ID
24862
Beschrijving
Study ID: 100571 (M138) Clinical Study ID: 100571 Study Title: Double-blind randomized study to evaluate the immunogenicity and reactogenicity of two different lots of GlaxoSmithKline Biologicals' inactivated hepatitis A vaccine containing 1440 EL.U of antigen per mL and injected according to a 0, 12 month schedule in healthy adult volunteers Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00291876 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: phase 4 Study Recruitment Status: Completed Generic Name: Hepatitis A Vaccine, Inactivated Trade Name: Havrix Study Indication: Hepatitis A https://clinicaltrials.gov/ct2/show/NCT00291876
Link
https://clinicaltrials.gov/ct2/show/NCT00291876
Trefwoorden
Versies (1)
- 20-08-17 20-08-17 -
Houder van rechten
GlaxoSmithKline
Geüploaded op
20 augustus 2017
DOI
Voor een aanvraag inloggen.
Licentie
Creative Commons BY-NC 3.0
Model Commentaren :
Hier kunt u commentaar leveren op het model. U kunt de tekstballonnen bij de itemgroepen en items gebruiken om er specifiek commentaar op te geven.
Itemgroep Commentaren voor :
Item Commentaren voor :
U moet ingelogd zijn om formulieren te downloaden. AUB inloggen of schrijf u gratis in.
GSK Hepatitis A Vaccine VISIT 23 ADDITIONAL VACCINATION SOLICITED ADVERSE EVENTS NCT00291876
GSK Hepatitis A Vaccine VISIT 23 ADDITIONAL VACCINATION SOLICITED ADVERSE EVENTS NCT00291876
Beschrijving
SOLICITED ADVERSE EVENTS – LOCAL SYMPTOMS
Beschrijving
If Yes is ticked, please complete all following items.
Datatype
text
Alias
- UMLS CUI [1,1]
- C0851536
- UMLS CUI [1,2]
- C0037088
Beschrijving
Administration site erythema
Datatype
boolean
Alias
- UMLS CUI [1]
- C3805283
Beschrijving
Size of erythema at administration site Day 0
Datatype
integer
Maateenheden
- mm
Alias
- UMLS CUI [1,1]
- C3805283
- UMLS CUI [1,2]
- C0456389
Beschrijving
Size of erythema at administration site Day 1
Datatype
integer
Maateenheden
- C
Alias
- UMLS CUI [1,1]
- C3805283
- UMLS CUI [1,2]
- C0456389
Beschrijving
Size of erythema at administration site Day 2
Datatype
integer
Maateenheden
- C
Alias
- UMLS CUI [1,1]
- C3805283
- UMLS CUI [1,2]
- C0456389
Beschrijving
Size of erythema at administration site Day 3
Datatype
integer
Maateenheden
- C
Alias
- UMLS CUI [1,1]
- C3805283
- UMLS CUI [1,2]
- C0456389
Beschrijving
Erythema ongoing after day 3
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C3805283
- UMLS CUI [1,2]
- C0549178
Beschrijving
Date of last day of symptoms
Datatype
date
Alias
- UMLS CUI [1,1]
- C0011008
- UMLS CUI [1,2]
- C0332575
- UMLS CUI [1,3]
- C2700396
Beschrijving
Administration site swelling
Datatype
boolean
Alias
- UMLS CUI [1]
- C3854415
Beschrijving
Size of swelling at administration site Day 0
Datatype
integer
Maateenheden
- C
Alias
- UMLS CUI [1,1]
- C3854415
- UMLS CUI [1,2]
- C0456389
Beschrijving
Size of swelling at administration site Day 1
Datatype
integer
Maateenheden
- C
Alias
- UMLS CUI [1,1]
- C3854415
- UMLS CUI [1,2]
- C0456389
Beschrijving
Size of swelling at administration site Day 2
Datatype
integer
Maateenheden
- C
Alias
- UMLS CUI [1,1]
- C3854415
- UMLS CUI [1,2]
- C0456389
Beschrijving
Size of swelling at administration site Day 3
Datatype
integer
Maateenheden
- C
Alias
- UMLS CUI [1,1]
- C3854415
- UMLS CUI [1,2]
- C0456389
Beschrijving
Swelling ongoing after day 3
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C3854415
- UMLS CUI [1,2]
- C0549178
Beschrijving
Date of last day of symptoms
Datatype
date
Alias
- UMLS CUI [1,1]
- C0011008
- UMLS CUI [1,2]
- C0038999
- UMLS CUI [1,3]
- C2700396
Beschrijving
Administration site pain
Datatype
boolean
Alias
- UMLS CUI [1]
- C0521491
Beschrijving
Intensity: 0: None 1: Mild 2: Moderate 3: Severe
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0521491
- UMLS CUI [1,2]
- C1320357
Beschrijving
Intensity: 0: None 1: Mild 2: Moderate 3: Severe
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0521491
- UMLS CUI [1,2]
- C1320357
Beschrijving
Intensity: 0: None 1: Mild 2: Moderate 3: Severe
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0521491
- UMLS CUI [1,2]
- C1320357
Beschrijving
Intensity: 0: None 1: Mild 2: Moderate 3: Severe
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0521491
- UMLS CUI [1,2]
- C1320357
Beschrijving
Pain ongoing after day 3
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C0521491
- UMLS CUI [1,2]
- C0549178
Beschrijving
Date of last day of symptoms
Datatype
date
Alias
- UMLS CUI [1,1]
- C0011008
- UMLS CUI [1,2]
- C0030193
- UMLS CUI [1,3]
- C2700396
Beschrijving
SOLICITED ADVERSE EVENTS – GENERAL SYMPTOMS
Beschrijving
Adverse Events General Symptoms
Datatype
text
Alias
- UMLS CUI [1]
- C1556354
Beschrijving
Fever
Datatype
boolean
Alias
- UMLS CUI [1]
- C0015967
Beschrijving
body temperature site
Datatype
integer
Alias
- UMLS CUI [1]
- C0489453
Beschrijving
Fever Day 0
Datatype
float
Maateenheden
- °C
Alias
- UMLS CUI [1]
- C0015967
Beschrijving
Temperature Day 0 not taken
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C2826301
- UMLS CUI [1,2]
- C0437722
Beschrijving
Fever Day 1
Datatype
float
Maateenheden
- °C
Alias
- UMLS CUI [1]
- C0015967
Beschrijving
Temperature Day 1 not taken
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C1442449
- UMLS CUI [1,2]
- C0437722
Beschrijving
Fever Day 2
Datatype
float
Maateenheden
- °C
Alias
- UMLS CUI [1]
- C0015967
Beschrijving
Temperature Day 2 not taken
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C3842676
- UMLS CUI [1,2]
- C0437722
Beschrijving
Fever Day 3
Datatype
float
Maateenheden
- °C
Alias
- UMLS CUI [1]
- C0015967
Beschrijving
Temperature Day 3 not taken
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C3842675
- UMLS CUI [1,2]
- C0437722
Beschrijving
symptom ongoing
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C1457887
- UMLS CUI [1,2]
- C3174772
Beschrijving
date last symptoms
Datatype
date
Alias
- UMLS CUI [1,1]
- C0011008
- UMLS CUI [1,2]
- C1517741
- UMLS CUI [1,3]
- C1457887
Beschrijving
Causality
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C1314792
- UMLS CUI [1,2]
- C0015967
Beschrijving
Fatigue
Datatype
boolean
Alias
- UMLS CUI [1]
- C0015672
Beschrijving
Fatigue Day 0
Datatype
integer
Alias
- UMLS CUI [1]
- C0015672
Beschrijving
Fatigue Day 1
Datatype
integer
Alias
- UMLS CUI [1]
- C0015672
Beschrijving
Fatigue Day 2
Datatype
integer
Alias
- UMLS CUI [1]
- C0015672
Beschrijving
Fatigue Day 3
Datatype
integer
Alias
- UMLS CUI [1]
- C0015672
Beschrijving
Fatigue ongoing after day 3
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C0015672
- UMLS CUI [1,2]
- C3174772
Beschrijving
Date of last day of symptoms
Datatype
date
Alias
- UMLS CUI [1,1]
- C0011008
- UMLS CUI [1,2]
- C0015672
- UMLS CUI [1,3]
- C2700396
Beschrijving
Causality
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C0015127
- UMLS CUI [1,2]
- C0015672
Beschrijving
Headache
Datatype
boolean
Alias
- UMLS CUI [1]
- C0018681
Beschrijving
If Yes, please specify
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0018681
- UMLS CUI [1,2]
- C0522510
Beschrijving
Headache on Day 0
Datatype
integer
Alias
- UMLS CUI [1]
- C0018681
Beschrijving
Headache on Day 1
Datatype
integer
Alias
- UMLS CUI [1]
- C0018681
Beschrijving
Headache on Day 2
Datatype
integer
Alias
- UMLS CUI [1]
- C0018681
Beschrijving
Headache on Day 3
Datatype
integer
Alias
- UMLS CUI [1]
- C0018681
Beschrijving
Headache ongoing after day 3
Datatype
boolean
Alias
- UMLS CUI [1]
- C0018681
Beschrijving
Headache ongoing after day 3? If Yes, please specify
Datatype
date
Alias
- UMLS CUI [1,1]
- C0018681
- UMLS CUI [1,2]
- C0011008
Beschrijving
Causality
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C0015127
- UMLS CUI [1,2]
- C0018681
Beschrijving
Gastrointestinal symptoms
Datatype
boolean
Alias
- UMLS CUI [1]
- C0426576
Beschrijving
If Yes, please specify
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0426576
- UMLS CUI [1,2]
- C0522510
Beschrijving
Gastrointestinal symptoms on Day 0
Datatype
integer
Alias
- UMLS CUI [1]
- C0426576
Beschrijving
Gastrointestinal symptoms on Day 1
Datatype
integer
Alias
- UMLS CUI [1]
- C0426576
Beschrijving
Gastrointestinal symptoms on Day 2
Datatype
integer
Alias
- UMLS CUI [1]
- C0426576
Beschrijving
Gastrointestinal symptoms on Day 3
Datatype
integer
Alias
- UMLS CUI [1]
- C0426576
Beschrijving
Gastrointestinal symptoms ongoing after day 3
Datatype
boolean
Alias
- UMLS CUI [1]
- C0426576
Beschrijving
Gastrointestinal symptoms ongoing after day 3? If Yes, please specify
Datatype
date
Alias
- UMLS CUI [1,1]
- C0426576
- UMLS CUI [1,2]
- C0011008
Beschrijving
Causality
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C0015127
- UMLS CUI [1,2]
- C0426576
Similar models
GSK Hepatitis A Vaccine VISIT 23 ADDITIONAL VACCINATION SOLICITED ADVERSE EVENTS NCT00291876
C0037088 (UMLS CUI [1,2])
C0456389 (UMLS CUI [1,2])
C0456389 (UMLS CUI [1,2])
C0456389 (UMLS CUI [1,2])
C0456389 (UMLS CUI [1,2])
C0549178 (UMLS CUI [1,2])
C0332575 (UMLS CUI [1,2])
C2700396 (UMLS CUI [1,3])
C0456389 (UMLS CUI [1,2])
C0456389 (UMLS CUI [1,2])
C0456389 (UMLS CUI [1,2])
C0456389 (UMLS CUI [1,2])
C0549178 (UMLS CUI [1,2])
C0038999 (UMLS CUI [1,2])
C2700396 (UMLS CUI [1,3])
C1320357 (UMLS CUI [1,2])
C1320357 (UMLS CUI [1,2])
C1320357 (UMLS CUI [1,2])
C1320357 (UMLS CUI [1,2])
C0549178 (UMLS CUI [1,2])
C0030193 (UMLS CUI [1,2])
C2700396 (UMLS CUI [1,3])
C0437722 (UMLS CUI [1,2])
C0437722 (UMLS CUI [1,2])
C0437722 (UMLS CUI [1,2])
C0437722 (UMLS CUI [1,2])
C3174772 (UMLS CUI [1,2])
C1517741 (UMLS CUI [1,2])
C1457887 (UMLS CUI [1,3])
C0015967 (UMLS CUI [1,2])
C3174772 (UMLS CUI [1,2])
C0015672 (UMLS CUI [1,2])
C2700396 (UMLS CUI [1,3])
C0015672 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,2])
C0018681 (UMLS CUI [1,2])
C0522510 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,2])
C0426576 (UMLS CUI [1,2])