patient case report for dsmb

by Edwardo Torphy 10 min read

Data and Safety Monitoring Board (DSMB) Guidelines

20 hours ago There have been five DSMB meetings for this study, and the last review was on April 10, 2009. At that time, the DSMB concluded that the available safety data supported the continuation of the trial. Readers of this report are asked to maintain the confidentiality of … >> Go To The Portal


What should the DSMB review during a clinical trial?

The DSMB should review each protocol for any major concern prior to implementation. During the trial, the DSMB should review cumulative study data to evaluate safety, study conduct, and scientific validity and integrity of the trial.

Who is responsible for preparing a DSMB report?

MS Word template to be used as a starting point for preparing a DSMB report Audience/User: Statisticians and Principal Investigators responsible for preparation of DSMB reports Details: This template includes a proposed structure for a DSMB report as well as draft language and other guidance

How should DSMBs communicate with the Institutional Review Boards?

NIH policy has explicitly identified required communications that must occur between DSMBs and Institutional Review Boards (IRBs) (“ Guidance on reporting adverse events to IRBs for NIH-supported multicenter clinical trials ” dated June 11, 1999). The DSMB should provide feedback at regular and defined intervals to the IRBs.

What is the DSMB’s policy on confidentiality of data?

DSMB members must maintain strict confidentiality concerning all privileged study results provided to them. The DSMB should review data only by masked study group (such as X vs. Y rather than experimental vs. control) unless or until the DSMB determines that the group identifiers are necessary for decision-making.

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What is a DSMB report?

A Data and Safety Monitoring Board (DSMB) is a committee of experts responsible for reviewing clinical trial data on an ongoing basis to ensure the safety of study subjects and validity and integrity of the data. Members should be independent, with no vested interest in a specific treatment.

What does DSMB stand for in clinical trials?

A Data and Safety Monitoring Board (DSMB) is an independent group of experts that objectively evaluates trial data periodically for integrity and to assure the safety of clinical trial participants.

What is the difference between DMC and DSMB?

DSMB (Data Safety Monitoring Board) are the same thing. The term DMC is used more now because it is the term used in FDA's guidance "Establishment and Operation of Clinical Trial Data Monitoring Committees" and EMEA's Guidance on Data Monitoring Committees.

Do DSMB members get paid?

DSMB/OSMB members are paid an honorarium by the NIAMS for their participation in DSMB/OSMB meetings, which includes contributing their time and efforts to the review of the study materials and the ongoing review of safety reports, as well as other requests as needed.

What is the purpose of a DSMB?

The purpose of the DSMB is to provide oversight and monitoring of the conduct of clinical trials to ensure the safety of participants and the validity and integrity of study data.

Do all clinical trials need a DSMB?

Not all trials require an independent DSMB. Interventional research studies are prospective, human research studies that are designed to answer specific questions about the effects or impact of a particular biomedical or behavioral intervention, or are designed to answer specific questions about human physiology.

Is Dsmb the same as Idmc?

An independent data monitoring committee (IDMC) or data and safety monitoring board (DSMB) can play a vital role in protecting patients enrolled in a clinical trial from harm. An IDMC may also review of interim efficacy outcomes in trials with early stopping rules or adaptive designs.

What is one of the major responsibilities of a data monitoring committee?

A Data Monitoring Committee is a group of independent experts external to a study assessing the progress, safety data and, if needed critical efficacy endpoints of a clinical study.

Who should be on an IDMC?

The Members of the IDMC The IDMC is typically comprised of 3–5 individuals with extensive clinical experience both in the disease under study, in the management of large complex clinical trials that represent different expertise and points of view (e.g. patient advocate).

Does FDA require DSMB?

Indeed, the FDA does not require that a clinical trial establish a DSMB at all (except in emergency trials in which informed consent cannot be obtained) (12) but merely outlines the types of studies for which one is recommended.

What is a safety monitoring plan?

Definitions. Data Safety Monitoring Plan (DSMP): A DSMP is a quality assurance plan for a research study. A Data and Safety Monitoring Plan (DSMP) is meant to assure that each clinical investigation has a system for appropriate oversight and monitoring of the conduct of the clinical investigation.

Which of the following tasks does not fall under the role of a DSMB assessing the?

Among the following tasks, costing of the study does not fall under the role of a DSMB. A main priority for a DSMB is to ensure that the participants are not exposed to unnecessary risk.

When was the last DSMB review?

There have been five DSMB meetings for this study, and the last review was on April 10, 2009. At that time, the DSMB concluded that the available safety data supported the continuation of the trial. Readers of this report are asked to maintain the confidentiality of the information provided in this report.

Where to place summary tables, listings, and figures?

Place summary tables, listings, and figures within the body of the report; however, if the tables, listings, or figures are long, place them in the Appendices. For small numbers of subjects, listings may be more appropriate than summary tables.}. Report Overview . {Example text:} .

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I. Roles and Responsibilities

  • The Data and Safety Monitoring Board (DSMB) is an independent group of experts that advises NIDCR. The members of the DSMB serve in an individual capacity and provide their expertise and recommendations. The primary responsibilities of the DSMB are to 1) periodically review and ev…
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II. Membership

  • The membership of the DSMB should reflect the disciplines and medical and dental specialties necessary to interpret the data from the clinical trial and to fully evaluate participant safety. The number of DSMB members depends on the phase of the trial, range of medical issues, complexity in design and analysis, and potential level of risk but generally consists of three to seven membe…
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III. Meetings

  • The frequency of DSMB meetings depends on several factors including the rate of enrollment, safety issues or unanticipated adverse events, availability of data, and, where relevant, scheduled interim analyses. Unless the Clinical Terms of Award for the grant specifically identify this as the responsibility of the grantee, the PO or designee is responsible for convening meetings, selectin…
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v. Other Reports of Study Progress

  • Masked safety and enrollment data may be forwarded periodically to all DSMB members or to the member who serves as the Independent Safety Monitor. The DSMB receives all protocol revisions and may receive other documents relating to the study, such as annual reports, manuscripts, and newsletters. Appropriate follow-up procedures, such as for directing concerns or requests for fu…
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VI. Reports from The DSMB

  1. Verbal Report: At the conclusion of a DSMB meeting, during the Closed Executive Session, the DSMB Chair should discuss the DSMB’s findings and recommendations with NIDCR representatives, who may in...
  2. Summary Report. The DSMB will approve written minutes that identify topics discussed by the DSMB and describe its individual findings, overall safety assessment, and recommendations…
  1. Verbal Report: At the conclusion of a DSMB meeting, during the Closed Executive Session, the DSMB Chair should discuss the DSMB’s findings and recommendations with NIDCR representatives, who may in...
  2. Summary Report. The DSMB will approve written minutes that identify topics discussed by the DSMB and describe its individual findings, overall safety assessment, and recommendations. The rationale...
  3. Closed Session Report: The DSMB Chair prepares confidential minutes that include a summary of closed session discussions. Meeting minutes are to be held in the custody of the Chair until such time...
  4. Immediate Action Report: The DSMB Chair will notify the NIDCR of any findings of a serious a…

VII. Relationship Between DSMBs and IRBs

  • NIH policy has explicitly identified required communications that must occur between DSMBs and Institutional Review Boards (IRBs) (“Guidance on reporting adverse events to IRBs for NIH-supported multicenter clinical trials” dated June 11, 1999). The DSMB should provide feedback at regular and defined intervals to the IRBs. After each meeting of the DSMB, the DSMB’s Executiv…
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VIII. Reimbursement

  • A. Per Diem:DSMB members should be intellectually and financially independent of trial investigators. If the reimbursement of DSMB members for their participation is not directly from the NIDCR, then reimbursement must be provided by funds restricted for this purpose. DSMB members will receive per diem and travel expenses in accordance with Standard Government Tr…
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