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36101

Description

Study ID: 107007 Clinical Study ID: 107007 Study Title: A phase IIIb randomized, double-blind, controlled study to assess the safety, reactogenicity and immunogenicity of GlaxoSmithKline (GSK) Biologicals’ 10-valent pneumococcal conjugate vaccine compared to Prevenar™, when co-administered with DTPw-HBV/Hib and OPV or IPV vaccines as a 3-dose primary immunization course during the first 6 months of age. Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00344318 https://clinicaltrials.gov/ct2/show/NCT00344318 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 3 Study Recruitment Status: Completed Generic Name: Pneumococcal conjugate vaccine GSK1024850A Trade Name: Prevenar, Tritanrix-HepB, Hiberix, Polio Sabin., Poliorix Study Indication: Infections, Streptococcal This study consists of 2 groups of probands (Children of 6-10-14 weeks or 2-4-6 months of age are included): One group receive a 3-dose primary vaccination with the GSK Biologicals' (10-valent) pneumococcal conjugate vaccine. The other group r eceive a 3-dose primary vaccination with Prevenar™. All probands receive DTPw-HBV/Hib and OPV or IPV vaccines. Ths study consists of 3 workbooks (WB): WB 1: The WB 1 consists 4 visits (all in active phase): Visit 1, Timing: Month 0; Age for 6-12 weeks scheduled Visit 2, Timing: Month 1; Age for 10 weeks scheduled Visit 3, Timing: Month 2; Age for 14 weeks scheduled Visit 4, Timing: Month 3; Age for +/- 4 months scheduled Intervals between the visits: Visit 1 to Visit 2: 28-42 days, Visit 2 to Visit 3: 28-42 days, Visit 3 to Visit 4: 30-42 days WB 2: The WB 2 consists 4 visits (all in active phase): Visit 1, Timing: Month 0; Age for 6-12 weeks scheduled Visit 2, Timing: Month 2; Age for +/- 4 months scheduled Visit 3, Timing: Month 4; Age for +/- 6 months scheduled Visit 4, Timing: Month 5; Age for +/- 7 months scheduled Intervals between the visits: Visit 1 to Visit 2: 49-83 days, Visit 2 to Visit 3: 49-83 days, Visit 3 to Visit 4: 30-42 days WB 3: The WB 3 consists the phone contact (6 months safety follow-up), Timing: Month 8 or 10. This document contains the General medical history/ physical examination. Physical examination has to be filled in for WB 1 and WB 2 for each Visit (Visit 1-4). General medical history is mandatory for Visit 1 for both workbooks.

Link

https://clinicaltrials.gov/ct2/show/NCT00344318

Keywords

  1. 4/9/19 4/9/19 -
  2. 4/15/19 4/15/19 - Sarah Riepenhausen
Copyright Holder

GlaxoSmithKline

Uploaded on

April 15, 2019

DOI

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License

Creative Commons BY-NC 3.0

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    Safety, reactogenicity and immunogenicity 10-valent pneumococcal conjugate vaccine compared to Prevenar™, co-administration of DTPw-HBV/Hib and OPV or IPV vaccines in infants, NCT00344318

    General medical history/ physical examination

    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 type
    Description

    When you fill in "Medical History": It just needs to be collected for Visit 1. "Physical examination" has to be filled in for each Visit.

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C0545082
    UMLS CUI [1,2]
    C0332307
    General Medical History/ Physical Examination
    Description

    General Medical History/ Physical Examination

    Alias
    UMLS CUI-1
    C0262926
    UMLS CUI-2
    C0031809
    Are you aware of any pre-existing conditions, signs or symptoms present prior to the start of the study?
    Description

    If you tick yes, please give diagnosis and tick appropriate Past/Current box(es).

    Data type

    text

    Alias
    UMLS CUI [1]
    C0012634
    UMLS CUI [2]
    C0037088
    MedDRA SYSTEM ORGAN CLASS
    Description

    MedDRA SYSTEM ORGAN CLASS

    Data type

    integer

    Alias
    UMLS CUI [1]
    C2347091
    General Medical History/ Physical examination, diagnosis
    Description

    Please report medication(s) as specified in the protocol and fill in the Medication section.

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0262926
    UMLS CUI [1,2]
    C0011900
    UMLS CUI [2,1]
    C0031809
    UMLS CUI [2,2]
    C0011900
    Disease, signs and symptoms
    Description

    Disease, signs and symptoms

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C0012634
    UMLS CUI [1,2]
    C0449438
    UMLS CUI [2,1]
    C0037088
    UMLS CUI [2,2]
    C0449438

    Similar models

    General medical history/ physical examination

    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
    WB 1 (1)
    CL Item
    WB 2 (2)
    Item
    Visit type
    integer
    C0545082 (UMLS CUI [1,1])
    C0332307 (UMLS CUI [1,2])
    Code List
    Visit type
    CL Item
    Visit 1 (1)
    CL Item
    Visit 2 (2)
    CL Item
    Visit 3 (3)
    CL Item
    Visit 4 (4)
    Item Group
    General Medical History/ Physical Examination
    C0262926 (UMLS CUI-1)
    C0031809 (UMLS CUI-2)
    Item
    Are you aware of any pre-existing conditions, signs or symptoms present prior to the start of the study?
    text
    C0012634 (UMLS CUI [1])
    C0037088 (UMLS CUI [2])
    Code List
    Are you aware of any pre-existing conditions, signs or symptoms present prior to the start of the study?
    CL Item
    Yes (Y)
    CL Item
    No (N)
    Item
    MedDRA SYSTEM ORGAN CLASS
    integer
    C2347091 (UMLS CUI [1])
    Code List
    MedDRA SYSTEM ORGAN CLASS
    CL Item
    Skin and subcutaneous tissue (1)
    CL Item
    Musculoskeletal and connective tissue (2)
    CL Item
    Cardiac (3)
    CL Item
    Vascular (4)
    CL Item
    Respiratory, thoracic and mediastinal (5)
    CL Item
    Gastrointestinal (6)
    CL Item
    Hepatobiliary (7)
    CL Item
    Renal and urinary (8)
    CL Item
    Nervous system (9)
    CL Item
    Eye (10)
    CL Item
    Ear and labyrinth (11)
    CL Item
    Endocrine (12)
    CL Item
    Metabolism and nutrition (13)
    CL Item
    Blood and lymphatic system (14)
    CL Item
    Immune system (incl allergies, autoimmune disorders) (15)
    CL Item
    Infections and infestations (16)
    CL Item
    Neoplasms benign, malignant and unspecified (incl cysts, polyps) (17)
    CL Item
    Surgical and medical procedures (18)
    CL Item
    Other (99)
    General Medical History/ Physical examination, diagnosis
    Item
    General Medical History/ Physical examination, diagnosis
    text
    C0262926 (UMLS CUI [1,1])
    C0011900 (UMLS CUI [1,2])
    C0031809 (UMLS CUI [2,1])
    C0011900 (UMLS CUI [2,2])
    Item
    Disease, signs and symptoms
    integer
    C0012634 (UMLS CUI [1,1])
    C0449438 (UMLS CUI [1,2])
    C0037088 (UMLS CUI [2,1])
    C0449438 (UMLS CUI [2,2])
    Code List
    Disease, signs and symptoms
    CL Item
    Past (1)
    CL Item
    Current (2)

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