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Research question

  • Define a question

    The definition of the research question is key to research design. All research must have a primary question, clearly stated in advance, and founded on a systematic review of what is already known. Researchers who plan studies without reviewing what has been done, risk performing research for which the answer is already known or exposing participants to ineffective or an inferior treatment.

  • Develop a protocol

    The ICH GCP E6 (R3) (International Council for Harmonization of Technical Requirements for Pharmaceuticals for Human Use- Good Clinical Practice) guideline defines the protocol as “A document that describes the objective(s), design, methodology, statistical considerations and organisation of a trial. The protocol usually also gives the background and rationale for the trial, but these could be provided in other protocol-referenced documents”

  • Identify a sponsor

    The ICH for Good Clinical Practice guidelines E6 (R3) and the Clinical Trials Regulation (536/2014), define a sponsor as “an individual, company, institution or organisation which takes responsibility for the initiation, for the management and for setting up the financing of the clinical trial”

  • Identify a funder

    Industry-initiated clinical trials are financially supported by the industry. The principal investigator (PI) salary and the costs associated with running the trial are all covered by the pharmaceutical company that conceived the clinical trial. In investigator-initiated trials (IIT), however, usually is the PI who applies for funding through research programs and government grants to fund their conceived research project.

Plan

  • Risk assessment

    Risk assessment is a systematic process for identifying and evaluating events that could affect the achievement of clinical study´s objectives related to quality, safety, timelines and budget, positively or negatively.  

  • Trials Management Plan

    The purpose of a Project Management Plan (PMP) in a clinical trial is to define the scope, outline responsibilities and describe key steps of the clinical trial process.

  • Data Management Plan

    DMP is a written document that describes the plans for collection and management of data throughout the lifecycle of a clinical trial. The DMP describes which clinical data will be acquired and how it will be handled, stored, checked for consistency and plausibility, and made available for the final analysis and further research after the end of the project.

Execute

  • Trial Management

    Trial management is the process of ensuring that a trial is run effectively and within budget and timelines.

  • Regulatory submission

    Prior to initiating a clinical trial, researchers must obtain approval from National Competent Authorities (NCA) and ethics committees.

  • Quality Management

    The sponsor should implement a system to manage quality throughout all stages of the trial process, in particularly on trial activities essential to ensuring human subject protection and the reliability of trial results.  

  • Safety reporting

    The sponsor is responsible for the ongoing safety evaluation of the Investigational Medicinal Product(s) used in a Clinical Trial

  • Data management

    A process that begins with conception and design of the clinical trial, continues through data capture and analysis to publication, data archiving and data sharing with the broader scientific community. The Data Management Plan (DMP) describes the procedures for data collection and management  throughout the lifecycle of a clinical trial. 

  • Investigational Product

    An investigational product (IP), as defined by the ICH is a pharmaceutical form of an active ingredient or placebo being tested or used as a reference in a clinical trial, including a product with a marketing authorization when used or assembled (formulated or packaged) in a way different from the approved form, or when used for an unapproved indication, or when used to gain further information about an approved use.

  • Laboratory Processes

    The analysis of samples collected from subjects participating in clinical trials forms a key part of the clinical trials process. Sample analysis or evaluation provides important data on a range of endpoints which is used, for example, to assess the pharmacokinetic profile of investigational medicinal products and to monitor their safety and efficacy.

Analyse

  • Statistical Analysis Plan

    The SAP is intended to be a comprehensive document that contains a detailed and technical description of the principal features of the  statistical analysis outlined in the protocol including detailed procedures for executing the statistical analysis of the primary and secondary endpoints and other data.

End of trial

  • Trial report

    A Clinical Study Report (CSR) is a is a key document that describes the methodology and results of a clinical trial in drug development.

  • Archiving

    The documents which individually and collectively permit evaluation of the conduct of a clinical trial and the quality of the data produced are defined as essential documents according to the ICH Good Clinical Practice.

  • Dissemination

    After each clinical trial finishes, the trial sponsor will compile a detailed clinical study report (CSR), which follows a format laid down by the regulatory authorities. Access to the complete CSR is usually limited to the sponsor and the regulatory authorities that are assessing the marketing authorisation application.

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Statistical Analysis Plan

The SAP is intended to be a comprehensive document that contains a detailed and technical description of the principal features of the  statistical analysis outlined in the protocol including detailed procedures for executing the statistical analysis of the primary and secondary endpoints and other data.

Content
Chapo

ClinicalTrials.gov is a publicly accessible registry and results database of publicly and privately supported clinical studies of human participants conducted worldwide. It provides structured information on study design, eligibility criteria, outcomes, locations, recruitment status and results (including adverse events) for interventional and observational studies, as well as expanded access records. The “Study Documents” tab on individual study records allows users to access uploaded documents such as protocols, statistical analysis plans and informed consent forms where available. It can support SAP development by providing reusable templates, that can serve as starting points for new studies, reducing the effort required to draft standard sections.
Statisticians can review how similar trials handled analysis populations, endpoint definitions, missing data, multiplicity, subgroup analyses, and sensitivity analyses.

Category
  • Analyse
  • Statistical Analysis Plan
Chapo

ECRIN clinical research Metadata Repository (crMDR) is a searchable clinical research metadata portal that enables users to identify clinical studies and linked documents, such as protocols, statistical analysis plans and individual participant datasets, from multiple major international sources. It aggregates metadata on clinical research studies and associated data objects, indicating where results and documents are available and how they can be accessed. Researchers can search by study identifier, paper identifier or keywords and then refine results using structured filters on study and data-object attributes. It can support SAP development by providing reusable templates, that can serve as starting points for new studies, reducing the effort required to draft standard sections.
Statisticians can review how similar trials handled analysis populations, endpoint definitions, missing data, multiplicity, subgroup analyses, and sensitivity analyses.
 

Category
  • Analyse
  • Statistical Analysis Plan
Chapo

Guideline for the Content of Statistical Analysis Plans (SAPs) in Clinical Trials is a 32‑item checklist defining the minimum recommended content of statistical analysis plans for the final analyses of later‑phase randomised clinical trials. Developed through an extensive, iterative process involving funders, regulatory authorities, journals, industry representatives and UK Clinical Research Collaboration registered Clinical Trial Units, it responds to growing demands for transparency, reproducibility and data sharing in clinical trials. The checklist is intended to be used alongside the clinical trial protocol, consistent with the SPIRIT 2013 Statement, and applied to a clean or validated analysis dataset. A detailed elaboration document provides further explanation of each item, and the guideline is also listed on the EQUATOR Network to support discoverability and implementation. The associated JAMA article offers the full development methodology and formal publication reference. Authored by Gamble et al. and published in JAMA in 2017, this guideline was developed by the Liverpool Clinical Trials Centre at the University of Liverpool, which also hosts the SAP Statement web page, checklist and elaboration document.
 

Category
  • Analyse
  • Statistical Analysis Plan
Chapo

The ICH E9 (R1) addendum “Estimands and Sensitivity Analysis in Clinical Trials” (EMA/CHMP/ICH/436221/2017) was adopted by the ICH Assembly at Step 4 on 20 November 2019 and came into effect in the European Union on 30 July 2020. It introduces a structured framework to align clinical trial objectives, design, conduct, analysis and interpretation through the explicit definition of estimands: precise descriptions of the treatment effect that reflect how intercurrent events such as treatment discontinuation, rescue medication or death are handled. The addendum describes five main strategies for addressing intercurrent events (treatment policy, hypothetical, composite, while‑on‑treatment and principal stratum) and explains how these choices influence trial design, data collection and analysis. It clarifies the role of sensitivity analysis, which must target the same estimand as the main estimator and is used to assess the robustness of conclusions to deviations from modelling assumptions and data limitations. The principle is that trial protocols should pre‑specify primary and key secondary estimands, aligned estimators and planned sensitivity analyses so that regulators, sponsors and investigators have a shared understanding of what treatment effect is being estimated and how reliable the resulting evidence is for decision making.

Category
  • Analyse
  • Statistical Analysis Plan
Chapo

The ICH E9 guideline “Statistical Principles for Clinical Trials” is a harmonised tripartite guideline, adopted at Step 4 on 5 February 1998, for marketing applications in Europe, Japan and the United States. It gives direction to sponsors on the design, conduct, analysis and evaluation of clinical trials of an investigational product within its overall clinical development, and supports experts preparing application summaries or assessing evidence of efficacy and safety, mainly from later‑phase confirmatory trials. It sets out core statistical principles for minimising bias and maximising precision, without prescribing specific methods, and assumes that an appropriately qualified statistician is responsible for implementing these principles.
 

Category
  • Analyse
  • Statistical Analysis Plan