PhUSE Inspection Site Selection Standard Data Elements WG: CDISC Gap Analysis Inspection Site Selection Standard Data Elements: Gap Analysis of FDA Requirements and Existing CDISC Standards Prepared by PhUSE Inspection Site Selection Standard Data Elements Working Group 26 May 2016 Introduction .................................................................................................................................................. 2 Timing and Use of Dataset ............................................................................................................................ 3 Requested Data Structure, Data Elements, and CDISC Applicability ............................................................ 3 Submission-Level Information ...................................................................................................................... 5 Study-Level Information ............................................................................................................................... 7 Site-Level Information................................................................................................................................... 9 Gap Analysis Summary................................................................................................................................ 16 Working Group Recommendations ............................................................................................................ 18 Next Steps ................................................................................................................................................... 19 Appendices.................................................................................................................................................. 20 Appendix 1: Clinical Site Data Elements Summary Listing from 7 November 12 FDA Draft Technical Specifications .......................................................................................................................................... 20 Appendix 2: Proposed Revised FDA Draft Technical Specifications....................................................... 25 Appendix 3: Example for Clinical Site Data Elements Summary Listing with Multiple Primary Endpoints ................................................................................................................................................................ 30 PhUSE Inspection Site Selection Data Elements Reqs-CDISC Gap Analysis, 26 May 2016 PhUSE Inspection Site Selection Standard Data Elements WG: CDISC Gap Analysis Introduction The past two decades have witnessed a dramatic growth in the size and complexity of the clinical trials enterprise, posing challenges for FDA in maintaining its traditional inspection approaches. These challenges include, but are not limited to, an increasing number of sites per clinical trial, an increasing number of foreign clinical trial sites, finite resources limiting the number of inspections, PDUFA timelines requiring a high level of efficiency, and variation in the current site selection methodology. As part of addressing these challenges, FDA, through the Bioresearch Monitoring Program (BIMO), is working to modernize and enhance the efficiency and effectiveness of its inspection processes. FDA’s Center for Drug Evaluation and Research (CDER) has developed a risk-based Clinical Investigator Site Selection Tool. This tool combines data from sponsor and FDA databases to quickly analyze and assess clinical site level data contained within an application to identify clinical sites for inspection early in the review process. This need has been addressed in the published draft guidance dated December 2012, “Guidance for Industry: Providing Submissions in Electronic Format — Summary Level Clinical Site Data for CDER’s Inspection Planning.” http://www.fda.gov/downloads/Drugs/DevelopmentApprovalProcess/FormsSubmissionR equirements/UCM332468.pdf. The specific data elements were identified in a companion technical document dated 7 November 2012 entitled “Specifications for Preparing and Submitting Summary Level Clinical Site Data for CDER’s Inspection Planning” http://www.fda.gov/downloads/Drugs/DevelopmentApprovalProcess/FormsSubmissionR equirements/ucm332466.pdf. The comment period for this draft guidance closed on 19 Feb 2013. While some of the information detailed in the guidance may be available within an NDA or BLA application, it may not be in a format that allows it to be readily repurposed into a dataset to be used for analysis in CDER’s inspection site selection tool. A PhUSE working group was formed in March 2012 that was charged to do a detailed evaluation of each of the proposed data elements that have been requested by CDER. The group focused on a couple of key points: Providing a clear definition of each of the data elements that CDER needs to complete its site-selection analysis. This will facilitate generation of the information by enabling sponsors to unambiguously identify the sources of the information and will support consistent interpretation across sponsor companies. Providing a preliminary assessment of whether the requested data elements are consistent with already established clinical data standards CDISC SDTM and ADaM. PhUSE Inspection Site Selection Data Elements Reqs-CDISC Gap Analysis, 26 May 2016 PhUSE Inspection Site Selection Standard Data Elements WG: CDISC Gap Analysis Timing and Use of Dataset Discussion of development of this dataset can occur at a pre-NDA or pre-BLA meeting or at a separate sponsor-requested standards meeting if the pre-submission meeting agenda is full. The FDA may accept this dataset either before or at the time of application submission, according to the draft guidance referenced in the Introduction. As mentioned above, the FDA may use the clinical site dataset to assist with selection of clinical investigator sites for inspection. However, sponsors may also find the variables contained in the clinsite.xpt dataset of use in risk-based site monitoring programs and to assist in selection of clinical investigator sites for sponsor audits. Production of this dataset provides additional benefit in that earlier inspection site selection by the FDA may lead to a more efficient inspection process, which may permit sufficient time for resolution of deficiencies identified during the FDA inspections within the review timeline. Requested Data Structure, Data Elements, and CDISC Applicability The proposed data structure and elements are identified in FDA’s “Specifications for Preparing and Submitting Summary Level Clinical Site Data for CDER’s Inspection Planning” referenced in the Introduction section of this document. A copy of the requested data elements is provided in tabular form in Appendix 1 to this document. One dataset (named clinsite.xpt) is requested for all major (e.g., pivotal) studies used to support safety and efficacy claims in the application. This dataset has rows for unique values of the following fields: Site Treatment Arm Primary Endpoint All screened/consented patients are incorporated into the dataset. If information on screen failures is collected, patients who are deemed as such are counted in the variable SCREEN. All records for a given site within a study have the same value of SCREEN. Please see below, and also Appendix 3, for examples. STUDYID SITEID ARM SAFPOP SCREEN ABC-123 001 Active 26 61 ABC-123 001 Placebo 25 61 PhUSE Inspection Site Selection Data Elements Reqs-CDISC Gap Analysis, 26 May 2016 PhUSE Inspection Site Selection Standard Data Elements WG: CDISC Gap Analysis As the above table shows, for Study ABC-123, site 001 screened 61 patients. Of these, 26 were assigned to Active, 25 were assigned to Placebo, and 10 were screen failures. The requested clinical site dataset elements include the following types of data: Submission-Level Information (e.g., IND Number, NDA Number) Study-Level Information (e.g., Study ID, Arm) Site-Level Information (e.g., Site ID, trial conducted under IND at Site, Number of Serious Adverse Events, Site-Specific Efficacy and Safety, Principal Clinical Investigator Contact Information) The requested information is organized in this document into tables by these above 3 data types. Each table contains the following columns: Variable Index: Identifies row order in FDA’s “Specifications for Preparing and Submitting Summary Level Clinical Site Data for CDER’s Inspection Planning” Variable Name: xpt or other database column name Variable Label: xpt label or other database column description Type: Category of data in the column, such as numeric or character Controlled Terms or Format: Additional description of data in the column, such as String or ISO 3166-1-alpha-3 Notes or Description: Additional information about how to populate the column Sample Value: One or more sample values to aid in understanding contents of the column Comments: Observations about the column made by PhUSE Working Group Current Source: Identification of current CDISC source for data point in column where “S” represents CDISC SDTM, “A” represents CDISC ADaM Note that for any field, if there is no information available, leave the field blank. PhUSE Inspection Site Selection Data Elements Reqs-CDISC Gap Analysis, 26 May 2016 Submission-Level Information A total of 6 data elements, shown in Table 1, pertain to the entire submission. Most relate to regulatory status. Table 1: Submission-Level Information [NOTE: Yellow highlight indicates a proposed change (new variable, variable name, variable label) from the draft 7 November 2012 structure] Variable Index Variable Name Variable Label Type Controlled Terms or Format Notes or Description Sample Value Comments CDISC Source (S=SDTM, A=ADaM) 5 IND IND Number Num 6 digit identifier Investigational New Drug (IND) 010010 application number. If study not performed under IND, leave blank. No existing Controlled Terminology for TSPARM/TSPARMCD. S/TS new TSPARM/TSPARMCD 7 NDA NDA Number Num 6 digit identifier FDA new drug application (NDA) number, if available/applicable. If not applicable, leave blank. 021212 No existing Controlled Terminology for TSPARM/TSPARMCD. S/TS new TSPARM/TSPARMCD 8 BLA BLA Number Num 6 digit identifier FDA identification number for biologics license application, if available/applicable. If not applicable, leave blank. 123456 No existing Controlled Terminology for TSPARM/TSPARMCD. S/TS new TSPARM/TSPARMCD 3 SPONCNT Sponsor Count Num Integer Total count of sponsors 1 throughout the study. If there was a change in the sponsor while the study was ongoing, with sponsors as defined in 21 CFR 312.3, enter an integer indicating the total count of sponsors. If there was no change in the sponsor while the study was ongoing, enter “1”. No existing Controlled Terminology for TSPARM/TSPARMCD. S/TS new TSPARM/TSPARMCD PhUSE Inspection Site Selection Data Elements Reqs-CDISC Gap Analysis, 26 May 2016 Page 5 of 33 Variable Index Variable Name Variable Label 4 SPONNAME Sponsor Name 9 SUPPNUM Type Char Supplemental Num Number Controlled Terms or Format Notes or Description Sample Value String Full name of the sponsor Drug Co, organization conducting the study Inc. at the time of study completion, as defined in 21CFR 312.3(a). If the sponsor name exceeds 200 characters, provide the abbreviated sponsor name from Clinicaltrials.gov and document this in the Notes or Description section in the define file (Clinical Site Data Elements Summary). Integer Serial number for supplemental application, if applicable. If no information is available, leave blank. PhUSE Inspection Site Selection Data Elements Reqs-CDISC Gap Analysis, 26 May 2016 Page 6 of 33 4 Comments CDISC Source (S=SDTM, A=ADaM) S/TSPARM where TSPARMCD=’SPONSOR’ No existing Controlled Terminology for TSPARM/TSPARMCD. S/TS new TSPARM/TSPARMCD Study-Level Information A total of 5 data elements, shown in Table 2, pertain to the study. Variable STUDYID is a potential index variable and key that allows for integration with other datasets. Table 2: Study-Level Information [NOTE: Yellow highlight indicates a proposed change (new variable, variable name, variable label) from the draft 7 November 2012 structure] Variable Index Variable Name Variable Label Type Controlled Terms or Format Sample Value Notes or Description Comments CDISC Source (S=SDTM, A=ADaM) 1 STUDYID Study Identifier Char String Study or trial identification number. ABC-123 S/TS.STUDYID 2 STUDYTL Study Title Char String Title of the study as listed in the clinical study report (limit 200 characters). If the title exceeds 200 characters, provide the abbreviated title from Clinicaltrials.gov and document this in the Notes or Description section in the define file (Clinical Site Data Elements Summary). Double blind, randomized, placebo controlled clinical study on the influence of drug X on indication Y S/TS.TSPARMCD=’TITLE’ 11 ARM Description of Planned Treatment Arm Char String Plain text label for the name given to an Arm or treatment group as referenced in the clinical study report (limit 200 characters). Active name and dose (e.g., Active 25mg), Comparator product name (e.g., Drug x), or Placebo S/TA.ARM PhUSE Inspection Site Selection Data Elements Reqs-CDISC Gap Analysis, 26 May 2016 Page 7 of 33 Variable Index Variable Name Variable Label Type Controlled Terms or Format Sample Value Notes or Description Comments CDISC Source (S=SDTM, A=ADaM) 16 ENDPOINT Primary Endpoint Char String Plain text label used to describe the primary endpoint (limit 200 characters). When more than one primary efficacy endpoint exists, additional rows should be added to the dataset to report additional ENDPOINT, ENDPTYPE, TRTEFFR, TRTEFFS, SITEEFFE, and SITEEFFS values by arm for each site. Average increase in blood pressure S/TS.TSPARM where S/TS.TSPARMCD=’OUTMSPRI’ 17 ENDPTYPE Primary Endpoint Type Char String Variable type of the primary endpoint (i.e., continuous, discrete, time to event, or other). Continuous S/TS new TSPARM/TSPARMCD PhUSE Inspection Site Selection Data Elements Reqs-CDISC Gap Analysis, 26 May 2016 Page 8 of 33 Site-Level Information Many of the required data elements (28) involve site level information, some of which is fairly complex (e.g., efficacy effect, standard deviation) and some of which simply involves contact information for the principal clinical investigator at the site. Site-level data elements are summarized in Table 3. Table 3: Site-Level Information [NOTE: Yellow highlight indicates a proposed change (new variable, variable name, variable label) from the draft 7 November 2012 structure] Variable Index Variable Name Variable Label Type Controlled Terms or Format Notes or Description Sample Value 10 SITEID Study Site Identifier Char String Investigator site identifier assigned by the sponsor. 50 6 UNDERIND Under IND Char String Value should equal "Y" if study at the site was conducted under an IND (i.e., a Form FDA 1572 was signed by the investigator) and "N" if the study was not conducted under an IND at the site (i.e., a Form FDA 1572 was not signed by the investigator). Y PhUSE Inspection Site Selection Data Elements Reqs-CDISC Gap Analysis, 26 May 2016 Page 9 of 33 Comments CDISC Source (S=SDTM, A=ADaM) DM.SITEID Applicable to all trials Variable Index Variable Name Variable Label Type Controlled Terms or Format Notes or Description Sample Value Comments 12 SAFPOP Number of Subjects in Safety Population Num Integer Total number of subjects in 20 safety population at a given site by treatment arm. When a subject has transferred from one site to another, the applicant should handle reporting of such subjects consistently across sites, should ensure the subject is counted at only one site, and should include in the define file the reporting convention used. The applicant may opt to further explain the reasons subjects transferred between sites in the BIMO Reviewer’s Guide, if a guide will be provided. Pertains only to sites that enrolled and treated study subjects (safety population); could capture in ADaM.ADSL. 13 SCREEN Number of Subjects Screened Num Integer Total number of subjects 100 screened (consented) at a given site. When a subject has transferred from one site to another, the applicant should handle reporting of such subjects consistently across sites and include the reporting convention used in the define file or the BIMO Reviewer’s Guide (if provided). The applicant may opt to further explain the reasons subjects transferred between sites in the BIMO Reviewer’s Guide, if provided. “Screened” has the same meaning as ”Consented”, but often consented patients who are screen failures are not in the sponsor’s database. Note that this is a sitelevel value, not an arm-level value; please see Appendix 3 for examples. Could capture in ADaM.ADSL if data were collected. PhUSE Inspection Site Selection Data Elements Reqs-CDISC Gap Analysis, 26 May 2016 Page 10 of 33 CDISC Source (S=SDTM, A=ADaM) Variable Index Variable Name 14 DISCSTUD Number of Num Subject Discons from Study Integer Number of subjects in the safety 5 population who discontinued from the study. This pertains to subjects that were enrolled after informed consent was obtained; could capture in ADaM.ADSL.EOSSTT if data were collected. 15 DISCTRT Number of Num Subject Discons from Study Treatment Integer Number of subjects in the safety 10 population who discontinued from the study treatment. Could capture in ADaM.ADSL if data were collected. 18 TRTEFFR Treatment Efficacy Result Num Floating Point Summary statistic for each primary efficacy endpoint by treatment arm at a given site. 0, 0.25, 1, Variable on which treatments are 100 compared according to the SAP; e.g., change from baseline, time to event. 19 TRTEFFS Treatment Efficacy Result Standard Deviation Num Floating Point Standard deviation of the efficacy result (TRTEFFR) for each primary endpoint by treatment arm at a given site. If N=1, set to 0. 0.065 20 SITEEFFE Site-Specific Efficacy Effect Size Num Floating Point Site effect size with the same representation as reported for the primary efficacy analysis. 0, 0.25, 1, The pre-specified primary 100 comparison is the effect size desired here. 21 SITEEFFS Site-Specific Efficacy Effect Size Standard Deviation Num Floating Point Standard deviation of the sitespecific efficacy effect size (SITEEFFE). If N=1, set to 0. 0.065 Variable Label Type Controlled Terms or Format Notes or Description PhUSE Inspection Site Selection Data Elements Reqs-CDISC Gap Analysis, 26 May 2016 Page 11 of 33 Sample Value Comments CDISC Source (S=SDTM, A=ADaM) Variable Index Variable Name Variable Label Type Controlled Terms or Format Notes or Description Sample Value Comments 22 CENSOR Number of Censored Observations Num Integer Total number of censored 5 observations at a given site by treatment arm for primary endpoint (e.g., applicable to time-to-event). If not applicable, leave blank. Primary analysis population as per SAP. Could capture in ADaM. 23 NSAE Number of Non- Num Serious Adverse Events Integer 10 Total number of non-serious adverse events at a given site by treatment arm for subjects in the safety population. This value should include multiple events per subject and all event types (i.e., not limited to only those that are deemed related to study drug or that are treatmentemergent). Could capture in ADaM using ADAE.AESER. 24 SAE Number of Num Serious Adverse Events Integer Total number of serious adverse 5 events at a given site by treatment arm, excluding deaths, for subjects in the safety population. This value should include multiple events per subject. Could capture in ADaM using ADaM.ADAE.AESER. 25 DEATH Number of Deaths Integer Total number of deaths at a given site by treatment arm for subjects in the safety population. 1 Could capture in ADaM using SDTM.DM.DTHFL. Num PhUSE Inspection Site Selection Data Elements Reqs-CDISC Gap Analysis, 26 May 2016 Page 12 of 33 CDISC Source (S=SDTM, A=ADaM) Variable Index Variable Name 26 PROTVIOL Number of Protocol Violations Num Integer Total number of protocol violations at a given site by treatment arm as defined in the clinical study report. A protocol violation is an unplanned excursion from the protocol that is not implemented or intended as a systematic change. This value should include multiple violations per subject and all violation types (i.e., not limited to only significant deviations). 27 FINLDISC Financial Disclosure Amount Char String >=$25,00 Total financial disclosure amount ($USD) by site 0 calculated as the sum of disclosures for the principal clinical investigator and all subinvestigators to include all required parities under the applicable regulations (21 CFR Parts 54, 312, 314, 320, 330, 601, 807, 812, 814, and 860). Enter “>=$25,000”, “<$25,000”, “unknown” if a proper value is applicable but is not known (i.e., unable to obtain information from investigator at site), or “masked” if information on this item is available but it has not been provided by the sender due to security, privacy, or other reasons. Variable Label Type Controlled Terms or Format Notes or Description PhUSE Inspection Site Selection Data Elements Reqs-CDISC Gap Analysis, 26 May 2016 Page 13 of 33 Sample Value 20 Comments Could capture some in ADaM using SDTM.DV record counts and other information. CDISC Source (S=SDTM, A=ADaM) Variable Index Variable Name Variable Label Type Controlled Terms or Format Notes or Description Sample Value Comments 28 LASTNAME Investigator Last Name Char String Doe Last name of the principal clinical investigator as it appears on the Form FDA 1572 or the signed investigator agreement. At sites where the clinical investigator has changed during the course of the study, the most recent clinical investigator should be listed. Only the principal clinical investigator is needed here. May be able to capture in ADaM by parsing SDTM DM.INVNAM. 29 FRSTNAME Investigator First Char Name String First name of the principal John clinical investigator as it appears on the Form FDA 1572 or the signed investigator agreement. Only the principal clinical investigator is needed here. May be able to capture in ADaM by parsing SDTM DM.INVNAM. 30 MINITIAL Investigator Middle Initial Char String Middle initial of the principal clinical investigator, if any, as it appears on the Form FDA 1572 or the signed investigator agreement. M Only the principal clinical investigator is needed here. May be able to capture in ADaM by parsing SDTM DM.INVNAM. 31 PHONE Investigator Phone Number Char String Phone number of the principal clinical investigator. Include country code for non-US numbers. 44-555555-5555 32 FAX Investigator Fax Number Char String Fax number of the principal clinical investigator. Include country code for non-US numbers. If not available, leave blank. 44-555555-5555 33 EMAIL Investigator Email Address Char String Email address of the principal clinical investigator. john.doe @mail.co m PhUSE Inspection Site Selection Data Elements Reqs-CDISC Gap Analysis, 26 May 2016 Page 14 of 33 CDISC Source (S=SDTM, A=ADaM) Variable Index Variable Name 34 COUNTRY Country Char ISO 3166-1alpha-3 3-letter ISO 3166 country code in which the site is located. 35 STATE State Char String Unabbreviated state or province Maryland in which the site is located. If not applicable, enter NA. 36 CITY City Char String Unabbreviated city, county, or village in which the site is located. Silver Spring 37 POSTAL Postal Code Char String Postal code in which the site is located. If not applicable, enter NA. 20850 38 STREET Street Address Char String Street address and office number at which the site is located. 1 Main St. 39 STREET1 Street Address Char String Street address and office number at which the site is located. Use this field when Variable STREET does not permit sufficient space to fully describe street address and office number at which the site is located. Suite 100 Variable Label Type Controlled Terms or Format Notes or Description Sample Value USA Comments CDISC Source (S=SDTM, A=ADaM) S/DM.COUNTRY or A/ADSL.COUNTRY Note that our Working Group is proposing that variables DOMAIN and FINLMAX be removed from the FDA’s draft technical specifications dated 7 November 2012. PhUSE Inspection Site Selection Data Elements Reqs-CDISC Gap Analysis, 26 May 2016 Page 15 of 33 Gap Analysis Summary In the above site selection standard specifications, there are 39 data elements being requested. There are some revisions from the FDA’s 7 Nov 2012 draft publication (please see Appendix 1 for 7 November 2012 specifications): DISCTRT and STREET1 have been added, DOMAIN and FINLMAX have been removed, and recommendations to modify some variable attributes have been made. These data points are utilized in a model developed by CDER at the FDA to efficiently identify potential sites for BIMO inspections. Many of the data points, however, are not routinely produced by sponsor companies. Our Working Group confirmed that all the requested data elements in the above tables are used in the FDA’s model and that the specifications are clear. In addition, we examined the gap between these specifications and current CDISC standards. This gap analysis is detailed below. Of the 39 requested data elements, the following 7 (18%) are explicitly handled by existing CDISC standards and would typically be included in CRT data sets submitted with an NDA or BLA: SPONNAM (Sponsor) STUDYID (Study Number) STUDYTL (Study Title) ARM (Treatment Arm) ENDPOINT (Primary Endpoint) SITEID (Study Site Identifier) COUNTRY (Site Country) The following 5 data elements (13%) could be incorporated into the SDTM TS (Trial Summary) domain via new TSPARM and TSPARMCD values. Although current CDISC Controlled Terminology standards do not exist for these additional parameters, CDISC Controlled Terminology for these variables is extensible. Note that NDA and BLA numbers may not be known before submission datasets are finalized, which could preclude their inclusion by the sponsor in this site dataset: IND (IND Number) NDA (NDA Number) BLA (BLA Number) SPONCNT (Sponsor Count) ENDPTYPE (Primary Endpoint Type) Nine data elements (23%) could be derived from existing CDISC standard variables: SAFPOP (Safety Population) SCREEN (Screened Population) DISCSTUD (Discontinued Study) DISCTRT (Discontinued Treatment) CENSOR (Censored) NSAE (Serious AEs) PhUSE Inspection Site Selection Data Elements Reqs-CDISC Gap Analysis, 26 May 2016 SAE (Non-Serious AEs) DEATH (Deaths) PROTVIOL (Protocol Violations) For the other 18 data elements (46%) shown below, such as investigator contact information, most are included in the eCTD submission but are not in a format amenable to data analysis. Although technology exists to mine the xml backbone of the eCTD for information, it is not clear that this would be a more efficient process than obtaining it by more traditional methods. Issues are that some of the information may not be known at the time CRT datasets are finalized (e.g., NDA or BLA number), while other information may be known (e.g., investigator contact information), potentially resulting in some xml backbone mining being done by the FDA and some by the sponsor. UNDERIND (Under IND) TRTEFFR (Treatment Efficacy Result) TRTEFFS (Treatment Efficacy Std Dev) SITEEFFE (Site Efficacy Effect Size) SITEEFFS (Site Efficacy Effect Size Std Dev) FINLDISC (Financial Disclosure Amt.) LASTNAME (Last Name) FIRSTNAME (First Name) MINITIAL (Middle Initial) PHONE (Phone) FAX (FAX) EMAIL (Email Address) COUNTRY (Country) STATE (State) CITY (City) POSTAL (Postal Code) STREET (Street Address) STREET1 (Street Address Cont’d) A tabular representation of this information is shown below: CDISC Applicability of Data Elements Variable Category Variable Count Fraction of Total (39) Explicitly accommodated by CDISC 7 18% Accommodated by CDISC if extensible Controlled Terminology used 5 13% Can easily derive from SDTM/ADaM and capture in ADaM 9 23% No existing path 18 46% PhUSE Inspection Site Selection Data Elements Reqs-CDISC Gap Analysis, 26 May 2016 Controlled Terminology for TS.TSPARM and TS.TSPARMCD for the following 7 items does not currently exist, although Controlled Terminology for these variables is extensible: IND Number NDA Number BLA Number Sponsor Count Sponsor Name Supplemental Number Primary Endpoint Type Working Group Recommendations CDER’s Clinical Investigator Site Selection Tool increases the likelihood that sites with unusual data will be identified and increases the efficiency of selecting sites for inspection. Although the tool is beneficial, there are not sufficient CDISC standards to support efficient preparation of the information the tool utilizes. Based on the analysis performed and described above, the PhUSE Working Group on Inspection Site Selection Standard Data Elements makes the following recommendations: New Standard Datasets: We request that CDISC organization evaluate the need for additional SDTM and/or ADaM datasets and variables to capture information needed at the submission, study, and site levels, and if a need is determined, develop appropriate standards. New Controlled Terminology: We request that CDISC organization evaluate the need for additional Controlled Terminology values for SDTM.TS.TSPARM and SDTM.TS.TSPARMCD to capture additional information at the study level, and if a need is determined, develop appropriate standards. Semantic Technology: We request that PhUSE consider if semantic technology could be of benefit in developing the needed data elements for site selection. HL7 Study Participation Message: There have been suggestions over the years to evaluate the use of the HL7 Study Participation Message for collecting information for site selection. Our WG recommends not pursuing this. We have reviewed this Message and found that the only required data elements in it that are needed by the site selection tool and that cannot be found in CDISC are sponsor name, class code (enrolled vs. screening), product, and IND number (site contact information exists in the Message but it is optional). These data points are fairly easy for the sponsor to enter on their own, without incurring problems that could be associated with mining the HL7 Message, such as access and computer system compatibility. PhUSE Inspection Site Selection Data Elements Reqs-CDISC Gap Analysis, 26 May 2016 Next Steps The clinical site dataset as specified is quite complex. It is possible that if the CDISC organization assumes the task of developing structures to support it, those structures will adhere to normalized database design. FDA may adjust their site selection model to accommodate new CDISC structures that are developed for this information. Given that CDISC’s design of site structures would be a time-consuming effort, PhUSE is considering adding the creation of this dataset to the roster of standard scripts under development. Meanwhile, sponsor companies may elect to develop proprietary standards, processes, and tools for creation of the clinical site dataset. Such efforts could involve specifying TS.TSPARM and TS.TSPARMCD standard terms and bridging any gap between the clinical trials management database and the patient database. PhUSE Inspection Site Selection Data Elements Reqs-CDISC Gap Analysis, 26 May 2016 Appendices Appendix 1: Clinical Site Data Elements Summary Listing from 7 November 12 FDA Draft Technical Specifications Variable Index Variable Name Variable Label Type Controlled Terms or Format Notes or Description Sample Value 1 STUDY Study Number Char String Study or trial identification number. ABC-123 2 STUDYTL Study Title Char String Title of the study as listed in the clinical study report (limit 200 characters) Double blind, randomized placebo controlled clinical study on the influence of drug X on indication Y 3 DOMAIN Domain Abbreviation Char String Two-character identification for the domain most relevant to the observation. The Domain abbreviation is also used as a prefix for the variables to ensure uniqueness when datasets are merged. DE 4 SPONNO Sponsor Number Num Integer Total number of sponsors throughout the study. If there was a change in the sponsor while the study was ongoing, enter an integer indicating the total number of sponsors. If there was no change in the sponsor while the study was ongoing, enter “1”. 1 5 SPONNAME Sponsor Name Char String Full name of the sponsor organization conducting the study at the time of study completion, as defined in 21 CFR 312.3(a). DrugCo, Inc. 6 IND IND Number Num 6 digit identifier Investigational New Drug (IND) application number. If study not performed 010010 under IND, enter -1. 7 UNDERIND Under IND Char String Value should equal "Y" if study at the site was conducted under an IND and "N" if study was not conducted under an IND (i.e., 21 CFR 312.120 studies). PhUSE Inspection Site Selection Data Elements Reqs-CDISC Gap Analysis, 26 May 2016 Page 20 of 33 Y Variable Index Variable Name Variable Label Type Controlled Terms or Format Notes or Description Sample Value 8 NDA NDA Number Num 6 digit identifier FDA new drug application (NDA) number, if available/applicable. If not applicable, enter -1. 021212 9 BLA BLA Number Num 6 digit identifier FDA identification number for biologics license application, if available/applicable. If not applicable, enter -1. 123456 10 SUPPNUM Supplement Number Num Integer Serial number for supplemental application, if applicable. If not applicable, 4 enter -1. 11 SITEID Site ID Char String Investigator site identification number assigned by the sponsor. 50 12 ARM Treatment Arm Char String Plain text label for the treatment arm as referenced in the clinical study report (limit 200 characters). Active (e.g., 25mg), Comparator drug product name (e.g., Drug x), or Placebo 13 ENROLL Number of Subjects Enrolled Num Integer Total number of subjects enrolled at a given site by treatment arm. 20 14 SCREEN Number of Subjects Screened Num Integer Total number of subjects screened at a given site. 100 15 DISCONT Number of Num Integer Subject Discontinuations Number of subjects discontinuing from the study after being enrolled at a site by treatment arm as defined in the clinical study report. 5 16 ENDPOINT Endpoint Char String Plain text label used to describe the primary endpoint as described in the Define file included with each application (limit 200 characters). Average increase in blood pressure 17 ENDPTYPE Endpoint Type Char String Variable type of the primary endpoint (i.e., continuous, discrete, time to event, or other). Continuous PhUSE Inspection Site Selection Data Elements Reqs-CDISC Gap Analysis, 26 May 2016 Page 21 of 33 Variable Index Variable Name Variable Label Type Controlled Terms or Format Notes or Description Sample Value 18 TRTEFFE Treatment Efficacy Endpoint Num Floating Point Summary statistic for each primary endpoint by treatment arm at a given site. 0, 0.25, 1, 100 19 TRTEFFS Treatment Efficacy Endpoint Standard Deviation Num Floating Point Standard deviation of the efficacy result (TRTEFFE) for each primary endpoint by treatment arm at a given site. 0.065 20 SITEEFFE Site-Specific Treatment Effect Num Floating Point Site-specific treatment effect reported using the same representation as reported for the primary efficacy analysis. 0, 0.25, 1, 100 21 SITEEFFS Site-Specific Treatment Effect Standard Deviation Num Floating Point Standard deviation of the site-specific treatment effect (SITEEFFE). 0.065 22 CENSOR Censored Observations Num Integer Number of censored observations at a given site by treatment arm. If not applicable, enter -1. 5 23 NSAE Number of Non- Num Integer Serious Adverse Events Total number of non-serious adverse events at a given site by treatment arm. This value should include multiple events per subject and all event types (i.e., not limited to only those that are deemed related to study drug or treatment emergent events). 10 24 SAE Number of Num Integer Serious Adverse Events Total number of serious adverse events excluding deaths at a given site by treatment arm. This value should include multiple events per subject. 5 25 DEATH Number of Deaths Total number of deaths at a given site by treatment arm. 1 Num Integer PhUSE Inspection Site Selection Data Elements Reqs-CDISC Gap Analysis, 26 May 2016 Page 22 of 33 Variable Index Variable Name Variable Label Type Controlled Terms or Format Notes or Description Sample Value 26 PROTVIOL Number of Protocol Violations Num Integer Number of protocol violations at a given site by treatment arm as defined in the clinical study report. This value should include multiple violations per subject and all violation type (i.e., not limited to only significant deviations). 20 27 FINLMAX Maximum Financial Disclosure Amount Num Floating Point Maximum financial disclosure amount ($USD) by any single investigator by site. Under the applicable regulations (21 CFR Parts 54, 312, 314, 320, 330, 601, 807, 812, 814, and 860). If unable to obtain the information required to the corresponding statements, enter -1. 20000.00 28 FINLDISC Financial Disclosure Amount Num Floating Point Total financial disclosure amount ($USD) by site calculated as the sum of disclosures for the principal investigator and all sub-investigators to include all required parities. Under the applicable regulations (21 CFR Parts 54, 312, 314, 320, 330, 601, 807, 812, 814, and 860). If unable to obtain the information required to the corresponding statements, enter -1. 25000.00 29 LASTNAME Investigator Last Char String Name Last name of the investigator as it appears on the FDA 1572. Doe 30 FRSTNAME Investigator First Name Char String First name of the investigator as it appears on the FDA 1572. John 31 MINITIAL Investigator Middle Initial Char String Middle initial of the investigator, if any, as it appears on the FDA 1572. M 32 PHONE Investigator Phone Number Char String Phone number of the primary investigator. Include country code for nonUS numbers. 44-555-555-5555 33 FAX Investigator Fax Char String Number Fax number of the primary investigator. Include country code for non-US numbers. 44-555-555-5555 34 EMAIL Investigator Email Address Email address of the primary investigator. [email protected] Char String PhUSE Inspection Site Selection Data Elements Reqs-CDISC Gap Analysis, 26 May 2016 Page 23 of 33 Variable Index Variable Name Variable Label Type Controlled Terms or Format Notes or Description Sample Value 35 COUNTRY Country Char ISO 3166-1alpha-3 3 letter ISO 3166 country code in which the site is located. USA 36 STATE State Char String Unabbreviated state or province in which the site is located. If not applicable, enter NA. Maryland 37 CITY City Char String Unabbreviated city, county, or village in which the site is located. Silver Spring 38 POSTAL Postal Code Char String Postal code in which site is located. If not applicable, enter NA. 20850 39 STREET Street Address Char String Street address and office number at which the site is located. 1 Main St, Suite 100 PhUSE Inspection Site Selection Data Elements Reqs-CDISC Gap Analysis, 26 May 2016 Page 24 of 33 Appendix 2: Proposed Revised FDA Draft Technical Specifications Variable Index Variable Name Variable Label Type Controlled Terms or Format Notes or Description Sample Value 1 STUDYID Study Identifier Char String Study or trial identification number. ABC-123 2 STUDYTL Study Title Char String Title of the study as listed in the clinical study report (limit 200 characters). If the title exceeds 200 characters, provide the abbreviated title from Clinicaltrials.gov and document this in the Notes or Description section in the define file (Clinical Site Data Elements Summary). Double blind, randomized placebo controlled clinical study on the influence of drug X on indication Y 3 SPONCNT Sponsor Count Num Integer Total count of sponsors throughout the study. If there was a change in the sponsor while the study was ongoing, with sponsors as defined in 21 CFR 312.3, enter an integer indicating the total count of sponsors. If there was no change in the sponsor while the study was ongoing, enter “1”. 1 4 SPONNAME Sponsor Name Char String Full name of the sponsor organization conducting the study at the time of study completion, as defined in 21 CFR 312.3(a). If the sponsor name exceeds 200 characters, provide the abbreviated sponsor name from Clinicaltrials.gov and document this in the Notes or Description section in the define file (Clinical Site Data Elements Summary). Drug Co, Inc. 5 IND IND Number Num 6 digit identifier Investigational New Drug (IND) application number. If study not performed under IND, leave blank. 010010 6 UNDERIND Under IND Char String Value should equal “Y” if study at the site was conducted under an IND (i.e., a Form FDA 1572 was signed by the investigator) and “N” if the study was not conducted under an IND at the site (i.e., a Form FDA 1572 was not signed by the investigator). Y 7 NDA NDA Number Num 6 digit identifier FDA new drug application (NDA) number, if available/applicable. If not applicable, leave blank. 021212 8 BLA BLA Number Num 6 digit identifier FDA identification number for biologics license application, if available/applicable. If not applicable, leave blank. 123456 PhUSE Inspection Site Selection Data Elements Reqs-CDISC Gap Analysis, 26 May 2016 Page 25 of 33 Variable Index Variable Name Variable Label 9 SUPPNUM Supplement Number 10 SITEID 11 Type Controlled Terms or Format Num Integer Notes or Description Sample Value Serial number for supplemental application, if applicable. If no information is available, leave blank. 4 Study Site Identifier Char String Investigator site identifier assigned by the sponsor. 50 ARM Description of Planned Treatment Arm Plain text label for the name given to an Arm or treatment group as referenced in the clinical study report (limit 200 characters). Active name and dose (e.g., Active 25mg), Comparator product name (e.g., Drug x), or Placebo 12 SAFPOP Number of Subjects Num Integer in Safety Population Total number of subjects in safety population at a given site by treatment arm. When a subject has transferred from one site to another, the applicant should handle reporting of such subjects consistently across sites, should ensure the subject is counted at only one site, and should include in the define file the reporting convention used. The applicant may opt to further explain the reasons subjects transferred between sites in the BIMO Reviewer’s Guide, if a guide will be provided. 20 13 SCREEN Number of Subjects Num Integer Screened Total number of subjects screened (consented) at a given site. When a subject has transferred from one site to another, the applicant should handle reporting of such subjects consistently across sites and include the reporting convention used in the define file or the BIMO Reviewer’s Guide (if provided). The applicant may opt to further explain the reasons subjects transferred between sites in the BIMO Reviewer’s Guide, if provided. 100 14 DISCSTUD Number of Subject Num Integer Discons from Study Number of subjects in the safety population who discontinued from the study. 5 15 DISCTRT Number of Subject Num Integer Discons from Study Treatment Number of subjects in the safety population who discontinued from the study treatment. 10 Char String PhUSE Inspection Site Selection Data Elements Reqs-CDISC Gap Analysis, 26 May 2016 Page 26 of 33 Variable Index Controlled Terms or Format Variable Name Variable Label 16 ENDPOINT Primary Endpoint Char String Plain text label used to describe the primary endpoint (limit 200 characters). When more Average increase in than one primary efficacy endpoint exists, additional rows should be added to the dataset blood pressure to report additional ENDPOINT, ENDPTYPE, TRTEFFR, TRTEFFS, SITEEFFE, and SITEEFFS values by arm for each site. 17 ENDPTYPE Primary Endpoint Type Char String Variable type of the primary endpoint (i.e., continuous, discrete, time to event, or other). 18 TRTEFFR Treatment Efficacy Result Num Floating Point Summary statistic for each primary efficacy endpoint by treatment arm at a given site. 0, 0.25, 1, 100 19 TRTEFFS Treatment Efficacy Result Standard Deviation Num Floating Point Standard deviation of the efficacy result (TRTEFFR) for each primary efficacy endpoint by treatment arm at a given site. If N=1, set to 0. 0.065 20 SITEEFFE Site-Specific Num Floating Point Site effect size with the same representation as reported for the primary efficacy analysis. 0, 0.25, 1, 100 Efficacy Effect Size 21 SITEEFFS Site-Specific Efficacy Effect Size Standard Deviation Num Floating Point Standard deviation of the site-specific efficacy effect size (SITEEFFE). If N=1, set to 0. 0.065 22 CENSOR Number of Censored Observations Num Integer Total number of censored observations at a given site by treatment arm for primary endpoint (e.g., applicable to time-to-event). If not applicable, leave blank. 5 23 NSAE Number of NonSerious Adverse Events Num Integer Total number of non-serious adverse events at a given site by treatment arm for subjects in the safety population. This value should include multiple events per subject and all event types (i.e., not limited to only those that are deemed related to study drug or that are treatment emergent). 10 24 SAE Number of Serious Adverse Events Num Integer Total number of serious adverse events at a given site by treatment arm, excluding deaths, for subjects in the safety population. This value should include multiple events per subject. 5 25 DEATH Number of Deaths Num Integer Total number of deaths at a given site by treatment arm for subjects in the safety population. 1 Type Notes or Description PhUSE Inspection Site Selection Data Elements Reqs-CDISC Gap Analysis, 26 May 2016 Page 27 of 33 Sample Value Continuous Variable Index Variable Name Variable Label Type Controlled Terms or Format Notes or Description Sample Value 26 PROTVIOL Number of Protocol Num Integer Violations Total number of protocol violations at a given site by treatment arm as defined in the 20 clinical study report. A protocol violation is an unplanned excursion from the protocol that is not implemented or intended as a systematic change. This value should include multiple violations per subject and all violation types (i.e., not limited to only significant deviations). 27 FINLDISC Financial Disclosure Amount Char String Total financial disclosure amount ($USD) by site calculated as the sum of disclosures for the principal clinical investigator and all sub-investigators to include all required parities under the applicable regulations (21 CFR Parts 54, 312, 314, 320, 330, 601, 807, 812, 814, and 860). Enter “≥ $25,000”, “< $25,000”, “unknown” if a proper value is applicable but is not known (i.e., unable to obtain information from investigator at site), or “masked” if information on this item is available but it has not been provided by the sender due to security, privacy or other reasons. 28 LASTNAME Investigator Last Name Char String Last name of the principal clinical investigator as it appears on the Form FDA 1572 or the Doe signed investigator agreement. At sites where the clinical investigator has changed during the course of the study, the most recent clinical investigator should be listed. 29 FRSTNAME Investigator First Name Char String First name of the principal clinical investigator as it appears on the Form FDA 1572 or the John signed investigator agreement. 30 MINITIAL Investigator Middle Initial Char String Middle initial of the principal clinical investigator, if any, as it appears on the Form FDA 1572 or the signed investigator agreement. M 31 PHONE Investigator Phone Number Char String Phone number of the principal clinical investigator. Include country code for non-US numbers. 44-555-555-5555 32 FAX Investigator Fax Number Char String Fax number of the principal clinical investigator. Include country code for non-US numbers. If not available, leave blank. 44-555-555-5555 33 EMAIL Investigator Email Address Char String Email address of the principal clinical investigator. [email protected] PhUSE Inspection Site Selection Data Elements Reqs-CDISC Gap Analysis, 26 May 2016 Page 28 of 33 ≥ $25,000 Variable Index Variable Name Variable Label Type Controlled Terms or Format Notes or Description Sample Value 34 COUNTRY Country Char ISO 3166-1alpha-3 3 letter ISO 3166 country code in which the site is located. USA 35 STATE State Char String Unabbreviated state or province in which the site is located. If not applicable, enter NA. Maryland 36 CITY City Char String Unabbreviated city, county, or village in which the site is located. Silver Spring 37 POSTAL Postal Code Char String Postal code in which the site is located. If not applicable, enter NA. 20850 38 STREET Street Address Char String Street address and office number at which the site is located. 2005 John Fitzgerald Kennedy Boulevard Northwest, International Technology Center, Department of Medicine and Pharmacokinetics, National Institute of Clinical Research Twin Towers Building, 39 STREET1 Street Address Char String Street address and office number at which the site is located. Use this field when Variable STREET does not permit sufficient space to fully describe street address and office number at which the site is located. The Executive Wing, Suite # 209 PhUSE Inspection Site Selection Data Elements Reqs-CDISC Gap Analysis, 26 May 2016 Page 29 of 33 Appendix 3: Example for Clinical Site Data Elements Summary Listing with Multiple Primary Endpoints STUDYID STUDYTL SPONNO SPONNAME IND UNDERIND NDA BLA SUPPNUM SITEID ARM SAFPOP SCREEN DISCSTUD ABC-123 Double blind… 1 DrugCo, Inc. 000001 Y 200001 ∙ ∙ 001 Active 26 61 3 ABC-123 Double blind… 1 DrugCo, Inc. 000001 Y 200001 ∙ ∙ 001 Active 26 61 3 ABC-123 Double blind… 1 DrugCo, Inc. 000001 Y 200001 ∙ ∙ 001 Placebo 25 61 4 ABC-123 Double blind… 1 DrugCo, Inc. 000001 Y 200001 ∙ ∙ 001 Placebo 25 61 4 ABC-123 Double blind… 1 DrugCo, Inc. 000001 Y 200001 ∙ ∙ 002 Active 23 54 2 ABC-123 Double blind… 1 DrugCo, Inc. 000001 Y 200001 ∙ ∙ 002 Active 23 54 2 ABC-123 Double blind… 1 DrugCo, Inc. 000001 Y 200001 ∙ ∙ 002 Placebo 25 54 4 ABC-123 Double blind… 1 DrugCo, Inc. 000001 Y 200001 ∙ ∙ 002 Placebo 25 54 4 ABC-123 Double blind… 1 DrugCo, Inc. 000001 Y 200001 ∙ ∙ 003 Active 27 62 3 ABC-123 Double blind… 1 DrugCo, Inc. 000001 Y 200001 ∙ ∙ 003 Active 27 62 3 ABC-123 Double blind… 1 DrugCo, Inc. 000001 Y 200001 ∙ ∙ 003 Placebo 26 62 5 ABC-123 Double blind… 1 DrugCo, Inc. 000001 Y 200001 ∙ ∙ 003 Placebo 26 62 5 ABC-123 Double blind… 1 DrugCo, Inc. 000001 Y 200001 ∙ ∙ 004 Active 26 60 2 ABC-123 Double blind… 1 DrugCo, Inc. 000001 Y 200001 ∙ ∙ 004 Active 26 60 2 ABC-123 Double blind… 1 DrugCo, Inc. 000001 Y 200001 ∙ ∙ 004 Placebo 27 60 1 ABC-123 Double blind… 1 DrugCo, Inc. 000001 Y 200001 ∙ ∙ 004 Placebo 27 60 1 PhUSE Inspection Site Selection Data Elements Reqs-CDISC Gap Analysis, 26 May 2016 Page 30 of 33 DISCTRT ENDPOINT ENDTYPE TRTEFFR TRTEFFS SITEEFFE SITEEFFS CENSOR NSAE SAE DEATH PROTVIOL FINLDISC LASTNAME FRSTNAME 3 Percent Responders Binary 0.48 0.0980 0.34 0.1405 ∙ 0 2 0 1 < $25,000 Doe John 2 Change from Baseline Continuous 0.74 0.0861 0.60 0.1502 0 2 0 1 < $25,000 Doe John 3 Percent Responders Binary 0.14 0.0694 0.34 0.1405 2 2 0 1 < $25,000 Doe John 4 Change from Baseline Continuous 0.14 0.0699 0.60 0.1502 2 2 0 1 < $25,000 Doe John 0 Percent Responders Binary 0.48 0.1042 0.33 0.1427 3 2 1 0 ≥ $25,0000 Washington George 1 Change from Baseline Continuous 0.67 0.0983 0.52 0.1515 3 2 1 0 ≥ $25,0000 Washington George 4 Percent Responders Binary 0.14 0.0694 0.33 0.1427 0 2 0 3 ≥ $25,0000 Washington George 3 Change from Baseline Continuous 0.14 0.0700 0.52 0.1515 0 2 0 3 ≥ $25,0000 Washington George 2 Percent Responders Binary 0.54 0.0959 0.35 0.1448 2 2 0 1 ≥ $25,0000 Jefferson Thomas 0 Change from Baseline Continuous 0.65 0.0931 0.43 0.1485 2 2 0 1 ≥ $25,0000 Jefferson Thomas 5 Percent Responders Binary 0.19 0.0769 0.35 0.1448 3 6 0 0 ≥ $25,0000 Jefferson Thomas 6 Change from Baseline Continuous 0.19 0.0769 0.43 0.1485 3 6 0 0 ≥ $25,0000 Jefferson Thomas 1 Percent Responders Binary 0.46 0.0977 0.34 0.1275 4 1 0 0 unknown Lincoln Abraham 0 Change from Baseline Continuous 0.71 0.0891 0.5545 0.1397 4 1 0 0 unknown Lincoln Abraham 2 Percent Responders Binary 0.12 0.0625 0.34 0.1275 ∙ 1 2 0 1 unknown Lincoln Abraham Continuous 0.15 0.0694 0.5545 0.1397 ∙ 1 2 0 1 unknown Lincoln Abraham 1 Change from PhUSE Inspection Site Selection Data Elements Reqs-CDISC Gap Analysis, 26 May 2016 Page 31 of 33 ∙ ∙ ∙ ∙ ∙ ∙ ∙ ∙ ∙ ∙ ∙ ∙ ∙ Baseline MINITIAL PHONE FAX EMAIL COUNTRY STATE CITY POSTAL STREET STREET1 M 555-123-4567 555-123-4560 [email protected] RUS Moscow Moscow 103009 Kremlin Road 1 - M 555-123-4567 555-123-4560 [email protected] RUS Moscow Moscow 103009 Kremlin Road 1 - M 555-123-4567 555-123-4560 [email protected] RUS Moscow Moscow 103009 Kremlin Road 1 - M 555-123-4567 555-123-4560 [email protected] RUS Moscow Moscow 103009 Kremlin Road 1 - ∙ 020-3456-7891 020-3456-7890 [email protected] GBR Westminster London SW1A 2 10 Downing St Suite 2058 - ∙ 020-3456-7891 020-3456-7890 [email protected] GBR Westminster London SW1A 2 10 Downing St Suite 2058 - ∙ 020-3456-7891 020-3456-7890 [email protected] GBR Westminster London SW1A 2 10 Downing St Suite 2058 - ∙ 020-3456-7891 020-3456-7890 [email protected] GBR Westminster London SW1A 2 10 Downing St Suite 2058 - ∙ 01-89-12-34-56 01-89-12-3451 [email protected] FRA N/A Paris 75002 1, Rue Road - ∙ 01-89-12-34-56 01-89-12-3451 [email protected] FRA N/A Paris 75002 1, Rue Road - ∙ 01-89-12-34-56 01-89-12-3451 [email protected] FRA N/A Paris 75002 1, Rue Road - ∙ 01-89-12-34-56 01-89-12-3451 [email protected] FRA N/A Paris 75002 1, Rue Road - 20852 2005 John Fitzgerald Kennedy Boulevard Northwest, International Technology Center, Department of Medicine and Pharmacokinetics, National Institute of Clinical Research Twin Towers Building, The Executive Wing, Suite # 209 ∙ 555-987-6543 555-987-6540 [email protected] USA Maryland Rockville PhUSE Inspection Site Selection Data Elements Reqs-CDISC Gap Analysis, 26 May 2016 Page 32 of 33 20852 2005 John Fitzgerald Kennedy Boulevard Northwest, International Technology Center, Department of Medicine and Pharmacokinetics, National Institute of Clinical Research Twin Towers Building, The Executive Wing, Suite # 209 20852 2005 John Fitzgerald Kennedy Boulevard Northwest, International Technology Center, Department of Medicine and Pharmacokinetics, National Institute of Clinical Research Twin Towers Building, The Executive Wing, Suite # 209 20852 2005 John Fitzgerald Kennedy Boulevard Northwest, International Technology Center, Department of Medicine and Pharmacokinetics, National Institute of Clinical Research Twin Towers Building, The Executive Wing, Suite # 209 ∙ 555-987-6543 555-987-6540 [email protected] USA Maryland Rockville ∙ 555-987-6543 555-987-6540 [email protected] USA Maryland Rockville ∙ 555-987-6543 555-987-6540 [email protected] USA Maryland Rockville PhUSE Inspection Site Selection Data Elements Reqs-CDISC Gap Analysis, 26 May 2016 Page 33 of 33
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