ID
32092
Description
Study ID: 109563 Clinical Study ID: 109563 Study Title: COMPAS:A phase III study to demonstrate efficacy of GSK Biologicals' 10-valent pneumococcal vaccine (GSK1024850A) against Community Acquired Pneumonia and Acute Otitis Media Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00466947; https://clinicaltrials.gov/ct2/show/NCT00466947 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 3 Study Recruitment Status: Completed Generic Name: Pneumococcal Polysaccharide Conjugate Vaccine (Adsorbed) Trade Name: BIO 10PN-PD-DIT; Synflorix Study Indication: Infections, Streptococcal The Study consists of three workbooks. Workbook 1: Argentina, all subjects + immuno & reacto subset Workbook 2: Panama, all subjects + immuno & reacto subset + carriage subset + additional immuno subset Workbook 3: Colombia, all subjects The protocol number for all workbooks: 109563 (10Pn-PD-DiT-028) There are ten visits in workbook 1 and 2, eight for workbook 3 (there are no visits 4 and 7): Visit 1: month 0, dose 1, 6-16 weeks of age Visit 2: month 2, dose 2, +/- 4 months of age, 49-83 days after visit 1 Visit 3: month 4, dose 3, +/- 6 months of age, 49-83 days after visit 2 Visit 4: month 5, +/- 7 months of age, 28-42 days after visit 3. Only for immuno & reacto subset + carriage subset. Visit 5: month 10-13, 12-15 months of age Visit 6: month 13-16, booster dose, 15-18 months of age, ≥ 28 days after visit 5 Visit 7: month 14-17, 16-19 months of age, 28-42 days after visit 6. Only for immuno & reacto subset, additional immuno subset + carriage subset. Visit 8: month 16-19, 18-21 months of age, ≥ 28 days after visit 6 Visit 9: month 22-25, 24-27 months of age Visit 10: Contact This document contains vaccination administration. It has to be filled in for Workbook 1,2 and 3. The vaccination administration has to be filled out in Visit 1,2,3 and 6. IMMEDIATE POST-VACCINATION OBSERVATION If any adverse events occurred during the immediate post-vaccination time (30 minutes) and cause the withdrawn to further vaccination, it should be detailed in the Non-Serious Adverse Event pages. If this adverse event is considered as a Serious Adverse Event, please complete a SAE report. In addition, if any Serious Adverse Event occurred during the immediate post-vaccination time (30 minutes), please fill in a Serious Adverse Event report. IMMEDIATE POST-VACCINATION OBSERVATION (FOR IMMUNO & REACTO SUBSET ONLY) If any solicited adverse event occurred during the immediate post vaccination time (30 minutes), please fill in the Solicited Adverse Events pages. If any adverse events occurred during the immediate post-vaccination time (30 minutes) and cause the withdrawn to further vaccination, it should be detailed in the Non-Serious Adverse Event pages. If this adverse event is considered as a Serious Adverse Event, please complete a SAE report. In addition, if any Serious Adverse Event occurred during the immediate post-vaccination time (30 minutes), please fill in a Serious Adverse Event report.
Link
https://clinicaltrials.gov/ct2/show/NCT00466947
Keywords
Versions (3)
- 10/15/18 10/15/18 -
- 10/17/18 10/17/18 -
- 10/17/18 10/17/18 - Sarah Riepenhausen
Copyright Holder
GlaxoSmithKline
Uploaded on
October 17, 2018
DOI
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License
Creative Commons BY-NC 3.0
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Vaccination against pneumonia and otitis media, NCT00466947
Vaccination administration
- StudyEvent: ODM
Description
Vaccination administration
Alias
- UMLS CUI-1
- C2368628
Description
fill in only if different from visit date
Data type
date
Alias
- UMLS CUI [1,1]
- C0011008
- UMLS CUI [1,2]
- C2368628
Description
Pre-Vaccination temperature
Data type
float
Measurement units
- °C
Alias
- UMLS CUI [1]
- C0005903
Description
Site of temperature measurement
Data type
text
Alias
- UMLS CUI [1]
- C0489453
Description
Please fill in this repeating Itemgroup for both vaccines. The side/site route for 10Pn-PD-DiT or HBV Vaccine: right thigh i.m. The side/site route for Infanrix Hexa or DTPa-IPV/Hib Vaccine: left thigh i.m.
Data type
integer
Alias
- UMLS CUI [1]
- C0042210
Description
If not administered please give reason and complete associated "Reason for non-administration" . Vaccine as planned: see item "Vaccine"
Data type
text
Alias
- UMLS CUI [1]
- C2368628
Description
Replacement vial
Data type
integer
Alias
- UMLS CUI [1,1]
- C0184301
- UMLS CUI [1,2]
- C0559956
- UMLS CUI [1,3]
- C0600091
Description
Wrong vial number
Data type
integer
Alias
- UMLS CUI [1]
- C0184301
Description
Administration according to protocol: 10Pn-PD-DiT or HBV Vaccine: right thigh i.m. Infanrix Hexa or DTPa-IPV/Hib Vaccine: left thigh i.m.
Data type
boolean
Alias
- UMLS CUI [1,1]
- C2368628
- UMLS CUI [1,2]
- C2348563
Description
Side
Data type
text
Alias
- UMLS CUI [1]
- C0441987
Description
Site
Data type
integer
Alias
- UMLS CUI [1]
- C1515974
Description
Route
Data type
text
Alias
- UMLS CUI [1]
- C0013153
Description
Comment
Data type
text
Alias
- UMLS CUI [1]
- C0947611
Description
Reason for non-administration
Alias
- UMLS CUI-1
- C1533734
- UMLS CUI-2
- C0392360
- UMLS CUI-3
- C1272696
Description
Please tick the major reason for non administration
Data type
text
Alias
- UMLS CUI [1,1]
- C1298908
- UMLS CUI [1,2]
- C2368628
- UMLS CUI [1,3]
- C0566251
Description
SAE report, SAE No
Data type
integer
Alias
- UMLS CUI [1,1]
- C1519255
- UMLS CUI [1,2]
- C0684224
- UMLS CUI [2,1]
- C1519255
- UMLS CUI [2,2]
- C0449788
Description
Non-serious Adverse Event report
Data type
integer
Alias
- UMLS CUI [1,1]
- C1518404
- UMLS CUI [1,2]
- C0237753
Description
Other reason for non administration
Data type
text
Alias
- UMLS CUI [1,1]
- C0205394
- UMLS CUI [1,2]
- C0392360
- UMLS CUI [1,3]
- C1298908
- UMLS CUI [1,4]
- C2368628
Description
Decision made by Investigator/parents/guardians
Data type
text
Alias
- UMLS CUI [1,1]
- C0679006
- UMLS CUI [1,2]
- C0402112
- UMLS CUI [2,1]
- C0679006
- UMLS CUI [2,2]
- C0030551
- UMLS CUI [3,1]
- C0679006
- UMLS CUI [3,2]
- C0023226
Similar models
Vaccination administration
- StudyEvent: ODM
C2368628 (UMLS CUI [1,2])
C0559956 (UMLS CUI [1,2])
C0600091 (UMLS CUI [1,3])
C2348563 (UMLS CUI [1,2])
C0392360 (UMLS CUI-2)
C1272696 (UMLS CUI-3)
C2368628 (UMLS CUI [1,2])
C0566251 (UMLS CUI [1,3])
C0684224 (UMLS CUI [1,2])
C1519255 (UMLS CUI [2,1])
C0449788 (UMLS CUI [2,2])
C0237753 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,2])
C1298908 (UMLS CUI [1,3])
C2368628 (UMLS CUI [1,4])
C0402112 (UMLS CUI [1,2])
C0679006 (UMLS CUI [2,1])
C0030551 (UMLS CUI [2,2])
C0679006 (UMLS CUI [3,1])
C0023226 (UMLS CUI [3,2])
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