ID

33970

Beschreibung

Study ID: 102248 Clinical Study ID: 102248 Study Title: Multi-Center Study to Assess the Efficacy, Safety and Immunogenicity of 2 or 3 Doses of GSK Biologicals' Oral Live Attenuated Human Rotavirus (HRV) Vaccine Given Concomitantly With Routine EPI Vaccinations in Healthy Infants Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00241644 Study Link: https://clinicaltrials.gov/ct2/show/NCT00241644 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 3 Study Recruitment Status: Completed Generic Name: Rotavirus Vaccine Trade Name: Rotarix Study Indication: Infections, Rotavirus The visits are defined as follows: Visit 1: (Study/Participation) Day 0, Age: 5-10 weeks, Dose 1 Visit 2: (Study/Participation) Month 1, 30-48 days after Visit 1, Dose 2 Visit 3: (Study/Participation) Month 2, 30-48 days after Visit 2, Dose 3 Visit 4: (Study/Participation) Month 3, 30-48 days after Visit 3, Visit 5: (Study/Participation) 1 year of age, 343-391 days of age For amendment 5: Visit 5: (Study/Participation) 21-48 days after Visit 4 Visit 6: (Study/Participation) 1 year of age, 343-391 days of age This form contains information about the HIV repeat test, that should be performed at visit 6 and is part of amendment 1

Link

https://clinicaltrials.gov/ct2/show/NCT00241644

Stichworte

Versionen (3)
  1. 31.10.18 31.10.18 -
  2. 17.11.18 17.11.18 -
  3. 09.01.19 09.01.19 -
Rechteinhaber

GlaxoSmithKline

Hochgeladen am

9. Januar 2019

DOI

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Lizenz

Creative Commons BY-NC 3.0
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Efficacy, Safety and Immunogenicity of Oral HRV Vaccine NCT00241644

Englisch

HIV Repeat Test

1 Formulare  
  1. StudyEvent: ODM
    1. HIV Repeat Test
Administrative Data
Beschreibung

Administrative Data

Alias
UMLS CUI-1
C1320722
Date of visit
Beschreibung

Date of visit

Datentyp

date

Alias
UMLS CUI [1]
C1320303
Subject number
Beschreibung

Subject number

Datentyp

integer

Alias
UMLS CUI [1]
C2348585
HIV repeat test
Beschreibung

HIV repeat test

Alias
UMLS CUI-1
C1321876
Was a blood sample taken after breast feeding cessation (subject HIV exposed but PCR negative at visit 3) ?
Beschreibung

This item is only applicable in visit 6 of amendment 1

Datentyp

integer

Alias
UMLS CUI [1,1]
C0332157
UMLS CUI [1,2]
C0019682
UMLS CUI [2,1]
C0005834
UMLS CUI [2,2]
C0687676
UMLS CUI [2,3]
C0006147
UMLS CUI [3,1]
C0854048
UMLS CUI [3,2]
C0032520
UMLS CUI [3,3]
C1512346
Blood sample date
Beschreibung

Please fill in only if different from visit date

Datentyp

date

Alias
UMLS CUI [1,1]
C0005834
UMLS CUI [1,2]
C0011008
HIV Testing Results (PCR)
Beschreibung

HIV Testing Results (PCR)

Datentyp

integer

Alias
UMLS CUI [1,1]
C1321876
UMLS CUI [1,2]
C0032520
UMLS CUI [1,3]
C1274040
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Ähnliche Modelle

HIV Repeat Test

1 Formulare
  1. StudyEvent: ODM
    1. HIV Repeat Test
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
C1320722 (UMLS CUI-1)
Date of visit
Item
Date of visit
date
C1320303 (UMLS CUI [1])
Subject number
Item
Subject number
integer
C2348585 (UMLS CUI [1])
Item Group
HIV repeat test
C1321876 (UMLS CUI-1)
Item
Was a blood sample taken after breast feeding cessation (subject HIV exposed but PCR negative at visit 3) ?
integer
C0332157 (UMLS CUI [1,1])
C0019682 (UMLS CUI [1,2])
C0005834 (UMLS CUI [2,1])
C0687676 (UMLS CUI [2,2])
C0006147 (UMLS CUI [2,3])
C0854048 (UMLS CUI [3,1])
C0032520 (UMLS CUI [3,2])
C1512346 (UMLS CUI [3,3])
HIV repeat test
Code List
Was a blood sample taken after breast feeding cessation (subject HIV exposed but PCR negative at visit 3) ?
CL Item
Yes (1)
CL Item
No (2)
CL Item
NA (3)
Blood sample date
Item
Blood sample date
date
C0005834 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
HIV Testing Results (PCR)
integer
C1321876 (UMLS CUI [1,1])
C0032520 (UMLS CUI [1,2])
C1274040 (UMLS CUI [1,3])
HIV Testing Results (PCR)
Code List
HIV Testing Results (PCR)
CL Item
Negative (1)
CL Item
Positive (2)
CL Item
Unknown (3)
CL Item
NA (4)
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