ID

32065

Description

Study ID: 103992 Clinical Study ID: 103992 Study Title: Evaluate immunogenicity, reactogenicity & safety of 2 doses of GSK Biologicals’ oral live attenuated HRV vaccine (RIX4414 at 106.5 CCID50) when given concomitantly with OPV versus given alone (HRV vaccine dose given 15 days after the OPV dose) in healthy infants in Bangladesh Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00139334 https://clinicaltrials.gov/ct2/show/NCT00139334 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 2 Study Recruitment Status: Completed Generic Name: Rotavirus Vaccine Trade Name: Rotarix Study Indication: Haemophilus influenzae type b; Neisseria Meningitidis This form is for documentation of Routine Vaccinations of OPV and DTPw-HB during the study. To be filled in according to the following scheme: Visit 1 -> Timing: Day 0, Age 6 weeks +/- 1 week; both vaccines for all subjects Visit 2 -> Timing: Day 30, Age 10 weeks +/- 1 week; DTPw-HB for all subjects, OPV only for subset "HRV(-PI) alone" Visit 3 -> Timing: Day 45, Age 12 weeks +/- 1 week; no DTPw-HB for any subject, OPV only for subset "HRV(-PI) + OPV" Visit 4 -> Timing: Day 60, Age 14 weeks +/- 1 week; DTPw-HB for all subjects, OPV only for subset "HRV(-PI) alone" Visit 5 -> Timing: Day 75, Age 16 weeks +/- 1 week; no DTPw-HB for any subject, OPV only for subset "HRV(-PI) + OPV"

Link

https://clinicaltrials.gov/ct2/show/NCT00139334

Keywords

  1. 10/16/18 10/16/18 - Sarah Riepenhausen
Copyright Holder

GlaxoSmithKline

Uploaded on

October 16, 2018

DOI

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License

Creative Commons BY-NC 3.0

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GSK Biologicals' oral HRV vaccine given with OPV in infants NCT00139334

Routine Vaccine Administration

Administrative Data
Description

Administrative Data

Alias
UMLS CUI-1
C1320722
Visit number and Subset of subjects
Description

Visit number, Subset of subjects

Data type

integer

Alias
UMLS CUI [1]
C1549755
UMLS CUI [2]
C1515021
Subject number
Description

Subject number

Data type

text

Alias
UMLS CUI [1]
C2348585
Visit Date
Description

Visit Date

Data type

date

Alias
UMLS CUI [1]
C1320303
Routine Vaccine Administration, N.B.: Other routine vaccines (such as BCG), administered during the study period must be recorded in the Concomitant Vaccination section
Description

Routine Vaccine Administration, N.B.: Other routine vaccines (such as BCG), administered during the study period must be recorded in the Concomitant Vaccination section

Alias
UMLS CUI-1
C2368628
OPV
Description

Visit 1: all subjects Visit 2 and 4: only for subset HRV(-PI) alone Visit 3 and 5: only for subset HRV(-PI) + OPV

Data type

boolean

Alias
UMLS CUI [1]
C0032375
OPV Administration Date
Description

please complete only if different from visit date Visit 1: all subjects Visit 2 and 4: only for subset HRV(-PI) alone Visit 3 and 5: only for subset HRV(-PI) + OPV

Data type

date

Alias
UMLS CUI [1,1]
C0032375
UMLS CUI [1,2]
C0011008
DTPw-HB
Description

Visit 1, 2 and 4 for all subjects Not to be administered on Visits 3 and 5.

Data type

boolean

Alias
UMLS CUI [1]
C3652655
DTPw-HB Date
Description

please complete only if different from visit date Visit 1, 2 and 4 for all subjects Not to be administered on Visits 3 and 5.

Data type

date

Alias
UMLS CUI [1,1]
C3652655
UMLS CUI [1,2]
C0011008

Similar models

Routine Vaccine Administration

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
Item
Visit number and Subset of subjects
integer
C1549755 (UMLS CUI [1])
C1515021 (UMLS CUI [2])
Code List
Visit number and Subset of subjects
CL Item
Visit 1, voth vaccines for all subjects (1)
CL Item
Visit 2, DTPw-HB for all subjects, OPV only for subset HRV(-PI) alone (2)
CL Item
Visit 3, no DTPw-HB, OPV only for subset HRV(-PI) + OPV (3)
CL Item
Visit 4, DTPw-HB for all subjects, OPV only for subset HRV(-PI) alone (4)
CL Item
Visit 5 (5)
Subject number
Item
Subject number
text
C2348585 (UMLS CUI [1])
Visit Date
Item
Visit Date
date
C1320303 (UMLS CUI [1])
Item Group
Routine Vaccine Administration, N.B.: Other routine vaccines (such as BCG), administered during the study period must be recorded in the Concomitant Vaccination section
C2368628 (UMLS CUI-1)
OPV
Item
OPV
boolean
C0032375 (UMLS CUI [1])
OPV Date
Item
OPV Administration Date
date
C0032375 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
DTPw-HB
Item
DTPw-HB
boolean
C3652655 (UMLS CUI [1])
DTPw-HB Date
Item
DTPw-HB Date
date
C3652655 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])

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