Page 26 - Terminology-Clinical-Research
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objective variables and the investigator’s overall impression  Group sequential design: A trial design that allows a
        about the state or change in state of a subject.       look at the data at particular time points or after a defined
                                                               number of patients have been entered and followed up
        Glossary: A collection of specialized words or terms with   based on formulating a stopping rule derived from repeated
        their meanings.                                        significance tests.

        GMO: A genetically modified organism (GMO) or
        genetically engineered organism (GEO) is an organism
        whose genetic material has been altered using genetic
        engineering techniques.                                                         H

        Good clinical practice (GCP): A standard for the design,
        conduct, performance, monitoring, auditing, recording,
        analyses, and reporting of clinical trials that provides   Handwritten signature: The scripted name or legal
        assurance that the data and reported results are credible and   mark of an individual handwritten by that individual
        accurate and that the rights, integrity, and confidentiality of   and executed or adopted with the present intention to
        trial subjects are protected.                          authenticate a writing in a permanent form. Note: The act
                                                               of signing with a writing or marking instrument such as a
        Good clinical research practice (GCRP): Term           pen or stylus is preserved.
        sometimes used to describe GCP. See Good clinical
        practice.                                              Harmonized standard: A European Norm (EN) that has
                                                               been accepted by all Member States and has been published
        Grant: Support for the direct costs of research projects   in the Official Journal of the European Communities
        including for the training of researchers and/or activities   (OJEC).
        that support the translation of research findings, conducted
        by either an investigator working alone or by a group of   Harms: See Severe adverse events or harms.
        investigators working together.
                                                               Has data monitoring committee (DMC): Indicates
        Grant (infrastructure): Funding that provides an optimum   whether the clinical trial has a data monitoring committee
        environment for the conduct and support of health research.   (DMC) or a data safety and monitoring board (DSMB).
        This includes funding for: conferences and workshops to
        establish research priorities; researcher networking and   Has results: Indicates that summary information about the
        collaborative activities; scientific exchanges between   results of a clinical study registered on ClinicalTrials.gov. is
        Canadian and international researchers; programs that   available in the ClinicalTrials.gov results database and can
        inform researchers and other stakeholders about aspects   be viewed in the study record.
        of health research; and grants to selected organizations
        engaged in research-related activities such as the Canadian   Hazard ratio (HR): The hazard ratio is the relative risk of
        Council on Animal Care and the National Council on Ethics   the event (e.g. disease progression) happening in one trial
        in Human Research.                                     arm compared with the other, over the entire time period of
                                                               the trial. Note: 1. A HR of 1 means there is no difference
        Grant (pending): Projects that have been approved for   between the groups, a HR of 2 means that there is double
        funding by CIHR however before funds can be released,   the risk and a HR of 0.5 tells that there is half the risk. 2.
        the Nominated Principal Applicant has to resolve issues   In the example below, a HR for OS of 0.73 indicates there
        with their application. Pending grants have a status of   is a 27% reduction in the risk of progression or death in
        “Pending” on the funding decision announcement and the   the arm treated with drug A compared with drug B. It is
        Notice of Decision.                                    calculated as follows -1 – 0.73 (the HR) x 100 = 27% risk
                                                               reduction. 3. Importantly, and unlike median values, the
        Grantee, grant holder: See Nominated Principal         hazard ratio takes into account the difference in events over
        Applicant.                                             the entire period of the trial, not at a specific point within
                                                               it or at the end of the trial, so is a better predictor of the
        Granularity: Refers to the size of an information unit   treatment’s actual effect on the whole patient population.
        in relation to a whole. NOTE: Structuring “privileges”   This methodology has the advantage of using all available
        in electronic systems is said to be highly granular when   information, including patients who don’t complete the
        each of many roles can differ in their capacity to act on   trial for any reason. A HR is thus most useful when the risk
        electronic records.

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