ID
41482
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 - See https://clinicaltrials.gov/ct2/show/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. The Serious Adverse Event (SAE) Form has to be filled in each time when such Event occurs throughout the course of the Study.
Link
https://clinicaltrials.gov/ct2/show/NCT00039858
Palabras clave
Versiones (1)
- 24/10/20 24/10/20 -
Titular de derechos de autor
GlaxoSmithKline
Subido en
24 de octubre de 2020
DOI
Para solicitar uno, por favor iniciar sesión.
Licencia
Creative Commons BY-NC 4.0
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Safety and Efficacy of Argatroban in Pediatric Patients, NCT00039858
Serious Adverse Event (SAE)
- StudyEvent: ODM
Descripción
Did the patient experience any serious adverse events during the study?
Alias
- UMLS CUI-1
- C1519255
- UMLS CUI-2
- C0347984
- UMLS CUI-3
- C2347804
Descripción
SECTION 1 Demography
Alias
- UMLS CUI-1
- C0011298
Descripción
(dd-mmm-yyyy)
Tipo de datos
date
Alias
- UMLS CUI [1]
- C0421451
Descripción
Sex
Tipo de datos
text
Alias
- UMLS CUI [1]
- C0079399
Descripción
Race
Tipo de datos
text
Alias
- UMLS CUI [1]
- C0034510
Descripción
Other race - specify
Tipo de datos
text
Alias
- UMLS CUI [1,1]
- C0034510
- UMLS CUI [1,2]
- C3845569
Descripción
Weight
Tipo de datos
float
Alias
- UMLS CUI [1]
- C0005910
Descripción
Weight unit
Tipo de datos
text
Alias
- UMLS CUI [1,1]
- C0005910
- UMLS CUI [1,2]
- C1519795
Descripción
Height
Tipo de datos
float
Alias
- UMLS CUI [1]
- C0005890
Descripción
Height unit
Tipo de datos
text
Alias
- UMLS CUI [1,1]
- C0005890
- UMLS CUI [1,2]
- C1519795
Descripción
SECTION 2 Serious Adverse Events
Alias
- UMLS CUI-1
- C1519255
Descripción
Sequential number
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C2348184
Descripción
Diagnosis only (if known) OR Serious signs/symptoms (list one per line)
Tipo de datos
text
Alias
- UMLS CUI [1]
- C1519255
Descripción
(dd-mmm-yyyy)
Tipo de datos
date
Alias
- UMLS CUI [1,1]
- C0574845
- UMLS CUI [1,2]
- C1519255
Descripción
(0000-2359)
Tipo de datos
time
Alias
- UMLS CUI [1,1]
- C0449244
- UMLS CUI [1,2]
- C1519255
Descripción
Maximum intensity of SAE
Tipo de datos
integer
Alias
- UMLS CUI [1,1]
- C0518690
- UMLS CUI [1,2]
- C1519255
Descripción
Outcome of SAE
Tipo de datos
integer
Alias
- UMLS CUI [1,1]
- C1519255
- UMLS CUI [1,2]
- C1705586
Descripción
(dd-mmm-yyyy)
Tipo de datos
date
Alias
- UMLS CUI [1]
- C2985918
- UMLS CUI [2]
- C1148348
Descripción
Action taken with study treatment because of SAE
Tipo de datos
integer
Alias
- UMLS CUI [1,1]
- C1704758
- UMLS CUI [1,2]
- C1519255
Descripción
Did the patient withdraw from study as a result of this SAE?
Tipo de datos
integer
Alias
- UMLS CUI [1,1]
- C0422727
- UMLS CUI [1,2]
- C0566251
- UMLS CUI [1,3]
- C0877248
Descripción
Is there a reasonable possibility the SAE may have been caused by the investigational product(s)?
Tipo de datos
integer
Alias
- UMLS CUI [1,1]
- C0304229
- UMLS CUI [1,2]
- C0085978
- UMLS CUI [1,3]
- C1519255
Descripción
Does the AE meet the definition of serious? Only Option 1 can be chosen as Answer.
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C1710056
Descripción
SECTION 3 Possible Causes of SAE other than Investigational Product(s)
Alias
- UMLS CUI-1
- C3641099
- UMLS CUI-2
- C1519255
Descripción
Disease under study
Tipo de datos
boolean
Alias
- UMLS CUI [1,1]
- C0012634
- UMLS CUI [1,2]
- C0347984
- UMLS CUI [1,3]
- C0008976
Descripción
Treatment failure
Tipo de datos
boolean
Alias
- UMLS CUI [1]
- C0162643
Descripción
Withdrawal of investigational product
Tipo de datos
boolean
Alias
- UMLS CUI [1,1]
- C2349954
- UMLS CUI [1,2]
- C0013227
Descripción
Concomitant disorder
Tipo de datos
boolean
Alias
- UMLS CUI [1]
- C0009488
Descripción
Concomitant disorder - specify
Tipo de datos
text
Alias
- UMLS CUI [1,1]
- C0009488
- UMLS CUI [1,2]
- C1521902
Descripción
Concomitant medication
Tipo de datos
boolean
Alias
- UMLS CUI [1]
- C2347852
Descripción
Concomitant medication - specify
Tipo de datos
text
Alias
- UMLS CUI [1,1]
- C2347852
- UMLS CUI [1,2]
- C1521902
Descripción
Activity related to study participation, procedures
Tipo de datos
boolean
Alias
- UMLS CUI [1]
- C2348568
- UMLS CUI [2]
- C0199171
Descripción
Activity related to study participation, procedures - specify
Tipo de datos
text
Alias
- UMLS CUI [1,1]
- C2348568
- UMLS CUI [1,2]
- C1521902
- UMLS CUI [2,1]
- C0199171
- UMLS CUI [2,2]
- C1521902
Descripción
Other cause of SAE
Tipo de datos
boolean
Alias
- UMLS CUI [1,1]
- C1519255
- UMLS CUI [1,2]
- C0085978
- UMLS CUI [1,3]
- C0205394
Descripción
Other cause of SAE - specify
Tipo de datos
text
Alias
- UMLS CUI [1,1]
- C1519255
- UMLS CUI [1,2]
- C0085978
- UMLS CUI [1,3]
- C0205394
- UMLS CUI [1,4]
- C1521902
Descripción
SECTION 4 Seriousness
Alias
- UMLS CUI-1
- C1710056
Descripción
If Yes, fill the following Question
Tipo de datos
boolean
Alias
- UMLS CUI [1,1]
- C1519255
- UMLS CUI [1,2]
- C0011065
Descripción
(Send autopsy report when available.)
Tipo de datos
text
Alias
- UMLS CUI [1]
- C1705232
- UMLS CUI [2]
- C0004398
Descripción
Life threatening AE
Tipo de datos
boolean
Alias
- UMLS CUI [1]
- C1517874
Descripción
Hospitalization required or prolonged
Tipo de datos
boolean
Alias
- UMLS CUI [1]
- C2348993
Descripción
Disabling AE
Tipo de datos
boolean
Alias
- UMLS CUI [1]
- C3830477
Descripción
AE seriousness due to congenital anomaly
Tipo de datos
boolean
Alias
- UMLS CUI [1]
- C2826727
Descripción
Other SAE
Tipo de datos
boolean
Alias
- UMLS CUI [1,1]
- C1519255
- UMLS CUI [1,2]
- C0205394
Descripción
Other SAE - specify
Tipo de datos
text
Alias
- UMLS CUI [1,1]
- C1519255
- UMLS CUI [1,2]
- C0205394
- UMLS CUI [1,3]
- C1521902
Descripción
SECTION 5 Relevant Medical Conditions
Alias
- UMLS CUI-1
- C0262926
- UMLS CUI-2
- C1519255
Descripción
Sequential number
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C2348184
Descripción
Medical history, allergies, surgeries relevant to SAE
Tipo de datos
text
Alias
- UMLS CUI [1,1]
- C0262926
- UMLS CUI [1,2]
- C1519255
- UMLS CUI [2,1]
- C0020517
- UMLS CUI [2,2]
- C1519255
- UMLS CUI [3,1]
- C0543467
- UMLS CUI [3,2]
- C1519255
Descripción
(dd-mmm-yyyy)
Tipo de datos
date
Alias
- UMLS CUI [1,1]
- C0574845
- UMLS CUI [1,2]
- C1519255
Descripción
Disease present during SAE
Tipo de datos
text
Alias
- UMLS CUI [1,1]
- C0012634
- UMLS CUI [1,2]
- C0347984
- UMLS CUI [1,3]
- C1519255
Descripción
(dd-mmm-yyyy)
Tipo de datos
date
Alias
- UMLS CUI [1,1]
- C2745955
- UMLS CUI [1,2]
- C1517741
- UMLS CUI [1,3]
- C0011008
- UMLS CUI [1,4]
- C0009488
Descripción
SECTION 6 Other Relevant Risk Factors
Alias
- UMLS CUI-1
- C1519255
- UMLS CUI-2
- C0035648
- UMLS CUI-3
- C0205394
- UMLS CUI-4
- C2347946
Descripción
Risk factors relevant to SAE (social history, family history, smoking, alcohol, diet, drug abuse, occupational hazard)
Tipo de datos
text
Alias
- UMLS CUI [1,1]
- C0035648
- UMLS CUI [1,2]
- C1519255
- UMLS CUI [1,3]
- C0205394
- UMLS CUI [1,4]
- C2347946
- UMLS CUI [2]
- C3714536
- UMLS CUI [3]
- C0241889
- UMLS CUI [4]
- C0543414
- UMLS CUI [5]
- C0001948
- UMLS CUI [6]
- C0012155
- UMLS CUI [7]
- C0013146
- UMLS CUI [8]
- C0337074
Descripción
SECTION 7 Details of Investigational Product(s)
Alias
- UMLS CUI-1
- C0304229
- UMLS CUI-2
- C1522508
Descripción
Investigational product
Tipo de datos
text
Alias
- UMLS CUI [1]
- C0304229
Descripción
(dd-mmm-yyyy)
Tipo de datos
date
Alias
- UMLS CUI [1,1]
- C0304229
- UMLS CUI [1,2]
- C3173309
Descripción
(dd-mmm-yyyy)
Tipo de datos
date
Alias
- UMLS CUI [1,1]
- C0304229
- UMLS CUI [1,2]
- C1762893
Descripción
SECTION 8 Relevant Concomitant Medications
Alias
- UMLS CUI-1
- C1519255
- UMLS CUI-2
- C2347852
Descripción
Sequential number
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C2348184
Descripción
(Trade Name Preferred)
Tipo de datos
text
Alias
- UMLS CUI [1,1]
- C2347852
- UMLS CUI [1,2]
- C2360065
Descripción
Concomitant medication dose
Tipo de datos
float
Alias
- UMLS CUI [1]
- C2826811
Descripción
Concomitant medication dose unit
Tipo de datos
text
Alias
- UMLS CUI [1]
- C2826646
Descripción
Concomitant medication dose frequency
Tipo de datos
text
Alias
- UMLS CUI [1]
- C2826654
Descripción
Concomitant medication route of administration
Tipo de datos
text
Alias
- UMLS CUI [1]
- C2826730
Descripción
(dd-mmm-yyyy)
Tipo de datos
date
Alias
- UMLS CUI [1]
- C2826734
Descripción
Concomitant medication started pre-study
Tipo de datos
boolean
Alias
- UMLS CUI [1]
- C2981448
Descripción
(dd-mmm-yyyy)
Tipo de datos
date
Alias
- UMLS CUI [1]
- C2826744
Descripción
Concomitant medication continued post-SAE
Tipo de datos
boolean
Alias
- UMLS CUI [1,1]
- C2826666
- UMLS CUI [1,2]
- C0231290
- UMLS CUI [1,3]
- C1519255
Descripción
Concomintant medication indication
Tipo de datos
text
Alias
- UMLS CUI [1]
- C2826696
Descripción
SECTION 9 Narrative / Comments
Alias
- UMLS CUI-1
- C0947611
Descripción
SECTION 10 Details of Relevant Assessments
Alias
- UMLS CUI-1
- C1261322
- UMLS CUI-2
- C1519255
Descripción
Details of other evaluation of SAE, laboratory procedures
Tipo de datos
text
Alias
- UMLS CUI [1,1]
- C0220825
- UMLS CUI [1,2]
- C0205394
- UMLS CUI [1,3]
- C1519255
- UMLS CUI [1,4]
- C1522508
- UMLS CUI [2]
- C0022885
Descripción
SECTION 11 Reporting Investigator
Alias
- UMLS CUI-1
- C0008961
- UMLS CUI-2
- C1533716
Descripción
This Section should be filled in once for Sections 1-10 and eventually once for Additional or Follow-Up Information.
Tipo de datos
text
Alias
- UMLS CUI [1,1]
- C2346576
- UMLS CUI [1,2]
- C1828479
Descripción
Investigator name
Tipo de datos
text
Alias
- UMLS CUI [1]
- C2826892
Descripción
Investigator address
Tipo de datos
text
Alias
- UMLS CUI [1,1]
- C1442065
- UMLS CUI [1,2]
- C0008961
Descripción
Investigator signature
Tipo de datos
text
Alias
- UMLS CUI [1]
- C2346576
Descripción
(dd-mmm-yyyy)
Tipo de datos
date
Alias
- UMLS CUI [1,1]
- C2346576
- UMLS CUI [1,2]
- C0011008
Descripción
Additional or Follow-Up Information
Alias
- UMLS CUI-1
- C1524062
- UMLS CUI-2
- C1533716
- UMLS CUI-3
- C1519255
- UMLS CUI-4
- C1522577
Descripción
Additional or Follow-Up Information
Tipo de datos
text
Alias
- UMLS CUI [1,1]
- C1524062
- UMLS CUI [1,2]
- C1533716
- UMLS CUI [1,3]
- C1519255
- UMLS CUI [2,1]
- C1522577
- UMLS CUI [2,2]
- C1533716
- UMLS CUI [2,3]
- C1519255
Similar models
Serious Adverse Event (SAE)
- StudyEvent: ODM
C0019994 (UMLS CUI [1,2])
C0347984 (UMLS CUI-2)
C2347804 (UMLS CUI-3)
C0347984 (UMLS CUI [1,2])
C2347804 (UMLS CUI [1,3])
C3845569 (UMLS CUI [1,2])
C1519255 (UMLS CUI [1,2])
C1519255 (UMLS CUI [1,2])
C1519255 (UMLS CUI [1,2])
C1148348 (UMLS CUI [2])
C1519255 (UMLS CUI [1,2])
C0566251 (UMLS CUI [1,2])
C0877248 (UMLS CUI [1,3])
C0085978 (UMLS CUI [1,2])
C1519255 (UMLS CUI [1,3])
C1519255 (UMLS CUI-2)
C0347984 (UMLS CUI [1,2])
C0008976 (UMLS CUI [1,3])
C0013227 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,2])
C0199171 (UMLS CUI [2])
C1521902 (UMLS CUI [1,2])
C0199171 (UMLS CUI [2,1])
C1521902 (UMLS CUI [2,2])
C0085978 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
C0085978 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
C1521902 (UMLS CUI [1,4])
C0011065 (UMLS CUI [1,2])
C0004398 (UMLS CUI [2])
C0205394 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
C1519255 (UMLS CUI-2)
C1519255 (UMLS CUI [1,2])
C0020517 (UMLS CUI [2,1])
C1519255 (UMLS CUI [2,2])
C0543467 (UMLS CUI [3,1])
C1519255 (UMLS CUI [3,2])
C1519255 (UMLS CUI [1,2])
C0347984 (UMLS CUI [1,2])
C1519255 (UMLS CUI [1,3])
C1517741 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
C0009488 (UMLS CUI [1,4])
C0035648 (UMLS CUI-2)
C0205394 (UMLS CUI-3)
C2347946 (UMLS CUI-4)
C1519255 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
C2347946 (UMLS CUI [1,4])
C3714536 (UMLS CUI [2])
C0241889 (UMLS CUI [3])
C0543414 (UMLS CUI [4])
C0001948 (UMLS CUI [5])
C0012155 (UMLS CUI [6])
C0013146 (UMLS CUI [7])
C0337074 (UMLS CUI [8])
C1522508 (UMLS CUI-2)
C3173309 (UMLS CUI [1,2])
C1762893 (UMLS CUI [1,2])
C2347852 (UMLS CUI-2)
C2360065 (UMLS CUI [1,2])
C0231290 (UMLS CUI [1,2])
C1519255 (UMLS CUI [1,3])
C0678257 (UMLS CUI [1,2])
C2981656 (UMLS CUI [2,1])
C0678257 (UMLS CUI [2,2])
C1519255 (UMLS CUI-2)
C0205394 (UMLS CUI [1,2])
C1519255 (UMLS CUI [1,3])
C1522508 (UMLS CUI [1,4])
C0022885 (UMLS CUI [2])
C1533716 (UMLS CUI-2)
C1828479 (UMLS CUI [1,2])
C0008961 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,2])
C1533716 (UMLS CUI-2)
C1519255 (UMLS CUI-3)
C1522577 (UMLS CUI-4)
C1533716 (UMLS CUI [1,2])
C1519255 (UMLS CUI [1,3])
C1522577 (UMLS CUI [2,1])
C1533716 (UMLS CUI [2,2])
C1519255 (UMLS CUI [2,3])