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New Variables Timing New Variables Timing and Identifiers and Identifiers

SDTM IG Then and Now - CDISC Portal

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<strong>New</strong> <strong>Variables</strong> : Trial<br />

Summary<br />

• TSVALNF Parameter Null Flavor<br />

• TSVALCD Parameter Value Code<br />

• TSVCDREF Name of the Reference<br />

Terminology<br />

• TSVCDVER Version of the Reference<br />

Terminology


Amendment 1 Changes<br />

• MedDRA Terms added to Events<br />

• --TRTEM (Treatment Emergent Flag) not<br />

included<br />

• <strong>New</strong> DM variables added


Changes to Trial Design<br />

• <strong>New</strong> variables for TS<br />

• Addition of NULL FLAVOR for TS<br />

• <strong>New</strong> Codes for TS


TS: Trial Summary


TS: Null Flavor<br />

• Embodied in the ISO 21090 st<strong>and</strong>ard,<br />

“Health Informatics – Harmonized data<br />

types for information exchange<br />

• An ancillary piece of data that provides<br />

additional information when its primary<br />

piece of data is null (has a missing value)<br />

• Uses Controlled Terminology<br />

• Test for future use in other domains


Oncology Domains<br />

• TU – Tumor Identification<br />

• TR – Tumor Results<br />

• RS – Disease Results<br />

• Originally developed based RECIST<br />

criteria<br />

• SDTM Oncology Sub-Team working to<br />

exp<strong>and</strong> usage


Oncology Domains<br />

• TU – Tumor Identification<br />

• Used to uniquely identify tumors, classify<br />

them, identify location, how/who identified<br />

them<br />

• Per RECIST:<br />

• Target<br />

• Non-Target<br />

• <strong>New</strong> Tumor<br />

• H<strong>and</strong>les new, splits <strong>and</strong> merges<br />

• Uses --LNKID to identify <strong>and</strong> relate tumors


TUMIDENT Control<br />

Terminology


TUTESTCD Control<br />

Terminology


Oncology Domains<br />

• TR – Tumor Results<br />

• Contains quantitative measurements /<br />

qualitative assessments of tumors in TU<br />

• TRTESTCD/TRTEST – uses Control<br />

Terminology – no derivations by sponsor<br />

• If too small – use criteria lower limit (5mm)<br />

• TRACPTFL – only used if multiple<br />

evaluators<br />

• User TREVALID/TREVAL to identify<br />

evaluators


TRTESTCD Control<br />

Terminology


Oncology Domains<br />

• RS – Disease Results<br />

• Contains response evaluations as<br />

determined from results in TR<br />

• Use --LNKGRP to link with TR domain<br />

• RSTESTCD/RSTEST – uses Control<br />

Terminology – no derivations by sponsor<br />

• RSCAT – identifies criteria/CLINICAL<br />

ASSESSMENT<br />

• RSACPTFL – only used if multiple<br />

evaluators<br />

• User RSEVALID/RSEVAL to identify<br />

evaluators


RSTESTCD Control<br />

Terminology


RSSTRESC Control<br />

Terminology


TU Example


TR Example


TU Example<br />

(split/merge/new)


TR Example<br />

(split/merge/new)


RS Example


RELREC Example


SDTM Oncology Sub-team<br />

Activities<br />

• Control Terminology Updates<br />

• Response versus Remission<br />

• <strong>New</strong> TRTESTs<br />

• Collect Response Criteria (90+)<br />

• MO vs. TR for Liver/Spleen Measurements<br />

• RU for Assessments w/o Targets<br />

• End of Study/Trt<br />

using DSSCAT (death as outcome)<br />

• Review CV Usage of TU/TR

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