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ID

33317

Description

Study ID: 104065 Clinical Study ID: 104065 Study Title: Immune memory of GSK's DTPw-HBV/Hib vaccine by giving Plain PRP polysaccharide at 10 mths. Immuno & reacto of a booster dose of DTPw-HBV/Hib or DTPw-HBV or DTPw-HBV+Hib at 15-18 mths in infants previously primed with DTPw-HBV/Hib Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00169442  Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 3 Study Recruitment Status: Completet Generic Name: Combined Diphtheria, Tetanus, Whole Cell Pertussis, Hepatitis B, Haemophilus influenzae Type b Vaccine (KFT) Trade Name: Zilbrix/Hib Study Indication: Diphtheria; Haemophilus influenzae type b; Hepatitis B; Tetanus; Whole Cell Pertussis

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Versions (2)
  1. 12/4/18 12/4/18 -
  2. 12/5/18 12/5/18 -
Copyright Holder

GSK group of companies

Uploaded on

December 5, 2018

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Creative Commons BY-NC 3.0
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    Immune memory of Combined Diphtheria, Tetanus, Whole Cell Pertussis, Hepatitis B, Haemophilus influenzae Type b Vaccine at infants (15 to 18 mths) - 104065

    English

    Visit 1: Demographics

    1 forms  
    1. StudyEvent: ODM
      1. Visit 1: Demographics
    Administrative data
    Description

    Administrative data

    Date of Visit
    Description

    Date of Visit

    Data type

    date

    Subject Number
    Description

    Subject Number

    Data type

    integer

    Demographics
    Description

    Demographics

    Center number
    Description

    Previous Study: 101222 (DTPw-HBV=Hib Kft-001) Same subject number as previous study!

    Data type

    integer

    Date of birth
    Description

    Date of birth

    Data type

    date

    Gender
    Description

    Gender

    Data type

    boolean

    Race
    Description

    Race

    Data type

    text

    If Other race, please specify
    Description

    If Other race, please specify

    Data type

    text

    Height
    Description

    Height

    Data type

    integer

    Measurement units
    • cm
    cm
    Weight
    Description

    Weight

    Data type

    float

    Measurement units
    • kg
    kg
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    Similar models

    Visit 1: Demographics

    1 forms
    1. StudyEvent: ODM
      1. Visit 1: Demographics
    Name
    Type
    Description | Question | Decode (Coded Value)
    Data type
    Alias
    Item Group
    Administrative data
    Date of Visit
    Item
    Date of Visit
    date
    Subject Number
    Item
    Subject Number
    integer
    Item Group
    Demographics
    Center number
    Item
    Center number
    integer
    Date of birth
    Item
    Date of birth
    date
    Gender
    Item
    Gender
    boolean
    Item
    Race
    text
    Race
    Code List
    Race
    CL Item
    Black (1)
    CL Item
    Arabic/North African (2)
    CL Item
    White/Caucasian (3)
    CL Item
    East & South East Asian (4)
    CL Item
    South Asian (5)
    CL Item
    American Hispanic (6)
    CL Item
    Japanese (7)
    CL Item
    Other (8)
    If Other race, please specify
    Item
    If Other race, please specify
    text
    Height
    Item
    Height
    integer
    Weight
    Item
    Weight
    float
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