0 Évaluations

ID

33060

Description

Study ID: 104020 Clinical Study ID: 104020 Study Title: Blinded, randomised study to assess the immunogenicity and safety of GlaxoSmithKline (GSK) Biologicals’ live attenuated measles-mumps-rubella-varicella candidate vaccine when given to healthy children in their second year of life Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00126997 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 4 Study Recruitment Status: Completed Generic Name: Combined Measles, Mumps, Rubella, Varicella Vaccine Trade Name: Priorix Tetra Study Indication: Measles; Mumps; Rubella; Varicella CRF Seiten: 268-336; 870-938

Mots-clés

  1. 26/11/2018 26/11/2018 -
Détendeur de droits

GSK group of companies

Téléchargé le

26 novembre 2018

DOI

Pour une demande vous connecter.

Licence

Creative Commons BY-NC 3.0

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    Immunogenicity of Combined Measles, Mumps, Rubella, Varicella Vaccine for healthy 2 y.o children - 104020

    Rash / Exanthem AE Form

    Administrative data
    Description

    Administrative data

    Subject Number
    Description

    Subject Number

    Type de données

    integer

    Rash/Exanthem
    Description

    Rash/Exanthem

    Event Number
    Description

    Please report any rash event that occurred during the study period

    Type de données

    integer

    Description
    Description

    Description

    Type de données

    text

    Administration sites
    Description

    Administration sites

    Type de données

    text

    Non-administration site
    Description

    Non-administration site

    Type de données

    text

    Further Event Details (For GSK)
    Description

    Further Event Details (For GSK)

    Event Number
    Description

    Event Number

    Type de données

    integer

    Category
    Description

    Category

    Type de données

    text

    If Other, specify
    Description

    If Other, specify

    Type de données

    text

    Date started
    Description

    Date started

    Type de données

    date

    Date stopped
    Description

    Date stopped

    Type de données

    date

    Intensity
    Description

    Intensity

    Type de données

    text

    Has a vesicular fluid sample been taken?
    Description

    Has a vesicular fluid sample been taken?

    Type de données

    boolean

    If Yes, record date
    Description

    If Yes, record date

    Type de données

    date

    Relationship to investigational products
    Description

    is there a reasonable possibility that the AE may have been caused by the investigational product?

    Type de données

    boolean

    Outcome
    Description

    Outcome

    Type de données

    text

    Similar models

    Rash / Exanthem AE Form

    Name
    Type
    Description | Question | Decode (Coded Value)
    Type de données
    Alias
    Item Group
    Administrative data
    Subject Number
    Item
    Subject Number
    integer
    Item Group
    Rash/Exanthem
    Item
    Event Number
    integer
    Code List
    Event Number
    CL Item
    RA. 1 (1)
    CL Item
    RA. 2 (2)
    Description
    Item
    Description
    text
    Item
    Administration sites
    text
    Code List
    Administration sites
    CL Item
    MemURu-OKA vaccine (1)
    CL Item
    Priorix vaccine (2)
    CL Item
    Varilirix vaccine (3)
    Item
    Non-administration site
    text
    Code List
    Non-administration site
    CL Item
    Generalized (1)
    CL Item
    Localized (2)
    Item Group
    Further Event Details (For GSK)
    Item
    Event Number
    integer
    Code List
    Event Number
    CL Item
    RA. 1 (1)
    CL Item
    RA. 2 (2)
    Item
    Category
    text
    Code List
    Category
    CL Item
    Varicella rash (1)
    CL Item
    Measles / rubella-rash (2)
    CL Item
    Other (3)
    If Other, specify
    Item
    If Other, specify
    text
    Date started
    Item
    Date started
    date
    Date stopped
    Item
    Date stopped
    date
    Item
    Intensity
    text
    Code List
    Intensity
    CL Item
    1 - 50 lesions (1)
    CL Item
    51 - 150 lesions (2)
    CL Item
    > 150 lesions (3)
    Has a vesicular fluid sample been taken?
    Item
    Has a vesicular fluid sample been taken?
    boolean
    If Yes, record date
    Item
    If Yes, record date
    date
    Relationship to investigational products
    Item
    Relationship to investigational products
    boolean
    Item
    Outcome
    text
    Code List
    Outcome
    CL Item
    Recovered/Resolved (1)
    CL Item
    Recovering/Resolving (2)
    CL Item
    Not recovered/Not resolved (3)
    CL Item
    Recovered with sequelae/Resolved with sequelae (4)

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