0 Ratings

ID

35160

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 Telephone contact form. It has to be filled in for: WB 1: Day 30 and Month 6 + 30 D WB 2: Day 30 and Month 12 + 30 D WB 3: Day 51 and Month 6 + 30 D WB 4: Day 51 and Month 12 + 30 D

Link

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

Keywords

  1. 2/18/19 2/18/19 -
  2. 2/20/19 2/20/19 - Sarah Riepenhausen
Copyright Holder

GlaxoSmithKline

Uploaded on

February 20, 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

    Telephone contact

    1. StudyEvent: ODM
      1. Telephone contact
    Administrative data
    Description

    Administrative data

    Alias
    UMLS CUI-1
    C1320722
    Subject Number
    Description

    Subject Number

    Data type

    integer

    Alias
    UMLS CUI [1]
    C2348585
    Workbook number
    Description

    Workbook number

    Data type

    integer

    Alias
    UMLS CUI [1]
    C2986015
    Visit type
    Description

    Visit type

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C0332307
    UMLS CUI [1,2]
    C0545082
    Telephone contact
    Description

    Telephone contact

    Alias
    UMLS CUI-1
    C0302186
    Has information been obtained?
    Description

    Check elimination criteria. Recording of non-serious AEs that may have occurred since last visit. Recording of unresolved AEs that may have occurred since last visit. Recording of any serious adverse events. Additionally for Month 6 + 30 days (WB1+3) or Month 12 + 30 days (WB2+4): Study conclusion Month 6/12 + 30 days.

    Data type

    text

    Alias
    UMLS CUI [1]
    C1955348
    Date of contact
    Description

    day month year

    Data type

    date

    Alias
    UMLS CUI [1,1]
    C0011008
    UMLS CUI [1,2]
    C0302186

    Similar models

    Telephone contact

    1. StudyEvent: ODM
      1. Telephone contact
    Name
    Type
    Description | Question | Decode (Coded Value)
    Data type
    Alias
    Item Group
    Administrative data
    C1320722 (UMLS CUI-1)
    Subject Number
    Item
    Subject Number
    integer
    C2348585 (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
    Day 30 (WB1+2) (1)
    CL Item
    Day 51 (WB3+4) (2)
    CL Item
    Month 6 + 30 D (WB1+3) (3)
    CL Item
    Month 12 + 30 D (WB2+4) (4)
    Item Group
    Telephone contact
    C0302186 (UMLS CUI-1)
    Item
    Has information been obtained?
    text
    C1955348 (UMLS CUI [1])
    Code List
    Has information been obtained?
    CL Item
    No (N)
    CL Item
    Yes (Y)
    Date of contact
    Item
    Date of contact
    date
    C0011008 (UMLS CUI [1,1])
    C0302186 (UMLS CUI [1,2])

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