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Project Charter Name of Project: HEP C Therapeutic Area Data Standards March 20th 2014 Project Manager: John Owen (Johnson and Johnson) 1. Project Team Members Team members currently identified are listed in a separate roster, which will be maintained in the CDISC Portal, to accommodate changes over time. 2. Estimated Number of Active Project Team Members Team members fall into five groups with different kinds of participation roles in the project. Two of the groups (core team members and consultants) generally participate in the work of multiple therapeutic area projects. Consultants are called in as needed, so require a lesser time commitment. Two other groups (TA team members and reviewers) are recruited for the particular therapeutic area project. Reviewers participate in review of deliverables at the end of each stage. Finally, members of existing standards teams will serve as liaisons to the project. An individual may fulfill roles in more than one group. Group Core team TA team TA reviewers Standards team liaisons Number of Participants 7 9 30 confirmed 20 not confirmed 6 Note that both program level and project level support will be needed for the life of the TA Standards Development Program as envisioned by the CFAST committee. See the HEP C project team roster for details. 3. Document Repository Location Project documents will be maintained in a HEP C TA project area in the CDISC portal accessible to all team members using the following link http://cdiscportal.digitalinfuzion.com/Teams%20Projects/Disease-Specialty/Hepatitis_C 2 of 4 4. Key Sponsors and Participants: Current key participants are shown below. The project also intends to invite participation of relevant medical associations. Other key participants will be added as they are identified. Stakeholder/Participant Role CFAST Therapeutic Area Standards Steering Committee Program governance and resource allocation. Program team members and consultants (includes both CDISC employees and volunteers). Provides project management, clinical expertise, team members and reviewers recruited through member companies. Performs review of draft and final documents to ensure data points meet FDA reviewer needs. Provides team members and consultants to support controlled terminology development. Project liaisons to support the TA standards development resources. CDISC TransCelerate BioPharma FDA NCI EVS CDISC Teams: BRIDG, CDASH, SDS, Terminology and ADaM 5. Team/Project Description/Scope The HEP C therapeutic area standards project is being performed under the CFAST initiative to accelerate clinical research and medical product development by facilitating the creation and maintenance of data standards, tools, and methods for conducting research in therapeutic areas important to public health. The project is scoped to achieve its deliverables within a time frame of 10 months as agreed by CFAST. The project scope will include data to support endpoints for clinical studies in support of drugs for HEP C in the following population: Adults , Hepatitis C infection, Genotypes 1-6 in the out-patient setting. Type of Data Medical History Magnitude HCV Disease History 3 concepts Family history of interest 4 concepts Medical History 23 concepts Prior treatment History 2 concepts Previous Treatment and outcome Substance Use 4 concepts - Recreational Drugs - Nicotine - Alcohol - Diet Gap Analysis Development of standards and controlled terminology (CT) for mode of infection and historical date data Existing AP standards may cover the concepts in this category – further investigation during stage 1 will be done to confirm if additional controlled terminology is required for use in a APMH/SQAPMH Existing standards should cover the concepts in this category – many of these concepts are also important for Inclusion/Exclusion criteria Data on prior therapies covered by existing standards Some development of standards to cover prior treatment outcome. Current standards for Substance use will handle the majority of the data – some development may be required for specifics on diet change and alcohol dependency 3 of 4 Complications of interest 2 categories of treatment related complications and disease related complications Physical Examination General physical examination Lab tests, biomarkers and microscopic tests Viral Genotyping 46 labs HCV RNA testing 2 concepts Assessment and Staging of the chronic liver disease and Progression of the liver disease – including history and on-study - Non-invasive methods of evaluating/staging disease 3 concepts 3 concepts - Invasive Methods of evaluating/staging disease (Biopsy) 1 concept - Evaluation of liver disease (CT/MRI/Ultrasound) 3 concepts Adverse events of special interest Medications of special interest Healthcare Resource Utilization Will need to assess those that are related to study drug and those that are related to disease and determine if the study drug related complications are relevant for the TAUG (i.e. applicable to a class of drugs as opposed to individual drugs) Data already handled in AE, Lab and Inclusion/Exclusion Will assess those that are related to study drug and those that are related to disease and determine if the study drug related complications are relevant for the TAUG (i.e. applicable to a class of drugs as opposed to individual drugs) Further investigation will be carried for some special classes of physical examination e.g. compound-specific Rash reaction that may require more data collection than can be handled by the existing domains otherwise the TAUG will follow CDASH guidelines of recording in Medical History or Adverse Events Can be handled with current Lab standards “Viral genotype” is used to refer to classification of viral into one of several types (e.g., GT4 in Egypt), rather than to detailed sequencing of the virus. The proposed PGx modelling handles human, animal and pathogen genomics – further investigation into the use of LB will be done. Various assays would be handled as methods or devices. “Viral phenotype” refers to resistance, covered in Virology TAUG. Can be handled in current lab standards although there may be some CT development required Development of Limit of Detection concept required Development of Analysis standards will be investigated to cover analysis endpoint concepts such as SVR, Relapse and eRVR for example. Serum assessment covered in existing Lab and Device domains. Development of GI domain for Fibroscan concept Development required for scoring of liver disease with the various methodologies: measurement of liver fibrosis, (fibrosis scores F0-F4/F6), assessment of severity of the liver disease Child Pugh, MELD (Model for End stage Liver Disease) Covered by current standards but may require development of some CT for various staging methodologies Will need to investigate the need for detailed biopsy results that may require development of several histopathology concepts. Also same comment applies as stated in noninvasive methods Development required for scoring of liver disease with the various methodologies Some development required for specific HCC criteria and diagnosis/monitoring Will be covered in existing AE standards Will be covered in existing CM standards Covered by existing HO standards 4 of 4 Patient Reported Outcomes 12 questionnaires Will be handled in the standard QS process 5 of 4 6. References References consulted included relevant NIH, FDA and EMEA guidance, literature and CDEs. A complete list of references can be found on the CDISC HEP C team portal. http://cdiscportal.digitalinfuzion.com/Teams%20Projects/DiseaseSpecialty/Hepatitis_C/Working%20Documents/Forms/AllItems.aspx?RootFolder=%2FTeams%20Projects%2FDisease%2DSpecialty%2F Hepatitis%5FC%2FWorking%20Documents%2FHEP%2DC%20Regulatory%20Guidances%20and%20Scientific%20References&Folder CTID=0x0120009D801EF6030070459B49412A10E1CBF9&View={D481D062-2F0D-4848-8C86-8D0C0C4F0E64} 7. Project Deliverables Project deliverables will include: Mind map/concept map of disease area clinical concepts Essential core data elements with definitions, data types (simple & ISO 21090), BRIDG and SDTM mappings User/Implementation Guide SDTM-based domains and examples, as appropriate Minimum value sets (code lists) with definitions and C-Codes, as appropriate Statements of permission to publish controlled terminology for copyrighted questionnaires, where applicable. The project team will also explore the inclusion of annotated CRFs (with CDASH and SDTM-based annotations) and ADaM analyses and examples during the course of the project. Project deliverables will reference sources and describe provenance used in their creation (such as the use of preexisting standards). 8. Sub teams/Roles The project team will use the standard TA roles described in the TA Role Definition document. This document can be found on the CDISC team portal. 6 of 4 9. Project Goals/Deliverables/Milestones with Target Dates 2014 The project will follow the enhanced therapeutic area standards development process. Following is high-level project plan. Project Stage Process Phase Timeline End date Start of HEP C Project (team formation) Nov-2013 Stage 1 Complete Identification of Concepts Q1-2014 Stage 2 Draft HEP C Guide with Definitions Q2-2014 Public Review Q3-2014 Publish HEP C User Guide v1.0 Q3-2014 Stage 3 More detailed dates and milestones will be maintained in a separate HEP C project plan. http://cdiscportal.digitalinfuzion.com/Teams%20Projects/DiseaseSpecialty/Hepatitis_C/Working%20Documents/Forms/AllItems.aspx?RootFolder=%2FTeams%20Projects%2FDisease%2DSpecialty%2F Hepatitis%5FC%2FWorking%20Documents%2FProject%20Plan&FolderCTID=0x0120009D801EF6030070459B49412A10E1CBF9&Vi ew={D481D062-2F0D-4848-8C86-8D0C0C4F0E64} 10. Project Resources, Gaps and Risks A major potential risk to this ambitious project plan is project resource availability. For this project to succeed, assigned resource must continue be made available to work on project deliverables. It is critical that personnel assigned are able to prioritize the project above other responsibilities. This project remains dependent, to a large extent, on volunteer engagement beyond the resources assigned by TransCelerate BioPharma Inc. (TCB). Complexity Assessment Medium complexity Rationale:o Most required development is for disease-specific tests, an area for which standards development is generally well understood. o Viral resistance data will need to be handled in a manner that is as consistent as possible with the TAUG-Virology, but recognizing that parts of the TAUG-Virology may soon be superseded by the SDTMIG-PGx, which is still under development. o Representation of viral and human genetic data will need to be coordinated with the SDTMIG-PGx team. Proposed v2 Content and Rationale o During Stage 0 it was discussed about the inclusion of pediatrics into the TAUG. None of the companies surveyed reported any pediatric studies therefore the decision was taken to focus V1 on Adult populations. The inclusion of pediatrics may be considered for later versions of the TAUG o Coordination with the CDISC ADaM foundational team has been made, however, due to the timelines of this project ADaM inclusion may be deferred to V2 – as we develop the SDTM standards there may not be sufficient time to include all of the ADaM requirements in V1 7 of 4 o o 11. 12. Due to the amount of Scientific Research and new advances in treatment currently ongoing within the industry, newer outcomes may be deferred to later versions of the TAUG Certain endpoints that relate to particular classes of drugs require more thorough investigation (for example Rash determination). If these endpoints are not considered relevant at this point for an industry standard we may decide to include this in later releases as more drugs in that class are developed by a wider array of sponsors. Related Documents o The HEP C Team Member Roster (to be updated as required throughout the project) o The HEP C Scoping & Input Concepts Listing (Excel) o The HEP C Scoping & Input Checklist o The HEP C Project Plan Date Approved: 6th March 2014