ID

37867

Description

Study ID: 111634 Clinical Study ID: 111634 Study Title: A phase III, open, controlled study in South Africa to assess the immunogenicity, safety and reactogenicity of GSK Biologicals’ 10-valent pneumococcal conjugate vaccine administered as a 3-dose (6, 10, 14 weeks) primary immunization course in HIV infected infants, HIV exposed uninfected infants and HIV unexposed uninfected infants followed by a booster vaccination at 9-10 months of age. Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00829010 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 3 Study Recruitment Status: Completed Generic Name: Pneumococcal vaccine GSK1024850A Trade Name: Tritanrix-HepB/Hib, Rotarix Study Indication: Infections, Streptococcal This phase III trial studies the immunogenicity, safety and reactogenicity of a 10-valent pneumococcal conjugate vaccine in three groups of infants that differ by HIV status: HIV-positive infants, HIV-negative infants who are exposed to the virus (by their HIV-positive mother), and HIV-negative infants who are not exposed. The study consists of Screening at 4-8 weeks of age (only for HIV-positive and HIV-exposed infants without HIV DNA test) and 10 subsequent Visits over a period of 23 months. There are five study cohorts: HIV-positive and HIV-exposed participants receive the vaccine at Visits 1, 2, 3 (i.e. 6, 10 and 14 weeks of life; primary course) and 5 (9-10 months of age; booster), whereas HIV-negative, unexposed infants are randomly assigned to one of three vaccination schedules: the aforementioned schedule consisting of the primary course and the booster, or the 3-dose primary course only without the booster vaccination, or a different primary course consisting of only two vaccinations at Visits 1 and 3 (6 and 14 weeks of age) followed by a booster at Visit 5 (9-10 months). Visit 1 is scheduled at 6-10 weeks of life. The interval between Visits 1 and 2, 2 and 3, as well as 3 and 4 has to be 28-42 days each. Visit 5 then takes place at 9-10 months of age. The interval between Visit 5 and 6 again has to be 28-42 days. Visit 7 is scheduled at 12-13 months of age, Visit 8 at 15-18 months, Visit 9 at 16-19 months, and the final Visit 10 is performed when the subjects are 24-27 months old. This form is to be filled in at the Screening Visit, which is only applicable for HIV-infected and HIV-exposed uninfected infants (i.e. infants born from a HIV positive mother). Infants referred to the study with a documented HIV DNA-PCR result performed at other facilities will be eligible for the study without additional HIV Screening.

Keywords

  1. 8/28/19 8/28/19 -
Copyright Holder

GlaxoSmithKline

Uploaded on

August 28, 2019

DOI

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License

Creative Commons BY-NC 3.0

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10-valent pneumococcal vaccine in HIV-positive, HIV-exposed and HIV-negative infants - NCT00829010

Screening Conclusion

  1. StudyEvent: ODM
    1. Screening Conclusion
Administrative data
Description

Administrative data

Alias
UMLS CUI-1
C1320722
Subject Identifier
Description

Clinical Trial Subject Unique Identifier

Data type

integer

Alias
UMLS CUI [1]
C2348585
Date of Visit
Description

Date of Visit

Data type

date

Alias
UMLS CUI [1]
C1320303
Screening conclusion
Description

Screening conclusion

Alias
UMLS CUI-1
C1710477
UMLS CUI-2
C1707478
Did the subject experience any Serious Adverse Event during screening?
Description

only SAEs related to study participation or to a concurrent medication need to be considered and reported.

Data type

boolean

Alias
UMLS CUI [1,1]
C1519255
UMLS CUI [1,2]
C1710477
If subject experienced any SAE during sceening period, please specify total number of SAEs.
Description

SAE Number during screening

Data type

integer

Alias
UMLS CUI [1,1]
C1519255
UMLS CUI [1,2]
C0237753
UMLS CUI [1,3]
C1710477
Is the subject a screening failure?
Description

Was the subject withdrawn prior to randomisation or first vaccination?

Data type

boolean

Alias
UMLS CUI [1]
C1710476
If the subject was a screening failure, please tick the major reason for failure
Description

Tick one box only please specify protocol violation, SAE number, or other reason, if applicable

Data type

text

Alias
UMLS CUI [1,1]
C1710476
UMLS CUI [1,2]
C0566251
protocol violation specification
Description

if ticked as major reason for failure.

Data type

text

Alias
UMLS CUI [1,1]
C1709750
UMLS CUI [1,2]
C2348235
SAE number
Description

if "Serious adverse event" ticked as major reason for failure.

Data type

integer

Alias
UMLS CUI [1,1]
C0600091
UMLS CUI [1,2]
C1519255
other reason for screening failure specification
Description

if ticked "other" as major reason for failure.

Data type

text

Alias
UMLS CUI [1,1]
C1710476
UMLS CUI [1,2]
C3840932
UMLS CUI [1,3]
C2348235
Who made the decision?
Description

Decision taken for screening failure

Data type

text

Alias
UMLS CUI [1,1]
C1710476
UMLS CUI [1,2]
C0566251
UMLS CUI [1,3]
C0679006
Investigator's Signature
Description

Investigator's Signature

Alias
UMLS CUI-1
C2346576
Investigator's Signature
Description

Investigator's Signature

Data type

text

Alias
UMLS CUI [1]
C2346576
Date of investigator's signature
Description

confirming "that I have reviewed the data in these screening forms for this subject. All information entered by myself or my colleagues is, to the best of my knowledge, complete and accurate, as of the date below."

Data type

date

Alias
UMLS CUI [1,1]
C2346576
UMLS CUI [1,2]
C0011008
Investigator's name
Description

(printed)

Data type

text

Alias
UMLS CUI [1]
C2826892

Similar models

Screening Conclusion

  1. StudyEvent: ODM
    1. Screening Conclusion
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative data
C1320722 (UMLS CUI-1)
Clinical Trial Subject Unique Identifier
Item
Subject Identifier
integer
C2348585 (UMLS CUI [1])
Date of Visit
Item
Date of Visit
date
C1320303 (UMLS CUI [1])
Item Group
Screening conclusion
C1710477 (UMLS CUI-1)
C1707478 (UMLS CUI-2)
SAE during screening
Item
Did the subject experience any Serious Adverse Event during screening?
boolean
C1519255 (UMLS CUI [1,1])
C1710477 (UMLS CUI [1,2])
SAE Number during screening
Item
If subject experienced any SAE during sceening period, please specify total number of SAEs.
integer
C1519255 (UMLS CUI [1,1])
C0237753 (UMLS CUI [1,2])
C1710477 (UMLS CUI [1,3])
Screening failure
Item
Is the subject a screening failure?
boolean
C1710476 (UMLS CUI [1])
Item
If the subject was a screening failure, please tick the major reason for failure
text
C1710476 (UMLS CUI [1,1])
C0566251 (UMLS CUI [1,2])
Code List
If the subject was a screening failure, please tick the major reason for failure
CL Item
Protocol violation, please specify (PTV)
CL Item
Serious adverse event, please complete and submit SAE report and specify SAE No. (SAE)
CL Item
Consent withdrawal not due to a serious adverse event (CWS)
CL Item
Migrated / moved from the study area (MIG)
CL Item
Lost to follow-up (LFU)
CL Item
Other, please specify (OTH)
CL Item
HIV+/+ not considered for study inclusion due to study enrolment criteria (HIV)
protocol violation specification
Item
protocol violation specification
text
C1709750 (UMLS CUI [1,1])
C2348235 (UMLS CUI [1,2])
SAE number
Item
SAE number
integer
C0600091 (UMLS CUI [1,1])
C1519255 (UMLS CUI [1,2])
other reason for screening failure specification
Item
other reason for screening failure specification
text
C1710476 (UMLS CUI [1,1])
C3840932 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
Item
Who made the decision?
text
C1710476 (UMLS CUI [1,1])
C0566251 (UMLS CUI [1,2])
C0679006 (UMLS CUI [1,3])
Code List
Who made the decision?
CL Item
Investigator (I)
CL Item
Parents/Guardians (P)
Item Group
Investigator's Signature
C2346576 (UMLS CUI-1)
Investigator's Signature
Item
Investigator's Signature
text
C2346576 (UMLS CUI [1])
Date of investigator's signature
Item
Date of investigator's signature
date
C2346576 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Investigator's name
Item
Investigator's name
text
C2826892 (UMLS CUI [1])

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