cdisc and how stata can help us implement it dr adam jacobs dianthus medical limited

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CDISC and how Stata can help us implement it Dr Adam Jacobs Dianthus Medical Limited

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CDISC and how Stata can help us implement it

Dr Adam Jacobs

Dianthus Medical Limited

CDISC

What is CDISC?

Overview of the standards

Brief look at some data standards

How can Stata help us work with the standards?

What is CDISC?

CDISC is a global, open, multidisciplinary, non-profit organization that has established standards to support the acquisition, exchange, submission and archive of

clinical research data and metadata. The CDISC mission is to develop and support global, platform-

independent data standards that enable information system interoperability to improve medical research and

related areas of healthcare. CDISC standards are vendor-neutral, platform-independent and freely

available via the CDISC website.

Source: www.cdisc.org

Overview of CDISC standards

Protocol CRFOperational database

ResultsAnalysis datasets

Tabulation datasets

PRM CDASH ODM

SDTMADaM

Overview of CDISC standards

Protocol CRFOperational database

ResultsAnalysis datasets

Tabulation datasets

PRM CDASH ODM

SDTMADaM

Terminology

ODM

The Operational Data Model (ODM) is a vendor neutral, platform independent format for

interchange and archive of data collected in clinical trials. The model represents study metadata, data and administrative data

associated with a clinical trial.

Source: www.cdisc.org

What can we do in ODM?

Primarily for interchange and archiving of data

Basic information about the study

Can define CRF design (eCRF or paper)

Both data and metadata

Show clinical data:– all data– partial data– changes to data

<SubjectData SubjectKey="SS_1002">

<StudyEventData StudyEventOID="SE_SCREENING_9605">

<FormData FormOID="F_HEMATOLO_1">

<ItemGroupData ItemGroupOID="IG_HEMATOLOGY" ItemGroupRepeatKey="1">

<ItemData ItemOID="I_HEM_LBTEST" Value="WBC"/>

<ItemData ItemOID="I_HEM_LBORRES" Value="5.8"/>

</ItemGroupData>

</FormData>

</StudyEventData>

</SubjectData>

SDTM

Study data tabulation model

Specifies format of datasets for raw data

Designed for storage of data

Flexible model to accommodate many kinds of trial data

Some basic information on study design

SDTM domains

SDTM data divided into domains (datasets)

2 letter abbreviations, eg:– DM: demographics– VS: vital signs– EX: exposure– AE: adverse events– TA: trial arms

SDTM domain classes

6 classes of domains:– Interventions (eg EX)– Findings (eg AE)– Observations (eg VS)– Special purpose (DM and CO)– Trial design (eg TA)– Relationships (eg SUPPDM)

SDTM example

STUDYID DOMAIN USUBJID SUBJID RFSTDTC RFENDTC AGE SEX RACE

xxx DM xxx-101 101 2009-02-05 2009-03-25 42 F Caucasian

xxx DM xxx-102 102 2009-02-05 2009-03-25 24 M Caucasian

xxx DM xxx-103 103 2009-02-04 2009-03-10 33 F Caucasian

xxx DM xxx-104 104 2009-02-04 2009-03-25 29 F Caucasian

xxx DM xxx-105 105 2009-02-04 2009-03-25 28 M Caucasian

Another SDTM example

VSTESTCD VSTEST VSCAT VSPOS VSORRES VSORRESU VSSTRESC VSSTRESN

BMI BMI Height and weight 23.2 kg/m^2 23.2 23.2

HEIGHT Height Height and weight 162 cm 162 162

WEIGHT Weight Height and weight 61 kg 61 61

DIABP DBP BP and heart rate STANDING 77 mm Hg 77 77

HR Heart Rate BP and heart rate STANDING . bpm .

SYSBP SBP BP and heart rate STANDING 116 mm Hg 116 116

DIABP DBP BP and heart rate SUPINE 61 mm Hg 61 61

HR Heart Rate BP and heart rate SUPINE 56 bpm 56 56

SYSBP SBP BP and heart rate SUPINE 111 mm Hg 111 111

ADaM

Analysis dataset model

Designed for analysis of data

Many variables are copied from SDTM, others are derived

Should be just one step away from producing results

Often many variables in the dataset

Derived variables must be easily traceable

Workflow for clinical study

XML db export (ODM)

Pseudo-SDTM

SDTM

ResultsAnalysis datasets

Questions