CDISC is a non-profit organization that establishes clinical research data standards to support data acquisition, exchange, and submission. It has developed several standards including CDASH, which aims to standardize data collection fields across clinical trials to streamline data analysis and reduce errors. CDASH defines a set of common safety domains and variables that can be collected consistently across studies in a standardized way. This helps analyze data more efficiently, reduces training time for sites, and decreases potential errors from inconsistent data collection.
SDTM (Study Data Tabulation Model) defines a standard structure for human clinical trial (study) data tabulations and for nonclinical study data tabulations that are to be submitted as part of a product application to a regulatory authority such as the United States Food and Drug Administration (FDA).
SDTM Training for personnel with Junior and Intermediate level Clinical Trial Experience. Covers summary of most domains. Salient features include order of domain creation, importance of making programming Data/Metadata Driven, Nature of Clinical Raw Data, Summary of the Clinical Trial process with regards to the data flow to arrive at the Study data to be submitted to regulatory authorities like FDA, Importance of deriving ADAM from SDTM and not directly from raw data, Information has been put together from variety of sources including my own programming work.
Shannon Labout has more than 17 years of experience in healthcare technologies, project management and clinical research. She is the past Senior Director of Education at CDISC, and has developed and delivered training on CDISC standards for audiences in North America, Europe and Asia since 2007. She has been involved in CDASH since the beginning of the project in 2006, co-led the CDASH team for the past 3-1/2 years, and has been a contributing member of the SDS team since 2007. She has participated in CRF standardization for the past fourteen years, and been involved in data standards development, harmonization and implementation at several CROs and global pharmaceutical companies. She has managed clinical data management teams in both the U.S. and Europe, and is currently the Director Data Management at Statistics & Data Corporation based in Tempe, Arizona.
Source: http://www.arena-international.com/ecdm/shannon-labout/3038.speaker
CDISC's CDASH and SDTM: Why You Need Both!Kit Howard
CDISC's clinical data standards are widely used for clinical research, but many people wonder why there seem to be two standards for collected data: the Clinical Data Acquisition Standards Harmonization (CDASH) standard and the Study Data Tabulation Model (SDTM) standard. This poster steps through four significant reasons that reflect the differences in philosophy, intermediate goals and broad-scale uses. Examples illustrate each reason and how they affect your studies.
SDTM (Study Data Tabulation Model) defines a standard structure for human clinical trial (study) data tabulations and for nonclinical study data tabulations that are to be submitted as part of a product application to a regulatory authority such as the United States Food and Drug Administration (FDA).
SDTM Training for personnel with Junior and Intermediate level Clinical Trial Experience. Covers summary of most domains. Salient features include order of domain creation, importance of making programming Data/Metadata Driven, Nature of Clinical Raw Data, Summary of the Clinical Trial process with regards to the data flow to arrive at the Study data to be submitted to regulatory authorities like FDA, Importance of deriving ADAM from SDTM and not directly from raw data, Information has been put together from variety of sources including my own programming work.
Shannon Labout has more than 17 years of experience in healthcare technologies, project management and clinical research. She is the past Senior Director of Education at CDISC, and has developed and delivered training on CDISC standards for audiences in North America, Europe and Asia since 2007. She has been involved in CDASH since the beginning of the project in 2006, co-led the CDASH team for the past 3-1/2 years, and has been a contributing member of the SDS team since 2007. She has participated in CRF standardization for the past fourteen years, and been involved in data standards development, harmonization and implementation at several CROs and global pharmaceutical companies. She has managed clinical data management teams in both the U.S. and Europe, and is currently the Director Data Management at Statistics & Data Corporation based in Tempe, Arizona.
Source: http://www.arena-international.com/ecdm/shannon-labout/3038.speaker
CDISC's CDASH and SDTM: Why You Need Both!Kit Howard
CDISC's clinical data standards are widely used for clinical research, but many people wonder why there seem to be two standards for collected data: the Clinical Data Acquisition Standards Harmonization (CDASH) standard and the Study Data Tabulation Model (SDTM) standard. This poster steps through four significant reasons that reflect the differences in philosophy, intermediate goals and broad-scale uses. Examples illustrate each reason and how they affect your studies.
SDTM (Study Data Tabulation Model) defines a standard for organizing and formatting data to streamline processes in collection, management, analysis and reporting of human clinical trial data tabulations and for non-clinical study data tabulations which are to be submitted as part of a product application(IND and NDA) to a regulatory authority such as the United States Food and Drug Administration (FDA) and PMDA (Japan)
An brief introduction to the clinical data management process is described in this slides. These slides provides you the information regarding the data evaluation in the clinical trials , edit checks and data review finally data locking,then the data is submitted to the concerned regulatory body.
Clinical Data Management Plan_Katalyst HLSKatalyst HLS
Introduction to Data Management Plan in Clinical Data Management in Clinical Trials of Pharmaceuticals, Bio-Pharmaceuticals, Medical Devices, Cosmeceuticals and Foods.
Clinical data management (CDM) is a covered part in the clinical trial and most commonly used tools for the purpose of effectivity of clinical research
Standards for clinical research data - steps to an information model (CRIM).Wolfgang Kuchinke
Standards for clinical research data: Introduction to CDISC standards CDASH, SHARE, PRM and BRIDG and their evaaluation to create a Information model for clinical research (CRIM). In particular, CRIM should allow the integrative usage of medical care data together with clinical research data; it should support the processes of the Learning Health System (LHS).
CDASH is Clinical Data Acquisition Standards Harmonization; it identifies the basic data collection fields needed from a clinical, scientific and regulatory perspective to enable more efficient data collection at the Investigator sites. SHARE is a globally accessible electronic library built on a common information model, which enables precise and standardized data element definitions that can be used in studies and applications to improve biomedical research. SHARE is intended to be a healthcare‐biomedical research enriched data dictionary. The Protocol Representation Model (PRM) focuses on the characteristics of a clinical study and the definitions and association of activities within the protocols and defines over 100 common protocol elements. The BRIDG Model is an instance of the Domain Analysis Model. The dynamic component of BRIDG defines the various processes and dynamic behaviour of the domain; the static component describes the concepts, attributes, and relationships of the static constructs which collectively define a domain-of-interest.
The CRIM was developed based on activity models and use cases. CRIM specifies the necessary information objects, their relationships and associated activities. It is required to fully support the development of TRANSFoRm project's tools for the Learning Health System. All activity objects of the workflows were defined and characterized according to their data requirements and information needs and mapped to the concepts of established information models including the above mentioned CDISC standards.
The best mapping results were achieved with PCROM and it was decided to use PCROM as basis for the development of CRIM. The comparison of PCROM with BRIDG found a significant overlap of concepts but also several areas important to research that were either not yet represented or represented quite differently in BRIDG. Adaption of PCROM to the needs of CRIM was acchieved by adding 14 information object types from BRIDG, two extensions of existing objects and the introduction of two new high-ranking concepts (CARE area and ENTRY area).
SDTM (Study Data Tabulation Model) defines a standard for organizing and formatting data to streamline processes in collection, management, analysis and reporting of human clinical trial data tabulations and for non-clinical study data tabulations which are to be submitted as part of a product application(IND and NDA) to a regulatory authority such as the United States Food and Drug Administration (FDA) and PMDA (Japan)
An brief introduction to the clinical data management process is described in this slides. These slides provides you the information regarding the data evaluation in the clinical trials , edit checks and data review finally data locking,then the data is submitted to the concerned regulatory body.
Clinical Data Management Plan_Katalyst HLSKatalyst HLS
Introduction to Data Management Plan in Clinical Data Management in Clinical Trials of Pharmaceuticals, Bio-Pharmaceuticals, Medical Devices, Cosmeceuticals and Foods.
Clinical data management (CDM) is a covered part in the clinical trial and most commonly used tools for the purpose of effectivity of clinical research
Standards for clinical research data - steps to an information model (CRIM).Wolfgang Kuchinke
Standards for clinical research data: Introduction to CDISC standards CDASH, SHARE, PRM and BRIDG and their evaaluation to create a Information model for clinical research (CRIM). In particular, CRIM should allow the integrative usage of medical care data together with clinical research data; it should support the processes of the Learning Health System (LHS).
CDASH is Clinical Data Acquisition Standards Harmonization; it identifies the basic data collection fields needed from a clinical, scientific and regulatory perspective to enable more efficient data collection at the Investigator sites. SHARE is a globally accessible electronic library built on a common information model, which enables precise and standardized data element definitions that can be used in studies and applications to improve biomedical research. SHARE is intended to be a healthcare‐biomedical research enriched data dictionary. The Protocol Representation Model (PRM) focuses on the characteristics of a clinical study and the definitions and association of activities within the protocols and defines over 100 common protocol elements. The BRIDG Model is an instance of the Domain Analysis Model. The dynamic component of BRIDG defines the various processes and dynamic behaviour of the domain; the static component describes the concepts, attributes, and relationships of the static constructs which collectively define a domain-of-interest.
The CRIM was developed based on activity models and use cases. CRIM specifies the necessary information objects, their relationships and associated activities. It is required to fully support the development of TRANSFoRm project's tools for the Learning Health System. All activity objects of the workflows were defined and characterized according to their data requirements and information needs and mapped to the concepts of established information models including the above mentioned CDISC standards.
The best mapping results were achieved with PCROM and it was decided to use PCROM as basis for the development of CRIM. The comparison of PCROM with BRIDG found a significant overlap of concepts but also several areas important to research that were either not yet represented or represented quite differently in BRIDG. Adaption of PCROM to the needs of CRIM was acchieved by adding 14 information object types from BRIDG, two extensions of existing objects and the introduction of two new high-ranking concepts (CARE area and ENTRY area).
Saksham Sarode - Building Effective test Data Management in Distributed Envir...TEST Huddle
EuroSTAR Software Testing Conference 2010 presentation on Building Effective test Data Management in Distributed Environment by Saksham Sarode. See more at: http://conference.eurostarsoftwaretesting.com/past-presentations/
Importance of data standards and system validation of software for clinical r...Wolfgang Kuchinke
We present our evaluation of existing data standards for clinical trials. For this purpose a survey about the importance of data standards for clinical trials centers and EDC software companies were conducted. Electronic data capture in clinical trials uses a computerized system designed for the collection of clinical data in electronic form in Case Report Forms (CRF). It also covers medical data captured during clinical trials, safety data related to clinical trials, and patient reported outcome. The degree of implementation of standards, like CDISC ODM in available EDC software products was evaluated. Failure to establish data standards will make it difficult or impossible to connect data between different systems for efficient clinical study execution. The next step after purchasing a software solution is the computer system validation. Validation is about bringing computerized systems into regulatory compliance and making them compliant with GCP, GLP and GMP and other regulations (e.g. data protection). The basis standard for validation is provided by the GAMP Good Practice Guide, which provides a framework of best practices to ensure that computer systems are suitable for use and compliant with the legislation. The newest version uses a risk-based approach to computer system validation A system is evaluated and assigned to a predefined category based on its intended use and complexity. For validation one should define how all elements of the computer system are supposed to work (functional requirements), develop corresponding scripts and test routines to validate it is functioning as it should.
What’s inside the DMP?
It includes all elements of Data management process
It specifies:
• What is the work to be performed?
• Who is responsible for work?
• Which SOP’s or guidelines will be applicable?
• What documentation and output will be collected or produces from trial?
Topics to cover in DMP
• CRF/eCRF creation
• Database design and structure
• Edit Check specification
• Study database testing and release
• Data or paper workflow
• Reports and Metrics
• Query management
• Managing lab data
• Management of other non-crf data
• Coding of reported terms
• Handling of SAE’s
• Transferring data
• Study database lock
DMP provides:
• Clear history for long term studies which has to go through complex lifecycle
• Provides location for documenting details on computer system to collect trial data recommended by FDA guidance document.
• As per the FDA guidance document: for “computerised system used in clinical investigation.”
• The section IV. F recommends:
• For each study the documentation should identify what software and hardware will be used to create, modify, maintain, archive, retrieve or transmit clinical data.
• This is not submitted to FDA but retained as part of study record.
• It needs to be made available for inspection by FDA
• Some companies have detailed DMP’s while some have concise with pointer to reference documents
Authorisation of DMP
• For internal CDM groups the lead, Clinical data manager, or senior data managers for study creates documents and signs it.
• Companies having contract between CDM group and other groups will have their representatives reviewing and DMP along with lead DM.
Revision of DMP
• During the course of an average phase II and phase III study, some critical data management process or a key computer application may change.
• DMP can be revised whenever there is a significant change.
• Any revision in DMP needs to be reviewed and verified by authorizing official.
DMP’s with CRO
• Sponsor may outsource CRO for some or all parts of DMP can be used.
• CRO’s may have more comprehensive DMP as compared to sponsor and most of the times the CRO’s DMP is used.
• An experienced DM from sponsor is supposed to review the DMP by sponsors.
• CRO collectively works with sponsor for any revisions in DMP.
• Sponsor should provide resources for creating DMP.
Database design in the context of Clinical Data Management (CDM) is a crucial aspect of organizing and managing clinical trial data effectively and efficiently. A well-designed database ensures that data collected during a clinical trial is accurate, consistent, and accessible, facilitating data analysis, reporting, and regulatory submissions. Clinical Data Management involves various steps, including data collection, validation, cleaning, and reporting
Data Integration and Imaging Informatics - Status Reportimgcommcall
The Data Integration and Imaging Informatics project (DI-cubed) aims to demonstrate that standards such as BRIDG, CDISC SDTM, and DICOM will support interoperability.
Epoch provides training to students, professionals and corporate on SAS®, Data Management Activities and soft skills. Training includes Software Programming, Clinical, Analysis and Analytics modules, which can be availed by professionals with IT, Life Sciences, Medical, Statistics, MBA and such other backgrounds. Epoch is the pioneer in the courses designed of SAS designed for Clinical Programming world.
www.epoch.co.in, info@epoch.co.in
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Clinical Data Models - The Hyve - Bio IT World April 2019Kees van Bochove
Population genetics and genomics is an emerging topic for the application of machine learning methods in healthcare and biomedical sciences. Currently, several large genomics initiatives, such as Genomics England, UK Biobank, the All of Us Project, and Europe's 1 Million Genomes Initiative are all in the process of making both clinical and genomics data available from large numbers of patients to benefit biomedical research. However, a key challenge in these initiatives is the standardization of the clinical and outcomes data in such a way that machine learning methods can be effectively trained to discover useful medical and scientific insights. In this talk, we will look at what data is available at scale, and review some of examples of the application of common data and evidence models such as OMOP, FHIR, GA4GH etc. in order to achieve this, based on projects which The Hyve has executed with some of these initiatives to harmonize their clinical, genomics, imaging and wearables data and make it FAIR.
Presentation given by Sarah Jones at a seminar run by LSHTM on 6th November 2012. http://www.lshtm.ac.uk/newsevents/events/2012/11/developing-data-management-expertise-in-research---half-day-event
A Pharma/CRO Partnership in the Design and Execution of Paperless Clinical Tr...Target Health, Inc.
DIA 2019 presentation by Dr. Jules Mitchel with Michelle Eli (Lilly) and Tom Haag (ex-Novartis) based on their experience with Lilly collaborating on Target Health's paperless clinical trial system.
A Data Management Plan (DMP) describes data that will be acquired or produced during research; how the data will be managed, described, and stored, what standards you will use, and how data will be handled and protected during and after the completion of the project.
What are the steps involved in clinical data management?
Clinical Data Management (CDM) is a critical phase in clinical research which results in collection of reliable, high-quality and statistically sound data. It consists of three phases i.e. start up, conduct and close out.
The CDM team first creates a Case Report Form (CRF), which is the first step in translating generated protocol activities. These information fields must have a clear definition and must be consistent throughout.
Clinical trial is intended to find answers to the research question by means of generating data for proving or disproving a hypothesis. The quality of data generated plays an important role in the outcome of the study. Often research students ask the question, “what is Clinical Data Management (CDM) and what is its significance?” Clinical data management is a relevant and important part of a clinical trial. All researchers try their hands on CDM activities during their research work, knowingly or unknowingly. Without identifying the technical phases, we undertake some of the processes involved in CDM during our research work.
CDM is the process of collection, cleaning, and management of subject data in compliance with regulatory standards. The primary objective of CDM processes is to provide high-quality data by keeping the number of errors and missing data as low as possible and gather maximum data for analysis.[1] To meet this objective, best practices are adopted to ensure that data are complete, reliable, and processed correctly. This has been facilitated by the use of software applications that maintain an audit trail and provide easy identification and resolution of data discrepancies. Sophisticated innovations[2] have enabled CDM to handle large trials and ensure the data quality even in complex trials.
www.siroinstitute.com
Siro Clinical Research Institute
Post Graduate Diploma in Clinical Research
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
Francesca Gottschalk - How can education support child empowerment.pptxEduSkills OECD
Francesca Gottschalk from the OECD’s Centre for Educational Research and Innovation presents at the Ask an Expert Webinar: How can education support child empowerment?
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
• The Committee on Ways and Means has been investigating several universities since November 15, 2023, when the Committee held a hearing entitled From Ivory Towers to Dark Corners: Investigating the Nexus Between Antisemitism, Tax-Exempt Universities, and Terror Financing. The Committee followed the hearing with letters to those institutions on January 10, 202
A Strategic Approach: GenAI in EducationPeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
Safalta Digital marketing institute in Noida, provide complete applications that encompass a huge range of virtual advertising and marketing additives, which includes search engine optimization, virtual communication advertising, pay-per-click on marketing, content material advertising, internet analytics, and greater. These university courses are designed for students who possess a comprehensive understanding of virtual marketing strategies and attributes.Safalta Digital Marketing Institute in Noida is a first choice for young individuals or students who are looking to start their careers in the field of digital advertising. The institute gives specialized courses designed and certification.
for beginners, providing thorough training in areas such as SEO, digital communication marketing, and PPC training in Noida. After finishing the program, students receive the certifications recognised by top different universitie, setting a strong foundation for a successful career in digital marketing.
Macroeconomics- Movie Location
This will be used as part of your Personal Professional Portfolio once graded.
Objective:
Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
A review of the growth of the Israel Genealogy Research Association Database Collection for the last 12 months. Our collection is now passed the 3 million mark and still growing. See which archives have contributed the most. See the different types of records we have, and which years have had records added. You can also see what we have for the future.
This slide is special for master students (MIBS & MIFB) in UUM. Also useful for readers who are interested in the topic of contemporary Islamic banking.
How to Make a Field invisible in Odoo 17Celine George
It is possible to hide or invisible some fields in odoo. Commonly using “invisible” attribute in the field definition to invisible the fields. This slide will show how to make a field invisible in odoo 17.
Normal Labour/ Stages of Labour/ Mechanism of LabourWasim Ak
Normal labor is also termed spontaneous labor, defined as the natural physiological process through which the fetus, placenta, and membranes are expelled from the uterus through the birth canal at term (37 to 42 weeks
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
Executive Directors Chat Leveraging AI for Diversity, Equity, and InclusionTechSoup
Let’s explore the intersection of technology and equity in the final session of our DEI series. Discover how AI tools, like ChatGPT, can be used to support and enhance your nonprofit's DEI initiatives. Participants will gain insights into practical AI applications and get tips for leveraging technology to advance their DEI goals.
2. What is CDISC?
CDISC is a global, open, multidisciplinary, non-profit organization
non profit
that has established standards to support the acquisition,
exchange, submission and archive of clinical research data and
metadata.
It is for :-
“Good data management practices” are essential to the success
of a trial because they help to ensure that the data collected is
complete and accurate.
2
3. CDISC
Founded in 1997; incorporated in 2000
Nearly 200 member organizations
• Biopharmaceutical companies
• Academic Research Institutes
• Technology Vendors etc
Vendors, etc…
Active Coordinating Committees
• Europe
• Japan
Additional activities
• Australia
• India
• S. America and Africa
3
4. CDISC
• CDISC standards catalyze information flow through the entire
pre-clinical and clinical research process, from study protocol
and various sources of data collection to analysis and reporting
through regulatory submission and electronic data archive.
4
5. CDISC
• Standard for Exchange of Nonclinical Data(SEND):
– The SENDIG is intended to guide the organization, structure,
and format of standard nonclinical tabulation datasets for
interchange between organizations such as sponsors and
CROs and for submission to the US Food and Drug
Administration (FDA)
(FDA).
• Protocol Representation Model (PRM):
– The content and format standard supporting the interchange
of clinical t i l protocol i f
f li i l trial t l information. Thi i a collaborative
ti This is ll b ti
effort with Health Level Seven (HL7).
• Trial Design Model (TDM):
– The content standard that defines the structure for
representing the planned sequence of events and the
treatment plan of a trial. This is a subset of the SDTM and
p
Protocol Representation.
5
6. CDISC
• Operational Data Model (ODM):
– The XML-based content and format standard for the
XML based
acquisition, exchange, reporting or submission, and archival
of case report form (CRF)-based clinical research data.
• Clinical Data Acquisition Standards Harmonization (CDASH):
– A CDISC-led collaborative initiative to develop the content
standard for basic data collection fields in case report forms.
This standard is based upon the SDTM
SDTM.
• Laboratory Data Model (LAB):
– The content and format standard for data transfer between
clinical laboratories and study sponsors /CROs.
6
7. CDISC
• Study Data Tabulation Model (SDTM):
– The content standard for regulatory submission of case report
form data tabulations from clinical research studies.
• Analysis Data Model (ADaM):
– The content standard for regulatory submission of analysis
datasets and associated files.
• Case Report Tabulation Data Definition Specification (CRTDDS)
(define.xml):
(d fi l)
– The XML-based content and format standard referenced by
the FDA as the specification for the data Definition for CDISC
SDTM datasets. This standard, also known as define.xml,is
an extension of the ODM.
7
9. Clinical Data Acquisition Standard Harmonization
• To develop a set of ‘content standards’ (element name,
definition,
definition metadata) for a basic set of global industry
wide data collection fields that support clinical research
• The initial scope - ‘safety data/domains’
• These safety domains cut across all therapeutic areas
• (TA independent)
10. Why CDASH?
• Most Clinical trials…
– D ’t employ a standard f d t capturing
Don’t l t d d for data t i
• Result
Result…
– Analyzing of clinical trial data efficiently and
systematically is difficult and time consuming.
y y g
– Especially for multicentre trials
• Ex: How many women participate in trial?
10
11. Study 2 -Demog
ID GENDER
A1 FEMALE
Study 1-Demo A2 MALE Study 3-Dmog
SUBJID SEX A3 FEMALE USUBJID GENDER
0001 M A4 MALE 00011 0
0002 F 00012 1
Study 4-Demographics
0003 F 00013 0
PID SEX
0004 M 00014 1
0R1 2
0R1 1
0R3 2
0R4 2
11
12. Difficulties in understanding the data…
• No standard file names
• N standard variable names
No t d d i bl
• No standard terminology
– Which code resembles which sex?
Result:-
Analysis of data is
f
Difficult
Time Consuming
Expensive
12
13. Benefits of CDASH
• The main benefit is standardizing the definitions
for the data that is collected over multiple
studies.
• CDASH defines data that can be used in the
cleaning of data and for the conformation of
missing data.
g
• CDASH is valuable for reducing the production
time for CRF design, reducing the training time
g g g
for sites.
13
14. CDASH benefits
• Eliminates some of the variety in CRFs seen at
sites
• S
Streamlines
li training
i i & increases
i common
understanding of CRF completion instructions
• Reinforces collecting only key data
• Reduces collection of duplicate data
• decreasing the potential for error
14
15. Standard Domains
• Common Identifier Variables • ECG (EG)
• Common Timing Variables • Exposure (EX)
• Adverse Events (AE) • Inclusion Exclusion (IE)
• Concomitant Medications (CM) • LAB Test Results (LB)
• Comments (CO) • Medical History (MH)
• Drug Accountability (DA) • Physical Exam (PE)
• Demographics (
g p (DM)) • Vital Signs (VS)
g ( )
• Disposition (DS) • Subject Characteristics (SC)
• Protocol Deviations (DV) • Substance Use (SU)
15
16. Standards variables
Highly Recommended:
• A data collection field that should be on the CRF (e.g., a
regulatory requirement, if applicable)
• (e.g. Adverse Event Term)
Recommended/Conditional:
• A data collection field that should be collected on the CRF for
specific cases
• (may be recorded elsewhere in the CRF or from other data
collection sources)
• (e.g. AE Start Time)
( g )
Optional:
• A data collection field that is available for use if needed
• (
(e.g. W any AE experienced?)
Was i d?)
16
17. Expectations
• Highly Recommended data collection variables
should always be present on the CRF
• S
Sponsors will need t add data collection
ill d to dd d t ll ti
fields as needed to meet protocol-specific
and other data collection requirements
(e.g. therapeutic area specific data variables
and others as required per protocol, business
practice and operating procedures)
17
18. To Implement
Existing Standards?
Gap Analysis – do not forget terminology!
Negotiation
1. Internal stakeholders
2. External stakeholders
• Training
• Establish Relationship with other standards
p
• Follow the guidelines
18