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Table 2 Description of data obtained and how they were used in the systematic reviews

From: The use of clinical study reports to enhance the quality of systematic reviews: a survey of systematic review authors

Survey reply

Source of data request(s)

Data obtained

Type of regulatory data/document(s) obtained

Included in meta-analysis

Description of how data were used

1

Author, manufacturer

Yes

CSRs

Yes

ā€˜Summary statistics provided or extracted from the extra documentation were incorporated into meta-analysisā€™

2

Unknown

Yes

CSRs

Yes

ā€˜Quantitative data about side effects were includedā€™

3

EMA, FDA

Yes

CSRs

No

ā€˜Data were not used in meta-analyses, but rather in a narrative form insteadā€™

4

EMA, FDA

Yes

EPARs and Medical Reviews

No

ā€˜Data was used to describe the number of studies and the number of studied drugs in results of search criteriaā€™

5

EMA, FDA, Multiple drug companies

Yes

FDA and EMA reports, Poster

Yes

ā€˜To add data on studies not aware of, and to add outcomes to a published study that were not itemised in the journal publicationā€™

6

Clinical investigator, EMA, sponsor

NoĪ²

No data were obtained

N/A

ā€˜Not provided by pharmaceutical sponsor, possibly because study stopped early due to unexpected side effects, and raw data may never have been compiled.ā€™

7

FDA, Health Canada, NIOSH

Yes

Adverse event reports

No

ā€˜The data did not provide some of the detail we would have liked, such as indication for the drug, dosing etc. We summarized the results in narrative form but did not include in the quantitative analyses of the data we retrieved from published studiesā€™

8

Clinical investigator, medical director of company

Yes

CSRs

Yes

ā€˜Assessed quality of the studies and extracted data for use in forest plots and descriptionā€™

9

Clinical Study Data Request, EMA, FDA

Other*

Case report forms

N/A

ā€˜N/A as data not receivedā€™

10

Clinical investigator, EMA, Pharmaceutical company

OtherĀ„

Details of trial participants at start of trial (baseline data and info about randomisation)

No

ā€˜Only data at start of trial was availableā€™

11

EMA, GSK and FDA

Yes

Clinical and Statistical reviews at FDA, CSRs

Yes

ā€˜We checked the data for consistency (across multiple published and unpublished sources) and reported in the systematic review the most accurate and conservative estimates. If needed, we contacted authors for confirmationā€™

12

Pharmaceutical company

Yes

CSRs, IPD

Yes

ā€˜Data from CSRs & IPD were used in evidence synthesisā€™

ā€˜We know patient level data exists but we were not given access to it despite tryingā€™

13

Pfizer

Other*

CSRs

N/Aā‚¬

ā€˜Extraction of data from Pfizer Medical Information Reportā€™

14

EMA, FDA

Yes

CSRs, protocol with appendices

Yes

ā€˜We extracted, compared and used the aggregated effect estimates data for predefined outcomesā€™

15

Helsinn, Merck and Pfizer

Yes

CSRs

Yes

ā€˜Where possible incorporated it as more likely to be the correct data than what was publishedā€™

16

EMA, FDA

Yes

FDA medical and statistical reviews

Yes

ā€˜Performed data extraction from these sources. Compared with data from published sourcesā€™

17

EMA, NIOSH

Yes

N/A

No

ā€˜Excluded studiesā€™

18

FDA

Yes

CSRs, FDA reports and IPD

Yes

ā€˜Data was used in place of publicationā€™

19

YODA

Yes

CSRs

Yes

ā€˜Data were used in network meta-analysesā€™

20

Bristol-Myers Squibb, Genentech, Schering-Plough

Yes

CSRs

No

ā€˜In narrative synthesis. However, some of the data/text needed to be removed before the final technology assessment report is published under the confidentiality agreementā€™.

  1. N/A not applicable, FDA Food and Drug Administration, EMA European Medicine Agency, NIOSH The National Institute for Occupational Safety and Health
  2. Ī²Response: ā€˜data not provided by pharmaceutical sponsor possibly because study was stopped early due to unexpected side effects and therefore the raw data may not have been compliedā€™
  3. *Still awaiting data/updating review
  4. Ā„Intended data requested was not available
  5. ā‚¬Intend to incorporate data in a meta-analysis