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ID

33165

Beschreibung

Study ID: 104021 Clinical Study ID: 104021 Study Title: A phase III, partially blind, randomized study to evaluate the immunogenicity, safety and reactogenicity of GlaxoSmithKline (GSK) Biologicals’ Tritanrix™-HepB and GSK Biologicals Kft’s DTPw-HBV vaccines as compared to concomitant administration of Commonwealth Serum Laboratory’s (CSL’s) DTPw (Triple Antigen™) and GSK Biologicals’ HBV (Engerix™-B), when co-administered with GSK Biologicals’ oral live attenuated human rotavirus (HRV) vaccine, to healthy infants at 3, 4½ and 6 months of age, after a birth dose of hepatitis B vaccine. Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00158756 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 3 Study Recruitment Status: Completed Generic Name: Hepatitis B Vaccine, Recombinant Trade Name: Engerix B Study Indication: Hepatitis B

Stichworte

  1. 30.11.18 30.11.18 -
Rechteinhaber

GSK group of companies

Hochgeladen am

30. November 2018

DOI

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Lizenz

Creative Commons BY-NC 3.0

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    Immunogenicity of co-administration of Tritanrix™-HepB and DTPw-HBV vaccines or Triple Antigen™ and Engerix™-B with HRV vaccine to infants (3, 4½ and 6 month) - 104021

    Visit 2: Study Continuation Check

    Administrative data
    Beschreibung

    Administrative data

    Subject Number
    Beschreibung

    Subject Number

    Datentyp

    integer

    Check for Study Continuation
    Beschreibung

    Check for Study Continuation

    Did the subject return for visit 2?
    Beschreibung

    Did the subject return for visit 2?

    Datentyp

    boolean

    If yes, please complete all forms for Visit 2
    Beschreibung

    If yes, please complete all forms for Visit 2

    Datentyp

    text

    If No, record ONE most appropriate reason and skip the following pages of this visit
    Beschreibung

    If No, record ONE most appropriate reason and skip the following pages of this visit

    Datentyp

    text

    If SAE, record the SAE number
    Beschreibung

    If SAE, record the SAE number

    Datentyp

    integer

    If Non-SAE, record the unsolicited AE number
    Beschreibung

    If Non-SAE, record the unsolicited AE number

    Datentyp

    integer

    If Other, specify
    Beschreibung

    e.g., consent withdrawal, protocol violation, etc.

    Datentyp

    text

    Who took the decision?
    Beschreibung

    Who took the decision?

    Datentyp

    text

    Ähnliche Modelle

    Visit 2: Study Continuation Check

    Name
    Typ
    Description | Question | Decode (Coded Value)
    Datentyp
    Alias
    Item Group
    Administrative data
    Subject Number
    Item
    Subject Number
    integer
    Item Group
    Check for Study Continuation
    Did the subject return for visit 2?
    Item
    Did the subject return for visit 2?
    boolean
    If yes, please complete all forms for Visit 2
    Item
    If yes, please complete all forms for Visit 2
    text
    Item
    If No, record ONE most appropriate reason and skip the following pages of this visit
    text
    Code List
    If No, record ONE most appropriate reason and skip the following pages of this visit
    CL Item
    Serious Adverse Event (1)
    CL Item
    Non-Serious adverse event (2)
    CL Item
    Other (3)
    If SAE, record the SAE number
    Item
    If SAE, record the SAE number
    integer
    If Non-SAE, record the unsolicited AE number
    Item
    If Non-SAE, record the unsolicited AE number
    integer
    If Other, specify
    Item
    If Other, specify
    text
    Item
    Who took the decision?
    text
    Code List
    Who took the decision?
    CL Item
    Investigator (1)
    CL Item
    Parents/Guardians (2)

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