Page 13 - Terminology-Clinical-Research
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Concentration unit: The unit of measurement used for the   intervention (or exposure) and the outcome of interest.
        concentration of the active substance.                 For example, if people in the experimental group of a
                                                               controlled trial are younger than those in the control group,
        Concept: Discrete notion having a single meaning. In a   it will be difficult to decide whether a lower risk of death
        controlled vocabulary a concept is mapped to one or more   in one group is due to the intervention or the difference in
        of the words that convey its meaning.                  ages. Age is then said to be a confounder, or a confounding
                                                               variable. Randomization is used to minimize imbalances in
        Condition: The disease, disorder, syndrome, illness,   confounding variables between experimental and control
        or injury that is being studied. On ClinicalTrials.gov,   groups. Confounding is a major concern in non-randomized
        conditions may also include other health-related issues,   studies.
        such as lifespan, quality of life, and health risks.
                                                               Consent form: Document used during the informed
        Conducting the trial: The trial design is not complete   consent process that is the basis for explaining to potential
        when the trial population, treatment and endpoints     subjects the risks and potential benefits of a study and
        have been identified and defined. In phase III and some   the rights and responsibilities of the parties involved.
        phase II trials in cancer, the patient population may be   Note: The informed consent document provides a
        randomized (randomly allocated to receive one or other
        of the alternative treatments being studied) and stratified   summary of a clinical trial (including its purpose, the
                                                               treatment procedures and schedule, potential risks and
        (partitioned by a factor other than the treatment, often   benefits, alternatives to participation, etc.) and explains an
        to ensure that equal numbers of participants with a    individual’s rights as a subject. It is designed to begin the
        characteristic thought to affect prognosis or response to the   informed consent process, which consists of conversations
        intervention will be allocated to each comparison group).
        The gold standard in clinical research is a scientifically   between the subject and the research team. If the individual
                                                               then decides to enter the trial, s/he gives her/his official
        rigorous, randomized, well controlled trial.
                                                               consent by signing the document. Synonym: informed
        Confidence interval (CI): A measure of the precision of an   consent form.
        estimated value. The interval represents the range of values,   Consumer Safety Officer (CSO): FDA official who
        consistent with the data that is believed to encompass the
        “true” value with high probability (usually 95%). The   coordinates the review process of various applications.
        confidence interval is expressed in the same units as the   Content validity: The extent to which a variable (for
        estimate. Wider intervals indicate lower precision; narrow   example, a rating scale) measures what it is supposed to
        intervals, greater precision.                          measure. Evidence from qualitative research demonstrating
                                                               that the instrument measures the concept of interest,
        Confidence limits: The upper and lower boundaries of a
        confidence interval.                                   including evidence that the items and domains of an
                                                               instrument are appropriate and comprehensive, relative to
        Confidentiality (regarding trial participants): Refers   its intended measurement concept, population, and use.
        to maintaining the confidentiality of trial participants   Note: Testing other measurement properties will not replace
        including their personal identity and all personal medical   or rectify problems with content validity.
        information. The trial participants’ consent to the use of
        records for data verification purposes must be obtained   Contingent subject trial: Planned response to an
                                                               anticipated but conditional event in a clinical trial.
        prior to the trial. The Informed Consent Document will
        explain how personal health information and study data   Continuous data: Data with a potentially infinite number
        will be used in accordance with pertinent data protection   of possible values within a given range. Height, weight, and
        laws and regulations.                                  blood pressure are examples of continuous variables.

        Confirmatory trial: Phase 3 trial during which the     Contract Research Organization (CRO): A person or an
        previously revealed actions of a therapeutic intervention are   organization (commercial, academic, or other) contracted
        confirmed. Note: Procedures in confirmatory trials should   by the sponsor to perform one or more of a sponsor’s trial-
        be set firmly in advance.                              related duties and functions.

        Conformity assessment: The process by which compliance   Contract: A written, dated, and signed agreement between
        with the EMA’s Essential Requirements is assessed.     two or more involved parties that sets out any arrangements
                                                               on delegation and distribution of tasks and obligations and,
        Confounder: A factor that is associated with either an

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