Qualiance ApS, Copenhagen, Denmark.
Department of Biostatistics, University of Liverpool, Block F, Waterhouse Building, 1-5 Brownlow Street, Liverpool, L69 3GL, UK.
BMC Med Res Methodol. 2019 Nov 5;19(1):204. doi: 10.1186/s12874-019-0836-3.
BACKGROUND: Clinical study reports (CSRs) have been increasingly utilised within academic research in recent years. European Medicines Agency (EMA) Policy 0070 'Phase 1,' which came into effect in January 2015, requires the publication of regulatory documents such as CSRs from central applications in an anonymised format. EMA Policy 0070 requires sponsors to demonstrate careful consideration of data utility within anonymised CSRs published within the scope of the policy, yet the concept of data utility is not clearly defined in the associated anonymisation guidance. OBJECTIVE: To review the use of data from CSRs in published academic research and to hypothesise the potential data utility of CSRs anonymised under the objectives of EMA Policy 0070 for future academic research. METHODS: Review of the objectives, research methodologies and findings of academic research reports using unpublished data from CSRs (prior to EMA Policy 0070). Semi-structured interviews with authors of academic research reports, including questions related to data utility of anonymised CSRs published under EMA Policy 0070. RESULTS: Thirteen academic research reports were identified and reviewed. The research purposes ranged from assessment of reporting bias, comparison of methods and results with published data sources, detailed evaluation of harms and adverse events, re-analysis and novel analyses including systematic reviews and meta-analysis. All of the examples identified required access to the methods and results sections of CSRs (including aggregated summary tables) and research purposes relating to evaluation of adverse events also required access to participant narratives. Retaining anonymised participant narratives relating to interventions, findings and events, while maintaining an acceptably low risk of participant re-identification, may provide an important gain in data utility and further understanding of drug safety profiles. CONCLUSIONS: This work provides an initial insight into the previous use of CSR data and current practices for including regulatory data in academic research. This work also provides early guidance to qualitatively assess and document data utility within anonymised CSRs published under EMA Policy 0070.
背景:近年来,临床研究报告(CSR)在学术研究中被越来越多地应用。欧洲药品管理局(EMA)于 2015 年 1 月生效的政策 0070“第 1 阶段”要求以匿名格式公布中央申请的监管文件,如 CSR。EMA 政策 0070 要求赞助商在政策范围内公布的匿名 CSR 中证明对数据实用性的谨慎考虑,但相关匿名指南中并未明确界定数据实用性的概念。
目的:审查 CSR 在已发表的学术研究中的使用情况,并假设根据 EMA 政策 0070 的目标对 CSR 进行匿名处理,对未来学术研究的潜在数据实用性。
方法:审查使用 CSR 中未发表数据的学术研究报告的目标、研究方法和发现(在 EMA 政策 0070 之前)。对使用 CSR 中未发表数据的学术研究报告的作者进行半结构化访谈,包括与 EMA 政策 0070 下公布的匿名 CSR 数据实用性相关的问题。
结果:确定并审查了 13 篇学术研究报告。研究目的范围从评估报告偏倚、与已发表数据来源的方法和结果进行比较、详细评估危害和不良事件、重新分析和新的分析,包括系统评价和荟萃分析。所有确定的例子都需要访问 CSR 的方法和结果部分(包括汇总摘要表),而与评估不良事件相关的研究目的还需要访问参与者叙述。保留与干预、发现和事件有关的匿名参与者叙述,同时将参与者重新识别的风险保持在可接受的低水平,可能会提高数据实用性并进一步了解药物安全概况。
结论:这项工作提供了对 CSR 数据的先前使用情况和将监管数据纳入学术研究的当前实践的初步见解。这项工作还为在 EMA 政策 0070 下公布的匿名 CSR 中定性评估和记录数据实用性提供了早期指导。
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