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In RECIST1.1, the following calculations are used in determination of the target response: sum of the diameters of target tumors (target sum), percentage change from baseline in the target sum, and percentage change from nadir in the target sum (smallest target sum at any assessment). These are referred to as summary values in the examples below. These summary values are not typically collected/calculated in investigator CRFs but they are usually provided by independent assessors.  When not derived in EDC,   Summary summary values not in the collected data may be derived in the analysis datasets (i.e., ADaM).

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This example shows a situation where the Investigator provided the summary values for Target lesions as a group (TRGRPID = "TARGET"). The TRTESTCD = "DIAMSUMDIAM" is used for the assessments. Note that the sponsor should not derived these values if they were not part of the data capture.

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Dataset wrap
Namers
Rowcaps
Rows 1-3: Show the response assessments at week 12. The target lesion showed 59% decrease from screening so the Target Response (RSTESTCD = "TRGRESP") is a partial response (RSSTRESC = "PR"). In the protocol, scintigraphy is only to be performed every 6 months or in order to verify CR (Complete Response). Therefore, the Non-target Response (RSTESTCD = "NTRGRESP") is not evaluable (RSSTRESC = "NE") because scintigraphy of the bone was not performed at week 12, i.e., not all non-target lesions were evaluated. The Overall Response (RSTESTCD = "OVRLRESP") is a partial response (RSSTRESC = "PR") based on the target lesions and protocol requirements.
Rows 4-6: Show the response assessments at week 24 where the target lesion and the non-target lesions were absent. The Target Response (RSTESTCD = "TRGRESP"), Non-target Response (RSTESTCD = "NTRGRESP") and Overall Response (RSTESTCD = "OVRLRESP") are CR (Complete Response). 
Dataset2
RowSTUDYIDDOMAINUSUBJIDRSSEQRSLNKGRPRSTESTCDRSTESTRSCATRSORRESRSSTRESCRSNAMRSEVALRSEVALIDEPOCHVISITNUMVISITRSDTCRSDY
1EX88888RS900081
TRGRESPTarget ResponseRECIST 1.1PRPRVENDOR1INDEPENDENT ASSESSORRADIOLOGISTTREATMENT20WEEK 122010-03-2985
2EX88888RS900082
NTRGRESPNon-Target ResponseRECIST 1.1NENEVENDOR1INDEPENDENT ASSESSORRADIOLOGISTTREATMENT20WEEK 122010-03-2985
3EX88888RS900083R-A2OVRLRESPOverall ResponseRECIST 1.1PRPRVENDOR1INDEPENDENT ASSESSORRADIOLOGISTTREATMENT20WEEK 122010-03-2985
4EX88888RS900084
TRGRESPTarget ResponseRECIST 1.1CRCRVENDOR1INDEPENDENT ASSESSORRADIOLOGISTTREATMENT30WEEK 242010-06-24172
5EX88888RS900085
NTRGRESPNon-Target ResponseRECIST 1.1CRCRVENDOR1INDEPENDENT ASSESSORRADIOLOGISTTREATMENT30WEEK 242010-06-24172
6EX88888RS900086R-A3OVRLRESPOverall ResponseRECIST 1.1CRCRVENDOR1INDEPENDENT ASSESSORRADIOLOGISTTREATMENT30WEEK 242010-06-24172

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Dataset wrap
Nametr
Rowcaps
Rows 1-4: Show the measurements of the "R-T01" target tumor in the "LIVER" and the assessments of the 2 non-target lesions "R-NT01" and "R-NT02" in the "BONE" and "PLEURAL CAVITY" at screening.  
Rows 5-11: Show the measurement of the "R-T01" target tumor and the tumor state of the "R-NT02" non-target in the "PLEURAL CAVITY" at week 12. In the protocol, "SCINTIGRAPHY" is only to be performed every 6 months or in order to verify a CR (Complete Response). Therefore, the "SCINTIGRAPHY" of "R-NT01" non-target in the "BONE" was not performed at week 12 (TRSTAT = "NOT DONE" and TRREASND = "SCAN NOT PERFORMED").
Rows 12-18: Show at week 24, the "R-T01" target lesion was absent (i.e., DIAMETER = "0") and the non-targets R-"NT01" and "R-NT02" in the "BONE" and "PLEURAL CAVITY" were absent (TRTESTCD = "TUMSTATE" with TRORRES = "ABSENT"). The "SCINTIGRAPHY" was performed in order to verify the Overall Response of CR (Complete Response).
Dataset2
RowSTUDYIDDOMAINUSUBJIDTRSEQTRGRPIDTRREFIDTRLNKGRPTRLNKIDTRTESTCDTRTESTTRORRESTRORRESUTRSTRESCTRSTRESNTRSTRESUTRSTATTRREASNDTRNAMTRMETHODTREVALTREVALIDEPOCHVISITNUMVISITTRDTCTRDY
1EX88888TR900081TARGETIMG-00001R-A1R-T01LDIAMLongest Diameter17mm1717mm

VENDOR1CT SCANINDEPENDENT ASSESSORRADIOLOGISTSCREEN10SCREENING2010-01-02-2
2EX88888TR900082TARGET

R-A1


SUMDIAMSum of Diameter17mm1717mm

VENDOR1
INDEPENDENT ASSESSORRADIOLOGISTSCREEN10SCREENING2010-01-02-2
3EX88888TR900083NON-TARGETIMG-00002R-A1R-NT01TUMSTATETumor StatePRESENT
PRESENT



VENDOR1SCINTIGRAPHYINDEPENDENT ASSESSORRADIOLOGISTSCREEN10SCREENING2010-01-01-3
4EX88888TR900084NON-TARGETIMG-00001

R-A1

R-NT02TUMSTATETumor StatePRESENT
PRESENT



VENDOR1CT SCANINDEPENDENT ASSESSORRADIOLOGISTSCREEN10SCREENING2010-01-02-2
5EX88888TR900085TARGETIMG-00004R-A2R-T01LDIAMLongest Diameter7mm77mm

VENDOR1CT SCANINDEPENDENT ASSESSORRADIOLOGISTTREATMENT20WEEK 122010-03-2985
6EX88888TR900086TARGET
R-A2
SUMDIAMSum of Diameter7mm77mm

VENDOR1
INDEPENDENT ASSESSORRADIOLOGISTTREATMENT20WEEK 12

7EX88888TR900087TARGET
R-A2
ACNSDAbsolute Change From Nadir in Sum of Diameter-10mm-10-10mm

VENDOR1
INDEPENDENT ASSESSORRADIOLOGISTTREATMENT20WEEK 12

8EX88888TR900088TARGET
R-A2
PCBSDPercent Change From Baseline in Sum of Diameter-59%-59-59%

VENDOR1
INDEPENDENT ASSESSORRADIOLOGISTTREATMENT20WEEK 12

9EX88888TR900089TARGET
R-A2
PCNSDPercent Change From Nadir in Sum of Diameter-59%-59-59%

VENDOR1
INDEPENDENT ASSESSORRADIOLOGISTTREATMENT20WEEK 12

10EX88888TR9000810NON-TARGET
R-A2R-NT01TUMSTATETumor State




NOT DONESCAN NOT PERFORMEDVENDOR1
INDEPENDENT ASSESSORRADIOLOGISTTREATMENT20WEEK 12

11EX88888TR9000811NON-TARGETIMG-00004R-A2R-NT02TUMSTATETumor StatePRESENT
PRESENT



VENDOR1CT SCANINDEPENDENT ASSESSORRADIOLOGISTTREATMENT20WEEK 122010-03-2985
12EX88888TR9000812TARGETIMG-00005R-A3R-T01LDIAMLongest Diameter0mm00mm

VENDOR1CT SCANINDEPENDENT ASSESSORRADIOLOGISTTREATMENT30WEEK 242010-06-23171
13EX88888TR9000813TARGET
R-A3
SUMDIAMSum of Diameter0mm00mm

VENDOR1
INDEPENDENT ASSESSORRADIOLOGISTTREATMENT30WEEK 24

14EX88888TR9000814TARGET
R-A3
ACNSDAbsolute Change From Nadir in Sum of Diameter-17mm-17-17mm

VENDOR1
INDEPENDENT ASSESSORRADIOLOGISTTREATMENT30WEEK 24

15EX88888TR9000815TARGET
R-A3
PCBSDPercent Change From Baseline in Sum of Diameter-100%-100-100%

VENDOR1
INDEPENDENT ASSESSORRADIOLOGISTTREATMENT30WEEK 24

16EX88888TR9000816TARGET
R-A3
PCNSDPercent Change From Nadir in Sum of Diameter-100%-100-100%

VENDOR1
INDEPENDENT ASSESSORRADIOLOGISTTREATMENT30WEEK 24

17EX88888TR9000817NON-TARGETIMG-00006R-A3R-NT01TUMSTATETumor StateABSENT
ABSENT



VENDOR1SCINTIGRAPHYINDEPENDENT ASSESSORRADIOLOGISTTREATMENT30WEEK 242010-06-24172
18EX88888TR9000818NON-TARGETIMG-00005R-A3R-NT02TUMSTATETumor StateABSENT
ABSENT



VENDOR1CT SCANINDEPENDENT ASSESSORRADIOLOGISTTREATMENT30WEEK 242010-06-23171

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Dataset wrap
Namepr
Rowcaps
Rows 1-3: Show the scans performed at screening. The CT SCAN and SCINTIGRAPHY are the primary methods used to assess the target and non-target lesion for RECIST 1.1 and the results are in TU and TR. Row 3 shows the correlative imaging (i.e., MRI) of the bone lesion in the FEMUR. 
Rows 4-6: Show that the CT scan was performed (PROCCUR = "Y") and that the scintigraphy and MRI were not performed (PROCCUR = "N") at week 12.
Rows 7-9: Show the scans performed at week 24.
Dataset2
RowSTUDYIDDOMAINUSUBJIDPRSEQPRREFIDPRLNKGRPPRTRTPRLOCPRPRESPPROCCUREPOCHVISITNUMVISITPRSTDTCPRSTDY
1EX88888PR900081IMG-00001A1CT SCANMULTIPLEY

Y

SCREEN10SCREENING2010-01-01-3
2EX88888PR900082IMG-00002A1SCINTIGRAPHYBONEYYSCREEN10SCREENING2010-01-02-2
3EX88888PR900083IMG-00003A1MRIFEMURYYSCREEN10SCREENING2010-01-03-1
4EX88888PR900084IMG-00004A2CT SCANMULTIPLEYYTREATMENT20WEEK 122010-03-2985
5EX88888PR900085
A2SCINTIGRAPHYBONEYNTREATMENT20WEEK 12

6EX88888PR900086
A2MRIFEMURYNTREATMENT20WEEK 12

7EX88888PR900087IMG-00005A3CT SCANMULTIPLEYYTREATMENT30WEEK 242010-06-24172
8EX88888PR900088IMG-00006A3SCINTIGRAPHYBONEYYTREATMENT30WEEK 242010-06-23171
9EX88888PR900089IMG-00007A3MRIFEMURYYTREATMENT30WEEK 242010-06-25173

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Dataset wrap
Namesupppr
Rowcaps
Rows 1-2: Show the 2 locations of the CT SCAN for PRSEQ = "1" where QNAM = "PRLOC1" with QVAL = "CHEST" and QNAM = "PRLOC2" with QVAL = "ABDOMEN".
Rows 3-6: Show the 2 locations of the CT SCAN for PRSEQ 4 and 7.
Dataset2
RowSTUDYIDRDOMAINUSUBJIDIDVARIDVARVALQNAMQLABELQVALQORIG
1EX88888PR90008PRSEQ1PRLOC1Anatomical Location 1CHESTeDC
2EX88888PR90008PRSEQ1PRLOC2

Anatomical Location 2

ABDOMENeDC
3EX88888PR90008PRSEQ4PRLOC1

Anatomical Location 1

CHESTeDC
4EX88888PR90008PRSEQ4PRLOC2

Anatomical Location 2

ABDOMENeDC
5EX88888PR90008PRSEQ7PRLOC1

Anatomical Location 1

CHESTeDC
6EX88888PR90008PRSEQ7PRLOC2

Anatomical Location 2

ABDOMENeDC

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The rs.xpt table below shows the terminology used to implement RECIST 1.1 in the RS domain. This example shows the data for one subject collected at the week 12 and a subsequent 12-week follow-up visit

Dataset wrap
Rowcaps
Rows 1-3: Show the Target Response (RSTESTCD = "TRGRESP"), Non-Target Response (RSTESTCD = "NTRGRESP") and Overall Response (RSTESTCD = "OVRLRESP") at week 12. The Target Response of PR (Partial Response) is based on the Percent Change From Baseline in Sum of Diameter (PCBSD) of -59%. The Non-Target Response of SD (Stable Disease) is based on the judgement of the non-target lesions/tumors taken collectively. In this case at week 12, one of the non-targets is absent and one of the non-targets has enlarged from nadir. The Overall Response is PR (Partial Response).
Rows 4-6: Show the Target Response (RSTESTCD = "TRGRESP"), Non-Target Response (RSTESTCD = "NTRGRESP") and Overall Response (RSTESTCD = "OVRLRESP") at week 24. The Target Response of CR (Complete Response) is based on the Percent Change From Baseline in Sum of Diameter (PCBSD) of -100%. The Non-Target Response of SD (Stable Disease) is based on the judgement of the non-target lesions/tumors taken collectively. In this case at week 24, one of the non-targets is absent and one of the non-targets is still present. The Overall Response is PR (Partial Response).
Dataset2
RowSTUDYIDDOMAINUSUBJIDRSSEQRSLNKGRPRSTESTCDRSTESTRSCATRSORRESRSSTRESCRSNAMRSEVALRSEVALIDEPOCHVISITNUMVISITRSDTCRSDY
1EX01010RS900101
TRGRESPTarget ResponseRECIST 1.1PRPRRADIOL. INC.INDEPENDENT ASSESSORRADIOLOGISTTREATMENT20WEEK 122010-03-2985
2EX01010RS900102
NTRGRESPNon-Target ResponseRECIST 1.1SDSDRADIOL. INC.INDEPENDENT ASSESSORRADIOLOGISTTREATMENT20WEEK 122010-03-2985
3EX01010RS900103R-A2OVRLRESPOverall ResponseRECIST 1.1PRPRRADIOL. INC.INDEPENDENT ASSESSORRADIOLOGISTTREATMENT20WEEK 122010-03-2985
4EX01010RS900104
TRGRESPTarget ResponseRECIST 1.1CRCRRADIOL. INC.INDEPENDENT ASSESSORRADIOLOGISTTREATMENT30WEEK 242010-06-23171
5EX01010RS900105
NRGRESPNon-Target ResponseRECIST 1.1SDSDRADIOL. INC.INDEPENDENT ASSESSORRADIOLOGISTTREATMENT30WEEK 242010-06-23171
6EX01010RS900106R-A3OVRLRESPOverall ResponseRECIST 1.1PRPRRADIOL. INC.INDEPENDENT ASSESSORRADIOLOGISTTREATMENT30WEEK 242010-06-23171

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Dataset wrap
Nametr
Rowcaps
Rows 1-4: Show the measurements of the "R-T01" target tumor in the "LIVER" and the assessments of the 2 non-Target lesions/sites "R-NT01" and "R-NT02" in the "LIVER" and "CHEST WALL" at screening.
Rows 5-11: Show the measurement of the "R-T01" target tumor and the tumor states of "R-NT01" and "R-NT02" non-targets at week 12. "R-T01" shows a decrease from 17mm at baseline to 7mm which is a Percent Change From Baseline in Sum of Diameter (PCBSD) of -59%. "R-NT01" has a TUMSTATE = "ABSENT" and "R-NT02" has a TUMSTATE = "ENLARGEMENT FROM NADIR". 
Rows 12-18: Show the measurement of the "R-T01" target tumor and the tumor states of "R-NT01" and "R-NT02" non-targets at week 24. "R-T01" is absent (LDIAM = "0") which is a Percent Change From Baseline in Sum of Diameter (PCBSD) of -100%. "R-NT01" remains TUMSTATE = "ABSENT" and "R-NT02" has a TUMSTATE = "PRESENT".
Dataset2
RowSTUDYIDDOMAINUSUBJIDTRSEQTRGRPIDTRLNKGRPTRLNKIDTRTESTCDTRTESTTRORRESTRORRESUTRSTRESCTRSTRESNTRSTRESUTRNAMTRMETHODTREVALTREVALIDEPOCHVISITNUMVISITTRDTCTRDY
1EX01010TR900101TARGETR-A1R-T01LDIAMLongest Diameter17mm1717mmRADIOL. INC.CT SCANINDEPENDENT ASSESSORRADIOLOGISTSCREEN10SCREENING2010-01-02-2
2EX01010TR900102TARGETR-A1
SUMDIAMSum of Diameter17mm1717mmRADIOL. INC.
INDEPENDENT ASSESSORRADIOLOGISTSCREEN10SCREENING

3EX01010TR900103NON-TARGETR-A1R-NT01TUMSTATETumor StatePRESENT
PRESENT

RADIOL. INC.CT SCANINDEPENDENT ASSESSORRADIOLOGISTSCREEN10SCREENING2010-01-02-2
4EX01010TR900104NON-TARGETR-A1R-NT02TUMSTATETumor StatePRESENT
PRESENT

RADIOL. INC.CT SCANINDEPENDENT ASSESSORRADIOLOGISTSCREEN10SCREENING2010-01-02-2
5EX01010TR900105TARGETR-R-A2R-T01LDIAMLongest Diameter7mm77mmRADIOL. INC.CT SCANINDEPENDENT ASSESSORRADIOLOGISTTREATMENT20WEEK 122010-03-2985
6EX01010TR900106TARGETR-A2
SUMDIAMSum of Diameter7mm77mmRADIOL. INC.
INDEPENDENT ASSESSORRADIOLOGISTTREATMENT20WEEK 12

7EX01010TR900107TARGETR-A2
ACNSDAbsolute Change From Nadir in Sum of Diameter-10mm-10-10mmRADIOL. INC.
INDEPENDENT ASSESSORRADIOLOGISTTREATMENT20WEEK 12

8EX01010TR900108TARGETR-A2
PCBSDPercent Change From Baseline in Sum of Diameter-59%-59-59%RADIOL. INC.
INDEPENDENT ASSESSORRADIOLOGISTTREATMENT20WEEK 12

9EX01010TR900109TARGETR-A2
PCNSDPercent Change From Nadir in Sum of Diameter-59%-59-59%RADIOL. INC.
INDEPENDENT ASSESSORRADIOLOGISTTREATMENT20WEEK 12

10EX01010TR9001010NON-TARGETR-A2R-NT01TUMSTATETumor StateABSENT
ABSENT

RADIOL. INC.CT SCANINDEPENDENT ASSESSORRADIOLOGISTTREATMENT20WEEK 122010-03-2985
11EX01010TR9001011NON-TARGETR-A2R-NT02TUMSTATETumor StateENLARGEMENT FROM NADIR
ENLARGEMENT FROM NADIR

RADIOL. INC.CT SCANINDEPENDENT ASSESSORRADIOLOGISTTREATMENT20WEEK 122010-03-2985
12EX01010TR9001012TARGETR-A3R-T01LDIAMLongest Diameter0mm00mmRADIOL. INC.CT SCANINDEPENDENT ASSESSORRADIOLOGISTTREATMENT30WEEK 242010-06-23171
13EX01010TR9001013TARGETR-A3
SUMDIAMSum of Diameter0mm00mmRADIOL. INC.
INDEPENDENT ASSESSORRADIOLOGISTTREATMENT30WEEK 24

14EX01010TR9001014TARGETR-A3
ACNSDAbsolute Change From Nadir in Sum of Diameter-17mm-17-17mmRADIOL. INC.
INDEPENDENT ASSESSORRADIOLOGISTTREATMENT30WEEK 24

15EX01010TR9001015TARGETR-A3
PCBSDPercent Change From Baseline in Sum of Diameter-100%-100-100%RADIOL. INC.
INDEPENDENT ASSESSORRADIOLOGISTTREATMENT30WEEK 24

16EX01010TR9001016TARGETR-A3
PCNSDPercent Change From Nadir in Sum of Diameter-100%-100-100%RADIOL. INC.
INDEPENDENT ASSESSORRADIOLOGISTTREATMENT30WEEK 24

17EX01010TR9001017NON-TARGETR-A3R-NT01TUMSTATETumor StateABSENT
ABSENT

RADIOL. INC.CT SCANINDEPENDENT ASSESSORRADIOLOGISTTREATMENT30WEEK 242010-06-23171
18EX01010TR9001018NON-TARGETR-A3R-NT02TUMSTATETumor StatePRESENT
PRESENT

RADIOL. INC.CT SCANINDEPENDENT ASSESSORRADIOLOGISTTREATMENT30WEEK 242010-06-23171

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