Signal Detection and Analysis

Soterius can support sponsors in signaling activities for the molecules under clinical investigation. In carrying out this work, our team will review publications identified from targeted literature surveillance and perform a thorough review of historical and current period listing of serious and non-serious adverse events, going in-depth into events and cases of interest to assist sponsors to determine the relevance of any potential signals. Soterius will actively participate in signaling and trend analysis meetings.

The signal detection and analysis team at Soterius is highly experienced in pharmacovigilance processes and is well-versed in Global Pharmacovigilance Regulations, including EU-GVP Modules, USFDA guidelines, and ICH guidance. They specialize in safety signal detection for various molecules in Phase 1a/1b and Phase 2 of development. Some of the clinical phase molecules they have experience with include an anti-parasitic drug for a non-infective indication, a ROCK2 inhibitor, an anti-PD-L1/IL-15 fusion protein for oncology and cGVHD/autoimmune conditions, a PERK inhibitor, a GCN-2 Inhibitor, and an immunomodulator for oncology.

The Soterius team assesses various safety sources for signal detection, including Clinical Databases, Pharmacovigilance Safety Databases (SAE), Published Literature, Risk Management Plans (RMPs/REMS), Aggregate Reports (e.g., DSURs), Regulatory Requests, Regulatory Websites, FAERS/ other Regulatory Databases, Existing Signals, and Events to Monitor/Report. They use specific criteria to identify potential signals that need validation and further evaluation from Clinical and Safety Databases.

Any serious event cumulatively with causality assessed as possible or higher, OR

Any event with at least possible or higher causality, mentioned in the Designated Medical Event (DME) list (European Medicine Agency) OR

Any event mentioned in any Client-specific event monitoring list (AESI), OR

Any event mentioned in Dose-Limiting Toxicity (DLT), OR

Non-serious events: a high level of scrutiny of individual events in early phase trials with small numbers of subjects should be considered. Factors to consider include: adverse event grading (increased scrutiny for higher severity events), specific adverse events, increased incidence threshold (comparing the rate or proportion of the AE in the treatment group vs. control group or baseline), increased frequency in the study participants.

The team meticulously examines historical and current listings of serious and non-serious adverse events, going in-depth into events and cases of interest. This helps sponsors assess their significance of potential signals.

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