ID

32298

Beskrivning

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 https://clinicaltrials.gov/ct2/show/NCT00466947?term=NCT00466947 Clinicaltrials.gov Identifier: 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 report of solicited adverse events for local and general symptoms. It has to be filled in for workbook 1 and 2 in visit 1,2,3 and 6. It refers only to immuno and reacto subset.

Länk

https://clinicaltrials.gov/ct2/show/NCT00466947?term=NCT00466947

Nyckelord

Versioner (3)
  1. 10/23/18 10/23/18 -
  2. 10/26/18 10/26/18 -
  3. 10/26/18 10/26/18 -
Rättsinnehavare

GlaxoSmithKline

Uppladdad den

October 26, 2018

DOI

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Licens

Creative Commons BY-NC 3.0
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Vaccination against pneumonia and otitis media, NCT00466947

Engelsk

Protocol required concomitant vaccination, convulsion episode

1 Formulär  
Administrative data
Beskrivning

Administrative data

Alias
UMLS CUI-1
C1320722
Subject number
Beskrivning

Subject number

Datatyp

text

Alias
UMLS CUI [1]
C2348585
Visit number
Beskrivning

Visit number

Datatyp

integer

Alias
UMLS CUI [1]
C1549755
Date of Visit
Beskrivning

Date of Visit

Datatyp

date

Alias
UMLS CUI [1]
C1320303
Workbook number
Beskrivning

Workbook number

Datatyp

integer

Alias
UMLS CUI [1]
C2986015
PROTOCOL REQUIRED CONCOMITANT VACCINATION
Beskrivning

PROTOCOL REQUIRED CONCOMITANT VACCINATION

Alias
UMLS CUI-1
C2347852
UMLS CUI-2
C0042196
UMLS CUI-3
C1708545
Have the following protocol required concomitant vaccines been administered?
Beskrivning

If Yes is ticked, the applicable vaccine is not to be reported again in the Concomitant Vaccination section at the end of the CRF. Any other vaccines administered during the study period are to be recorded in the Concomitant Vaccination section at the end of the CRF. Reminder: Any vaccine should be administered at least 30 days before the date of study vaccine administration.

Datatyp

boolean

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C0042196
UMLS CUI [1,3]
C1708545
UMLS CUI [1,4]
C2368628
Vaccines
Beskrivning

In visit 8 only HAV vaccine

Datatyp

integer

Alias
UMLS CUI [1]
C0042210
Date if different from visit date
Beskrivning

Vaccine administration, Date

Datatyp

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C2368628
CONVULSION EPISODE
Beskrivning

CONVULSION EPISODE

Alias
UMLS CUI-1
C0332189
UMLS CUI-2
C4048158
Has the subject experienced any CONVULSION EPISODE occurring within 30 days after booster vaccination?
Beskrivning

If yes please complete the CONVULSION EPISODE section

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0332189
UMLS CUI [1,2]
C4048158
UMLS CUI [1,3]
C0332282
UMLS CUI [1,4]
C0042196
UMLS CUI [1,5]
C3259236
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Similar models

Protocol required concomitant vaccination, convulsion episode

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Administrative data
C1320722 (UMLS CUI-1)
Subject number
Item
Subject number
text
C2348585 (UMLS CUI [1])
Item
Visit number
integer
C1549755 (UMLS CUI [1])
Visit number
Code List
Visit number
CL Item
Visit 2 (2)
CL Item
Visit 3 (3)
CL Item
Visit 4 (4)
CL Item
Visit 5 (5)
CL Item
Visit 6 (6)
CL Item
Visit 7 (7)
CL Item
Visit 8 (8)
CL Item
Visit 9 (9)
Date of Visit
Item
Date of Visit
date
C1320303 (UMLS CUI [1])
Item
Workbook number
integer
C2986015 (UMLS CUI [1])
Workbook number
Code List
Workbook number
CL Item
workbook 1 (1)
CL Item
workbook 2 (2)
CL Item
workbook 3 (3)
Item Group
PROTOCOL REQUIRED CONCOMITANT VACCINATION
C2347852 (UMLS CUI-1)
C0042196 (UMLS CUI-2)
C1708545 (UMLS CUI-3)
Administration of protocol required concomitant vaccines
Item
Have the following protocol required concomitant vaccines been administered?
boolean
C2347852 (UMLS CUI [1,1])
C0042196 (UMLS CUI [1,2])
C1708545 (UMLS CUI [1,3])
C2368628 (UMLS CUI [1,4])
Item
Vaccines
integer
C0042210 (UMLS CUI [1])
Vaccines
Code List
Vaccines
CL Item
HAV vaccine (1)
CL Item
MMR vaccine (2)
CL Item
Meningococcal C conjugated vaccine (3)
Vaccine administration, Date
Item
Date if different from visit date
date
C0011008 (UMLS CUI [1,1])
C2368628 (UMLS CUI [1,2])
Item Group
CONVULSION EPISODE
C0332189 (UMLS CUI-1)
C4048158 (UMLS CUI-2)
Convulsion episode following booster vaccination
Item
Has the subject experienced any CONVULSION EPISODE occurring within 30 days after booster vaccination?
boolean
C0332189 (UMLS CUI [1,1])
C4048158 (UMLS CUI [1,2])
C0332282 (UMLS CUI [1,3])
C0042196 (UMLS CUI [1,4])
C3259236 (UMLS CUI [1,5])
Tillbaka till toppen 

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