The Interventions general observational class of domains is used to represent investigational, therapeutic, and otherproductsthat are administered to the subject (with some actual or expected physiological effect) either as specified by the study protocol (e.g., exposure to study product coincident with the study assessment period (e.g., concomitant medications), or self‑administered by the subject (e.g., use of alcohol, tobacco, or caffeine).
Recreational drugsare chemical substances taken for enjoyment, or leisure purposes, rather than for medical reasons. They are often drugs that are misused or abused or drugs self-administered by the subject. To support standardization, CDISC defined aSubstance Use (SU) domain. This domain is used to represent intervention that are Substance Use (SU )interventions used fornon-medical purposes andoften maybe harmful to the individual or others.These includealcohol, marijuana and tobacco.
Other domains have been established to record other types of interventions. Interventions administered to the subject coincident with the study assessment period are referred to as concomitant medications and represented in the Concomitant/Prior Medications (CM) domain andinterventions administered as protocol-specified study products are represented in the Exposure (EX) and Exposure as Collected (EC) domains.
In clinical trials studying tobacco products, tobacco products being used for non-medical purpose will be represented in the SU domain. However, products being used to reduce the usage of these self-administered tobacco products, will be considered either concomitant medications, or the product under study.
Several examples are provided below to illustrate the different ways a subject's history of recreational product usage may be collected in studies. Note, that the Findings About Events or Interventions structure (or "FA structure") is used to represent collected data that are findings about” an event or intervention that cannot be represented within an event or intervention record or as a supplemental qualifier to such a record. Not all findings associated with an event or intervention should be represented in the FA structure.
The Findings About Events or Interventions (FA–) is a specialization of the Findings general observation class. it shares all qualities and conventions of Findings observations but is specialized by the addition of the --OBJ variable.
Example
This example collects data on all types of recreational products previosuly used by the subject. The sponsor only collected the general type of product used. The actual dates of usage were also not collected. The subject provided the duration of use. Usage of these recreational products are represented in the SU domain.
There are 2 sections of this example CRF: The questions in the first section focus on the whether any recreational products were used, and the questions in the second section are for each recreational product used. The applicant did not include subjects that did not use recreational products in the SDTM dataset. In order to save space, some of the permissible values are only shown in the metadata specifications.
Section 1 The metadata/specification in the first section focus on the whether any recreational products were used.
Order
Question Text
Prompt
Case Report Form Completion Instructions
Type
Collection Variable
Tabulation Target
Mapping Instructions
Controlled Terminology CodeList Name
Permissible Values
Pre-Populated Value
1
What is the category of the substance used?
Substance Use Category
Record the recreational product category, if not pre-printed on the CRF.
Text
SUCAT
RECREATIONAL PRODUCT
2
Were any recreational products used?
Any Recreational Product Used
Indicate if the subject had used any recreational products.
Text
SUYN
SUSTAT = "NOT DONE" and SUTRT="RECREATIOAL PRODUCT" where SUYN = "Not Done"
(NY)
Yes; No; Not Done
3
What was the reason the recreational product use was not done?
Reason Not Done
Record the reason recreational product use was not done.
Text
SUREASND
SUREASND
Section 2 The metadata/specification in the second section focus on each recreational product used.
Order
Question Text
Prompt
Case Report Form Completion Instructions
Type
Collection Variable
Tabulation Target
Mapping Instructions
Controlled Terminology CodeList Name
Permissible Values
Pre-Populated Value
4
What was the recreational product used?
Type of Recreational Product Used
Record each recreational product used on a new line.
Text
SUTRT
Alcohol;Tobacco; Marijuana; Hallucinogen Drugs; Non-medical prescription drugs use; Stimulants; Other
5
Does the subject currently use or formerly used recreational products?
Usage
Check the appropriate box to indicate if the subject currently or formerly used recreational products.
Text
SUNCF
SUSTTPT; SUSTRTPT; SUENTPT; SUENRTPT; SUPRESP
(NCF)
FORMERLY:CURRENT;
6
What was the amount of the recreational product used?
Amount
Indicate the amount of recreational drug the subject consumes on a regular basis.
Text
SUDOSE; SUDOSTXT
7
SUDOSU
What was the unit?
Record the unit. See the protocol for a list of units.
Text
SUDOSU
SUDOSU
(UNIT)
8
SUDOSFRQ
What was the frequency of recreational product use?
Record how often the subject regularly uses the recreational product.
Text
SUDOSFRQ
(FREQ)
Occasionally; Intermittent; Daily; PRN; Unknown
This is the SDTM dataset used to represent the above collected data. The applicant populated SUPRESP="Y" for all substances specified in the drop-down list on the CRF. Other substances were not considered prespecified.
Row 1:
Shows that the subject was using cigarettes before the baseline visit and was expected to continue to use cigarettes after the baseline visit, The baseline visit occurred on 2006-01-01. This is represented using SUSTTPT, SUSTRTPT, SUENTPT and SUENRTPT. SUPRESP is used to indicate that the use of cigarettes was solicited on the CRF.
Row 2:
Shows the subject uses marijuana starting in 2002 and stopped using it on the day of the baseline visit. SUPRESP is used to indicate that the use of marijuana was solicited on the CRF.
Row 3:
Subject 1234006 is a former smoker. The date this subject began smoking is unknown, but it was sometime before the assessment date; this is shown by the values of SUSTTPT and SUSTRTPT. The end date of smoking was collected, so SUENTPT and SUENRTPT are not populated. Instead, the end date is in SUENDTC.
Row 4:
Shows the subjects had missing data for the usage of recreational products; this is indicated by SUSTAT = "NOT DONE". The reason is in SUREASND.
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su.xpt
Row
STUDYID
DOMAIN
USUBJID
SUSEQ
SUTRT
SUCAT
SUPRESP
SUSTAT
SUREASND
SUDOSE
SUDOSU
SUDOSFRQ
SUSTDTC
SUENDTC
SUSTRTPT
SUSTTPT
SUENRTPT
SUENTPT
1
1234
SU
1234005
1
CIGARETTES
RECREATIONAL PRODUCT
Y
2
PACK
QD
BEFORE
2006-01-01
ONGOING
2006-01-01
2
1234
SU
1234005
2
MARIJUNA
RECREATIONAL PRODUCT
Y
2002
2006-01-01
3
1234
SU
1234006
1
CIGARETTES
RECREATIONAL PRODUCT
Y
1
PACK
QD
2003
BEFORE
2006-03-15
4
1234
SU
1234007
1
RECREATIONAL PRODUCT
RECREATIONAL PRODUCT
NOT DONE
Subject left office before CRF was completed
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Example
This example illustrates how tobacco use history data could be collected. This example does not include tobacco products that are being used as a medically acceptable therapy for smoking cessation. This includes cigarettes, cigars, pipes, chewing tobacco, snus or tobacco pouches, or tobacco dips. The specific brand name of the product was collected. The sponsor collected whether the product was still being used, and if not, the end date of usage. Usage of these products is represented in the SU domain.
Section 1
Order
Question Text
Prompt
CRF Completion Instructions
Type
Collection Variable
Tabulation Target
Mapping Instuctions
Controlled Terminology Code List Name
Permissible Values
Pre-Populated Value
1
What is the object?
Text
FAOBJ
FAOBJ
TOBACCO
2
What was the age of the subject when they started smoking?
Age Started Smoking
Record the Age Category when the subject started smoking
Text
AGESTSMK__FAORRES
FAORRES
FAORRES WHERE FATESTCD = "AGESTSMK" and FAOBJ = "TOBACCO"
16-24 years; 25-34 years; 45–64 years; 65 years and older
3
Did the subject have any tobacco cessation counseling?
Tobacco Cessation Counseling
Indicate whether the subject had previous tobacco cessation counseling
Text
TBCESSCO__FAORRES
FAORRES
FAORRES WHERE FATESTCD = "TBCESSCO" and FAOBJ = "TOBACCO"
(NY)
No;Yes
4
What is the longest duration of previous abstinence from tobacco use?
Longest Duration of Abstinence
Record the longest duration of tobacco abstinence
Text
LDURABS__FAORRES
FAORRES
FAORRES WHERE FATESTCD = "LDURABS" and FAOBJ = "TOBACCO"
≤7 days; 8–28 days;1–6 months; >6 months
Section 2
Order
Question Text
Prompt
CRF Completion Instructions
Type
Collection Variable
Tabulation Target
Mapping Instuctions
Controlled Terminology Code List Name
Permissible Values
Pre-Populated Value
5
What is the type of tobacco product used by the subject?
Record the brand name of the tobacco product used.
Text
SUTRT
SUTRT
7
Is this the subject's usual brand of tobacco product?
Substance Use Subcategory
Indicate if this is the subject's usual brand of tobacco product used
Text
SUSCAT
SUSCAT
USUAL BRAND;
NOT USUAL BRAND
9
What was the duration of use of the tobacco product ?
Duration
Provide the duration for the product used
Text
SUCDUR
SUDUR
9
What was the unit of duration of use of the tobacco product?
Unit
Select the appropriate duration unit for the product used
Text
SUCDURU
SUDUR
DAYS; MONTHS; YEARS;
10
Is the tobacco use ongoing?
Ongoing
Record the product used as ongoing if the subject has not stopped taking the product used at the time of data collection. The end date should be left blank.
Text
SUONGO
SUENRF; SUENRTPT
SUENRF or SUENRTPT
(NY)
No;Yes
11
What was the end date?
End Date
Record the date the product used was stopped using this format (DD-MON-YYYY). If the subject has not stopped taking the product used leave this field blank.
Date
SUENDAT
SUENDTC
The example SDTM datasets used to represent the collected data are shown below.
SUTRT represents the brand name of the tobacco product. The applicant added the UPC code of the product to the dataset. Some applicants may collect the UPC code on the CRF. The duration was represented using ISO 8601 duration format. The applicant used the first visit date to populate SUSTPT and SUENTPT.
Row 1:
Shows that the subject used the tobacco product shown in SUTRT. SUCAT and SUSCAT categorize the product used. The dates of use were not know, but SUSTTPT, SUSTRTPT, SUENTPT and SUENRTPT indicate that the use started before the visit and was still ongoing,
Row 2:
Shows that the subject used smokeless tobacco product shown in SUTRT. This was not the subject's usual brand of smokeless tobacco product.
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su.xpt
Row
STUDYID
DOMAIN
USUBJID
SUSEQ
SUTRT
SUCAT
SUSCAT
SUDUR
SUENDTC
SUSTRTPT
SUSTTPT
SUENRTPT
SUENTPT
1
TB901
SU
TB901005
1
XYZ Menthol King Size
SMOKED TOBACCO PRODUCT
USUAL BRAND
P20Y
BEFORE
2006-01-01
ONGOING
2006-01-01
2
TB901
SU
TB901006
2
AAA Chewing Tobacco
SMOKELESS TOBACCO PRODUCT
NOT USUAL BRAND
P3M
2006-01-01
BEFORE
2006-01-01
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The additional information was represented as findings about events (FASU). For the general questions about tobacco usage, the applicant assigned FAOBJ to "TOBACCO". Otherwise, the name of the tobacco product (SUTRT) associated with the data in the row was represented in FAOBJ. The UPC code was used by the applicant to identify the product. FADTC is the date of collection, in this situation the applicant used the visit date.