CDISC Protocol Controlled Terminology

CDISC Protocol Controlled Terminology, 2024-09-27
Legend:
CodeList
CodeListItem
NCI attributes
C179587Biological Sample Attribute Terminology
C201266Biomarker Attribute Terminology
C201267Biomarker Category Value Set Terminology
C142191Clinical Study Attribute Terminology
C139020Clinical Trial Attribute Terminology
C170440Endpoint Attribute Terminology
C170441Endpoint Type Value Set Terminology
C187682Expanded Access Attribute Terminology
C187683Expanded Access Study Type Value Set Terminology
C184334Informed Consent Attribute Terminology
C177906Ingredient Attribute Terminology
C177907Ingredient Type Value Set Terminology
C177905Intervention Attribute Terminology
C99076Intervention Model Response
C99078Intervention Type Response
C66742No Yes Response
C127259Observational Study Model
C165641Outcome Measure Attribute Terminology
C170442Outcome Measure Type Value Set Terminology
C165642Oversight Entity Value Set
C147068Participant Allocation Value Set
C199649Pharmacology Attribute Terminology
C132308Physical Address Attribute Terminology
C181167Protocol Amendment Attribute Terminology
C154681Protocol Contact Role Value Set
C132310Protocol Entity Terminology
C181168Protocol Statement Attribute Terminology
C147069Randomization Type Value Set
C184333Reference Attribute Terminology
C190866Study Activity Attribute Terminology
C172329Study Arm Attribute Terminology
C174222Study Arm Type Value Set Terminology
C189268Study Blinding and Unblinding Attribute Terminology
C154682Study Contact Information Attribute Terminology
C147066Study Design Attribute Terminology
C163026Study Monitoring Attribute Terminology
C165640Study Oversight Entity Attribute Terminology
C160921Study Population Attribute Terminology
C177904Study Product Administration Attribute
C174220Study Product Attribute Terminology
C174221Study Product Type Value Set Terminology
C132309Study Protocol Attribute Terminology
C147067Study Purpose Value Set
C185851Study Subject Discontinuation Attribute Terminology
C99077Study Type Response
C185850Subject Replacement Attribute Terminology
C197998Substudy Attribute Terminology
C66735Trial Blinding Schema Response
C66736Trial Intent Type Response
C66737Trial Phase Response
C66739Trial Type Response

Codelist Definitions

OIDName
(CDISC Submission Value)
DataType
Extensible
NCI CodeCDISC SynonymCDISC DefinitionPreferred Term
CDISC Submission Value [ODM:CodedValue]
CL.C179587.Biological Sample Attribute TerminologyBiological Sample Attribute Terminology
(Biological Sample Attribute Terminology)
text
Extensible:
C179587Biological Sample Attribute TerminologyA terminology value set relevant to the attributes of the biological sample.CDISC Protocol Biological Sample Attribute Terminology
Biological Sample AccountabilityC179744The activities describing the documentation of the storage, inventory tracking, and disposition of the biological sample.Biospecimen Handling Accountability Record
Biological Sample Collection MethodC70700A description of the methodology by which biological material is obtained from a subject.Biospecimen Collection Method
Biological Sample Collection TimingC178869A description of the timing for the collection of a biological sample, in relation to a study-specific event or time period.Biospecimen Collection Time
Biological Sample CollectionC70945The activities describing biological sample collection, such as specimen type, timing and methodology.Biospecimen Collection
Biological Sample HandlingC179745Biospecimen Handling;Handling of Biological Samples;Handling of Biological SpecimensA description of the management of biological sample handling, including methods of collection, processing, shipping, and storage.Biospecimen Handling
Biological Sample PreparationC179746The activities describing how the biological sample is made ready for storage, processing, and/or analysis.Biospecimen Preparation
Biological Sample RetentionC181231Biospecimen RetentionA textual description as to whether and/or how biological samples are retained for research purposes.Biological Sample Retention Description
Biological Sample ShippingC179747Biological Sample Shipment;Biological Sample TransportThe activities describing the logistical considerations for transporting a biological sample from the sender to the receiver.Biospecimen Shipping
Biological Sample StorageC179748The activities describing the physical or environmental conditions under which the biological sample is maintained.Biospecimen Storage
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CL.C201266.Biomarker Attribute TerminologyBiomarker Attribute Terminology
(Biomarker Attribute Terminology)
text
Extensible:
C201266Biomarker Attribute TerminologyA terminology value set relevant to the attributes of the biomarker entity.CDISC Protocol Biomarker Attribute Terminology
Biomarker CategoryC201359A characterization or classification of the biomarker.Biomarker Category
Biomarker NameC164706Type of BiomarkerThe literal identifier (i.e., distinctive designation) of the biomarker.Biomarker Name
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CL.C201267.Biomarker Category Value Set TerminologyBiomarker Category Value Set Terminology
(Biomarker Category Value Set Terminology)
text
Extensible:
C201267Biomarker Category Value Set TerminologyThe terminology relevant to the categorization of the biomarker relevant to the study.CDISC Protocol Biomarker Category Value Set Terminology
Diagnostic BiomarkerC201361A biomarker used to detect or confirm presence of a disease or condition of interest or to identify individuals with a subtype of the disease. (NIH-FDA BEST (Biomarkers, Endpoints, and other Tools) Resource)Diagnostic Biomarker
Monitoring BiomarkerC201362A biomarker measured repeatedly for assessing status of a disease or medical condition or for evidence of exposure to (or effect of) a medical product or an environmental agent. (NIH-FDA BEST (Biomarkers, Endpoints, and other Tools) Resource)Monitoring Biomarker
Pharmacodynamic BiomarkerC201365A response biomarker that indicates biologic activity of a medical product or environmental agent without necessarily drawing conclusions about efficacy or disease outcome or necessarily linking this activity to an established mechanism of action. (NIH-FDA BEST (Biomarkers, Endpoints, and other Tools) Resource)Pharmacodynamic Biomarker
Predictive BiomarkerC201364A biomarker used to identify individual who are more likely than similar individuals without the biomarker to experience a favorable or unfavorable effect from exposure to a medical product or an environmental agent. (NIH-FDA BEST (Biomarkers, Endpoints, and other Tools) Resource)Predictive Biomarker
Prognostic BiomarkerC201363A biomarker used to identify likelihood of a clinical event, disease recurrence, or progression in patients who have the disease or medical condition of interest. (NIH-FDA BEST (Biomarkers, Endpoints, and other Tools) Resource)Prognostic Biomarker
Response BiomarkerC201303A biomarker used to show that a biological response, potentially beneficial or harmful, has occurred in an individual who has been exposed to a medical product or an environmental agent. (NIH-FDA BEST (Biomarkers, Endpoints, and other Tools) Resource)Response Biomarker
Safety BiomarkerC201367A biomarker measured before or after an exposure to a medical product or an environmental agent to indicate the likelihood, presence, or extent of toxicity as an adverse effect. (NIH-FDA BEST (Biomarkers, Endpoints, and other Tools) Resource)Safety Biomarker
Surrogate Endpoint BiomarkerC201366A response biomarker that is an endpoint used in clinical trials as a substitute for a direct measure of how a patient feels, functions, or survives. (NIH-FDA BEST (Biomarkers, Endpoints, and other Tools) Resource)Surrogate Endpoint Biomarker
Susceptibility BiomarkerC201360Risk BiomarkerA biomarker that indicates the potential for developing a disease or medical condition in an individual who does not currently have clinically apparent disease or the medical condition. (NIH-FDA BEST (Biomarkers, Endpoints, and other Tools) Resource)Susceptibility Biomarker
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CL.C142191.Clinical Study Attribute TerminologyClinical Study Attribute Terminology
(Clinical Study Attribute Terminology)
text
Extensible:
C142191Clinical Study Attribute TerminologyA terminology value set relevant to the attributes of the clinical study entity.CDISC Protocol Entities Clinical Study Attribute Terminology
Primary Clinical Study SponsorC70794The individual, organization, group or other legal person taking responsibility for securing the arrangements to initiate and/or manage a study (including arrangements to ensure that the study design meets appropriate standards and to ensure appropriate conduct and reporting). In commercial trials, the primary sponsor is normally the main applicant for regulatory authorization to begin the study. It may or may not be the main funder. (NCI)Primary Clinical Study Sponsor
Secondary Clinical Study SponsorC70795Additional individuals, organizations or other legal persons, if any, that have agreed with the primary sponsor to take on responsibilities of sponsorship. A secondary sponsor may have agreed to take on all the responsibilities of sponsorship jointly with the primary sponsor; or to form a group with the primary sponsor in which the responsibilities of sponsorship are allocated among the members of the group; or to act as the sponsor's legal representative in relation to some or all of the study sites; or to take responsibility for the accuracy of study registration information submitted.Secondary Clinical Study Sponsor
Study ActivityC71473An action, undertaking, or event, which is anticipated to be performed or observed, or was performed or observed, according to the study protocol during the execution of the study.Study Activity
Study RationaleC94122Study PurposeA statement describing the overall rationale of the study. This field describes the contribution of this study to product development, i.e., what knowledge is being contributed from the conduct of this study.Study Protocol Version Purpose Statement
Study Schematic DiagramC93682Study SchemaA diagram that outlines the decision points (e.g. randomization, response evaluation) that define the different paths a participant could take through the study. This is typically a block diagram and may include epochs, timing of randomization, treatment arms, and duration of treatments.Study Schematic
Study TypeC142175Study Type;Study Type ClassificationThe nature of the investigation for which study information is being collected. (After clinicaltrials.gov)Study Type
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CL.C139020.Clinical Trial Attribute TerminologyClinical Trial Attribute Terminology
(Clinical Trial Attribute Terminology)
text
Extensible:
C139020Clinical Trial Attribute TerminologyA terminology value set relevant to the attributes of the clinical trial entity.CDISC Protocol Entities Clinical Trial Attribute Terminology
Country of RecruitmentC139170The country in which participants are located when enrolling in a trial or study.Country of Recruitment
Date of First EnrollmentC139171Date or date and time of first subject enrollment into a study, as verifiable by a convention that is consistent with authoritative regulatory criteria. [Modified from ICH E3] (CDISC Glossary)Date of First Enrollment into Study
Exclusion CriteriaC25370List of characteristics in a protocol, any one of which makes a potential subject ineligible to participate in a study.Exclusion Criteria
Inclusion CriteriaC25532The criteria in a protocol that prospective subjects must meet to be eligible to participate in a study.Inclusion Criteria
Planned Trial DurationC127796Planned Trial DurationThe approximate period of time over which the clinical trial is expected to occur.Planned Trial Duration
Primary Sponsor NameC139168The name of the entity that is considered the primary sponsor for the trial or study. (NCI)Primary Study Sponsor Name
Secondary Sponsor NameC139169The name of the entity that is considered the secondary sponsor for the trial or study. (NCI)Secondary Study Sponsor Name
Source of Monetary or Material Support for StudyC139167The major organizations providing monetary or material support for the conduct of the trial, including, but not limited to, funding, design, implementation, data analysis and reporting. (EudraCT)Source of Monetary or Material Support for Study
Target Sample SizeC139172The total number of planned participants in a study or trial.Target Sample Size
Therapeutic AreaC101302Therapeutic AreaA categorization of a disease, disorder, or other condition based on common characteristics and often associated with a medical specialty focusing on research and development of specific therapeutic interventions for the purpose of treatment and prevention.Therapeutic Area
Trial DesignC15787The detailed planning of a study of the safety, efficacy, or optimum dosage schedule (if appropriate) of one or more diagnostic, therapeutic, or prophylactic drugs, devices, or techniques selected according to predetermined criteria of eligibility and observed for predefined evidence of favorable and unfavorable effects. (NCI)Clinical Trials Design
Trial Disease/Condition IndicationC112038Indication for Use;Trial Disease/Condition Indication;Trial Disease/Condition Indication DescriptionA narrative representation of the condition, disease or disorder that the clinical trial is intended to investigate or address.Trial Indication
Trial Exploratory ObjectiveC163559Study Exploratory Objective;Trial Exploratory ObjectiveAdditional scientific question(s) within the study that enable further discovery research, beyond the primary and secondary objectives.Trial Exploratory Objective
Trial IntentC49652Trial Intent TypeThe planned purpose of the therapy, device, or agent under study in the clinical trial.Clinical Study by Intent
Trial PhaseC48281Trial Phase;Trial Phase ClassificationA step in the clinical research and development of a therapy from initial clinical trials to post-approval studies. NOTE: Clinical trials are generally categorized into four (sometimes five) phases. A therapeutic intervention may be evaluated in two or more phases simultaneously in different trials, and some trials may overlap two different phases. [21 CFR section 312.21; After ICH Topic E8 NOTE FOR GUIDANCE ON GENERAL CONSIDERATIONS FOR CLINICAL TRIALS, CPMP/ICH/291/95 March 1998]Trial Phase
Trial Primary ObjectiveC85826Study Primary Objective;Trial Primary ObjectiveThe main scientific question(s) the study is designed to answer. (CDISC Glossary)Trial Primary Objective
Trial Registration IndicatorC139166An indication as to whether the clinical trial has been registered with a trial registry system.Trial Registration Indicator
Trial Secondary ObjectiveC85827Study Secondary Objective;Trial Secondary ObjectiveThe supportive or ancillary scientific question(s) the study is designed to answer. (CDISC Glossary)Trial Secondary Objective
Trial SiteC85838Investigative Site;Investigator SiteA physical location (e.g., healthcare organization, institution, or facility) directly involved in conducting or facilitating a particular clinical trial.Clinical Trial Site
Trial TypeC49660Trial Scope;Trial TypeThe nature of the interventional study for which information is being collected.Trial Type
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CL.C170440.Endpoint Attribute TerminologyEndpoint Attribute Terminology
(Endpoint Attribute Terminology)
text
Extensible:
C170440Endpoint Attribute TerminologyA terminology value set relevant to the attributes of the endpoint entity.CDISC Protocol Endpoint Attribute Terminology
Endpoint TypeC170557A characterization or classification of the defined variable intended to reflect an outcome measure of interest that is statistically analyzed to address a particular research question.Study Endpoint Type
Justification for EndpointC170558The rationale or explanation for why each study endpoint was chosen.Justification for Study Endpoint
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CL.C170441.Endpoint Type Value Set TerminologyEndpoint Type Value Set Terminology
(Endpoint Type Value Set Terminology)
text
Extensible:
C170441Endpoint Type Value Set TerminologyThe terminology relevant to the type of endpoint for the study.CDISC Protocol Endpoint Type Value Set Terminology
Composite EndpointC170561Combined EndpointEndpoint(s) constructed from two or more endpoints that represents an overall clinically relevant measure of clinical benefit.Composite Endpoint
Direct EndpointC170560Endpoint(s) used in clinical studies to directly measure how a patient feels, functions, or survives. These endpoint(s) in themselves represent or characterize the clinical outcome of interest. (FDA: https://www.fda.gov/media/84987/download)Direct Endpoint
Exploratory EndpointC170559Endpoint(s) that may include clinically important events that are expected to occur too infrequently to show a treatment effect or endpoints that for other reasons are thought to be less likely to show an effect but are included to explore new hypotheses. (After FDA-NIH Protocol Template)Exploratory Endpoint
Primary EndpointC94496Endpoint(s) of greatest importance that is the basis for concluding whether the study met its objective(s) and provides a clinically relevant, valid, and reliable measure of the primary objective(s). (After FDA-NIH Protocol Template)Primary Endpoint
Secondary EndpointC139173Endpoint(s) that may provide supportive information about the effect of the study intervention(s) on the primary endpoint or demonstrate additional effects on the disease or condition. (After FDA-NIH Protocol Template)Secondary Endpoint
Surrogate EndpointC68772An endpoint that is used in clinical trials as a substitute for a direct measure of how a patient feels, functions, or survives. A surrogate endpoint does not measure the clinical benefit of primary interest in and of itself, but rather is expected to predict that clinical benefit or harm based on epidemiologic, therapeutic, pathophysiologic, or other scientific evidence. (NIH-FDA BEST (Biomarkers, Endpoints, and other Tools) Resource)Surrogate Endpoint
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CL.C187682.Expanded Access Attribute TerminologyExpanded Access Attribute Terminology
(Expanded Access Attribute Terminology)
text
Extensible:
C187682Expanded Access Attribute TerminologyA terminology value set relevant to the attributes of the expanded access entity.CDISC Protocol Expanded Access Attribute Terminology
Expanded Access Study TypeC187705A characterization or classification of the studies that provide a means for obtaining an experimental drug or device for patients who are not adequately treated by existing therapy, who do not meet the eligibility criteria for enrollment, or who are otherwise unable to participate in another clinical study.Expanded Access Study Type
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CL.C187683.Expanded Access Study Type Value Set TerminologyExpanded Access Study Type Value Set Terminology
(Expanded Access Study Type Value Set Terminology)
text
Extensible:
C187683Expanded Access Study Type Value Set TerminologyThe terminology relevant to the type of expanded access study.CDISC Protocol Expanded Access Study Type Value Set Terminology
Continued AccessC187706Expanded access to an investigational medical product (drug, biologic, or medical device) for treatment use in subjects after the controlled clinical trial has been completed and while the marketing application is being prepared by the sponsor or reviewed by the regulator.Continued Access Study
Individual Patient INDC182399Individual Basis Treatment;Single Patient INDExpanded access to an investigational medical product (drug, biologic, or medical device) for treatment use by a single patient submitted under a new Investigational New Drug (IND) application. (FDA: Expanded Access to Investigational Drugs for Treatment Use - Questions and Answers Guidance for Industry, June 2016)Compassionate Single Patient Indicator
Treatment INDC187707Expanded Access Treatment IND;Large Population Treatment INDExpanded access to an investigational medical product (drug, biologic, or medical device) for treatment use by a large (widespread) population, submitted under a new Investigational New Drug (IND) application. (FDA: Expanded Access to Investigational Drugs for Treatment Use - Questions and Answers Guidance for Industry, June 2016)Treatment Investigational New Drug Study
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CL.C184334.Informed Consent Attribute TerminologyInformed Consent Attribute Terminology
(Informed Consent Attribute Terminology)
text
Extensible:
C184334Informed Consent Attribute TerminologyA terminology value set relevant to the attributes of the informed consent.CDISC Protocol Informed Consent Attribute Terminology
AssentC161418Informed AssentAssent given by a minor or adult who is unable to give informed consent on their own behalf, to participate in a clinical trial. Assent must be accompanied by consent from a parent or legal guardian for full participation in the study.Informed Assent
Informed Consent FormC16468Informed Consent DocumentA formal document used during the informed consent process explaining the potential risks and benefits of participation in a study and the rights and responsibilities of the parties involved, in a manner that is understandable to the subject or their legally authorized representative.Consent Form
Informed Consent ProcessC184390Informed Consent ProcedureThe procedure by which informed consent is obtained and documented by means of a written, signed, and dated informed consent form. This process may include obtaining assent from subjects with legally authorized representatives. (ICH GCP)Informed Consent Process
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CL.C177906.Ingredient Attribute TerminologyIngredient Attribute Terminology
(Ingredient Attribute Terminology)
text
Extensible:
C177906Ingredient Attribute TerminologyA terminology value set relevant to the attributes of the ingredient.CDISC Protocol Ingredient Attribute Terminology
Drug Product ComponentC177929ComponentAny ingredient intended for use in the manufacture of a drug product, including those that may not appear in such drug product. (FDA 21 CFR 314.3(a))Drug Product Component
Ingredient TypeC177928A characterization or classification of the component that constitutes a part of a compound or mixture.Ingredient Type
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CL.C177907.Ingredient Type Value Set TerminologyIngredient Type Value Set Terminology
(Ingredient Type Value Set Terminology)
text
Extensible:
C177907Ingredient Type Value Set TerminologyThe terminology relevant to the identification of the kind of ingredient.CDISC Protocol Ingredient Type Value Set Terminology
Active IngredientC82533Any component of a drug product intended to exert pharmacological activity or other direct effect in the diagnosis, cure, mitigation, treatment, or prevention of disease, or to affect the structure or any function of the body of humans or other animals. (After 21 CFR 210.3(b)(7))Active Ingredient
Inactive IngredientC42637Inert IngredientAny component of a study product other than an active ingredient. (After FDA 21 CFR 210.3(b)(8))Pharmaceutical Excipient
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CL.C177905.Intervention Attribute TerminologyIntervention Attribute Terminology
(Intervention Attribute Terminology)
text
Extensible:
C177905Intervention Attribute TerminologyA terminology value set relevant to the attributes of the intervention.CDISC Protocol Intervention Attribute Terminology
Intervention DescriptionC177931The textual representation of the study intervention.Intervention Description
Intervention NameC177930The identifying name for the study intervention.Intervention Name
Intervention TypeC98747Intervention TypeThe kind of product or procedure studied in a trial.Intervention Type
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CL.C99076.INTMODELIntervention Model Response
(INTMODEL)
text
Extensible: Yes
C99076Intervention Model ResponseA terminology codelist relevant to the general design of the strategy for assigning interventions to participants in a clinical study.CDISC SDTM Intervention Model Terminology
CROSS-OVERC82637A trial design in which subjects function as their own control and are assigned to receive an investigational product(s) and control(s) in an order determined by randomization, with or without a washout period between the interventions. (CDISC Glossary)Crossover Study
FACTORIALC82638Two or more interventions, each alone or in combination, are evaluated in parallel against a control group. This study design allows for the comparison of active drug to placebo, presence of drug-drug interactions, and comparison of active drugs against each other.Factorial Study
PARALLELC82639A trial design in which subjects are randomised to one of two or more arms, with each arm being allocated a different intervention for the duration of the study.Parallel Study
SEQUENTIALC142568A type of adaptive trial design that allows successive interim analyses of the data at particular time points or after a pre-defined number of patients have been enrolled. (CDISC Glossary)Group Sequential Design
SINGLE GROUPC82640All trial participants are assigned to a single treatment group for the duration of the study.Single Group Study
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CL.C99078.INTTYPEIntervention Type Response
(INTTYPE)
text
Extensible: No
C99078Intervention Type ResponseA terminology codelist relevant to the kind of product or procedure studied in a trial.CDISC SDTM Intervention Type Terminology
BEHAVIORAL THERAPYC15184A technique used to change the behavior of a subject (e.g., psychotherapy, lifestyle counseling, or hypnosis).Behavioral Intervention
BIOLOGICC307A product of biological origin applicable to the prevention, treatment, or cure of a disease or condition, for example: virus, therapeutic serum, toxin, antitoxin, vaccine, blood, blood component or derivative, allergenic product, or analogous product. (FDA 21 CFR 600.3)Biological Agent
COMBINATION PRODUCTC54696A product composed of two or more different types of medical products (i.e., a combination of a drug, device, and/or biological product with one another and are referred to as "constituent parts" of the combination product). NOTE: A combination product might be a single-entity product, a co-packaged product or a cross-labeled product. [After 21 CFR 3.2 (e)] (CDISC Glossary)Combination Product
DEVICEC16830Medical DeviceAny instrument, apparatus, implement, machine, appliance, implant, reagent for in vitro use, software, material or other similar or related article, intended by the manufacturer to be used, alone or in combination for, one or more specific medical purpose(s). [After REGULATION (EU) 2017/745 OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL of 5 April 2017 on medical devices]Medical Device
DIAGNOSTIC TESTC18020Any procedure or test used to diagnose a disease or disorder.Diagnostic Procedure
DIETARY SUPPLEMENTC1505Preparations containing ingredient(s) intended to supplement the diet.Dietary Supplement
DRUGC1909An active natural, synthetic or semi-synthetic ingredient including endogenous body substance that is intended to furnish pharmacological activity or other direct effect in the diagnosis, cure, mitigation, treatment, or prevention of disease or to affect the structure or any function of the human body, but does not include intermediates used in the synthesis of such ingredient (21 CFR 314.3(b)).Pharmacologic Substance
GENETICC15238Gene TherapyEx vivo or in vivo gene modification of cells in order to correct or treat an inherited or acquired disease or condition. (CDISC Glossary)Gene Therapy
OTHERC17649OtherDifferent than the one(s) previously specified or mentioned. (NCI)Other
PROCEDUREC98769Medical ProcedureAny activity performed by manual and/or instrumental means for the purpose of diagnosis, assessment, therapy, prevention, or palliative care.Physical Medical Procedure
RADIATIONC15313Radiation Therapy;RadiotherapyUse of targeted or whole body radiation to treat a disease.Radiation Therapy
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CL.C66742.NYNo Yes Response
(NY)
text
Extensible: No
C66742No Yes ResponseA term that is used to indicate a question with permissible values of yes/no/unknown/not applicable.CDISC SDTM Yes No Unknown or Not Applicable Response Terminology
NC49487NoThe non-affirmative response to a question. (NCI)No
NAC48660NA;Not ApplicableDetermination of a value is not relevant in the current context. (NCI)Not Applicable
UC17998U;UNK;UnknownNot known, not observed, not recorded, or refused. (NCI)Unknown
YC49488YesThe affirmative response to a question. (NCI)Yes
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CL.C127259.OBSSMOObservational Study Model
(OBSSMO)
text
Extensible: Yes
C127259Observational Study ModelA terminology codelist relevant to the trial design developed to compare biomedical and/or health outcomes in pre-defined and non-assigned groups of individuals.CDISC SDTM Observational Study Model Terminology
CASE CONTROLC15197Retrospective study in which individuals with an outcome (cases) are compared to those who do not have the outcome (controls). (CDISC Glossary)Case-Control Study
CASE CROSSOVERC127779A study in which the subject characteristics of the case, immediately prior to disease onset (sometimes called the hazard period), are compared to characteristics of same case at a prior time (i.e., control period). (ClinicalTrials.gov)Observational Case-Crossover Study
CASE ONLYC15362A study in which the subject with the condition under study (the case) is compared against a theoretical/historical model of distribution that serves as a control.Case Study
COHORTC15208Study of a group of individuals, some of whom are exposed to a variable of interest, in which subjects are followed over time. (CDISC Glossary)Cohort Study
ECOLOGIC OR COMMUNITYC127780A study in which geographically distinct study populations are compared with respect to a particular outcome.Ecologic or Community Based Study
FAMILY BASEDC15407A study in which related or non-related family members are compared with respect to a particular outcome.Family Study
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CL.C165641.Outcome Measure Attribute TerminologyOutcome Measure Attribute Terminology
(Outcome Measure Attribute Terminology)
text
Extensible:
C165641Outcome Measure Attribute TerminologyA terminology value set relevant to the attributes of the outcome measure entity.CDISC Protocol Outcome Measure Attribute Terminology
Outcome Measure DescriptionC165138A full description of the outcome measure.Study Outcome Measure Description
Outcome Measure Time FrameC165859The period of time over which the study outcome measure is assessed.Outcome Measure Time Frame
Outcome Measure TitleC165860The descriptive name of the outcome measure.Outcome Measure Title
Outcome Measure TypeC165861A characterization or classification of the specific key measurement(s) or observation(s) used to measure the effect of experimental variables on the participants in a study, or for observational studies, to describe patterns of diseases or traits or associations with exposures, risk factors or treatment.Outcome Measure Type
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CL.C170442.Outcome Measure Type Value Set TerminologyOutcome Measure Type Value Set Terminology
(Outcome Measure Type Value Set Terminology)
text
Extensible:
C170442Outcome Measure Type Value Set TerminologyThe terminology relevant to the type of outcome measure for the study.CDISC Protocol Outcome Measure Type Value Set Terminology
Exploratory Outcome MeasureC98724Exploratory Outcome MeasureThe outcome measure(s) that is part of a pre-specified analysis plan used to evaluate the exploratory endpoint(s) associated with exploratory study objective(s) and/or any other measures, excluding post-hoc measures, that are a focus of the study. (After clinicaltrials.gov)Exploratory Outcome Measure
Primary Outcome MeasureC98772Primary Outcome MeasureThe outcome measure(s) of greatest importance specified in the protocol, usually the one(s) used in the power calculation, to evaluate the primary endpoint(s) associated with the primary study objective(s). (After Clinicaltrials.gov)Primary Outcome Measure
Secondary Outcome MeasureC98781Secondary Outcome MeasureThe outcome measure(s) that is part of a pre-specified analysis plan used to evaluate the secondary endpoint(s) associated with secondary study objective(s) and/or used to evaluate any measure(s) ancillary to the primary or secondary endpoint(s). (After Clinicaltrials.gov).Secondary Outcome Measure
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CL.C165642.Oversight Entity Value SetOversight Entity Value Set
(Oversight Entity Value Set)
text
Extensible:
C165642Oversight Entity Value SetThe terminology relevant to the type of oversight entity for the study.CDISC Protocol Oversight Entity Value Set Terminology
Data Monitoring CommitteeC142489Data and Safety Monitoring Board;Data and Safety Monitoring Committee DSMB;Data Monitoring and Oversight Committee;DMC;DMOC;DSMC;IDMC;Independent Data Monitoring CommitteeA group of independent experts who are appointed to monitor the safety and scientific integrity of a research intervention, protect the confidentiality of participant data, and to make recommendations to the sponsor regarding the stopping of the trial for safety, efficacy, or for futility. (After clinicaltrials.gov; Committee for Medicinal Products for Human Use (CHMP), 2005, EMA; FDA Establishment and Operation of Clinical Trial Data Monitoring Committees. March 2006)Data Monitoring Committee
Independent Ethics CommitteeC142579IECAn independent body (a review board or a committee, institutional, regional, national, or supranational), constituted of medical professionals and non-medical members, whose responsibility it is to ensure the protection of the rights, safety and well-being of human subjects involved in a study and to provide public assurance of that protection, by, among other things, reviewing and approving/providing favorable opinion on, the study protocol, the suitability of the investigator(s), facilities, and the methods and material to be used in obtaining and documenting informed consent of the study subjects. The legal status, composition, function, operations and regulatory requirements pertaining to Independent Ethics Committees may differ among countries, but should allow the Independent Ethics Committee to act in agreement with GCP as described in the ICH E6 guideline. (ICH E6 R2)Independent Ethics Committee
Independent Safety MonitorC165865ISMAn independent physician or health-care professional who evaluates individual and cumulative participant data to make recommendations regarding the safe continuation of the study. (NIH)Independent Safety Monitor
Institutional Review BoardC16741IRBAn independent body constituted of medical, scientific, and non-scientific members, whose responsibility is to ensure the protection of the rights, safety and well-being of human subjects involved in a study by, among other things, reviewing, approving, and providing continuing review of study protocol and amendments and of the methods and material to be used in obtaining and documenting informed consent of the study subjects. (ICH E6 R2)Institutional Review Board
Observational Study Monitoring CommitteeC165866Observational Study Monitoring Board;OSMB;OSMCA group of independent experts who are appointed to monitor the safety and scientific integrity of an observational study, including protecting the confidentiality of participant data and to make recommendations regarding the stopping of the study for safety or for futility. (clinicaltrials.gov)Observational Study Monitoring Committee
Safety Monitoring CommitteeC165867Safety Assessment Committee;Safety Monitoring Board;SMCGroup of individuals with pertinent expertise that reviews, on a regular basis, accumulating safety data from an ongoing clinical study. This independent committee monitors the safety of participants during the study.Safety Monitoring Committee
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CL.C147068.Participant Allocation Value SetParticipant Allocation Value Set
(Participant Allocation Value Set)
text
Extensible:
C147068Participant Allocation Value SetA terminology codelist for the method of assigning participants, or subjects, to groups or categories within a clinical study.CDISC Protocol Subject Allocation Response Terminology
NonrandomizedC93043Participants are expressly assigned to intervention groups through a non-random method. (clinicaltrials.gov)Nonrandomized Clinical Trial
Not ApplicableC48660NA;Not ApplicableDetermination of a value is not relevant in the current context. (NCI)Not Applicable
RandomizedC25196Trial is RandomizedThe process of assigning trial subjects to treatment or control groups using an element of chance to determine the assignments in order to reduce bias. NOTE: Unequal randomization is used to allocate subjects into groups at a differential rate; for example, three subjects may be assigned to a treatment group for every one assigned to the control group. [ICH E6 1.48] See also balanced study. (CDISC glossary)Randomization
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CL.C199649.Pharmacology Attribute TerminologyPharmacology Attribute Terminology
(Pharmacology Attribute Terminology)
text
Extensible:
C199649Pharmacology Attribute TerminologyA terminology value set relevant to the attributes of the pharmacology entity.CDISC Protocol Pharmacology Attribute Terminology
Area Under the CurveC64774AUCThe area between the x-axis and the curve given by the integrand, equal to the definite integral of a function. For the purpose of pharmacokinetic measurements, the area under the curve (AUC) is the area under the curve in a plot of concentration of a drug in tissue, blood, or other body fluid against time.Area Under Curve
Clinical PharmacologyC16975The study of assessing therapeutic value of a drug in humans, including properties (absorption, distribution, metabolism, and excretion (ADME)), effects, reactions, and uses.Clinical Pharmacology
Drug AbsorptionC79369Absorption;FDA RPS Pharmacokinetics: AbsorptionThe branch of pharmacokinetics that studies the process by which a drug is absorbed by the body.Pharmacokinetics: Absorption
Drug Binding AffinityC199691The strength of the binding interaction between a drug and its target(s).Drug Binding Affinity
Drug BioavailabilityC70913BioavailabilityThe rate and extent to which the active drug ingredient or therapeutic moiety is absorbed from a drug product and becomes available at the site of drug action. (US FDA 21 CFR 320.1)Bioavailability
Drug ClearanceC199688ClearanceThe rate at which a drug is removed or cleared from the whole or part of the body.Drug Clearance
Drug ConcentrationC199678The quantity of a drug in a unit volume or weight of another substance.Drug Concentration
Drug DistributionC79370Distribution;FDA RPS Pharmacokinetics: DistributionThe branch of pharmacokinetics that studies the process by which a drug is distributed within the body.Pharmacokinetics: Distribution
Drug ExcretionC79372Excretion;FDA RPS Pharmacokinetics: ExcretionThe branch of pharmacokinetics that studies the process by which a drug is eliminated from the body.Pharmacokinetics: Excretion
Drug MetabolismC79371FDA RPS Pharmacokinetics: Metabolism;MetabolismThe branch of pharmacokinetics that studies the process by which a drug is metabolized by the body.Pharmacokinetics: Metabolism
Half Maximal Effective ConcentrationC19969050% Effective Concentration;EC50;Half-maximal Effective ConcentrationA measure of the potency of a compound, expressed as the concentration of the compound that induces a response halfway between the baseline and maximum.Half Maximal Effective Agent Concentration
Half Maximal Inhibitory ConcentrationC19127950% Inhibitory Concentration;Half-maximal Inhibitory Concentration;IC50The concentration of the inhibitory molecule that results in a 50% or greater reduction in infectivity, biological, or biochemical function.Fifty Percent Inhibitory Concentration
Maximal EffectC199689Emax;Maximum EffectThe greatest effect that a compound can produce regardless of dose exposure or concentration.Maximal Effect
Maximum ConcentrationC70918Cmax;Max Conc;Maximum ConcentrationThe maximum concentration occurring at Tmax.Cmax
Minimum ConcentrationC85579Cmin;Min Conc;Minimum ConcentrationThe minimum concentration between dose time and dose time plus Tau (at Tmin).Cmin
PharmacodynamicsC15720PDThe study of the biochemical and physiological effects of a drug and its mechanisms of action, including the correlation of those effects and actions with its chemical structure.Pharmacodynamics
PharmacogenomicsC20050The study of inherited variations in genes that determine and can be used to predict how an individual will respond to a drug or treatment.Pharmacogenomics
PharmacokineticsC15299PharmacokineticsThe characteristic movements of drugs within biological systems, as affected by absorption, distribution, binding, elimination, biotransformation, and excretion; particularly the rates of such movements. (NCI)Pharmacokinetics
Time of Maximum ConcentrationC70919Time of CMAX;Time of CMAX ObservationThe time of maximum observed concentration sampled during a dosing interval.Tmax
Time of Minimum ConcentrationC85825Time of CMIN;Time of CMIN ObservationThe time of minimum observed concentration sampled during a dosing interval.Tmin
Trough ConcentrationC102394Conc Trough;Concentration Trough;Ctrough;Trough LevelConcentration at end of a dosing interval, immediately before the next dose is administered.Trough Concentration
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CL.C132308.Physical Address Attribute TerminologyPhysical Address Attribute Terminology
(Physical Address Attribute Terminology)
text
Extensible:
C132308Physical Address Attribute TerminologyA terminology value set relevant to the attributes of the physical address entity.CDISC Protocol Entities Physical Address Attribute Terminology
CityC25160A relatively large and/or densely populated area of human habitation with administrative or legal status that may be specified as a component of a postal address.City
CountryC25464A sovereign nation occupying a distinct territory and ruled by an autonomous government.Country
Geographic LocalityC87189A distinct geographic area in the immediate vicinity of a particular place, such as a city, neighborhood or district.Locality
Geographic RegionC16632Any demarcated area of the Earth; may be determined by both natural and human boundaries, such as a state or province.Geographic Area
Postal CodeC25621An alphanumeric code assigned to a mail delivery area.Postal Code
ProvinceC25632A sub-division of a country created by the central government for administrative purposes. Provinces are usually, but not always, less autonomous than states, and must obey the laws of the central government.Province
StateC87194A sub-division of a country that forms part of a federal union. States are usually, but not always, more autonomous than provinces and may have different laws from the central government.State
Street AddressC25690The street name and number, building number, apartment or unit number, or post office box number where an entity is physically located.Street Address
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CL.C181167.Protocol Amendment Attribute TerminologyProtocol Amendment Attribute Terminology
(Protocol Amendment Attribute Terminology)
text
Extensible:
C181167Protocol Amendment Attribute TerminologyA terminology value set relevant to the attributes of the protocol amendment.CDISC Protocol Amendment Attribute Terminology
Brief Rationale for Protocol ChangeC181233Brief Rationale for Protocol Modification;Brief Rationale for Protocol RevisionA concise explanation justifying an individual change in the protocol.Brief Rationale for Protocol Change
Overall Rationale for Protocol AmendmentC181234Overall Justification for AmendmentA summarized explanation justifying a protocol amendment.Overall Rationale for Protocol Amendment
Study Protocol Version Approval by Sponsor DateC132352Protocol Amendment Approval by Sponsor Date;Study Protocol Version Approval DateThe date on which a version of the protocol was finalized or approved by the sponsor.Protocol Approval by Sponsor Date
Study Protocol Version NumberC181232Study Protocol Amendment NumberA string of numerals that uniquely identifies a specific version of a study protocol.Study Protocol Version Number
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CL.C154681.Protocol Contact Role Value SetProtocol Contact Role Value Set
(Protocol Contact Role Value Set)
text
Extensible:
C154681Protocol Contact Role Value SetThe terminology relevant to the role that the individual or entity plays with respect to being a contact within a study protocol.CDISC Protocol Entities Protocol Contact Role Response Terminology
BiostatisticianC154709A person who is responsible for the statistical aspects of the clinical or pre-clinical study. (NCI)Biostatistician
Clinical InformaticistC154708Clinical InformaticianAn individual that designs, implements, evaluates and/or analyzes information technology in a healthcare or research setting. (NCI)Clinical Informaticist
Clinical Research CoordinatorC51811CRCA qualified study staff member who manages the participation of subjects according to the study protocol.Clinical Coordinator
Contact for Public QueriesC127526The study contact person who is responsible for questions from the public.Public Queries Study Contact
Coordinating InvestigatorC51818An investigator assigned the responsibility for the coordination of investigators at different centers participating in a multi-center trial. While a single-center study would not include a coordinating investigator, the investigator at the site would fulfill the same responsibilities as a principal investigator. (after ICH E6)Coordinating Investigator
Data ManagerC51820An individual who is responsible for the development and implementation of architectures, policies and procedures for the effective management of data across its business lifecycle.Data Manager
InvestigatorC25936A person responsible for the conduct of the study, ensuring adherence to the protocol and good clinical practices. (CDISC Glossary)Investigator
Legal Representative for the StudyC127532An individual with expertise in the law who provides legal counsel and representation for a study.Legal Representative for the Study
Medical MonitorC51836A sponsor representative who has medical authority for the evaluation of the safety aspects of a clinical trial. (CDISC Glossary)Medical Monitor
National Coordinating InvestigatorC154706In the case of a multinational study, a person who has the responsibilities of the sponsor of the study in his/her country and will be responsible for the coordination of the principal investigators at different sites within that member state. (EMA)National Coordinating Investigator
Primary SponsorC70794The individual, organization, group or other legal person taking responsibility for securing the arrangements to initiate and/or manage a study (including arrangements to ensure that the study design meets appropriate standards and to ensure appropriate conduct and reporting). In commercial trials, the primary sponsor is normally the main applicant for regulatory authorization to begin the study. It may or may not be the main funder. (NCI)Primary Clinical Study Sponsor
Principal InvestigatorC19924The study investigator who has the primary responsibility for the conduct of a study and for the study-related personnel at the participating site(s).Principal Investigator
Secondary SponsorC70795Additional individuals, organizations or other legal persons, if any, that have agreed with the primary sponsor to take on responsibilities of sponsorship. A secondary sponsor may have agreed to take on all the responsibilities of sponsorship jointly with the primary sponsor; or to form a group with the primary sponsor in which the responsibilities of sponsorship are allocated among the members of the group; or to act as the sponsor's legal representative in relation to some or all of the study sites; or to take responsibility for the accuracy of study registration information submitted.Secondary Clinical Study Sponsor
SponsorC70793Clinical Study Sponsor;Sponsor;Study SponsorAn individual, company, institution, or organization that takes responsibility for the initiation, management, and/or financing of a clinical study. [After ICH E6, WHO, 21 CFR 50.3 (e), and after IDMP]Clinical Study Sponsor
Study ChairC51878Study DirectorA person who has overall responsibility for the technical conduct of a study, as well as for the interpretation, analysis, documentation and reporting of results, and represents the single point of study control. (FDA)Study Chair
SubinvestigatorC54622Any member of the clinical trial team designated and supervised by the investigator at a trial site to perform critical trial-related procedures and/or to make important trial-related decisions (e.g., associates, residents, research fellows). (ICH)Subinvestigator
Technical LeadC154707An individual who is responsible for the delivery of technical aspects of a project. (NCI)Technical Lead
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CL.C132310.Protocol Entity TerminologyProtocol Entity Terminology
(Protocol Entity Terminology)
text
Extensible:
C132310Protocol Entity TerminologyA terminology value set relevant to the entities within a protocol.CDISC Protocol Entities Terminology
Biological SampleC70699Biological Sample;Biological Specimen;Biospecimen;SampleAny material collected from a biological entity for testing, diagnostic, propagation, treatment, or research purposes.Biospecimen
BiomarkerC16342A defined characteristic that is measured as an indicator of normal biological processes, pathogenic processes, or responses to an exposure or intervention, including therapeutic interventions. Molecular, histologic, radiographic, or physiologic characteristics are types of biomarkers. Categories of biomarkers include: susceptibility/risk biomarker; diagnostic biomarker; monitoring biomarker; prognostic biomarker; predictive biomarker; safety biomarker; pharmacodynamic/response biomarker. [NIH-FDA BEST (Biomarkers, Endpoints, and other Tools) Resource, https://www.ncbi.nlm.nih.gov/books/NBK338448/] (CDISC Glossary)Biomarker
Clinical StudyC15206A clinical study involves research using human volunteers (also called participants) that is intended to add to medical knowledge. There are two main types of clinical studies: clinical trials (also called interventional studies) and observational studies. [ClinicalTrials.gov] See also clinical trial. (CDISC Glossary)Clinical Study
Clinical TrialC71104A research investigation involving human subjects that is designed to answer specific questions about the safety and efficacy of a biomedical intervention (drug, treatment, device) or new ways of using a known drug, treatment, or device). NOTE: NIH Office of Science Policy further specifies that a clinical trial is a type of research study that prospectively assigns subjects to interventions, and the EU clinical trial regulations set forth 3 specific conditions, any one of which qualifies a study as a clinical trial. These conditions include applying diagnostic or monitoring procedures not used in normal clinical practice to subjects. [After ICH E6 [R2], EU CTR 2014] (CDISC Glossary)Clinical Trial
EndpointC25212A defined variable intended to reflect an outcome of interest that is statistically analyzed to address a particular research question. NOTE: A precise definition of an endpoint typically specifies the type of assessments made, the timing of those assessments, the assessment tools used, and possibly other details, as applicable, such as how multiple assessments within an individual are to be combined. [After BEST Resource] (CDISC Glossary)End Point
Expanded AccessC98722Compassionate UseStudies that provide a means for obtaining an experimental drug or device for patients who are not adequately treated by existing therapy, who do not meet the eligibility criteria for enrollment, or who are otherwise unable to participate in another clinical study.Expanded Access Study
Experimental InterventionC41161Investigational Interventional;Investigational Therapy or TreatmentThe drug, device, therapy, procedure, or process under investigation in a clinical study that is believed to have an effect on outcomes of interest in a study (e.g., health-related quality of life, efficacy, safety, pharmacoeconomics). [After https://grants.nih.gov/grants/policy/faq_clinical_trial_definition.htm#5224; https://grants.nih.gov/policy/clinical-trials/protocol-template.htm] See also test articles, devices, drug product, combination product, treatment, diagnosis. Contrast with investigational medicinal product.Protocol Agent
Informed ConsentC16735A process that provides the subject with explanations that will help in making decisions about whether to begin or continue participating in a study, after having achieved an understanding of the potential risks and benefits. Informed consent is an ongoing, interactive process rather than a one-time information session.Informed Consent
IngredientC51981Any component that constitutes a part of a compound or mixture.Ingredient
Outcome MeasureC93407Specific key measurement(s) or observation(s) used to measure the effect of experimental variables on the participants in a study, or for observational studies, to describe patterns of diseases or traits or associations with exposures, risk factors or treatment. (BRIDG)Study Outcome Measurement
OutcomeC20200A measureable characteristic that is influenced or affected by an individual's baseline state or an intervention, as in a clinical trial or other exposure. (BEST Resource)Outcome
PharmacologyC16974PharmacologyThe study of characteristics, effects, and uses of drugs and their interactions with living organisms.Pharmacology
Physical AddressC25407A standardized representation of the location of a person, business, building, or organization. (NCI)Address
Protocol AmendmentC132347A written description of a change(s) to, or formal clarification of, a protocol. (ICH E6)Protocol Amendment
Protocol StatementC181183A written message providing an official assurance, account, or assertion within the study protocol.Protocol Statement
Quality AssuranceC15381QAAll those planned and systematic actions that are established to ensure that the study is performed and the data are generated, documented (recorded), and reported in compliance with good clinical practice (GCP) and the applicable regulatory requirement(s). (ICH)Quality Assurance
Quality ControlC15311QCThe operational techniques and activities undertaken within the quality assurance system to verify that the requirements for quality of the study related activities have been fulfilled. (ICH)Quality Control
ReferenceC184397Reference ListThe curated list of sources that are cited within the reference section of the document.Reference List
Study ActivityC71473An action, undertaking, or event, which is anticipated to be performed or observed, or was performed or observed, according to the study protocol during the execution of the study.Study Activity
Study ArmC174447ArmA planned pathway assigned to the subject as they progress through the study, usually referred to by a name that reflects one or more treatments, exposures, and/or controls included in the path.Study Arm
Study Blinding and UnblindingC189351A methodology to limit bias by preventing subject(s) and/or study personnel from identifying which treatments or procedures are administered and the circumstances in which the blind would be broken for subject(s) and/or study personnel.Study Blinding and Unblinding
Study Contact InformationC154705Information regarding the means of contacting a person or group that performs a function within a clinical study.Study Contact Information
Study DesignC15320A strategy that specifies the structure of a study in terms of the planned activities (including timing) and statistical analysis approach intended to meet the objectives of the study.Study Design
Study MonitoringC142707The act of overseeing the progress of a clinical study and of ensuring that it is conducted, recorded, and reported in accordance with the protocol, standard operating procedures (SOPs), good clinical practice (GCP), and regulatory requirement(s) where applicable. [after ICH E6 Glossary]Study Monitoring
Study Oversight EntityC93450A group of individuals that approves, monitors and reviews biomedical research to protect the rights, safety and welfare of the study participants, by providing critical scientific, ethical, and/or regulatory oversight functions.Study Oversight Authority
Study PopulationC70833A group of individuals taken from the general population who share a set of common characteristics, such as age, sex, or health condition, precisely defined in the study protocol. This is a population to which the study results could be reasonably generalized.Study Population
Study Product AdministrationC177924The act of the dispensing, applying, or tendering a study product to the participant. (NCI)Study Product Administration
Study ProductC174271The material artifact(s), such as the trial product, interventional product, study drug, device, or procedure and their comparator(s), that is the focus of the study.Study Product
Study ProtocolC70817The formal plan of an experiment or research activity, including the objective, rationale, design, materials and methods for the conduct of the study, intervention description, and method of data analysis.Study Protocol
Study Subject DiscontinuationC142444The act of concluding participation by an enrolled subject prior to completion of all protocol-required elements in a study. NOTE: Four categories of discontinuation are distinguished: a) dropout: Active discontinuation by a subject (also a noun referring to such a discontinued subject); b) investigator initiated discontinuation (e.g., for cause); c) loss to follow-up: cessation of participation without notice or action by the subject; d) sponsor initiated discontinuation. Note that subject discontinuation does not necessarily imply exclusion of subject data from analysis. "Termination of subject" has a history of synonymous use, but is now considered nonstandard. [After ICH E3, section 10.1 and FDA Guidance for Industry: Submission of Abbreviated Reports & Synopses in Support of Marketing Applications, IV A] (CDISC Glossary)Study Subject Discontinuation
Subject ReplacementC142738Study Subject ReplacementThe act of enrolling a new study subject to compensate for a subject who is no longer participating.Trial Subject Replacement
SubstudyC198230Sub-studyA subordinate study within the scope of the parent study that researches a separate question from, and contributes to, the overarching study objectives and involves all or a subset of the parent study participants or specimens.Substudy
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CL.C181168.Protocol Statement Attribute TerminologyProtocol Statement Attribute Terminology
(Protocol Statement Attribute Terminology)
text
Extensible:
C181168Protocol Statement Attribute TerminologyA terminology value set relevant to the attributes of the protocol statement.CDISC Protocol Statement Attribute Terminology
Biological Sample Use StatementC181244Biological Specimen Use Statement;Biospecimen Use StatementA written message within the study protocol that describes the provisions for use of biological samples for the duration of the study and, as applicable, for future use.Biological Sample Use Statement
Conflict of Interest StatementC181240A written message within the study protocol that describes how the study will manage actual or perceived conflicts of interest, including report to regulatory authorities and oversight entities.Conflict of Interest Statement
Data Integrity StatementC181237A written message within the study protocol that asserts that the data are complete, consistent, accurate, trustworthy, and reliable throughout the life cycle of the study.Data Integrity Statement
Data Sharing StatementC184394A written message within the study protocol that asserts compliance with data sharing policies.Data Sharing Compliance Policy Statement
Financial Disclosure StatementC181241A written message within the study protocol that asserts how any and all financial interests of the study stakeholders will be managed in relation to the study.Study Protocol Financial Disclosure Statement
Protocol Confidentiality StatementC181236A written message within the study protocol that asserts a statement of non-disclosure, such that information contained within the protocol document may only be shared with authorized parties.Protocol Confidentiality Statement
Protocol Regulatory Compliance StatementC181235Regulatory Compliance StatementA written message within the study protocol that asserts that the study will be conducted in compliance with Good Clinical Practice (GCP) guidelines, study protocol, and any other applicable regulatory requirements.Protocol Regulatory Compliance Statement
Publication Policy StatementC184393A written message within the study protocol that describes the policies pertaining to the publication of study results.Publication Policy Statement
Statement of Ethical ConductC181239A written message within the study protocol that asserts that the study will be conducted in accordance with the ethical principles outlined in the Declaration of Helsinki and applicable regional regulations and guidelines.Statement of Ethical Conduct
Statement of Progress ReportingC181238A written message within the study protocol that asserts timely communication of study progress and results to the study stakeholders as well as regulatory authorities and study registries.Statement of Progress Reporting
Study Investigator Conduct StatementC184392Investigator Statement;Study Investigator StatementA written message within the study protocol that asserts that a study investigator will be responsible for the performance and conduct of the study as described in the protocol, and in accordance with relevant laws, regulations, and guidelines.Study Investigator Conduct Statement
Study Sponsor Conduct StatementC184391Sponsor Statement;Study Sponsor StatementA written message within the study protocol that asserts that the study sponsor will be responsible for overseeing all aspects of study conduct.Study Sponsor Conduct Statement
Subject Data Confidentiality StatementC181243Study Participant Data Confidentiality StatementA written message within the study protocol that asserts compliance with applicable regulations and guidelines to preserve and maintain study data confidentiality.Subject Data Confidentiality Statement
Subject Privacy StatementC181242Study Participant Privacy StatementA written message within the study protocol that asserts compliance with applicable regulations and guidelines regarding the protection of study subject, or participant, privacy.Subject Privacy Statement
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CL.C147069.Randomization Type Value SetRandomization Type Value Set
(Randomization Type Value Set)
text
Extensible:
C147069Randomization Type Value SetA terminology codelist relevant to the types of randomization schemas associated with a randomized controlled trial.CDISC Protocol Randomization Type Response Terminology
Adaptive RandomizationC147126A type of randomization schema in which the group assignment probability of a participant is adjusted based on the group assignments of those participants already randomized in the trial.Adaptive Randomization
Block RandomizationC147127Constrained RandomizationA type of adaptive randomization in which a pre-specified number of participants is assigned to a block containing the same pre-specified number of balanced group assignments in random order.Block Randomization
Minimization RandomizationC147143Covariate Adaptive RandomizationA type of adaptive randomization in which the participant is assigned to the treatment group in an attempt to minimize imbalances in the number of participants for each stratification covariate across treatment groups.Minimization Randomization
Simple RandomizationC147144Unrestricted RandomizationA type of randomization schema in which each participant has the same chance of being randomized into any one group as all other participants.Simple Randomization
Stratified RandomizationC147145A type of block randomization in which participants are stratified into groups based on prognostic variables and then randomized into balanced treatment groups.Stratified Randomization
Unequal RandomizationC142743A type of randomization schema in which unequal numbers of participants are purposely assigned to multiple treatment groups.Unequal Randomization
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CL.C184333.Reference Attribute TerminologyReference Attribute Terminology
(Reference Attribute Terminology)
text
Extensible:
C184333Reference Attribute TerminologyA terminology value set relevant to the attributes of the reference.CDISC Protocol Reference Attribute Terminology
CitationC41196A reference to an authoritative source.Citation
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CL.C190866.Study Activity Attribute TerminologyStudy Activity Attribute Terminology
(Study Activity Attribute Terminology)
text
Extensible:
C190866Study Activity Attribute TerminologyA terminology value set relevant to the attributes of the study activity entity.CDISC Protocol Study Activity Attribute Terminology
Study AssessmentC25217Study ObservationA measurement, evaluation, observation, or judgment of a study variable pertaining to the status of a subject. [After BEST Resource] (CDISC Glossary)Assessment
Study DayC82437A relative day, in reference to the protocol-defined study start point, on which an intervention, procedure, assessment, and/or collection of other study data occurs.Study Day
Study Visit WindowC191215Visit WindowThe allowable period of time before and/or after a planned or scheduled study visit, during which the actual study visit shall occur.Study Visit Window
Study VisitC191214VisitA protocol-defined clinical encounter that encompasses planned and contingent study interventions, procedures, and assessments that may be performed on a subject. [SDTM]Study Visit
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CL.C172329.Study Arm Attribute TerminologyStudy Arm Attribute Terminology
(Study Arm Attribute Terminology)
text
Extensible:
C172329Study Arm Attribute TerminologyA terminology value set relevant to the attributes of the study arm entity.CDISC Protocol Study Arm Attribute Terminology
Planned Number of Subjects Per Study ArmC172458The total number of subjects intended to be included within each arm for the study. (NCI)Planned Number of Subjects Per Study Arm
Study Arm DescriptionC93728Arm DescriptionA narrative representation of the study arm.Arm Description
Study Arm LabelC172456Arm LabelThe short descriptive designation for the study arm.Study Arm Label
Study Arm TypeC172457Arm TypeA characterization or classification of the study arm.Study Arm Type
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CL.C174222.Study Arm Type Value Set TerminologyStudy Arm Type Value Set Terminology
(Study Arm Type Value Set Terminology)
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Extensible: Yes
C174222Study Arm Type Value Set TerminologyThe terminology relevant to the identification of the kind of arm.CDISC Protocol Study Arm Type Value Set Terminology
Active Comparator ArmC174267An arm describing the active comparator.Active Comparator Arm
Control ArmC174226An arm describing the intervention or treatment plan for a group of participants in the study receiving a control. The control may comprise a non-investigational product (active control) or regimen, placebo, or no treatment.Control Arm
Experimental ArmC174266Investigational ArmAn arm describing the intervention or treatment plan for a group of participants in the study receiving test product(s).Investigational Arm
No Intervention ArmC174270A study arm without an intervention or treatment.No Intervention Arm
Placebo Comparator ArmC174268Placebo Control ArmAn arm describing the placebo comparator.Placebo Control Arm
Sham Comparator ArmC174269Sham Intervention ArmAn arm describing the sham comparator.Sham Comparator Arm
Treatment ArmC15538A planned pathway through the study to which subjects are assigned, and that describes treatments, exposures, controls, and/or observations.Protocol Treatment Arm
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CL.C189268.Study Blinding and Unblinding Attribute TerminologyStudy Blinding and Unblinding Attribute Terminology
(Study Blinding and Unblinding Attribute Terminology)
text
Extensible:
C189268Study Blinding and Unblinding Attribute TerminologyA terminology value set relevant to the attributes of the study blinding and unblinding entity.CDISC Protocol Study Blinding and Unblinding Attribute Terminology
Masked MedicationC142408Blinded MedicationA study product whose appearance and characteristics are the same between each investigational agent and control.Blinded Medication
Study Blinding ProcedureC189349The methodology used for enacting study blinding.Study Blinding Procedure
Study Blinding SchemaC49658Study Blinding Design;Study Blinding Schema;Study Masking Design;Trial Blinding Design;Trial Blinding Schema;Trial Masking DesignThe type of experimental design used to describe the level of awareness of the study subjects and/ or study personnel as it relates to the respective intervention(s) or assessments being observed, received or administered.Trial Blinding Schema
Study BlindingC49068Trial BlindingA procedure to limit bias by preventing subjects and/ or study personnel from identifying which treatments or procedures are administered, or from learning the results of tests and measures undertaken as part of a clinical investigation. (CDISC Glossary)Blinded
Study Unblinding ProcedureC189350A description of the methodology used for planned or unplanned unblinding of the study.Study Unblinding Procedure
Study UnblindingC142742Identification of the treatment assignment to the subject, investigators, and/or other trial personnel. (CDISC Glossary)Unblinding
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CL.C154682.Study Contact Information Attribute TerminologyStudy Contact Information Attribute Terminology
(Study Contact Information Attribute Terminology)
text
Extensible:
C154682Study Contact Information Attribute TerminologyA terminology value set relevant to the attributes of the study contact information entity.CDISC Protocol Entities Study Contact Information Attribute Terminology
Academic DegreeC25354An academic rank conferred by a college, university, or other postsecondary education institution as official recognition for the successful completion of a program of studies.Academic Degree
E-mail AddressC42775Email AddressA text string identifier for a location to which electronic mail can be delivered. (NCI)E-mail Address
Fax NumberC42879Facsimile NumberA telephone number that is used for identifying a specific fax machine in a telephone network.Fax Number
Organizational AffiliationC154704The name of the organization or entity that the person or group has an established relationship with.Organizational Affiliation Name
Person NameC25191Individual's Name;NameA word or group of words indicating the identity of a person usually consisting of a first (personal) name and a last (family) name with an optional middle name. In some cultural traditions the family name comes first.Person Name
Physical AddressC25407A standardized representation of the location of a person, business, building, or organization. (NCI)Address
RoleC48835The usual or expected function of something; the part something plays in an action or event. (NCI)Role
Telephone NumberC40978Phone NumberA sequence of decimal digits (0-9) that is used for identifying a specific telephone line or other device in a telephone network.Telephone Number
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CL.C147066.Study Design Attribute TerminologyStudy Design Attribute Terminology
(Study Design Attribute Terminology)
text
Extensible:
C147066Study Design Attribute TerminologyA terminology value set relevant to the attributes of the study design entity.CDISC Protocol Entities Study Design Attribute Terminology
Interventional Study DesignC98746Intervention ModelThe general design of the strategy for assigning interventions to participants in a clinical study. (clinicaltrials.gov)Intervention Model
Observational Study DesignC147138Observation ModelThe general design of the strategy for identifying and following up with participants during observational studies. (clinicaltrials.gov)Observational Study Model
Overall Study DesignC147139Overall Design;Study Design Description;Study Design Overview;Summary of Study DesignA narrative representation of the study design.Study Design Description
Participant AllocationC52580Subject AllocationThe process of assigning participants to particular treatment groups or cohorts in a clinical study.Allocation
Planned Number of ArmsC98771Planned Number of ArmsThe planned number of intervention groups.Planned Number of Arms
Planned Number of CohortsC147137The planned number of study groups.Planned Number of Cohorts
Planned Number of ParticipantsC49692Anticipated Enrollment;Planned Enrollment;Planned Number of Subjects;Target EnrollmentThe planned number of subjects intended to be enrolled within a study to reach a pre-specified sample size (in any cohort or the entire study).Planned Subject Number
Randomization TypeC147140A characterization or classification of the process of assigning trial subjects to treatment or control groups using an element of chance to determine the assignments in order to reduce bias.Randomization Method
Stratification FactorC16153Stratification FactorSelected factors that are used during randomization to ensure there is balance of these factors across all subjects within each arm of a study. The subject level values of these factors may be used as fixed effects in statistical models and for sensitivity analyses.Stratification Factors
StratificationC25689Grouping defined by important prognostic factors measured at baseline. (ICH E9)Stratification
Study Design RationaleC142705Reason(s) for choosing the study design. This may include reasons for the choice of control or comparator, as well as the scientific rationale for the study design.Study Design Rationale
Study HypothesisC142668A supposition or proposal based on observations or facts that requires further investigation or exploration to answer a research question. (After NCI)Research Hypothesis
Study Primary PurposeC147141The principal reason or intention for the execution of an interventional or non-interventional clinical study. (NCI)Study Primary Purpose
Study Secondary PurposeC147142The ancillary reason or intention for the execution of an interventional or non-interventional clinical study. (NCI)Study Secondary Purpose
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CL.C163026.Study Monitoring Attribute TerminologyStudy Monitoring Attribute Terminology
(Study Monitoring Attribute Terminology)
text
Extensible:
C163026Study Monitoring Attribute TerminologyA terminology value set relevant to the attributes of the study monitoring entity.CDISC Protocol Study Monitoring Attribute Terminology
Clinical Monitoring PlanC208439A document that describes the strategy, methods, responsibilities, and requirements for monitoring the trial. (ICH E6(R2) Glossary Addendum)Clinical Monitoring Plan
Data and Safety Monitoring PlanC163406Data Safety Monitoring Plan;DSMP;Safety Data Monitoring PlanA written plan that prospectively identifies and documents monitoring activities intended to protect the safety of the participants, the validity of the data and the integrity of the research study. The DSMP may also identify when to terminate a participant's participation (i.e. individual stopping rules) and/or the appropriate termination of a study (i.e. study stopping rules). (Mayo Clinic)Data and Safety Monitoring Plan
Data MonitoringC142488Process by which clinical data are examined for completeness, consistency, and accuracy for the duration of the study lifecycle.Data Monitoring
GCP Adherence StatementC163407Good Clinical Practice Adherence StatementA written message that asserts, affirms, or declares that the study is conducted in accordance with Good Clinical Practice (GCP).GCP Adherence Statement
Risk MonitoringC142674Risk-based MonitoringStudy monitoring that focuses on preventing or mitigating important and likely risks to investigation quality, including risks to human subject protection and data integrity. [After FDA Guidance: A Risk-Based Approach to Monitoring of Clinical Investigations Questions and Answers, 2019] (CDISC Glossary)Risk Based Monitoring
Safety Data MonitoringC163408Review of cumulative safety data to identify possible safety concerns.Safety Data Monitoring
Safety MonitoringC163409Review of safety data to ensure safety of the individuals who are participating in the study, or to identify potential safety concerns for the duration of the study lifecycle.Safety Monitoring
Study Audit StatementC184395A written message within the study protocol that describes the auditing activities that are to occur within a study and the intent to address findings from an audit report.Study Audit Statement
Study AuditC184396A systematic and independent examination of study-related activities and documents to determine whether the evaluated trial-related activities were conducted and the data were recorded, analyzed, and accurately reported according to the protocol, sponsor's standard operating procedures (SOPs), good clinical practice (GCP), and the applicable regulatory requirement(s). (ICH E6 Glossary)Study Audit
Study Monitoring StatementC163410A written message that asserts, affirms, or declares that the study will be monitored in adherence to a clinical monitoring plan and in accordance with Good Clinical Practice (GCP).Study Monitoring Statement
Suicidal Risk MonitoringC163411A systematic approach to identify and assess the risks of participant suicidal ideation and/or suicide.Suicidal Risk Monitoring
Trial MonitoringC15789The act of overseeing the progress of a clinical trial and of ensuring that it is conducted, recorded, and reported in accordance with the protocol, standard operating procedures (SOPs), good clinical practice (GCP), and the applicable regulatory requirement(s). [ICH E6 Glossary]Clinical Trials, Monitoring
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CL.C165640.Study Oversight Entity Attribute TerminologyStudy Oversight Entity Attribute Terminology
(Study Oversight Entity Attribute Terminology)
text
Extensible:
C165640Study Oversight Entity Attribute TerminologyA terminology value set relevant to the attributes of the study oversight entity.CDISC Protocol Study Oversight Entity Attribute Terminology
Study Oversight Entity Approval DateC165862The date on which the study oversight entity grants approval.Study Oversight Entity Approval Date
Study Oversight Entity Approval StatusC165863The state of the study oversight entity approval process.Study Oversight Entity Approval Status
Study Oversight Entity TypeC165864A characterization or classification of the group of individuals that approves, monitors and reviews biomedical research to protect the rights, safety and welfare of the study participants, by providing critical scientific, ethical, and/or regulatory oversight functions.Study Oversight Entity Type
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CL.C160921.Study Population Attribute TerminologyStudy Population Attribute Terminology
(Study Population Attribute Terminology)
text
Extensible:
C160921Study Population Attribute TerminologyA terminology value set relevant to the attributes of the study population entity.CDISC Protocol Study Population Attribute Terminology
Comorbid ConditionC161320Medical or health condition that is concomitant or concurrent with the primary condition or disease under study.Comorbid Condition
Condition or Disease under StudyC161319Primary disease(s) or condition(s) being studied in the trial, or the focus of the study. (clinicaltrials.gov)Condition or Disease under Study
Control GroupC28143A cohort of study participants that is defined for the purpose of comparison to the treatment group in a controlled trial. In an epidemiological study, this cohort may or may not have the outcome of interest.Control Group
Demographic GroupC161324A descriptive characterization of the study population (e.g., age, sex, race, education, etc.).Demographic Group
Experimental GroupC161323A study population that receives the intervention that is the focus of the study.Experimental Group
Females of Childbearing PotentialC161316FOCBP;WOCBP;Women of Childbearing PotentialFemale study subjects or patients who have the potential to become pregnant, i.e., those who have experienced menarche and who have not undergone surgical sterilization and are not postmenopausal.Female of Childbearing Potential
General Health StatusC16669The state of a subject's mental or physical condition.Health Status
Healthy VolunteerC49651Healthy SubjectA person with no significant health-related issues who agrees to participate as a subject in a clinical study.Healthy Subject
Justification of Special PopulationC161318An explanation with defensible proof as to the reason why a special population of subjects is included in the clinical study.Justification of Special Population
Population RationaleC161317An explanation as to the logical reasons for why a specific population of subjects is being considered for inclusion in a clinical study.Population Rationale
Reference GroupC161321Reference Group for Study Sample PopulationThe study population that is defined for the purpose of comparison to the population under investigation.Reference Group
Target Study PopulationC142728Target PopulationThe group of people in the general population to which the study results can be generalized.Target Study Population
Treatment GroupC161322A study population that receives an intervention(s) within a trial. This could include the investigational product(s) or a comparator (e.g., placebo or an approved intervention).Treatment Group
Vulnerable PopulationC142747Individuals whose willingness to volunteer in a clinical trial may be unduly influenced by the expectation, whether justified or not, of benefits associated with participation, or of a retaliatory response from senior members of a hierarchy in case of refusal to participate. Examples include subordinate members of a group with a hierarchical structure, patients with incurable diseases, persons in nursing homes, unemployed or impoverished persons, patients in emergency situations, ethnic minority groups, homeless persons, nomads, refugees, minors, and those incapable of giving consent. (ICH)Vulnerable Subjects
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CL.C177904.Study Product Administration AttributeStudy Product Administration Attribute
(Study Product Administration Attribute)
text
Extensible:
C177904Study Product Administration AttributeA terminology value set relevant to the attributes of the study product administration.CDISC Protocol Study Product Administration Attribute Terminology
Dosage FormC42636Dose FormPhysical characteristics of a drug product, (e.g., tablet, capsule, or solution) that contains a drug substance, generally, but not necessarily, in association with one or more other ingredients. (CDISC Glossary)Pharmaceutical Dosage Form
Dosage RegimenC142516The schedule of doses of an agent per unit of time, including the number of doses per given time period and the elapsed time between doses. NOTE: For example, every six hours or the time that the doses are to be given (for example, at 8 a.m. and 4 p.m. daily); and/or the amount of a medicine (the number of capsules, for example) to be given at each specific dosing time. [After AMA Manual of Style]Dosage Regimen
Dose FrequencyC89081Dosing FrequencyThe number of doses administered per a specific interval.Dose Frequency
DoseC25488Dose Level;Dose per AdministrationThe amount of study drug (or placebo) administered to a patient or test subject to be taken at one time or at stated intervals.Dose
Justification for DosageC177925The rationale or explanation for the planned dose(s).Justification for Planned Dosage
Justification of AdministrationC177926The rationale or explanation for the planned mode of delivery.Justification of Planned Administration
Route of AdministrationC38114Route of AdministrationThe way in which a pharmaceutical product is taken into, or makes contact with, the body. (CDISC Glossary)Route of Administration
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CL.C174220.Study Product Attribute TerminologyStudy Product Attribute Terminology
(Study Product Attribute Terminology)
text
Extensible:
C174220Study Product Attribute TerminologyA terminology value set relevant to the attributes of the study product.CDISC Protocol Study Product Attribute Terminology
Study Product AccountabilityC176267The act or process for documenting the storage, inventory tracking, and disposition of the study product.Study Product Accountability
Study Product AcquisitionC176266The act or process by which the study product is obtained by the study site or investigator.Study Product Acquisition
Study Product AppearanceC176269The outward or visible aspect of the study product.Study Product Appearance
Study Product FormulationC176268The composition of the study product, which may include active and inactive ingredients, dose, and dosage form.Study Product Formulation
Study Product LabelingC176271The written, printed, or graphic matter on, or accompanying, the study product or its packaging.Study Product Labeling
Study Product ManufacturerC176275The enterprise or entity that produces the study product.Study Product Manufacturer
Study Product PackagingC176270The material type and configuration used to contain the study product.Study Product Packaging
Study Product Pharmacologic ClassC98768Pharmacologic ClassThe pharmacological class of the investigational product.Pharmacological Class of Investigational Therapy
Study Product PreparationC176274Instructions for the act of making ready the study product for use or administration.Study Product Preparation
Study Product StabilityC176273The parameters under which the study product retains the same properties and characteristics that it possessed at the time of its manufacture for its intended use or administration. (After Anissa W. Wong, Aruna Datla.13-Assay and Stability Testing, Editor(s): Satinder Ahuja, Michael W. Dong, Separation Science and Technology, Academic Press, Volume 6, 2005, Pages 335-358)Study Product Stability
Study Product StorageC176272The physical or environmental conditions under which the study product is maintained.Study Product Storage
Study Product Therapeutic ClassC177927Study Product Therapeutic CategoryThe classification of a study product based on the disease, disorder, or condition it is intended to treat.Study Product Therapeutic Class
Study Product TypeC174265The characterization or classification of the material artifact(s) that is the focus of the study.Study Product Type
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CL.C174221.Study Product Type Value Set TerminologyStudy Product Type Value Set Terminology
(Study Product Type Value Set Terminology)
text
Extensible:
C174221Study Product Type Value Set TerminologyThe terminology relevant to the identification of the kind of study product.CDISC Protocol Study Product Type Value Set Terminology
Active ComparatorC68609Active ControlA type of control, which has a demonstrated effect, administered as a comparator to subjects in a clinical trial. [From ICH E10]Active Comparator
Control ProductC142703A comparator product against which the study treatment is evaluated [e.g., concurrent (placebo, no treatment, dose-response, active), and external (historical, published literature)]. [After ICH E10]Study Control
Investigational ProductC142587Experimental ProductA drug, biologic, placebo, or device 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. [After ICH E6]Investigational Product
Placebo ComparatorC49648Placebo;Placebo ControlAn inactive, identical-appearing drug or treatment that does not contain the test product.Placebo Control
Sham ComparatorC116527Sham InterventionA procedure or device that appears to be the same as the actual procedure or device being studied but does not contain active processes or components.Sham Intervention
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CL.C132309.Study Protocol Attribute TerminologyStudy Protocol Attribute Terminology
(Study Protocol Attribute Terminology)
text
Extensible:
C132309Study Protocol Attribute TerminologyA terminology value set relevant to the attributes of the study protocol entity.CDISC Protocol Entities Study Protocol Attribute Terminology
Alternate Protocol IdentifierC132344A unique code assigned by an affiliated governing body or other organization that identifies a specific protocol (e.g., grant number, national number).Alternate Protocol Identifier
Brief Protocol TitleC132345Abbreviated Protocol TitleThe short descriptive name for the protocol.Brief Protocol Title
Official Protocol TitleC132346The formal descriptive name for the protocol that contains key elements of the study.Official Protocol Title
Protocol AmendmentC132347A written description of a change(s) to, or formal clarification of, a protocol. (ICH E6)Protocol Amendment
Protocol AuthorC51853A person who is the writer of a structured research study protocol.Protocol Author
Protocol SynopsisC208440Protocol Scientific SummaryA scientific summary of the key points of the protocol.Protocol Synopsis
Public Protocol TitleC94105The brief descriptive name for the protocol that is intended for the public in easily understood language.Study Protocol Document Version Public Title
Registry Protocol IdentifierC132348A unique code assigned by a clinical trial registry that identifies a specific protocol.Registry Protocol Identifier
Schedule of ActivitiesC132349Schedule of Events;SoAA standardized representation of planned clinical trial activities including interventions (e.g., administering drug, surgery) and study administrative activities (e.g., obtaining informed consent, distributing clinical trial material and diaries, randomization) as well as assessments. (CDISC Glossary)Schedule of Activities
Scientific Protocol TitleC132350A more extensive descriptive name of the protocol that is intended for medical professionals, written using medical and scientific language.Scientific Protocol Title
Sponsor Protocol IdentifierC132351Sponsor Protocol Code;Sponsor Protocol NumberA unique code assigned by the sponsor that identifies a specific protocol.Sponsor Protocol Identifier
Study AcronymC207646Trial AcronymA word or words formed from the beginning letters or a combination of syllables and letters of a compound term, which identifies a clinical study.Study Acronym
Study Protocol Version Approval by Oversight Committee DateC181245The date on which a version of the protocol was finalized or approved by the study oversight committee.Study Protocol Version Approval by Oversight Committee Date
Study Protocol Version Approval by Sponsor DateC132352Protocol Amendment Approval by Sponsor Date;Study Protocol Version Approval DateThe date on which a version of the protocol was finalized or approved by the sponsor.Protocol Approval by Sponsor Date
Study Protocol VersionC93490A plan at a particular point in time for a formal investigation to assess the utility, impact, pharmacological, physiological, and/or psychological effects of a particular treatment, procedure, drug, device, biologic, food product, cosmetic, care plan, or subject characteristic. (BRIDG)Study Protocol Version
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CL.C147067.Study Purpose Value SetStudy Purpose Value Set
(Study Purpose Value Set)
text
Extensible:
C147067Study Purpose Value SetA terminology codelist relevant to the reason(s) or intention(s) for the execution of an interventional or non-interventional clinical study.CDISC Protocol Study Purpose Response Terminology
Basic ScienceC15714Basic ResearchA type of study designed to examine the basic mechanism of action (e.g., physiology, biomechanics) of an intervention. (ClinicalTrials.gov)Basic Research
Device FeasibilityC139174An intervention of a device product is being evaluated to determine the feasibility of the product or to test a prototype device and not health outcomes. Such studies are conducted to confirm the design and operating specifications of a device before beginning a full clinical trial. (ClinicalTrials.gov)Device Feasibility Study
DiagnosisC15220DiagnosticA process to identify the disease, condition, or injury that explains the symptoms and signs occurring in a patient.Diagnosis
Exploratory ResearchC147146Any action or process to perform research on a hypothetical or theoretical idea in order to determine whether the phenomena is new (which may lead to additional studies) or can be explained by an existing and well-substantiated theory. (NCI)Exploratory Research
Health Services ResearchC15245A type of study designed to evaluate the delivery, processes, management, organization or financing of health care. (ClinicalTrials.gov)Health Services Research
Hypothesis GenerationC147147Any action or process to create a tentative proposal to explain certain observations or facts, and which requires further investigation to be verified. (NCI)Hypothesis Generation
PreventionC15843ProphylaxisPractices or interventions used to maintain health and prevent disease or injury. (CDISC Glossary)Preventive Intervention
ScreeningC15419Any action or process to identify a condition, or risk factors for a condition, in humans who are not yet known to have the condition or risk factor. (clinicaltrials.gov)Disease Screening
Supportive CareC15747Any action or process to maximize comfort, minimize side effects, or mitigate against a decline in the participant's health or function. (clinicaltrials.gov)Supportive Care
TreatmentC70742Any action or process to improve or remedy a syndrome, disease, or condition.Treat
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CL.C185851.Study Subject Discontinuation Attribute TerminologyStudy Subject Discontinuation Attribute Terminology
(Study Subject Discontinuation Attribute Terminology)
text
Extensible:
C185851Study Subject Discontinuation Attribute TerminologyA terminology value set relevant to the attributes of the subject discontinuation.CDISC Protocol Study Subject Discontinuation Attribute Terminology
Conditions of Subject WithdrawalC185956A description of the provisions or stipulations under which the subject may withdraw themselves from the study, following local and national regulations.Conditions of Subject Withdrawal
Follow-up for Withdrawn SubjectC185957A description of the process by which information about the health status of a subject is obtained after that subject has withdrawn from the study.Withdrawn Subject Follow-Up Process Description
Lost to Follow-up CriteriaC185958The set of protocol-defined criteria that qualifies a study subject as being lost to follow-up.Lost to Follow-up Criteria
Lost to Follow-upC48227The loss or lack of continuation of a subject to follow-up.Lost To Follow-Up
Reason for Study DiscontinuationC49627The explanation for why the enrolled subject concluded participation, prior to completion of all protocol-required elements, in a study.Reason for Study Discontinuation
Reason for Subject Withdrawal from StudyC185959The explanation or rationale as to why the subject withdrew from the study.Reason for Subject Withdrawal from Study
Study Subject Discontinuation CriteriaC185960The set of protocol-defined criteria that serves to determine whether and how an enrolled subject may conclude participation in a study, prior to completion of all protocol-required elements.Study Subject Discontinuation Criteria
Subject Discontinuation ProcessC185961Subject Discontinuation ProcedureA description of the stepwise set of actions taken when a subject discontinues participation in a study.Subject Discontinuation Process Description
Subject Withdrawal of ConsentC176342Informed Consent WithdrawnAn indication that the consent to participate in the study, or one or more components of the study, has been revoked.Study Consent Withdrawn
Subject WithdrawalC49634DropoutThe subject-initiated act of discontinuing participation in the study as a whole or one or more aspects of the study (e.g., a study period or use of biospecimens).Withdrawal by Subject
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CL.C99077.STYPEStudy Type Response
(STYPE)
text
Extensible: No
C99077Study Type ResponseA terminology codelist relevant to the nature of the investigation for which study information is being collected.CDISC SDTM Study Type Terminology
EXPANDED ACCESSC98722Compassionate UseStudies that provide a means for obtaining an experimental drug or device for patients who are not adequately treated by existing therapy, who do not meet the eligibility criteria for enrollment, or who are otherwise unable to participate in another clinical study.Expanded Access Study
INTERVENTIONALC98388Studies in which individuals are assigned by an investigator based on a protocol to receive specific interventions. Subjects may receive diagnostic, therapeutic or other types of interventions. The assignment of the intervention may or may not be random. The individuals are then followed and biomedical and/or health outcomes are assessed.Interventional Study
OBSERVATIONALC16084Study in which the researchers observe the effect of a risk factor (e.g., exposure), diagnostic test, treatment or other covariate within a study population, and where the investigator does not assign specific interventions. (CDISC Glossary)Observational Study
PATIENT REGISTRYC129000Observational studies which include an organized system that uses observational methods to collect uniform data (clinical and other) prospectively for a population defined by a particular disorder/disease, condition (including susceptibility to a disorder), or exposure (including products, health care services, and/or procedures) and that serves a predetermined scientific, clinical, or policy purpose. Patient registries may be single purpose or on-going data collection programs that address one or more questions. (AHRQ)Patient Registry Study
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CL.C185850.Subject Replacement Attribute TerminologySubject Replacement Attribute Terminology
(Subject Replacement Attribute Terminology)
text
Extensible:
C185850Subject Replacement Attribute TerminologyA terminology value set relevant to the attributes of the subject replacement.CDISC Protocol Subject Replacement Attribute Terminology
Subject Replacement CriteriaC185962Study Subject Replacement CriteriaA description of the scenario(s) that would justify subject replacement.Study Subject Replacement Criteria
Subject Replacement StatementC185963Study Subject Replacement StatementA statement asserting whether subject replacement is permitted within a study.Study Subject Replacement Statement
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CL.C197998.Substudy Attribute TerminologySubstudy Attribute Terminology
(Substudy Attribute Terminology)
text
Extensible:
C197998Substudy Attribute TerminologyA terminology value set relevant to the attributes of the substudy entity.CDISC Protocol Substudy Attribute Terminology
Master ProtocolC165770A protocol designed for a parent study that provides the plan for coordinated conduct across the entirety of the study, with one or more substudies, which may have different objectives, to evaluate one or more investigational drugs and/or diseases within the overall trial structure. (FDA Guidance Document: Master Protocols: Efficient Clinical Trial Design Strategies to Expedite Development of Oncology Drugs and Biologics Guidance for Industry)Master Protocol
Substudy ProtocolC198229Sub-ProtocolThe protocol describing the formal plan of the substudy.Substudy Protocol
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CL.C66735.TBLINDTrial Blinding Schema Response
(TBLIND)
text
Extensible: Yes
C66735Trial Blinding Schema ResponseA terminology codelist relevant to the type of experimental design used to describe the level of awareness of the study subjects and/ or study personnel as it relates to the respective intervention(s) or assessments being observed, received or administered.CDISC SDTM Trial Blinding Schema Terminology
DOUBLE BLINDC15228Double Masked;Double-MaskedA study in which neither the subject nor the study personnel interacting with the subject or data during the study knows what intervention a subject is receiving.Double Blind Study
OBSERVER BLINDC187674A study in which the study personnel who measure, record, or assess the subject do not know which intervention the subject is receiving or, in the context of observational studies, do not know the external factors to which a subject has been exposed.Observer Blind Study
OPEN LABEL TO TREATMENT AND DOUBLE BLIND TO IMP DOSEC156592A study in which the therapeutic treatment is open label but the dosing information of the investigational medicinal product (IMP) is double-blinded.Open Label for Treatment And Double Blind to Dose
OPEN LABELC49659A study in which subjects and study personnel know which intervention each subject is receiving.Open Label Study
SINGLE BLINDC28233Single Masked;Single-MaskedA study in which one party, either the subject or study personnel, does not know which intervention is administered to the subject.Single Blind Study
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CL.C66736.TINDTPTrial Intent Type Response
(TINDTP)
text
Extensible: Yes
C66736Trial Intent Type ResponseA terminology codelist relevant to the responses for the planned purpose of the therapy, device, or agent under study in the clinical trial.CDISC SDTM Trial Indication Type Terminology
BASIC SCIENCEC15714Basic ResearchA type of study designed to examine the basic mechanism of action (e.g., physiology, biomechanics) of an intervention. (ClinicalTrials.gov)Basic Research
CUREC49654A type of study designed to evaluate intervention(s) aimed to cure a disease or condition.Cure Study
DEVICE FEASIBILITYC139174An intervention of a device product is being evaluated to determine the feasibility of the product or to test a prototype device and not health outcomes. Such studies are conducted to confirm the design and operating specifications of a device before beginning a full clinical trial. (ClinicalTrials.gov)Device Feasibility Study
DIAGNOSISC49653A type of study designed to evaluate intervention(s) aimed at identifying a disease or condition.Diagnosis Study
DISEASE MODIFYINGC170629A type of study designed to evaluate the effects of treatment(s) intended to cause a change in disease, syndrome, or condition beyond the point of treatment administration.Disease Modifying Treatment Study
HEALTH SERVICES RESEARCHC15245A type of study designed to evaluate the delivery, processes, management, organization or financing of health care. (ClinicalTrials.gov)Health Services Research
MITIGATIONC49655A type of study designed to identify actions necessary to eliminate or reduce the risk to human life or well-being as a result of a particular medication or treatment regimen. (NCI)Adverse Effect Mitigation Study
PREVENTIONC49657Prophylaxis StudyA type of study designed to identify actions necessary to permanently eliminate or reduce the long-term risk to human life as a result of a particular medication or treatment regimen.Prevention Study
SCREENINGC71485A type of study designed to assess or examine methods of identifying a condition (or risk factors for a condition) in people who are not yet known to have the condition (or risk factor). (Clinicaltrials.gov)Screening Study
SUPPORTIVE CAREC71486A type of study designed to evaluate one or more interventions where the primary intent is to maximize comfort, minimize side effects or mitigate against a decline in the subject's health or function. In general, supportive care interventions are not intended to cure a disease. (ClinicalTrials.gov)Supportive Care Study
TREATMENTC49656Therapy TrialA type of study designed to evaluate intervention(s) for treatment of disease, syndrome or condition.Treatment Study
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CL.C66737.TPHASETrial Phase Response
(TPHASE)
text
Extensible: Yes
C66737Trial Phase ResponseA terminology codelist relevant to a step in the clinical research and development of a therapy from initial clinical trials to post-approval studies.CDISC SDTM Trial Phase Terminology
EARLY PHASE IC547210;Phase 0 Trial;Pre-clinical Trial;Trial Phase 0First-in-human trials, in a small number of subjects, that are conducted before Phase 1 trials and are intended to assess new candidate therapeutic and imaging agents. The study agent is administered at a low dose for a limited time, and there is no therapeutic or diagnostic intent. NOTE: FDA Guidance for Industry, Investigators, and Reviewers: Exploratory IND Studies, January 2006 classifies such studies as Phase 1. NOTE: A Phase 0 study might not include any drug delivery but may be an exploration of human material from a study (e.g., tissue samples or biomarker determinations). [Improving the Quality of Cancer Clinical Trials: Workshop summary-Proceedings of the National Cancer Policy Forum Workshop, improving the Quality of Cancer Clinical Trials (Washington, DC, Oct 2007)] (CDISC glossary)Phase 0 Trial
NOT APPLICABLEC48660NA;Not ApplicableDetermination of a value is not relevant in the current context. (NCI)Not Applicable
PHASE I TRIALC156001;Trial Phase 1The initial introduction of an investigational new drug into humans. Phase 1 studies are typically closely monitored and may be conducted in patients or normal volunteer subjects. NOTE: These studies are designed to determine the metabolism and pharmacologic actions of the drug in humans, the side effects associated with increasing doses, and, if possible, to gain early evidence on effectiveness. During Phase 1, sufficient information about the drug's pharmacokinetics and pharmacological effects should be obtained to permit the design of well-controlled, scientifically valid, Phase 2 studies. The total number of subjects and patients included in Phase I studies varies with the drug, but is generally in the range of 20 to 80. Phase 1 studies also include studies of drug metabolism, structure-activity relationships, and mechanism of action in humans, as well as studies in which investigational drugs are used as research tools to explore biological phenomena or disease processes. [After FDA CDER Handbook, ICH E8] (CDISC glossary)Phase I Trial
PHASE I/II TRIALC156931-2;Trial Phase 1-2A class of clinical study that combines elements characteristic of traditional Phase I and Phase II trials. See also Phase I, Phase II.Phase I/II Trial
PHASE I/II/III TRIALC1983661/2/3;Trial Phase 1/2/3A study that begins as a Phase I study and transitions into Phases II and III based upon successful completion of each previous portion.Phase I/II/III Trial
PHASE I/III TRIALC1983671/3;Trial Phase 1/3A study that begins as a Phase I study and transitions into a Phase III study upon successful completion of the Phase I portion.Phase I/III Trial
PHASE IA TRIALC1999901A;Trial Phase 1AA type of phase 1 trial with a single ascending dose (dose escalation) in a smaller group of patients (in comparison to a Phase 1B).Phase Ia Trial
PHASE IB TRIALC1999891B;Trial Phase 1BA type of phase 1 trial with multiple ascending doses (dose expansion) in a larger group of patients (in comparison to a Phase 1A).Phase Ib Trial
PHASE II TRIALC156012;Trial Phase 2Phase that includes the controlled clinical trials conducted to evaluate the safety and efficacy of the drug in a limited number of patients with the disease or condition under study. Objectives can be dose-ranging (dose-response, frequency of dosing), type of patients, or numerous other characteristics of safety and efficacy. [After 21 CRF Part 312.21 Phases of an investigation] See also phase, phase 2a, phase 2b. (CDISC Glossary)Phase II Trial
PHASE II/III TRIALC156942-3;Trial Phase 2-3A class of clinical study that combines elements characteristic of traditional Phase II and Phase III trials.Phase II/III Trial
PHASE IIA TRIALC496862A;Trial Phase 2AEarly Phase 2 trials that focus on a proof-of-concept assessment of efficacy and safety in a small number of patients. [After FDA Guidance for industry end of Phase 2a meetings, September 2009] (CDISC Glossary)Phase IIa Trial
PHASE IIB TRIALC496882B;Trial Phase 2BLater Phase 2 trials, in transition to Phase 3, where the study populations more closely reflect the population, dosage, and condition for intended use. [Clarification of FDA Guidance for industry end of Phase 2a meetings, September 2009; Discussion in Peter B. Gilbert. SOME DESIGN ISSUES IN PHASE 2B VERSUS PHASE 3 PREVENTION TRIALS FOR TESTING EFFICACY OF PRODUCTS OR CONCEPTS. Stat Med. 2010 May 10; 29(10): 1061-1071.]Phase IIb Trial
PHASE III TRIALC156023;Trial Phase 3Phase that includes the controlled clinical trials intended to confirm safety and effectiveness, evaluate the overall benefit-risk relationship, and to provide substantial evidence for regulatory approval and labeling. NOTE: Phase 3 studies usually include from several hundred to several thousand subjects. [After ICH E8; Demonstrating Substantial Evidence of Effectiveness for Human Drug and Biological Products Draft Guidance for Industry. December 2019] See also phase, phase 3b. (CDISC Glossary)Phase III Trial
PHASE IIIA TRIALC496873A;Trial Phase 3AA classification typically assigned retrospectively to a Phase III trial upon determination by regulatory authorities of a need for a Phase III B trial. (NCI)Phase IIIa Trial
PHASE IIIB TRIALC496893B;Trial Phase 3BLater Phase 3 trial done near the time of approval to elicit additional findings. NOTE: Dossier review may continue while associated Phase 3b trials are conducted. These trials may be required as a condition of regulatory authority approval. Phase 3a is in common usage but not reflected in regulatory guidance. (CDISC Glossary)Phase IIIb Trial
PHASE IV TRIALC156034;Trial Phase 4Post-approval studies to delineate additional information about the drug's risks, benefits, and optimal use that may be requested by regulatory authorities in conjunction with marketing approval. NOTE: Phase 4 studies could include, but would not be limited to, studying different doses or schedules of administration than were used in Phase 2 studies, use of the drug in other patient populations or other stages of the disease, or use of the drug over a longer period of time. [after FDA CDER handbook, ICH E8] See also phase. (CDISC Glossary)Phase IV Trial
PHASE V TRIALC478655;Trial Phase 5Postmarketing surveillance is sometimes referred to as Phase V.Phase V Trial
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CL.C66739.TTYPETrial Type Response
(TTYPE)
text
Extensible: Yes
C66739Trial Type ResponseA terminology codelist relevant to the type of primary outcome or endpoint that the protocol is designed to evaluate.CDISC SDTM Trial Type Terminology
ADHESION PERFORMANCEC158283A type of study designed to evaluate the strength of the bond between an adhesive and the application surface.Adhesion Performance Study
ALCOHOL EFFECTC158284A type of study designed to evaluate the effects of alcohol on investigational product safety and/or efficacy.Alcohol Effect Study
BIO-AVAILABILITYC49664A study of the degree to which or rate at which a drug or other substance is absorbed or becomes available at the site of physiological activity after administration. (NCI)Bioavailability Study
BIO-EQUIVALENCEC49665A study most often used to compare the efficacy of different formulations to treat a given disease. It is the testing of an old versus a new formulation in healthy volunteers or subjects with the disease under study and usually in one dose. (NCI)Therapeutic Equivalency Study
BIOSIMILARITYC158288A type of study designed to evaluate whether a biologic test article is highly similar in function and effect to an existing biologic that has already been clinically tested and approved for use.Biosimilarity Study
DEVICE-DRUG INTERACTIONC158285A type of study designed to evaluate the interaction between a device and a drug, where the use of one may affect the disposition, function, efficacy, or safety of the other.Device-Drug Interaction Study
DIAGNOSISC49653A type of study designed to evaluate intervention(s) aimed at identifying a disease or condition.Diagnosis Study
DOSE FINDINGC158289An early phase clinical study with the objective of determining the optimal dose of an investigational product.Dose Finding Study
DOSE PROPORTIONALITYC158290A type of study designed to evaluate the relationship between dose and resulting exposure.Dose Proportionality Study
DOSE RESPONSEC127803A study of the effect of dose changes on the efficacy of a drug in order to determine the dose-response relationship and optimal dose of a therapy.Dose Response Study
DRUG-DRUG INTERACTIONC158286A type of study designed to evaluate the interaction between drugs, where the use of one may affect the disposition, efficacy, or safety of the other.Drug-Drug Interaction Study
ECGC178057Electrocardiographic StudyA study that evaluates the effect of a treatment on cardiac electrical activity, as assessed by electrocardiography.Electrocardiographic Study
EFFICACYC49666A study of the relative therapeutic efficacy of treatment of a disease. Usually this is a Phase II or III study. (NCI)Efficacy Study
FOOD EFFECTC98729Studies that are conducted to assess the effect of food on the rate and extent of absorption of a drug, either compared to a fasted state or to a reference drug.Food Effect Study
IMMUNOGENICITYC120842A study that assesses an agent's ability to provoke an immune response.Immunogenicity Study
MASS BALANCEC201484A type of study designed to evaluate the overall pathways of metabolism and excretion of a drug, and to identify and/or quantify metabolites in plasma and excreta.Mass Balance Study
PHARMACODYNAMICC49662A study of the biochemical and physiological effect of a drug and the mechanism of drug action and the relationship between drug concentration and effect. (NCI)Pharmacodynamic Study
PHARMACOECONOMICC39493A study that assesses the value associated with a given drug in therapeutic and economic terms. This type of study is multidisciplinary in nature and takes into consideration the social and economic costs (resource utilization costs including direct, indirect, and intangible costs) of drug therapy in addition to its direct therapeutic benefits. Analyses relate the difference in therapeutic benefits to the difference in costs between treatment alternatives. (NCI)Pharmacoeconomic Study
PHARMACOGENETICC129001A study that assesses variation in DNA sequence, usually within a single gene, and its effect on drug response.Pharmacogenetic Study
PHARMACOGENOMICC49661A study that identifies or assesses variations within the entire genome, including DNA, RNA, or transcriptional elements, and its effects on drug response.Pharmacogenomic Study
PHARMACOKINETICC49663A study of the process by which a drug is absorbed, distributed, metabolized, and eliminated by the body. (NCI)Pharmacokinetic Study
POSITION EFFECTC161477A type of study designed to evaluate the effect of body position during and/or after administration of the investigational product.Position Effect Trial
PREVENTIONC49657Prophylaxis StudyA type of study designed to identify actions necessary to permanently eliminate or reduce the long-term risk to human life as a result of a particular medication or treatment regimen.Prevention Study
REACTOGENICITYC174366A type of study designed to evaluate the expected, acute types of immunological responses, sometimes considered excessive, following agent administration.Reactogenicity Study
SAFETYC49667A study that assesses the medical risks to a subject. Safety is usually assessed by examining a wide range of clinical parameters, including adverse events, vital signs, physical exam, laboratory tests.Safety Study
SWALLOWING FUNCTIONC161478A type of study designed to evaluate the effect of the investigational product on the physiologic act of swallowing.Swallowing Function Trial
THOROUGH QTC158287TQT StudyA type of study designed to evaluate the ability of an investigational product and/or approved drug to delay cardiac ventricular repolarization as detected by QT prolongation and other ECG parameters.Thorough QT Study
TOLERABILITYC98791A type of safety study that assesses the degree to which overt adverse effects can be tolerated by the subject.Tolerability Study
TREATMENTC49656Therapy TrialA type of study designed to evaluate intervention(s) for treatment of disease, syndrome or condition.Treatment Study
USABILITY TESTINGC161479A type of study designed to evaluate the user experience with a product.Usability Testing Study
WATER EFFECTC161480A type of study designed to evaluate the effects of water on investigational product safety and/or efficacy.Water Effect Trial
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