ID

33506

Descrizione

Study ID: 104297 Clinical Study ID: 104297 Study Title: An open study for a 2-year period to confirm the safety and immunogenicity of the candidate malaria vaccine RTS,S/AS02A in Mozambican children aged 1 to 4 years at the time of first vaccine dose. Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00323622 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 2 Study Recruitment Status: Completed Generic Name: SB257049 Trade Name: SB257049 Study Indication: Malaria CRF Seiten: 378-420

Keywords

  1. 11/12/18 11/12/18 -
  2. 11/12/18 11/12/18 -
  3. 06/06/19 06/06/19 -
Titolare del copyright

GSK group of companies

Caricato su

11 dicembre 2018

DOI

Per favore, per richiedere un accesso.

Licenza

Creative Commons BY-NC 3.0

Commenti del modello :

Puoi commentare il modello dati qui. Tramite i fumetti nei gruppi di articoli e articoli è possibile aggiungere commenti a quelli in modo specifico.

Commenti del gruppo di articoli per :

Commenti dell'articolo per :

Per scaricare i modelli di dati devi essere registrato. Per favore accesso o registrati GRATIS.

Immunogenicity of malaria vaccine candidate in Mozambican children (1 to 4 y.o) - 104297 (Malaria039)

Reason for Non Participation - Tracking Form

Administrative data
Descrizione

Administrative data

Protocol Number
Descrizione

Protocol Number

Tipo di dati

text

Previous study
Descrizione

Previous study

Tipo di dati

text

Center Number
Descrizione

Center number

Tipo di dati

integer

Reason for non participation
Descrizione

Reason for non participation

Subject Number
Descrizione

Subject Number

Tipo di dati

integer

Subject could not be reached due to
Descrizione

Subject could not be reached due to

Tipo di dati

text

Subject could be contacted
Descrizione

Subject could be contacted

Tipo di dati

text

Record eligibility criteria that was failed
Descrizione

if applies

Tipo di dati

text

Subject is eligible but not willing to participate due to
Descrizione

if applies

Tipo di dati

text

Day of contact
Descrizione

Day of contact

Tipo di dati

date

In case of death, date of contact not requested
Descrizione

In case of death, date of contact not requested

Investigator's Signature
Descrizione

Investigator's Signature

Investigator's name (in Print)
Descrizione

Investigator's name (in Print)

Tipo di dati

text

Investigator's Signature
Descrizione

Investigator's Signature

Tipo di dati

text

Date
Descrizione

Date

Tipo di dati

date

Similar models

Reason for Non Participation - Tracking Form

Name
genere
Description | Question | Decode (Coded Value)
Tipo di dati
Alias
Item Group
Administrative data
Protocol Number
Item
Protocol Number
text
Item
Previous study
text
Code List
Previous study
CL Item
257049/026 (Malaria-026) (1)
Center number
Item
Center Number
integer
Item Group
Reason for non participation
Subject Number
Item
Subject Number
integer
Item
Subject could not be reached due to
text
Code List
Subject could not be reached due to
CL Item
Lost to follow-up (1)
CL Item
Migrated/moved from study area (2)
CL Item
Death (3)
Item
Subject could be contacted
text
Code List
Subject could be contacted
CL Item
Not eligible (record criteria) (1)
CL Item
Eligible but not willing to participate (record reason for it) (2)
Record eligibility criteria that was failed
Item
Record eligibility criteria that was failed
text
Item
Subject is eligible but not willing to participate due to
text
Code List
Subject is eligible but not willing to participate due to
CL Item
Consent withdrawal not due to an AE (1)
CL Item
Serious adverse event (2)
CL Item
Adverse event (3)
CL Item
Other (4)
Day of contact
Item
Day of contact
date
Item Group
In case of death, date of contact not requested
Item Group
Investigator's Signature
Investigator's name (in Print)
Item
Investigator's name (in Print)
text
Investigator's Signature
Item
Investigator's Signature
text
Date
Item
Date
date

Si prega di utilizzare questo modulo per feedback, domande e suggerimenti per miglioramenti.

I campi contrassegnati da * sono obbligatori.

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial