ID
32101
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 the invasive diseases (ID) form. It has to be filled in if an ID was confirmed during study. It's for all workbooks for visit 1-9
Link
https://clinicaltrials.gov/ct2/show/NCT00466947
Keywords
Versions (1)
- 10/17/18 10/17/18 -
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
Invasive Disease (ID)
- StudyEvent: ODM
Description
Health care facilities
Alias
- UMLS CUI-1
- C0018704
Description
ID detected in health care falicilies: Ambulatory / Outpatient
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0018704
- UMLS CUI [1,2]
- C4285937
- UMLS CUI [1,3]
- C1511790
- UMLS CUI [2,1]
- C0439841
- UMLS CUI [2,2]
- C0029921
Description
ID detected in health care falicilies: Emergency room
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0018704
- UMLS CUI [1,2]
- C4285937
- UMLS CUI [1,3]
- C1511790
- UMLS CUI [2]
- C0583237
Description
ID detected in health care falicilies: Hospital
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0018704
- UMLS CUI [1,2]
- C4285937
- UMLS CUI [1,3]
- C1511790
- UMLS CUI [2]
- C0019994
Description
ID detected in health care falicilies: other
Data type
text
Alias
- UMLS CUI [1,1]
- C0018704
- UMLS CUI [1,2]
- C4285937
- UMLS CUI [1,3]
- C1511790
- UMLS CUI [2]
- C0205394
Description
Hospital stay
Data type
boolean
Alias
- UMLS CUI [1]
- C3489408
Description
Not necessarily consecutive days
Data type
integer
Alias
- UMLS CUI [1]
- C3694481
Description
Stay in hospital in ICU
Data type
boolean
Alias
- UMLS CUI [1,1]
- C3489408
- UMLS CUI [1,2]
- C0021708
Description
Not necessarily consecutive days
Data type
integer
Alias
- UMLS CUI [1]
- C3694481
Description
Chest x-ray
Alias
- UMLS CUI-1
- C0039985
Description
Laboratory tests: bacteriology normally sterile body fluid culture
Alias
- UMLS CUI-1
- C0022885
- UMLS CUI-2
- C0367249
Description
NSBF culture
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0205307
- UMLS CUI [1,2]
- C0232920
- UMLS CUI [1,3]
- C0005889
- UMLS CUI [2]
- C0430400
Description
NSBF
Data type
integer
Alias
- UMLS CUI [1,1]
- C0205307
- UMLS CUI [1,2]
- C0232920
- UMLS CUI [1,3]
- C0005889
Description
Other NSBF, specify
Data type
text
Alias
- UMLS CUI [1,1]
- C0205394
- UMLS CUI [1,2]
- C0205307
- UMLS CUI [1,3]
- C0232920
- UMLS CUI [1,4]
- C0005889
Description
Date
Data type
date
Alias
- UMLS CUI [1,1]
- C0011008
- UMLS CUI [1,2]
- C0205307
- UMLS CUI [1,3]
- C0232920
- UMLS CUI [1,4]
- C0005889
Description
Antibiotic administered
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0338237
- UMLS CUI [1,2]
- C0332152
- UMLS CUI [1,3]
- C0430400
Description
Culture result
Data type
integer
Alias
- UMLS CUI [1,1]
- C0430400
- UMLS CUI [1,2]
- C1274040
Description
Reminder: If identification of Haemophilus influenzae or Streptococcus pneumoniae, please send a sample to Reference Lab for confirmation.
Data type
integer
Alias
- UMLS CUI [1]
- C0450254
Description
Other pathogens, specify
Data type
text
Alias
- UMLS CUI [1,1]
- C0450254
- UMLS CUI [1,2]
- C0205394
Description
Sample Code
Data type
text
Alias
- UMLS CUI [1,1]
- C0200345
- UMLS CUI [1,2]
- C0805701
Description
CLINICAL DIAGNOSIS OF INVASIVE DISEASE (ID)
Alias
- UMLS CUI-1
- C0332140
- UMLS CUI-2
- C4285937
Description
If "with focus" please tick following clinical syndrome(s)
Data type
integer
Alias
- UMLS CUI [1,1]
- C0332307
- UMLS CUI [1,2]
- C4285937
Description
Reminder: (*) Please complete the CAP section.
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0205210
- UMLS CUI [1,2]
- C0039082
- UMLS CUI [1,3]
- C0521009
- UMLS CUI [1,4]
- C0032285
Description
Reminder: (**) Please complete an SAE report, the meningitis report and the lumbar puncture part.
Data type
boolean
Alias
- UMLS CUI [1]
- C0025289
Description
Clinical syndrome: Empyema
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0205210
- UMLS CUI [1,2]
- C0039082
- UMLS CUI [1,3]
- C0014009
Description
Clinical syndrome: Septic arthritis
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0205210
- UMLS CUI [1,2]
- C0039082
- UMLS CUI [1,3]
- C0333534
- UMLS CUI [1,4]
- C0003864
Description
Clinical syndrome: Peritonitis
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0205210
- UMLS CUI [1,2]
- C0039082
- UMLS CUI [1,3]
- C0031154
Description
Clinical syndrome: Osteomyelitis
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0205210
- UMLS CUI [1,2]
- C0039082
- UMLS CUI [1,3]
- C0029443
Description
Clinical syndrome: Pericarditis
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0205210
- UMLS CUI [1,2]
- C0039082
- UMLS CUI [1,3]
- C0031046
Description
Clinical syndrome: Infection of soft tissues
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0205210
- UMLS CUI [1,2]
- C0039082
- UMLS CUI [1,3]
- C0149778
Description
Number of clinical syndromes
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0205210
- UMLS CUI [1,2]
- C0039082
- UMLS CUI [1,3]
- C0750480
Description
CLINICAL SEVERITY OF ID BASED ON SIRS
Alias
- UMLS CUI-1
- C0439793
- UMLS CUI-2
- C4285937
- UMLS CUI-3
- C0242966
Description
SEPSIS
Alias
- UMLS CUI-1
- C0243026
Description
If yes, please tick following boxes
Data type
integer
Alias
- UMLS CUI [1,1]
- C0243026
- UMLS CUI [1,2]
- C0683312
- UMLS CUI [1,3]
- C0442825
- UMLS CUI [1,4]
- C1507394
Description
only one box must be ticked
Data type
integer
Alias
- UMLS CUI [1,1]
- C0243026
- UMLS CUI [1,2]
- C0332307
Description
MEDICATION
Alias
- UMLS CUI-1
- C0013227
Description
If yes please complete the following table.
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0013227
- UMLS CUI [1,2]
- C4285937
Description
Trade/Generic name of medication
Data type
text
Alias
- UMLS CUI [1]
- C2360065
Description
Reason for medication
Data type
text
Alias
- UMLS CUI [1,1]
- C0392360
- UMLS CUI [1,2]
- C0013227
Description
Route of medication
Data type
text
Alias
- UMLS CUI [1]
- C0013153
Description
Total daily dose
Data type
float
Alias
- UMLS CUI [1]
- C2348070
Description
Start date of medication
Data type
date
Alias
- UMLS CUI [1,1]
- C0013227
- UMLS CUI [1,2]
- C0808070
Description
tick following box if continuing
Data type
date
Alias
- UMLS CUI [1,1]
- C0013227
- UMLS CUI [1,2]
- C0806020
Description
Medication continuing
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0013227
- UMLS CUI [1,2]
- C0549178
Description
LUMBAR PUNCTURE
Alias
- UMLS CUI-1
- C0007806
Description
Lumbar puncture performance
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0007806
- UMLS CUI [1,2]
- C1518965
Description
Date of puncture
Data type
date
Alias
- UMLS CUI [1,1]
- C0037943
- UMLS CUI [1,2]
- C0011008
Description
Result: CSF appearance: Clear
Data type
boolean
Alias
- UMLS CUI [1,1]
- C1274040
- UMLS CUI [1,2]
- C0007806
- UMLS CUI [1,3]
- C2963144
Description
Result: CSF appearance: Turbid
Data type
boolean
Alias
- UMLS CUI [1,1]
- C1274040
- UMLS CUI [1,2]
- C0007806
- UMLS CUI [1,3]
- C0311420
Description
Result: CSF appearance: purulent
Data type
boolean
Alias
- UMLS CUI [1,1]
- C1274040
- UMLS CUI [1,2]
- C0007806
- UMLS CUI [1,3]
- C0439665
Description
Result: CSF appearance: Hematic
Data type
boolean
Alias
- UMLS CUI [1,1]
- C1274040
- UMLS CUI [1,2]
- C0007806
- UMLS CUI [1,3]
- C0333275
Description
WBC count in CSF: Total
Data type
float
Measurement units
- x 10^6/L
Alias
- UMLS CUI [1,1]
- C0023508
- UMLS CUI [1,2]
- C0007806
Description
WBC count in CSF: Polymorphonuclears (PMNs)
Data type
float
Measurement units
- x 10^6/L
Alias
- UMLS CUI [1,1]
- C1168338
- UMLS CUI [1,2]
- C0007806
Description
WBC count in CSF: Lymphocytes
Data type
float
Measurement units
- x 10^6/L
Alias
- UMLS CUI [1,1]
- C0200635
- UMLS CUI [1,2]
- C0007806
Description
RBC count in CSF: Total
Data type
float
Measurement units
- x 10^6/L
Alias
- UMLS CUI [1,1]
- C0014772
- UMLS CUI [1,2]
- C0007806
Description
Protein content
Data type
float
Measurement units
- g/L
Alias
- UMLS CUI [1,1]
- C0555903
- UMLS CUI [1,2]
- C0007806
Description
Please tick unit of measure
Data type
float
Alias
- UMLS CUI [1,1]
- C0337438
- UMLS CUI [1,2]
- C0007806
Description
Unit of measure, glucose content
Data type
integer
Alias
- UMLS CUI [1,1]
- C0337438
- UMLS CUI [1,2]
- C0007806
Description
Please tick unit of measure
Data type
float
Alias
- UMLS CUI [1,1]
- C0202042
- UMLS CUI [1,2]
- C1446561
Description
Unit of measure, plasma glucose concentration
Data type
integer
Alias
- UMLS CUI [1,1]
- C0202042
- UMLS CUI [1,2]
- C1446561
Description
% plasma glucose concentration
Data type
float
Measurement units
- %
Alias
- UMLS CUI [1]
- C0369269
Description
Binax
Data type
integer
Alias
- UMLS CUI [1,1]
- C0430022
- UMLS CUI [1,2]
- C0032269
Similar models
Invasive Disease (ID)
- StudyEvent: ODM
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C0600091 (UMLS CUI [1,2])
C4285937 (UMLS CUI [1,2])
C1511790 (UMLS CUI [1,3])
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C0014009 (UMLS CUI [1,3])
C0039082 (UMLS CUI [1,2])
C0333534 (UMLS CUI [1,3])
C0003864 (UMLS CUI [1,4])
C0039082 (UMLS CUI [1,2])
C0031154 (UMLS CUI [1,3])
C0039082 (UMLS CUI [1,2])
C0029443 (UMLS CUI [1,3])
C0039082 (UMLS CUI [1,2])
C0031046 (UMLS CUI [1,3])
C0039082 (UMLS CUI [1,2])
C0149778 (UMLS CUI [1,3])
C0039082 (UMLS CUI [1,2])
C0750480 (UMLS CUI [1,3])
C4285937 (UMLS CUI-2)
C0242966 (UMLS CUI-3)
C0442825 (UMLS CUI [1,2])
C1507394 (UMLS CUI [1,3])
C0683312 (UMLS CUI [1,2])
C0442825 (UMLS CUI [1,3])
C1507394 (UMLS CUI [1,4])
C4285937 (UMLS CUI [1,2])
C0013227 (UMLS CUI [1,2])
C0808070 (UMLS CUI [1,2])
C0806020 (UMLS CUI [1,2])
C0549178 (UMLS CUI [1,2])
C1518965 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,2])
C0007806 (UMLS CUI [1,2])
C2963144 (UMLS CUI [1,3])
C0007806 (UMLS CUI [1,2])
C0311420 (UMLS CUI [1,3])
C0007806 (UMLS CUI [1,2])
C0439665 (UMLS CUI [1,3])
C0007806 (UMLS CUI [1,2])
C0333275 (UMLS CUI [1,3])
C0007806 (UMLS CUI [1,2])
C0007806 (UMLS CUI [1,2])
C0007806 (UMLS CUI [1,2])
C0007806 (UMLS CUI [1,2])
C0007806 (UMLS CUI [1,2])
C0007806 (UMLS CUI [1,2])
C0007806 (UMLS CUI [1,2])
C1446561 (UMLS CUI [1,2])
C1446561 (UMLS CUI [1,2])