ID

23900

Beskrivning

Study part: Tracking Documentation Reason for non-participation. A phase 2 study to assess safety, reactogenicity and immunogenicity of a booster dose of an investigational vaccination regimen and GSK Biologicals Hib-MenC vaccine (co-administered with Infanrix penta) compared to a booster dose of Menjugate (co-administered with Infanrix hexa).Patient Level Data: Study Listed on ClinicalStudyDataRequest.com. Study ID: 100381, Clinical Study ID: 100381

Nyckelord

  1. 2017-07-17 2017-07-17 -
Rättsinnehavare

GlaxoSmithKline

Uppladdad den

17 juli 2017

DOI

För en begäran logga in.

Licens

Creative Commons BY-NC 3.0

Modellkommentarer :

Här kan du kommentera modellen. Med hjälp av pratbubblor i Item-grupperna och Item kan du lägga in specifika kommentarer.

Itemgroup-kommentar för :

Item-kommentar för :

Du måste vara inloggad för att kunna ladda ner formulär. Var vänlig logga in eller registrera dig utan kostnad.

Tracking Documentation Reason for non-participation Hib-MenCY-TT-004 BST 003 Neisseria Meningitidis-Haemophilus influenzae type b Vaccine 100381

Tracking Documentation Reason for non-participation

Tracking Documentation Reason for non-participation
Beskrivning

Tracking Documentation Reason for non-participation

Alias
UMLS CUI-1
C2348568
Center
Beskrivning

Center

Datatyp

text

Alias
UMLS CUI [1,1]
C1301943
UMLS CUI [1,2]
C0600091
Previous Subject Number
Beskrivning

Subject Number

Datatyp

integer

Alias
UMLS CUI [1]
C2348585
Date of Birth
Beskrivning

Date of Birth

Datatyp

date

Alias
UMLS CUI [1]
C0421451
Date of Contact
Beskrivning

Date of Contact

Datatyp

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0332158
Reason for non participation
Beskrivning

Reason

Datatyp

text

Alias
UMLS CUI [1]
C0392360
If subject not eligible, please specify criteria that are not fullfilled:
Beskrivning

eligibility criteria

Datatyp

text

Alias
UMLS CUI [1]
C1516637
IF AE or SAE, please specify
Beskrivning

adverse event

Datatyp

text

Alias
UMLS CUI [1]
C0877248
If other, please specify
Beskrivning

Other

Datatyp

text

Alias
UMLS CUI [1]
C0205394
If subject died, mention date
Beskrivning

Date of death

Datatyp

date

Alias
UMLS CUI [1]
C1148348

Similar models

Tracking Documentation Reason for non-participation

Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Tracking Documentation Reason for non-participation
C2348568 (UMLS CUI-1)
Center
Item
Center
text
C1301943 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Subject Number
Item
Previous Subject Number
integer
C2348585 (UMLS CUI [1])
Date of Birth
Item
Date of Birth
date
C0421451 (UMLS CUI [1])
Date of Contact
Item
Date of Contact
date
C0011008 (UMLS CUI [1,1])
C0332158 (UMLS CUI [1,2])
Item
Reason for non participation
text
C0392360 (UMLS CUI [1])
Code List
Reason for non participation
CL Item
Subject not eligible (Subject not eligible)
CL Item
Subject lost to follow-up or not reached (Subject lost to follow-up or not reached)
CL Item
Subject eligible but not willing to participate due to adverse events, or serious adverse event (Subject eligible but not willing to participate due to adverse events, or serious adverse event)
CL Item
Subject eligible but not willing to participate due to other reason (Subject eligible but not willing to participate due to other reason)
CL Item
Subject died (Subject died)
eligibility criteria
Item
If subject not eligible, please specify criteria that are not fullfilled:
text
C1516637 (UMLS CUI [1])
adverse event
Item
IF AE or SAE, please specify
text
C0877248 (UMLS CUI [1])
Other
Item
If other, please specify
text
C0205394 (UMLS CUI [1])
Date of death
Item
If subject died, mention date
date
C1148348 (UMLS CUI [1])

Använd detta formulär för feedback, frågor och förslag på förbättringar.

Fält markerade med * är obligatoriska.

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