- 04/02/2019 - 1 Formulário, 4 Grupos de itens, 11 Elementos de dados, 1 Idioma
Grupos de itens: Administrative data, Alcohol intake, Urine test for drugs, cotinine and alcohol, History of tobacco use
- 04/02/2019 - 1 Formulário, 5 Grupos de itens, 44 Elementos de dados, 1 Idioma
Grupos de itens: Administrative data, Mothers relevant medical/family history, Fathers relevant medical/family history, Drug exposures, Reporting investigator information
Study ID: 101888 Clinical Study ID: FFR101888 Study Title: A randomised, placebo-controlled, four way crossover study to evaluate the effect of double-blind 4000 mcg of orally inhaled GW685698X and of 6.25 mg cellobiose octa-acetate on electrocardiographic parameters, with single-blind 400 mg of oral moxifloxacin as a positive control, in 40 healthy male and female subjects. 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 furoate Trade Name: Veramyst,Avamys,Allermist Study Indication: Rhinitis, Allergic, Perennial The study consists of a screening, 4 treatment periods (TP) and a follow-up visit. For each TP there is a Day-1 (D-1) and a Day1 (D1). This document contains the Pregnancy notification form (subject). It has to be filled in if a pregnancy occurs during study. This form should be completed according to the protocol reporting requirements. Complete this form for each subject who becomes pregnant during the study period. Send a copy of the form to GlaxoSmithKline (GSK will provide separately a list of contact names and information) by mail or fax (fax preferred) within two weeks of learning of the pregnancy. Original pages should remain with the subject's Case Report Form. Note: This form does not routinely need to be completed for subject's partner pregnancy unless there is specific instruction to do so stated in the protocol.
- 04/02/2019 - 1 Formulário, 8 Grupos de itens, 90 Elementos de dados, 1 Idioma
Grupos de itens: Administrative data, 12 Lead ECG abnormalities, Rhythm, P-Wave and QRS Morphology, Conduction, Myocardial Infarction, Depolarisation/Repolarisation (QRS-T), Other abnormalities
- 31/01/2019 - 1 Formulário, 6 Grupos de itens, 16 Elementos de dados, 1 Idioma
Grupos de itens: Administrative data, Status of treatment blind, Study conclusion, Pregnancy information, Investigator Comment Log, Investigator's signature

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