Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Project Charter Template v2 January 23, 2015 Name of Project: Rheumatoid Arthritis Therapeutic Area Data Standards July 2, 2015 Project Manager: Trisha Simpson 1. Scope of Rheumatoid Arthritis Therapeutic Area Project v1.0 1.1. Project Description The rheumatoid arthritis (RA) 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. 1.2. Disease Characteristics The disease state is characterized by chronic, symmetric, and progressive inflammation in the joints resulting in painful deformity and immobility, especially in the fingers, wrists, feet, and ankles. 1.3. Type of Studies Types of studies include outpatient clinical trials in Phases 1-4 for therapies under investigation for treatment of RA. 1.4. Focus Population The population in scope is adult patients (aged 18 and older) with RA. 1.5. Specific Indications There are no specific indications in addition to RA that are in scope for this project. 1.6. Proposed Scope The project is scoped to achieve its deliverables within a time frame of 10 months as agreed by CFAST. The team will develop a document that will include: disease specific concept maps, SDTM-IG type examples (to potentially be developed within SHARE as a pilot) and metadata, controlled terminology, CDASH annotated CRFs, CDASH metadata examples, and ADaM examples. Research concepts that are most relevant in RA clinical trials will be described in the document. Those concepts not determined to be modeled elsewhere in previous publications will be modeled. Type of Data Magnitude Gap Analysis Subject and Disease Characteristics Disease History Low Comorbidities Low Family History Low Disease History will be textually described as it relates to RA, but will not be modeled as this concept is adequately detailed in the foundational standards. Comorbidities, such as cardiovascular disease and malignancies, will be textually described as they relate to RA, but not be modeled as this concept is adequately detailed in the foundational standards. Family History, such as cardiovascular disease and malignancies, will be textually described as they relate to RA, but not be modeled as this concept is adequately detailed in the foundational standards. Disease Assessments Laboratory Tests Low Approximately 12 laboratory parameters were noted during the scoping phase. These will be © 2014 Clinical Data Interchange Standards Consortium, Inc. All rights reserved Page 1 of 5 Questionnaires, Ratings and Scales (QRS) Swollen Joint Count/Tender Joint Count Medium Adverse Events of Special Interest Low Adjudication of AEs Low Radiographic & Imaging Assessments High High Routine Data Concomitant Medications Medium Device Malfunctions & Data Medium listed in the RA TAUG. Three of the parameters (Anti-Cyclic Citrullinated Peptide and Anti-Nuclear Antibody, and Synovial Fluid Cell Count) will be modeled in an SDTM dataset example in the TAUG. The team has identified 28 instruments of interest that will be listed in the RA TAUG. Swollen Joint Count and Tender Joint Count will be fully modeled with CDASH and SDTM examples provided. The group is currently considering the use of the new MK (Musculoskeletal) domain. AEs of special interest for RA, such as infections (including tuberculosis), malignancies, and major adverse cardiac events (MACE), textually described as it relates to RA, but will not be modeled as this concept is adequately detailed in the foundational standards. Additional data points will be assessed as we finalize the gap analysis and List of Concepts during Stage 1 of the development process. Considerations for adjudication of AEs will be textually described but will not be modeled in the RA TA as this concept will be discussed across the TAs in order to address the concept consistently. Radiographic Assessments and Response will be fully modeled with CDASH and SDTM examples provided. Medications commonly used to treat RA will be described in the RA TAUG. Documenting history of use will be addressed, including dose, frequency, route of administration, duration, and treatment response (lack of efficacy, loss of efficacy, intolerance/toxicity, etc.). Additional data points will be assessed as we finalize the gap analysis and List of Concepts during Stage 1 of the development process. New Controlled Terminology may be requested for grouping medications used to treat RA and a new codelist for use with the draft variable –RSDISC. Device Malfunction data will be textually described as it relates to RA, but will not be modeled as this concept is adequately detailed in the Device standard. Device-related AE data will be modeled in CDASH and SDTM. The group will consider the proposed structure currently under discussions in the AE SDTM sub-team. It is our understanding the structure is not yet approved. © 2015 Clinical Data Interchange Standards Consortium, Inc. All rights reserved Page 2 of 5 Healthcare Resource Utilization Low Healthcare Resource Utilization will not be modeled since this is adequately detailed in the foundational standards. Data Analysis Statistical endpoints High Illustration of intermediate dataset(s) to take individual scores and create a BDS compliant composite score analysis dataset. Issues related to missing data imputation will be explored. Analytical issues relating to QRS controlled terminology will be investigated. 1.7. Project Deliverables Therapeutic Area Standards User Guide (TAUG) that will include: Essential core research concepts with definitions, data types, and SDTM mappings Concept maps of disease area research concepts CDASH metadata for selected research concepts Selected annotated CRFs (with CDASH and SDTM-based annotations) SDTM examples, as appropriate Minimum terminology value sets (code lists) with definitions and C-Codes, as appropriate Analysis guidelines: o Identification of the data needed for endpoint derivations, but not the actual statistical analyses of endpoints. o Description of how the clinical endpoints translate into statistical endpoints. o Examples of ADaM compliant analysis datasets. o If warranted, example table shells/figures and illustrations of analysis results metadata. Project deliverables will reference sources and describe provenance used in their creation. 1.8. Project Milestones The project will follow the enhanced therapeutic area standards development process. High-level project plan: Project Stage Project Stage Description Timeline Stage 0 Scoping & Planning June 2015 Stage 1 Concept Modeling August 2015 Stage 2 Standards Development October 2015 Stage 3a Internal Review December 2015 Stage 3b Public Review February 2016 Stage 3c Publication April 2016 More detailed dates and milestones will be maintained in a separate project plan on the CDISC portal. 1.9. Complexity Assessment: (Gaps, Risks, Complexities and Challenges) • Major potential risks: (describe any potential risks to the project and mitigation plans)… For this project to succeed on a 10-month timeline, assigned resources must be available to work on project deliverables. It is critical that personnel assigned are able to prioritize the project regardless of the organization providing the resource. • Project Complexity: Low/Medium All relevant concepts will be described in the TAUG as they relate to RA but many are covered elsewhere in previously published TAUGs or other existing standards. • Significant Project Challenges: Low © 2015 Clinical Data Interchange Standards Consortium, Inc. All rights reserved Page 3 of 5 1.10. Project Document Repository Project documents will be maintained in the CDISC portal under Teams Projects > Therapeutic Disease Specialty > Rheumatoid Arthritis and will be accessible to all team members. The TAUG will be developed and published through the CDISC WIKI. 1.11. Plans for Future Versions A future version is planned to include pediatric patient populations. 2. Resources 2.1. Team Members Project Team members fall into twelve roles with different responsibilities. Members in project level roles are recruited for the particular therapeutic area project. Not listed below are program level resources that support all TA projects. Reviewers are not listed as these evolve over the life of the project. Number of Active Team Members by Role Participants Project Manager 1 Clinical Therapeutic Area Experts 3 Medical Writer 1 Statisticians 4 Statistical Programmers 3 Metadata Developers 3 CDASH Representatives 6 ADaM Representatives 6 SDS Representatives 3 Terminology/Clinical Outcome Assessments Representatives 3 25 Total Team members currently identified are listed in a separate spreadsheet to accommodate changes over time. The RA team member list will be maintained in the project document repository on the CDISC Portal. 2.2. 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 CFAST Therapeutic Area Standards Steering Committee CDISC TransCelerate BioPharma FDA NCI EVS CDISC Teams: CDASH, SDS, Terminology and ADaM Role Program governance and resource allocation. Program and project managment, team members and expert consultants (includes both CDISC employees and volunteers). Provides project management, clinical expertise, team members and reviewers 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. © 2015 Clinical Data Interchange Standards Consortium, Inc. All rights reserved Page 4 of 5 2.3. Literature Review and References References consulted include relevant ACR/EULAR, OMERACT, FDA, and EMEA guidances. Team members contributed and reviewed reference articles. A complete list of relevant guidances, articles and publications for this indication can be found on the CDISC RA team portal. 3. Relevant Project Documents Related documents to this RA Project Charter are: RA Team Member List (to be updated as required throughout the project) RA Concept Listing Spreadsheet RA Scoping & Planning Checklist RA Project Plan 4. Date of TAPSC Approval: © 2015 Clinical Data Interchange Standards Consortium, Inc. All rights reserved Page 5 of 5