ID

42521

Description

Study ID: 106464 Clinical Study ID: 106464 Study Title: A Study of the Efficacy Against Episodes of Clinical Malaria Due to P. Falciparum Infection of GSK Biologicals Candidate Vaccine RTS, S/AS01, Administered According to a 0,1,2-months Schedule in Children Aged 5 to 17 Months Living in Tanzania & Kenya Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00380393 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 2 Study Recruitment Status: Completed Generic Name: GSK malaria vaccine 257049 Vaccine, Sanofi-Pasteur's Human Diploid Cell Rabies Vaccine Trade Name: N/A Study Indication: Malaria ODM derived from https://clinicaltrials.gov/ct2/show/study/NCT00380393. This Phase IIb randomized, double-blind, controlled study of the efficacy against episodes of clinical malaria due to Plasmodium falciparum infection of GlaxoSmithKline Biologicals’ candidate vaccine RTS, S/AS01E, administered IM according to a 0, 1, 2-month vaccination schedule in children aged 5 months to 17 months living in Tanzania and Kenya. This study includes the following 7 clinical study visits (3 different visit types) during a double-blind phase (Day -60 to Month 6 1/2) and a single-blind phase including an extension for a subset of patients (month 7 to month 14). Clinical visit 1: Baseline visit, screening, and randomisation (DAY -60 to 0) Clinical visit 2: Vaccination I (MONTH 0, DAY 0 | DOSE 1 | 0 - 60 DAYS AFTER VISIT 1) Clinical visit 3: Vaccination II (MONTH 1, DAY 30 | DOSE 2 | 21 - 35 DAYS AFTER VISIT 2) Clinical visit 4: Vaccination III (MONTH 2, DAY 60 | DOSE 3 | 21 - 35 DAYS AFTER VISIT 3) Clinical visit 5: Blood Sample, ACD (MONTH 3, DAY 90 | 21 - 42 DAYS AFTER VISIT 4) Clinical visit 6: Blood Sample, ACD (MONTH 6 1/2 | CROSS-SECTIONAL VISIT FOR ACD | FINAL STUDY VISIT FOR DOUBLE-BLIND PHASE) Clinical visit 7: Blood Sample, ACD (MONTH 14 | FINAL STUDY VISIT SINGLE-BLIND PHASE) Field-worker home visits: During the vaccination period, clinical visits are accompanied by daily field-worker visits for a one-week period subsequent to each vaccine administration at clinical visits 2, 3, and 4 (visit code 21-26 following clinical visit 2; visit code 27-32 following clinical visit 3; visit code 33-38 following clinical visit 4). After completion of the vaccination period, clinical visits are then accompanied by weekly field-worker home visits (visit code 39-40 following clinical visit 4/dose 3; visit code 41-55 following clinical visit 5; visit code 56-86 following clinical visit 6). These visits serve the additional purpose of Active Case Detection (ACD). Passive Case Detection (PCD) for clinical malaria disease is performed both during the course of the double-blind (day -60 to month 6 1/2) and the single-blind phase (month 7 to month 14). Definition of Serious Adverse Events (SAE): A serious adverse event (SAE) is any untoward medical occurrence that (a) results in death, (b) is life-threatening, (c) requires hospitalization or prolongation of existing hospitalization, (d) results in disability/incapacity, or (e) is a congenital anomaly/birth defect in the offspring of a study subject. Also see item descriptions for additional specification. Instructions for reporting Serious Adverse Events (SAE): Please report any serious adverse event (SAE) as specified in the study protocol by filling in this form. Serious Adverse Events (SAEs) related to study participation (e.g. procedures, invasive tests, change from existing therapy) or SAEs related to concurrent medication will be collected and recorded from the time the subject consents to participate in the study. For all other SAEs, the standard time period for collecting and recording SAEs will begin from the administration of the first dose of vaccine / placebo / comparator and will end minimum 30 days (ref to protocol) following administration of the last dose of vaccine / placebo / comparator for each subject. (1) Complete this form for each Serious Adverse Event as fully and accurately as possible in order to allow the safety department to make an assessment of the initially reported information and to minimize the time spent dealing with data queries. Ensure that all information on the SAE pages is consistent with information given on CRF pages: * Demography * General Medical History / Physical Examination * Vaccine administration page(s) (for administered doses) * Medication * Concomitant Vaccination (2) Sign and date below section 11 and section 12. Complete section 12 of the SAE form if needed only. (3) Send the SAE form to: * The GSK Biologicals study contact. Refer to protocol for contact name and number. * In the event of a death determined by the investigator to be related to the vaccination, sending of the fax must be accompanied by phone call to the study contact for reporting SAEs. The SAE form must be sent to GlaxoSmithKline within 24 hours of becoming aware of these events. (4) The Serious Adverse Event (SAE) report must be checked for final assessment at the end of the study. Note that informed consent has to be obtained prior to any study procedure.

Lien

https://clinicaltrials.gov/ct2/show/study/NCT00380393

Mots-clés

  1. 17/08/2021 17/08/2021 -
  2. 17/08/2021 17/08/2021 -
Détendeur de droits

GlaxoSmithKline

Téléchargé le

17 août 2021

DOI

Pour une demande vous connecter.

Licence

Creative Commons BY-NC 4.0

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Efficacy of P. Falciparum Vaccine Against Malaria in Children NCT00380393

Serious Adverse Event Report

Administrative
Description

Administrative

Alias
UMLS CUI-1
C1320722
Subject number
Description

Subject number

Type de données

integer

Alias
UMLS CUI [1]
C2348585
Country
Description

Country

Type de données

text

Alias
UMLS CUI [1]
C0454664
Hospital identifier
Description

Hospital identifier

Type de données

integer

Alias
UMLS CUI [1,1]
C0600091
UMLS CUI [1,2]
C0019994
Randomisation Number
Description

Randomisation Number

Type de données

integer

Alias
UMLS CUI [1,1]
C0034656
UMLS CUI [1,2]
C0237753
Serious Adverse Events
Description

Serious Adverse Events

Alias
UMLS CUI-1
C1519255
SAE Report Number
Description

SAE Report Number

Type de données

integer

Alias
UMLS CUI [1,1]
C1519255
UMLS CUI [1,2]
C0684224
UMLS CUI [1,3]
C0237753
Receipt date clinical study sponsor
Description

Receipt date clinical study sponsor

Type de données

date

Alias
UMLS CUI [1,1]
C2985846
UMLS CUI [1,2]
C2347796
SAE report initial
Description

SAE report initial

Type de données

boolean

Alias
UMLS CUI [1,1]
C1519255
UMLS CUI [1,2]
C0684224
UMLS CUI [1,3]
C0205265
SAE follow-up report
Description

SAE follow-up report

Type de données

boolean

Alias
UMLS CUI [1,1]
C1519255
UMLS CUI [1,2]
C1704685
SAE follow-up report
Description

SAE follow-up report

Type de données

boolean

Alias
UMLS CUI [1,1]
C1519255
UMLS CUI [1,2]
C1704685
SAE follow-up report
Description

SAE follow-up report

Type de données

boolean

Alias
UMLS CUI [1,1]
C1519255
UMLS CUI [1,2]
C1704685
Document section
Description

Document section

Alias
UMLS CUI-1
C1828479
Serious adverse event
Description

Serious adverse event

Type de données

text

Alias
UMLS CUI [1]
C1519255
Serious adverse event start date
Description

Serious adverse event start date

Type de données

date

Alias
UMLS CUI [1,1]
C1519255
UMLS CUI [1,2]
C0808070
Serious adverse event outcome
Description

Serious adverse event outcome

Type de données

integer

Alias
UMLS CUI [1,1]
C1519255
UMLS CUI [1,2]
C1705586
Serious adverse event end date
Description

Serious adverse event end date

Type de données

date

Alias
UMLS CUI [1,1]
C1519255
UMLS CUI [1,2]
C0806020
Serious adverse event maximum symptom intensity
Description

Serious adverse event maximum symptom intensity

Type de données

text

Alias
UMLS CUI [1,1]
C1519255
UMLS CUI [1,2]
C0518690
UMLS CUI [1,3]
C0806909
Action taken SAE
Description

Action taken SAE

Type de données

text

Alias
UMLS CUI [1,1]
C2826626
UMLS CUI [1,2]
C1519255
Patient withdrawn from trial due to SAE
Description

Patient withdrawn from trial due to SAE

Type de données

boolean

Alias
UMLS CUI [1,1]
C0422727
UMLS CUI [1,2]
C1519255
SAE investigational new drugs relationships
Description

SAE investigational new drugs relationships

Type de données

boolean

Alias
UMLS CUI [1,1]
C1519255
UMLS CUI [1,2]
C0013230
UMLS CUI [1,3]
C0439849
Medically attended visit due to SAE
Description

Medically attended visit due to SAE

Type de données

text

Alias
UMLS CUI [1,1]
C0545082
UMLS CUI [1,2]
C1386497
UMLS CUI [1,3]
C1519255
SAE autopsy
Description

SAE autopsy

Type de données

boolean

Alias
UMLS CUI [1,1]
C0004398
UMLS CUI [1,2]
C1519255
Document Section SAE
Description

Document Section SAE

Alias
UMLS CUI-1
C1828479
UMLS CUI-2
C1519255
SAE death
Description

SAE death

Type de données

boolean

Alias
UMLS CUI [1,1]
C1519255
UMLS CUI [1,2]
C0011065
SAE life-threatening
Description

SAE life-threatening

Type de données

boolean

Alias
UMLS CUI [1,1]
C1519255
UMLS CUI [1,2]
C2826244
SAE hospitalisation | prolonged hospitalisation
Description

SAE hospitalisation | prolonged hospitalisation

Type de données

boolean

Alias
UMLS CUI [1,1]
C1519255
UMLS CUI [1,2]
C0019993
UMLS CUI [2,1]
C1519255
UMLS CUI [2,2]
C0745041
SAE admission date
Description

SAE admission date

Type de données

date

Alias
UMLS CUI [1,1]
C1302393
UMLS CUI [1,2]
C1519255
SAE discharge date
Description

SAE discharge date

Type de données

date

Alias
UMLS CUI [1,1]
C2361123
UMLS CUI [1,2]
C1519255
SAE disability
Description

SAE disability

Type de données

boolean

Alias
UMLS CUI [1,1]
C1519255
UMLS CUI [1,2]
C0231170
SAE congenital anomaly
Description

SAE congenital anomaly

Type de données

boolean

Alias
UMLS CUI [1]
C2826727
Other SAE seriousness
Description

Other SAE seriousness

Type de données

boolean

Alias
UMLS CUI [1,1]
C1710056
UMLS CUI [1,2]
C0205394
Other SAE seriousness to specify
Description

Other SAE seriousness to specify

Type de données

text

Alias
UMLS CUI [1,1]
C0205394
UMLS CUI [1,2]
C1710056
UMLS CUI [1,3]
C1521902
Document Section Demography Data
Description

Document Section Demography Data

Alias
UMLS CUI-1
C1828479
UMLS CUI-2
C0011298
Date of birth
Description

Date of birth

Type de données

date

Alias
UMLS CUI [1]
C0421451
Gender
Description

Gender

Type de données

text

Alias
UMLS CUI [1]
C0079399
Body weight
Description

Body weight

Type de données

float

Unités de mesure
  • kg
Alias
UMLS CUI [1]
C0005910
kg
Body Weight
Description

Body Weight

Type de données

integer

Unités de mesure
  • Pounds
Alias
UMLS CUI [1]
C0005910
Pounds
Body Weight
Description

Body Weight

Type de données

integer

Unités de mesure
  • Ounces
Alias
UMLS CUI [1]
C0005910
Ounces
Document section SAE recurrence
Description

Document section SAE recurrence

Alias
UMLS CUI-1
C1828479
UMLS CUI-2
C1519255
UMLS CUI-3
C0034897
Serious adverse event recurrence post re-exposition to experimental drug
Description

Serious adverse event recurrence post re-exposition to experimental drug

Type de données

text

Alias
UMLS CUI [1,1]
C1519255
UMLS CUI [1,2]
C0034897
UMLS CUI [1,3]
C2347900
UMLS CUI [1,4]
C0687676
UMLS CUI [1,5]
C0457454
UMLS CUI [1,6]
C0304229
Document Section SAE Causations
Description

Document Section SAE Causations

Alias
UMLS CUI-1
C1828479
UMLS CUI-2
C1519255
UMLS CUI-3
C0085978
Disease during clinical trial SAE
Description

Disease during clinical trial SAE

Type de données

boolean

Alias
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C0347984
UMLS CUI [1,3]
C0008976
UMLS CUI [1,4]
C1519255
Disease medical history SAE
Description

Disease medical history SAE

Type de données

boolean

Alias
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C0262926
UMLS CUI [1,3]
C1519255
Lack of efficacy SAE
Description

Lack of efficacy SAE

Type de données

boolean

Alias
UMLS CUI [1,1]
C0235828
UMLS CUI [1,2]
C1519255
Withdrawal of investigational drug SAE
Description

Withdrawal of investigational drug SAE

Type de données

boolean

Alias
UMLS CUI [1,1]
C2349954
UMLS CUI [1,2]
C0304229
UMLS CUI [1,3]
C1519255
Pharmaceutical preparations SAE
Description

Pharmaceutical preparations SAE

Type de données

boolean

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C1519255
Study subject participation status SAE | Medical procedure study protocol SAE
Description

Study subject participation status SAE | Medical procedure study protocol SAE

Type de données

boolean

Alias
UMLS CUI [1,1]
C2348568
UMLS CUI [1,2]
C1519255
UMLS CUI [2,1]
C0199171
UMLS CUI [2,2]
C2348563
UMLS CUI [2,3]
C1519255
Other SAE causation
Description

Other SAE causation

Type de données

boolean

Alias
UMLS CUI [1,1]
C0205394
UMLS CUI [1,2]
C1519255
UMLS CUI [1,3]
C0085978
Other SAE seriousness causation to specify
Description

Other SAE seriousness causation to specify

Type de données

text

Alias
UMLS CUI [1,1]
C0205394
UMLS CUI [1,2]
C1519255
UMLS CUI [1,3]
C0085978
UMLS CUI [1,4]
C1521902
Document Section Medical Conditions
Description

Document Section Medical Conditions

Alias
UMLS CUI-1
C1828479
UMLS CUI-2
C0012634
Relevant disease, hypersensitivity, or operative surgical procedure for SAE
Description

Relevant disease, hypersensitivity, or operative surgical procedure for SAE

Type de données

text

Alias
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C2347946
UMLS CUI [1,3]
C1519255
UMLS CUI [2,1]
C0020517
UMLS CUI [2,2]
C2347946
UMLS CUI [2,3]
C1519255
UMLS CUI [3,1]
C0543467
UMLS CUI [3,2]
C2347946
UMLS CUI [3,3]
C1519255
Date of onset relevant disease | hypersensitivity | operative surgical procedure
Description

Date of onset relevant disease | hypersensitivity | operative surgical procedure

Type de données

date

Alias
UMLS CUI [1,1]
C0574845
UMLS CUI [1,2]
C0012634
UMLS CUI [1,3]
C2347946
UMLS CUI [1,4]
C1519255
UMLS CUI [2,1]
C0574845
UMLS CUI [2,2]
C0020517
UMLS CUI [2,3]
C2347946
UMLS CUI [2,4]
C1519255
UMLS CUI [3,1]
C0574845
UMLS CUI [3,2]
C0543467
UMLS CUI [3,3]
C2347946
UMLS CUI [3,4]
C1519255
Disease present SAE
Description

Disease present SAE

Type de données

boolean

Alias
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C0150312
UMLS CUI [1,3]
C1519255
Date of last occurrence disease SAE
Description

Date of last occurrence disease SAE

Type de données

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C1517741
UMLS CUI [1,3]
C2745955
UMLS CUI [1,4]
C0012634
UMLS CUI [1,5]
C1519255
Document Section Risk Factors
Description

Document Section Risk Factors

Alias
UMLS CUI-1
C1828479
UMLS CUI-2
C0035648
Risk factors SAE in family or social history (smoking, diet, drug abuse, occupational hazard)
Description

Risk factors SAE in family or social history (smoking, diet, drug abuse, occupational hazard)

Type de données

text

Alias
UMLS CUI [1,1]
C0035648
UMLS CUI [1,2]
C1519255
UMLS CUI [1,3]
C0241889
UMLS CUI [2,1]
C0035648
UMLS CUI [2,2]
C1519255
UMLS CUI [2,3]
C3714536
UMLS CUI [3]
C1519384
UMLS CUI [4]
C0001948
UMLS CUI [5]
C0012155
UMLS CUI [6]
C0013146
UMLS CUI [7]
C0337074
Document Section Pharmaceutical Preparations
Description

Document Section Pharmaceutical Preparations

Alias
UMLS CUI-1
C1828479
UMLS CUI-2
C0013227
Pharmaceutical preparations medication name
Description

Pharmaceutical preparations medication name

Type de données

text

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C2360065
Dose
Description

Dose

Type de données

integer

Alias
UMLS CUI [1]
C3174092
Unit of medication dose
Description

Unit of medication dose

Type de données

text

Alias
UMLS CUI [1,1]
C1519795
UMLS CUI [1,2]
C3174092
Frequency
Description

Frequency

Type de données

text

Alias
UMLS CUI [1]
C3476109
Route
Description

Route

Type de données

text

Alias
UMLS CUI [1]
C0013153
Concomitant medication previous occurrence
Description

Concomitant medication previous occurrence

Type de données

boolean

Alias
UMLS CUI [1]
C2826667
Start date pharmaceutical preparations
Description

Start date pharmaceutical preparations

Type de données

date

Alias
UMLS CUI [1,1]
C0808070
UMLS CUI [1,2]
C0013227
Stop date pharmaceutical preparations
Description

Stop date pharmaceutical preparations

Type de données

date

Alias
UMLS CUI [1,1]
C0806020
UMLS CUI [1,2]
C0013227
Pharmaceutical preparations continuous
Description

Pharmaceutical preparations continuous

Type de données

boolean

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0549178
Indication pharmaceutical preparations
Description

Indication pharmaceutical preparations

Type de données

text

Alias
UMLS CUI [1,1]
C0392360
UMLS CUI [1,2]
C0013227
Document Section Investigational Drug Details
Description

Document Section Investigational Drug Details

Alias
UMLS CUI-1
C1828479
UMLS CUI-2
C0013230
UMLS CUI-3
C1522508
Vaccines medication name
Description

Vaccines medication name

Type de données

text

Alias
UMLS CUI [1,1]
C0042210
UMLS CUI [1,2]
C2360065
Dose number vaccines
Description

Dose number vaccines

Type de données

integer

Alias
UMLS CUI [1,1]
C1115464
UMLS CUI [1,2]
C0042210
Lot number vaccines
Description

Lot number vaccines

Type de données

text

Alias
UMLS CUI [1,1]
C1115660
UMLS CUI [1,2]
C0042210
Administration of vaccine route | anatomic site
Description

Administration of vaccine route | anatomic site

Type de données

text

Alias
UMLS CUI [1,1]
C2368628
UMLS CUI [1,2]
C0013153
UMLS CUI [2,1]
C2368628
UMLS CUI [2,2]
C1515974
Date of vaccine administration
Description

Date of vaccine administration

Type de données

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C2368628
Subject unblinding event record
Description

Subject unblinding event record

Type de données

text

Alias
UMLS CUI [1]
C3897431
Document Section Evaluation Procedures
Description

Document Section Evaluation Procedures

Alias
UMLS CUI-1
C1828479
UMLS CUI-2
C1261322
Assessments
Description

Assessments

Type de données

text

Alias
UMLS CUI [1,1]
C1261322
UMLS CUI [1,2]
C1519255
Document Section Narrative Remarks
Description

Document Section Narrative Remarks

Alias
UMLS CUI-1
C1828479
UMLS CUI-2
C0947611
Comment SAE | signs and symptoms and treatment of SAE
Description

Comment SAE | signs and symptoms and treatment of SAE

Type de données

text

Alias
UMLS CUI [1,1]
C0947611
UMLS CUI [1,2]
C1519255
UMLS CUI [2,1]
C0037088
UMLS CUI [2,2]
C1519255
UMLS CUI [2,3]
C0678257
UMLS CUI [3]
C2981656
Investigator's Signature
Description

Investigator's Signature

Alias
UMLS CUI-1
C2346576
SAE report type
Description

SAE report type

Type de données

integer

Alias
UMLS CUI [1,1]
C3897642
UMLS CUI [1,2]
C0332307
Investigator signature
Description

Investigator signature

Type de données

text

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

Date of investigator signature

Type de données

date

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

Investigator name

Type de données

text

Alias
UMLS CUI [1]
C2826892
Type of report
Description

Type of report

Type de données

integer

Alias
UMLS CUI [1,2]
C0332307
UMLS CUI [1,1]
C3897642
Document Section SAE follow-up information
Description

Document Section SAE follow-up information

Alias
UMLS CUI-1
C1519255
UMLS CUI-2
C1533716
UMLS CUI-3
C1522577
Additional information SAE follow-up
Description

Additional information SAE follow-up

Type de données

text

Alias
UMLS CUI [1,1]
C1524062
UMLS CUI [1,2]
C1533716
UMLS CUI [1,3]
C1519255
UMLS CUI [1,4]
C1522577
Investigator's Signature
Description

Investigator's Signature

Alias
UMLS CUI-1
C2346576
SAE report type
Description

SAE report type

Type de données

integer

Alias
UMLS CUI [1,1]
C3897642
UMLS CUI [1,2]
C0332307
Investigator signature
Description

Investigator signature

Type de données

text

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

Date of investigator signature

Type de données

date

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

Investigator name

Type de données

text

Alias
UMLS CUI [1]
C2826892

Similar models

Serious Adverse Event Report

Name
Type
Description | Question | Decode (Coded Value)
Type de données
Alias
Item Group
C1320722 (UMLS CUI-1)
Subject number
Item
integer
C2348585 (UMLS CUI [1])
Country
Item
text
C0454664 (UMLS CUI [1])
Hospital identifier
Item
integer
C0600091 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
Randomisation Number
Item
integer
C0034656 (UMLS CUI [1,1])
C0237753 (UMLS CUI [1,2])
Item Group
C1519255 (UMLS CUI-1)
SAE Report Number
Item
integer
C1519255 (UMLS CUI [1,1])
C0684224 (UMLS CUI [1,2])
C0237753 (UMLS CUI [1,3])
Receipt date clinical study sponsor
Item
date
C2985846 (UMLS CUI [1,1])
C2347796 (UMLS CUI [1,2])
SAE report initial
Item
boolean
C1519255 (UMLS CUI [1,1])
C0684224 (UMLS CUI [1,2])
C0205265 (UMLS CUI [1,3])
SAE follow-up report
Item
boolean
C1519255 (UMLS CUI [1,1])
C1704685 (UMLS CUI [1,2])
SAE follow-up report
Item
boolean
C1519255 (UMLS CUI [1,1])
C1704685 (UMLS CUI [1,2])
SAE follow-up report
Item
boolean
C1519255 (UMLS CUI [1,1])
C1704685 (UMLS CUI [1,2])
Item Group
C1828479 (UMLS CUI-1)
Serious adverse event
Item
text
C1519255 (UMLS CUI [1])
Serious adverse event start date
Item
date
C1519255 (UMLS CUI [1,1])
C0808070 (UMLS CUI [1,2])
Item
integer
C1519255 (UMLS CUI [1,1])
C1705586 (UMLS CUI [1,2])
Code List
Serious adverse event outcome
CL Item
 (1)
CL Item
 (2)
CL Item
 (3)
CL Item
 (4)
CL Item
 (5)
Serious adverse event end date
Item
date
C1519255 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
Item
text
C1519255 (UMLS CUI [1,1])
C0518690 (UMLS CUI [1,2])
C0806909 (UMLS CUI [1,3])
Code List
Serious adverse event maximum symptom intensity
CL Item
 (1)
CL Item
 (2)
CL Item
 (3)
CL Item
 (X)
Item
text
C2826626 (UMLS CUI [1,1])
C1519255 (UMLS CUI [1,2])
Code List
Action taken SAE
CL Item
 (1)
CL Item
 (2)
CL Item
 (3)
CL Item
 (X)
Patient withdrawn from trial due to SAE
Item
boolean
C0422727 (UMLS CUI [1,1])
C1519255 (UMLS CUI [1,2])
SAE investigational new drugs relationships
Item
boolean
C1519255 (UMLS CUI [1,1])
C0013230 (UMLS CUI [1,2])
C0439849 (UMLS CUI [1,3])
Item
text
C0545082 (UMLS CUI [1,1])
C1386497 (UMLS CUI [1,2])
C1519255 (UMLS CUI [1,3])
Code List
Medically attended visit due to SAE
CL Item
 (HO)
CL Item
 (ER)
CL Item
 (MD)
SAE autopsy
Item
boolean
C0004398 (UMLS CUI [1,1])
C1519255 (UMLS CUI [1,2])
Item Group
C1828479 (UMLS CUI-1)
C1519255 (UMLS CUI-2)
SAE death
Item
boolean
C1519255 (UMLS CUI [1,1])
C0011065 (UMLS CUI [1,2])
SAE life-threatening
Item
boolean
C1519255 (UMLS CUI [1,1])
C2826244 (UMLS CUI [1,2])
SAE hospitalisation | prolonged hospitalisation
Item
boolean
C1519255 (UMLS CUI [1,1])
C0019993 (UMLS CUI [1,2])
C1519255 (UMLS CUI [2,1])
C0745041 (UMLS CUI [2,2])
SAE admission date
Item
date
C1302393 (UMLS CUI [1,1])
C1519255 (UMLS CUI [1,2])
SAE discharge date
Item
date
C2361123 (UMLS CUI [1,1])
C1519255 (UMLS CUI [1,2])
SAE disability
Item
boolean
C1519255 (UMLS CUI [1,1])
C0231170 (UMLS CUI [1,2])
SAE congenital anomaly
Item
boolean
C2826727 (UMLS CUI [1])
Other SAE seriousness
Item
boolean
C1710056 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Other SAE seriousness to specify
Item
text
C0205394 (UMLS CUI [1,1])
C1710056 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
Item Group
C1828479 (UMLS CUI-1)
C0011298 (UMLS CUI-2)
Date of birth
Item
date
C0421451 (UMLS CUI [1])
Item
text
C0079399 (UMLS CUI [1])
Code List
Gender
CL Item
 (Male)
CL Item
 (Female)
Body weight
Item
float
C0005910 (UMLS CUI [1])
Body Weight
Item
integer
C0005910 (UMLS CUI [1])
Body Weight
Item
integer
C0005910 (UMLS CUI [1])
Item Group
C1828479 (UMLS CUI-1)
C1519255 (UMLS CUI-2)
C0034897 (UMLS CUI-3)
Item
text
C1519255 (UMLS CUI [1,1])
C0034897 (UMLS CUI [1,2])
C2347900 (UMLS CUI [1,3])
C0687676 (UMLS CUI [1,4])
C0457454 (UMLS CUI [1,5])
C0304229 (UMLS CUI [1,6])
Code List
Serious adverse event recurrence post re-exposition to experimental drug
CL Item
 (Yes)
CL Item
 (No)
CL Item
 (Unknown at this time)
CL Item
 (Not applicable)
Item Group
C1828479 (UMLS CUI-1)
C1519255 (UMLS CUI-2)
C0085978 (UMLS CUI-3)
Disease during clinical trial SAE
Item
boolean
C0012634 (UMLS CUI [1,1])
C0347984 (UMLS CUI [1,2])
C0008976 (UMLS CUI [1,3])
C1519255 (UMLS CUI [1,4])
Disease medical history SAE
Item
boolean
C0012634 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
C1519255 (UMLS CUI [1,3])
Lack of efficacy SAE
Item
boolean
C0235828 (UMLS CUI [1,1])
C1519255 (UMLS CUI [1,2])
Withdrawal of investigational drug SAE
Item
boolean
C2349954 (UMLS CUI [1,1])
C0304229 (UMLS CUI [1,2])
C1519255 (UMLS CUI [1,3])
Pharmaceutical preparations SAE
Item
boolean
C0013227 (UMLS CUI [1,1])
C1519255 (UMLS CUI [1,2])
Study subject participation status SAE | Medical procedure study protocol SAE
Item
boolean
C2348568 (UMLS CUI [1,1])
C1519255 (UMLS CUI [1,2])
C0199171 (UMLS CUI [2,1])
C2348563 (UMLS CUI [2,2])
C1519255 (UMLS CUI [2,3])
Other SAE causation
Item
boolean
C0205394 (UMLS CUI [1,1])
C1519255 (UMLS CUI [1,2])
C0085978 (UMLS CUI [1,3])
Other SAE seriousness causation to specify
Item
text
C0205394 (UMLS CUI [1,1])
C1519255 (UMLS CUI [1,2])
C0085978 (UMLS CUI [1,3])
C1521902 (UMLS CUI [1,4])
Item Group
C1828479 (UMLS CUI-1)
C0012634 (UMLS CUI-2)
Relevant disease, hypersensitivity, or operative surgical procedure for SAE
Item
text
C0012634 (UMLS CUI [1,1])
C2347946 (UMLS CUI [1,2])
C1519255 (UMLS CUI [1,3])
C0020517 (UMLS CUI [2,1])
C2347946 (UMLS CUI [2,2])
C1519255 (UMLS CUI [2,3])
C0543467 (UMLS CUI [3,1])
C2347946 (UMLS CUI [3,2])
C1519255 (UMLS CUI [3,3])
Date of onset relevant disease | hypersensitivity | operative surgical procedure
Item
date
C0574845 (UMLS CUI [1,1])
C0012634 (UMLS CUI [1,2])
C2347946 (UMLS CUI [1,3])
C1519255 (UMLS CUI [1,4])
C0574845 (UMLS CUI [2,1])
C0020517 (UMLS CUI [2,2])
C2347946 (UMLS CUI [2,3])
C1519255 (UMLS CUI [2,4])
C0574845 (UMLS CUI [3,1])
C0543467 (UMLS CUI [3,2])
C2347946 (UMLS CUI [3,3])
C1519255 (UMLS CUI [3,4])
Disease present SAE
Item
boolean
C0012634 (UMLS CUI [1,1])
C0150312 (UMLS CUI [1,2])
C1519255 (UMLS CUI [1,3])
Date of last occurrence disease SAE
Item
date
C0011008 (UMLS CUI [1,1])
C1517741 (UMLS CUI [1,2])
C2745955 (UMLS CUI [1,3])
C0012634 (UMLS CUI [1,4])
C1519255 (UMLS CUI [1,5])
Item Group
C1828479 (UMLS CUI-1)
C0035648 (UMLS CUI-2)
Risk factors SAE in family or social history (smoking, diet, drug abuse, occupational hazard)
Item
text
C0035648 (UMLS CUI [1,1])
C1519255 (UMLS CUI [1,2])
C0241889 (UMLS CUI [1,3])
C0035648 (UMLS CUI [2,1])
C1519255 (UMLS CUI [2,2])
C3714536 (UMLS CUI [2,3])
C1519384 (UMLS CUI [3])
C0001948 (UMLS CUI [4])
C0012155 (UMLS CUI [5])
C0013146 (UMLS CUI [6])
C0337074 (UMLS CUI [7])
Item Group
C1828479 (UMLS CUI-1)
C0013227 (UMLS CUI-2)
Pharmaceutical preparations medication name
Item
text
C0013227 (UMLS CUI [1,1])
C2360065 (UMLS CUI [1,2])
Dose
Item
integer
C3174092 (UMLS CUI [1])
Unit of medication dose
Item
text
C1519795 (UMLS CUI [1,1])
C3174092 (UMLS CUI [1,2])
Frequency
Item
text
C3476109 (UMLS CUI [1])
Route
Item
text
C0013153 (UMLS CUI [1])
Concomitant medication previous occurrence
Item
boolean
C2826667 (UMLS CUI [1])
Start date pharmaceutical preparations
Item
date
C0808070 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
Stop date pharmaceutical preparations
Item
date
C0806020 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
Pharmaceutical preparations continuous
Item
boolean
C0013227 (UMLS CUI [1,1])
C0549178 (UMLS CUI [1,2])
Indication pharmaceutical preparations
Item
text
C0392360 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
Item Group
C1828479 (UMLS CUI-1)
C0013230 (UMLS CUI-2)
C1522508 (UMLS CUI-3)
Vaccines medication name
Item
text
C0042210 (UMLS CUI [1,1])
C2360065 (UMLS CUI [1,2])
Dose number vaccines
Item
integer
C1115464 (UMLS CUI [1,1])
C0042210 (UMLS CUI [1,2])
Lot number vaccines
Item
text
C1115660 (UMLS CUI [1,1])
C0042210 (UMLS CUI [1,2])
Administration of vaccine route | anatomic site
Item
text
C2368628 (UMLS CUI [1,1])
C0013153 (UMLS CUI [1,2])
C2368628 (UMLS CUI [2,1])
C1515974 (UMLS CUI [2,2])
Date of vaccine administration
Item
date
C0011008 (UMLS CUI [1,1])
C2368628 (UMLS CUI [1,2])
Item
text
C3897431 (UMLS CUI [1])
Code List
Subject unblinding event record
CL Item
 (No)
CL Item
 (Yes)
CL Item
 (Not applicable)
Item Group
C1828479 (UMLS CUI-1)
C1261322 (UMLS CUI-2)
Assessments
Item
text
C1261322 (UMLS CUI [1,1])
C1519255 (UMLS CUI [1,2])
Item Group
C1828479 (UMLS CUI-1)
C0947611 (UMLS CUI-2)
Comment SAE | signs and symptoms and treatment of SAE
Item
text
C0947611 (UMLS CUI [1,1])
C1519255 (UMLS CUI [1,2])
C0037088 (UMLS CUI [2,1])
C1519255 (UMLS CUI [2,2])
C0678257 (UMLS CUI [2,3])
C2981656 (UMLS CUI [3])
Item Group
C2346576 (UMLS CUI-1)
Item
integer
C3897642 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
Code List
SAE report type
CL Item
 (1)
CL Item
 (2)
CL Item
 (3)
CL Item
 (4)
Investigator signature
Item
text
C2346576 (UMLS CUI [1])
Date of investigator signature
Item
date
C0011008 (UMLS CUI [1,1])
C2346576 (UMLS CUI [1,2])
Investigator name
Item
text
C2826892 (UMLS CUI [1])
Item
integer
C0332307 (UMLS CUI [1,2])
C3897642 (UMLS CUI [1,1])
Code List
Type of report
CL Item
Erstmeldung Sponsor (1)
CL Item
Follow-up Sponsor (2)
CL Item
 (3)
CL Item
Kombinierter Erst- und Abschlußbericht Sponsor (4)
Item Group
C1519255 (UMLS CUI-1)
C1533716 (UMLS CUI-2)
C1522577 (UMLS CUI-3)
Additional information SAE follow-up
Item
text
C1524062 (UMLS CUI [1,1])
C1533716 (UMLS CUI [1,2])
C1519255 (UMLS CUI [1,3])
C1522577 (UMLS CUI [1,4])
Item Group
C2346576 (UMLS CUI-1)
Item
integer
C3897642 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
Code List
SAE report type
CL Item
 (1)
CL Item
 (2)
CL Item
 (3)
CL Item
 (4)
Investigator signature
Item
text
C2346576 (UMLS CUI [1])
Date of investigator signature
Item
date
C0011008 (UMLS CUI [1,1])
C2346576 (UMLS CUI [1,2])
Investigator name
Item
text
C2826892 (UMLS CUI [1])

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