ID
25690
Beschreibung
Visit 7 - GSK Study: Hepatitis A & B Vaccine vs. monovalent Hep. A and Hep. B vaccines and risk factors likely to influence their immunogenicity NCT00289731 Study ID: 100382 Clinical Study ID: 100382 Study Title: Evaluate the Effect of Several Risk Factors That Are Likely to Influence the Immunogenicity of GSK Biologicals’ Combined Hepatitis A & B Vaccine, vs Separately Administered Monovalent Hepatitis A and Hepatitis B Vaccines Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00289731 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: phase 4 Study Recruitment Status: Completed Generic Name: Hepatitis A (Inactivated), Hepatitis B (Recombinant) Vaccine Trade Name: Twinrix Study Indication: Hepatitis A; Hepatitis B
Stichworte
Versionen (1)
- 10.09.17 10.09.17 -
Rechteinhaber
glaxoSmithKline
Hochgeladen am
10. September 2017
DOI
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Lizenz
Creative Commons BY-NC 3.0
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Visit 7 - GSK Study: Hepatitis A & B Vaccine vs. monovalent Hep. A and Hep. B vaccines and risk factors likely to influence their immunogenicity NCT00289731
Visit 7 - GSK Study: Hepatitis A & B Vaccine vs. monovalent Hep. A and Hep. B vaccines and risk factors likely to influence their immunogenicity NCT00289731
Beschreibung
Demographics
Alias
- UMLS CUI-1
- C0011298
Beschreibung
Date of Birth
Datentyp
date
Alias
- UMLS CUI [1]
- C0421451
Beschreibung
Gender
Datentyp
text
Alias
- UMLS CUI [1]
- C0079399
Beschreibung
Race
Datentyp
integer
Alias
- UMLS CUI [1]
- C0034510
Beschreibung
If you chose 'Other Race', please specify
Datentyp
text
Alias
- UMLS CUI [1,1]
- C0034510
- UMLS CUI [1,2]
- C0205394
- UMLS CUI [1,3]
- C3845569
Beschreibung
Laboratory tests
Alias
- UMLS CUI-1
- C0022885
Beschreibung
Blood sample
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0005834
Beschreibung
Please complete only if different from visit date
Datentyp
date
Alias
- UMLS CUI [1,1]
- C1277698
- UMLS CUI [1,2]
- C0011008
Beschreibung
Hepatitis A vaccine monovalent or recombined
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0170300
Beschreibung
Specify hepatitis a vaccine
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C0170300
- UMLS CUI [1,2]
- C1521902
Beschreibung
Follow-up- Studies
Alias
- UMLS CUI-1
- C0016441
- UMLS CUI-2
- C0042210
Beschreibung
If "No", please specify the most appropriate reason.
Datentyp
boolean
Alias
- UMLS CUI [1,1]
- C0016441
- UMLS CUI [1,2]
- C2348568
Beschreibung
Reason for non participation in follow-up
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C0016441
- UMLS CUI [1,2]
- C2348568
- UMLS CUI [1,3]
- C0566251
Beschreibung
specify Adverse Events
Datentyp
text
Alias
- UMLS CUI [1,1]
- C0559546
- UMLS CUI [1,2]
- C1521902
- UMLS CUI [2,1]
- C1519255
- UMLS CUI [2,2]
- C1521902
Beschreibung
Other reason for no follow-up
Datentyp
text
Alias
- UMLS CUI [1,1]
- C2348568
- UMLS CUI [1,2]
- C3840932
- UMLS CUI [1,3]
- C1521902
Beschreibung
Occurrence of serious adverse event
Alias
- UMLS CUI-1
- C1519255
Beschreibung
Pregnancy information
Alias
- UMLS CUI-1
- C0032961
Beschreibung
Elimination criteria
Alias
- UMLS CUI-1
- C0680251
Beschreibung
Investigator's signature
Alias
- UMLS CUI-1
- C2346576
Beschreibung
I confirm that I have reviewed the data in this Case Report Form for this subject. All information entered by myself or my colleagues is, to the best of my knowledge, complete and accurate, as of the date below.
Datentyp
text
Alias
- UMLS CUI [1]
- C2346576
Beschreibung
Printed Investigator's name
Datentyp
text
Alias
- UMLS CUI [1]
- C2826892
Beschreibung
Date of investigator's signature
Datentyp
date
Alias
- UMLS CUI [1,1]
- C2346576
- UMLS CUI [1,2]
- C0011008
Beschreibung
Reason for non participation
Alias
- UMLS CUI-1
- C0558080
- UMLS CUI-2
- C0679823
- UMLS CUI-3
- C0392360
Beschreibung
Subject number
Datentyp
text
Alias
- UMLS CUI [1]
- C2348585
Beschreibung
Date of Birth
Datentyp
date
Alias
- UMLS CUI [1]
- C0421451
Beschreibung
Reason for non participation
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C0558080
- UMLS CUI [1,2]
- C0679823
- UMLS CUI [1,3]
- C0392360
Beschreibung
Subject not eligible? - please specify criteria that are not fullfilled:
Datentyp
text
Alias
- UMLS CUI [1,1]
- C1555471
- UMLS CUI [1,2]
- C1521902
Beschreibung
Only fill in, if you chose "Subject eligible but not willing to participate due to: Please specify:" before.
Datentyp
text
Alias
- UMLS CUI [1,1]
- C3846156
- UMLS CUI [1,2]
- C0392360
Beschreibung
Only fill in, if you chose "adverse events, or serious adverse event: please specify" before.
Datentyp
text
Alias
- UMLS CUI [1,1]
- C2348568
- UMLS CUI [1,2]
- C1519255
- UMLS CUI [1,3]
- C1521902
Beschreibung
Only fill in if you chose "other" before.
Datentyp
text
Alias
- UMLS CUI [1,1]
- C3840932
- UMLS CUI [1,2]
- C1521902
- UMLS CUI [1,3]
- C2348568
Beschreibung
Only fill in, if you chose "Subject died on:" before.
Datentyp
date
Alias
- UMLS CUI [1]
- C1148348
Beschreibung
Date of contact
Datentyp
date
Alias
- UMLS CUI [1,1]
- C0011008
- UMLS CUI [1,2]
- C1705415
- UMLS CUI [1,3]
- C2348568
Ähnliche Modelle
Visit 7 - GSK Study: Hepatitis A & B Vaccine vs. monovalent Hep. A and Hep. B vaccines and risk factors likely to influence their immunogenicity NCT00289731
C0205394 (UMLS CUI [1,2])
C3845569 (UMLS CUI [1,3])
C0011008 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,2])
C2348568 (UMLS CUI [1,2])
C2348568 (UMLS CUI [1,2])
C0566251 (UMLS CUI [1,3])
C1521902 (UMLS CUI [1,2])
C1519255 (UMLS CUI [2,1])
C1521902 (UMLS CUI [2,2])
C3840932 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
C1519255 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,2])
C0679823 (UMLS CUI-2)
C0392360 (UMLS CUI-3)
C0679823 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
C1521902 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,2])
C1519255 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
C1521902 (UMLS CUI [1,2])
C2348568 (UMLS CUI [1,3])
C1705415 (UMLS CUI [1,2])
C2348568 (UMLS CUI [1,3])