THINKING OUTSIDE THE BOX: SDTM MAPPING IN REAL LIFEportal.cdisc.org/CDISC User...

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CONFIDENTIAL © 2017 PAREXEL INTERNATIONAL CORP. THINKING OUTSIDE THE BOX: SDTM MAPPING IN REAL LIFE 14Feb2017 24 th German User Group Meeting Eschborn / Clinipace Petra Rein

Transcript of THINKING OUTSIDE THE BOX: SDTM MAPPING IN REAL LIFEportal.cdisc.org/CDISC User...

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CONFIDENTIAL © 2017 PAREXEL INTERNATIONAL CORP.

THINKING

OUTSIDE THE

BOX:

SDTM MAPPING

IN REAL LIFE14Feb2017 24th German User Group Meeting Eschborn / Clinipace

Petra Rein

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AGENDA:

MAPPING IN REAL

LIFE

OR

HOW TO DEAL WITH

NON FITTING CRFs

• Thinking outside the box I

• How To

• Examples

–FA, SUPPLEMENTAL or other option?

–Rescreening

–Investigator information

• Thinking outside the box II

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BERLIN, GERMANY

THINKING OUTSIDE

THE BOX I

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THINKING OUTSIDE THE BOX I

Most Case Report Forms (CRFs) contain information that do not fit easily

or at all into the standards from CDISC.

• CDISC

• SDTMIG and SDTM

• Insert all information from CRF

• Do not violate the rules(FDA, CDISC)

• Everything allowed whenwithin scope of implementation guide

• A box

• Draw max. 4 straight lines

• Catch all 9 dots

• Do not lift the pen and do not use the same line twice or more

• There might be morethan one solution

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DUBLIN, IRELAND

HOW TO GET STARTED

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A THREE-STAGE PLAN TO GET STARTED:

1.1.

2.2.

3.3.

Who needs the information (statistican, the FDA, sponsor, …)? Should it be stored, can it be dropped?

What is the purpose of the information? • background information • additional (useful) relationship• (better) organization / structuring of data• details for historical data

Where to store the information best in main domain as --CAT, --SCAT, several --ID´s or other possible variables per SDTM? • in Supplemental Domain • in Findings About • in Custom Domain

.

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TAIPEI, TAIWAN

EXAMPLES:

REAL LIFE MAPPING

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EXAMPLE 1: FA, SUPPLEMENTAL OR OTHER OPTIONS?

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EXAMPLE 1: FA, SUPPLEMENTAL OR OTHER OPTIONS?

(CONT. I)

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EXAMPLE 1: FA, SUPPLEMENTAL OR OTHER OPTIONS?

(CONT. II)

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EXAMPLE 2: RESCREENING

Requirements

• Subject may be re-screened three times before excluded / included in the study.

• New patient number for a new re-screening.

• All information should be kept with one patient number in the end.

Challenges

• Keep consistent patient number for all related information.

• Keep „unplanned/planned“ re-screening visits.

• Do not violate FDA/CDISC rules.

Solutions

• Several models of mapping are possible.

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EXAMPLE 2: RESCREENING (CONT. I)

DM

SUPPDM

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EXAMPLE 2: RESCREENING (CONT. II)

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EXAMPLE 2: RESCREENING (CONT. III)

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EXAMPLE 3: INVESTIGATOR INFORMATION

Who?

• CDER / FDA may ask for a „Summary Level Clinical Site Data” dataset, which contains

information related to investigators at site.

• http://www.fda.gov/downloads/Drugs/DevelopmentApprovalProcess/FormsSubmissionReq

uirements/ucm332466.pdf (most recent version)

• http://www.fda.gov/downloads/drugs/developmentapprovalprocess/formssubmissionrequire

ments/ucm332468.pdf (draft guidance)

What?

• Purpose of this is verifying the integrity of data, checking compliance to applicable FDA

regulations and statutory requirements, ensuring rights / welfare of patients => to avoid

fraud due to inspections on sites and related study data.

Where?

• As some information is kept in DM it would be logical to keep it in SUPPDM.

• A custom domain can be created if needed.

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EXAMPLE 3: INVESTIGATOR INFORMATION (CONT. I)

Specifications for Preparing and Submitting Summary Level Clinical Site Data for CDER’s Inspection Planning (07.Nov.2012, v1.2, p.7)

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EXAMPLE 3: INVESTIGATOR INFORMATION (CONT. II)

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EXAMPLE 3: INVESTIGATOR INFORMATION (CONT. III)

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EXAMPLE 3: INVESTIGATOR INFORMATION (CONT. IV)

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EXAMPLE 3: INVESTIGATOR INFORMATION (CONT. V)

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LONDON, U.K.

THINKING

OUTSIDE THE BOX II

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THINKING OUTSIDE THE BOX II

Red triangles are similar to non-standard data presented in the SDTMIGand SDTM from CDISC.

As long as the rules in the box are kept everything outside is possible.

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THANK YOU

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