ID

35819

Beskrivning

Study ID: 104430 Clinical Study ID: 104430 Study Title: A phase II, double blind, randomized, controlled study to evaluate the immunogenicity, reactogenicity and safety of GlaxoSmithKline (GSK) Biologicals’ Hib-MenAC vaccine, extemporaneously mixed with GSK Biologicals’ Tritanrix-HepB, as compared to GSK Biologicals’ Hiberix vaccine, extemporaneously mixed with GSK Biologicals’ Tritanrix-HepB, when administered intramuscularly in infants at 6, 10 and 14 weeks of age. Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: N/A Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 1/2 Study Recruitment Status: Completed Generic Name: Hib-MenAC vaccine Trade Name: Tritanrix-HepB, Hiberix Study Indication: Immune, Inflammatory & Infections - Other

Nyckelord

  1. 2019-03-25 2019-03-25 -
  2. 2019-12-31 2019-12-31 -
  3. 2021-03-15 2021-03-15 - Dr. rer. medic Philipp Neuhaus
Rättsinnehavare

GSK group of companies

Uppladdad den

25 mars 2019

DOI

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Creative Commons BY-NC 3.0

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Hib-MenAC vaccine administered intramuscularly in infants at 6, 10 and 14 weeks of age - 104430

Visit 5 ( Month 7.5)

  1. StudyEvent: ODM
    1. Visit 5 ( Month 7.5)
Administrative data
Beskrivning

Administrative data

Center
Beskrivning

Center

Datatyp

integer

Visit Date
Beskrivning

Visit Date

Datatyp

date

Alias
UMLS CUI [1]
C1320303
Subject number
Beskrivning

Subject number

Datatyp

integer

Alias
UMLS CUI [1]
C2348585
ELIMINATION CRITERIA DURING THE STUDY
Beskrivning

ELIMINATION CRITERIA DURING THE STUDY

The following criteria should be checked at each visit subsequent to the first visit.
Beskrivning

If any become applicable during the study, it will not require withdrawal of the subject from the study but does determine a subject’s evaluability in the according-to-protocol (ATP) analysis

Datatyp

text

Use of any investigational or non-registered drug or vaccine other than the study vaccine(s) during the study period.
Beskrivning

Use of any investigational or non-registered drug or vaccine other than the study vaccine(s) during the study period.

Datatyp

boolean

Chronic administration (defined as more than 14 days) of immunosuppressants or other immunemodifying drugs during the study period.
Beskrivning

(For corticosteroids, this will mean prednisone, or equivalent, ≥ 0.5 mg/kg/day. Inhaled and topical steroids are allowed).

Datatyp

boolean

Administration of a vaccine not foreseen by the study protocol during the period starting from 30 days before the first dose of vaccine(s) and ending 30 days after the last dose of vaccine(s) with the exception of OPV.
Beskrivning

Administration of a vaccine not foreseen by the study protocol during the period starting from 30 days before the first dose of vaccine(s) and ending 30 days after the last dose of vaccine(s) with the exception of OPV.

Datatyp

boolean

Administration of a meningococcal vaccine not foreseen by the study protocol during the entire study period.
Beskrivning

Administration of a meningococcal vaccine not foreseen by the study protocol during the entire study period.

Datatyp

boolean

Administration of immunoglobulins and/or any blood products during the study period.
Beskrivning

Administration of immunoglobulins and/or any blood products during the study period.

Datatyp

boolean

Contraindications and precautions for further doses
Beskrivning

Contraindications and precautions for further doses

The following adverse events (AEs) constitute absolute contraindications to further administration of the study vaccines
Beskrivning

if any of these AEs occur during the study, the subject must not receive additional doses of vaccine but may continue other study procedures at the discretion of the investigator. The subject must be followed until resolution of the event, as with any AE

Datatyp

text

Anaphylactic reaction following the administration of vaccine(s).
Beskrivning

Anaphylactic reaction following the administration of vaccine(s).

Datatyp

boolean

Known hypersensitivity to any component of the vaccine, or subjects having shown signs of hypersensitivity after previous administration of diphtheria, tetanus, pertussis, HB, Hib or meningococcal vaccines.
Beskrivning

Known hypersensitivity to any component of the vaccine, or subjects having shown signs of hypersensitivity after previous administration of diphtheria, tetanus, pertussis, HB, Hib or meningococcal vaccines.

Datatyp

boolean

Any confirmed or suspected immunosuppressive or immunodeficient condition, including human immunodeficiency virus (HIV) infection.
Beskrivning

Any confirmed or suspected immunosuppressive or immunodeficient condition, including human immunodeficiency virus (HIV) infection.

Datatyp

boolean

Acute disease at the time of vaccination. (Acute disease is defined as the presence of a moderate or severe illness with or without fever. All vaccines can be administered to persons with a minor illness such as diarrhoea, mild upper respiratory infection with or without low-grade febrile illness, i.e., axillary or oral temperature < 37.5°C/rectal temperature < 38°C).
Beskrivning

The following AEs constitute contraindications to administration of the study vaccines at that point in time; if any one of these AEs occurs at the time scheduled for vaccination, the subject may be vaccinated at a later date, within the time window specified in the protocol or withdrawn at the discretion of the investigator. The subject must be followed until resolution of the event, as with any adverse event

Datatyp

boolean

Axillary or oral temperature ≥ 37.5°C/rectal temperature ≥ 38°C at the time of vaccination.
Beskrivning

The following AEs constitute contraindications to administration of the study vaccines at that point in time; if any one of these AEs occurs at the time scheduled for vaccination, the subject may be vaccinated at a later date, within the time window specified in the protocol or withdrawn at the discretion of the investigator. The subject must be followed until resolution of the event, as with any adverse event

Datatyp

boolean

DEMOGRAPHICS
Beskrivning

DEMOGRAPHICS

Subject number
Beskrivning

Previous study : 759346/009 (DTPwHB/HIBMenACTT009)

Datatyp

integer

Date of birth
Beskrivning

Birth date

Datatyp

date

Gender
Beskrivning

Gender

Datatyp

text

Race
Beskrivning

Race

Datatyp

text

If Other, please specify
Beskrivning

Specify Other

Datatyp

text

Has the subject had any serious adverse event since the end of the primary phase and before the start of this booster vaccination ?
Beskrivning

If Yes → Specify number of SAE’s : |__|__| and → Check SAE form(s) have been submitted to GSK Biologicals

Datatyp

boolean

PRE-VACCINATION ASSESSMENT
Beskrivning

PRE-VACCINATION ASSESSMENT

Temperature
Beskrivning

Temperature

Datatyp

float

Måttenheter
  • °C
°C
Route
Beskrivning

preferrably axillary

Datatyp

text

THROAT SWAB (for subject’s parents/guardians)
Beskrivning

THROAT SWAB (for subject’s parents/guardians)

Will the throat swab be taken from the same person as at Visit 1, 2 or 4 ?
Beskrivning

Will the throat swab be taken from the same person as at Visit 1, 2 or 4 ?

Datatyp

boolean

I certify that Informed Consent has been obtained prior to any study procedure :
Beskrivning

Informed Consent

Datatyp

boolean

Informed Consent Date:
Beskrivning

Informed Consent Date

Datatyp

date

Has a throat swab been taken ?
Beskrivning

Has a throat swab been taken ?

Datatyp

boolean

Please complete only if different from visit date:
Beskrivning

Date

Datatyp

date

THROAT SWAB (for subject)
Beskrivning

THROAT SWAB (for subject)

Has a throat swab been taken ?
Beskrivning

throat swab

Datatyp

boolean

Please complete only if different from visit date:
Beskrivning

Please complete only if different from visit date

Datatyp

date

VACCINE ADMINISTRATION
Beskrivning

VACCINE ADMINISTRATION

Has the commercial measles vaccine been administered ?
Beskrivning

measles vaccine

Datatyp

boolean

Has the commercial yellow fever vaccine been administered ?
Beskrivning

yellow fever vaccine

Datatyp

boolean

Similar models

Visit 5 ( Month 7.5)

  1. StudyEvent: ODM
    1. Visit 5 ( Month 7.5)
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Administrative data
Center
Item
Center
integer
Visit Date
Item
Visit Date
date
C1320303 (UMLS CUI [1])
Subject number
Item
Subject number
integer
C2348585 (UMLS CUI [1])
Item Group
ELIMINATION CRITERIA DURING THE STUDY
The following criteria should be checked at each visit subsequent to the first visit.
Item
The following criteria should be checked at each visit subsequent to the first visit.
text
Use of any investigational or non-registered drug or vaccine other than the study vaccine(s) during the study period.
Item
Use of any investigational or non-registered drug or vaccine other than the study vaccine(s) during the study period.
boolean
Chronic administration (defined as more than 14 days) of immunosuppressants or other immunemodifying drugs during the study period
Item
Chronic administration (defined as more than 14 days) of immunosuppressants or other immunemodifying drugs during the study period.
boolean
Administration of a vaccine not foreseen by the study protocol during the period starting from 30 days before the first dose of vaccine(s) and ending 30 days after the last dose of vaccine(s) with the exception of OPV.
Item
Administration of a vaccine not foreseen by the study protocol during the period starting from 30 days before the first dose of vaccine(s) and ending 30 days after the last dose of vaccine(s) with the exception of OPV.
boolean
Administration of a meningococcal vaccine not foreseen by the study protocol during the entire study period.
Item
Administration of a meningococcal vaccine not foreseen by the study protocol during the entire study period.
boolean
Administration of immunoglobulins and/or any blood products during the study period.
Item
Administration of immunoglobulins and/or any blood products during the study period.
boolean
Item Group
Contraindications and precautions for further doses
The following adverse events (AEs) constitute absolute contraindications to further administration of the study vaccines
Item
The following adverse events (AEs) constitute absolute contraindications to further administration of the study vaccines
text
Anaphylactic reaction following the administration of vaccine(s).
Item
Anaphylactic reaction following the administration of vaccine(s).
boolean
Known hypersensitivity to any component of the vaccine, or subjects having shown signs of hypersensitivity after previous administration of diphtheria, tetanus, pertussis, HB, Hib or meningococcal vaccines.
Item
Known hypersensitivity to any component of the vaccine, or subjects having shown signs of hypersensitivity after previous administration of diphtheria, tetanus, pertussis, HB, Hib or meningococcal vaccines.
boolean
Any confirmed or suspected immunosuppressive or immunodeficient condition, including human immunodeficiency virus (HIV) infection.
Item
Any confirmed or suspected immunosuppressive or immunodeficient condition, including human immunodeficiency virus (HIV) infection.
boolean
Acute disease at the time of vaccination. (Acute disease is defined as the presence of a moderate or severe illness with or without fever. All vaccines can be administered to persons with a minor illness such as diarrhoea, mild upper respiratory infection with or without low-grade febrile illness, i.e., axillary or oral temperature < 37.5°C/rectal temperature < 38°C).
Item
Acute disease at the time of vaccination. (Acute disease is defined as the presence of a moderate or severe illness with or without fever. All vaccines can be administered to persons with a minor illness such as diarrhoea, mild upper respiratory infection with or without low-grade febrile illness, i.e., axillary or oral temperature < 37.5°C/rectal temperature < 38°C).
boolean
Axillary or oral temperature ≥ 37.5°C/rectal temperature ≥ 38°C at the time of vaccination.
Item
Axillary or oral temperature ≥ 37.5°C/rectal temperature ≥ 38°C at the time of vaccination.
boolean
Item Group
DEMOGRAPHICS
Subject number
Item
Subject number
integer
Birth date
Item
Date of birth
date
Item
Gender
text
Code List
Gender
CL Item
Male (1)
CL Item
Female (2)
Item
Race
text
Code List
Race
CL Item
Black (1)
CL Item
Arabic/North African (2)
CL Item
White/Caucasian (3)
CL Item
East & South East Asian (4)
CL Item
South Asian (5)
CL Item
Other (6)
Specify Other
Item
If Other, please specify
text
Has the subject had any serious adverse event since the end of the primary phase and before the start of this booster vaccination ?
Item
Has the subject had any serious adverse event since the end of the primary phase and before the start of this booster vaccination ?
boolean
Item Group
PRE-VACCINATION ASSESSMENT
Temperature
Item
Temperature
float
Item
Route
text
Code List
Route
CL Item
Axillary (1)
CL Item
Rectal (2)
Item Group
THROAT SWAB (for subject’s parents/guardians)
Will the throat swab be taken from the same person as at Visit 1, 2 or 4 ?
Item
Will the throat swab be taken from the same person as at Visit 1, 2 or 4 ?
boolean
Informed Consent
Item
I certify that Informed Consent has been obtained prior to any study procedure :
boolean
Informed Consent Date
Item
Informed Consent Date:
date
Has a throat swab been taken ?
Item
Has a throat swab been taken ?
boolean
Date
Item
Please complete only if different from visit date:
date
Item Group
THROAT SWAB (for subject)
throat swab
Item
Has a throat swab been taken ?
boolean
Please complete only if different from visit date
Item
Please complete only if different from visit date:
date
Item Group
VACCINE ADMINISTRATION
measles vaccine
Item
Has the commercial measles vaccine been administered ?
boolean
yellow fever vaccine
Item
Has the commercial yellow fever vaccine been administered ?
boolean

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