ID

38668

Description

Study ID: 104021 Clinical Study ID: 104021 Study Title: A phase III, partially blind, randomized study to evaluate the immunogenicity, safety and reactogenicity of GlaxoSmithKline (GSK) Biologicals’ Tritanrix™-HepB and GSK Biologicals Kft’s DTPw-HBV vaccines as compared to concomitant administration of Commonwealth Serum Laboratory’s (CSL’s) DTPw (Triple Antigen™) and GSK Biologicals’ HBV (Engerix™-B), when co-administered with GSK Biologicals’ oral live attenuated human rotavirus (HRV) vaccine, to healthy infants at 3, 4½ and 6 months of age, after a birth dose of hepatitis B vaccine. Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00158756 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 3 Study Recruitment Status: Completed Generic Name: Hepatitis B Vaccine, Recombinant Trade Name: Engerix B Study Indication: Hepatitis B

Keywords

  1. 12/3/18 12/3/18 -
  2. 10/30/19 10/30/19 - Sarah Riepenhausen
Copyright Holder

GSK group of companies

Uploaded on

October 30, 2019

DOI

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License

Creative Commons BY-NC 3.0

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    Immunogenicity of co-administration of Tritanrix™-HepB and DTPw-HBV vaccines or Triple Antigen™ and Engerix™-B with HRV vaccine to infants (3, 4½ and 6 month) - 104021

    Diary Card 3: Concomitant Medications

    Administrative data
    Description

    Administrative data

    Subject Number
    Description

    Subject Number

    Data type

    integer

    Dose
    Description

    Dose

    Data type

    text

    Medication
    Description

    Medication

    Trade Name/Generic Name
    Description

    Trade Name/Generic Name

    Data type

    text

    Reason
    Description

    Reason

    Data type

    text

    Total Daily Dose?
    Description

    Total Daily Dose?

    Data type

    text

    Start Date
    Description

    Start Date

    Data type

    date

    End Date
    Description

    End Date

    Data type

    date

    Ongoing?
    Description

    Ongoing?

    Data type

    boolean

    Reminder
    Description

    Reminder

    Please do not forget to bring back the diary card on
    Description

    fill the date below

    Data type

    date

    In case of hospitalisation, please inform
    Description

    fill the name below

    Data type

    text

    Similar models

    Diary Card 3: Concomitant Medications

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    Type
    Description | Question | Decode (Coded Value)
    Data type
    Alias
    Item Group
    Administrative data
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    Item
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    Code List
    Dose
    CL Item
    Dose 3 (1)
    Item Group
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    Trade Name/Generic Name
    Item
    Trade Name/Generic Name
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    Item
    Reason
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    Code List
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    Item
    Total Daily Dose?
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    Start Date
    Item
    Start Date
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    End Date
    Item
    End Date
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    Ongoing?
    Item
    Ongoing?
    boolean
    Item Group
    Reminder
    Please do not forget to bring back the diary card on
    Item
    Please do not forget to bring back the diary card on
    date
    In case of hospitalisation, please inform
    Item
    In case of hospitalisation, please inform
    text

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