ADR - adverse drug reaction
all noxious and unintended responses to a medicinal product related to any dose

AE - adverse event
any untoward medical occurrence in a patient which does not necessarily have to have a causal relationship with this treatment

AMG - Arzneimittelgesetz
German drug law

BfArM - Bundesanstalt für Arzneimittel und Medizinprodukte
(Federal Institute for Drugs and Medical Devices)
German regulatory authority

CDER - Center for Drug Evaluation and Research
scientific body of the FDA

CDISC - Clinical Data Interchange Standards Consortium
organisation for development of standards for data exchange to be used for regulatory applications as well as for exchanges between pharmaceutical companies and CROs

CIOMS - Council for International Organisations of Medical Sciences
international, non-governmental, non-profit organisation established jointly by WHO and UNESCO

CPMP - Committee for Proprietary Medicinal Products
EMEA committee responsible for medicines for human use

CRA - clinical research associate
individual that oversees the progress and conduct of a clinical trial (sometimes also called "monitor")

CRF - case report form
a document designed to record all of the protocol required information to be reported to the sponsor

CRO - contract research organisation
an organisation contracted by the sponsor to perform one or more of a sponsor's trial-related duties

CRT - controlled clinical trial
"golden standard" for clinical design

CTC - clinical trial coordinator
person to assist administering the trial for all aspects of trial conduct

CTD - common technical document (ICH)
format of dossiers in a given format for applications that will be submitted to regulatory authorities

DMP - data management plan
document developed in advance to define methods for data management describing the database, data entry and validation processes

EC - European Commission
executive organisation of the European Union

EDC - electronic data capture
ability to electronically capture case report forms and subject data directly from a site

EDQM - European Directorate for the Quality of Medicines
one of the directorates of the Council of Europe

EFPIA - European Federation of Pharmaceutical Industries and Associations

EMEA - European Medicines Agency
(previously: "European Agency for the Evaluation of Medicinal Products" or " European Medicinal Evaluation Agency")
decentralised body of the EU that coordinates scientific resources existing from EU member states to evaluate, supervise and provide opinions on marketing authorisation of medicinal products for human or veterinary use

EOF - (Greek) National Organization for Pharmaceuticals
Greek regulatory agency

EU - European Union

EUDRA - European office for drug regulatory affairs (not official)

EUDRACT - European clinical trials database
database of all clinical trials commencing in the Community from 1 May 2004 onwards. It has been established in accordance with Directive 2001/20/EC.

EUDRAVIGILANCE - pharmacovigilance in the European economic area
European data processing network and management system, for electronic data exchange of Individual Case Safety Reports (ICSRs) of authorised medicinal products

FDA - Food and Drug Administration
US regulatory authority

GCP - good clinical practice
ethical basis/standard for the conduct of clinical trials

IB - investigator's brochure
document with a current compilation of the clinical and nonclinical data (i.e., scientific information) on the investigational product(s) that is relevant to the study of the investigational product(s) in human subjects

ICD - international classification of diseases
coding thesaurus for diseases, injuries, conditions, drugs and procedures (a WHO publication)

ICH - International Conference on Harmonization (of technical requirements for registration of pharmaceuticals for human use)
joint initiative involving regulatory authorities and industry from Japan, European Union and the United States to harmonise the scientific and technical discussions of the testing procedures, which are required to ensure and assess the safety, quality and efficacy of medicines

IEC - independent ethics committee
independent group of experts who ensure the protection of the rights and well-being of subjects involved in a trial

IFPMA - International Federation of Pharmaceutical Manufacturers Associations

IIT/IST - investigator initiated/sponsored trial

IMPD - investigational medicinal product dossier
document to give information on quality of any IMP including reference products and placebos to be used in the clinical trial and on data from non-clinical or clinical studies and from the clinical use of the medicines

INN - international non-proprietary name
name for the identification of pharmaceutical substances or active pharmaceutical ingredients (generic name)

IRB - institutional review board
independent group of experts who ensure the protection of the rights and well-being of subjects involved in a trial

ISS/ISE - integrated summary of safety/efficacy
relevant document concerning data and statistics in drug applications

MCA - Medicines Control Agency
UK regulatory agency

MedDRA - medical dictionary for drug regulatory activities
coding thesaurus for AE (and concomitant diseases)

NCE - new chemical entity
chemical compound not previously described in the literature

NDA - new drug application
application to the FDA for a license to market a new drug in the United States

NICE - National Institute for Clinical Excellence (UK)
organisation that makes recommendations on treatments, clinical guidelines, interventional procedures and technology appraisals

NIS - non-interventional study
design for investigations with an approved drug without any regulations on the treatment ("observation only")

OCR - optical character recognition
process of converting an image of text, such as a scanned paper document or electronic fax file, into computer-editable text

PMS - post-marketing (authorisation) surveillance
expending information on an approved drug (mostly under safety aspects)

PSUR - periodic safety update report (ICH)
periodic report submitted by the sponsor to establish a risk-benefit analyses

QA - quality assurance
methodology (or department) that is intended to ensure a defined level of quality

QC - quality control
operational techniques and activities undertaken within the quality assurance system to verify that the requirements for quality have been fulfilled

QOL - quality of life
subjective measure of a person's health and level of physical and social functioning

RDC/RDE - remote data capture/entry
data capture/entry into a remote database (sponsor) from the location at which data are generated (investigator)

SAE - serious adverse event
any untoward medical occurrence that at any dose
  • results in death
  • is life-threatening
  • requires or prolongs hospitalisation
  • results in persistent disability
  • is a congenital anomaly

SAP - statistical analysis plan
document developed in advance to define methods for the analysis of data (without knowledge of data or treatments)

SDV - source data verification
check of CRF documentation versus original documentation at the trial site

S(m)PC - summary of product characteristics
basic information for health professionals on how to use the medical product safely and effectively

SOP - standard operating procedure
detailed, written instructions to archive uniformity of the performance of a specific function

SUSAR - suspected unexpected serious adverse reaction
all suspected adverse reactions related to an IMP (the tested IMP and comparators) which occur in the concerned trial and that are unexpected and serious and are subject to expedited reporting

TEAE - treatment emergent adverse event
AE that occurred for the first time or worsened while receiving therapy since the start of that therapy

TESS - treatment emergent signs and symptoms
synonym to TEAE

TMF - trial master file (ICH)
ICH required documentation on a clinical trial

UADR - unexpected adverse drug reaction
ADR with nature or severity not consistent with the applicable product information (e.g. Investigator's Brochure for an unapproved investigational product or package insert/summary of product characteristics for an approved product)

WHO - World Health Organization
body of the United Nations