- 06.04.18 - 1 Formulier, 12 Itemgroepen, 59 Data-elementen, 1 Taal
Itemgroepen: Administrative Data, Serious Adverse Events - Section 1, Serious Adverse Events - Section 2: Seriousness, Serious Adverse Events - Section 3: Demography Data, Serious Adverse Events - Section 4, Serious Adverse Events - Section 5: Causes Other Than Investigational Products, Serious Adverse Events - Section 6: Relevant medical conditions, Serious Adverse Events - Section 7: Other relevant risk factors, Serious Adverse Events - Section 8: Relevant concomitant medication, Serious Adverse Events - Section 9: Details of investigational Products, Serious Adverse Events - Section 10: Details of relevant assessments, Serious Adverse Events - Section 11: Narrative Remarks
- 19.01.21 - 1 Formulier, 18 Itemgroepen, 59 Data-elementen, 1 Taal
Itemgroepen: Administrative, Non-Serious Adverse Events, Non-Serious Adverse Events , Serious Adverse Event, Serious Adverse Event - Section 1, Serious Adverse Event - Section 1 , Serious Adverse Event - Section 2 (Seriousness), Serious Adverse Event - Section 3 (Demography Data), Serious Adverse Event - Section 4, Serious Adverse Event - Section 5, Serious Adverse Event - Section 6 (Relevant Medical Conditions), Serious Adverse Event - Section 7, Serious Adverse Event - Section 8 (Concomitant Medication), Serious Adverse Event - Section 9 (Details of Investigational Product(s)), Serious Adverse Event - Section 9 (Details of Investigational Product(s)) , Serious Adverse Event - Section 10, Serious Adverse Event - Section 11, Investigator's signature
- 16.11.18 - 1 Formulier, 14 Itemgroepen, 82 Data-elementen, 1 Taal
Itemgroepen: SAE Log Status, Log Status, Subject Withdrawal Status, Serious Adverse Event, Serious Adverse Event- Randomisation, Serious Adverse Event, Serious Adverse Event - Seriousness, Serious Adverse Event - Relevant Concomitant/ Treatment Medications, Serious Adverse Event - Relevant Conditions/ Risk Factors, Serious Adverse Event - Relevant Diagnostic Results, Serious Adverse Event - Rechallenge, Serious Adverse Event - Investigational Product, Serious Adverse Event - General Narrative Comments, Non- serious Adverse Event
- 28.11.18 - 1 Formulier, 14 Itemgroepen, 65 Data-elementen, 1 Taal
Itemgroepen: Administrative data, Serious Adverse Event (SAE), SECTION 1 Demography, Serious Adverse Events, SECTION 3 Possible Causes of SAE other than Investigational Product(s), SECTION 4 Seriousness of SAE, SECTION 5 Relevant Medical Conditions, SECTION 6 Other Relevant Risk Factors, SECTION 7 Details of Investigational Product(s), SECTION 8 Relevant Concomitant Medications, SECTION 9 Narrative / Comments, SECTION 10 Details of Relevant Assessments, SECTION 11 Reporting Investigator, Additional or follow-up information
- 23.11.18 - 1 Formulier, 2 Itemgroepen, 14 Data-elementen, 1 Taal
Itemgroepen: Administrative data, Non-Serious Adverse Events
Study ID: 101877 Clinical Study ID: SAS101877 Study Title: A randomised, open label, 5-way crossover study to assess the systemic exposure of FP and salmeterol from SERETIDE/ADVAIR 250 without spacer, with Aerochamber -Plus and with -Max spacer, with VOLUMATIC spacer and SERETIDE/ADVAIR 500 DISKUS/ACCUHALER in adult subjects with mild or intermittent asthma Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 1 Study Recruitment Status: Completed Generic Name: fluticasone propionate/salmeterol Trade Name: Advair DISKUS,Seretide Accuhaler; Viani,Seretide Diskus,Seretide Accuhaler,Seretide,Advair DISKUS Study Indication: Asthma The study consists of 5 treatment periods and a follow-up visit. The Screening includes Session 1 Treatment Period 1 includes Session 2 Treatment Period 2 includes Session 3 Treatment Period 3 includes Session 4 Treatment Period 4 includes Session 5 Treatment Period 5 includes Session 6 The Follow-up includes Session 7. This document contains the Non-Serious Adverse Events form. It has to be filled in if a Non-Serious Adverse Event occurs during study. Examples of an AE includes: Exacerbation of a chronic or intermittent pre-existing condition including either an increase in frequency and/or intensity of the condition. New conditions detected or diagnosed after investigational product administration even though it may have been present prior to the start of the study. Signs, symptoms, or the clinical sequelae of a suspected interaction. Signs, symptoms, or the clinical sequelae of a suspected overdose of either investigational product or a concomitant medication (overdose per se should not be reported as an AE/SAE). Examples of an AE does NOT include a/an: Medical or surgical procedure (e.g., endoscopy, appendectomy); the condition that leads to the procedure is an AE. Situations where an untoward medical occurrence did not occur (social and/or convenience admission to a hospital). Anticipated day-to-day fluctuations of pre-existing disease(s) or condition(s) present or detected at the start of the study that do not worsen. The disease/disorder being studied, or expected progression, signs, or symptoms of the disease/disorder being studied, unless more severe than expected for the sub1ect's condition.
- 21.12.18 - 1 Formulier, 11 Itemgroepen, 67 Data-elementen, 1 Taal
Itemgroepen: Administrative data, Type of report, Randomisation, Serious Adverse Events, Seriousness, Relevant concomitant/treatment medications, Relevant medical conditions/risk factors, Relevant diagnostic results, Investigational product, General narrative comments, Non clinical
- 21.12.18 - 1 Formulier, 2 Itemgroepen, 17 Data-elementen, 1 Taal
Itemgroepen: Administrative data, Non-Serious Adverse Events
- 10.01.19 - 1 Formulier, 10 Itemgroepen, 43 Data-elementen, 1 Taal
Itemgroepen: Administrative data, General Information, Liver event, Investigational product (Liver), Pharmacokinetics (Liver PK), Liver disease medical conditions, DRUG RELATED LIVER DISEASE CONDITIONS, Other liver disease conditions, Other medical conditions, Alcohol intake at onset of liver event
- 23.11.18 - 1 Formulier, 3 Itemgroepen, 8 Data-elementen, 1 Taal
Itemgroepen: Administrative data, Compliance Restrictions, Concomitant Medications and Adverse Event Enquiry

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