ID

35123

Description

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 Follow-up studies form. It has to be filled in for all WBs for the end of study.

Link

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

Keywords

  1. 2/18/19 2/18/19 -
Copyright Holder

GlaxoSmithKline

Uploaded on

February 18, 2019

DOI

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License

Creative Commons BY-NC 3.0

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

Follow-up studies

  1. StudyEvent: ODM
    1. Follow-up studies
Administrative data
Description

Administrative data

Alias
UMLS CUI-1
C1320722
Subject Number
Description

Subject Number

Data type

text

Alias
UMLS CUI [1]
C2348585
Workbook Number
Description

Workbook Number

Data type

integer

Alias
UMLS CUI [1]
C2986015
Visit Date
Description

day month year

Data type

date

Alias
UMLS CUI [1]
C1320303
Follow-up studies
Description

Follow-up studies

Alias
UMLS CUI-1
C0016441
If a booster study or a follow-up study is offered in the future, would the subject be willing to be contacted and learn more about it?
Description

Follow-up studies

Data type

text

Alias
UMLS CUI [1]
C0016441
If you ticked "No" in "Follow-up studies", please specify the most appropriate reason
Description

No contacting for follow-up studies, reason

Data type

integer

Alias
UMLS CUI [1,1]
C0016441
UMLS CUI [1,2]
C0566251
If you ticked AE or SAE as reason, please specify
Description

AE/SAE, specification

Data type

text

Alias
UMLS CUI [1,1]
C0877248
UMLS CUI [1,2]
C2348235
UMLS CUI [2,1]
C1519255
UMLS CUI [2,2]
C2348235
Other reason, specification
Description

Other reason, specification

Data type

text

Alias
UMLS CUI [1,1]
C3840932
UMLS CUI [1,2]
C2348235

Similar models

Follow-up studies

  1. StudyEvent: ODM
    1. Follow-up studies
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative data
C1320722 (UMLS CUI-1)
Subject Number
Item
Subject Number
text
C2348585 (UMLS CUI [1])
Item
Workbook Number
integer
C2986015 (UMLS CUI [1])
Code List
Workbook Number
CL Item
WB1 (1)
CL Item
WB2 (2)
CL Item
WB3 (3)
CL Item
WB4 (4)
Visit Date
Item
Visit Date
date
C1320303 (UMLS CUI [1])
Item Group
Follow-up studies
C0016441 (UMLS CUI-1)
Item
If a booster study or a follow-up study is offered in the future, would the subject be willing to be contacted and learn more about it?
text
C0016441 (UMLS CUI [1])
Code List
If a booster study or a follow-up study is offered in the future, would the subject be willing to be contacted and learn more about it?
CL Item
No (N)
CL Item
Yes (Y)
Item
If you ticked "No" in "Follow-up studies", please specify the most appropriate reason
integer
C0016441 (UMLS CUI [1,1])
C0566251 (UMLS CUI [1,2])
Code List
If you ticked "No" in "Follow-up studies", please specify the most appropriate reason
CL Item
Adverse events (1)
CL Item
Serious adverse events (2)
CL Item
Other (3)
AE/SAE, specification
Item
If you ticked AE or SAE as reason, please specify
text
C0877248 (UMLS CUI [1,1])
C2348235 (UMLS CUI [1,2])
C1519255 (UMLS CUI [2,1])
C2348235 (UMLS CUI [2,2])
Other reason, specification
Item
Other reason, specification
text
C3840932 (UMLS CUI [1,1])
C2348235 (UMLS CUI [1,2])

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