0 Evaluaciones

ID

41343

Descripción

Study ID: 105043/013 Clinical Study ID: 105043/013 Study Title: An Open-Label Study of Argatroban Injection to Evaluate the Safety and Effectiveness in Pediatric Patients Requiring Anticoagulant Alternatives to Heparin (Protocol SKF105043/013) Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00039858 Sponsor: GlaxoSmithKline Collaborators: Encysive Pharmaceuticals Phase: Phase 4 Study Recruitment Status: Completed Generic Name: Argatroban Trade Name: N/A Study Indication: Thrombosis This Study evaluates the safety and the efficacy of i.v. Argatroban treatment in paediatric patients which require anticoagulants but aren't suitable for Heparin treatment. The study consists of screening visit (pre-treatment examination), treatment period of maximum 14 days after reaching therapeutical dose, post-treatment visit (once the treatment is stopped or after 14 days) and a follow-up visit which follows 30 days (+/- 14 days) after clinical resolution of underlying condition or after the end of the 14-day study period. Treatment can be continued after the 14-day study period if needed but such treatment isn't part of this Study. See https://clinicaltrials.gov/ct2/show/NCT00039858 This Form has to be filled in at the screening visit. It is used to record whether Informed Consent/Assent has been given by the Subject and also demographic data of the Subject.

Link

https://clinicaltrials.gov/ct2/show/NCT00039858

Palabras clave

  1. 31/08/2020 31/08/2020 -
  2. 02/09/2020 02/09/2020 -
Titular de derechos de autor

GlaxoSmithKline

Subido en

2 de setembro de 2020

DOI

Para solicitar uno, por favor iniciar sesión.

Licencia

Creative Commons BY-NC 4.0

Comentarios del modelo :

Puede comentar sobre el modelo de datos aquí. A través de las burbujas de diálogo en los grupos de elementos y elementos, puede agregar comentarios específicos.

Comentarios de grupo de elementos para :

Comentarios del elemento para :


    Sin comentarios

    Para descargar modelos de datos, debe haber iniciado sesión. Por favor iniciar sesión o Registrate gratis.

    Safety and Efficacy of Argatroban in Pediatric Patients, NCT00039858

    Informed Consent/Assent, Demographics

    Administrative Data
    Descripción

    Administrative Data

    Alias
    UMLS CUI-1
    C1320722
    Site #
    Descripción

    Study centre number

    Tipo de datos

    integer

    Alias
    UMLS CUI [1,1]
    C0600091
    UMLS CUI [1,2]
    C0019994
    Patient #
    Descripción

    patient ID

    Tipo de datos

    integer

    Alias
    UMLS CUI [1]
    C2348585
    Visit Date
    Descripción

    visit date

    Tipo de datos

    date

    Alias
    UMLS CUI [1]
    C1320303
    Investigator Name
    Descripción

    Investigator Name

    Tipo de datos

    text

    Alias
    UMLS CUI [1]
    C2826892
    Informed Consent/Assent
    Descripción

    Informed Consent/Assent

    Alias
    UMLS CUI-1
    C0021430
    Date consent form/assent signed:
    Descripción

    (dd-mmm-yyyy)

    Tipo de datos

    date

    Alias
    UMLS CUI [1]
    C2985782
    UMLS CUI [2,1]
    C5205794
    UMLS CUI [2,2]
    C0011008
    Time consent form/assent signed:
    Descripción

    (0000-2359)

    Tipo de datos

    time

    Alias
    UMLS CUI [1]
    C5206390
    UMLS CUI [2,1]
    C5205794
    UMLS CUI [2,2]
    C0040223
    Demographics
    Descripción

    Demographics

    Alias
    UMLS CUI-1
    C0011298
    Date of Birth
    Descripción

    (dd-mmm-yyyy)

    Tipo de datos

    date

    Alias
    UMLS CUI [1]
    C0421451
    Sex
    Descripción

    gender

    Tipo de datos

    text

    Alias
    UMLS CUI [1]
    C0079399
    If patient is < 6 months old, number weeks gestation:
    Descripción

    Duration of gestation

    Tipo de datos

    integer

    Unidades de medida
    • weeks
    Alias
    UMLS CUI [1]
    C0460089
    weeks
    Corrected gestational age
    Descripción

    *Minimum corrected gestational age must be 37 weeks. If <44 weeks, a head ultrasound is required per protocol. (Record head ultrasound results on page 19 - Head Ultrasound Form.)

    Tipo de datos

    integer

    Unidades de medida
    • weeks
    Alias
    UMLS CUI [1]
    C3831006
    weeks
    Race
    Descripción

    Race

    Tipo de datos

    text

    Alias
    UMLS CUI [1]
    C0034510
    Other race, specify:
    Descripción

    Other race, specify

    Tipo de datos

    text

    Alias
    UMLS CUI [1,1]
    C0034510
    UMLS CUI [1,2]
    C3845569

    Similar models

    Informed Consent/Assent, Demographics

    Name
    Tipo
    Description | Question | Decode (Coded Value)
    Tipo de datos
    Alias
    Item Group
    Administrative Data
    C1320722 (UMLS CUI-1)
    Study centre number
    Item
    Site #
    integer
    C0600091 (UMLS CUI [1,1])
    C0019994 (UMLS CUI [1,2])
    patient ID
    Item
    Patient #
    integer
    C2348585 (UMLS CUI [1])
    visit date
    Item
    Visit Date
    date
    C1320303 (UMLS CUI [1])
    Investigator Name
    Item
    Investigator Name
    text
    C2826892 (UMLS CUI [1])
    Item Group
    Informed Consent/Assent
    C0021430 (UMLS CUI-1)
    Date of informed consent/assent
    Item
    Date consent form/assent signed:
    date
    C2985782 (UMLS CUI [1])
    C5205794 (UMLS CUI [2,1])
    C0011008 (UMLS CUI [2,2])
    Informed consent time
    Item
    Time consent form/assent signed:
    time
    C5206390 (UMLS CUI [1])
    C5205794 (UMLS CUI [2,1])
    C0040223 (UMLS CUI [2,2])
    Item Group
    Demographics
    C0011298 (UMLS CUI-1)
    date of birth
    Item
    Date of Birth
    date
    C0421451 (UMLS CUI [1])
    Item
    Sex
    text
    C0079399 (UMLS CUI [1])
    Code List
    Sex
    CL Item
    Male (Male)
    CL Item
    Female (Female)
    Duration of gestation
    Item
    If patient is < 6 months old, number weeks gestation:
    integer
    C0460089 (UMLS CUI [1])
    Corrected age
    Item
    Corrected gestational age
    integer
    C3831006 (UMLS CUI [1])
    Item
    Race
    text
    C0034510 (UMLS CUI [1])
    Code List
    Race
    CL Item
    Asian (Asian)
    CL Item
    Black (Black)
    CL Item
    Caucasian (Caucasian)
    CL Item
    Hispanic (Hispanic)
    CL Item
    Other, Specify: (Other)
    Other race, specify
    Item
    Other race, specify:
    text
    C0034510 (UMLS CUI [1,1])
    C3845569 (UMLS CUI [1,2])

    Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

    Watch Tutorial