ID

33512

Beskrivning

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

Nyckelord

Versioner (3)
  1. 2018-12-11 2018-12-11 -
  2. 2019-06-05 2019-06-05 -
  3. 2019-06-06 2019-06-06 - Sarah Riepenhausen
Rättsinnehavare

GSK group of companies

Uppladdad den

11 december 2018

DOI

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Licens

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)

Engelsk

Visit 1: Consent Form

1 Formulär  
  1. StudyEvent: ODM
    1. Visit 1: Consent Form
Administrative data
Beskrivning

Administrative data

Protocol Number
Beskrivning

Protocol Number

Datatyp

integer

Subject Number
Beskrivning

Subject Number

Datatyp

integer

Date of Visit
Beskrivning

Date of Visit

Datatyp

date

Visit
Beskrivning

Visit

Datatyp

text

Informed Consent
Beskrivning

Informed Consent

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

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

Datatyp

date

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Similar models

Visit 1: Consent Form

1 Formulär
  1. StudyEvent: ODM
    1. Visit 1: Consent Form
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
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
Visit
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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