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DH01 AstraZeneca Early Clinical Biometrics Journey into Integrated Clinical Data Environment Ruhul Amin and Per Arne Stahl Early Clinical Development, IMED Biotech Unit, AstraZeneca PhUSE EU Connect 2018, Frankfurt 4 th -7 th November 2018

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DH01

AstraZeneca Early Clinical Biometrics Journey into Integrated Clinical Data EnvironmentRuhul Amin and Per Arne StahlEarly Clinical Development, IMED Biotech Unit, AstraZenecaPhUSE EU Connect 2018, Frankfurt 4th-7th November 2018

Agenda

2 Early Clinical Development, IMED Biotech Unit, AstraZeneca

Ø Introduction

Ø What is AstraZeneca Integrated Clinical Data Environment (AZ-ICDE)?

Ø Early Clinical Development (ECD) Journey into AZ-ICDE Implementation

Ø Conclusion

Ø Acknowledgement

Ø Questions

Introduction

3 Early Clinical Development, IMED Biotech Unit, AstraZeneca

ØHistorically, different (A&R) system across its early and late phase science units.

ØEfficient R&D clinical collaboration needed

Ø2014 a vision of one single platform storing and reporting clinical data was endorsed.

1999 AstraZeneca Merged

2007 Medimmune acquisitions

2013 Geographical footprint change

What is AZ-ICDE?

4 Early Clinical Development, IMED Biotech Unit, AstraZeneca

ØClinical study data storage and analysis reporting environment

ØDeveloped by Entimo AG (Berlin, Germany)

ØConfigured and hosted for AstraZeneca by nnIT (Søborg, Denmark)

AstraZeneca Integrated Clinical Data Environment (AZ-ICDE)

Included in AstraZeneca scope

SAS® Grid PDF BuilderRealtime data Visualisation

Network file shares

I N T E G R A T I O N

What is AZ-ICDE?

5 Early Clinical Development, IMED Biotech Unit, AstraZeneca

Data and Metadata

RepositoryAutomatic

Traceability

Computing Environment

Secure Environment

Key Characteristics

ProjectStudy

Blind Data ReviewClinical Study ReportInterim Analysis

RAW Data

dxxx

dxxxx999999

SDTM DataADaM DataTable, Listing, Figure

ECD Journey into AZ-ICDE Implementation

6 Early Clinical Development, IMED Biotech Unit, AstraZeneca

Ø Internal Programme - collaboration among AstraZeneca (AZ) science units

ØRegarded as a successful project by the Company

ØFocus on learnings and challenges

Deployment

Strategy

Awareness

Session Pilo

t

Project

Hyperca

re

Training

Migration

Process

es &

Guidance

Business

As

Usual

The Next

Steps

Sep 2016 Mar 2018

Key milestones for a successful ECD implementation

Deployment Strategy

7 Early Clinical Development, IMED Biotech Unit, AstraZeneca

Ø Endorsed strategy tailored for the ECD needs

Ø SAS GRID and entimICE-AZ phase deployment safeguarding deliveries

Ø Interactions with the user community critical for platform acceptance End-user

engagement

Endorsed strategy

Phased deployment

Awareness Session

8 Early Clinical Development, IMED Biotech Unit, AstraZeneca

Ø End users felt listened to and could influence

Ø Setting measurable expectations from end-users

Ø Do not underestimate the need for user engagement and interactions for system acceptance!

Proposal overview

“What’s in it for me?”

End-user feedback

Build excitement

Gauge understanding

Pilot Project

9 Early Clinical Development, IMED Biotech Unit, AstraZeneca

ØLow risk projects

ØRegulatory deliverables between Apr and Oct 2017

ØHave a contingency plan

Selectioncriteria

ØGain in-depth knowledge on new A&R system

ØLessons learnt used to develop processes & guidance

ØHelp estimate resources for future projects

Outcome

Hypercare

10 Early Clinical Development, IMED Biotech Unit, AstraZeneca

Aim

ØDedicated team to provide end-user support & training

ØRepresentatives from implementation team and biometrics functions

ØAdvocates for the new system

Benefits

ØWeekly drop-in clinic and ad-hoc training

ØDevelop new processes & guidance

ØOne-to-one user support as necessary

Challenges

ØLimited knowledge on the new A&R system

ØResources stretched at times

ØA&R implementation in ECD for the first time

Training

11 Early Clinical Development, IMED Biotech Unit, AstraZeneca

Align ‘off-the-shelf’training to AZ &ECD processes

Streamline andtailor to ECD

functional roles

AZ collaboration, Instructor-led to computer-based training delivery

Simplification

ECD saving time for science,≈50% reduction in training time

Training is Mandatory to have access to AZ-ICDE

Migration

12 Early Clinical Development, IMED Biotech Unit, AstraZeneca

Build Business

Value

Data Consolidation

SAS 64 bit data

Bespoke migration process

Ø An efficient process optimised for the business

Ø Cooperation with drug project teamstudies requiring migration support

Ø Collaboration with vendors on dataflow changes

Processes & Guidance

13 Early Clinical Development, IMED Biotech Unit, AstraZeneca

Rollout of AZ-ICDE -significant change for ECD

Biometrics with A&R delivery

New SOPs & processes -end-user communication &

training

AZ SOPs & processes –consistency across science

units, ECD contributions

ECD SOPs & processes –consistency across ECD

‘One-stop-shop’ ECD AZ-ICDE guidance

Learn from each other and from mistakes, continuously improve ways of working in the new system

Business As Usual

14 Early Clinical Development, IMED Biotech Unit, AstraZeneca

Aim

ØDeployment to Business As Usual (BAU) transition

ØDevelop ECD based Subject Matter Expert (SME) community

ØCollaborate with AZ SMEs

Benefits

ØLocation based SME (Sweden, UK, US)

ØProvide end-user support and ad-hoc training

ØContribute to processes & guidance

Challenges

ØKnowledge and experience on the new system

ØResource allocation for and drug project priority

ØScope of SME role

The Next Steps

15 Early Clinical Development, IMED Biotech Unit, AstraZeneca

Single source of truth

On-board other ECD functions

Integrate vendors and external partners

Re-purpose: non-standard clinical studies, internal data re-use

Integrate non-standard clinical data: omics, telemetry, images data

Conclusion

16 Early Clinical Development, IMED Biotech Unit, AstraZeneca

Ø Early engagement from business in the system design

Ø A deployment strategy unique for you

Ø A simplified and step-wise introduction

Design and Strategy

Ø Active end-user engagement

Ø Dedicated support team

Ø Efficient training and clear processes.

User engagement

Most importantly it’s about the journey and bringing everyone along with you!

Acknowledgement

17 Early Clinical Development, IMED Biotech Unit, AstraZeneca

ØWe would like to thank Early Clinical Development Biometrics, ECD and AZ-ICDE team at AstraZeneca.

ØWe would also like to extend our thanks to ECD DM and A&R vendors, nnIT and Entimo AG.

18 Early Clinical Development, IMED Biotech Unit, AstraZeneca

Thank you!

Questions?

Ruhul Amin ([email protected])

Per Arne Stahl ([email protected])