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)
- 2019-01-31 2019-01-31 -
- 2019-02-01 2019-02-01 -
Rättsinnehavare
GlaxoSmithKline
Uppladdad den
31 januari 2019
DOI
För en begäran logga in.
Licens
Creative Commons BY-NC 3.0
Modellkommentarer :
Här kan du kommentera modellen. Med hjälp av pratbubblor i Item-grupperna och Item kan du lägga in specifika kommentarer.
Itemgroup-kommentar för :
Item-kommentar för :
Du måste vara inloggad för att kunna ladda ner formulär. Var vänlig logga in eller registrera dig utan kostnad.
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
- UMLS CUI-2
- C0031809
Beskrivning
General Medical History, Phyiscal Examination Record
Alias
- UMLS CUI-1
- C0262926
- UMLS CUI-2
- C0031809
Beskrivning
Diagnosis
Datatyp
text
Alias
- UMLS CUI [1]
- C0011900
Beskrivning
Past
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0455458
Beskrivning
Current
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C0521116
- UMLS CUI [1,2]
- C0011900
Beskrivning
MedDRA System Organ Class
Datatyp
integer
Alias
- UMLS CUI [1]
- C2347091
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])
Inga kommentarer