Title: Clinical Data Interchange Standards Consortium
1- Clinical Data Interchange Standards Consortium
- Pharma R D Directions Conference
- Cancun, Mexico, 12-14 February 2002
- Rebecca Kush, PhD, CDISC and Catalysis, Inc.
- Stephen Ruberg, PhD, Eli Lilly Company
- Charles Jaffe, MD, PhD, AstraZeneca
2Its All About the Data
- The Potential Impact of
- Clinical Data Standards on
- Your Organization
3Data Information, the Essence of Clinical
Research
Data
Molecule Value
?The more data collected, the higher the
potential value of the molecule.
4Data Interchange
- Data Interchange - the exchange of information
between two or more parties. - The CDISC Glossary Group distinguishes data
interchange from simple data transfer in that it
requires that the integrity of the contents of
the data must be preserved and that it serves the
intended purpose. - It is also important that the information
transferred be readily comprehended by the
recipient, which may require that the information
be accompanied by metadata (data about the data).
5How Important is Metadata?
6In this case 125,000,000,the price of a Mars
Climate Orbiter
7A Case for Data Standards
8Current State Costly and Time-consuming
9CDISC Value Cost of Clinical Data Interchange
in Clinical Trials
- 7,000-8,000 clinical studies/year
- 30 outsourced and 5-10 EDC
- Estimated cost of 35,000 for EDC transfers,
25,000 for CRO data transfers, and 10,000 for
lab data transfers - Conservative Annual Cost to the Industry
- 156 million
- NOTE The costs incurred with development
partners or merged - companies sharing data and the cost of preparing
data for eSubmissions - are not addressed in this set of calculations,
nor are other costs such as - training, planning or equipment.
CDISC White Paper on Website Source CenterWatch
(v.7, issue 11)
10Desired State
Pharma
Labs
Tech/Software
CDISC Data Standards
Other Vendors
Biotech
Regulatory
Patients
CROs
11Clinical Data Interchange Standards Consortium
- CDISC is an open, multidisciplinary, non-profit
organization committed to the development of
worldwide industry standards to support the
electronic acquisition, exchange, submission and
archiving of clinical trials data and metadata
for medical and biopharmaceutical product
development. - The CDISC mission is to lead the development of
global, vendor-neutral, platform-independent
standards to improve data quality and accelerate
product development in our industry.
12History of CDISC
- Initiated 1997 as a volunteer organization
- Invited to be a DIA SIAC for 2 years
- Incorporated as non-profit organization in
February 2000 and funded by Corporate Sponsors
that year - gt 60 Sponsors and Members
- International presence (liaison groups in Europe
and Asia-Pacific Region)
13CDISC Scope and Strategic Direction for
Modeling Efforts
- Data Sources
- Site CRFs
- Laboratories
- Contract
- Research
- Organizations
- Development
- Partners
- Discovery Data
- Operational
- Database
- Study Data
- Audit Trail
- Metadata
- Submission Data
- CRT Datasets
- Analysis datasets
- Metadata
ODM LAB
SDM ADaM
ODM Operational Data Modeling LAB Laboratory
Data Modeling SDM Submissions Data
Modeling ADaM Analysis Data Modeling
14CDISC Teams - Recent Accomplishments
- SDS - Metadata Models for eSubmissions, completed
Version 2.0 November 2001 - ADaM - Guidelines for the Creation of Analysis
Filesfor Submissions examples of analysis
dataset models - October 2001 - ODM - XML-based Model, completed Version 1.1,
supports Electronic Data Exchange and Archive for
operational data October 2001 - LAB Completed Content Data Model for Clinical
Laboratory Data Exchange November 2001
15Implementing CDISC Data Standards
- Submissions Data Standards (SDS)
- FDA pilot for Patient Profile Viewer (PPV)
Because a limited number of voluntary
participants are needed, the agency will use its
discretion in choosing volunteers, based on their
experience with providing CRTs and their
familiarity with the standards recommended by
CDISC. Federal Register / Vol. 66, No. 237
/ Monday, December 10, 2001 - Version 2.0 is compatible with the ICH E2B
standard for adverse event reporting - Analysis Dataset Models (ADaM)
- CBER and CDER Statisticians have indicated their
interest in this important work and are testing
models.
16Improving Case Report Tabulation (CRT) Review
Depends on Data and Metadata Standards
- Patient Profile Viewer Pilot
- ADaM (Analysis Dataset Models)
- Update current guidances (and regulations?)
- CDISC it!
(S. Wilson, FDA Reviewer)
17Implementing CDISC Data Standards
- Operational Data Model (ODM)
- Demonstrated connectivity
- 23 participants (pharmaceutical companies, CROs,
technology providers) for Connectathons - US July 2001 and Europe - October 2001
- Lower rates offered by Electronic Data Capture
(EDC) technology providers for data transfers
using CDISC model - Laboratory Data Model (LAB)
- Has been tested between pharmaceutical companies
and clinical laboratories - One Clinical Laboratory 1200 interfaces to
support data transfers incentive for standards
18Eli Lilly Experience
- Global standards - a cornerstone in the
foundation of the Eli Lilly e-data management
program. - Developing standards initially perceived as a
long task, with difficulty in reaching agreement
across geographies. - Created 138 CDISC-based safety standards in 10
weeks, using more than 70 reviewers around the
world. - Recently delivered initial set of efficacy
standards. - Now 95 of initial standards work is complete.
(P. Hrubey, Eli Lilly Co.)
19Eli Lilly Unleash the Power of Data
- eBusiness is creating an environment
- that fosters innovation around
- the molecule not around the
- data or the process.
(P. Hrubey, Eli Lilly Co.)
20Aventis Experience
- Why CDISC?
- The Origins
- The Focus
- The Participation
- The Philosophy
- The Timing
- XML CDISC Compliance are Part of the Criteria
- in Evaluation of Potential CRO Partners
- Choice of 3rd Party Service Providers (Central
Labs) - New Technologies
(E. Job, Aventis Pharmaceuticals)
21Old Aventis Adverse Event Data Collection Form
22New Aventis AE Form
Includes only the items we NEED
Codelists match CDISC
23CDISC Web Survey - Respondents
37 CDISC Sponsors
24Use of CDISC Models
- Plan to use the CDISC Models
- ODM 65 (tested or used 29)
- SDM 66 (tested or used 22)
- ADaM 45 (tested or used 5)
- LAB 51 (tested or used 11)
- Two respondents have submitted data to the FDA
using the CDISC models. - 79 are willing to require CRO or vendor to use
CDISC models (or comply with models as a CRO or
vendor)
25CDISC Principles
- Lead the development of standard data models that
improve process efficiency while supporting the
scientific nature of clinical research. - Recognize the ultimate goal of creating
regulatory submissions that allow for flexibility
in scientific content and are easily interpreted,
understood, and navigated by regulatory
reviewers. - Acknowledge that the data content, structure and
quality of the standard data models are of
paramount importance, independent of
implementation strategy and platform.
26CDISC Principles
- Maintain a global, multidisciplinary,
cross-functional composition for CDISC and its
working groups. - Work with other professional groups to encourage
that there is maximum sharing of information and
minimum duplication of efforts. - Provide educational programs on CDISC standards,
models, values and benefits. - Accomplish the CDISC goals and mission without
promoting any individual vendor or organization. -
27Alliances
- Alliance Principles
- CDISC has a goal to collaborate with other groups
interested in standards development - CDISC does not wish to duplicate efforts
- FDA - has appointed Liaisons to CDISC
- Current collaborations - National Cancer
Institute, Global Data Management Organizations
(SCDM, NCDM, ACDM, DMB, ARCS), Drug Information
Association (DIA), I3C (genomics) - Formal association with Health Level 7 (March
2000) - Active FDA-HL7-CDISC Working Group
- Opportunity to bring healthcare together with
clinical research - Opportunity for accreditation of CDISC standards
28CDISC Near-Term Objectives
- Continue to support needs of regulatory agencies
for electronic submission of data. - Continue to support, educate and increase use of
CDISC operational models. - Develop additional standards as appropriate to
support clinical trials. - Increase collaboration with other organizations
interested in standards and harmonization to
improve the clinical development process. - Expand activities in Europe and Asia.
29Standards to Enable Seamless Data Flow .from
Patient to Reviewers
30Reasons to Participate Actively
- Maximizing your input by contributing to the
development of the standards at an early stage - Obtaining early access to the evolving models
- Receiving hands-on experience for corporate
personnel on implementation, methodology and
nuances of the models - Providing strategic direction to CDISC
- Realizing earlier financial benefits (avoiding
the price of indifference.) - Collaborating with others who wish to improve
drug development
31- CDISC has been made possible by
- NUMEROUS companies and individuals
- who have dedicated their
- time and expertise.
- Thank you!
32CDISC Contact Information
- Website (www.cdisc.org)
- Models for review
- Presentations
- Updates and White Papers
- Coming Events
- E-Mail
- Swilliams_at_cdisc.org
- rkush_at_cdisc.org
- Phone 512-341-9885