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Reviews on Recent Clinical Trials

Editor-in-Chief

ISSN (Print): 1574-8871
ISSN (Online): 1876-1038

Review Article

A Review of Clinical Data Management Systems Used in Clinical Trials

Author(s): Aynaz Nourani, Haleh Ayatollahi* and Masoud Solaymani Dodaran

Volume 14, Issue 1, 2019

Page: [10 - 23] Pages: 14

DOI: 10.2174/1574887113666180924165230

Price: $65

Abstract

Background: A clinical data management system is a software supporting the data management process in clinical trials. In this system, the effective support of clinical data management dimensions leads to the increased accuracy of results and prevention of diversion in clinical trials. The aim of this review article was to investigate the dimensions of data management in clinical data management systems.

Methods: This study was conducted in 2017. The used databases included Web of Science, Scopus, Science Direct, ProQuest, Ovid Medline and PubMed. The search was conducted over a period of 10 years from 2007 to 2017. The initial number of studies was 101 reaching 19 in the final stage. The final studies were described and compared in terms of the year, country and dimensions of the clinical data management process in clinical trials.

Results: The research findings indicated that none of the systems completely supported the data management dimensions in clinical trials. Although these systems were developed for supporting the clinical data management process, they were similar to electronic data capture systems in many cases. The most significant dimensions of data management in such systems were data collection or entry, report, validation, and security maintenance.

Conclusion: Seemingly, not sufficient attention has been paid to automate all dimensions of the clinical data management process in clinical trials. However, these systems could take positive steps towards changing the manual processes of clinical data management to electronic processes.

Keywords: Clinical data management, clinical trial, data security, data validation, software, system.

Graphical Abstract

[1]
Friedman LM, Furberg CD, DeMets DL, Reboussin DM, Granger CB. Fundamentals of Clinical Trials. Switzerland: Springer 2015.
[2]
Wieringa S, Engebretsen E, Heggen K, Greenhalgh T. Has evidence-based medicine ever been modern? A Latour-inspired understanding of a changing EBM. J Eval Clin Pract 2017; 23(5): 964-70.
[3]
Almassinokiani F, Khodaverdi S, Solaymani-dodaran M, Akbari P, Pazouki A. Effects of vitamin D on endometriosis-related pain: a double-blind clinical trial. Med Sci Monit 2016; 22: 4960.
[4]
Solaymani-Dodaran M, Khalili D, Hosseini H, et al. Iranian registry of clinical trials two years on and the timing of registrations. J Evid Based Med 2011; 4(3): 168-71.
[5]
Johnson MR, Kenworthy-Heinige T, Beck DJ, et al. Research site mentoring: A novel approach to improving study recruitment. Contemp Clin Trials Commun 2018; 9: 172-7.
[6]
Lang T, Siribaddana S. Clinical trials have gone global: Is this a good thing? PLoS Med 2012; 9(6): e1001228.
[7]
Nijhawan LP, Janodia MD, Muddukrishna B, et al. Informed consent: Issues and challenges. J Adv Pharm Technol Res 2013; 4(3): 134.
[8]
Korosteleva O. Clinical statistics: Introducing clinical trials, survival analysis, and longitudinal data analysis. Massachusetts: Jones & Bartlett Learning 2009.
[9]
Rajagopalan R, Deodurg P, Srikanth D. Overview of randomized controlled trials. Asian J Pharm Clin Res 2013; 6(3): 32-8.
[10]
Parab S, Bhalerao S. Study designs. Int J Ayurveda Res 2010; 1(2): 128.
[11]
Park JY, Kim DR, Haldar B, et al. Use of the data system for field management of a clinical study conducted in Kolkata, India. BMC Res Notes 2016; 9(1): 20.
[12]
Cramon P, Rasmussen ÅK, Bonnema SJ, et al. Development and implementation of PROgmatic: A clinical trial management system for pragmatic multi-centre trials, optimised for electronic data capture and patient-reported outcomes. Clin Trials J 2014; 11(3): 344-54.
[13]
Prokscha S. Practical Guide to Clinical Data Management. 3rd ed. Boca Raton, Florida: Taylor & Francis 2011.
[14]
Krishnankutty B, Bellary S, Kumar NB, Moodahadu LS. Data management in clinical research: An overview. Indian J Pharmacol 2012; 44(2): 168.
[15]
Müller J, Heiss KI, Oberhoffer R. Implementation of an open adoption research data management system for clinical studies. BMC Res Notes 2017; 10(1): 252.
[16]
Ohmann C, Kuchinke W, Canham S, et al. Standard requirements for GCP-compliant data management in multinational clinical trials. Trials 2011; 12(1): 85.
[17]
Barr R, Carver V, Green K, et al. Good Informatics Practices (GIP) Module: Data Management: HIMSS; 2013.
[18]
St Germain DC, Good MJ. Data management in clinical trials Principles and Practice of Clinical Research. 4th ed. London: Elsevier 2017.
[19]
Gao Q-B, Kong Y, Fu Z, et al. EZ-Entry: A clinical data management system. Comput Biol Med 2008; 38(9): 1042-4.
[20]
Fraccaro P, Dentone C, Fenoglio D, Giacomini M. Multicentre clinical trials’ data management: A hybrid solution to exploit the strengths of electronic data capture and electronic health records systems. Inform Health Soc Care 2013; 38(4): 313-29.
[21]
Rorie DA, Flynn RWV, Grieve K, et al. Electronic case report forms and electronic data capture within clinical trials and pharmacoepidemiology. Br J Clin Pharmacol 2017; 83(9): 1880-95.
[22]
Zhang J, Sun L, Liu Y, Wang H, Sun N, Zhang P. Mobile device–based electronic data capture system used in a clinical randomized controlled trial: Advantages and challenges. J Med Internet Res 2017; 19(3): e66.
[23]
Fu L, Ding S, Chen T, editors Clinical Data Management System Biomedical Engineering and Computer Science (ICBECS) conference; 2010; China: IEEE
[24]
Franklin JD, Guidry A, Brinkley JF. A partnership approach for electronic data capture in small-scale clinical trials. J Biomed Inform 2011; 44: S103-8.
[25]
Shah J, Rajgor D, Pradhan S, McCready M, Zaveri A, Pietrobon R. Electronic data capture for registries and clinical trials in orthopaedic surgery: Open source versus commercial systems. Clin Orthop Relat Res 2010; 468(10): 2664-71.
[26]
Walther B, Hossin S, Townend J, Abernethy N, Parker D, Jeffries D. Comparison of Electronic Data Capture (EDC) with the standard data capture method for clinical trial data. PLoS One 2011; 6(9): e25348.
[27]
Lu Z, Su J. Clinical data management: Current status, challenges, and future directions from industry perspectives. Open Access J Clin Trials 2010; 2: 93-105.
[28]
McGraw MJ, George AN, Shearn SP, Haws TF, Hall RL. Principles of Good Clinical Practice. London: Pharmaceutical Press 2010.
[29]
Bryan HE. Web based data management in clinical trials Wiley StatsRef: Statistics Reference Online 2008.
[30]
Durkalski V, Zhao W, Dillon C, Kim J. A web-based clinical trial management system for a sham-controlled multicenter clinical trial in depression. Clin Trials J 2010; 7(2): 174-82.
[31]
Geyer J, Myers K, Vander Stoep A, McCarty C, Palmer N, DeSalvo A. Implementing a low-cost web-based clinical trial management system for community studies: A case study. Clin Trials J 2011; 8(5): 634-44.
[32]
Amorim RC, Castro JA, da Silva JR, Ribeiro C. A comparison of research data management platforms: architecture, flexible metadata and interoperability. Univers Access Inf Soc (UAIS) 2017; 16(4): 851-62.
[33]
Gazali KS, Singh I. Artificial intelligence based clinical data management systems: A review. Informatics in Medicine Unlocked 2017; 9: 219-29.
[34]
Cavenaugh JS, Snell P, Jeffries D, Waight PA, McConkey SJ. A relational database for management of flow cytometry and ELISpot clinical trial data. Cytometry B Clin Cytom 2007; 72(1): 49-62.
[35]
Buchsbaum R, Kaufmann P, Barsdorf AI, et al. Web-based data management for a phase II clinical trial in ALS. Amyotroph Lateral Scler 2009; 10(5-6): 374-7.
[36]
Arab L, Hahn H, Henry J, Chacko S, Winter A, Cambou MC. Using the web for recruitment, screen, tracking, data management, and quality control in a dietary assessment clinical validation trial. Contemp Clin Trials 2010; 31(2): 138-46.
[37]
Wilson AS, Bacon PA, Young SP, Carruthers DM. Vasculitis integrated clinical assessment database: A data management system to support studies into systemic vasculitis. J Clin Rheumatol 2010; 16(1): 10-4.
[38]
Das S, Zijdenbos AP, Harlap J, Vins D, Evans AC. LORIS: A web-based data management system for multi-center studies. Front Neuroinform 2011; 5: 37.
[39]
Musick BS, Robb SL, Burns DS, et al. Development and use of a web-based data management system for a randomized clinical trial of adolescents and young adults. Comput Inform Nurs 2011; 29(6): 337-43.
[40]
Tran V-A, Johnson N, Redline S, Zhang G-Q. OnWARD: Ontology-driven web-based framework for multi-center clinical studies. J Biomed Inform 2011; 44: S48-53.
[41]
Ngari MM, Waithira N, Chilengi R, et al. Experience of using an open source clinical trials data management software system in Kenya. BMC Res Notes 2014; 7(1): 845.
[42]
Micard E, Husson D. Team C-I, Felblinger J. ArchiMed: A Data management system for clinical research in imaging. FICT 2016; 3: 31.
[43]
Lee H, Chapiro J, Schernthaner R, et al. How I do it: A practical database management system to assist clinical research teams with data collection, organization, and reporting. Acad Radiol 2015; 22(4): 527-33.
[44]
Stenzhorn H, Weiler G, Brochhausen M, Eds. The ObTiMA system-ontology-based managing of clinical trials. World Congress on Medical Informatics 2010. Cape Town, South Africa.
[45]
Li Z, Wen J, Zhang X, Wu C, Li Z, Liu L, Eds. ClinData Express–a metadata driven clinical research data management system for secondary use of clinical data AMIA Annu Symp Proc; 2012; Chicago, USA.
[46]
Julka PK. Becoming A Successful Clinical Trial Investigator. DNA Press 2009.
[47]
Bellary S, Krishnankutty B, Latha M. Basics of case report form designing in clinical research. Perspect Clin Res 2014; 5(4): 159.
[48]
Huser V, Sastry C, Breymaier M, Idriss A, Cimino JJ. Standardizing data exchange for clinical research protocols and case report forms: An assessment of the suitability of the Clinical Data Interchange Standards Consortium (CDISC) Operational Data Model (ODM). J Biomed Inform 2015; 57: 88-99.
[49]
Duftschmid G, Gall W, Eigenbauer E, Dorda W. Management of data from clinical trials using the ArchiMed system. Med Inform Internet Med 2002; 27(2): 85-98.
[50]
Harris PA, Taylor R, Thielke R, et al. Research electronic data capture (REDCap)-a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform 2009; 42(2): 377-81.
[51]
El Emam K, Jonker E, Sampson M, Krleža-Jerić K, Neisa A. The use of electronic data capture tools in clinical trials: Web-survey of 259 Canadian trials. J Med Internet Res 2009; 11(1): e8.
[52]
Pavlović I, Kern T, Miklavčič D. Comparison of paper-based and electronic data collection process in clinical trials: Costs simulation study. Contemp Clin Trials 2009; 30(4): 300-16.
[53]
Fleischmann R, Decker A-M, Kraft A, Mai K, Schmidt S. Mobile electronic versus paper case report forms in clinical trials: A randomized controlled trial. BMC Med Res Methodol 2017; 17(1): 153.
[54]
Matkar S, Gangawane A. An outline of data management in clinical research. Int J Clin Trials 2017; 4(1): 1-6.
[55]
Babre D. Medical coding in clinical trials. Perspect Clin Res 2010; 1(1): 29-32.
[56]
Vlahou A, Mischak H, Zoidakis J, Magni F. Integration of omics approaches and systems biology for clinical applications DM Desiderio, JA Loo, Ed New Jersey, USA: John Wiley & Sons; 2018.
[57]
Newsham AC, Johnston C, Hall G, et al. Development of an advanced database for clinical trials integrated with an electronic patient record system. Comput Biol Med 2011; 41(8): 575-86.
[58]
Tucker K, Branson J, Dilleen M, et al. Protecting patient privacy when sharing patient-level data from clinical trials. BMC Med Res Methodol 2016; 16(1): 77.
[59]
Alturi V, Ferraiolo D. Role-Based access control Encyclopedia of Cryptography and Security. Boston, USA: Springer 2011.
[60]
Matulevičius R. Role-Based Access Control Fundamentals of Secure System Modelling. Cham, Switzerland: Springer 2017.
[61]
Shoniregun CA, Dube K, Mtenzi F. Secure e-healthcare information systems Electronic Healthcare Information Security. Boston, USA: Springer 2010.
[62]
Sharma K, Bahl N. Taxonomy of cryptography techniques for network security. Int J Comput Sci Eng 2016; 5(8): 17787-93.
[63]
Obenberger J. Transportation data at your fingertips: Visit the research data exchange. ITE J 2016; 86(11): 44.
[64]
Friedman LM, Furberg CD, DeMets DL. Introduction to clinical trials fundamentals of clinical trials. New York: Springer 2010; pp. 1-18.
[65]
Payne PR, Embi PJ, Cimino JJ. Clinical research informatics In: RL Richesson, AJ E, Ed Biomedical Informatics New York: Springer 2014; pp 755-77
[66]
Hudson KL, Collins FS. Sharing and reporting the results of clinical trials. JAMA 2015; 313(4): 355-6.
[67]
Frelich MJ, Bosler ME, Gould JC. Research Electronic Data Capture (REDCap) electronic Informed Consent Form (eICF) is compliant and feasible in a clinical research setting. Int J Clin Trials 2015; 2(3): 51-5.
[68]
Beam AL, Kohane IS. Big data and machine learning in health care. JAMA 2018; 319(13): 1317-8.
[69]
Zhang Z. Big data and clinical research: perspective from a clinician. J Thorac Dis 2014; 6(12): 1659.
[70]
Gelijns AC, Gabriel SE. Looking beyond translation-integrating clinical research with medical practice. N Engl J Med 2012; 366(18): 1659-61.
[71]
El Fadly A, Rance B, Lucas N, et al. Integrating clinical research with the Healthcare Enterprise: from the RE-USE project to the EHR4CR platform. J Biomed Inform 2011; 44: S94-S102.
[72]
Caverly TJ, Matlock DD, Prochazka AV, Lucas BP, Hayward RA. Interpreting clinical trial outcomes for optimal patient care: A survey of clinicians and trainees. J Grad Med Educ 2016; 8(1): 57-62.
[73]
Weng C, Li Y, Berhe S, et al. An Integrated Model for Patient Care and Clinical Trials (IMPACT) to support clinical research visit scheduling workflow for future learning health systems. J Biomed Inform 2013; 46(4): 642-52.
[74]
Bruland P, Breil B, Fritz F, Dugas M. Interoperability in clinical research: From metadata registries to semantically annotated CDISC ODM. Stud Health Technol Inform 2012; 180(564): 8.
[75]
Kruse RL, Mehr DR. Data management for prospective research studies using SAS® software. BMC Med Res Methodol 2008; 8(1): 61.
[76]
Kumar A, Naik B, Guddemane D, et al. Efficient, quality-assured data capture in operational research through innovative use of open-access technology. Public Health Action 2013; 3(1): 60-2.
[77]
Kuchinke W, Ohmann C, Yang Q, et al. Heterogeneity prevails: The state of clinical trial data management in Europe-results of a survey of ECRIN centres. Trials 2010; 11(1): 79.
[78]
FDA U. CFR Part 11: Electronic Records. Electronic Signatures.
[79]
Kuchinke W, Aerts J, Semler S, Ohmann C. CDISC standard-based electronic archiving of clinical trials. Methods Inf Med 2009; 48(5): 408-13.
[80]
Nosowsky R, Giordano TJ. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) privacy rule: Implications for clinical research. Annu Rev Med 2006; 57: 575-90.
[81]
Kulynych J. HIPAA compliance in clinical trials. J Oncol Pract 2008; 4(1): 9-10.

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