning
00:00-23:59
Datatyp
time
Alias
- UMLS CUI [1,1]
- C0013227
- UMLS CUI [1,2]
- C1301880
Beskrivning
day month year
Datatyp
date
Alias
- UMLS CUI [1,1]
- C0013227
- UMLS CUI [1,2]
- C0806020
Beskrivning
00:00-23:59
Datatyp
time
Alias
- UMLS CUI [1,1]
- C0013227
- UMLS CUI [1,2]
- C1522314
Beskrivning
Changes in health
Alias
- UMLS CUI-1
- C0392747
- UMLS CUI-2
- C0018759
Beskrivning
Changes in health, record.
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0392747
- UMLS CUI [1,2]
- C0018759
- UMLS CUI [1,3]
- C0332127
Beskrivning
Diagnosis Only (if known) Otherwise Sign/Symptom. e.g., Headache
Datatyp
text
Alias
- UMLS CUI [1]
- C0441471
Beskrivning
day month year
Datatyp
date
Alias
- UMLS CUI [1,1]
- C0441471
- UMLS CUI [1,2]
- C0808070
Beskrivning
00:00-23:59
Datatyp
time
Alias
- UMLS CUI [1,1]
- C0441471
- UMLS CUI [1,2]
- C1301880
Beskrivning
day month year
Datatyp
date
Alias
- UMLS CUI [1,1]
- C0441471
- UMLS CUI [1,2]
- C0806020
Beskrivning
00:00-23:59
Datatyp
time
Alias
- UMLS CUI [1,1]
- C0441471
- UMLS CUI [1,2]
- C1522314
Beskrivning
Maximum intensity of event
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0441471
- UMLS CUI [1,2]
- C0518690
Beskrivning
Daily Respiratory Symptom Diary for Cystic Fibrosis
Alias
- UMLS CUI-1
- C0034394
- UMLS CUI-2
- C1457887
- UMLS CUI-3
- C0010674
- UMLS CUI-4
- C0332173
Beskrivning
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.
Datatyp
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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