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. . . with collaboration there is strength.
TEAMWORK
C D I S C 2 0 1 2 A n n u A l R e p o R T
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Dear CDISC Members and Supporters:
Strength through Collaboration has driven CDISC
activities since our earliest volunteer-only days, and this
motto has become increasingly meaningful over the 16
years we have been in existence. This strength grows
daily through the partnerships we have developed
with other organizations and the CDISC team members
and volunteers, who work tirelessly to develop global
standards to streamline clinical research. In the spirit
of these volunteers and teams, we determined that the
appropriate theme of this year’s CDISC Annual Report
is teamwork. The CDISC teams, their leaders and their
important and useful products are highlighted in the
following pages.
In addition to collaborations for standards development,
there are now clear examples of how global data
standards are essential to productive research
collaborations among organizations around the world
– whether the research is for interventional trials for
product approval of new therapies, basic academic
research or translational research. One of our CDISC
Board members, who is from a major academic
institution, recently commented that collaborations
are now strongly encouraged in research and, since it
is not always clear at the onset of a research study who
a researcher will partner with, it is best to use global,
open clinical research standards (i.e. CDISC standards).
In other words, we are stronger through collaborations
and Standards Enable Collaboration.
With the volume of information now available through
genomics and electronic health records, conducting
research the way I used to do it – writing data in a bound
notebook and not sharing it beyond the laboratory walls
until there was a publication – is no longer a viable option.
Collaboration and teamwork are now essential. In the
standards development arena, the best standards result
when there are the most contributors. Building consensus
among numerous parties is not easy, but CDISC has been
called a catalyst for productive collaboration. CDISC
excels in convening individuals spanning the healthcare
continuum to develop global, open, consensus-based
medical research data standards. As in any project, just
like in sports, players should refrain from doing work that
is not contributing to the benefit of the team; in terms of
standards development, this includes the development of
one-off/proprietary standards or redundant/competing
standards. We must all cooperate and be team players
if we are going to work toward the shared goal of
accelerating the translation of data/information into
knowledge that can more rapidly benefit patients who
need new and better therapies; this is the theme of our
work with the Learning Health Community.
Although CDISC has offered for over 5 years a
harmonized foundational set of standards that apply
across all clinical research protocols, we now have new
opportunities for collaboration. Looking toward 2013,
CDISC will continue to develop CDISC partnerships,
launch new teams and work with new partners to
develop additional therapeutic area standards that
president’s letter
“Unity is strength… when there is teamwork and collaboration, wonderful things can be achieved.”
CONTENTS
2 President’s Letter
3 CDISC Vision & Mission
4 CDISC Principles, Values & Strategic Goals
5 CDISC History & Standards
6 The CDISC Timeline
8 Our Global Organization
9 2012 Milestones
10 Teams, Global CDISC Coordinating Committees & User Groups
12 2012 Collaborations
13 CDISC Education & Membership Benefits
14 2012 CDISC Membership
15 2012 Communications
16 2012 Financial Information
17 CDISC Leadership
19 CDISC Staff
20 The CDISC Team Roster
— Mattie Stepanek, age of 14, died from muscular dystrophy.
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CDISC Vision & Mission
CDISC is a 501(c)(3) global non-profit charitable
organization, with over 300 supporting member
organizations from across the clinical research and
healthcare arenas. Through the efforts of volunteers
around the globe, CDISC catalyzes productive
collaboration to develop industry-wide data standards
enabling the harmonization of clinical data and
streamlining research processes from protocol through
analysis and reporting, including the use of electronic
health records to facilitate the collection of high quality
research data. The CDISC standards and innovations
can significantly decrease the time and cost of medical
research and improve quality, thus contributing to the
faster development of safer and more effective medical
products and a learning healthcare system. CDISC
standards are vendor-neutral, platform-independent
and freely available via the CDISC website.
augment the foundational CDISC standards. We
are also working on better ways to share and
access these standards by enhancing semantics
and infrastructure. This brings to mind a story
from when we were working on this branding
several years ago. Another CDISC Board member
commented that the word collaboration, when
translated into French, is not always construed in
a positive sense. This exemplifies the importance
of semantics, which are the basis of BRIDG and
SHARE. Context and language are extremely
important when developing standards, to ensure
that computers can exchange data/information
and preserve their meaning and integrity. The
word teamwork may be more appropriate than
collaboration in this instance!
We could never have accomplished what CDISC
has achieved without our organizational members,
partners, team leaders and team members, Board
members and coordinating committees from
around the world. Patients (each and every one of
us) will be forever grateful and unable to express
this adequately.
Respectfully,
Rebecca D. Kush, PhD; Founder, President and
CEO, CDISC
The CDISC Vision is to inform patient care and safety through higher
quality medical research.
The CDISC Mission is to develop and support global, platform-independent data standards that enable information system interoperability to improve
medical research and related areas of healthcare.
Vision
Mission
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The CDISC values below were developed by
CDISC Operations between December 2008
and April 2009. They represent CDISC Business
Ethics and are based on the principles from
the Economy of Communion (EoC), which
inspires a “culture of giving” versus a “culture
of having.”
The CDISC core value is to foster an
understanding that the CDISC community is
an altruistic organization contributing to the
advancement of global healthcare.
CDISC principles CDISC Values
The CDISC Core Principles are:
1. Lead the development of standards that
improve efficiency while supporting the
scientific nature of clinical research.
2. Recognize the ultimate goal of creating
regulatory submissions that allow for
flexibility in scientific content and are easily
interpreted, understood, and navigated by
regulatory reviewers.
3. Acknowledge that the data content, structure
and quality of the standard data models are
of paramount importance, independent of
implementation strategy and platform.
4. Maintain a global, multidisciplinary, cross-
functional composition for CDISC and its
working groups.
5. Work with other professional groups to
encourage that there is maximum sharing
of information and minimum duplication of
efforts.
6. Provide educational programs on CDISC
standards, models, values and benefits.
7. Accomplish the CDISC goals and mission
without promoting any individual vendor or
organization.
• Continue to refine, support and educate on existing/
foundational CDISC standards, achieving significant
progress in the use of CDISC standards to streamline
research, build quality into the beginning of the
research process and promote scientifically sound
data aggregation for the purposes of scientific
investigation, comparative effectiveness and patient
safety.
• Expedite the development and rollout of new
therapeutic area standards to ensure consistency
in data capture and analysis related to efficacy in
addition to patient safety.
• Achieve significant progress in enabling
interoperability between clinical care and clinical
research and explore expansion from bench to
bedside (translational research); accelerate the cycle
through which healthcare informs research and
research informs clinical decisions.
• Develop CDISC SHARE, a global, accessible,
electronic library for CDISC content/semantics that
will enable precise and standardized data element
definitions and richer metadata that can be reused
within applications and across studies to improve
biomedical research and its link with healthcare.
• Leverage our global, nonprofit, vendor-neutral,
independent status to forge productive collaborations,
to communicate well and to provide value to key
stakeholder communities.
Strategic Goals 2013–2015
Business Leadership and Workers;
Work with Excellence
Relationships; Friendly, Professional Relationships;
Respect Others
Ethics; Mutuality –
No Separation between Individual
and Business Principles
Environment; Harmony with the Working
Environment; Organize Structures Harmoniously
Quality of Life and Production;
Work should be Balanced
Communications; Regular Company Updates;
Encourage Input Without Penalty
Development; Training and
Education; Mentor Lavishly;
Risk in New Ideas
4
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The Clinical Data Interchange Standards Consortium (CDISC) was initiated as a volunteer organization in 1997 and was incorporated as a non-profit organization in February 2000. In May of 2011, CDISC attained 501(c)(3) status, recognizing it as a charitable organization. Since 1997, teams of volunteers have ensured that efficient, consensus-based standards have been produced through the CDISC Standards Development process. The standards development process was updated in 2012 (having learned from the development of a number of therapeutic area standards) to an improved, accelerated process that is now being implemented. CDISC released its first production models in 2000 and has had a steady record of accomplishment ever since.
Why Standards? What Can Standards Do for Us?
The word standards brings up many different
connotations depending on who hears it and in what
context. The CDISC Standards are also quite varied
and serve different purposes individually. However, as
a cohesive and harmonized suite, they streamline the
medical research process, reducing time and costs and
other resources while improving quality. Without them,
we create silos and often have insufficient information
to draw meaningful conclusions. Without standards,
the simple becomes complex.
Here are some of the many benefits that users of global
industry standards for clinical research (CDISC) can
expect.
• Ensure that we live up to our promise to patients/
subjects who participate in research studies to
safeguard that their precious data will be used
appropriately
• Streamline research from protocol through analysis
and reporting
• Enable data aggregation for more robust and
knowledge-based databases
• Enable sharing of information from one entity to
another or one tool to another
• Decrease the time it takes to initiate a new research
study
• Improve data quality
• Improve team communications
• Allow a choice in tools/technology (as long as they
are standards-based)
• Enable the learning healthcare system where
research informs clinical care decisions and
healthcare data are used for ongoing research
CDISC History & Standards
Implementations Standards Semantics Data Exchange
TA Standards & Questionnaires
SHARE
Achieving Interoperability
ODMXML
k
ODMXML
k
ODMXML
k
Protocol
PRM
Study Design
Healthcare Link
Healthcare Link
RIM
Data Collection
CDASH
LAB
HEALTHCARE
PatientsTabulation& Analyses
ADaM
SENDSDTM
Submission/Publication Report
SDTM
SENDADaM
RESEARCH
BRIDG
BRIDG
Controlled Terminology
“Using CDISC standards is all about making the clinical trial process more efficient, saving time and money. [It is possible to have] significant content reuse, as much as 70-80% reuse in some cases, with 20% less maintenance cost. Our clients found as much as a 68% reduction in study set-up time, from 55% reduction in EDC build time, set to reach up to 80% this year, and a 76% reduction in the Study Conduct
and Analysis phase.”
–Mark Wheeldon, CEO of Formedix, a clinical trial automation software and services provider and CDISC Platinum Member.
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The CDISC Timeline
Modeling and Nomenclature Groups
> Glossary Group
Modeling>ODM (DAS) and SDS
ADaM andLAB Teams
SEND Team Protocol RepresentationGroup (CDISC-HL7)
Terminology Team; BRIDG Groups
100 MemberOrganizations
SDS v1.1
SDS v2.0; ODM v1.0; Glossary v1
(new versions annually thereafter
ODM v1.1 ADaM Models
Visits to Japan and Europe
ACRP and DIA provided venues
DIA SIAC on Standards
DIA SIAC changed to eClinical SIAC
(DIA cannot establish standards)
CDISC-HL7 Charter Agreement (CT-SIG);
renewal every 2 years
HL7 RCRIM replaces CT-SIG
CDISC Connectathon at DIA
CDISC Connectathon Single Source Pilot with
Duke et al.; FDA Pilot Project
Connectathonsand Pilot Projects
Collaborations
Globalization
CDISC Standards and Innovations
Teams
The Organization Non-profit incorporation 501c6(32 Charter Members)
5-year Anniversary(~ 150 member orgs)
LAB v1.1;ODM v1.2;SDTM v3.1
Courses in Australia
NCI-CDISC and IHE-CDISC
Collaboration begin
FDA Draft Guidance references SDTM,
SEND
Volunteer GroupInitiated
SDS v1.0 and ODM v0.8
LAB v1.0; SDTM v3.0; BRIDG Model Initiated
SEND 1.0; LAB V3 Message passed ballot
E3C Initiated J3C Intiated
Year 1997-1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
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CDASH Team and Streams; eSDI Group
Devices Team; SHARE Teams
Therapeutic Area Standards projects
10-year anniversary since incorporated, ~ 250 member orgs
ODM v1.3: LAB & SDTM Aligned; CDISC-IHE RFD
BRIDG v1.0, v1.1; BRIDG posted as open source
model
BRIDG v2.0, v2.1, v2.2 CDASH v1.0; eSDI
Document Published
SDTM v3.1.2; ADam v2.1 Imaging CRFs CDISC-IHE
RFD and RPE
Courses in Canada; India Interchange and courses
User Networks initiated in Europe (5 languages)
Courses in Brazil
Courses in China; RFD Training in Japan
South Africa initiates User Network
NIH Roadmap Grant with Duke – TB and
CV Projects
CDISC-IHE Quality, Research and Public
Health (QRPH)
ISO Liason A Status Awarded; ASTER
Launched
Critical Path Insti-tute/ CAMD–Alzhei-
mers; Tufts–PKD; ACC–CV disease
EMA cites CDISC eSDI requirements; SHARPn
Project with ONC/Mayo; JIC Leadership; Rockefeller/FDA
–Pain and Analgesics
Final FDA eCTD with SDTM and Define .xml
HIMSS Interoperability
Showcase
Healthcare Link Demo at CDISC Interchange; SEND
Pilot for FDA/CDER
Define.xml Implementa-tion Release (v1.0); SEND
v.2; ODM v1.2.1; SDTM v3.1.1;ODM mapped to HL7 RIM
HITSP: Use Case (EHRs for Core Research Data) – Clinical Research Tiger Team Initiated
Additional IHE Profiles Proposed (e.g. RPE); Greenway EHR-
Outcome Implementation of RFD
Courses in Thailand and Singapore
CDASH v1.1; SEND v3.0; Study Design XML v1.0;
C-Path MOU Signed; Gates Foundation-TB
SDTM/ADaM Pilot for FDA
K3C Initiated
IHE Connectathon Tests RFD; CDISC Life Sciences demo at HIMSS Interoperability
Showcase
CDISC accepted into Joint Initiative Council (JIC) for Global Harmonization of
Healthcare Standards
Protocol Representation Model (PRM) v1.0; BRIDG v3.0;
ODM v1.3.1; HHS-ONC/HITSP Interoperability Specification
#158; CDISC-IHE RPE
C3C Initiated
501c3 status (charitable) approved by US IRS;
CDISC Europe Foundation launched
CDISC-IHE-DIA EHRs for Clinical Research
Interoperability Showcase
Alzheimers Disease TA Package
Year 1997-1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
300 Member Mark Achieved; Austin Office Estab-lished; NIH/FDA Cardiovascu-
lar Imaging and Schizophrenia Grant Awarded
CFAST TA Standards Teams
To view all releases, please turn to page 10, the CDISC Teams page
10th Anniversary for CDISC Japan; CDISC Workshops with AmCham in China; WHO
Forum on Health Data Standardization and Interoperability; EMA Workshop
on Clinical-trial Data and Transparency; European Commission Projects Convergence
Round Table
Endorsed core values of the Learning Health System;
CDISC engaged in 3 IMI Consortia projects; NIH/FDA Grants; Leading role in JIC;
One Mind for Research Workshop
TRI (Japan) MOU Signed
IMI (Europe) MOU Signed
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Members,StakeholdersSupporters,
Adopters,and
Volunteers
About our Global organization
CDISCTeams
CDISC Board of Directors: The CDISC Board of Directors is made up of 12 members,
each serving a three-year term. Elections are held annually for vacant seats and
new members begin their terms on 1 January. The role of the Board of Directors is
to focus on the governing functions of the organization (functions that provide the
direction, resources and structure to meet its mission).
CDISC Advisory Council: The CDISC Advisory Council (CAC) is comprised of a
representative from each Corporate Sponsor company. The CAC participates in
Advisory Council meetings, working teams and task forces, supports the Strategic
Plan, participates in fund-raising, and works to enhance the organization’s public
image.
CDISC Coordinating Committees: CDISC Coordinating Committees support global
CDISC initiatives within specific regions of the world and provide regional feedback
to the central CDISC organization. CDISC 3Cs help to strengthen relationships with
international and local entities as well as organizations in their respective regions.
CDISC Technical Leadership Committee: The Technical Leadership Committee
is composed of CDISC Team Leaders. Their primary responsibility is to review
standards projects and determine the way that standards should be developed.
CDISC Teams: CDISC Teams are composed of hundreds of volunteers around the
globe who develop, use and maintain our open standards.
CDISC User Networks: CDISC User Networks enable face-to-face interactions in
specific regions or languages, depending on the region. They are self-formed groups
that encourage the adoption and understanding of the usefulness and value of
CDISC standards.
CDISC Members, Stakeholders, Supporters, Adopters and Volunteers: It would
not be possible to develop the CDISC standards without the incredible support we
have had from our members, stakeholders, supporters, adopters and volunteers.
≥ 10 > 100 > 500 > 1,000 > 10,000
CDISCAdvisoryCouncil
CDISCBoard ofDirectors
CDISCCoordinatingCommittees
TechnicalLeadershipCommittee
CDISCUser
Networks
Diagram above illustrates the relationship between and different sizes
of the varied groups that represents CDISC.
CDISCOperations
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new Austin officeWhile it might be surprising, as many of our CDISC events occur on the East Coast of
the United States and around the world, the majority of CDISC staff are actually based
out of Austin, Texas. CDISC has been a virtual organization since it was founded in
1997. However, in the interest of having a central location for meetings, conferences,
and other CDISC events, CDISC partnered with the Texas Medical Association (TMA)
to have access to office space in downtown Austin in Fall of 2012. This location
has offered a fantastic opportunity for staff, CDISC members and volunteers to
finally meet face-to-face. In addition to an office, TMA provides conference rooms,
boardrooms and meeting/educational facilities on site, and creates an excellent,
centralized location with other organizations interested in serving patients. We have
already hosted the CDISC Course, “Global Approach to Accelerating Research,” and
a meeting of experts on standards for a Learning Health System at our office. We
invite you to visit us and we look forward to hosting many future events at our new
location in Austin!
2012 Milestones
10-year Anniversary for CDISC Japan2012 marked the 10th anniversary of the Japan CDISC Coordinating Committee (J3C),
and in celebration of this milestone, CDISC honored their long-standing support at
the 2012 Japan Interchange in Tokyo. Amongst their many accomplishments, the
J3C has had an impressive track record of increasing the amount of support from
government, academia and the private sector in regard to implementation and
utilization of the CDISC standards. These partnerships truly epitomize the CDISC
motto “Strength through Collaboration.”
CDISC and the Critical Path Institute
(C-Path) announced the formal launch of
the Coalition for Accelerating Standards
and Therapies (CFAST) at the 2012
International Interchange in Baltimore,
Maryland in October 2012. CFAST is an
initiative to accelerate clinical research
Diagram above illustrates the relationship between and different sizes
of the varied groups that represents CDISC.
and medical product development
by facilitating the creation and
maintenance of data standards, tools,
and methods for conducting research
in therapeutic areas important to public
health. CFAST assists FDA and others
in meeting its PDUFA V performance
goals of “improving efficiency of human
drug review through required data
submissions standardization.”
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Teams, Global CDISC Coordinating Committees & user Groups
CDISC depends on its many volunteers to develop, adopt
and maintain the CDISC standards as well as lead the
effort to implement them in their own organizations.
Through the efforts of this worldwide network of
hundreds of volunteers, CDISC catalyzes productive
collaboration to develop industry-wide data standards
enabling the harmonization of clinical data and
streamlining research processes from protocol through
analysis and reporting. The CDISC suite of standards
has been in continuous development by a multitude of
dedicated multidisciplinary volunteers from a variety of
organizations working together in teams.
The ADaM Team Led by Nate Freimark, the Analysis
Data Model (ADaM) team specifies the fundamental
principles and standards to follow in the creation of
analysis datasets and associated metadata. In 2012, the
team successfully released:
• ADaM AE v1.0• ADaM TTE v1.0• ADaM Sample Data
• ADaM v1.2 Validation Checks
BRIDG Semantic Coordination Committee The
Biomedical Research Information Domain Group
(BRIDG) Semantic Coordination Committee (SCC)
supports the goal of semantic interoperability within
clinical research and between clinical research and
healthcare. Julie Evans leads the SCC and also ensures
CDISC semantics are represented in the BRIDG model.
In 2012, the team successfully released:
• BRIDG v3.2
The CDASH Team Led by Rhonda Facile, Katie Carothers
and Shannon Labout, the Clinical Data Acquisition
Standards Harmonization (CDASH) team developed the
initial CDASH standard, which defines basic standards
for the collection of clinical trial safety data. The team
developed the user guide for the latest version of the
CDASH standard, and is developing domains needed to
support TA standards development and new domains
(devices) and variables for SDTM. In 2012, the team
released:
• CDASH User Guide v1.0
The Medical Device Team Led by Carey Smoak and
Rhonda Facile, the CDISC Device Team’s goals are
to identify the basic collection fields (CDASH) and
submission (SDTM) variables and mappings to support
the majority of device studies and modalities. In 2012,
the team released:
• Medical Device Supplement to SDTM v1.0
The Protocol Representation Group Led by David
Gemzik, the Protocol Representation Group works
to develop and publish standard, structured protocol
representations that will enable interchange of protocol-
required data and metadata among systems, stakeholders
and operations staff throughout the lifecycle of the
study. In 2012, the team released:
• PRM Toolset v1.0
The SDS Team Led by Dan Godoy and Barrie Nelson, the
Submission Data Standards team develops standards for
the submission of tabulation data from clinical trials. In
2012, the team released:
• SDTM v1.3• SDTM Implementation Guide v3.1.3
The Controlled Terminology Team Led by Chris Tolk and
Bernice Yost, the CDISC Controlled Terminology team
supports the terminology needs of all CDISC standards
and all disease/therapeutic area standards working
closely with the National Cancer Institute’s Enterprise
Vocabulary Services group. In 2012 the team released:
• Terminology Packages 10, 11, & 12
CDISC SHARE Team Led by Rhonda Facile, Mike Ward
and Dave Iberson-Hurst, the CDISC Shared Health
and Clinical Research Electronic Library (SHARE)
team developed requirements and content for a global,
accessible electronic library, which, through advanced
technology, enables precise and standardized data
element definitions and richer metadata that can be
used in applications and studies to improve biomedical
research and its link with healthcare. In 2012, the team
released:
• CDISC SHARE RFI
This request for information was to identify
potential collaborators for its proposed SHARE
Global Metadata Repository. Stay tuned for updates
on this exciting project!
The XML Technologies Team Led by Sam Hume and
Sally Cassells, the XML Technologies team creates XML
representations of CDISC standards. They also aid in the
development of models that support the instantiation of
standards in XML, and are completely responsible for
the development of ODM. In 2012 the team posted for
comment the anticipated 2013 release:
• Define.xml v2.0 (for comment)
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The SEND Team Led by Lou Ann Kramer, the Standard
for Exchange of Nonclinical Data (SEND) team is
responsible for overall development and maintenance
of the production SEND Implementation Guide and its
alignment with SDTM. The team is currently preparing
a new version of SEND that will include Reproductive
Toxicology and Safety Pharmacology data.
The Healthcare Link and IHE Quality, Research and Public
Health Committee Led by Landen Bain, the Healthcare
Link initiatives provide methods, tools and guidance to link
healthcare information technology systems, primarily the
electronic health record (EHR), to research systems such
as EDC and CTMS. This is an effort to ease the burden of
effort at healthcare sites that conduct research studies,
and to create an electronic source solution that meets
regulatory requirements. In 2012, this group released:
• CDISC/IHE Clinical Research Document (CRD) Profile• CDISC/IHE Clinical Research Process Content (CRPC)
Profile
The CDISC Standards Review Council, which is responsible
for reviewing and approving all CDISC standards prior
to posting, includes Sally Cassells, Wayne Kubick, John
Troxell, Diane Wold and Fred Wood.
CDISC is always looking for interested individuals to
participate in standards development teams. Looking
forward to 2013, CDISC will be looking for new members
for existing teams and establish additional teams for
specific Therapeutic Area Standards. If you should be
interested in supporting CDISC as a team member for
one of our existing or upcoming standards development
projects, contact us at [email protected].
The Global CDISC Coordinating Committees were founded
in 2002 to support global CDISC initiatives within specific
regions of the world and to provide regional feedback to
the central CDISC organization. They differ from User
Groups in that they are sanctioned directly by the CDISC
Board of Directors and CDISC Executive Operations. The
primary 3C activities are defined in collaboration with
CDISC Executive Operations; these activities receive
support from CDISC Operations and require effective
communications between the two groups. CDISC 3Cs
represent the CDISC organization around the globe,
and help to strengthen relationships with international
and local entities as well as organizations in their
respective regions. The primary aim is to promote the
value of CDISC and its vision and mission. One of the
responsibilities of the 3Cs is to organize and promote
annual CDISC Interchanges or other such activities in
their regions.
CDISC User Networks enable face-to-face interactions
in specific regions or languages, depending on the
region. They are self-formed groups that encourage the
adoption and understanding of the usefulness and value
of CDISC standards. The purpose and benefits of CDISC
User Networks are to 1) share CDISC implementation
experiences periodically in a given region or language,
2) discuss draft standards and comments to CDISC, 3)
discuss mature standards and provide feedback to CDISC
on usefulness, 4) discuss new ideas to be channeled into
CDISC, 5) network among colleagues, and 6) share recent
conference participation and learning.
User networks in 2012 represented CDISC in China
(Shanghai and Beijing), Japan, Europe (French-speaking,
Therapeutic Area Standards Development
CDISC is actively collaborating with a variety
of partners, including the Critical Path Institute
(C-Path), National Cancer Institute and other NIH
Institutes, U.S. Food and Drug Administration
(FDA), TransCelerate Biopharma Inc. and many
other organizations to develop the Therapeutic
Area (TA) Data Standards.
TA standards released (and associated partners)
in 2012 were:
• Tuberculosis TA User Guide v1.0
The Bill & Melinda Gates Foundation,
Global TB Alliance, C-Path, U.S. Centers
for Disease Control, FDA, The National
Institute of Allergy and Infectious
Diseases, Tibotec (J&J), Sanofi, Otsuka,
Duke University
• Pain TA User Guide v1.0
ACTTION, University of Rochester, FDA
• Virology TA User Guide v1.0
FDA/NIH Grant
• Parkinson’s TA User Guide v1.0
NIH National Institute of Neurological
Disorders and Stroke (NINDS), C-Path,
FDA
English-speaking and German-speaking), South
Africa, and in ten areas across the United States (Bay
Area, CA; Boston; Atlantic region; San Diego; Midwest;
Delaware Valley; Raleigh-Durham; Heartland; Seattle;
Washington, DC).
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2012 Collaborations
Innovative Medicines Initiative (IMI)
In 2012, CDISC continued an extremely valuable partnership with IMI and provided a second educational session at the IMI central offices in Brussels. All
IMI consortia were encouraged to send participants. CDISC is currently a partner on three major project consortia.
The EHR4CR project (Electronic Health Records for Clinical Research http://www.ehr4cr.eu) is in its third year and CDISC is contributing to the semantic interoperability and pilot work packages. EHRCR is, to date, one of the largest public-private partnerships aiming at providing adaptable, reusable and scalable solutions (tools and services) for reusing data from Electronic Health Record systems for Clinical Research.
The BioVacSafe project (Biomarkers for Enhanced Vaccine ImmunoSafety http://www.biovacsafe.eu) kicked off March 2012 with the first annual meeting. The goal of BioVacSafe is to develop cutting edge tools to speed up and improve the testing and monitoring of vaccine safety, both before and after release to the market. CDISC is working with Charité University in Berlin on the data collection and management system to ensure conformance with CDASH, SDTM and Controlled Terminology standards.
The eTRIKS project (European Translational Information & Knowledge Management Services http://www.etriks.org) was launched in November. CDISC is leading the data standards work package with Roche and IDBS. Building upon the open source tranSMART system, eTRIKS will provide 1) a sustainable Knowledge Management Platform and Service to support Private/Public Translational Research (TR) across IMI and 2) a single access point to standardized curated TR study information. eTRIKS will bring data together from key IMI projects, many focused on Therapeutic Areas such as severe asthma, rheumatoid arthritis, depression and schizophrenia, tuberculosis, as well as breast, colon, prostate and lung cancer.
The Translational Research Informatics (TRI) Center
In 2012, TRI, which is funded by the
government of Japan, trained a CDISC expert
education instructor (the first in Asia) and
continues to encourage all of its academic
partners to use CDISC standards. Additionally, TRI
published CDISC as the Global Standards, a publication
featuring all articles discussing CDISC that had originally
been printed in the Japanese medical journal Rinsho Hyoka
(Clinical Evaluation) in 2012.
The Critical Path Institute (C-Path)
C-Path remains a strong partner with
CDISC. C-Path makes the CDISC
standards tangible by testing them
through development of valuable
research databases that are aggregated using CDISC
standards to ensure scientific integrity of the content. In
2012, CDISC and C-Path launched a new initiative called
Coalition For Accelerating Standards and Therapies
(CFAST), described under our 2012 Milestones. Through
the CFAST initiative, a new process for accelerating the
development of therapeutic area standards was created
(based upon lessons learned from previous therapeutic
area projects where CDISC and C-Path collaborated). This
is now being tested in a new area, Asthma.
TransCelerate BioPharma (TCB)
Formed in 2012, TCB is a non-profit organization formed by 10 global healthcare and pharmaceutical companies with the goal of improving
the quality of clinical studies and enabling new medicines to reach patients faster by facilitating the collaboration required to solve common challenges encountered during the clinical trial process. There are five projects, one of which is standards development and is an incentive for the CFAST partnership between CDISC and C-Path – to speed
TA standards development. TransCelerate will provide greater access to resources from the pharmaceutical industry that will contribute to standards development projects.
National Cancer Institute Enterprise Vocabulary Services (NCI EVS)
NCI EVS has been providing
CDISC with expert services
to develop and maintain its
controlled terminology since 2005. This invaluable and
essential partnership continues to expand with NCI EVS
providing critical terminology support and resources for
CFAST therapeutic area projects. Additionally, NCI EVS
provides terminology services to other key partners such as
US FDA and many NIH Institutes (e.g.
National Institute of Child Health &
Human Development). NCI is also a
key stakeholder organization for the
BRIDG model.
The Learning Health Community
CDISC was involved in the planning of
the first Learning Health System Summit
in May 2012. Sponsored by the Joseph H.
Kanter Family Foundation and working with
Dr. Charles Friedman of the University of
Michigan, the outcome of this Summit has been a set of
Core Values for a Learning Health System and a growing
Community. During the Summit, CDISC agreed to lead one
of the critical initiatives of an LHS – identifying a core set of
standards to enable learning, i.e. an important link between
healthcare and research. CDISC has endorsed the LHS Core
Values and the Essential Standards to Enable Learning
(ESTEL) initiative was christened in November 2012. Dr.
Rebecca Kush, CDISC President and CEO, also represents
Research on the U.S. Health Information Technology (HIT)
Standards Committee.
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CDISC Education in 2012
The CDISC authorized training program provides the only courses for the CDISC standards that are developed under the authority of a CDISC Operating Procedure (COP-005). This ensures that the training materials are developed under the authority of the CDISC technical teams and delivered by instructors who are CDISC staff or industry experts who have undergone a rigorous qualification process.
Developed to advance the CDISC mission and to ensure dissemination of authoritative training across the medical research continuum, CDISC authorized courses are identified by the Education logo and are only available through CDISC Education. Look for the logo to be sure that you are receiving authorized CDISC training.
Meeting the Challenges of the Future
The CDISC Education team recognizes the need to address global training needs both now and in the future. To meet those needs in a sustainable and responsible way, our teams are actively working on the deployment of our first online training courses with certification. We plan to roll out Online Training for the CDISC foundational standards in 2013. This will ensure consistency in the presentation of course materials, provide a cost-effective alternative to classroom training, and include a mechanism for assessing student comprehension of the material prior to issuing a certificate.
EDUCATION
Authorized CDISC education
Gold Members
1. Access to ‘Members Only’ area on
the CDISC website for all of the
organization
2. Access to new documentation for
CDISC standards
3. CDISC Case Studies
4. CDISC Business Case
5. Tools, presentations and team
Information
6. Access to new data standards
and useful information (e.g.
Pharmacogenomics Domains,
ADaM validation checks, FDA-
CDISC pilot reports)
7. Introduction to CDISC Course
• 20% Discount for CDISC
Training Courses and CDISC
sponsored events, e.g.
Interchanges
• Opportunity be a CDISC
Registered Solution Provider
• HL7 Member rates to HL7
Working Group Meetings
• Invaluable partnership
prospects and networking
opportunities with peers and
visionaries
• Receipt of personalized plaque
CDISC Membership Benefits
CDISC Authorized Courses:
1-day ADaM Implementation 1-day CDASH Implementation ½-day Controlled Terminology Implementation 1-day Deep Dive BRIDG Workshop ½-day Introduction to BRIDG 1-day LAB Implementation 1-day ODM Implementation ½ -day Protocol Representation 2-day SDTM Theory and Application 2-day SDTM Theory and Application for Medical Devices 1-day Healthcare Link
CDISC Courses in Development
for 2012:
SEND Define.xml Therapeutic Area-specific Courses
2012 CDISC Training Milestones
Authorized CDISC Education courses were conducted worldwide in 2012 in multiple locations across the continents of Asia, Europe, and North America. CDISC issued 1,155 certificates for all public and private education courses held. In addition, multiple attendees participated in modular training courses at FDA-CDER. CDISC currently has 27 qualified instructors delivering authorized CDISC training globally.
Platinum Members
All the benefits of Gold Level PLUS the
following:
1. Representation on the CDISC
Advisory Council (CAC), through
which the following benefits accrue:
• Opportunity to provide strategic
advice to CDISC leadership
• Teleconferences that include
implementation experiences from
peers and CDISC updates from
Operations staff
• Opportunity to be on Board
Committees (Strategy, Technical,
Financial)
• Opportunity to vote a Board
Member onto the CDISC Board of
Directors
• Opportunity to participate in Town
Hall meetings with regulators
• Networking at face-to-face
meetings
2. Access to the CAB area of the CDISC
Portals
3. Access to Team area of the CDISC
Portals
4. Additional 20% Discounts (i.e. 40%
total) for CDISC Training Courses
and CDISC sponsored events, e.g.
Interchanges
5. Opportunity for a personal onsite
delivery of the New “CDISC Global
Approach to Accelerating Medical
Research” at Members’ Request
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2012 CDISC Membership
CDISC standards and related innovations would not be possible without
the dedicated volunteer efforts and financial assistance of a great
number of members and supporters across the healthcare industry. In
2012, CDISC officially exceeded 300 members, reaching 302 members
by December 2012. Our members were located in 23 countries and
across 12 different industry categories. Information about our members
through 2012 is below.
Additions due to new memberships and attritions due to mergers and
acquisitions, companies going out of business, etc. are illustrated on a
year-by-year basis on the Membership Trend chart.
Members by Industry
CDISC Membership Trend 2000-2012
Pharmaceutical: 18%
Other: 3%
Healthcare Provider: 2%
Government: 2%
Consulting: 7%
Academic Institution: 2%
BioTech: 5%
NPO: 3%
Medical Device: 1%
Clinical Laboratory: .33%
CRO: 26%
Technology ServiceProvider: 32%
0
50
100
150
200
250
300
350
2000
200
PlatinumGold
2001
4918
2002
4644
2003
5677
2004
6678
2005
3852
2006
7470
2007
92117
2008
88152
2009
88154
2010
94187
2011
89181
2012
89213
20
67
90
133 144
90
144
209
240 242
281 270
302
Australia 2
Belgium 9
Canada 4
China 1
Denmark 7
Finland 1
France 10
Germany 21
Hungary 1
India 3
Ireland 3
Israel 2
Italy 1
Japan 22
Lithuania 1
Netherlands 1
Norway 1
South Africa 1
South Korea 1
Sweden 5
Switzerland 11
United Kingdom 17
United States 177
Members by Country
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2012 Communications
In 2012, the Communications Team had a
winning year, thanks to all of you who access
our information and materials in the various
ways we provide. We saw an unprecedented
increase in traffic, due to improvements to
the website, growing use of social media,
informative webinars, and the rising number of
standards released in 2012.
The CDISC eNewsletter is now released
consistently on a month-by-month basis.
This flagship communication tool includes
a compilation of all CDISC-related activities
during the month – press releases, blog entries,
new members, standards releases, case studies
highlighting the successes our members have
had using the standards, upcoming events, and
much more. The Communications Team sent
out 14 press releases during 2012, covering
major topics, from the formation of CFAST to
an inaugural CDISC Interchange in the Asia-
Pacific region.
Social media also took off in 2012, with the
creation of the CDISC Official Facebook page,
formation of the CDISC YouTube Channel,
skyrocketing membership on the official CDISC
LinkedIn Group (through which traffic nearly
doubled), and our expanded use of CDISC
Twitter.
Website Activity
Visitor Type Date Range Visits
Returning VisitorJan 2, 2012 - Dec 31, 2012 125433
Jan 1, 2011 - Dec 31, 2011 101583
New VisitorJan 2, 2012 - Dec 31, 2012 117916
Jan 1, 2011 - Dec 31, 2011 92571
TotalsJan 2, 2012 - Dec 31, 2012 243349
Jan 1, 2011 - Dec 31, 2011 194154
% change for returning visitors 23.48%
% change for new visitors 27.38%
LinkedIn Growth: Members Twitter Growth: Members
1500
1750
2000
2250
2500
2750
3000
3250
3500
Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov DecJan 1
Facebook Reach
1000
1050
1100
1150
1200
1250
1300
Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec
Congo, Democratic Republic, 1
Switzerland, 2
Montenegro, 2
United Kingdom, 18
Japan, 15
India, 34
United States, 78
Germany, 10
Belgium, 8
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2012 Financial Information
In 2012 CDISC total revenue was $4,150,879.
Although this was 2% under the anticipated
budget, expenses were 6% under budget,
allowing for CDISC to end the 2012 year with
a slightly positive net. This amount will go
into the CDISC reserves to ensure that CDISC
can sustain its standards development and
maintenance in the future.
Yearly Comparison The graph reflects the
comparison from the last three years of
financial actual versus budget results.
CDISC Financial History The historical picture
of CDISC’s financial outcomes since it was
incorporated in February 2000 (*2013 are
budgeted numbers).
Revenue 2012 Revenue of $4,150,879 for 2012
was 10% higher than the 2011 revenue of
$3,756,980. The two areas that had the most
impact on income were membership dues and
education. However, CDISC has continually
diversified its revenue streams over the years.
Expenses 2012 Expenses of $3,961,136 were
$269,864 (6%) below the budgeted $4,231,000.
Membership Renewals:
45.84%
Education: 25.97%
New Membership: 6.24%
US, European, and Japan Interchanges: 11.40%
Projects Income: 9.05%
Investment: 1.16%
Other Sources of Income: 0.34%
0
500000
1000000
1500000
2000000
2500000
3000000
3500000
4000000
4500000
5000000
2000 2001 2002 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013*2003
Income Expense
Technical Projects: 33.80%
Global Operations: 37.69%
Implementation Support/Education/
Interchanges: 19.80% Marketing/
Communications/Membership:
6.94%
Alliance/Global Expansion:
1.78%
Revenue 2012 Expenses 2012CDISC Financial History
Yearly Comparison
$4,1
50,8
79
$4,2
35,3
71
$3,9
61,1
36
$4,2
31,0
00
$189
,743
$000
$3,3
36,5
67
$3,5
75,0
00.
$3,2
18,4
33
$3,5
74,6
57
$118
,133
.95
$000
$3,7
56,9
80
$3,5
75,0
00
$3,0
49,6
89
$3,5
79,0
00
$632
,361
$000
2010 2011 2012
Income
Budgeted Income
Expense
Budgeted Expense
Net
Net Budgeted
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CDISC Team Captains
Rebecca Daniels Kush, Ph.D.
CDISC President and CEO
Rebecca Daniels Kush, Ph.D. is a Founder and the
current President and CEO of CDISC. Dr. Kush has over
30 years of experience in the area of clinical research.
She has worked for the U.S. National Institutes
of Health, academia, a global contract research
organization and pharmaceutical companies in the
U.S. and Japan. Dr. Kush has published numerous
articles in key journals, including New England
Journal of Medicine, Science Translational
Research. In 2012, she collaborated on publications
in the Japanese journal Rinsho Hyoka (Clinical
Evaluation) and wrote a chapter for a new Clinical
Research Informatics textbook. She was appointed
by the head of HHS/ONC to represent Research on
the Health Information Technology (HIT) Standards
Committee. She holds a B.S. in Chemistry and Biology
from the University of New Mexico and a Ph.D. in
Physiology and Pharmacology from the University of
California (UCSD) School of Medicine in La Jolla, CA.
Wayne R. KubicK Chief Technical Officer
Wayne R. Kubick, MBA, has over 25 years of
experience in clinical research and drug safety,
including executive management and strategy
development. He currently serves as the Chief
Technical Officer at CDISC. Prior to his CDISC role,
Mr. Kubick worked for Oracle Health Sciences as Sr.
Director of Product Strategy. Preceding this, he was
Senior Vice President and Chief Quality Officer of
Lincoln Technologies, Inc. where he served as the
Principal Investigator for its Cooperative Agreement
with the FDA to develop tools for receiving,
assessing and reviewing eSubmissions data. He
also managed Lincoln’s pharmaceutical industry
IT consulting business. From 1990 to 1998, Mr.
Kubick served as Chief Information Officer and Vice
President for IT at PAREXEL International, where
he created a professional Information Systems
organization and established a new business unit to
introduce innovative strategic technologies for data
CDISC leadership2012 CDISC Board of DirectorsPaula Brown Stafford Quintiles ChairSue Dubman SanofiRobert Goodwin PfizerDr. David Hardison Recombinant by DeloitteDr. Steven Hirschfeld NIHWayne Kubick CDISCDr. Rebecca Kush CDISCDr. Pierre-Yves Lastic SanofiDr. Frank Rockhold GlaxoSmithKlineLauren Shinaberry Business & Decisions Life SciencesDr. Eliot Siegel University of Maryland School of MedicineJohn Speakman NYU Langone Medical CenterDr. Kiyoteru Takenouchi CMIC
2013 CDISC Board of DirectorsPaula Brown Stafford Quintiles ChairDr. Carolyn Compton Critical Path InstituteSue Dubman SanofiMichael Glickman Computer Network ArchitectsDavid Handelsman SASDr. David Hardison Recombinant by DeloitteDr. Rebecca Kush CDISCDr. Pierre-Yves Lastic SanofiDr. Douglas Peddicord ACROStephen Pyke GlaxoSmithKlineDr. Frank Rockhold GlaxoSmithKlineDr. Eliot Siegel University of Maryland School of MedicineJohn Speakman NYU Langone Medical Center
Dr. Kiyoteru Takenouchi CMIC
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capture, data management and data analysis. Prior to
1990, he served as Manager of Information Systems
at BBN Software Products. Mr. Kubick also serves as
a Director on the Board of CDISC. He is a frequent
Speaker at industry conferences, and holds a BA
degree from the University of Illinois and an MBA in
MIS and Public Management from Boston University.
FRanK neWby
Executive Vice President, Development
Frank Newby holds degrees in both Biology and
Education from East Stroudsburg University and has
more than 32 years experience in the pharmaceutical
industry. Prior to joining CDISC he held the positions
of Vice President, Information Technology and Data
Management at SCIREX Corporation; Director,
Information Technology and Data Management at Cell
Pathways, Inc.; Director, Worldwide Clinical Systems
Development for GlaxoSmithKline; and held a number
of other positions in the areas of Clinical Information
Management for GSK, Aventis, Merck and J&J.
shiRley Williams
Executive VP, Finance and Administration
Shirley Williams was privileged to be the first CDISC
employee and has been a part of its growth and success
since its inception. She has over 25 years experience
in the clinical research industry and was instrumental
in the startup of two different organizations,
including CDISC. Her extensive experience is in
the areas of financials, metrics, reengineering and
process improvement and project coordination.
She has been responsible for CDISC’s financial and
legal viability, ensuring that CDISC has always used
its funds appropriately to establish and support the
CDISC standards. In 2008, Shirley was promoted to
Executive VP, Finance Administration for CDISC. Her
responsibilities in this area include legal, financial,
human resources, support for the CDISC Board and
its Financial Oversight and Governance Committees,
and coordination of the financial aspects of all of
CDISC projects and events. Shirley is the official
CDISC Treasurer and Clerk and provides financial
oversight for the CDISC Europe Foundation.
bRon KisleR
Vice President, Strategic Initiatives
Bron Kisler is a Co-Founder of CDISC and currently
serves as Vice President, Strategic Initiatives. Within
this role, he is responsible for identifying new growth
opportunities for CDISC, steering the organization into
new clinical and geographic markets, and managing
key strategic alliances. Bron has 25 years of technical
and business experience from both the public and
private sectors, and has worked in the pharmaceutical
industry for 18 years, developing innovative clinical
research solutions. He successfully spearheaded the
CDISC Terminology Program in 2005 and launched
CDISC’s initial Therapeutic Area projects, leading
Therapeutic Area standards to become a priority in the
US, Europe as well as with global biopharmaceutical
companies and key patient foundations. Bron served
as Chair of the Joint Initiative Council (JIC) for global
standards harmonization and on the BRIDG Board of
Directors. He is a graduate of the University of Central
Florida and holds 3 Bachelor of Science degrees in
Mathematics, Computer Science and Statistics.
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Austin-based CDISC Staff
Left to right, back to front: Rhonda Facile, Sr. Director of Standards & Development; Saad Yousef, Manager of Education and Membership Services; Ella Kamona, Ops Assistant; Jyoti Pillay, Sr. Accountant; Diana Harakeh, Manager of Communications; Sheila Leaman, Director of CDISC Global Relations; Andrea Vadakin, Manager of Public Relations; Katie Carothers, Project Manager of Standards Development; Dr. Rebecca Kush, CDISC President & CEO; Bron Kisler, VP of Strategic Initiatives
nationwide CDISC Staff
Left to right, Landen Bain, CDISC Liaison to Healthcare; Julie Evans, Sr. Director of Technical Services; Steve Kopko, CDISC Subject Matter Expert; Amy Palmer, Project Manager of Standards Development; Chris Tolk, Director of Terminology; and Bernice Yost, Manager of Standards Development
CDISC Staff
***CDISC Charter Members **Member for over 10 years *Member for over 5 years
www.cdisc.org
The CDISC Team Roster
PLATINUM
AbbVie**Absolute Systems Clinical DataAccenture*Accovion GmbH**ACM Medical LaboratoryAcorda Therapeutics IncAlexion PharmaceuticalsAmgen***AMIA*Assero Limited*Astellas Pharma, Inc.*AstraZeneca AB**Bayer Healthcare LLC**BioClinica, Inc.*Biogen Idec, Inc.**Boehringer Ingelheim Pharmaceuticals***Booz Allen HamiltonBristol Myers Squibb***Business & Decision*ClinBAYClinical Research Support Center (CReS) KyushuCompleWare Corporation***Computer Sciences Corporation*Covance**Critical Path Institute*CTTI*Daiichi Sankyo, Inc.*Dainippon Sumitomo Pharma Co.,LtdDataTrak International***Digital Infuzion*Dr. Oestreich + Partner, GmbHd-Wise TechnologiesEisai, Inc*Eli Lilly and Company***Endo PharmaceuticalsEORTCeResearch Technology**F. Hoffmann-La Roche Ltd*Formedix USA**Forte Research Systems, Inc.*Foundation for Biomedical Research and InnovationFUJITSU LIMITEDGilead Sciences**GlaxoSmithKline***Greenway Medical Technologies, Inc.*IBM**
Innovative Medicines InitiativesIntegrated Clinical Systems, InJohnson & JohnsonMassachusetts Veterans Epidemiology*McDougall Scientific Ltd.*Medidata Solutions Worldwide*Medtronic, Inc.Merck & Co., Inc.***Merck KGaA*Millennium, The Takeda Oncology Company*Mitsubishi Tanabe Pharma Corporation*National Cancer InstituteNext Step Clinical Systems LLCNovartis Pharmaceuticals Corporation***Numoda Technologies, Inc.*Octagon Research Solutions, Inc.**Onyx PharmaceuticalsOracle CorporationOutcome Sciences, Inc.*Perceptive Informatics, Inc.***Pfizer***PharmaNet/i3*Pharsight Corporation***PHT Corporation***Pinnacle 21, Inc.*PointCross Life Sciences, Inc.*PPD***PRA International*Premier Research Group***Quintiles Transnational Corporation***Sanofi-Aventis***Santen, Inc.Sarah Cannon Research Global ServicesSAS Institute, Inc.**S-cubed ApsSGS Life Sciences Services*Shire Pharmaceuticals, Inc.TAKE SolutionsTakeda Pharmaceuticals America***TEVA Pharmaceutical Industries LtdTexas e-Health AllianceTheravance, Inc.*UCB Biosciences, Inc.*
GOLD
AC Medical Inc.Acronet Corp.aCROnordic*Actelion Pharmaceuticals Ltd*Active Biotech ABAdClinAdvanced Bio-Logic Solutions Corp.Advanced ClinicalAdware Research KftAkros Pharma IncAllergan**Applied Clinical Intelligence LLCAptiv SolutionsArisGlobal LLCArray BioPharmaAsklep, Inc.ATLANSTATAxio Research LLCBasilea Pharmaceutica International Ltd.*Baxter Healthcare Corporation*Beardsworth Consulting*Bioforum Ltd.BioMarin Pharmaceutical Inc.Biomedical Systems Co.*BioStat International, Inc.Biotrial BiometricsBrightech International LLCCAC CorporationCancer Research and BiostatisticsCapish!Cardinal SystemsCD3 Inc.Celgene CorporationCerafor LtdCerner Corporation*Children’s Hospital & Regional Medical, Coordinating Center*ClinData InternationalClinical DataFax Systems Inc.Clinicalprojects International GmbHClinipace WorldwideclinIT AGClinovo, Inc.Clinpharma Clinical Research LLCCmed Group LtdCMIC Co. Ltd.CNI Professional Services, LLCCognizant Technology Solutions, Inc.Colorado Prevention CenterComprehend SystemsCRC PharmaCROS NT s.r.l.Cross Metrics SA
CTEP Ltd.*Cubist Pharmaceuticals*Cytel, Inc.Daegu Catholic University Medical CenterDart NeuroScience, LLCDataCeutics, Inc**Destiny CorporationDF/Net Research, Inc.DIcore Group, LLCDM-STAT, Inc.DP ClinicalDuke Clinical Research Institute***DynPort Vaccine Company LLCECRON ACUNOVA GmbHEDETEK IncEliassen Group*EMB Statistical Solutions, LLCEmboma Corporatione-Novex BVBAEntimo AG*Ephicacy Consulting Group, Inc.EPS Corporatione-Trial Co., Ltd.Evado Clinical SoftwareEverest Clinical Research Services Inc.Exelixis, Inc.Fast-Track Drugs & Biologics, LLCFeinstein InstituteFerring Pharmaceuticals*Forest Laboratories*Fred Hutchinson Cancer Research CenterFrontier Science*GCP-Service International Ltd. & Co. KGGrunenthal GmbHH. Lundbeck A/S*Hands-on LLC*Harrison Clinical Research*Health Level Seven*Helsinn Healthcare SA*HERAXHIMSS*HMS Analytical Software GmbHHurley Consulting AssociatesICON Clinical Research*IDBSIDDIIllumina Interactive*INC ResearchInfinity PharmaceuticalsInnovative Analytics Inc.Instem LSS*Institut de Recherches Internationales ServierInstitut Jules Bordet, The BrEAST GroupIntegrated Nonclinical Development Solutions, IncInvivodata, Inc.*
IPL Information Processing Ltd.IPSEN InnovationsItricaItwellJazz Pharmaceuticals, Inc.JD Young Consulting IncJennerex Biotherapeutics, Inc.Judy KingK & L Consulting Services, Inc.KAI Research, Inc.*KCT Data, Inc.Kestrel ConsultantsKinship Technologies Private LimitedLambda-Plus SALarix ApSLEO Pharma A/SLFB (Laboratoire francais du Fractionement)Liaison Technologies*LINK Medical Research ASM.A.R.C.O. GmbH & Co., KG*MacroGenics, Inc.Mathiesen & Mathiesen AG fur InformatikMaxisIT, Inc.*Mayo Clinic/Foundation*MDDXMedical Front Corp.*MedNet Solutions*Medpace, Inc.Merge Healthcare IncorporatedMetronomia Clinical Research GmbHMetrum Research Group LLC*MKS IncorporatedMMS Holdings, IncNextrials, Inc.*xNovella ClinicalNovo Nordisk*Novotech Pty Ltd.NPS PharmaceuticalsnSpire HealthNth AnalyticsOCS Consulting BVOfni SystemsOmniComm SystemsOncoGenex Pharmaceuticals, Inc.Optimer Pharmaceuticals, Inc.Orion Pharma*Otsuka Pharmaceutical Development and Commercialization, Inc.*PDS Preclinical Data Systems, Inc.PEGUS Research Inc.Pharma Consulting Group ABPharmaPros Corporation*PharmaStat LLC*Pharm-Olam International Ltd.Philip Morris Products SA
Pierre Fabre BiometriePleiad DevicesProfil Institut fuer Stoffwechselforschung*Prometrika, LLCPurdue Pharma L.P.*Q2 Business IntelligenceQST Consultants, LtdQuadratek Data SolutionsQuality Data Services, Inc.*Quanticate International LtdQuartesian LLCREGISTRAT-MAPIRho, Inc.*Robertson Centre for BiostatisticsSAIC*Salix Pharmaceuticals, Inc.SAM GmbHSamvit Solutions, LLCSciAn Services Inc.ScientiaBioScope BaltijaSimbec Research LtdStatistics and Data Corporation*Syne qua non, LtdSynergySynteractHCR, Inc.Takumi Information Technology Inc.TalentMine, LLCTarget Health, Inc.*The EMMES CorporationThe Uppsala Monitoring CentreTheorem Clinical Research*Therapeutics, Inc.TIBCO Software, Inc., Spotfire DivisionTMF - Technology, Methods, and Infrastructure for Networked Medical Research*Toray Industries, IncUnited BioSource Corporation*University Hospital Medical Information Network*Uppsala Clinical Research CenterUS Army MRMC*Velos, Inc.*Veristat, Inc.*Vertex Pharmaceuticals*Winicker Norimed GmbHWorld ProgrammingWorldwide Clinical TrialsX-act Cologne Clinical Research GmbHXClinical*XML4 Pharma*Xybion CorporationYuxi Pacific GroupZifo Technologies Private Ltd.