ID

41660

Descrição

Study ID: 105874 Clinical Study ID: 105874 Study Title: Bridging Safety & Immunogenicity Study of GSK Biologicals' Candidate Malaria Vaccine RTS,S/AS01E (0.5 mL Dose) to RTS,S/AS02D (0.5 mL Dose) Administered IM According to a 0, 1, 2-Month Schedule in Gabonese Children Aged 18 Months to 4 Years Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00307021 https://clinicaltrials.gov/ct2/show/NCT00307021 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 2 Study Recruitment Status: Completed Generic Name: GSK Biologicals' candidate Plasmodium falciparum malaria vaccine 257049 Trade Name: N/A Study Indication: Malaria This study has a total of 7 visits. Visit 1 = Screening, Visits 2-6 are during the double-blind phase (Month 0-3) and Visit 7 is during the single-blind phase (Month 4-14). This form (Seizures Report - Generalized Convulsive Seizures) is to be filled out whenever a seizure occurs. All generalized convulsive seizures captured 30 days post-vaccination will be reported as SAEs.

Link

https://clinicaltrials.gov/ct2/show/NCT00307021

Palavras-chave

  1. 01/12/2020 01/12/2020 -
  2. 05/12/2020 05/12/2020 -
Titular dos direitos

GlaxoSmithKline

Transferido a

5 de dezembro de 2020

DOI

Para um pedido faça login.

Licença

Creative Commons BY-NC 4.0

Comentários do modelo :

Aqui pode comentar o modelo. Pode comentá-lo especificamente através dos balões de texto nos grupos de itens e itens.

Comentários do grupo de itens para :

Comentários do item para :

Para descarregar formulários, precisa de ter uma sessão iniciada. Por favor faça login ou registe-se gratuitamente.

Safety & Immunogenicity of two GSK Biologicals' Candidate Malaria Vaccines in young children, NCT00307021

Seizures Report - Generalized Convulsive Seizures

Administrative Data
Descrição

Administrative Data

Alias
UMLS CUI-1
C1320722
Subject number
Descrição

Subject number

Tipo de dados

text

Alias
UMLS CUI [1]
C2348585
Date of assessment
Descrição

Date of assessment

Tipo de dados

date

Alias
UMLS CUI [1]
C2985720
Seizures Report
Descrição

Seizures Report

Alias
UMLS CUI-1
C0036572
UMLS CUI-2
C0684224
Witnessed by study personnel or Parental history?
Descrição

Witnessed by study personnel, Parental history

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0682356
UMLS CUI [1,2]
C2985653
UMLS CUI [2,1]
C0030551
UMLS CUI [2,2]
C1135957
Date of first generalized convulsive seizure
Descrição

Date of first generalized convulsive seizure

Tipo de dados

date

Alias
UMLS CUI [1,1]
C0205435
UMLS CUI [1,2]
C0751494
UMLS CUI [1,3]
C0205246
UMLS CUI [1,4]
C0011008
Time of first generalized convulsive seizure
Descrição

Time of first generalized convulsive seizure

Tipo de dados

time

Alias
UMLS CUI [1,1]
C0205435
UMLS CUI [1,2]
C0751494
UMLS CUI [1,3]
C0205246
UMLS CUI [1,4]
C0040223
Time of vaccination
Descrição

ONYL IF occurring on the day of vaccination or subsequent day

Tipo de dados

time

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C0040223
History of fever at the time of the generalized convulsive seizure
Descrição

History of fever at the time of the generalized convulsive seizure

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0015967
UMLS CUI [1,2]
C0751494
UMLS CUI [1,3]
C0205246
Axillary temperature at the time of generalized convulsive seizure
Descrição

Axillary temperature at the time of generalized convulsive seizure

Tipo de dados

float

Unidades de medida
  • °C
Alias
UMLS CUI [1,1]
C0751494
UMLS CUI [1,2]
C0205246
UMLS CUI [1,3]
C1531924
°C
Duration of generalized convulsive seizure in minutes (approximately)
Descrição

If intermittent occurrence, the time of the longest generalized convulsive seizure should be recorded.

Tipo de dados

integer

Unidades de medida
  • minutes
Alias
UMLS CUI [1,1]
C0751494
UMLS CUI [1,2]
C0205246
UMLS CUI [1,3]
C0449238
minutes
Number of generalized convulsive seizures
Descrição

Number of generalized convulsive seizures

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0751494
UMLS CUI [1,2]
C0205246
UMLS CUI [1,3]
C0449788
Diagnostic certainty level
Descrição

Diagnostic certainty level

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0332146
UMLS CUI [1,2]
C0751494
UMLS CUI [1,3]
C0205246

Similar models

Seizures Report - Generalized Convulsive Seizures

Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
Subject number
Item
Subject number
text
C2348585 (UMLS CUI [1])
Date of assessment
Item
Date of assessment
date
C2985720 (UMLS CUI [1])
Item Group
Seizures Report
C0036572 (UMLS CUI-1)
C0684224 (UMLS CUI-2)
Item
Witnessed by study personnel or Parental history?
integer
C0682356 (UMLS CUI [1,1])
C2985653 (UMLS CUI [1,2])
C0030551 (UMLS CUI [2,1])
C1135957 (UMLS CUI [2,2])
Code List
Witnessed by study personnel or Parental history?
CL Item
Witnessed by study personnel (1)
CL Item
Parental history (2)
Date of first generalized convulsive seizure
Item
Date of first generalized convulsive seizure
date
C0205435 (UMLS CUI [1,1])
C0751494 (UMLS CUI [1,2])
C0205246 (UMLS CUI [1,3])
C0011008 (UMLS CUI [1,4])
Time of first generalized convulsive seizure
Item
Time of first generalized convulsive seizure
time
C0205435 (UMLS CUI [1,1])
C0751494 (UMLS CUI [1,2])
C0205246 (UMLS CUI [1,3])
C0040223 (UMLS CUI [1,4])
Time of vaccination
Item
Time of vaccination
time
C0042196 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
Item
History of fever at the time of the generalized convulsive seizure
text
C0015967 (UMLS CUI [1,1])
C0751494 (UMLS CUI [1,2])
C0205246 (UMLS CUI [1,3])
Code List
History of fever at the time of the generalized convulsive seizure
CL Item
Yes (Y)
CL Item
No (N)
Axillary temperature at the time of generalized convulsive seizure
Item
Axillary temperature at the time of generalized convulsive seizure
float
C0751494 (UMLS CUI [1,1])
C0205246 (UMLS CUI [1,2])
C1531924 (UMLS CUI [1,3])
Duration of generalized convulsive seizure in minutes
Item
Duration of generalized convulsive seizure in minutes (approximately)
integer
C0751494 (UMLS CUI [1,1])
C0205246 (UMLS CUI [1,2])
C0449238 (UMLS CUI [1,3])
Number of generalized convulsive seizures
Item
Number of generalized convulsive seizures
integer
C0751494 (UMLS CUI [1,1])
C0205246 (UMLS CUI [1,2])
C0449788 (UMLS CUI [1,3])
Item
Diagnostic certainty level
integer
C0332146 (UMLS CUI [1,1])
C0751494 (UMLS CUI [1,2])
C0205246 (UMLS CUI [1,3])
Code List
Diagnostic certainty level
CL Item
Level 1: witnessed sudden loss of consciousness AND generalized tonic, clonic, tonic-clonic, or atonic motor manifestations (1)
CL Item
Level 2: history of unconsciousness AND generalized tonic, clonic, tonic-clonic, or atonic motor manifestations (2)
CL Item
Level 3: history of unconsciousness AND other generalized motor manifestations (3)
CL Item
Level 4: reported generalized convulsive seizure with insufficient evidence to meet the case definitions for Level 1, 2 or 3 of diagnostic certainty above (4)
CL Item
Level 5: Not a case of generalized convulsive seizure (5)

Use este formulário para feedback, perguntas e sugestões de aperfeiçoamento.

Campos marcados com * são obrigatórios.

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial