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    Lab Reports Cancellation

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    NARCOS
    This laboratory report provides results from tests on a 66-year-old female subject. It finds her creatinine clearance is high and her cholesterol is low. The sponsor is collecting a generic date of birth for subjects in this study using only their birth year, and Labcorp will base its reference ranges and calculations on this generic DOB rather than the subject's real age. It is up to the investigator to ensure the generic DOB aligns with the subject's actual age and study eligibility. The report contains no clinically significant findings requiring comment.

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    Lab Reports Cancellation

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    NARCOS
    81 views5 pages
    This laboratory report provides results from tests on a 66-year-old female subject. It finds her creatinine clearance is high and her cholesterol is low. The sponsor is collecting a generic date of birth for subjects in this study using only their birth year, and Labcorp will base its reference ranges and calculations on this generic DOB rather than the subject's real age. It is up to the investigator to ensure the generic DOB aligns with the subject's actual age and study eligibility. The report contains no clinically significant findings requiring comment.

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    This laboratory report provides results from tests on a 66-year-old female subject. It finds her creatinine clearance is high and her cholesterol is low. The sponsor is collecting a generic date of birth for subjects in this study using only their birth year, and Labcorp will base its reference ranges and calculations on this generic DOB rather than the subject's real age. It is up to the investigator to ensure the generic DOB aligns with the subject's actual age and study eligibility. The report contains no clinically significant findings requiring comment.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    81 views5 pages

    Lab Reports Cancellation

    Uploaded by

    NARCOS
    This laboratory report provides results from tests on a 66-year-old female subject. It finds her creatinine clearance is high and her cholesterol is low. The sponsor is collecting a generic date of birth for subjects in this study using only their birth year, and Labcorp will base its reference ranges and calculations on this generic DOB rather than the subject's real age. It is up to the investigator to ensure the generic DOB aligns with the subject's actual age and study eligibility. The report contains no clinically significant findings requiring comment.

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    Labcorp CLS LP

    Anagh Vora, MD, FCAP


    8211 SciCor Drive - Indianapolis, IN 46214-2985
    Tel. +1 (866) 762 6209
    LABORATORY REPORT

    ACCESSION NO. 6520318719


    Page 1 of 1 J2J-OX-JZLC
    INVESTIGATOR: (OC51030) PROTOCOL J2J-OX-JZLC
    Cynthia Villarreal-Garza, M.D. INVESTIGATOR NO.: 15502
    c/o Alejandra Lucio Guzman PATIENT NUMBER: 10253
    Centro Medico Zambrano Helion SUBJECT INITIALS NOT COLLECTED:
    Batallon de San Patricio 112 VISIT: 005
    San Pedro Garza Garcia, NL, Mexico 66278C5D1-n Chemistry
    SPONSOR REPORT TO: COLLECTION TIME:11:08 DATE:22-Sep-2022
    Suzanne Young DATE RECEIVED IN LABORATORY: 26-Sep-2022
    c/o Sponsor Esite access DATE REPORTED BY LABORATORY: 27-Sep-2022
    Covance SEX: F BIRTHDATE: 01-Jul-1956 AGE: 66y
    8211 Scicor Dr.
    Indianapolis, IN United States 46214
    Ref. Ranges Clinical Comments
    Significance
    Yes* No

    CREATININE TOX GRADE


    CREAT TOX Toxicity Criteria Not Met

    Sponsor is collecting 01-Jul and the subject's birth year as the date of birth (DOB) for all subjects in
    this study. Labcorp CLS reference ranges, alerts, flags and age-dependent calculations will be based on the
    generic DOB provided by the investigator. It is the responsibility of the investigator to ensure these
    parameters are aligned with the real subject age and that the subject meets the age requirement for the
    study

    *If clinically significant, comment is required.

    Signature: _____________________________________________________ Date: ___________________

    H(High) and L(Low)=Values above or below Labcorp CLS Reference Ranges OC51030
    T=Telephoned P="Panic" EX=Exclusion G1=toxicity Grade 1 G2=toxicity Grade 2
    G3=toxicity Grade 3 G4=toxicity Grade 4-as specified by the sponsor
    (INV)
    Labcorp CLS LP
    Anagh Vora, MD, FCAP
    8211 SciCor Drive - Indianapolis, IN 46214-2985
    Tel. +1 (866) 762 6209
    LABORATORY REPORT

    ACCESSION NO. 6520318719


    Page 1 of 1 J2J-OX-JZLC
    INVESTIGATOR: (OC51030) PROTOCOL J2J-OX-JZLC
    Cynthia Villarreal-Garza, M.D. INVESTIGATOR NO.: 15502
    c/o Alejandra Lucio Guzman PATIENT NUMBER: 10253
    Centro Medico Zambrano Helion SUBJECT INITIALS NOT COLLECTED:
    Batallon de San Patricio 112 VISIT: 005
    San Pedro Garza Garcia, NL, Mexico 66278C5D1-n Chemistry
    SPONSOR REPORT TO: COLLECTION TIME:11:08 DATE:22-Sep-2022
    Suzanne Young DATE RECEIVED IN LABORATORY: 26-Sep-2022
    c/o Sponsor Esite access DATE REPORTED BY LABORATORY: 27-Sep-2022
    Covance SEX: F BIRTHDATE: 01-Jul-1956 AGE: 66y
    8211 Scicor Dr.
    Indianapolis, IN United States 46214
    Ref. Ranges Clinical Comments
    Significance
    Yes* No

    HM ALT/TBILI ULN CRITERIA MET


    ALT TBILI Required testing unavailable

    HM ALT/TBILI ULN/BL CRIT MET


    ALTTBILCR Required testing unavailable

    HM AST >/= 5 X ULN


    AST5xULN HM Criteria Not Met

    HM ALT >/= 5 X ULN


    ALT5xULN Required testing unavailable

    HM AST >/= 3 X BASELINE


    AST3xBL HM Criteria Not Met

    HM ALT >/= 3 X BASELINE


    ALT3xBL Required testing unavailable

    CREATININE CLEARANCE CC&G


    Creat Clr 2.15 H 1.25-1.92 mL/sec
    Creatinine 50 31-101 umol/L
    Weight 84.0 kg

    HM AST/TBILI ULN CRITERIA MET


    AST TBILI HM Criteria Not Met

    HM AST/TBILI ULN/BL CRIT MET


    ASTTBILCR HM Criteria Not Met

    Sponsor is collecting 01-Jul and the subject's birth year as the date of birth (DOB) for all subjects in
    this study. Labcorp CLS reference ranges, alerts, flags and age-dependent calculations will be based on the
    generic DOB provided by the investigator. It is the responsibility of the investigator to ensure these
    parameters are aligned with the real subject age and that the subject meets the age requirement for the
    study

    *If clinically significant, comment is required.

    Signature: _____________________________________________________ Date: ___________________

    H(High) or L(Low) =Values above or below Labcorp CLS reference range. T=Telephone P="Panic" OC51030
    B1=Hepatic Monitoring,B2=Hepatic Monitoring,CM=Labcorp Monitoring,EX=Exclusion
    HM=Labcorp Monitoring,L1=Hepatic Monitoring,L2=Hepatic Monitoring,RX=Possible Exclusion
    (INV)
    Labcorp CLS LP
    Anagh Vora, MD, FCAP
    8211 SciCor Drive - Indianapolis, IN 46214-2985
    Tel. +1 (866) 762 6209
    LABORATORY REPORT

    ACCESSION NO. 6520318719


    Page 1 of 1 J2J-OX-JZLC
    INVESTIGATOR: (OC51030) PROTOCOL J2J-OX-JZLC
    Cynthia Villarreal-Garza, M.D. INVESTIGATOR NO.: 15502
    c/o Alejandra Lucio Guzman PATIENT NUMBER: 10253
    Centro Medico Zambrano Helion SUBJECT INITIALS NOT COLLECTED:
    Batallon de San Patricio 112 VISIT: 005
    San Pedro Garza Garcia, NL, Mexico 66278C5D1-n Chemistry
    SPONSOR REPORT TO: COLLECTION TIME:11:08 DATE:22-Sep-2022
    Suzanne Young DATE RECEIVED IN LABORATORY: 26-Sep-2022
    c/o Sponsor Esite access DATE REPORTED BY LABORATORY: 27-Sep-2022
    Covance SEX: F BIRTHDATE: 01-Jul-1956 AGE: 66y
    8211 Scicor Dr.
    Indianapolis, IN United States 46214
    Ref. Ranges Clinical Comments
    Significance
    Yes* No

    CHEMISTRY PANEL
    Total Bili 3 3-21 umol/L
    Dir Bili Beyond stability
    <2-7 umol/L
    Alk Phos 110 H 35-104 U/L
    ALT (SGPT) Beyond stability
    4-43 U/L
    AST (SGOT) 40 8-40 U/L
    Urea 5.0 1.4-8.6 mmol/L
    Creatinine 50 31-101 umol/L
    Gluc, Rand 4.8 3.9-11.1 mmol/L
    Calcium 2.35 2.07-2.64 mmol/L
    Total Prot 63 60-80 g/L
    Alb BCG 39 33-49 g/L

    ELECTROLYTE PANEL
    Sodium 141 135-145 mmol/L
    Potassium 4.3 3.5-5.2 mmol/L

    FASTING LIPID PANEL


    HDLC4 1.19 1.03-1.55 mmol/L
    Triglycer 1.17 0.63-2.71 mmol/L
    Cholest 4.11 L 4.86-8.28 mmol/L
    LDL Calc 2.38 2.38-5.72 mmol/L

    Sponsor is collecting 01-Jul and the subject's birth year as the date of birth (DOB) for all subjects in
    this study. Labcorp CLS reference ranges, alerts, flags and age-dependent calculations will be based on the
    generic DOB provided by the investigator. It is the responsibility of the investigator to ensure these
    parameters are aligned with the real subject age and that the subject meets the age requirement for the
    study

    *If clinically significant, comment is required.

    Signature: _____________________________________________________ Date: ___________________

    H(High) or L(Low) =Values above or below Labcorp CLS reference range. T=Telephone P="Panic" OC51030
    B1=Hepatic Monitoring,B2=Hepatic Monitoring,CM=Labcorp Monitoring,EX=Exclusion
    HM=Labcorp Monitoring,L1=Hepatic Monitoring,L2=Hepatic Monitoring,RX=Possible Exclusion
    (INV)
    Labcorp CLS LP
    Anagh Vora, MD, FCAP
    8211 SciCor Drive - Indianapolis, IN 46214-2985
    Tel. +1 (866) 762 6209
    CANCELLATION REPORT

    Labcorp CLS LP Page 1


    Cancellation Report Sep 27, 2022 09:30:13 AM
    FOR DATE: 27-Sep-2022

    Protocol: J2J-OX-JZLC (523970) Inv #: 15502


    Eli Lilly and Company Investigator: Alejandra Lucio Guzman
    3 Piso
    Centro Medico Zambrano Helion
    Batallon de San Patricio 112
    San Pedro Garza Garcia, NL 66278
    -------------------------------------------------------------------------------
    Accession No: 6520318718 Collection Date: 22-Sep-2022
    Patient Number:10257 Time: 09:13:00 AM
    Patient Initials: Visit: 005
    C5D1-n Chemistry

    Test Code Description


    Group RC16874 CHEMISTRY PANEL
    RCT29 Dir Bili ADC26 Beyond stability
    RCT4 ALT (SGPT) ADC26 Beyond stability
    -------------------------------------------------------------------------------
    Accession No: 6520318719 Collection Date: 22-Sep-2022
    Patient Number:10253 Time: 11:08:00 AM
    Patient Initials: Visit: 005
    C5D1-n Chemistry

    Test Code Description


    Group RC16874 CHEMISTRY PANEL
    RCT29 Dir Bili ADC26 Beyond stability
    RCT4 ALT (SGPT) ADC26 Beyond stability
    Labcorp CLS LP
    Anagh Vora, MD, FCAP
    8211 SciCor Drive - Indianapolis, IN 46214-2985
    Tel. +1 (866) 762 6209
    CANCELLATION REPORT

    Labcorp CLS LP Page 1


    Cancellation Report Sep 27, 2022 09:30:13 AM
    FOR DATE: 27-Sep-2022

    Protocol: J2J-OX-JZLC (523970) Inv #: 15502


    Eli Lilly and Company Investigator: Alejandra Lucio Guzman
    3 Piso
    Centro Medico Zambrano Helion
    Batallon de San Patricio 112
    San Pedro Garza Garcia, NL 66278
    -------------------------------------------------------------------------------
    Accession No: 6520318718 Collection Date: 22-Sep-2022
    Patient Number:10257 Time: 09:13:00 AM
    Patient Initials: Visit: 005
    C5D1-n Chemistry

    Test Code Description


    Group RC16874 CHEMISTRY PANEL
    RCT29 Dir Bili ADC26 Beyond stability
    RCT4 ALT (SGPT) ADC26 Beyond stability
    -------------------------------------------------------------------------------
    Accession No: 6520318719 Collection Date: 22-Sep-2022
    Patient Number:10253 Time: 11:08:00 AM
    Patient Initials: Visit: 005
    C5D1-n Chemistry

    Test Code Description


    Group RC16874 CHEMISTRY PANEL
    RCT29 Dir Bili ADC26 Beyond stability
    RCT4 ALT (SGPT) ADC26 Beyond stability

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