ID
34836
Beskrivning
Study ID: 107022 Clinical Study ID: 107022 Study Title: A phase IIb, controlled, randomised, multicenter, single blind study to demonstrate the Non-Inferiority of the low dose influenza vaccine with or without adjuvant AS03 compared with Fluarix (GlaxoSmithKline Biologicals) administered intramuscularly in elderly >= 60 years Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00321373 Study Link: https://clinicaltrials.gov/ct2/show/NCT00321373 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 2 Study Recruitment Status: Completed Generic Name: Candidate Influenza Vaccine GSK1247446A - 2 different formulations Trade Name: FluarixTM Study Indication: Influenza The purpose of this form is to document the subjects general medical history and the physical examination performed at visit 1. Please report medication(s) as specified in the protocol and fill in the Medication section. Visit 1: Day 0, Pre vaccination Visit 2: Day 21, Post vaccination 1 Phone contact: Day 30, post vaccination 1 Visit 3: Day 180, post vaccination 1
Länk
https://clinicaltrials.gov/ct2/show/NCT00321373
Nyckelord
Versioner (2)
- 31/1/19 31/1/19 -
- 1/2/19 1/2/19 -
Rättsinnehavare
GlaxoSmithKline
Uppladdad den
31 de enero de 2019
DOI
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Licens
Creative Commons BY-NC 3.0
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Demonstration of the Non-Inferiority of the Low Dose Influenza Vaccine Compared with Fluarix NCT00321373
General Medical History/Physical Examination
- StudyEvent: ODM
Beskrivning
General Medical History, Phyiscal Examination
Alias
- UMLS CUI-1
- C0262926 (Medical History)
- SNOMED
- 392521001
- LOINC
- LP6817-3
- UMLS CUI-2
- C0031809 (Physical Examination)
- SNOMED
- 5880005
- LOINC
- MTHU028014
Beskrivning
If yes, please give diagnosis and tick appropriate Past/Current box(es).
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0521987 (Pre-existing condition)
- SNOMED
- 102478008
- UMLS CUI [2]
- C1457887 (Symptoms)
- LOINC
- MTHU021540
Beskrivning
General Medical History, Phyiscal Examination Record
Alias
- UMLS CUI-1
- C0262926 (Medical History)
- SNOMED
- 392521001
- LOINC
- LP6817-3
- UMLS CUI-2
- C0031809 (Physical Examination)
- SNOMED
- 5880005
- LOINC
- MTHU028014
Beskrivning
Diagnosis
Datatyp
text
Alias
- UMLS CUI [1]
- C0011900 (Diagnosis)
- SNOMED
- 439401001
- LOINC
- LP30831-9
Beskrivning
Past
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0455458 (PMH - past medical history)
- SNOMED
- 417662000
- LOINC
- MTHU027722
Beskrivning
Current
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C0521116 (Current (present time))
- SNOMED
- 15240007
- UMLS CUI [1,2]
- C0011900 (Diagnosis)
- SNOMED
- 439401001
- LOINC
- LP30831-9
Beskrivning
MedDRA System Organ Class
Datatyp
integer
Alias
- UMLS CUI [1]
- C2347091 (MedDRA System Organ Class)
Similar models
General Medical History/Physical Examination
- StudyEvent: ODM
C0031809 (UMLS CUI-2)
C1457887 (UMLS CUI [2])
C0031809 (UMLS CUI-2)
C0011900 (UMLS CUI [1,2])
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