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Clinical Trials Data Management in the Big Data Era

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Big Data – BigData 2020 (BIGDATA 2020)

Abstract

The Department of Veterans Affairs (VA) Cooperative Studies Program (CSP), Clinical Research Pharmacy Coordinating Center (Center) has supported clinical trials for more than four decades. Managing information from clinical trials and published results in the Big Data era presents new challenges and opportunities. These include and are not limited to data attribution, aggregation, adaptability, and prompt analysis. Hence, the Center has created a dynamic application to present a broad understanding of the clinical trials’ achievements. To collect crucial information from clinical trials, this application includes 1) data attribution to identify provenance and to preserve relationships between trials and resulting publications, 2) data normalization to deal with variety of formats and concepts, 3) data aggregation to integrate information from different trials, and 4) data analysis with a friendly interface to consult aggregated information promptly. This work establishes a Semantic Data Model for each clinical trial to create a summary of key information in a machine-readable format, and to enrich each summary with semantic information. In addition, it allows the union of these models to represent a global knowledge source from a set of clinical trials. The organized models offer compatibility and interoperability within and among clinical trials.

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References

  1. Henderson, W., Lavori, P., Peduzi, P., Collins, J., Sather, M., Feussner, J.: Methods and Applications of Statistics in Clinical Trials: Planning, Analysis, and Inferential Methods, vol. 2. Chapter 55, U.S. Department of Veterans Affairs Cooperative Studies Program. Wiley (2014)

    Google Scholar 

  2. Sather, M., et al.: Total integrated performance excellence system (TIPES): a true north direction for a clinical trial support center. Contemp. Clin. Trials Commun. 9, 81–92 (2018)

    Article  Google Scholar 

  3. Fried, L.F., et al.: VA NEPHRON-D investigators: combined angiotensin inhibition for the treatment of diabetic nephropathy. New England J. Med. 369(20), 1892–1903 (2013)

    Article  Google Scholar 

  4. Oxman, M.N., et al.: A vaccine to prevent herpes zoster and postherpetic neuralgia in older adults. New England J. Med. 352(22), 2271–2284 (2005)

    Google Scholar 

  5. Yakovchenko, V.: Automated text messaging with patients in department of veterans affairs specialty clinics: cluster randomized trial. J. Med. Internet Res. 21(8), e14750 (2019)

    Article  Google Scholar 

  6. Homepage Committee on Strategies for Responsible Sharing of Clinical Trial Data; Board on Health Sciences Policy; Institute of Medicine. Sharing Clinical Trial Data: Maximizing Benefits, Minimizing Risk. Washington (DC): National Academies Press (US); 2015 Apr 20. 6, The Future of Data Sharing in a Changing Landscape. https://www.ncbi.nlm.nih.gov/books/NBK285998/. Accessed 29 Jan 2020

  7. Clinicaltrials.gov Homepage. https://clinicaltrials.gov. Accessed 08 May 2020

  8. EU Register Trial Homepage. https://www.europeandatajournalism.eu/eng/News/Useful-data/EU-Clinical-Trials-Register. Accessed 08 May 2020

  9. Hyman, P., McNamara, P.C.: Food and Drug Administration Amendments Act of 2007 (2007)

    Google Scholar 

  10. Tse, T., Williams, R.J., Zarin, D.A.: Reporting “basic results” in ClinicalTrials. gov. Chest 136(1), 295–303 (2009)

    Google Scholar 

  11. Whetzel, P. L., et al.: BioPortal: enhanced functionality via new Web services from the National Center for Biomedical Ontology to access and use ontologies in software applications. Nucleic Acids Res. 39(suppl_2), W541–W545 (2011)

    Google Scholar 

  12. Salvadores, M., Alexander, P.R., Musen, M.A., Noy, N.F.: BioPortal as a dataset of linked biomedical ontologies and terminologies in RDF. Semant. Web 4(3), 277–284 (2013)

    Article  Google Scholar 

  13. Sim, I.: The ontology of clinical research (OCRe): an informatics foundation for the science of clinical research. J. Biomed. Inform. 52, 78–91 (2014)

    Article  Google Scholar 

  14. BRIDG Model. https://cbiit.github.io/bridg-model/HTML/BRIDG5.3.1/. Accessed 12 Dec 2019

  15. Souza, T., Kush, R., Evans, J.P.: Global clinical data interchange standards are here! Drug Discovery Today 12(3–4), 174–181 (2007)

    Article  Google Scholar 

  16. CDISC Standards Data Exchange. https://www.cdisc.org/standards/data-exchange. Accessed 10 Dec 2019

  17. Cattell, R.: Scalable SQL and NoSQL data stores. ACM Sigmod Rec. 39(4), 12–27 (2011)

    Article  Google Scholar 

  18. Wang, X., Williams, C., Liu, Z., Croghan, J.: Big data management challenges in health research—a literature review. Brief. Bioinform. 20(1), 156–167 (2019)

    Article  Google Scholar 

  19. Matthews, B.: Semantic web technologies. E-learning 6(6), 1–19 (2005)

    MathSciNet  Google Scholar 

  20. Krishnankutty, B., Bellary, S., Kumar, N.B., Moodahadu, L.S.: Data management in clinical research: an overview. Indian J. Pharmacol. 44(2), 168–172 (2012)

    Article  Google Scholar 

  21. Oracle Clinical. http://www.oracle.com/us/industries/life-sciences/045788.pdf. Accessed 09 Dec 2019

  22. ClinTrialWorks. https://www.clintrialworks.com/. Accessed 13 Dec 2019

  23. IBM Clinical Development. https://www.capterra.com/p/139887/IBM-Clinical-Development/. Accessed 09 Dec 2019

  24. OpenClinica. https://www.openclinica.com/open-source-clinical-trial-software/. Accessed 09 Dec 2019

  25. OpenCDMS Homepage. https://www.medfloss.org/node/408. Accessed 09 Dec 2019

  26. Stenzhorn, H., et al.: The ObTiMA system-ontology-based managing of clinical trials. Stud. Health Technol. Inform. 160(Pt 2), 1090–1094 (2010)

    Google Scholar 

  27. Tasneem, A., et al.: The database for aggregate analysis of ClinicalTrials.gov (AACT) and subsequent regrouping by clinical speciality. PLOS One 7(3), e33677 (2012)

    Google Scholar 

  28. Class “MedicalTrial” from Schema.org. https://schema.org/MedicalTrial. Accessed 12 Dec 2019

  29. Fung, K.W., Bodenreider, O.: Knowledge representation and ontologies. In: Richesson, R., Andrews, J. (eds.) Clinical Research Informatics. Health Informatics, pp. 313–339. Springer, Cham (2019). https://doi.org/10.1007/978-1-84882-448-5_14

  30. Schriml, L.M., et al.: Human Disease Ontology 2018 update: classification, content and workflow expansion. Nucleic Acids Res. 47(D1), D955–D962 (2019)

    Article  Google Scholar 

  31. Bodenreider, O.: The unified medical language system (UMLS): integrating biomedical terminology. Nucleic Acids Res. 32(suppl_1), D267–D270 (2004)

    Google Scholar 

  32. Lipscomb, C.E.: Medical subject headings (MeSH). Bull. Med. Libr. Assoc. 88(3), 265–266 (2000)

    Google Scholar 

  33. Perez-Arriaga, M.O., Estrada, T., Abad-Mota, S.: Construction of Semantic Data Models. In: Filipe, J., Bernardino, J., Quix, C. (eds.) Data Management Technologies and Applications. DATA 2017. Communications in Computer and Information Science, vol. 814, pp. 46–66. Springer, Cham (2018). https://doi.org/10.1007/978-3-319-94809-6_3

  34. Human Disease Ontology, Bioportal. https://bioportal.bioontology.org/ontologies/DOID. Accessed 16 Dec 2019

  35. Amato, G., Savino, P.: Approximate similarity search in metric spaces using inverted files. In: Proceedings of the 3rd International Conference on Scalable Information Systems, pp. 1–10. ICST: Institute for Computer Sciences, Social-Informatics and Telecommunications Engineering (2008)

    Google Scholar 

  36. Landauer, T.K., Foltz, P.W., Laham, D.: An introduction to latent semantic analysis. Discourse Processes 25(2–3), 259–284 (1998)

    Article  Google Scholar 

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Acknowledgments

This research was supported in part by the Department of Veterans Affairs, Veterans Health Administration, Office of Research and Development, Cooperative Studies Program using resources and facilities at the VA Cooperative Studies Program Clinical Research Pharmacy Coordinating Center. The authors thank Zachary Taylor, Kathy Boardman, Heather Campbell, and anonymous reviewers for valuable comments to improve this manuscript. Similarly, we acknowledge Todd A. Conner for his encouragement and relevant comments to improve this work.

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Correspondence to Martha O. Perez-Arriaga .

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Perez-Arriaga, M.O., Poddar, K.A. (2020). Clinical Trials Data Management in the Big Data Era. In: Nepal, S., Cao, W., Nasridinov, A., Bhuiyan, M.Z.A., Guo, X., Zhang, LJ. (eds) Big Data – BigData 2020. BIGDATA 2020. Lecture Notes in Computer Science(), vol 12402. Springer, Cham. https://doi.org/10.1007/978-3-030-59612-5_14

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  • DOI: https://doi.org/10.1007/978-3-030-59612-5_14

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