ID
35064
Beskrivning
Study ID: 104951 Clinical Study ID: 104951 Study Title: A Phase III, double-blind, randomized, controlled study to evaluate the immunogenicity and safety of GlaxoSmithKline (GSK) Biologicals' HPV-16/18 L1 VLP AS04 vaccine administered intramuscularly according to a 0_ 1_ 6 month schedule in healthy female subjects aged 10 - 14 years. Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00290277 https://clinicaltrials.gov/ct2/show/NCT00290277 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 3 Study Recruitment Status: Completed Generic Name: HPV-16/18 L1/AS04 Vaccine Trade Name: N/A Study Indication: Infections, Papillomavirus This form contains information about study conclusion and should be filled in at the end of the study (visit 4).
Länk
https://clinicaltrials.gov/ct2/show/NCT00290277
Nyckelord
Versioner (1)
- 2019-02-13 2019-02-13 -
Rättsinnehavare
GlaxoSmithKline
Uppladdad den
13 februari 2019
DOI
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Licens
Creative Commons BY-NC 3.0
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Evaluation of immunogenicity and safety of GSK Biologicals' HPV-16/18 L1 VLP AS04 vaccine in healthy females NCT00290277
Study conclusion
- StudyEvent: ODM
Beskrivning
Follow-up studies
Alias
- UMLS CUI-1
- C0016441
Beskrivning
If NO, please specify the most appropriate reason below.
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C0020975
- UMLS CUI [1,2]
- C0008976
- UMLS CUI [1,3]
- C0337611
- UMLS CUI [1,4]
- C1955348
- UMLS CUI [2,1]
- C0016441
- UMLS CUI [2,2]
- C0337611
- UMLS CUI [2,3]
- C1955348
Beskrivning
If the subject is not willing to be contacted and learn more about potentially offered booster studies or follow-up studies in the future, please tick the most appropriate reason and specify below.
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0008976
- UMLS CUI [1,2]
- C0016884
- UMLS CUI [1,3]
- C2348568
- UMLS CUI [1,4]
- C0566251
Beskrivning
Specify the most appropriate reason for non-participation in future studies
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0008976
- UMLS CUI [1,2]
- C0016884
- UMLS CUI [1,3]
- C2348568
- UMLS CUI [1,4]
- C0566251
- UMLS CUI [1,5]
- C1521902
Beskrivning
Study conclusion
Alias
- UMLS CUI-1
- C1707478
- UMLS CUI-2
- C0008976
Beskrivning
If YES, specify total numbers of SAEs below.
Datatyp
boolean
Alias
- UMLS CUI [1]
- C1519255
Beskrivning
Total number of SAEs
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0449788
- UMLS CUI [1,2]
- C1519255
Beskrivning
If YES, please complete the Pregnancy notification form.
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C0032961
- UMLS CUI [1,2]
- C1533716
Beskrivning
If YES, complete date and tick one reason below.
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C0749659
- UMLS CUI [1,2]
- C2347038
Beskrivning
Date of Unblinding
Datatyp
date
Alias
- UMLS CUI [1,1]
- C3897431
- UMLS CUI [1,2]
- C0011008
Beskrivning
Complete, if the treatment blind was broken during the study. If you ticked 'Other', please specify below. Complete Non-Serious Adverse Event section or a Serious Adverse Event report as appropriate
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0566251
- UMLS CUI [1,2]
- C3897431
Beskrivning
Complete, if you ticked 'Other' as reason for unblinding.
Datatyp
text
Alias
- UMLS CUI [1,1]
- C3897431
- UMLS CUI [1,2]
- C0566251
- UMLS CUI [1,3]
- C0205394
- UMLS CUI [1,4]
- C1521902
Beskrivning
If YES, specify below.
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0680251
Beskrivning
Specify applicable elimination criteria
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0680251
- UMLS CUI [1,2]
- C1521902
Beskrivning
Withdrawal from the study
Alias
- UMLS CUI-1
- C0422727
Beskrivning
If yes, specify reason, decision, date of last contact and condition at date of last contact below.
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0422727
Beskrivning
Complete, if the subject was withdrawn from the study. If you ticked 'SAE', please complete and submit SAE report and specify SAE number below. If you ticked 'AEX', please complete Non-Serious adverse event section and specify AE number OR solicited AE code below. If you ticked 'PTV', please specify below. If you ticked 'OTH', please specify below.
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0422727
- UMLS CUI [1,2]
- C0566251
Beskrivning
SAE number
Datatyp
text
Alias
- UMLS CUI [1,1]
- C1519255
- UMLS CUI [1,2]
- C0237753
Beskrivning
Complete AE number OR the following solicited AE code.
Datatyp
text
Alias
- UMLS CUI [1,1]
- C1518404
- UMLS CUI [1,2]
- C0237753
Beskrivning
Complete solicited AE code OR the previously asked AE number.
Datatyp
text
Alias
- UMLS CUI [1,1]
- C1518404
- UMLS CUI [1,2]
- C1517001
- UMLS CUI [1,3]
- C0805701
Beskrivning
Protocol violation
Datatyp
text
Alias
- UMLS CUI [1,1]
- C1709750
- UMLS CUI [1,2]
- C1521902
Beskrivning
Specify other reason for withdrawal from the study
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0422727
- UMLS CUI [1,2]
- C3840932
- UMLS CUI [1,3]
- C1521902
Beskrivning
Investigator's signature
Alias
- UMLS CUI-1
- C2346576
Beskrivning
I confirm that I have reviewed the data in this Case Report Form for this subject. All information entered by myself or my colleaguesis, to the best of my knowledge, complete and accurate, as of the date below
Datatyp
text
Alias
- UMLS CUI [1]
- C2346576
Beskrivning
Date of signature
Datatyp
date
Alias
- UMLS CUI [1,1]
- C2346576
- UMLS CUI [1,2]
- C0011008
Beskrivning
Printed Investigator's name
Datatyp
text
Alias
- UMLS CUI [1]
- C2826892
Similar models
Study conclusion
- StudyEvent: ODM
C0600091 (UMLS CUI [1,2])
C0008976 (UMLS CUI [1,2])
C0337611 (UMLS CUI [1,3])
C1955348 (UMLS CUI [1,4])
C0016441 (UMLS CUI [2,1])
C0337611 (UMLS CUI [2,2])
C1955348 (UMLS CUI [2,3])
C0016884 (UMLS CUI [1,2])
C2348568 (UMLS CUI [1,3])
C0566251 (UMLS CUI [1,4])
C0016884 (UMLS CUI [1,2])
C2348568 (UMLS CUI [1,3])
C0566251 (UMLS CUI [1,4])
C1521902 (UMLS CUI [1,5])
C1519255 (UMLS CUI [1,2])
C1533716 (UMLS CUI [1,2])
C2347038 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,2])
C3897431 (UMLS CUI [1,2])
C0566251 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
C1521902 (UMLS CUI [1,4])
C1521902 (UMLS CUI [1,2])
C0566251 (UMLS CUI [1,2])
C0237753 (UMLS CUI [1,2])
C0237753 (UMLS CUI [1,2])
C1517001 (UMLS CUI [1,2])
C0805701 (UMLS CUI [1,3])
C1521902 (UMLS CUI [1,2])
C3840932 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
C0011008 (UMLS CUI [1,2])