Tudur Smith Catrin, Nevitt Sarah, Appelbe Duncan, Appleton Richard, Dixon Pete, Harrison Janet, Marson Anthony, Williamson Paula, Tremain Elizabeth
Department of Biostatistics, University of Liverpool, Block F, Waterhouse Building, 1-5 Brownlow Street, Liverpool, L69 3GL, UK.
Alder Hey Children's NHS Foundation Trust, Liverpool, UK.
Trials. 2017 Jul 17;18(1):319. doi: 10.1186/s13063-017-2067-4.
Demands are increasingly being made for clinical trialists to actively share individual participant data (IPD) collected from clinical trials using responsible methods that protect the confidentiality and privacy of clinical trial participants. Clinical trialists, particularly those receiving public funding, are often concerned about the additional time and money that data-sharing activities will require, but few published empirical data are available to help inform these decisions. We sought to evaluate the activity and resources required to prepare anonymised IPD from a clinical trial in anticipation of a future data-sharing request.
Data from two UK publicly funded clinical trials were used for this exercise: 2437 participants with epilepsy recruited from 90 hospital outpatient clinics in the SANAD trial and 146 children with neuro-developmental problems recruited from 18 hospitals in the MENDS trial. We calculated the time and resources required to prepare each anonymised dataset and assemble a data pack ready for sharing.
The older SANAD trial (published 2007) required 50 hours of staff time with a total estimated associated cost of £3185 whilst the more recently completed MENDS trial (published 2012) required 39.5 hours of staff time with total estimated associated cost of £2540.
Clinical trial researchers, funders and sponsors should consider appropriate resourcing and allow reasonable time for preparing IPD ready for subsequent sharing. This process would be most efficient if prospectively built into the standard operational design and conduct of a clinical trial. Further empirical examples exploring the resource requirements in other settings is recommended.
SANAD: International Standard Randomised Controlled Trials Registry: ISRCTN38354748 . Registered on 25 April 2003.
EU Clinical Trials Register Eudract 2006-004025-28 . Registered on 16 May 2007. International Standard Randomised Controlled Trials Registry: ISRCTN05534585 /MREC 07/MRE08/43. Registered on 26 January 2007.
人们越来越多地要求临床试验人员积极分享从临床试验中收集的个体参与者数据(IPD),且需采用负责任的方法,以保护临床试验参与者的保密性和隐私。临床试验人员,尤其是那些接受公共资金资助的人员,常常担心数据共享活动会需要额外的时间和资金,但几乎没有已发表的实证数据可用于为这些决策提供参考。我们试图评估为应对未来的数据共享请求,从一项临床试验中准备匿名IPD所需的活动和资源。
本研究使用了两项英国公共资金资助的临床试验数据:在SANAD试验中,从90家医院门诊招募的2437名癫痫患者;在MENDS试验中,从18家医院招募的146名有神经发育问题的儿童。我们计算了准备每个匿名数据集并组装好可供共享的数据包所需的时间和资源。
较早的SANAD试验(2007年发表)需要50小时的工作人员时间,估计总相关成本为3185英镑;而最近完成的MENDS试验(2012年发表)需要39.5小时的工作人员时间,估计总相关成本为2540英镑。
临床试验研究人员、资助者和赞助商应考虑适当的资源配置,并留出合理时间来准备好用于后续共享的IPD。如果前瞻性地将此过程纳入临床试验的标准操作设计和实施中,将会最为高效。建议进一步开展实证研究,以探索其他情况下的资源需求。
SANAD:国际标准随机对照试验注册库:ISRCTN38354748。于2003年4月25日注册。
欧盟临床试验注册库Eudract 2006 - 004025 - 28。于2007年5月16日注册。国际标准随机对照试验注册库:ISRCTN05534585 /MREC 07/MRE08/43。于2007年1月26日注册。