ID

14924

Beschrijving

This study will evaluate the safety, reactogenicity and immunogenicity of a booster dose of GSK Biologicals' pneumococcal conjugate vaccine compared to Prevenar™ given at 12-18 mo of age to children primed with either pneumococcal vaccine or Prevenar™ in study 105553. Antibody persistence will be evaluated at 8-14 mo after completion of the 3-dose immunization course in study 105553. The immune response to a booster dose of GSK Biologicals' pneumococcal conjugate vaccine will also be evaluated when given at 12-18 mo to subjects not primed with GSK Biologicals' vaccine but with Prevenar™. The study has 3 groups. 1 group of children primed with GSK Biologicals' pneumococcal conjugate vaccine will receive a booster dose of the same vaccine. 2nd group of children primed with Prevenar™ will receive a booster dose of Prevenar™ (control group). 3rd group of children primed with Prevenar™ will receive a booster dose of GSK Biologicals' pneumococcal conjugate vaccine. All children will receive concomitantly a booster dose of DTPa-HBV-IPV/Hib vaccine. NCT00370396 Part: Vaccine administration

Trefwoorden

Versies (4)
  1. 08-05-16 08-05-16 -
  2. 08-05-16 08-05-16 -
  3. 08-05-16 08-05-16 -
  4. 08-05-16 08-05-16 -
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8 mei 2016

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Vaccine Administration Safety and Immunogenicity Study of a Booster Dose of GSK Biologicals 10-valent Pneumococcal Conjugate Vaccine NCT00370396

Engels

Vaccine Administration "Safety and Immunogenicity Study of a Booster Dose of GSK Biologicals' 10-valent Pneumococcal Conjugate Vaccine" NCT00370396

1 Formulieren  
Identification
Beschrijving

Identification

Alias
UMLS CUI-1
C1300638
Center number
Beschrijving

Center number

Datatype

text

Alias
UMLS CUI [1,1]
C1301943
UMLS CUI [1,2]
C0805701
Subject ID
Beschrijving

Subject ID

Datatype

text

Alias
UMLS CUI [1]
C2348585
Treatment Number
Beschrijving

Treatment Number

Datatype

text

Alias
UMLS CUI [1]
C1522541
Visit Number
Beschrijving

Visit Number

Datatype

integer

Alias
UMLS CUI [1]
C0545082
Vaccine Administration Meta
Beschrijving

Vaccine Administration Meta

Alias
UMLS CUI-1
C1533734
UMLS CUI-2
C0042196
Vaccine Administratrion Date
Beschrijving

Fill in only if different from visit date

Datatype

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C1533734
UMLS CUI [1,3]
C0042196
Pre-Vaccination temperature
Beschrijving

Pre-Vaccination temperature

Datatype

text

Alias
UMLS CUI [1]
C0039476
Pre-Vaccination Temperature Route of Measurement
Beschrijving

Pre-Vaccination Temperature Route of Measurement

Datatype

text

Alias
UMLS CUI [1]
C0449444
Vaccine Administration Details: 10Pn-PD-DiT Vaccine OR Prevenar Vaccine
Beschrijving

Vaccine Administration Details: 10Pn-PD-DiT Vaccine OR Prevenar Vaccine

Alias
UMLS CUI-1
C1533734
UMLS CUI-2
C0042196
Vaccine Administration
Beschrijving

please complete not administered below

Datatype

text

Alias
UMLS CUI [1]
C0042196
Replacement vial Number
Beschrijving

only if vial is replaced

Datatype

text

Alias
UMLS CUI [1]
C0184301
Wrong vial number
Beschrijving

only fill in if vial number is wrong

Datatype

text

Alias
UMLS CUI [1]
C0184301
Side / Route Site
Beschrijving

Injection according to Protocol ist right side I.M.

Datatype

integer

Alias
UMLS CUI [1]
C1515974
Has the study vaccine been administered according to protocol?
Beschrijving

Administration according to Protocol

Datatype

boolean

Alias
UMLS CUI [1]
C1507394
Injection side
Beschrijving

If the study vaccine has not been administered according to protocol

Datatype

text

Alias
UMLS CUI [1]
C0441987
Injection site
Beschrijving

If the study vaccine has not been administered according to protocol

Datatype

integer

Alias
UMLS CUI [1]
C1515974
Injection Route
Beschrijving

If the study vaccine has not been administered according to protocol

Datatype

text

Alias
UMLS CUI [1]
C0013153
Vaccine Administration Details: DTPa-HBV-IPV/Hib Vaccine
Beschrijving

Vaccine Administration Details: DTPa-HBV-IPV/Hib Vaccine

Alias
UMLS CUI-1
C1533734
UMLS CUI-2
C0042196
Vaccine Administration
Beschrijving

please complete not administered below

Datatype

text

Alias
UMLS CUI [1]
C0042196
Replacement vial Number
Beschrijving

only if vial is replaced

Datatype

text

Alias
UMLS CUI [1]
C0184301
Wrong vial number
Beschrijving

only fill in if vial number is wrong

Datatype

text

Alias
UMLS CUI [1]
C0184301
Side / Route Site
Beschrijving

Injection according to Protocol ist right side I.M.

Datatype

integer

Alias
UMLS CUI [1]
C1515974
Has the study vaccine been administered according to protocol?
Beschrijving

Administration according to Protocol

Datatype

boolean

Alias
UMLS CUI [1]
C1507394
Injection side
Beschrijving

If the study vaccine has not been administered according to protocol

Datatype

text

Alias
UMLS CUI [1]
C0441987
Injection site
Beschrijving

If the study vaccine has not been administered according to protocol

Datatype

integer

Alias
UMLS CUI [1]
C1515974
Injection Route
Beschrijving

If the study vaccine has not been administered according to protocol

Datatype

text

Alias
UMLS CUI [1]
C0013153
Non Administration
Beschrijving

Non Administration

Alias
UMLS CUI-1
C1533734
Why not administered
Beschrijving

Please specify below If SAE: Please complete and submit SAE report If AE: Please complete Non-serious Adverse Event section

Datatype

text

Alias
UMLS CUI [1]
C1533734
Number of serious adverse event
Beschrijving

SAE No

Datatype

text

Alias
UMLS CUI [1]
C1519255
Number of non-serious adverse event
Beschrijving

AE No

Datatype

text

Alias
UMLS CUI [1]
C0877248
Description of other adverse event
Beschrijving

Description of other adverse event

Datatype

text

Alias
UMLS CUI [1]
C0877248
Who made the decision
Beschrijving

Who made the decision

Datatype

text

Alias
UMLS CUI [1]
C1389424
Terug naar het begin van de pagina

Similar models

Vaccine Administration "Safety and Immunogenicity Study of a Booster Dose of GSK Biologicals' 10-valent Pneumococcal Conjugate Vaccine" NCT00370396

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Identification
C1300638 (UMLS CUI-1)
Center number
Item
Center number
text
C1301943 (UMLS CUI [1,1])
C0805701 (UMLS CUI [1,2])
Subject ID
Item
Subject ID
text
C2348585 (UMLS CUI [1])
Treatment Number
Item
Treatment Number
text
C1522541 (UMLS CUI [1])
Item
Visit Number
integer
C0545082 (UMLS CUI [1])
Visit Number
Code List
Visit Number
CL Item
1 (1)
CL Item
2 (2)
Item Group
Vaccine Administration Meta
C1533734 (UMLS CUI-1)
C0042196 (UMLS CUI-2)
Vaccine Administratrion Date
Item
Vaccine Administratrion Date
date
C0011008 (UMLS CUI [1,1])
C1533734 (UMLS CUI [1,2])
C0042196 (UMLS CUI [1,3])
Pre-Vaccination temperature
Item
Pre-Vaccination temperature
text
C0039476 (UMLS CUI [1])
Item
Pre-Vaccination Temperature Route of Measurement
text
C0449444 (UMLS CUI [1])
Pre-Vaccination Temperature Route of Measurement
Code List
Pre-Vaccination Temperature Route of Measurement
CL Item
Axillary (A)
CL Item
Oral (O)
CL Item
Rectal (R)
CL Item
Tympanic (oral conversion) (X)
CL Item
Tympanic (rectal conversion) (Y)
Item Group
Vaccine Administration Details: 10Pn-PD-DiT Vaccine OR Prevenar Vaccine
C1533734 (UMLS CUI-1)
C0042196 (UMLS CUI-2)
Item
Vaccine Administration
text
C0042196 (UMLS CUI [1])
vaccination
Code List
Vaccine Administration
CL Item
10Pn-PD-DiT Vaccine OR Prevenar Vaccine (S)
CL Item
Replacement vial  (R)
CL Item
Wrong vial number (W)
CL Item
Not administered (N)
Replacement vial Number
Item
Replacement vial Number
text
C0184301 (UMLS CUI [1])
Wrong vial number
Item
Wrong vial number
text
C0184301 (UMLS CUI [1])
Item
Side / Route Site
integer
C1515974 (UMLS CUI [1])
Side / Route Site
Code List
Side / Route Site
CL Item
deltoid (1)
CL Item
thigh (3)
Administration according to Protocol
Item
Has the study vaccine been administered according to protocol?
boolean
C1507394 (UMLS CUI [1])
Item
Injection side
text
C0441987 (UMLS CUI [1])
Injection site
Code List
Injection side
CL Item
Left  (L)
CL Item
Right (R)
Item
Injection site
integer
C1515974 (UMLS CUI [1])
Injection site
Code List
Injection site
CL Item
deltoid (1)
CL Item
thigh (3)
CL Item
buttock (6)
Item
Injection Route
text
C0013153 (UMLS CUI [1])
Injection Route
Code List
Injection Route
CL Item
I.M. (im)
CL Item
S.C. (sc)
Item Group
Vaccine Administration Details: DTPa-HBV-IPV/Hib Vaccine
C1533734 (UMLS CUI-1)
C0042196 (UMLS CUI-2)
Item
Vaccine Administration
text
C0042196 (UMLS CUI [1])
vaccination
Code List
Vaccine Administration
CL Item
DTPa-HBV-IPV/Hib Vaccine (S)
CL Item
Replacement vial  (R)
CL Item
Wrong vial number (W)
CL Item
Not administered (N)
Replacement vial Number
Item
Replacement vial Number
text
C0184301 (UMLS CUI [1])
Wrong vial number
Item
Wrong vial number
text
C0184301 (UMLS CUI [1])
Item
Side / Route Site
integer
C1515974 (UMLS CUI [1])
Side / Route Site
Code List
Side / Route Site
CL Item
deltoid (1)
CL Item
thigh (3)
Administration according to Protocol
Item
Has the study vaccine been administered according to protocol?
boolean
C1507394 (UMLS CUI [1])
Item
Injection side
text
C0441987 (UMLS CUI [1])
Injection site
Code List
Injection side
CL Item
Left  (L)
CL Item
Right (R)
Item
Injection site
integer
C1515974 (UMLS CUI [1])
Injection site
Code List
Injection site
CL Item
deltoid (1)
CL Item
thigh (3)
CL Item
buttock (6)
Item
Injection Route
text
C0013153 (UMLS CUI [1])
Injection Route
Code List
Injection Route
CL Item
I.M. (im)
CL Item
S.C. (sc)
Item Group
Non Administration
C1533734 (UMLS CUI-1)
Item
Why not administered
text
C1533734 (UMLS CUI [1])
Why not administered
Code List
Why not administered
CL Item
Serious adverse event (SAE)
CL Item
Non-Serious adverse event (AEX)
CL Item
Other (OTH)
SAE No
Item
Number of serious adverse event
text
C1519255 (UMLS CUI [1])
AE No
Item
Number of non-serious adverse event
text
C0877248 (UMLS CUI [1])
Description of other adverse event
Item
Description of other adverse event
text
C0877248 (UMLS CUI [1])
Item
Who made the decision
text
C1389424 (UMLS CUI [1])
Who made the decision
Code List
Who made the decision
CL Item
Investigator  (I)
CL Item
Parents/Guardians (P)
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