ID

33512

Beschrijving

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

Trefwoorden

  1. 11-12-18 11-12-18 -
  2. 05-06-19 05-06-19 -
  3. 06-06-19 06-06-19 - Sarah Riepenhausen
Houder van rechten

GSK group of companies

Geüploaded op

11 december 2018

DOI

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Licentie

Creative Commons BY-NC 3.0

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

Visit 1: Consent Form

  1. StudyEvent: ODM
    1. Visit 1: Consent Form
Administrative data
Beschrijving

Administrative data

Protocol Number
Beschrijving

Protocol Number

Datatype

integer

Subject Number
Beschrijving

Subject Number

Datatype

integer

Date of Visit
Beschrijving

Date of Visit

Datatype

date

Visit
Beschrijving

Visit

Datatype

text

Informed Consent
Beschrijving

Informed Consent

I certify that written/thumb-printed Informed Consent has been obtained prior to any study procedure on the date below
Beschrijving

I certify that written/thumb-printed Informed Consent has been obtained prior to any study procedure on the date below

Datatype

date

Similar models

Visit 1: Consent Form

  1. StudyEvent: ODM
    1. Visit 1: Consent Form
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Administrative data
Protocol Number
Item
Protocol Number
integer
Subject Number
Item
Subject Number
integer
Date of Visit
Item
Date of Visit
date
Item
Visit
text
Code List
Visit
CL Item
Visit 1, Study month 21 (21 months post dose 1 in Malaria-026) (1)
Item Group
Informed Consent
I certify that written/thumb-printed Informed Consent has been obtained prior to any study procedure on the date below
Item
I certify that written/thumb-printed Informed Consent has been obtained prior to any study procedure on the date below
date

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