ID

14926

Descrição

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: Adverse Events

Palavras-chave

  1. 08/05/2016 08/05/2016 -
Transferido a

8 de maio de 2016

DOI

Para um pedido faça login.

Licença

Creative Commons BY-NC 3.0

Comentários do modelo :

Aqui pode comentar o modelo. Pode comentá-lo especificamente através dos balões de texto nos grupos de itens e itens.

Comentários do grupo de itens para :

Comentários do item para :

Para descarregar formulários, precisa de ter uma sessão iniciada. Por favor faça login ou registe-se gratuitamente.

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

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

Identification
Descrição

Identification

Alias
UMLS CUI-1
C1300638
Center number
Descrição

Center number

Tipo de dados

text

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

Subject ID

Tipo de dados

text

Alias
UMLS CUI [1]
C2348585
Treatment Number
Descrição

Treatment Number

Tipo de dados

text

Alias
UMLS CUI [1]
C1522541
Visit Number
Descrição

Visit Number

Tipo de dados

integer

Alias
UMLS CUI [1]
C0545082
Local Symptoms
Descrição

Local Symptoms

Alias
UMLS CUI-1
C1457887
UMLS CUI-2
C0205276
Type of Vaccine Administered
Descrição

Type of Vaccine Administered

Tipo de dados

integer

Alias
UMLS CUI [1]
C0087111
Local Symptoms
Descrição

If yes, please tick No/Yes for each symptom. If Yes is ticked, please complete all items. If any of these adverse events meets the protocol definition of serious, please complete a Serious Adverse Event report and fax to GSK Biologicals Study Contact for SAE reporting within 24 hours.

Tipo de dados

text

Alias
UMLS CUI [1,1]
C1457887
UMLS CUI [1,2]
C0205276
Type of symptoms
Descrição

In case of large swelling reaction at the injected limb, please fill in ALSO the Large Swelling Reaction forms.

Tipo de dados

text

Alias
UMLS CUI [1]
C1457887
Size/Intensity Day 0
Descrição

Intensity: 0,1,2,3 (see Adverse Events definitions)

Tipo de dados

text

Alias
UMLS CUI [1]
C0005890
UMLS CUI [2]
C0518690
Size/Intensity Day 1
Descrição

Intensity: 0,1,2,3 (see Adverse Events definitions)

Tipo de dados

text

Alias
UMLS CUI [1]
C0005890
UMLS CUI [2]
C0518690
Size/Intensity Day 2
Descrição

Intensity: 0,1,2,3 (see Adverse Events definitions)

Tipo de dados

text

Alias
UMLS CUI [1]
C0005890
UMLS CUI [2]
C0518690
Size/Intensity Day 3
Descrição

Intensity: 0,1,2,3 (see Adverse Events definitions)

Tipo de dados

text

Alias
UMLS CUI [1]
C0005890
UMLS CUI [2]
C0518690
Ongoing after Day 3
Descrição

If yes name date of last Symptoms below

Tipo de dados

boolean

Alias
UMLS CUI [1]
C0449238
Date of last day of symptoms
Descrição

Date of last day of symptoms

Tipo de dados

date

Alias
UMLS CUI [1]
C2004454
Medically attended visit
Descrição

if yes, please specify the place below

Tipo de dados

boolean

Alias
UMLS CUI [1]
C0545082
Facility of Medical Attendance
Descrição

Place of Medical Attendance

Tipo de dados

text

Alias
UMLS CUI [1]
C0018704
General Symptoms
Descrição

General Symptoms

Has the subject experienced any of the following signs/symptoms during the solicited period
Descrição

If Yes, please tick No/Yes for each symptom. If Yes is ticked, please complete all items.

Tipo de dados

text

Alias
UMLS CUI [1,1]
C1457887
UMLS CUI [1,2]
C0205246
General Symptoms specification
Descrição

General Symptoms specification

General Symptom
Descrição

If Fever, please specify below.

Tipo de dados

text

Alias
UMLS CUI [1,1]
C1457887
UMLS CUI [1,2]
C0205246
Fever Measuring Route
Descrição

Fever Measuring Route

Tipo de dados

text

Alias
UMLS CUI [1]
C0013153
Intensity/°C Day 0
Descrição

Fever: Axillary >37.5°C Oral >37.5°C Rectal >38.0°C Tympanic (oral conversion) >37.5°C Tympanic (rectal conversion) >38.0°C Intensity: 0,1,2,3

Tipo de dados

text

Alias
UMLS CUI [1]
C0518690
UMLS CUI [2]
C0039476
Intensity/°C Day 1
Descrição

Intensity/°C Day 1

Tipo de dados

text

Intensity/°C Day 2
Descrição

Intensity/°C Day 2

Tipo de dados

text

Intensity/°C Day 0
Descrição

Intensity/°C Day 3

Tipo de dados

text

Ongiong after Day 3
Descrição

Ongiong after Day 3

Tipo de dados

text

Date of last day of symptoms
Descrição

Date of last day of symptoms

Tipo de dados

date

Alias
UMLS CUI [1]
C2004454
Casualty
Descrição

Casualty

Tipo de dados

boolean

Alias
UMLS CUI [1]
C0011065
Medically Attended visit
Descrição

Medically Attended visit

Tipo de dados

boolean

Alias
UMLS CUI [1]
C0545082
Visited Facility
Descrição

Health Care Facility

Tipo de dados

text

Alias
UMLS CUI [1]
C0018704
Unsolicited Adverse Events
Descrição

Unsolicited Adverse Events

Has the subject experienced any serious or non-serious unsolicited adverse events within one month (minimum 30 days) post-vaccination
Descrição

If Yes: Fill in the Non-Serious Adverse Event section or Serious Adverse Event report as necessary.

Tipo de dados

text

Alias
UMLS CUI [1]
C0877248
Has the subject experienced any meningitis ?
Descrição

Meningitis

Tipo de dados

boolean

Alias
UMLS CUI [1]
C0025289

Similar models

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

Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
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])
Code List
Visit Number
CL Item
1 (1)
CL Item
2 (2)
Item Group
Local Symptoms
C1457887 (UMLS CUI-1)
C0205276 (UMLS CUI-2)
Item
Type of Vaccine Administered
integer
C0087111 (UMLS CUI [1])
Code List
Type of Vaccine Administered
CL Item
10Pn-PD-DiT or Prevenar vaccine (1)
CL Item
DTPa-HBV-IPV/Hib vaccine (2)
Item
Local Symptoms
text
C1457887 (UMLS CUI [1,1])
C0205276 (UMLS CUI [1,2])
CL Item
No  (N)
CL Item
Information not available  (U)
CL Item
No vaccine administered (NA)
CL Item
Yes (Y)
Item
Type of symptoms
text
C1457887 (UMLS CUI [1])
Code List
Type of symptoms
CL Item
Redness (RE)
CL Item
Swelling (SW)
CL Item
Pain (PA)
Size/Intensity Day 0
Item
Size/Intensity Day 0
text
C0005890 (UMLS CUI [1])
C0518690 (UMLS CUI [2])
Size/Intensity Day 1
Item
Size/Intensity Day 1
text
C0005890 (UMLS CUI [1])
C0518690 (UMLS CUI [2])
Size/Intensity Day 2
Item
Size/Intensity Day 2
text
C0005890 (UMLS CUI [1])
C0518690 (UMLS CUI [2])
Size/Intensity Day 3
Item
Size/Intensity Day 3
text
C0005890 (UMLS CUI [1])
C0518690 (UMLS CUI [2])
Ongoing after Day 3
Item
Ongoing after Day 3
boolean
C0449238 (UMLS CUI [1])
Date of last day of symptoms
Item
Date of last day of symptoms
date
C2004454 (UMLS CUI [1])
Medically attended visit
Item
Medically attended visit
boolean
C0545082 (UMLS CUI [1])
Item
Facility of Medical Attendance
text
C0018704 (UMLS CUI [1])
Code List
Facility of Medical Attendance
CL Item
Hospitalization (HO)
CL Item
Emergency Room (ER)
CL Item
Medical Personnel (MD)
Item Group
General Symptoms
Item
Has the subject experienced any of the following signs/symptoms during the solicited period
text
C1457887 (UMLS CUI [1,1])
C0205246 (UMLS CUI [1,2])
Code List
Has the subject experienced any of the following signs/symptoms during the solicited period
CL Item
Information not available (U)
CL Item
No Vaccine administered (NA)
CL Item
No (N)
CL Item
Yes (Y)
Item Group
General Symptoms specification
Item
General Symptom
text
C1457887 (UMLS CUI [1,1])
C0205246 (UMLS CUI [1,2])
Code List
General Symptom
CL Item
Fever (FE)
CL Item
Irritablity/Fussiness (IR)
CL Item
Drowsiness (DR)
CL Item
Loss of appetite (LO)
Item
Fever Measuring Route
text
C0013153 (UMLS CUI [1])
Code List
Fever Measuring Route
CL Item
Axillary  (A)
CL Item
Oral (O)
CL Item
Rectal (R)
CL Item
Tympanic Oral (X)
CL Item
Tympanic Rectal (Y)
Intensity/°C Day 0
Item
Intensity/°C Day 0
text
C0518690 (UMLS CUI [1])
C0039476 (UMLS CUI [2])
Intensity/°C Day 1
Item
Intensity/°C Day 1
text
Intensity/°C Day 2
Item
Intensity/°C Day 2
text
Intensity/°C Day 3
Item
Intensity/°C Day 0
text
Ongiong after Day 3
Item
Ongiong after Day 3
text
Date of last day of symptoms
Item
Date of last day of symptoms
date
C2004454 (UMLS CUI [1])
Casualty
Item
Casualty
boolean
C0011065 (UMLS CUI [1])
Medically Attended visit
Item
Medically Attended visit
boolean
C0545082 (UMLS CUI [1])
Item
Visited Facility
text
C0018704 (UMLS CUI [1])
Code List
Visited Facility
CL Item
Hospitalization (HO)
CL Item
Emergency Room (ER)
CL Item
Medical Personnel (MD)
Item Group
Unsolicited Adverse Events
Item
Has the subject experienced any serious or non-serious unsolicited adverse events within one month (minimum 30 days) post-vaccination
text
C0877248 (UMLS CUI [1])
Code List
Has the subject experienced any serious or non-serious unsolicited adverse events within one month (minimum 30 days) post-vaccination
CL Item
Information not available (U)
CL Item
No vaccine administered (NA)
CL Item
No (N)
CL Item
Yes (Y)
Meningitis
Item
Has the subject experienced any meningitis ?
boolean
C0025289 (UMLS CUI [1])

Use este formulário para feedback, perguntas e sugestões de aperfeiçoamento.

Campos marcados com * são obrigatórios.

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial