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ID

35056

Beschreibung

Study ID: 107495 Clinical Study ID: 107495 Study Title: A phase II, open, randomized study in adults aged between 18 and 60 years designed to evaluate the reactogenicity and immunogenicity of a 1- and 2-dose prime-boost concept of pandemic monovalent (H5N1) influenza vaccine (split virus formulation) adjuvanted with AS03, administered according to different vaccination schedules. Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00430521 https://clinicaltrials.gov/ct2/show/NCT00430521 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 2 Study Recruitment Status: Completed Generic Name: Pandemic influenza vaccine (GSK1119711A)-formulation 1, Pandemic influenza vaccine (GSK1119711A)-formulation 2 Trade Name: N/A Study Indication: Influenza There are 4 workbooks (WB): WB 1: Protocol 107495, (H5N1-012), Groups: VT/VT/6Mo, VT/IN/6Mo WB 2: Protocol 107495, (H5N1-012), Groups: VT/VT/12Mo, VT/IN/12Mo WB 3: Protocol 107495 (H5N1-012) GROUPS: 2VT/VT/6MO, 2VT/IN/6MO WB 4: Protocol 107495 (H5N1-012) Groups: 2VT/VT/12Mo, 2VT/IN/12Mo Every Workbook has the following visits: Visit Day 0 (Screening, Dose 1), Visit Day 21, Visit Month 6, Visit Month 12 and Visit Month 18. After Month 6 (+30 days, if applicable) and Month 12 (+30 days, if applicable) there is a Core Analysis section, followed by a final study conclusion after Month 18. Workbook 1 schedules a vaccination at screening and Month 6 each, Workbook 2 at Screening and Month 12. 30 days after the first vaccination there is an additional telephone contact. After the second vaccination additional visits/contacts are necessary in both workbooks: a visit at Month 6/12 + 7 and 21 days and a telephone contact on Month 6/12 + 30 days. Workbook 3 schedules a vaccination at screening, Day 21 and Month 6 and Workbook 4 at screening, Day 21 and Month 12. After the second vaccination there is an additional visit on Day 42 and a telephone contact on day 51. After the third vaccination there are additional visits/contacts: visits at Month 6/12 + 7 and 21 days and a telephone contact at Month 6/12 + 30 days. After Month 6 (+30 days, if applicable) and Month 12 (+30 days, if applicable) there is a Core Analysis section. This document contains the HCG urine pregnancy test form. It has to be filed in for screening (for all workbooks). It also has to be filled in for: Visit Month 6 (WB1+3), Visit Month 12 (WB2+4), Visit Day 21 (WB3+4).

Link

https://clinicaltrials.gov/ct2/show/NCT00430521

Stichworte

  1. 12.02.19 12.02.19 -
Rechteinhaber

GlaxoSmithKline

Hochgeladen am

12. Februar 2019

DOI

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Lizenz

Creative Commons BY-NC 3.0

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    Evaluation of reactogenicity and immunogenicity of pandemic monovalent (H5N1) influenza vaccine in adults, NCT00430521

    HCG urine pregnancy test

    Administrative data
    Beschreibung

    Administrative data

    Alias
    UMLS CUI-1
    C1320722
    Subject Number
    Beschreibung

    Subject Number

    Datentyp

    text

    Alias
    UMLS CUI [1]
    C2348585
    Visit Date
    Beschreibung

    day month year

    Datentyp

    date

    Alias
    UMLS CUI [1]
    C1320303
    Workbook number
    Beschreibung

    Workbook number

    Datentyp

    integer

    Alias
    UMLS CUI [1]
    C2986015
    Visit type
    Beschreibung

    Visit type

    Datentyp

    integer

    Alias
    UMLS CUI [1,1]
    C0332307
    UMLS CUI [1,2]
    C0545082
    HCG urine pregnancy test
    Beschreibung

    HCG urine pregnancy test

    Alias
    UMLS CUI-1
    C1141639
    UMLS CUI-2
    C0430056
    UMLS CUI-3
    C0428402
    Has a urine sample been taken?
    Beschreibung

    Urine sample

    Datentyp

    text

    Alias
    UMLS CUI [1]
    C0200354
    If urine sample has been taken, please complete date (only if different from visit date)
    Beschreibung

    day month year

    Datentyp

    date

    Alias
    UMLS CUI [1,1]
    C0011008
    UMLS CUI [1,2]
    C0200354
    Result of HCG urine pregnancy test
    Beschreibung

    Result of HCG urine pregnancy test

    Datentyp

    text

    Alias
    UMLS CUI [1,1]
    C1141639
    UMLS CUI [1,2]
    C0430056
    UMLS CUI [1,3]
    C1274040

    Ähnliche Modelle

    HCG urine pregnancy test

    Name
    Typ
    Description | Question | Decode (Coded Value)
    Datentyp
    Alias
    Item Group
    Administrative data
    C1320722 (UMLS CUI-1)
    Subject Number
    Item
    Subject Number
    text
    C2348585 (UMLS CUI [1])
    Visit Date
    Item
    Visit Date
    date
    C1320303 (UMLS CUI [1])
    Item
    Workbook number
    integer
    C2986015 (UMLS CUI [1])
    Code List
    Workbook number
    CL Item
    WB 1 (1)
    CL Item
    WB 2 (2)
    CL Item
    WB 3 (3)
    CL Item
    WB 4 (4)
    Item
    Visit type
    integer
    C0332307 (UMLS CUI [1,1])
    C0545082 (UMLS CUI [1,2])
    Code List
    Visit type
    CL Item
    Screening (all WB's) (1)
    CL Item
    Visit Month 6 (WB1+3) (2)
    CL Item
    Visit Month 12 (WB2+4) (3)
    CL Item
    Visit Day 21 (WB3+4)  (4)
    Item Group
    HCG urine pregnancy test
    C1141639 (UMLS CUI-1)
    C0430056 (UMLS CUI-2)
    C0428402 (UMLS CUI-3)
    Item
    Has a urine sample been taken?
    text
    C0200354 (UMLS CUI [1])
    Code List
    Has a urine sample been taken?
    CL Item
    Yes (Y)
    CL Item
    No (N)
    CL Item
    Not of childbearing potential or male (NA)
    Date of urine sample
    Item
    If urine sample has been taken, please complete date (only if different from visit date)
    date
    C0011008 (UMLS CUI [1,1])
    C0200354 (UMLS CUI [1,2])
    Item
    Result of HCG urine pregnancy test
    text
    C1141639 (UMLS CUI [1,1])
    C0430056 (UMLS CUI [1,2])
    C1274040 (UMLS CUI [1,3])
    Code List
    Result of HCG urine pregnancy test
    CL Item
    Negative (N)
    CL Item
    Positive (P)

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