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Questions:

  1. Is screening considered visit 1, or is it to include the subject into the study? SDTM team agreed to change to VISIT 1 instead of SCREENING.
  2. Are these Real World Evidence (RWE) studies only or clinical trials?  They can be both, we will concentrate on Trials and not mention RWE in this supplement.
  3. Should both endpoints be shown in one efficacy dataset or two? I will be showing 3 2 datasets.
  4. What is a good surface area to use for the child subject?   
  5. Should i use Male and 6 8 years? please advise.

This section illustrates example analysis datasets for the following endpoints:

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The SDTM examples used as the source data are from Section 2.1, Basic CMR Tests - Systolic Function. The CV dataset contains 16 rows, 1-8 for visit 1 and 9-16 for visit 6. Of these rows, the CVTESTCD = "LVEF_C" and CVTESTCD = "RVEF_C" representing the Ventricular Ejection Fraction, Calculated (%) for left and right were selected for the analysis. The LB dataset test where LBTESTCD = "BNPPRONT" was used to add the value of BNPPRONT to compute the percent change over time, and then it was added as a potential covariate in each row for the last analysis.  As in all ADaM datasets, the Subject Level Analysis Dataset (ADSL) was merged in to the SDTM datasets to capture all the necessary demographics, treatments and other required variables for analysis of the data.

Analysis Datasets

The example analysis dataset includes treatment and demographic information drawn from the ADSL, defined in the Metadata Table below. In this example, only some of the required variables, plus important stratification variables from ADSL, are shown for illustrative purposes. For example, one variable added; body surface area at baseline (BSABL)  was computed for baseline records in ADSL. However, since the subjects are children, the body surface area changes over time. Therefore, it would probably be necessary to have a separate dataset to represent this over time.

The table below shows the example analysis datasets and unique parameters for this example. The Subject Level Analysis Dataset (ADSL)  is a necessary component in the creation process of subsequent analysis datasets for human trials. The ADSL incorporates demographics, treatment groups, study dates, and stratification variables. In this example, the ADSL is not illustrated, but serves as a source for standard ADaM variables. Additional information can be found in Section 2.3.1 of the ADaM Implementation Guide (ADaMIG) v1.3.

The ADCVEF dataset includes tests pertinent to this analysis, those for which CVTESTCD is equal to "LVEF_C" or "RVEF_C". The relationship dataset RELREC illustrates the relationship between datasets. 

The ADCVNTRP dataset is a subset of the Laboratory Results (LB) SDTM dataset, for which LBTESTCD is equal to "BNPPRONT". In this case, many lab draws may occur throughout the year, but only those linked to a specific visit are included. By subsetting the LB dataset with LBLNKID not missing, laboratory data that aligns with CV data can be filtered out and sorted using USUBJID and VISIT. If LBLNKID is not available, a windowing strategy could be used to select the laboratory draw closest to that visit for merging with CV, computed in AVISIT.

ADCMRI is an efficacy analysis dataset with only a few records for more complex modeling of changes in ejection fraction, plus the ProB-type test results. It is an ADaM Basic Data Structure (BDS) dataset, with additional variables added from ADCVEF.

For the ADSL here is an additional SDTM dataset showing variables needed for ADSL.

Dataset wrap
Namedm
Rowcaps
Row 1:Shows the demographics for one subject. RFSTDTC represents the beginning of the trial, or subject registration date.
Dataset2
RowSTUDYIDDOMAINUSUBJIDRFSTDTCBRTHDTCAGEAGEUSEX
1DMD-EFDMDMD-EF-01-1012022-05-162014-02-078YEARSM

Analysis Datasets

The example analysis dataset includes treatment and demographic information drawn from the ADSL, defined in the Metadata Table below. In this example, only some of the required variables, plus important stratification variables from ADSL, are shown for illustrative purposes. For example, one variable added; body surface area at baseline (BSABL)  was computed for baseline records in ADSL. However, since the subjects are children, the body surface area changes over time. Therefore, it would probably be necessary to have a separate dataset to represent this over time.

The table below shows the example analysis datasets and unique parameters for this example. The Subject Level Analysis Dataset (ADSL)  is a necessary component in the creation process of subsequent analysis datasets for human trials. The ADSL incorporates demographics, treatment groups, study dates, and stratification variables. In this example, the ADSL is not illustrated, but serves as a source for standard ADaM variables. Additional information can be found in Section 2.3.1 of the ADaM Implementation Guide (ADaMIG) v1.3.

The ADCVEF dataset includes tests pertinent to this analysis, those for which CVTESTCD is equal to "LVEF_C" or "RVEF_C". The relationship dataset RELREC illustrates the relationship between datasets. 

The ADCVNTRP dataset is a subset of the Laboratory Results (LB) SDTM dataset, for which LBTESTCD is equal to "BNPPRONT". In this case, many lab draws may occur throughout the year, but only those linked to a specific visit are included. By subsetting the LB dataset with LBLNKID not missing, laboratory data that aligns with CV data can be filtered out and sorted using USUBJID and VISIT. If LBLNKID is not available, a windowing strategy could be used to select the laboratory draw closest to that visit for merging with CV, computed in AVISIT.

ADCMRI is an efficacy analysis dataset with only a few records for more complex modeling of changes in ejection fraction, plus the ProB-type test results. It is an ADaM Basic Data Structure (BDS) dataset, with additional variables added from ADCVEF.

Definexmltable
Multipletrue
LevelDataset
PurposeAnalysis

Dataset Name

Dataset Description

Class of Dataset

Structure

Location

Keys

Documentation

ADSL

Subject-Level Analysis Dataset

SUBJECT LEVEL ANALYSIS DATASET

One record per subject

adsl.xptUSUBJIDADaMIG
ADCVNTPCardiac Ejection Fraction and NTproBNP Analysis Dataset

BASIC DATA STRUCTURE

One record per subject per analysis visit per parameteradcvntrp.xptUSUBJID, AVISITN, PARAMN

Analysis Dataset

Definexmltable
DatasetADCVNTP
LevelValue
PurposeAnalysis
OIDAVAL
DatasetVariableWhereTypeOriginDerivation/Comment
ADCVNTPAVALPARAMCD = "LVEFC"NumPredecessorSet to CV.CVSTRESN where CV.CVTESTCD = "LVEF_C"
ADCVNTPAVALPARAMCD = "RVEFC"NumPredecessorSet to CV.CVSTRESN where CV.CVTESTCD = "RVEF_C"
ADCVNTPAVALPARAMCD = "BNPPRONT"NumPredecessorSet to LB.LBSTRESN where LB.LBTESTCD = "BNPPRONT"

Demographics in DM

The following demographics variables from SDTM are used in creating the ADSL. 


Set to LB.LBSTRESN where LB.LBTESTCD = "BNPPRONT"
Dataset wrap
Namecv
Rowcaps
Rows 1-8:Show the baseline CMR ejection fraction measurements for the participant at VISIT 1.
Rows 9-16:Show the CMR ejection fraction measurements for the participant at VISIT 6.
Dataset2
tableiddm


MD-EF

1DMD-EFCVDMD-EF-01-1012

EDV

End Diastolic Volume95mL9595mLHEART, LEFT VENTRICLE

CARDIAC MAGNETIC RESONANCE IMAGING

1VISIT 12022-05-161
2DMD-EFCVDMD-EF-01-10132LVEF_CLeft Ventricular Ejection Fraction, Calculated67%6767%HEART, LEFT VENTRICLECARDIAC MAGNETIC RESONANCE IMAGING1VISIT 12022-05-161
3DMD-EFCVDMD-EF-01-10142CARDOUTCardiac Output5.4L/min5.45.4L/minHEART, LEFT VENTRICLE

CARDIAC MAGNETIC RESONANCE IMAGING

1VISIT 12022-05-161
4DMD-EFCVDMD-EF-01-1015

ESV

End Systolic Volume24mL2424mLHEART, RIGHT VENTRICLE

CARDIAC MAGNETIC RESONANCE IMAGING

1VISIT 12022-05-161
5DMD-EFCVDMD-EF-01-1016

EDV

End Diastolic Volume90mL9090mLHEART, RIGHT VENTRICLECARDIAC MAGNETIC RESONANCE IMAGING1VISIT 12022-05-161
6DMD-EFCVDMD-EF-01-10182CARDOUTCardiac Output5.6L/min5.65.6L/minHEART, RIGHT VENTRICLE

CARDIAC MAGNETIC RESONANCE IMAGING

1VISIT 12022-05-161
7D7
Definexmltable
Multipletrue
LevelDataset
PurposeAnalysis

Dataset Name

Dataset Description

Class of Dataset

Structure

Location

Keys

Documentation

ADSL

Subject-Level Analysis Dataset

SUBJECT LEVEL ANALYSIS DATASET

One record per subject

adsl.xptUSUBJIDADaMIG
ADCVNTPCardiac Ejection Fraction and NTproBNP Analysis Dataset

BASIC DATA STRUCTURE

One record per subject per analysis visit per parameteradcvntrp.xptUSUBJID, AVISITN, PARAMN

Analysis Dataset

Definexmltable
DatasetADCVNTP
LevelValue
PurposeAnalysis
OIDAVAL
DatasetVariableWhereTypeOriginDerivation/Comment
ADCVNTPAVALPARAMCD = "LVEFC"NumPredecessorSet to CV.CVSTRESN where CV.CVTESTCD = "LVEF_C"
ADCVNTPAVALPARAMCD = "RVEFC"NumPredecessorSet to CV.CVSTRESN where CV.CVTESTCD = "RVEF_C"
ADCVNTPAVALPARAMCD = "BNPPRONT"NumPredecessor

















Analysis Datasets

The subsequent section provides the data structures for the example ADaM datasets. In this example, columns for derived variables BASE, CHG, PCHG and CHGCAT1 have been added to facilitate analyses of the efficacy endpoints. Specifically, example demographic data for ADSL were created for an 8 year old male. Also, a custom variable for BSA at baseline (BSABASE), was added from ADSL.

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