ID
24862
Beskrivning
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
Länk
https://clinicaltrials.gov/ct2/show/NCT00291876
Nyckelord
Versioner (1)
- 2017-08-20 2017-08-20 -
Rättsinnehavare
GlaxoSmithKline
Uppladdad den
20 augusti 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.
GSK Hepatitis A Vaccine VISIT 23 ADDITIONAL VACCINATION SOLICITED ADVERSE EVENTS NCT00291876
GSK Hepatitis A Vaccine VISIT 23 ADDITIONAL VACCINATION SOLICITED ADVERSE EVENTS NCT00291876
Beskrivning
SOLICITED ADVERSE EVENTS – LOCAL SYMPTOMS
Beskrivning
If Yes is ticked, please complete all following items.
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0851536
- UMLS CUI [1,2]
- C0037088
Beskrivning
Administration site erythema
Datatyp
boolean
Alias
- UMLS CUI [1]
- C3805283
Beskrivning
Size of erythema at administration site Day 0
Datatyp
integer
Måttenheter
- mm
Alias
- UMLS CUI [1,1]
- C3805283
- UMLS CUI [1,2]
- C0456389
Beskrivning
Size of erythema at administration site Day 1
Datatyp
integer
Måttenheter
- C
Alias
- UMLS CUI [1,1]
- C3805283
- UMLS CUI [1,2]
- C0456389
Beskrivning
Size of erythema at administration site Day 2
Datatyp
integer
Måttenheter
- C
Alias
- UMLS CUI [1,1]
- C3805283
- UMLS CUI [1,2]
- C0456389
Beskrivning
Size of erythema at administration site Day 3
Datatyp
integer
Måttenheter
- C
Alias
- UMLS CUI [1,1]
- C3805283
- UMLS CUI [1,2]
- C0456389
Beskrivning
Erythema ongoing after day 3
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C3805283
- UMLS CUI [1,2]
- C0549178
Beskrivning
Date of last day of symptoms
Datatyp
date
Alias
- UMLS CUI [1,1]
- C0011008
- UMLS CUI [1,2]
- C0332575
- UMLS CUI [1,3]
- C2700396
Beskrivning
Administration site swelling
Datatyp
boolean
Alias
- UMLS CUI [1]
- C3854415
Beskrivning
Size of swelling at administration site Day 0
Datatyp
integer
Måttenheter
- C
Alias
- UMLS CUI [1,1]
- C3854415
- UMLS CUI [1,2]
- C0456389
Beskrivning
Size of swelling at administration site Day 1
Datatyp
integer
Måttenheter
- C
Alias
- UMLS CUI [1,1]
- C3854415
- UMLS CUI [1,2]
- C0456389
Beskrivning
Size of swelling at administration site Day 2
Datatyp
integer
Måttenheter
- C
Alias
- UMLS CUI [1,1]
- C3854415
- UMLS CUI [1,2]
- C0456389
Beskrivning
Size of swelling at administration site Day 3
Datatyp
integer
Måttenheter
- C
Alias
- UMLS CUI [1,1]
- C3854415
- UMLS CUI [1,2]
- C0456389
Beskrivning
Swelling ongoing after day 3
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C3854415
- UMLS CUI [1,2]
- C0549178
Beskrivning
Date of last day of symptoms
Datatyp
date
Alias
- UMLS CUI [1,1]
- C0011008
- UMLS CUI [1,2]
- C0038999
- UMLS CUI [1,3]
- C2700396
Beskrivning
Administration site pain
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0521491
Beskrivning
Intensity: 0: None 1: Mild 2: Moderate 3: Severe
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0521491
- UMLS CUI [1,2]
- C1320357
Beskrivning
Intensity: 0: None 1: Mild 2: Moderate 3: Severe
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0521491
- UMLS CUI [1,2]
- C1320357
Beskrivning
Intensity: 0: None 1: Mild 2: Moderate 3: Severe
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0521491
- UMLS CUI [1,2]
- C1320357
Beskrivning
Intensity: 0: None 1: Mild 2: Moderate 3: Severe
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0521491
- UMLS CUI [1,2]
- C1320357
Beskrivning
Pain ongoing after day 3
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C0521491
- UMLS CUI [1,2]
- C0549178
Beskrivning
Date of last day of symptoms
Datatyp
date
Alias
- UMLS CUI [1,1]
- C0011008
- UMLS CUI [1,2]
- C0030193
- UMLS CUI [1,3]
- C2700396
Beskrivning
SOLICITED ADVERSE EVENTS – GENERAL SYMPTOMS
Beskrivning
Adverse Events General Symptoms
Datatyp
text
Alias
- UMLS CUI [1]
- C1556354
Beskrivning
Fever
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0015967
Beskrivning
body temperature site
Datatyp
integer
Alias
- UMLS CUI [1]
- C0489453
Beskrivning
Fever Day 0
Datatyp
float
Måttenheter
- °C
Alias
- UMLS CUI [1]
- C0015967
Beskrivning
Temperature Day 0 not taken
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C2826301
- UMLS CUI [1,2]
- C0437722
Beskrivning
Fever Day 1
Datatyp
float
Måttenheter
- °C
Alias
- UMLS CUI [1]
- C0015967
Beskrivning
Temperature Day 1 not taken
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C1442449
- UMLS CUI [1,2]
- C0437722
Beskrivning
Fever Day 2
Datatyp
float
Måttenheter
- °C
Alias
- UMLS CUI [1]
- C0015967
Beskrivning
Temperature Day 2 not taken
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C3842676
- UMLS CUI [1,2]
- C0437722
Beskrivning
Fever Day 3
Datatyp
float
Måttenheter
- °C
Alias
- UMLS CUI [1]
- C0015967
Beskrivning
Temperature Day 3 not taken
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C3842675
- UMLS CUI [1,2]
- C0437722
Beskrivning
symptom ongoing
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C1457887
- UMLS CUI [1,2]
- C3174772
Beskrivning
date last symptoms
Datatyp
date
Alias
- UMLS CUI [1,1]
- C0011008
- UMLS CUI [1,2]
- C1517741
- UMLS CUI [1,3]
- C1457887
Beskrivning
Causality
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C1314792
- UMLS CUI [1,2]
- C0015967
Beskrivning
Fatigue
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0015672
Beskrivning
Fatigue Day 0
Datatyp
integer
Alias
- UMLS CUI [1]
- C0015672
Beskrivning
Fatigue Day 1
Datatyp
integer
Alias
- UMLS CUI [1]
- C0015672
Beskrivning
Fatigue Day 2
Datatyp
integer
Alias
- UMLS CUI [1]
- C0015672
Beskrivning
Fatigue Day 3
Datatyp
integer
Alias
- UMLS CUI [1]
- C0015672
Beskrivning
Fatigue ongoing after day 3
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C0015672
- UMLS CUI [1,2]
- C3174772
Beskrivning
Date of last day of symptoms
Datatyp
date
Alias
- UMLS CUI [1,1]
- C0011008
- UMLS CUI [1,2]
- C0015672
- UMLS CUI [1,3]
- C2700396
Beskrivning
Causality
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C0015127
- UMLS CUI [1,2]
- C0015672
Beskrivning
Headache
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0018681
Beskrivning
If Yes, please specify
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0018681
- UMLS CUI [1,2]
- C0522510
Beskrivning
Headache on Day 0
Datatyp
integer
Alias
- UMLS CUI [1]
- C0018681
Beskrivning
Headache on Day 1
Datatyp
integer
Alias
- UMLS CUI [1]
- C0018681
Beskrivning
Headache on Day 2
Datatyp
integer
Alias
- UMLS CUI [1]
- C0018681
Beskrivning
Headache on Day 3
Datatyp
integer
Alias
- UMLS CUI [1]
- C0018681
Beskrivning
Headache ongoing after day 3
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0018681
Beskrivning
Headache ongoing after day 3? If Yes, please specify
Datatyp
date
Alias
- UMLS CUI [1,1]
- C0018681
- UMLS CUI [1,2]
- C0011008
Beskrivning
Causality
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C0015127
- UMLS CUI [1,2]
- C0018681
Beskrivning
Gastrointestinal symptoms
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0426576
Beskrivning
If Yes, please specify
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0426576
- UMLS CUI [1,2]
- C0522510
Beskrivning
Gastrointestinal symptoms on Day 0
Datatyp
integer
Alias
- UMLS CUI [1]
- C0426576
Beskrivning
Gastrointestinal symptoms on Day 1
Datatyp
integer
Alias
- UMLS CUI [1]
- C0426576
Beskrivning
Gastrointestinal symptoms on Day 2
Datatyp
integer
Alias
- UMLS CUI [1]
- C0426576
Beskrivning
Gastrointestinal symptoms on Day 3
Datatyp
integer
Alias
- UMLS CUI [1]
- C0426576
Beskrivning
Gastrointestinal symptoms ongoing after day 3
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0426576
Beskrivning
Gastrointestinal symptoms ongoing after day 3? If Yes, please specify
Datatyp
date
Alias
- UMLS CUI [1,1]
- C0426576
- UMLS CUI [1,2]
- C0011008
Beskrivning
Causality
Datatyp
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])