Page 32 - Terminology-Clinical-Research
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NCI’s caBIG Clinical Research Information Exchange     order to make informed decisions about health policies,
        (CRIX) initiative, representing a joint NCI/FDA project   programs and/or practices; 2. whose level of engagement in
        to develop a physical implementation of the Janus model.   the research process may vary in intensity and complexity
        Note: Sometimes written as JANUS, the term is not an   depending on the nature of the research and their
        acronym, but harkens to the Roman god of gates and doors,   information needs; 3. who can be, but is not limited to, a
        beginnings and endings.                                practitioner, policy maker, educator, decision maker, health
                                                               care administrator, community leader, or an individual in a
                                                               health charity, patient group, private sector organization or
                                                               a media outlet.
                                 K



                                                                                        L

        Kaplan-Meier (KM) curve: KM curves represent the
        proportion of the study population still surviving (or free
        of disease or some other specified outcome or endpoint) at
        successive times. Note: This is the most commonly used   Label: Description of a drug product/device that includes:
        method for representing overall survival or efficacy. In the   the indication, who should use it, adverse events,
        case of KM curves in treatment studies showing overall   instructions for use, and safety information. Note: Labels
        survival, the curves provide a plot for a certain time period.   must be approved by regulatory authorities.
        They compare patients receiving the investigative drug
        to those in the control arm, showing the percentage of   Labeling (content of): All text, tables, and figures in
        patients who are still alive at a certain time. It calculates   labeling as described in regulations for a specific product
        this percentage according to how long a patient has been   (e.g., 21 CFR 201.56 and 201.57 for human prescription
        receiving a treatment, rather than when they entered the   drugs; 201.66 for human over-the counter drugs; 21 CFR
        study. The larger the separation of the curves the greater   801 for medical devices; and 21 CFR 606.122 for blood
        difference between the treatment groups in the endpoint   products).
        being analyzed. If the treatment arms represented in the
        KM curve follow a similar path, it suggests that there is   Laboratory (clinical): A laboratory providing analyses of
        only a small amount of difference between the arms of the   samples collected in clinical care or research.
        study in the endpoint being measured. If the arms were to   LAR: Legally Authorized Representative.
        meet, that would mean at that particular time point there
        was no difference between the two arms of the study in the   Last subject out/complete (LSC/LPC or LSO/LPO):
        endpoint being measured.                               1. The date and time when the last subject has reached a
                                                               planned or achieved milestone representing the completion
        Knowledge translation: A dynamic and iterative process   of the trial. 2. The last subject to complete a trial.
        that includes synthesis, dissemination, exchange and
        ethically sound application of knowledge to improve the   Last subject/patient in: Date and time when the last
        health of Canadians, provide more effective health services   subject to participate in a clinical trial is enrolled.
        and products and strengthen the health care system.
                                                               Last updated date: The Last Updated date is the most
        Knowledge translation (end-of-grant): Covers the       recent date on which changes to a study record were
        diffusion, dissemination and application of knowledge that   submitted to ClinicalTrials.gov. There may be a delay
        researchers undertake once the findings from a project are   between the Last Updated date and when the updated study
        available.                                             information is available on ClinicalTrials.gov. Also, this
                                                               date may be different from the Last Verified date.
        Knowledge translation (integrated): A way of doing
        research that involves decision makers/knowledge-users -   Last verified date: The Last Verified date is the most
        usually as members of the research team - in all stages of   recent date on which all of a clinical study’s information on
        the research process.                                  ClinicalTrials.gov was confirmed as accurate and current.
                                                               This date may be different from the Last Updated date. If
        Knowledge-user: An individual: 1. who is likely to be   a study with a status of Recruiting; Not yet recruiting; or
        able to use the knowledge generated through research in   Active, not recruiting has not been confirmed within the


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