ID

24902

Description

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

Lien

https://clinicaltrials.gov/ct2/show/NCT00291876

Mots-clés

Versions (1)
  1. 22/08/2017 22/08/2017 -
Détendeur de droits

GlaxoSmithKline

Téléchargé le

22 août 2017

DOI

Pour une demande vous connecter.

Licence

Creative Commons BY-NC 3.0
Modèle Commentaires :

Ici, vous pouvez faire des commentaires sur le modèle. À partir des bulles de texte, vous pouvez laisser des commentaires spécifiques sur les groupes Item et les Item.

Retour au modèle Commentaires
Groupe Item commentaires pour :

Item commentaires pour :

  • Plus récent
  • Plus ancien
  • Favori
  • Plus récent
    • Plus récent
    • Plus ancien
    • Favori

Aucun commentaire

Vous devez être connecté pour pouvoir télécharger des formulaires. Veuillez vous connecter ou s’inscrire gratuitement.

GSK Hepatitis A Vaccine Month 174 Visit 21 DEMOGRAPHICS NCT00291876

Anglais

GSK Hepatitis A Vaccine Month 174 Visit 21 DEMOGRAPHICS NCT00291876

1 Formulaires  
Study administration
Description

Study administration

Center
Description

Center

Type de données

text

Alias
UMLS CUI [1,1]
C1301943 (Institution name)
SNOMED
398321007
UMLS CUI [1,2]
C0600091 (Identifier)
SNOMED
118522005
LOINC
LP31795-5
Date of Visit
Description

Date of Visit

Type de données

date

Alias
UMLS CUI [1]
C1320303 (Date of visit)
SNOMED
406543005
Subject Number
Description

Subject Identifier

Type de données

integer

Alias
UMLS CUI [1]
C2348585 (Clinical Trial Subject Unique Identifier)
DEMOGRAPHICS
Description

DEMOGRAPHICS

I certify that Informed Consent has been obtained prior to any study procedure. Informed Consent Date:
Description

Informed Consent Date

Type de données

date

Alias
UMLS CUI [1]
C2985782 (Informed Consent Date)
Subject Initials
Description

Subject Initials

Type de données

text

Unités de mesure
  • _ _ First Name / _ _ Family Name
Alias
UMLS CUI [1]
C2986440 (Person Initials)
_ _ First Name / _ _ Family Name
Date of Birth
Description

Date of Birth

Type de données

date

Alias
UMLS CUI [1]
C0421451 (Patient date of birth)
SNOMED
184099003
LOINC
LP57552-9
Gender
Description

Gender

Type de données

integer

Alias
UMLS CUI [1]
C0079399 (Gender)
SNOMED
263495000
LOINC
LP61312-2
Race
Description

Race

Type de données

text

Alias
UMLS CUI [1]
C0034510 (Racial group)
SNOMED
415229000
LOINC
LP7528-5
If Other, please specify
Description

other Race

Type de données

text

Alias
UMLS CUI [1]
C0034510 (Racial group)
SNOMED
415229000
LOINC
LP7528-5
Retour au début de la page

Similar models

GSK Hepatitis A Vaccine Month 174 Visit 21 DEMOGRAPHICS NCT00291876

1 Formulaires
Name
Type
Description | Question | Decode (Coded Value)
Type de données
Alias
Item Group
Study administration
Center
Item
Center
text
C1301943 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Date of Visit
Item
Date of Visit
date
C1320303 (UMLS CUI [1])
Subject Identifier
Item
Subject Number
integer
C2348585 (UMLS CUI [1])
Item Group
DEMOGRAPHICS
Informed Consent Date
Item
I certify that Informed Consent has been obtained prior to any study procedure. Informed Consent Date:
date
C2985782 (UMLS CUI [1])
Subject Initials
Item
Subject Initials
text
C2986440 (UMLS CUI [1])
Date of Birth
Item
Date of Birth
date
C0421451 (UMLS CUI [1])
Item
Gender
integer
C0079399 (UMLS CUI [1])
Gender
Code List
Gender
CL Item
Male (1)
CL Item
Female (2)
Item
Race
text
C0034510 (UMLS CUI [1])
Race
Code List
Race
CL Item
White (WH)
CL Item
Black (BL)
CL Item
Oriental (OR)
CL Item
Other, please specify (OT)
other Race
Item
If Other, please specify
text
C0034510 (UMLS CUI [1])
Retour au début de la page 

Contact

Utilisez ce formulaire pour les retours, les questions et les améliorations suggérées.

Les champs marqués d’un * sont obligatoires.

Aide

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