In clinical trials, we administer 'study treatments' to the subjects over time as per study requirement
We need to report the data as collected for these study drug administrations
SDTM standard has standard data structure for reporting such data - "Exposure as Collected (EC)"
EC domains falls under interventions class of the SDTM domains
In some studies, we collect both planned doses to be given and actual dose given. We report both planned and actual dosages in EC domain
We use the variable ECMOOD to distinguish between planned and actual dose records
On the record where planned dose is reported we populate ECMOOD as 'SCHEDULED'
On the record where actual dose is reported we populate ECMOOD as 'PERFORMED'
EC domain is expected to have a record structure of "One record per protocol-specified study treatment, collected-dosing interval, per subject, per mood".
Any treatments other than study treatments must be reported in CM domain.
'Study treatments' include
Investigational drug
Control
Existing marketed product
Placebo
Any other medications specified in protocol like co-therapies
What type of information is typically collected or presented?
Treatment name
Treatment administered
Yes
No
Reason when not administered
Start date/time of the treatment
End date/time of the treatment
Dose and dosing unit of the treatment
Frequency of administration (once daily/twice daily etc.)
Route of administration (oral/intravenous/intramuscular etc.)
Dosage form (tablet/capsule/injection etc.)
Location of administration (Hand/Thigh etc.)
Laterality (Left/Right etc.)
Was the dose adjusted for any reason?
Reason for adjustment
Lot number of the treatment package
In this lesson,
We will see how to create EC domain, for an example CRF where the volume of injection administered is collected.
We will also how to fetch the treatment content based on kit identification number
variable_name
variable_label
derivation
General
Exposure to study drug is collected in ipadmin dataset. Volume of injection administered is captured in the raw data, we present this information in Exposure as Collected (EC) dataset.
STUDYID
Study Identifier
Equals to the value from raw.ipadmin.STUDY
DOMAIN
Domain Abbreviation
Assign as "EC"
USUBJID
Unique Subject Identifier
Derive by concatenating raw.ipadmin.STUDY and raw.ipadmin.PT with a hyphen in between
ECSEQ
Sequence Number
Sort the records by USUBJID,ECTRT,ECSTDTC and set to 1 on the first record of the subject and increment by 1 on subsequent records within the subject
ECTRT
Name of Treatment
Derive by fetching raw.box.CONTENT by joining raw.ipadmin and raw.box datasets based on raw.ipadmin.IPBOXID and raw.box.KITID. If CONTENT="PBO" then assign as 'PLACEBO", else if CONTENT="ACTIVE" then assign as "ACTIVE".
ECDOSE
Dose
Equals to the value from raw.ipadmin.IPQTY_RAW after converting to numeric value
ECDOSU
Dose Units
Equals to the value from raw.ipadmin.IPQTYU
ECDOSFRM
Dose Form
Assign as "INJECTION"
ECDOSFRQ
Dosing Frequency per Interval
Assign as "EVERY WEEK"
ECROUTE
Route of Administration
Assign as "INTRAVENOUS"
ECLOT
Lot Number
Derive by fetching raw.lot.LOTNUM by joining raw.ipadmin and raw.lot datasets based on raw.ipadmin.IPBOXID and raw.lot.KITID. Assign the value of LOTNUM to ECLOT.
ECPSTRG
Pharmaceutical Strength
Equals to the value from raw.ipadmin.IPCONC
ECPSTRGU
Pharmaceutical Strength Units
Assign as "ug/mL"
ECADJ
Reason for Dose Adjustment
Equals to the value from raw.ipadmin.IPADJ after converting to upper case
EPOCH
Epoch
Assign as "TREATMENT"
ECSTDTC
Start Date/Time of Treatment
Derive the datetime value in ISO 8601 format by obtaining the information from raw.ipadmin.IPSTDT_RAW and raw.ipadmin.IPSTTM_RAW variables.
ECENDTC
End Date/Time of Treatment
Equals to the value from sdtm.EC.ECSTDTC
ECSTDY
Study Day of Start of Treatment
If the administration date is on or after reference start date then sdtm.ec.ECSTDTC-sdtm.dm.RFSTDTC +1. Else if date is before reference start date then assign as sdtm.ec.ECSTDTC-sdtm.dm.RFSTDTC.
ECENDY
Study Day of End of Treatment
If the administration date is on or after reference start date then sdtm.ec.ECENDTC - sdtm.dm.RFSTDTC +1. Else if date is before reference start date then assign as sdtm.ec.ECENDTC-sdtm.dm.RFSTDTC.
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