Geneva Branch SDTM MODELLING: FROM STUDY PROTOCOL TO SDTM-COMPLIANT DATASETS - Biometristi Italiani Associati – Seminario BIAS CDISC SDTM and ADaM: Moving from theory to practice SAS Institute – Milano - 14/03/2014 Angelo Tinazzi Cytel Inc., Wilmington Del. USA Succursale de Meyrin – Geneva – Switzerland angelo.tinazzi@cytel.com Cytel Inc. - Confidential 2 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Disclaimer The information contained in this presentation is based on personal research of the author and does not necessarily represent Cytel Inc.. Geneva Branch Cytel Inc. - Confidential 3 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Let’s migrate Case Study Phase III study First Relapsed or Refractory Acute Myeloid Leukemia Two arms - Blinded study Geneva Branch Let’s migrate Migration Approach Gap Analysis Understanding datasets Modelling the migration Migration Finalize, Val, Document Conclusions Cytel Inc. - Confidential 4 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Let’s migrate Main Data Challenges Prior and “follow-up” cancer treatment Tumor Response (efficacy) including response to prior therapies Combination Therapies Follow-up Other various findings SDTM IG V 3.1.2 with Amendment 1 was used Geneva Branch Let’s migrate Migration Approach Gap Analysis Understanding datasets Modelling the migration Migration Finalize, Val, Document Conclusions Cytel Inc. - Confidential 5 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Migration Approach Geneva Branch Let’s migrate Migration Approach Gap analysis Understanding source datasets Gap Analysis Understanding datasets Modelling the migration Modelling the Migration Migration Finalize, Validate and Document Migration Finalize, Val, Document Conclusions Cytel Inc. - Confidential 6 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Gap Analysis Initiated prior to commencing migration activities How to perform gap analysis Geneva Branch Let’s migrate Migration Approach Gap Analysis Itemization and evaluation of files to support migration activities Understanding datasets Document inventory Modelling the migration Study documents Migration CDISC Standards Finalize, Val, Document Company Standards / Company Implementation Guidance Conclusions Validate sample CRF fields versus source data External data requirements e.g. central labs Comparison of protocol amendments/versions against CRF versions Clarifies the scope and challenges of migration activities Identifies differences in data collection formats Cytel Inc. - Confidential 7 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Understanding Source Datasets Geneva Branch Let’s migrate Migration Approach Determine if data Gap Analysis Need to be submitted (e.g. «Any AE» information) Understanding datasets Can be used as it is (structure-wise) Modelling the migration Needs to be transposed and brought to a normalized structure Need detailed pre-processing Validate the data for any missing/partial values e. g. format of date variable Migration Finalize, Val, Document Conclusions Cytel Inc. - Confidential 8 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Understanding Source Datasets Let’s migrate Data domains first ‘pruning’ Migration Approach Gap Analysis AE NCNC NCNC Understanding datasets CMCMR AEAER NPTN NPTN PRAML CMPR DEMO SCEL SCT SCT Migration Finalize, Val, Document CG DS IFVPR VS LVEF PMBSA MARA RD DS Modelling the migration BPP NLMU DEMO Geneva Branch ET IFCRE PE LB MH RD CH PRA PRA MLTX MLTX PSC RA DX RESP SS SS EG CD Events Findings Interventions Special Domains Conclusions Cytel Inc. - Confidential 9 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Understanding Source Datasets Data domains first ‘pruning’ – Multiple sources Geneva Branch Let’s migrate SDTM Raw Datasets Migration Approach AE AE AEAER Gap Analysis CM CMCMR CMPRIOR PRAML DM DEMO SCEL BPP Understanding datasets Modelling the migration DS Migration DS DEMO DS EX IFVPR IFCRE IE IE (only violated criteria) MH MH CH VS VS PMBSA YG NCNC NPTN SCT ZG CG MARA LVEF NLMU ZR PRAMLTX CD RD RA VS VS <Not submitted> ETH PMBSA RD ET Finalize, Val, Document Conclusions PSC DX Cytel Inc. - Confidential 10 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Modelling the Migration Annotated CRF The annotated CRF provides the migration team with a clear presentation of SDTM variables Completed following the GAP analysis and prior to migration Experience needed to create the annotated CRF Knowledge of the SDTM Implementation Guide and Metadata Submission Guidelines (chapter 4 – Guidelines for Annotating CRFs) Geneva Branch Let’s migrate Migration Approach Gap Analysis Understanding datasets Modelling the migration Migration Finalize, Val, Document Conclusions Cytel Inc. - Confidential 11 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Modelling the Migration Additional Specifications Upon receiving all required information, start defining mapping rules. The mapping rules should be defined from source datasets (raw data) to target datasets (SDTM) Key components SDTM standards and Controlled Terminology files Study documents including original Annotated CRF Standard template for specifications Standard mapping rules to be used (e.g. ISO date conversion, rename, derive etc.) Geneva Branch Let’s migrate Migration Approach Gap Analysis Understanding datasets Modelling the migration Migration Finalize, Val, Document Conclusions Cytel Inc. - Confidential 12 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Modelling the Migration Controlled Terminology Adapt study terminology to standard CDISC (NCI) terminology (CT) The mapping needs to be described in the define.xml CT not only restricted to only those values that are available in the data All entries capitalized for CDISC CT ‘Spelling’ as per external dictionary (e.g. MedDRA) Geneva Branch Let’s migrate Migration Approach Gap Analysis Understanding datasets Modelling the migration Migration Finalize, Val, Document Conclusions Cytel Inc. - Confidential 13 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Modelling the Migration Controlled Terminology Mapping to CDISC (NCI) Controlled Terminology e.g. Concomitant Medications route Geneva Branch Let’s migrate Migration Approach Gap Analysis Understanding datasets Modelling the migration Source CDISC/NCI CT INFUSION PARENTERAL Administration by injection, infusion, or implantation MOUTH/THROAT ORAL Administration to or by way of the mouth TOPICAL-EYE OPHTHALMIC TOPICAL PO TOPICAL Migration Finalize, Val, Document Conclusions Cytel Inc. - Confidential 14 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Modelling the Migration Geneva Branch Let’s migrate Controlled Terminology Migration Approach Mapping to CDISC (NCI) Controlled Terminology e.g. Laboratory Unit Gap Analysis Understanding datasets Modelling the migration Migration CDISC/NCI CT Source 10^9/L X 10 9/L X1000/MM3 10^6/L X10 6/UL X10^3/ML umol/L MICROMOL/L X10^3/MM3 Finalize, Val, Document Conclusions Cytel Inc. - Confidential 15 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Modelling the Migration Trial Design Domain that contains a clear representation of the design of a clinical trial Created prior to CRF annotation and data migration Experience needed to create the trial design data set: SDTM Trial Design Concepts Experience with key clinical documents (e.g. Protocol, SAP, Data Sets, CSR) Geneva Branch Let’s migrate Migration Approach Gap Analysis Understanding datasets Modelling the migration Migration Finalize, Val, Document Conclusions Cytel Inc. - Confidential 16 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Modelling the Migration DM Subject Reference Start (RFSTDTC) / End Date (RFENDTC) E.g. first / last dose Planned (ARM/ARMCD) vs Actual Arm (ACTARM/ACTARMCD) Geneva Branch Let’s migrate Migration Approach Gap Analysis Understanding datasets Modelling the migration Migration Finalize, Val, Document Conclusions Cytel Inc. - Confidential 17 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Modelling the Migration Relative Study Days –DY –STDY --ENDY Relative to Subject Reference Date (RFSTDTC) Standard Derivation Geneva Branch Let’s migrate Migration Approach Gap Analysis Understanding datasets Modelling the migration Migration Finalize, Val, Document If (--STDTC<DM.RFSTDTC) then –STDY=--STDTC-DM.RFSTDTC Else –STDY=(--STDTC-DM.RFSTDTC)+1 SDTM does not allow for Study day 0 Conclusions Cytel Inc. - Confidential 18 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Modelling the Migration Geneva Branch Mapping Details – Categories in standard domains Let’s migrate Prior anti-cancer therapies in CM Gap Analysis Migration Approach Understanding datasets Modelling the migration Migration Finalize, Val, Document Conclusions The new PR domain available in IG 3.2 may be used to store Surgery or other procedures Cytel Inc. - Confidential 19 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Modelling the Migration Mapping Details – New Domains Check that none of the existing published domains Geneva Branch Let’s migrate Migration Approach Gap Analysis Understanding datasets will fit the need Modelling the migration Use existing models as prototype or choose the Migration appropriate general observation class Finalize, Val, Document How to determine where data belong in the SDTM Conclusions IG v3.1.3 section 8.6 Assign a 2–letter domain code. Possible convention: Z- for findings Y- for interventions X- for events Cytel Inc. - Confidential 20 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Modelling the Migration Mapping Details – New Domains Other Findings (ZG) Survival Status (ZS) Tumor Response (ZR) Other non-protocol cancer therapies (YG) Geneva Branch Let’s migrate Migration Approach Gap Analysis Understanding datasets Modelling the migration Migration Finalize, Val, Document Conclusions New SS (Subject Status) domain available in IG 3.2 Cytel Inc. - Confidential 21 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Modelling the Migration Mapping Details – New Domains Other non-protocol cancer therapies (YG) Geneva Branch Let’s migrate Migration Approach Gap Analysis Understanding datasets Modelling the migration Migration Finalize, Val, Document Conclusions SDTM IG v3.1.3 Section 2.4 The Interventions class captures investigational, therapeutic and other treatments that are administered to the subject (with some actual or expected physiological effect) either as specified by the study protocol (e.g., exposure to study drug), coincident with the study assessment period (e.g., concomitant medications), or self-administered by the subject (such as use of alcohol, tobacco, or caffeine). Cytel Inc. - Confidential 22 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Modelling the Migration Geneva Branch Let’s migrate Mapping Details – New Domains Other non-protocol cancer therapies (YG) Migration Approach Gap Analysis Understanding datasets Modelling the migration STUDYID USUBJID DOMAIN YGSEQ YGSPID YGSTDTC YGENDTC Migration Finalize, Val, Document XXXX YYYYYY YG 1 1 2011-01-12 2011-02-20 Conclusions XXXX Interventions Qualitfiers 2.2.1 YYYYYY YG 2 1 2011-01-12 2011-02-25 Select and include the relevant Qualifier variables from the identified general observation YGTRT YGCAT YGSCAT FTC PLUS SORAFENIB SUBSEQUENT NON-PROTOCOL AML TREATMENTS CHEMOTHERAPY CLAG-M THERAPY SUBSEQUENT NON-PROTOCOL AML TREATMENTS CHEMOTHERAPY Cytel Inc. - Confidential 23 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Modelling the Migration Mapping Details – New Domains Other non-protocol cancer therapies (YG) Geneva Branch Let’s migrate Migration Approach Gap Analysis Understanding datasets Modelling the migration Migration Finalize, Val, Document Conclusions Solicited information in the CRF Cytel Inc. - Confidential 24 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Modelling the Migration Mapping Details – Disposition (DS) SDTM IG v3.1.3 Section 6.2.2 The Disposition dataset provides an accounting for all subjects who entered the study and may include protocol milestones, such as randomization, as well as the subject's completion status or reason for discontinuation for the entire study or each phase or segment of the study, including screening and post-treatment follow-up. Sponsors may choose which disposition events and milestones to submit for a study. See ICH E3, Section 10.1 for information about disposition events. Geneva Branch Let’s migrate Migration Approach Gap Analysis Understanding datasets Modelling the migration Migration Finalize, Val, Document Conclusions Cytel Inc. - Confidential 25 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Modelling the Migration Mapping Details – Disposition (DS) Decide what to store in DS Protocol Milestone vs Disposition Event Geneva Branch Let’s migrate Migration Approach Gap Analysis Understanding datasets Modelling the migration Migration Finalize, Val, Document Conclusions Cytel Inc. - Confidential 26 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Modelling the Migration Geneva Branch Let’s migrate Domains Requiring Supplemental Qualifier Migration Approach AE, CM, DM, DS, EX, LB, MH, VS, YG, ZG, ZR, ZR Gap Analysis Understanding datasets Modelling the migration Migration SUPPCM Finalize, Val, Document Conclusions SUPPDM Cytel Inc. - Confidential 27 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Modelling the Migration Identifying Relationship RELREC Geneva Branch Let’s migrate Migration Approach Gap Analysis AE <---> CM Understanding datasets ZR <---> CM Modelling the migration ZR <---> YG Migration Supplemental Qualifier (SUPPXX) One per each domain where supplemental qualifiers are required It should be not used as a waste basket FDA CDER Common Data Standards Issues Document Finalize, Val, Document Conclusions Cytel Inc. - Confidential 28 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Modelling the Migration Identifying Relationship – ZR vs CM ZR contains also tumor response to prior anti-cancer therapies stored in CM e.g. chemotherapy Geneva Branch Let’s migrate Migration Approach Gap Analysis Understanding datasets Modelling the migration Migration Finalize, Val, Document Conclusions The link requires also USUBJID (here hiden) Cytel Inc. - Confidential 29 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Modelling the Migration Geneva Branch Let’s migrate Identifying Relationship – ZR vs CM Migration Approach Gap Analysis CM Understanding datasets Modelling the migration Migration Finalize, Val, Document RELREC ZR The link requires also USUBJID (here hiden) Conclusions Cytel Inc. - Confidential 30 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Modelling the Migration Geneva Branch Let’s migrate Identifying Relationship – SUPPAE Migration Approach Because study arms are combining two treatments, there was the need of collecting relationship and action taken related to the two drugs. The experimental drug make use of AEACN and AEREL in AE, while for the combination drug Supplemental Qualifiers were required AE SUPPAE The link requires also USUBJID (here hiden) Gap Analysis Understanding datasets Modelling the migration Migration Finalize, Val, Document Conclusions Cytel Inc. - Confidential 31 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Modelling the Migration Additional points to consider Split Domains if needed (dataset size >1GB) Geneva Branch Let’s migrate Migration Approach Gap Analysis By Category (--CAT) or sub-category (--SCAT) Understanding datasets e.g. LBCAT in LB (HEMATOLOGY CHEMISTRY, etc.) Modelling the migration Migration FDA CDER common data standard issues document Imputations are not allowed in SDTM e.g. laboratory results such as ‘<50’ assigned to LBORRES (char variable) while LBORRESN (numeric version) will be empty assumption for ‘<‘50’ in ADaM Finalize, Val, Document Conclusions Cytel Inc. - Confidential 32 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Migration Geneva Branch Let’s migrate Understanding Specifications Migration Approach Developing migration programs (e.g. SAS) Gap Analysis Transformation type Understanding datasets Auto Modelling the migration Convert Data Types e.g. numeric to text Migration Rename Finalize, Val, Document Convert Values e.g. Adaptation of CT Conclusions Convert ISODate Concatenate e.g. in DSTERM main term plus details Compute (any user-defined SAS® code logic) Identify derivations common to all domains e.g. COMVAR temp dataset to store keys, important date SAS Macros to assist in standardizing the migration process (e.g. ISO date conversion, Controlled Terminology Look-ups) Cytel Inc. - Confidential 33 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Migration Geneva Branch Let’s migrate Direct Variables Mapping Migration Approach Gap Analysis Vitals Understanding datasets VS Modelling the migration Source Dataset Variable Target Dataset Variables Mapping Logic VITALS.STUDYID VS.STUDYID Auto VITALS.USUBJID VS.USUBJID Auto VITALS.VISITNUM VS.VISITNUM Auto VITALS.VISIT VS.VISIT Auto Migration Finalize, Val, Document Conclusions Cytel Inc. - Confidential 34 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Migration Geneva Branch Let’s migrate Pre-processing Mapping Migration Approach Gap Analysis Vitals VS Understanding datasets Modelling the migration Source Dataset Variables Target Dataset Variables Preprocessing VITALS.SYSBP VS.VSTESTCD Transpose- Name Auto VITALS.DIABP VS.VSTESTCD Transpose- Name Auto VITALS.PULSE VS.VSTESTCD Transpose- Name Auto VITALS.RESP VS.VSTESTCD Transpose- Name Auto VITALS.TEMP VS.VSTESTCD Transpose- Name Auto VITALS.WEIGHT VS.VSTESTCD Transpose- Name Auto VITALS.HEIGHT VS.VSTESTCD Transpose- Name Auto Mapping Logic Migration Finalize, Val, Document Conclusions Cytel Inc. - Confidential 35 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Migration Geneva Branch Tools to facilitate the mapping - MapGene Let’s migrate Migration Approach Select SDTM Version here Gap Analysis Understanding datasets Modelling the migration Migration Set various folder paths here ©2014 Cytel Statistical Software & Services Pvt. Ltd. Finalize, Val, Document Conclusions Cytel Inc. - Confidential 36 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Migration Geneva Branch Tools to facilitate the mapping - MapGene Let’s migrate Migration Approach Gap Analysis Pick a source dataset Understanding datasets Modelling the migration Pick a target dataset (in this case SDTM) Migration Finalize, Val, Document Conclusions ©2014 Cytel Statistical Software & Services Pvt. Ltd. Cytel Inc. - Confidential 37 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Migration Geneva Branch Tools to facilitate the mapping - MapGene Let’s migrate Migration Approach “Auto” mapping using smart rules Gap Analysis Understanding datasets Modelling the migration Migration Finalize, Val, Document Conclusions ©2014 Cytel Statistical Software & Services Pvt. Ltd. Cytel Inc. - Confidential 38 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Migration Tools to facilitate the mapping - MapGene Geneva Branch Let’s migrate Migration Approach Gap Analysis Understanding datasets Modelling the migration Migration Finalize, Val, Document Conclusions Cytel Inc. - Confidential 39 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Migration Tools to facilitate the mapping - MapGene Geneva Branch Let’s migrate Migration Approach Gap Analysis Understanding datasets Modelling the migration Migration Finalize, Val, Document Conclusions Cytel Inc. - Confidential 40 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Finalize, Validate and Document Finalize - Final ‘pruning’ Geneva Branch Let’s migrate Migration Approach Remove duplicates when it is clear the «Not Done» applies to a certain category of assessments Gap Analysis Understanding datasets Modelling the migration Migration Finalize, Val, Document Conclusions SDTM IG v3.1.3 Section 4.1.5.1.2 “TESTS NOT DONE “ Cytel Inc. - Confidential 41 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Finalize, Validate and Document Finalize - Final ‘pruning’ Geneva Branch Let’s migrate Migration Approach Downsize variable length Gap Analysis Variable length should be assigned based on actual stored data to avoid to minimize file size AETERM H Y P E R K Understanding datasets Modelling the migration Migration A L E M I A Length=14 Finalize, Val, Document Conclusions H Y P E R K A L E M I A Length=12 Exception for All variables with identical names in different SDTM domains e.g. USUBJID, STUDYID, VISIT, EPOCH --DTC variables (always $19) “Warning” issued by Validation Check SD1081 FDA CDER Common Data Standards Issues Document Cytel Inc. - Confidential 42 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Finalize, Validate and Document Finalize – Additional Steps Geneva Branch Let’s migrate Migration Approach Actual protocol events (SV and SE) from migrated SDTM Identify key variables / Sorting --SEQ generation Use of special characters E.g. any ASCII code not within 32-126 Additional within domain consistency Same LBSTRESU within the same LBCAT LBSPEC LBMETHOD Gap Analysis Understanding datasets Modelling the migration Migration Finalize, Val, Document Conclusions Cytel Inc. - Confidential 43 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Finalize, Validate and Document Finalize Geneva Branch Let’s migrate Migration Approach SDTM can be only finalized at the time of db-lock Unplanned Visits Numbered based on chronological order Gap Analysis Understanding datasets Modelling the migration Migration Medical Coding to be completed Unexpected Controlled Terminology Laboratory units to harmonize to Controlled Terminology Free text for Partial Date XPT Generation Possible “Warning” / “Errors” issued by OpenCDISC • SD0080 - AE start date is after the latest Disposition date • SD0081 - Observation date is after the latest Disposition date • SD0002 - NULL value in AEDECOD variable marked as Required Finalize, Val, Document Conclusions Cytel Inc. - Confidential 44 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Finalize, Validate and Document Validate Geneva Branch Let’s migrate Migration Approach QC of Migration of Clinical Data e.g. double programming and blinded if possible Compliance to SDTM standards (OpenCDISC) Gap Analysis Understanding datasets Modelling the migration Migration Re-program of key statistical outputs e.g. compare outputs created with original raw data and compare with outputs created from SDTM converted datasets Finalize, Val, Document Conclusions Cytel Inc. - Confidential 45 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Finalize, Validate and Document Document - Reviewer Guide Geneva Branch Let’s migrate Migration Approach «Justify» errors / warnings Provide additional instructions / details Help the reviewer understanding the data structure Useful ‘hints’ for stats/programming team !!!! «Original» information may not in the location where you would expect to be !!!!! Gap Analysis Understanding datasets Modelling the migration Migration Finalize, Val, Document Conclusions Cytel Inc. - Confidential 46 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Finalize, Validate and Document Document - Reviewer Guide Geneva Branch Let’s migrate Migration Approach Gap Analysis Understanding datasets Modelling the migration Migration Finalize, Val, Document Conclusions Cytel Inc. - Confidential 47 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Finalize, Validate and Document Document - Reviewer Guide Additional Key Instructions Geneva Branch Let’s migrate Migration Approach Gap Analysis Understanding datasets Modelling the migration Migration Finalize, Val, Document Conclusions Cytel Inc. - Confidential 48 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Finalize, Validate and Document Document - Reviewer Guide Document Deviations Geneva Branch Let’s migrate Migration Approach Gap Analysis Unexpected variable for a domain belonging to an observation class where the variable is allowed E.g. Severity of Medical History Understanding datasets Modelling the migration Migration Finalize, Val, Document Conclusions Cytel Inc. - Confidential 49 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Conclusions ADaM is the right place for «derivation», but actually migrating to SDTM implies the «shake» of original source data Migrating to SDTM is not just a matter of renaming variables It could be challenging for biostats sometime to find / locate the required information Geneva Branch Let’s migrate Migration Approach Gap Analysis Understanding datasets Modelling the migration Migration Finalize, Val, Document Conclusions Cytel Inc. - Confidential 50 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Questions Geneva Branch Cytel Inc. - Confidential 51 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Q&A Q: Does SDTM requires british or american english? A: Standard NCI terminology should be used, while for free text original entries should be kept e.g. investigator specifications Geneva Branch Cytel Inc. - Confidential 52 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Q&A Q: Should study in a submission up-coded to the same Medical Dictionary version? E.g. MedDRA for AEs A: Yes if an ISS (Integrated Safety Summary) is submitted, then a single version of MedDRA should be used FDA CDER Common Data Standards Issues Document Geneva Branch Cytel Inc. - Confidential [A. Tinazzi] 53 SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Modelling the Migration Identifying Elements and Trials Arms - PLANNED TE TA Geneva Branch Cytel Inc. - Confidential [A. Tinazzi] 54 SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Modelling the Migration Identifying Elements and Trials Arms - PLANNED TV +TI +TS Geneva Branch Cytel Inc. - Confidential [A. Tinazzi] 55 SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS Modelling the Migration Identifying Elements and Trials Arms - ACTUAL SV SE Geneva Branch Cytel Inc. - Confidential 56 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS An example Project Weeks W0 Client Study protocol CY21002, CRF, SAP etc. Gap Analysis • Datasets • Other informative documents Understanding Study Communicate the W1 • W2 Review W3 Review W4 • results /issues Datasets Compare source dataset as against CRF Annotate CRF Inform in case of Share required Develop Mapping missing Submitdocuments specifications information Confirmation on specs Migration Submit datasets Validation Confirmation on datasets Final submission W5 Cytel • Share documents Provide information Geneva Branch Create Define.XML Cytel Inc. - Confidential 57 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS An example Project Weeks W0 Client Cytel Share documents Gap Analysis Communicate the results /issues W1 Provide information W2 Review W3 Review W5 Understanding Study Datasets Annotate CRF Submit Confirmation on specs W4 Geneva Branch Submit datasets Confirmation on datasets Final submission Develop Mapping specifications Migration Validation Create Define.xml Cytel Inc. - Confidential 58 [A. Tinazzi] SDTM MODELLING: FROM STUDY PROTOCOL TO COMPLIANTS DATASETS An example Project Weeks W0 W1 Client Cytel Share documents Gap Analysis Communicate the results /issues W2 Provide information Receive specs approval Review W3 • Develop and validate W4 W5 Geneva Branch datasets as listed in the scope document • Submit Review - Datasets - SAS programs - Support documents Understanding Study Datasets Annotate CRF Submit Confirmation on specs Submit datasets Confirmation on datasets Final submission Develop Mapping specifications Migration Receive Confirmation on datasets Validation Create Define document Create Define.xml and submit all deliverables