ID

32302

Beschreibung

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 https://clinicaltrials.gov/ct2/show/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 the concomitant vaccination form. It has to be filled in if a concomitant vaccination occurs during study. It's for all workbooks. Any vaccine not foreseen in the study protocol administered during the entire study period is to be recorded with trade name, route of administration and date(s) of administration. The document also contains the medication form. It's only for workbook 2 ("for carriage subset only"). Only antibiotics are to be recorded in medication page.

Link

https://clinicaltrials.gov/ct2/show/NCT00466947

Stichworte

  1. 26/10/18 26/10/18 -
  2. 27/10/18 27/10/18 -
  3. 27/10/18 27/10/18 -
Rechteinhaber

GlaxoSmithKline

Hochgeladen am

26 de octubre de 2018

DOI

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Lizenz

Creative Commons BY-NC 3.0

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Vaccination against pneumonia and otitis media, NCT00466947

Concomitant vaccination, Medication

Administrative data
Beschreibung

Administrative data

Alias
UMLS CUI-1
C1320722
Subject number
Beschreibung

Subject number

Datentyp

text

Alias
UMLS CUI [1]
C2348585
Workbook number
Beschreibung

Workbook number

Datentyp

integer

Alias
UMLS CUI [1]
C2986015
CONCOMITANT VACCINATION
Beschreibung

CONCOMITANT VACCINATION

Alias
UMLS CUI-1
C0042196
UMLS CUI-2
C2347852
Have any vaccines other than specified in the Protocol been administered since Visit 1?
Beschreibung

If Yes, please record concomitant vaccination with trade name and / or generic name, route and vaccine administration date in following items.

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0042210
UMLS CUI [1,2]
C1444655
UMLS CUI [1,3]
C2348563
UMLS CUI [1,4]
C2368628
Trade/Generic name
Beschreibung

Trade/Generic name

Datentyp

text

Alias
UMLS CUI [1,1]
C0027365
UMLS CUI [1,2]
C0042210
Route of vaccination
Beschreibung

Route of vaccination

Datentyp

text

Alias
UMLS CUI [1,1]
C0013153
UMLS CUI [1,2]
C0042210
Administration date
Beschreibung

Administration date

Datentyp

date

Alias
UMLS CUI [1,1]
C1533734
UMLS CUI [1,2]
C0011008
MEDICATION
Beschreibung

MEDICATION

Alias
UMLS CUI-1
C0013227
Have any antibiotics been administered during the entire protocol period?
Beschreibung

If yes, please complete the following items.

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0003232
UMLS CUI [1,2]
C1320722
Trade/Generic name of antibiotic
Beschreibung

Trade/Generic name of antibiotic

Datentyp

text

Alias
UMLS CUI [1,1]
C2360065
UMLS CUI [1,2]
C0003232
Total daily dose
Beschreibung

Total daily dose

Datentyp

text

Alias
UMLS CUI [1,1]
C2348070
UMLS CUI [1,2]
C0439810
Route of antibiotic
Beschreibung

Route of antibiotic

Datentyp

text

Alias
UMLS CUI [1,1]
C0013153
UMLS CUI [1,2]
C0003232
Start date of antibiotic
Beschreibung

Start date of antibiotic

Datentyp

date

Alias
UMLS CUI [1,1]
C0808070
UMLS CUI [1,2]
C0003232
End date of antibiotic
Beschreibung

End date of antibiotic

Datentyp

date

Alias
UMLS CUI [1,1]
C0806020
UMLS CUI [1,2]
C0003232
Antibiotic continuing
Beschreibung

Antibiotic continuing

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0003232
UMLS CUI [1,2]
C0549178

Ähnliche Modelle

Concomitant vaccination, Medication

Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Administrative data
C1320722 (UMLS CUI-1)
Subject number
Item
Subject number
text
C2348585 (UMLS CUI [1])
Item
Workbook number
integer
C2986015 (UMLS CUI [1])
Code List
Workbook number
CL Item
workbook 1 (1)
CL Item
workbook 2 (2)
CL Item
workbook 3 (3)
Item Group
CONCOMITANT VACCINATION
C0042196 (UMLS CUI-1)
C2347852 (UMLS CUI-2)
Other vaccines administered
Item
Have any vaccines other than specified in the Protocol been administered since Visit 1?
boolean
C0042210 (UMLS CUI [1,1])
C1444655 (UMLS CUI [1,2])
C2348563 (UMLS CUI [1,3])
C2368628 (UMLS CUI [1,4])
Trade/Generic name
Item
Trade/Generic name
text
C0027365 (UMLS CUI [1,1])
C0042210 (UMLS CUI [1,2])
Item
Route of vaccination
text
C0013153 (UMLS CUI [1,1])
C0042210 (UMLS CUI [1,2])
Code List
Route of vaccination
CL Item
Intradermal  (ID)
CL Item
Parenteral (PE)
CL Item
Inhalation  (IH)
CL Item
Oral (PO)
CL Item
Intramuscular  (IM)
CL Item
Subcutaneous (SC)
CL Item
Intravenous  (IV)
CL Item
Sublingual (SL)
CL Item
Intranasal  (IN)
CL Item
Transdermal (TD)
CL Item
Other  (OTH)
CL Item
Unknown (UNK)
Administration date
Item
Administration date
date
C1533734 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item Group
MEDICATION
C0013227 (UMLS CUI-1)
Antibiotics administration
Item
Have any antibiotics been administered during the entire protocol period?
boolean
C0003232 (UMLS CUI [1,1])
C1320722 (UMLS CUI [1,2])
Trade/Generic name of antibiotic
Item
Trade/Generic name of antibiotic
text
C2360065 (UMLS CUI [1,1])
C0003232 (UMLS CUI [1,2])
Total daily dose
Item
Total daily dose
text
C2348070 (UMLS CUI [1,1])
C0439810 (UMLS CUI [1,2])
Route of antibiotic
Item
Route of antibiotic
text
C0013153 (UMLS CUI [1,1])
C0003232 (UMLS CUI [1,2])
Start date of antibiotic
Item
Start date of antibiotic
date
C0808070 (UMLS CUI [1,1])
C0003232 (UMLS CUI [1,2])
End date of antibiotic
Item
End date of antibiotic
date
C0806020 (UMLS CUI [1,1])
C0003232 (UMLS CUI [1,2])
Antibiotic continuing
Item
Antibiotic continuing
boolean
C0003232 (UMLS CUI [1,1])
C0549178 (UMLS CUI [1,2])

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