ID

35889

Beschreibung

Study ID: 102370 (primary study) Clinical Study ID: 102370 Study Title: A multicentre when given according to the 2-4-6 month schedule to healthy infants with booster dose at 12 to 15 months Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00134719 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 2 Study Recruitment Status: Completed Generic Name: Haemophilus influenzae Type b, Meningococcal C and Y-Tetanus Toxoid Conjugate Vaccine Trade Name: BIO HIB-MENCY-TT; MenHibrix Study Indication: Haemophilus influenzae type b; Neisseria Meningitidis

Stichworte

Versionen (1)
  1. 02.04.19 02.04.19 -
Rechteinhaber

GlaxoSmithKline

Hochgeladen am

2. April 2019

DOI

Für eine Beantragung loggen Sie sich ein.

Lizenz

Creative Commons BY-NC 3.0
Modell Kommentare :

Hier können Sie das Modell kommentieren. Über die Sprechblasen an den Itemgruppen und Items können Sie diese spezifisch kommentieren.

Zurück zu Modell Kommentaren
Itemgroup Kommentare für :

Item Kommentare für :

Um Formulare herunterzuladen müssen Sie angemeldet sein. Bitte loggen Sie sich ein oder registrieren Sie sich kostenlos.

GSK Biologicals' Hib-MenCY-TT Conjugate Vaccine vs ActHIB® & MenC Conjugate Licensed Vaccine (NCT00134719)

Englisch

Rash / Exanthema

1 Formulare  
  1. StudyEvent: ODM
    1. Rash / Exanthema
Administrative Data
Beschreibung

Administrative Data

Subject Number
Beschreibung

Clinical Trial Subject Unique Identifier

Datentyp

integer

Alias
UMLS CUI [1]
C2348585
Rash / Exanthema
Beschreibung

Rash / Exanthema

Alias
UMLS CUI-1
C0015230
Rash No.
Beschreibung

Exanthema, Numbers

Datentyp

text

Alias
UMLS CUI [1,1]
C0015230
UMLS CUI [1,2]
C0237753
Description
Beschreibung

Exanthema, Description

Datentyp

text

Alias
UMLS CUI [1,1]
C0015230
UMLS CUI [1,2]
C0678257
Description
Beschreibung

Exanthema, Description

Datentyp

text

Alias
UMLS CUI [1,1]
C0015230
UMLS CUI [1,2]
C0678257
If Localized, Localisation
Beschreibung

Exanthema, Localisation

Datentyp

text

Alias
UMLS CUI [1,1]
C0015230
UMLS CUI [1,2]
C0475264
If Administrazion site, Vaccine
Beschreibung

Exanthema, Administration of Vaccine

Datentyp

text

Alias
UMLS CUI [1,1]
C0015230
UMLS CUI [1,2]
C2368628
Category
Beschreibung

Exanthema, Category

Datentyp

text

Alias
UMLS CUI [1,1]
C0015230
UMLS CUI [1,2]
C0683312
Date started
Beschreibung

Exanthema, Start Date

Datentyp

date

Alias
UMLS CUI [1,1]
C0015230
UMLS CUI [1,2]
C0808070
Date stopped
Beschreibung

Exanthema, End Date

Datentyp

date

Alias
UMLS CUI [1,1]
C0015230
UMLS CUI [1,2]
C0806020
Intensity
Beschreibung

Exanthema, Intensity

Datentyp

text

Alias
UMLS CUI [1,1]
C0015230
UMLS CUI [1,2]
C0518690
Relationship to investigational products: Is there a reasonable possibility that the AE may have been caused by the investigational product?
Beschreibung

Exanthema, Relationship, Experimental drug

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0015230
UMLS CUI [1,2]
C0439849
UMLS CUI [1,3]
C0304229
Outcome
Beschreibung

Exanthema, Outcome

Datentyp

text

Alias
UMLS CUI [1,1]
C0015230
UMLS CUI [1,2]
C1547647
Medically attended visit (Refer to protocol for full definition.) If yes please specify type: HO: Hospitalisation ER: Emergency Room MD: MedicalPersonnel
Beschreibung

Exanthema, Visit, advice, medical

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0015230
UMLS CUI [1,2]
C0545082
UMLS CUI [1,3]
C1386497
Type HO: Hospitalisation ER: Emergency Room MD: MedicalPersonnel
Beschreibung

Exanthema, Visit, advice, medical, Type

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0015230
UMLS CUI [1,2]
C0545082
UMLS CUI [1,3]
C1386497
UMLS CUI [1,4]
C0332307
Zum Seitenanfang zurückkehren

Ähnliche Modelle

Rash / Exanthema

1 Formulare
  1. StudyEvent: ODM
    1. Rash / Exanthema
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Administrative Data
Clinical Trial Subject Unique Identifier
Item
Subject Number
integer
C2348585 (UMLS CUI [1])
Item Group
Rash / Exanthema
C0015230 (UMLS CUI-1)
Item
Rash No.
text
C0015230 (UMLS CUI [1,1])
C0237753 (UMLS CUI [1,2])
Exanthema, Numbers
Code List
Rash No.
CL Item
RA.1 (1)
CL Item
RA.2 (2)
Exanthema, Description
Item
Description
text
C0015230 (UMLS CUI [1,1])
C0678257 (UMLS CUI [1,2])
Item
Description
text
C0015230 (UMLS CUI [1,1])
C0678257 (UMLS CUI [1,2])
Exanthema, Description
Code List
Description
CL Item
Generalized (1)
CL Item
Localized (2)
Item
If Localized, Localisation
text
C0015230 (UMLS CUI [1,1])
C0475264 (UMLS CUI [1,2])
Exanthema, Description
Code List
If Localized, Localisation
CL Item
Administration site (1)
CL Item
Other location : specify : (2)
Item
If Administrazion site, Vaccine
text
C0015230 (UMLS CUI [1,1])
C2368628 (UMLS CUI [1,2])
Exanthema, Description
Code List
If Administrazion site, Vaccine
CL Item
Hib-MenCY-TTvaccine (1)
CL Item
DM-M-R®II vaccine  (2)
CL Item
D Varivax® vaccine (3)
CL Item
D PedvaxHIB® vaccine (4)
Item
Category
text
C0015230 (UMLS CUI [1,1])
C0683312 (UMLS CUI [1,2])
Exanthema, Category
Code List
Category
CL Item
Varicella rash (1)
CL Item
Measles / rubella-rash (2)
CL Item
Other (3)
Exanthema, Start Date
Item
Date started
date
C0015230 (UMLS CUI [1,1])
C0808070 (UMLS CUI [1,2])
Exanthema, End Date
Item
Date stopped
date
C0015230 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
Item
Intensity
text
C0015230 (UMLS CUI [1,1])
C0518690 (UMLS CUI [1,2])
Exanthema, Intensity
Code List
Intensity
CL Item
1–10lesions (1)
CL Item
11 – 30 lesions  (2)
CL Item
31 – 100 lesions  (3)
CL Item
101 – 200 lesions  (4)
CL Item
>200lesions (5)
Exanthema, Relationship, Experimental drug
Item
Relationship to investigational products: Is there a reasonable possibility that the AE may have been caused by the investigational product?
boolean
C0015230 (UMLS CUI [1,1])
C0439849 (UMLS CUI [1,2])
C0304229 (UMLS CUI [1,3])
Item
Outcome
text
C0015230 (UMLS CUI [1,1])
C1547647 (UMLS CUI [1,2])
Exanthema, Outcome
Code List
Outcome
CL Item
Recovered / Resolved (1)
CL Item
Recovering / resolving (2)
CL Item
Not recovered / not resolved (3)
CL Item
Recovered with sequelae / Resolved with sequelae (4)
Exanthema, Visit, advice, medical
Item
Medically attended visit (Refer to protocol for full definition.) If yes please specify type: HO: Hospitalisation ER: Emergency Room MD: MedicalPersonnel
boolean
C0015230 (UMLS CUI [1,1])
C0545082 (UMLS CUI [1,2])
C1386497 (UMLS CUI [1,3])
Exanthema, Visit, advice, medical, Type
Item
Type HO: Hospitalisation ER: Emergency Room MD: MedicalPersonnel
boolean
C0015230 (UMLS CUI [1,1])
C0545082 (UMLS CUI [1,2])
C1386497 (UMLS CUI [1,3])
C0332307 (UMLS CUI [1,4])
Zum Seitenanfang zurückkehren 

Kontakt

Benutzen Sie dieses Formular für Rückmeldungen, Fragen und Verbesserungsvorschläge.

Mit * gekennzeichnete Felder sind notwendig.

Hilfe

Benötigen Sie Hilfe bei der Suche? Um mehr Details zu erfahren und die Suche effektiver nutzen zu können schauen Sie sich doch das entsprechende Video auf unserer Tutorial Seite an.

Zum Video