Do-Wan Lee1, Young Chul Cho2, Mi-hyun Kim3,4, Yeon Ji Chae5, Su Jung Ham3, Yousun Ko1, Seongwon Na2, Youngbin Shin2, Nari Kim6, DongāCheol Woo5,7, and Kyung Won Kim2
1Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea, Republic of, 2Biomedical Research Center, Asan Institute for Life Sciences, Asan Medical Center, Seoul, Korea, Republic of, 3Trialinformatics Inc., Seoul, Korea, Republic of, 4Department of Radiation Science & Technology, Jeonbuk National University, Jeonju, Korea, Republic of, 5Department of Convergence Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea, Republic of, 6Department of Medical Science, Asan Medical Institute of Convergence Science and Technology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea, Republic of, 7Convergence Medicine Research Center, Asan Institute for Life Sciences, Asan Medical Center, Seoul, Korea, Republic of
Synopsis
Keywords: Visualization, Visualization
In nonclinical animal research for new drug development, the
US FDA mandates to manage data in accordance with clinical data interchange
standards consortium (CDISC) standard for exchange of nonclinical data (SEND).
Older nonclinical trial data, i.e., legacy nonclinical trial data, contain
highly useful information but those data were created in various data formats
by different researchers. The present study specifically describes how to
implement the CDISC SEND data standards for the legacy nonclinical trial data
with MRI. Standardization of animal MRI data with CDISC SEND enables us to
utilize legacy data for next-generation drug development and new knowledge
creation.
INTRODUCTION
To date, magnetic resonance imaging (MRI) technology has
made a great contribution not only to clinical trials, but also to various
nonclinical trials for evaluation of new drug response assessment 1,2.
Moreover, the use of MRI has been increasing in nonclinical trials for new drug
development due to its high-resolution images with exquisite soft tissue
contrast 3. However, there has been no standards in managing those
experimental data. Thus, nonclinical trials with animal MRI have been
accumulated with various data formats 2. To review these data with
various data format, the United States Food and Drug Administration (U.S. FDA)
requires significant time, cost, and human resources 4. To overcome
these limitations, the clinical data interchange standards consortium (CDISC)
established global industry standards to support the electronic data
acquisition, submission, exchange and archiving of trial related documents and
metadata for medical and biopharmaceutical product development 5.
The U.S. FDA started requiring the submission of electronic data in accordance
with the CDISC standard for trials beginning on or after December 17, 2016. Accordingly,
many pharmaceutical companies have tried to convert their nonclinical data into
the CDISC SEND standard 5. Therefore, animal MRI researchers should
be familiar with CDISC SEND, especially in experiments for drug development. The
present study specifically describes how to convert animal MRI experiment data
in accordance with CDISC SEND standards.METHODS
A legacy nonclinical MRI
experiment dataset from a study published in the Radiology journal was used for
the CDISC SEND implementation 6. According to the SEND implementation guide version 3.1 (SENDIG v3.1), all
test results, examinations, and observations for subjects in a nonclinical
study are expressed in a series of SEND domains (Fig. 1). The SEND datasets are
named to be consistent with the domain code (two-character identifier) and
contain various unique variables. In addition, we generated domains for the
‘Trial Design’, ‘Demographics’, ‘Subject Elements’, ‘Exposure’, and
‘Disposition’ domains. ‘Findings Domains’, ‘Comments’ and ‘Relationships’, which
are required by the CDISC SEND. After completing the data conversion, an expert
in CDISC validated the converted data and data format. RESULTS
From the source data of our legacy nonclinical trial (Fig.
2a), all documents with study protocol, raw data including laboratory data and
MRI finding, and every related finding (Fig. 2b, c, d) were recorded in a
tabulated format according to the CDISC SENDIG v3.1. The MRI specific variables
such as sequences and acquisition parameters were converted according to the
SDTM for Medical Devices (SDTMIG-MD). The SEND datasets were converted to
SAS-XPT format, and all terms used in tabulation were defined in the define-XML
file 7. The SEND datasets in define-XML file were visualized to a
website using the R Shiny application tool. Figure 3 shows the visualized demographic
(DM) domain of the implemented SEND dataset on a website, which can facilitate
efficient access by those involved in the planning, programming and validation
phases of the conversion. Validation by an expert showed that all data were
perfectly converted to CDISC SEND without any error. CONCLUSION
We successfully converted the legacy nonclinical trial with
animal MRI into CDISC SEND data format and visualized them in a web.
Implementation of the SEND format for animal MRI experiments is expected to increase
in the field of drug development. Acknowledgements
This work was supported by the National Research Foundation
of Korea (NRF) grant funded by the Korea Government (Ministry of Science and
ICT, MSIT) (No. 2022R1C1C2008801).References
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