ID

33884

Beschreibung

Study ID:103860/269 Clinical Study ID:103860/269 (HBV-269) Study Title: Phase II study to evaluate the immunogenicity of GSK Biologicals' preservative-free Engerix-B and thiomersal-free Engerix-B vaccines compared to Engerix™-B and evaluate safety and reactogenicity of each vaccine when administered intramuscularly according to a 0, 1, 6 month schedule in healthy volunteers Patient Level Data:Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: N/A Sponsor: GlaxoSmithKline Collaborators: N/A Phase: phase 2 Study Recruitment Status: Completed Generic Name: Hepatitis B Vaccine, Recombinant Trade Name: Engerix-B Study Indication: Hepatitis B

Stichworte

Versionen (1)
  1. 05.01.19 05.01.19 -
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GlaxoSmithKline

Hochgeladen am

5. Januar 2019

DOI

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Immunogenicity, safety and reactogenicity of preservative-free Engerix-B and thiomersal-free Engerix-B vaccines compared to Engerix™️-B

Englisch

Visit 2

1 Formulare  
  1. StudyEvent: ODM
    1. Visit 2
Administration data
Beschreibung

Administration data

Alias
UMLS CUI-1
C1320722
Date of visit
Beschreibung

Date of visit

Datentyp

date

Alias
UMLS CUI [1]
C1320303
Subject number
Beschreibung

Clinical Trial Subject Unique Identifier

Datentyp

integer

Alias
UMLS CUI [1]
C2348585
Pre-Vaccination Assessment
Beschreibung

Pre-Vaccination Assessment

Alias
UMLS CUI-1
C0042196
UMLS CUI-2
C0332152
UMLS CUI-3
C0220825
Pre-Vaccination Temperature
Beschreibung

Vaccination, Before, Body Temperature

Datentyp

float

Maßeinheiten
  • °C
Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C0332152
UMLS CUI [1,3]
C0005903
°C
Pre-Vaccination Temperature - Route
Beschreibung

Vaccination, Before, Body Temperature, Measurement site

Datentyp

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C0332152
UMLS CUI [1,3]
C0005903
UMLS CUI [1,4]
C0449687
Laboratory Tests
Beschreibung

Laboratory Tests

Alias
UMLS CUI-1
C0022885
Has a blood sample been taken?
Beschreibung

Collection of blood specimen for laboratory procedure

Datentyp

boolean

Alias
UMLS CUI [1]
C0005834
Has a urine sample (Pregnancy test - HCG) been taken?
Beschreibung

Urine Specimen Collection, Urine Pregnancy Test

Datentyp

text

Alias
UMLS CUI [1,1]
C0200354
UMLS CUI [1,2]
C0430056
Results
Beschreibung

Urine Pregnancy Test, Result

Datentyp

text

Alias
UMLS CUI [1,1]
C0430056
UMLS CUI [1,2]
C1274040
Vaccine Administration
Beschreibung

Vaccine Administration

Alias
UMLS CUI-1
C2368628
Vaccine Administration
Beschreibung

Administration of vaccine

Datentyp

text

Alias
UMLS CUI [1]
C2368628
Side
Beschreibung

Administration of vaccine, Side

Datentyp

text

Alias
UMLS CUI [1,1]
C2368628
UMLS CUI [1,2]
C0441987
Site
Beschreibung

Administration of vaccine, Anatomic Site

Datentyp

text

Alias
UMLS CUI [1,1]
C2368628
UMLS CUI [1,2]
C1515974
Route
Beschreibung

Drug Administration Routes, Vaccines

Datentyp

text

Alias
UMLS CUI [1,1]
C0013153
UMLS CUI [1,2]
C0042210
Has the study vaccine been administered according to the protocol?
Beschreibung

Administration of vaccine, Study Protocol

Datentyp

boolean

Alias
UMLS CUI [1,1]
C2368628
UMLS CUI [1,2]
C2348563
Comments
Beschreibung

Administration of vaccine, Comment

Datentyp

text

Alias
UMLS CUI [1,1]
C2368628
UMLS CUI [1,2]
C0947611
Solicited Adverse Events - Local Symptoms
Beschreibung

Solicited Adverse Events - Local Symptoms

Alias
UMLS CUI-1
C0042196
UMLS CUI-2
C0877248
UMLS CUI-3
C1457887
UMLS CUI-4
C0205276
Has the subject experienced any of the following local (at injection site) solicited signs/symptoms during the solicited period?
Beschreibung

Vaccination, Adverse Event, Symptoms, Local

Datentyp

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C0877248
UMLS CUI [1,3]
C1457887
UMLS CUI [1,4]
C0205276
Local Symptoms
Beschreibung

Vaccination, Symptoms, Local

Datentyp

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Day 0
Beschreibung

Vaccination, Symptoms, Local, Observation Start Day

Datentyp

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C2826301
Day 1
Beschreibung

Vaccination, Symptoms, Local, Day 1

Datentyp

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C1442449
Day 2
Beschreibung

Vaccination, Symptoms, Local, Day 2

Datentyp

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C3842676
Day 3
Beschreibung

Vaccination, Symptoms, Local, Day 3

Datentyp

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C3842675
Ongoing after day 3?
Beschreibung

Vaccination, Symptoms, Local, Continuous

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0549178
Date of last day of symptoms
Beschreibung

Vaccination, Symptoms, Local, End Date

Datentyp

date

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0806020
Solicited Adverse Events - General Symptoms
Beschreibung

Solicited Adverse Events - General Symptoms

Alias
UMLS CUI-1
C0042196
UMLS CUI-2
C0877248
UMLS CUI-3
C0159028
Has the subject experienced any of the following general solicited signs or symptoms during the solicited period?
Beschreibung

Vaccination, Adverse Event, General Symptom

Datentyp

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C0877248
UMLS CUI [1,3]
C0159028
General Symptoms
Beschreibung

Vaccination, General symptom

Datentyp

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C0159028
UMLS CUI [1,3]
C2826301
Day 0
Beschreibung

Vaccination, General symptom, Observation Start Day

Datentyp

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C0159028
UMLS CUI [1,3]
C2826301
Day 1
Beschreibung

Vaccination, General symptom, Local, Day 1

Datentyp

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C0159028
UMLS CUI [1,3]
C1442449
Day 2
Beschreibung

Vaccination, General symptom, Day 2

Datentyp

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C0159028
UMLS CUI [1,3]
C3842676
Day 3
Beschreibung

Vaccination, General symptom, Day 3

Datentyp

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C0159028
UMLS CUI [1,3]
C3842675
Ongoing after day 3?
Beschreibung

Vaccination, General symptom, Continuous

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C0159028
UMLS CUI [1,3]
C0549178
Date of last day of symptoms
Beschreibung

Vaccination, General symptom, End Date

Datentyp

date

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C0159028
UMLS CUI [1,3]
C0806020
Causality?
Beschreibung

Vaccination, General symptom, Etiology aspects

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C0159028
UMLS CUI [1,3]
C0015127
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Ähnliche Modelle

Visit 2

1 Formulare
  1. StudyEvent: ODM
    1. Visit 2
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Administration data
C1320722 (UMLS CUI-1)
Date of visit
Item
Date of visit
date
C1320303 (UMLS CUI [1])
Clinical Trial Subject Unique Identifier
Item
Subject number
integer
C2348585 (UMLS CUI [1])
Item Group
Pre-Vaccination Assessment
C0042196 (UMLS CUI-1)
C0332152 (UMLS CUI-2)
C0220825 (UMLS CUI-3)
Vaccination, Before, Body Temperature
Item
Pre-Vaccination Temperature
float
C0042196 (UMLS CUI [1,1])
C0332152 (UMLS CUI [1,2])
C0005903 (UMLS CUI [1,3])
Item
Pre-Vaccination Temperature - Route
text
C0042196 (UMLS CUI [1,1])
C0332152 (UMLS CUI [1,2])
C0005903 (UMLS CUI [1,3])
C0449687 (UMLS CUI [1,4])
Vaccination, Before, Body Temperature, Route
Code List
Pre-Vaccination Temperature - Route
CL Item
Axillary ™  (1)
CL Item
Oral (2)
CL Item
Rectal (™3)
Item Group
Laboratory Tests
C0022885 (UMLS CUI-1)
Collection of blood specimen for laboratory procedure
Item
Has a blood sample been taken?
boolean
C0005834 (UMLS CUI [1])
Item
Has a urine sample (Pregnancy test - HCG) been taken?
text
C0200354 (UMLS CUI [1,1])
C0430056 (UMLS CUI [1,2])
Urine Specimen Collection, Urine Pregnancy Test
Code List
Has a urine sample (Pregnancy test - HCG) been taken?
CL Item
Yes (1)
CL Item
No (2)
CL Item
NA (3)
Item
Results
text
C0430056 (UMLS CUI [1,1])
C1274040 (UMLS CUI [1,2])
Urine Specimen Collection, Urine Pregnancy Test
Code List
Results
CL Item
Negative (1)
CL Item
Positive (2)
Item Group
Vaccine Administration
C2368628 (UMLS CUI-1)
Item
Vaccine Administration
text
C2368628 (UMLS CUI [1])
Administration of vaccine
Code List
Vaccine Administration
CL Item
Study vaccine (1)
CL Item
Replacement vial (™2)
CL Item
Wrong vial number (3)
CL Item
™ Not injected (4)
Item
Side
text
C2368628 (UMLS CUI [1,1])
C0441987 (UMLS CUI [1,2])
Administration of vaccine, Side
Code List
Side
CL Item
Left (Left)
CL Item
Right (Right)
Item
Site
text
C2368628 (UMLS CUI [1,1])
C1515974 (UMLS CUI [1,2])
Administration of vaccine, Side
Code List
Site
CL Item
Deltoid (Deltoid)
CL Item
Thigh (Thigh)
CL Item
Buttock (Buttock)
Item
Route
text
C0013153 (UMLS CUI [1,1])
C0042210 (UMLS CUI [1,2])
Administration of vaccine, Side
Code List
Route
CL Item
I.M. (I.M.)
CL Item
S.C. (S.C.)
Administration of vaccine, Study Protocol
Item
Has the study vaccine been administered according to the protocol?
boolean
C2368628 (UMLS CUI [1,1])
C2348563 (UMLS CUI [1,2])
Administration of vaccine, Comment
Item
Comments
text
C2368628 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
Item Group
Solicited Adverse Events - Local Symptoms
C0042196 (UMLS CUI-1)
C0877248 (UMLS CUI-2)
C1457887 (UMLS CUI-3)
C0205276 (UMLS CUI-4)
Item
Has the subject experienced any of the following local (at injection site) solicited signs/symptoms during the solicited period?
text
C0042196 (UMLS CUI [1,1])
C0877248 (UMLS CUI [1,2])
C1457887 (UMLS CUI [1,3])
C0205276 (UMLS CUI [1,4])
Vaccination, Adverse Event, Symptoms, Local
Code List
Has the subject experienced any of the following local (at injection site) solicited signs/symptoms during the solicited period?
CL Item
Unknown (Unknown)
CL Item
No (No)
CL Item
Yes (Yes)
Item
Local Symptoms
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Symptoms, Local
Code List
Local Symptoms
CL Item
Redness (Redness)
CL Item
Redness Size (mm) (Redness Size (mm))
CL Item
Swelling (Swelling)
CL Item
Swelling Size (mm) (Swelling Size (mm))
CL Item
Pain (Pain)
CL Item
Pain Intensity (0-4) (Pain Intensity (0-4))
Vaccination, Symptoms, Local, Observation Start Day
Item
Day 0
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C2826301 (UMLS CUI [1,4])
Vaccination, Symptoms, Local, Day 1
Item
Day 1
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C1442449 (UMLS CUI [1,4])
Vaccination, Symptoms, Local, Day 2
Item
Day 2
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C3842676 (UMLS CUI [1,4])
Vaccination, Symptoms, Local, Day 3
Item
Day 3
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C3842675 (UMLS CUI [1,4])
Vaccination, Symptoms, Local, Continuous
Item
Ongoing after day 3?
boolean
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0549178 (UMLS CUI [1,4])
Vaccination, Symptoms, Local, End Date
Item
Date of last day of symptoms
date
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0806020 (UMLS CUI [1,4])
Item Group
Solicited Adverse Events - General Symptoms
C0042196 (UMLS CUI-1)
C0877248 (UMLS CUI-2)
C0159028 (UMLS CUI-3)
Item
Has the subject experienced any of the following general solicited signs or symptoms during the solicited period?
text
C0042196 (UMLS CUI [1,1])
C0877248 (UMLS CUI [1,2])
C0159028 (UMLS CUI [1,3])
Vaccination, Adverse Event, Symptoms, Local
Code List
Has the subject experienced any of the following general solicited signs or symptoms during the solicited period?
CL Item
Unknown (Unknown)
CL Item
No (No)
CL Item
Yes (Yes)
Item
General Symptoms
text
C0042196 (UMLS CUI [1,1])
C0159028 (UMLS CUI [1,2])
C2826301 (UMLS CUI [1,3])
Vaccination, Symptoms, Local
Code List
General Symptoms
CL Item
Fever? (Fever?)
CL Item
Temperature (°C) (Temperature (°C))
CL Item
Measurement Site (Axillary, Oral, Rectal) (Measurement Site (Axillary, Oral, Rectal))
CL Item
Fatigue? (Fatigue?)
CL Item
Intensity of fatigue (0-3) (Intensity of fatigue (0-3))
CL Item
Headache? (Headache?)
CL Item
Intensity of headache (0-3) (Intensity of headache (0-3))
CL Item
Gastrointestinal symptoms? (Gastrointestinal symptoms?)
CL Item
Intensity of gastrointestinal symptoms (0-3) (Intensity of gastrointestinal symptoms (0-3))
Vaccination, General symptom, Observation Start Day
Item
Day 0
text
C0042196 (UMLS CUI [1,1])
C0159028 (UMLS CUI [1,2])
C2826301 (UMLS CUI [1,3])
Vaccination, General symptom, Local, Day 1
Item
Day 1
text
C0042196 (UMLS CUI [1,1])
C0159028 (UMLS CUI [1,2])
C1442449 (UMLS CUI [1,3])
Vaccination, General symptom, Day 2
Item
Day 2
text
C0042196 (UMLS CUI [1,1])
C0159028 (UMLS CUI [1,2])
C3842676 (UMLS CUI [1,3])
Vaccination, General symptom, Day 3
Item
Day 3
text
C0042196 (UMLS CUI [1,1])
C0159028 (UMLS CUI [1,2])
C3842675 (UMLS CUI [1,3])
Vaccination, General symptom, Continuous
Item
Ongoing after day 3?
boolean
C0042196 (UMLS CUI [1,1])
C0159028 (UMLS CUI [1,2])
C0549178 (UMLS CUI [1,3])
Vaccination, General symptom, End Date
Item
Date of last day of symptoms
date
C0042196 (UMLS CUI [1,1])
C0159028 (UMLS CUI [1,2])
C0806020 (UMLS CUI [1,3])
Vaccination, General symptom, Etiology aspects
Item
Causality?
boolean
C0042196 (UMLS CUI [1,1])
C0159028 (UMLS CUI [1,2])
C0015127 (UMLS CUI [1,3])
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