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The analysis datasets for this example include treatment and demographic information drawn from the Subject Level Analysis Dataset (ADSL), defined in the Metadata Tables below. Only some of the required variables from ADSL are shown for illustrative purposes. The ADSL incorporates demographics, treatment groups, study dates, and stratification variables. Additional information on the ADSL can be found in Section 2.3.1 of the ADaM Implementation Guide (ADaMIG) v1.3.

The ADSL is combined with other SDTM dataset to create the analysis datasets. More than one SDTM dataset can be combined in this way. Also, stratification variables can be created in the ADSL to subset by, or to add variables needed in the analyses. For instance, stratification variable might be type of concomitant medications, such as an ACE inhibitors. for this we added a flag ACEMEDFL, which is coded Y or N. Another variable added; body surface area (BSABL), is derived from the LB dataset at the baseline visit and added to ADSL. However, when the subjects are children, the body surface area changes over time. Therefore, an additional non-standard variable is added to the analysis dataset with the subject's current BSA by visit. 

The ADCVNTP dataset includes tests pertinent to these analyses. The record LB are selected where CVTESTCD is equal to "LVEF_C" or "RVEF_C". It also includes a subset of the Laboratory Results (LB) SDTM dataset, for which LBTESTCD is equal to "BNPPRONT". The relationship dataset RELREC illustrates the relationship between datasets. 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. In the example, only two LB records are shown which are linked to CV where CVTESTCD = "LVEF_C" or CVTESTCD = "R.VEF_C"

ADCVMR 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 ADCVNTP.

The tableS tables below showsthe show the example analysis dataset metadata and parameters used for the analysis. 

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 parameteradcvntp.xptUSUBJID, AVISITN, PARAMN

Analysis Dataset

ADCVCMRCardiovascular CMR Ejection Fraction Analysis Dataset

BASIC DATA STRUCTURE

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

Analysis Dataset

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Definexmltable
DatasetADSL
LevelVariable
PurposeAnalysis
NameVariable
Variable NameVariable LabelTypeCodelist/Controlled Terms/FormatSourceDerivation/Comment
STUDYIDStudy IdentifierChar

DM.STUDYID


USUBJIDUnique Subject IdentifierChar

DM.USUBJID


BRTHDTDate of BirthNumdate9.

ADSL.BRTHDTC

Convert BRTHDTC from ISO 8601 format to numeric date. (Note that if exact date is not found then use two variables to capture year and month.)
TRTSDTDate of First Exposure to TreatmentNumdate9.
Date portion of DM.RFSTDTC converted to numeric and displayed in a format such as DATE9.
TRT01P

Planned Treatment for Period 01

CharTreatment AADSL.TRT01PFor this example we are using "Treatment A". In a Real World Evidence study this could be non-treatment related, e.g. "Group A".

ITTFL

Intent-To-Treat Population Flag

Char

Y; N

ADSL.ITTFL

Derive the intent-to-treat population as per the protocol and SAP.
BSABASEBody Surface Area (m2) at BaselineNum
ADSL.BSABASE

Set to VS.VSSTRESN in ADSL where VS.VSTESTCD = "BSA" and select for baseline visit.

ACEINHFL

ACE Inhibitor Medications Flag

Char

Y


Select a list of ACE inhibitor medications from concomitant medications (CM) domain, and from treatment (EX or EC) domains. Code "Y" if the medication was taken during the study. Can be used to subset or to exclude the population who took ACE inhibitors.

Dataset wrap
Showtrue
NameADSlADSL
Dataset2
tableidadsl
RowSTUDYIDUSUBJIDBRTHDTTRTSDTTRT01PITTFLBSABASEACENHFL
1DMD-EFLGEDMD-EFLGE-10115FEB201315FEB2022Treatment AY0.65Y
Definexmltable
Dataset

ADCVNTP

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Analysis Dataset

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), and an example of a stratification variable for subjects with was added from ADSL.

Definexmltable
DatasetADCVNTP
LevelValue
PurposeAnalysis
OIDAVAL
DatasetVariableWhereTypeOriginDerivation/Comment
OIDAVAL
Set to CV.CVSTRESN where CV.CVTESTCD = "LVEF_C"
DatasetVariableWhereTypeOriginDerivation/Comment
ADCVNTPAVALPARAMCD = "LVEFC"NumPredecessor
ADCVNTPAVALPARAMCD = "RVEFCLVEFC"NumPredecessorSet to CV.CVSTRESN where CV.CVTESTCD = "RVEFLVEF_C"
ADCVNTPAVALPARAMCD = "BNPPRONTRVEFC"NumPredecessorSet to LBCV.LBSTRESN CVSTRESN where LBCV.LBTESTCD CVTESTCD = "BNPPRONTRVEF_C"

Analysis Datasets for Ejection Fraction

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ADCVNTPAVALPARAMCD = "BNPPRONT"NumPredecessorSet to LB.LBSTRESN where LB.LBTESTCD = "BNPPRONT"
Definexmltable
DatasetADCVNTP
LevelVariable
PurposeAnalysis
NameVariable
Variable NameVariable LabelTypeCodelist/Controlled Terms/FormatSourceDerivation/Comment
STUDYIDStudy IdentifierChar

CV.STUDYID


USUBJIDUnique Subject IdentifierChar

CV.USUBJID

Select for records with RE data.
ASEQAnalysis Sequence NumberNum

CV.CVSEQ

Number records 1 to n after sorting by keys.
BRTHDTDate of BirthNumDate9.

ADSL.BRTHDTC

Convert BRTHDTC from ISO 8601 format to numeric date. (Note that if exact date is not found then use two variables to capture year and month.)
TRT01P

Planned Treatment for Period 01

CharTreatment AADSL.TRT01P

ITTFL

Intent-To-Treat Population Flag

Char

Y; N

ADSL.ITTFL


BSABASEBody Surface Area (m2) at BaselineNum
ADSL.BSABASECompute in ADSL where VS.VSTESTCD = "BSA".

ACEINHFL

ACE Inhibitor Medications Flag

Char

Y


Select a list of ACE inhibitor medications from concomitant medications (CM) domain, and from treatment (EX or EC) domains. Code "Y" if the medication was taken during the study. Can be used to subset or to exclude the population who took ACE inhibitors.

BSABody Surface Area (m2) by VisitNum



Compute from VS.HEIGHT and VS.WEIGHT by visit, using the Du Bois method. Note that there are multiple methods to compute, and the study protocol should describe which one to use. (e.g. other methods may be Mosteller, Haycock, Gehan & George, Boyd, Fujimoto, Takahira, and Schlich)

PARAMParameterChar

Left Ventricular Ejection Fraction, Calculated (%);

Right Ventricular Ejection Fraction, Calculated (%);

N-Terminal ProB-type Natriuretic Peptide (pg/mL)


For tests from CV, set to the values of CV.CVTEST plus CV.CVTESTU with spaces and parentheses as shown. 

For tests from LB, set to the value of LB.LBTEST plus LB.LBTESTU with spaces and parentheses as shown. 

PARAMCDParameter CodeChar

LVEFC;

RVEFC;

BNPPRONT


If CV.CVTESTCD = "LVEF_C" then PARAMCD = "LVEFC"

If CV.CVTESTCD = "RVEF_C" then PARAMCD = "RVEFC"

If LB.LBTESTDC = "BNPPRONT" then PARAMCD = "BNPPRONT

Note: for this example dataset, select the records where the test values shown above are included.

PARAMNParameter (N)Num



Number PARAMCD as follows:

LVEFC = "1"

RVEFC = "2"

BNPPRONT = "3"

AVALAnalysis ValueNum


See Parameter Value List 

AVISITAnalysis VisitChar



If CV.VISIT = "VISIT 1" then AVISIT = "Visit 1 (Baseline)".

Else if CV.VISIT = "VISIT 6" then AVISIT = "Visit 6 (1 Year)".

AVISITNAnalysis Visit (N)Num

Set to value of CV.VISITNUM or LB.VISITNUM
VISITVisitNum

CV.VISIT

LB.VISIT


ADTAnalysis DateNumdate9.
Date portion of CV.CVDTC or LB.LBDTC converted to numeric and displayed in a format such as date9. 
ABLFLBaseline Record FlagCharY

If CV.VISIT = 1 then ABLFL = "Y".

BASEBaseline ValueNum

Set BASE to AVAL from the record for that subject and parameter where ABLFL = "Y".

Populate BASE for additional visits by carrying forward the value of BASE in the baseline record by USUBJID and AVISIT.

CHGChange from BaselineNum

Compute CHG = AVAL - BASE for that record. Only compute for post-baseline records.
PCHGPercent Change from BaselineNum

Compute PCHG = (CHG / BASE) * 100. Only compute for post-baseline records.
CHGCAT1Change from Baseline Category 1Char

Decline >=10.0;

Decline < 10.0; 

Increase


Categorize the value of CHG for Left Ventricular Ejection Fraction, and Calculated (%) (LVEFC) and for Right Ventricular Ejection Fraction, Calculated (%) (RVEFC)
CHGCAT2Change from Baseline Category 2Chart



Categorize the value of CHG for N-Terminal ProB-type Natriuretic Peptide (pg/mL) (BNPPRONT)
SRCDOMSource DataChar

CV; LB


Set to the SDTM domain name that relates to the analysis value.
SRCSEQSource Sequence NumberNum


CV.CVSEQ

LB.LBSEQ

Set to the SDTM domain sequence number that relates to the analysis value.

Example 1 

This example dataset shows the findings and additional analysis variables associated with:

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Dataset wrap
Nameadcvntp
Rowcaps
Rows 1-2:Show the baseline ejection fraction measurements at VISIT 1.
Row 3:Shows the baseline N-Terminal ProB-type Natriuretic Peptide test results at VISIT 1.
Rows 4-5:Show the baseline ejection fraction measurements at VISIT 6.
Row 6:Shows the baseline N-Terminal ProB-type Natriuretic Peptide test results at VISIT 6.
Dataset2
tableidadcvntp
RowSTUDYIDUSUBJIDASEQBRTHDTTRT01PITTFLBSABASEACEINHFLBSAPARAMPARAMCDPARAMNAVALAVISITAVISITNVISITADTABLFLBASECHGPCHGCHGCAT1SRCDOMSRCSEQ
1DMD-EFLGEDMD-EFLGE-101115FEB2013Treatment AY0.65Y0.65Left Ventricular Ejection Fraction, Calculated (%)LVEFC167Visit 1 (Baseline)1VISIT 116MAY2022Y67


CV3
2DMD-EFLGEDMD-EFLGE-101215FEB2013Treatment AY0.65Y
Right Ventricular Ejection Fraction, Calculated (%)RVEFC274Visit 1 (Baseline))1VISIT 116MAY2022Y74


CV7
3DMD-EFLGEDMD-EFLGE-101315FEB2013Treatment AY0.65Y
N-Terminal ProB-type Natriuretic Peptide (IU/L)BNPPRONT340Visit 1 (Baseline)1VISIT 116MAY2022Y40


LB1
4DMD-EFLGEDMD-EFLGE-101415FEB2013Treatment AY0.65Y
Left Ventricular Ejection Fraction, Calculated (%)LVEFC160Visit 6 (1 Year)6VISIT 606APR2023
67-7-10.447761Decline >=10.0CV11
5DMD-EFLGEDMD-EFLGE-101515FEB2013Treatment AY0.65Y
Right Ventricular Ejection Fraction, Calculated (%)RVEFC261Visit 6 (1 Year)6VISIT 606APR2023
74-13-17.567568Decline >=10.0CV15
6DMD-EFLGEDMD-EFLGE-101615FEB2013Treatment AY0.65Y
N-Terminal ProB-type Natriuretic Peptide (IU/L)BNPPRONT3900Visit 6 (1 Year)6VISIT 106APR2023
408602,150
LB2


ADCVNTP Analysis Dataset

Placeholder


Example 2

The dataset above can also be set up to provide multivariate analyses by taking the lab tests of interest, transposing and merging with the ADCVNTP dataset. In that case, the records from LB are not needed as a row.

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