ID
29749
Descripción
https://clinicaltrials.gov/show/NCT00197028 Visit 1 Case Report Form Study ID: 103967 Clinical Study ID: 103967 Study Title: A Phase I/IIb randomized, double-blind, controlled study of the safety, immunogenicity and proof-of-concept of RTS,S/AS02D, a candidate malaria vaccine in infants living in a malaria-endemic region Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00197028 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 2 Study Recruitment Status: Completed Generic Name: SB257049 Trade Name: BIO MALARIA; SB257049 Study Indication: Malaria
Link
https://clinicaltrials.gov/show/NCT00197028
Palabras clave
Versiones (1)
- 18/4/18 18/4/18 -
Titular de derechos de autor
GlaxoSmithKline (GSK)
Subido en
18 de abril de 2018
DOI
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Licencia
Creative Commons BY-NC 3.0
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RTS,S/AS02D, a candidate malaria vaccine in infants living in a malaria-endemic region, Study ID: 103967, NCT00197028
Case Report Form, Screening, Visit 1
- StudyEvent: ODM
Descripción
Informed Consent and Demographics
Alias
- UMLS CUI-1
- C0021430
- UMLS CUI-2
- C0011298
Descripción
Informed Consent Date
Tipo de datos
date
Alias
- UMLS CUI [1,1]
- C0011008
- UMLS CUI [1,2]
- C0021430
Descripción
Center Number
Tipo de datos
integer
Alias
- UMLS CUI [1,1]
- C1301943
- UMLS CUI [1,2]
- C0600091
Descripción
Date of birth
Tipo de datos
date
Alias
- UMLS CUI [1]
- C0421451
Descripción
Gender
Tipo de datos
text
Alias
- UMLS CUI [1]
- C0079399
Descripción
Race
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0034510
Descripción
Geographical area
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0681784
Descripción
Eligibility Check
Alias
- UMLS CUI-1
- C0013893
Descripción
Do not enter the subject into the study if he/she failed any inclusion or exclusion criteria below.
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0013893
Descripción
Inclusion criteria
Tipo de datos
integer
Descripción
Exclusion Criteria
Tipo de datos
integer
Descripción
Screening conclusion
Alias
- UMLS CUI-1
- C1707478
- UMLS CUI-2
- C0008976
- UMLS CUI-3
- C0042210
Descripción
Serious Adverse Event
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C1519255
Descripción
Number of SAEs
Tipo de datos
integer
Alias
- UMLS CUI [1,1]
- C0449788
- UMLS CUI [1,2]
- C1519255
Descripción
Screening failure
Tipo de datos
boolean
Alias
- UMLS CUI [1,1]
- C1710477
- UMLS CUI [1,2]
- C0231175
Descripción
Screening failure
Tipo de datos
integer
Alias
- UMLS CUI [1,1]
- C1710477
- UMLS CUI [1,2]
- C0231175
Descripción
Decision maker
Tipo de datos
integer
Alias
- UMLS CUI [1,1]
- C0422727
- UMLS CUI [1,2]
- C0679006
Descripción
Administative data
Alias
- UMLS CUI-1
- C1320722
Descripción
I confirm that I have reviewed the data in these screening forms for this subject. All information entered by myself or my colleagues is, to the best of my knowledge, complete and accurate, as of the date below.
Tipo de datos
text
Alias
- UMLS CUI [1]
- C2346576
Descripción
Date
Tipo de datos
date
Alias
- UMLS CUI [1,1]
- C2346576
- UMLS CUI [1,2]
- C0011008
Descripción
Printed name
Tipo de datos
text
Alias
- UMLS CUI [1]
- C2826892
Similar models
Case Report Form, Screening, Visit 1
- StudyEvent: ODM
C0011298 (UMLS CUI-2)
C0021430 (UMLS CUI [1,2])
C0600091 (UMLS CUI [1,2])
C0008976 (UMLS CUI-2)
C0042210 (UMLS CUI-3)
C1519255 (UMLS CUI [1,2])
C0231175 (UMLS CUI [1,2])
C0231175 (UMLS CUI [1,2])
C0679006 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,2])