Standardized Study Data: An Update Presented at the DCDISC Meeting Ron Fitzmartin, PhD, MBA Office of Strategic Programs Center for Drug Evaluation and Research U.S. Food and Drug Administration 25 April 2014 Disclaimer The views and opinions presented here represent those of the speaker and should not be considered to represent advice or guidance on behalf of the Food and Drug Administration. 2 Steps Toward the Submission of Electronic Standardized Study Data 3 Data Standards @ the Foundation of Review Regulatory Review Validation Communication Common Tools Traceability Predictability Data Quality Protocol Data Capture Data Standards CSR Submission 4 A Glimpse at Progress: Standardized Study Data in FDA Fiscal Year 2013: Number and Percent of NDAs with Study Data Submissions in CDISC SDTM* # of Submissions % with CDISC SDTM Data New Unique NDAs** 98 61% All NDAs 223 55% NDAs * One or more explicitly stated SDTM studies (or study data structure that resembled SDTM). **New unique NDAs with data submissions (not previously submitted). Source: Office of Business Informatics 5 Data Standards Governance Strategy, Policy & Guidance Communication Support Guides Data Standards Catalog Help External Collaborations* Project Operations Web Pages eData Team Automated Review Environment CSC * examples 6 “…develop standardized clinical FDASIA Re-authorized PDUFA* final guidance specifying data terminology through open standards “… periodically publish the completed data PDUFA V Goals – Section XII standards, formats, and terminologies that development sponsors must use to organizations (i.e., submit data in CDISC)” applications.” *PDUFA: Prescription Drug User Fee Act 7 Draft Binding Guidances &Tech Guide Public Comment Period Ends: 7 May 2014 8 What is Binding Guidance? • Recommends, Guidance = • Suggests, • Encourages Binding Binding Guidance Guidance = has a bite! “Please” Do it! • Requires 9 eStudy Data Guidance • Electronic submission of standardized study data required for: – – – – Certain INDs NDAs ANDAs Certain BLAs • Including amendments, supplements, and reports 10 Study Data Tech Conformance Guide • Guide supplements the eStudy guidance. • Provides technical recommendations / specifications for “e” submission of standardized data. • Consolidates Common Issues and Study Data Specs + much more. http://www.fda.gov/forindustry/datastandards/studydatastandards/default.htm 11 eStudy Data Guidance Data Standards Catalog Dates Requirement Begins and Ends 12 Therapeutic Area (TA) Standards Project Plan 13 FDA TA Standards Objectives • Identify efficacy endpoints • Manageable increments • Implementation Guidance • Standardized Study Data will become Binding Establish FDA’s requirements Implement in Guidance to Industry Open and Transparent Process Express Requirements in Sustainable Standards • Collaborate with SDOs & TA Experts • Ensure Public Comment • Adopt or adapt existing TA data elements • Harmonize with healthcare standards, as possible 14 Collaboration on TA Standards Development Clinical / Medical Societies Industry joint partnership Academia Government active participants Coalition for Accelerating Standards & Therapies 15 FDA’s Role in the TA Project Stages • Scientific & Technical Input • Planning / Prioritization • Initial Expert Review • FDA Division Expert Review • FDA Testing / Acceptance • Guidance 16 FDA’s TA Efficacy Requirements Process Plan & Scope with the Review Division Efficacy Requirements Mapping & Report Communicate Results to CFAST Acceptance Testing of CDISC Published TA Tech Guide & Data Standards Catalog 17 Early Look @ Status*of TA Initiative • Schizophrenia % • Influenza 100 • COPD 90 • Pain** 80 • • Alzheimer’s** 70 • Multiple Sclerosis • • Diabetes 60 • QT Studies 50 • • Traumatic Brain 40 • Injury 30 • Parkinson’s** • 20 • Virology** • Major Depressive 10 • Disorder 0 • • Tuberculosis** • Polycystic Kidney Disease* • Asthma* • Complicated intra~58 TAs Rheumatoid Arthritis Diabetic Nephropathy Renal Transplant Osteoporosis Hepatitis C OncologyBreast Lipid Lowering abdominal infection • Complicated skin infections • • • • ADHD Irritable Bowel Disorder Anticonvulsants Comp Urinary Infection • Anticoagulants for Atrial Fibulation • Prevention of Pregnancy • Treatment of Erectile Dysfunction • Acne *Approved-Ongoing & Planned Projects or Published as of April 2014; **Published by CDISC 18 Thank You Ronald.Fitzmartin@fda.hhs.gov and the Data Standards Team 19