ID
42319
Beschrijving
Study ID: 108708 Clinical Study ID: 108708 Study Title: A phase IIb, controlled, randomized, multicentre, observer blinded study to evaluate the immunogenicity, safety and reactogenicity of a second vaccination with the low dose influenza vaccine adjuvanted with AS03 compared to a second dose of FluarixTM (GlaxoSmithKline Biologicals) administered intramuscularly in elderly >= 60 years previously vaccinated in FLU-LD-002 clinical trial Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00385840 Sponsor: GlaxoSmithKline Phase: Phase 2 Study Recruitment Status: Completed Generic Name: Influenza Vaccine GSK1247446A Trade Name: FluarixTM Study Indication: Influenza
Trefwoorden
Versies (1)
- 29-05-21 29-05-21 -
Houder van rechten
GlaxoSmithKline
Geüploaded op
29 mei 2021
DOI
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Licentie
Creative Commons BY 4.0
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Immunogenicity, safety and reactogenicity of a second vaccination with the low dose influenza vaccine adjuvanted with AS03 NCT00385840
Visit 1, Day 0 Vaccination: General Medical History/ Physical Examination; Laboratory Tests; Vaccine Administration
Beschrijving
General Medical History/ Physical Examination
Alias
- UMLS CUI-1
- C0262926
- UMLS CUI-2
- C0031809
Beschrijving
General Medical History/ Physical Examination
Alias
- UMLS CUI-1
- C0262926
- UMLS CUI-2
- C0031809
Beschrijving
MedDRA System Organ Class
Datatype
integer
Alias
- UMLS CUI [1]
- C2347091
Beschrijving
Diagnosis
Datatype
text
Alias
- UMLS CUI [1]
- C0011900
Beschrijving
Disease Status
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0012634
- UMLS CUI [1,2]
- C0449438
Beschrijving
Laboratory Tests
Alias
- UMLS CUI-1
- C0022885
Beschrijving
Blood Sample - HI Antibody Determination: Has a blood sample been taken for (serum) HI antibody determination?
Datatype
boolean
Alias
- UMLS CUI [1]
- C0005834
- UMLS CUI [2]
- C0003241
- UMLS CUI [3]
- C0021400
Beschrijving
Please complete only if different from visit date
Datatype
date
Alias
- UMLS CUI [1,1]
- C0003241
- UMLS CUI [1,2]
- C0021400
- UMLS CUI [2,1]
- C1148554
- UMLS CUI [2,2]
- C0011008
Beschrijving
Vaccine Administration
Alias
- UMLS CUI-1
- C2368628
Beschrijving
(fill in only if different from visit date)
Datatype
date
Alias
- UMLS CUI [1,1]
- C0011008
- UMLS CUI [1,2]
- C2368628
Beschrijving
Pre-Vaccination temperature
Datatype
float
Maateenheden
- °C
Alias
- UMLS CUI [1]
- C0005903
- UMLS CUI [2,1]
- C0042196
- UMLS CUI [2,2]
- C0332152
Beschrijving
Temperatur measurement route
Datatype
text
Alias
- UMLS CUI [1,1]
- C0886414
- UMLS CUI [1,2]
- C0449444
Beschrijving
Vaccine Administration
Alias
- UMLS CUI-1
- C2368628
Beschrijving
Vaccine Administration
Datatype
text
Alias
- UMLS CUI [1]
- C2368628
Beschrijving
Replacement vial number
Datatype
text
Alias
- UMLS CUI [1,1]
- C0184301
- UMLS CUI [1,2]
- C0559956
- UMLS CUI [1,3]
- C0600091
Beschrijving
Wrong vial number
Datatype
text
Alias
- UMLS CUI [1,1]
- C0184301
- UMLS CUI [1,2]
- C3827420
- UMLS CUI [1,3]
- C0600091
Beschrijving
Has the study vaccine been administered according to the Protocol?
Datatype
boolean
Alias
- UMLS CUI [1]
- C2368628
- UMLS CUI [2]
- C2348563
Beschrijving
If study vaccine has not been administered according to the Protocol, specify Side
Datatype
text
Alias
- UMLS CUI [1,1]
- C2368628
- UMLS CUI [1,2]
- C2348563
- UMLS CUI [2]
- C0441987
Beschrijving
If study vaccine has not been administered according to the Protocol, specify Site
Datatype
integer
Alias
- UMLS CUI [1,1]
- C2368628
- UMLS CUI [1,2]
- C2348563
- UMLS CUI [2]
- C1515974
Beschrijving
If study vaccine has not been administered according to the Protocol, specify Route
Datatype
text
Alias
- UMLS CUI [1,1]
- C2368628
- UMLS CUI [1,2]
- C2348563
- UMLS CUI [2]
- C0013153
Beschrijving
Please tick the major reason for non administration
Datatype
text
Alias
- UMLS CUI [1,1]
- C1533734
- UMLS CUI [1,2]
- C0392360
- UMLS CUI [1,3]
- C1272696
Beschrijving
Please specify SAE No.
Datatype
text
Alias
- UMLS CUI [1,1]
- C1519255
- UMLS CUI [1,2]
- C0237753
Beschrijving
Please specify AE No.
Datatype
text
Alias
- UMLS CUI [1,1]
- C1518404
- UMLS CUI [1,2]
- C0237753
Beschrijving
(e.g.: consent withdrawal, Protocol violation, …)
Datatype
text
Alias
- UMLS CUI [1]
- C1533734
- UMLS CUI [2,1]
- C0392360
- UMLS CUI [2,2]
- C1272696
- UMLS CUI [3]
- C0205394
- UMLS CUI [4]
- C2348235
Beschrijving
Please tick who made decision (for non administration)
Datatype
text
Alias
- UMLS CUI [1]
- C0679006
- UMLS CUI [2,1]
- C1533734
- UMLS CUI [2,2]
- C1272696
Similar models
Visit 1, Day 0 Vaccination: General Medical History/ Physical Examination; Laboratory Tests; Vaccine Administration
C0031809 (UMLS CUI-2)
C0037088 (UMLS CUI [2])
C0031809 (UMLS CUI-2)
C0003241 (UMLS CUI [2])
C0021400 (UMLS CUI [3])
C0021400 (UMLS CUI [1,2])
C1148554 (UMLS CUI [2,1])
C0011008 (UMLS CUI [2,2])
C2368628 (UMLS CUI [1,2])
C0042196 (UMLS CUI [2,1])
C0332152 (UMLS CUI [2,2])
C0449444 (UMLS CUI [1,2])
C0559956 (UMLS CUI [1,2])
C0600091 (UMLS CUI [1,3])
C3827420 (UMLS CUI [1,2])
C0600091 (UMLS CUI [1,3])
C2348563 (UMLS CUI [2])
C2348563 (UMLS CUI [1,2])
C0441987 (UMLS CUI [2])
C2348563 (UMLS CUI [1,2])
C1515974 (UMLS CUI [2])
C2348563 (UMLS CUI [1,2])
C0013153 (UMLS CUI [2])
C0392360 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,3])
C0237753 (UMLS CUI [1,2])
C0237753 (UMLS CUI [1,2])
C0392360 (UMLS CUI [2,1])
C1272696 (UMLS CUI [2,2])
C0205394 (UMLS CUI [3])
C2348235 (UMLS CUI [4])
C1533734 (UMLS CUI [2,1])
C1272696 (UMLS CUI [2,2])