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ID

41356

Description

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 whether such samples are drawn during the Study Period. Study Protocol specifies when such Samples should be drawn.

Link

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

Keywords

  1. 3/9/20 3/9/20 -
Copyright Holder

GlaxoSmithKline

Uploaded on

3 de septiembre de 2020

DOI

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License

Creative Commons BY-NC 4.0

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    Safety and Efficacy of Argatroban in Pediatric Patients, NCT00039858

    Pharmacokinetic Samples and Pharmacodynamic (ACT/aPTT) Samples and Results

    Administrative Data
    Description

    Administrative Data

    Alias
    UMLS CUI-1
    C1320722
    Site #
    Description

    Study centre number

    Data type

    integer

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

    patient ID

    Data type

    integer

    Alias
    UMLS CUI [1]
    C2348585
    Visit Date
    Description

    visit date

    Data type

    date

    Alias
    UMLS CUI [1]
    C1320303
    Investigator Name
    Description

    Investigator Name

    Data type

    text

    Alias
    UMLS CUI [1]
    C2826892
    Check if (additional) supplemental instance of this form was used.
    Description

    Use one instance for every ten samples/sample sets. Check this box on all instances except for the last one.

    Data type

    boolean

    Alias
    UMLS CUI [1]
    C1706499
    Instance Number
    Description

    Fill in the instance number, starting from 1. On all instances except for the last one, the preceding box has to be checked.

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C1516308
    UMLS CUI [1,2]
    C2348184
    Pharmacokinetic Samples and Pharmacodynamic (ACT/aPTT) Samples and Results
    Description

    Pharmacokinetic Samples and Pharmacodynamic (ACT/aPTT) Samples and Results

    Alias
    UMLS CUI-1
    C0031328
    UMLS CUI-2
    C0851347
    UMLS CUI-3
    C0370003
    UMLS CUI-4
    C1274040
    UMLS CUI-5
    C1274040
    UMLS CUI-6
    C0427611
    UMLS CUI-7
    C0030605
    Sample Number
    Description

    Pharmacokinetics sample number | Pharmacodynamics sample number

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C0031328
    UMLS CUI [1,2]
    C1299222
    UMLS CUI [2,1]
    C0851347
    UMLS CUI [2,2]
    C1299222
    Dose Administration Type / Sample Collection Timepoint (enter code below)
    Description

    Dose Administration Type / Sample Collection Timepoint

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C3174092
    UMLS CUI [1,2]
    C0455708
    UMLS CUI [2,1]
    C0200345
    UMLS CUI [2,2]
    C2348792
    Collection Date:
    Description

    (dd-mmm-yyyy)

    Data type

    date

    Alias
    UMLS CUI [1]
    C1302413
    Collection Time
    Description

    (0000-2359)

    Data type

    time

    Alias
    UMLS CUI [1]
    C4064021
    ACT or aPTT
    Description

    Test type

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0022885
    UMLS CUI [1,2]
    C0332307
    ACT or aPTT Result
    Description

    Test result

    Data type

    float

    Measurement units
    • sec
    Alias
    UMLS CUI [1]
    C0587081
    sec
    PK Sample Drawn?
    Description

    Pharmacokinetics sample drawn

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0031328
    UMLS CUI [1,2]
    C0807979
    Comments
    Description

    Comment

    Data type

    text

    Alias
    UMLS CUI [1]
    C0947611

    Similar models

    Pharmacokinetic Samples and Pharmacodynamic (ACT/aPTT) Samples and Results

    Name
    Type
    Description | Question | Decode (Coded Value)
    Data type
    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])
    Additional form
    Item
    Check if (additional) supplemental instance of this form was used.
    boolean
    C1706499 (UMLS CUI [1])
    CRF Sequential Number
    Item
    Instance Number
    integer
    C1516308 (UMLS CUI [1,1])
    C2348184 (UMLS CUI [1,2])
    Item Group
    Pharmacokinetic Samples and Pharmacodynamic (ACT/aPTT) Samples and Results
    C0031328 (UMLS CUI-1)
    C0851347 (UMLS CUI-2)
    C0370003 (UMLS CUI-3)
    C1274040 (UMLS CUI-4)
    C1274040 (UMLS CUI-5)
    C0427611 (UMLS CUI-6)
    C0030605 (UMLS CUI-7)
    Pharmacokinetics sample number | Pharmacodynamics sample number
    Item
    Sample Number
    integer
    C0031328 (UMLS CUI [1,1])
    C1299222 (UMLS CUI [1,2])
    C0851347 (UMLS CUI [2,1])
    C1299222 (UMLS CUI [2,2])
    Item
    Dose Administration Type / Sample Collection Timepoint (enter code below)
    integer
    C3174092 (UMLS CUI [1,1])
    C0455708 (UMLS CUI [1,2])
    C0200345 (UMLS CUI [2,1])
    C2348792 (UMLS CUI [2,2])
    Code List
    Dose Administration Type / Sample Collection Timepoint (enter code below)
    CL Item
    5 - 10 min post-bolus (1)
    CL Item
    5 - 10 min post-infusion dose change (2)
    CL Item
    Stable infusion — every 60 min (3)
    CL Item
    Post-infusion — every 60 min until <160 sec (4)
    CL Item
    Additional — at physician’s discretion (5)
    CL Item
    2 hrs post-initial infusion initiation (6)
    CL Item
    2 hrs post-infusion dose change (7)
    CL Item
    Daily — at stable infusion dose (8)
    CL Item
    0.5 - 2 hrs post-infusion termination (9)
    CL Item
    3 - 6 hrs post-infusion termination (10)
    CL Item
    Additional — at physician’s discretion (11)
    Specimen collection date
    Item
    Collection Date:
    date
    C1302413 (UMLS CUI [1])
    Specimen collection time
    Item
    Collection Time
    time
    C4064021 (UMLS CUI [1])
    Item
    ACT or aPTT
    text
    C0022885 (UMLS CUI [1,1])
    C0332307 (UMLS CUI [1,2])
    Code List
    ACT or aPTT
    CL Item
    ACT (ACT)
    CL Item
    aPTT (aPTT)
    Test result
    Item
    ACT or aPTT Result
    float
    C0587081 (UMLS CUI [1])
    Item
    PK Sample Drawn?
    text
    C0031328 (UMLS CUI [1,1])
    C0807979 (UMLS CUI [1,2])
    Code List
    PK Sample Drawn?
    CL Item
    Yes (Yes)
    CL Item
    No (No)
    Comment
    Item
    Comments
    text
    C0947611 (UMLS CUI [1])

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