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    CASE STUDY

    Data Management and Statistical Programming Support for an Adaptive Phase 2 Oncology Study  

    Case Study Introduction

    Quanticate partnered with an emerging biotechnology company that was running an adaptive Phase 2 oncology, open-label, multicentre study in participants with advanced prostate cancer. The programme investigated pharmacokinetics (PK), pharmacodynamics (PD), efficacy, and safety across two dose levels, generating evidence to inform dose and schedule decision-making.

    The sponsor lacked internal resources and expertise in biometric functions and therefore required clinical data management and statistical programming support including knowledge of PK/PD analysis and safety.

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    Objectives and Key Challenges

    The sponsor had several study objectives such as:

      • Demonstrate rapid testosterone suppression without an initial surge associated with gonadotropin-releasing hormone (GnRH) agonists.
      • Characterise PK and PD relationships to support dose selection and scheduling.
      • Evaluate safety, including injection site tolerability and systemic adverse effects.
      • Integrate safety biomarkers, including cardiovascular markers, alongside PK, PD, and clinical endpoints.

    There were also several challenges that the sponsor needed to address:

      • Long-term consistency: Testosterone suppression can vary between patients, making it essential to detect meaningful variability early and distinguish signal from noise. 
      • Dose optimisation: The sponsor needed to understand which dose level best balanced sustained suppression with acceptable tolerability across treatment cycles.
      • Complex data streams: PK/PD, safety, and biomarker data had to align correctly to dosing and visit timing.
      • Multicentre integration: Combining data across sites increased the risk of inconsistent formatting, missingness, and time-point misalignment.
      • Regulatory-grade traceability: The sponsor required clean, auditable, analysis-ready data to support credible decisions and next-step planning.

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    Strategic Approach and Tailored Solutions

    Quanticate’s support focused on building a reliable evidence pipeline that could keep pace with an adaptive design, while maintaining the quality standards expected for oncology development.

    Clinical Data Management and data readiness

    Quanticate’s Clinical Data Management (CDM) team established a framework to support accurate capture of complex, time-sensitive data from multiple clinical sites. This included:

      • Standardised data collection and validation rules to reduce variability across centres.
      • Ongoing data cleaning workflows designed for frequent interim checks, not end-of-study reconciliation.
      • Centralised quality checks to identify outliers, missing data patterns, and timing issues early, before they affected key pharmacokinetics (PK), pharmacodynamics (PD), or testosterone endpoints.
      • Data harmonisation processes to ensure laboratory results and biomarker measurements could be integrated cleanly with dosing, safety, and clinical outcome data.

    Statistical Programming for decision-ready insight

    Quanticate’s Statistical Programming specialists helped the sponsor translate complex incoming data into clear, decision-ready outputs. The focus was not only on producing tables and listings, but on enabling confident interpretation at key review points:

      • Programming analysis datasets that aligned pharmacokinetics (PK) sampling, pharmacodynamics (PD) measures, testosterone values, and dosing records to the correct time windows.
      • Producing comparative outputs that supported dose-level evaluation on both suppression performance and tolerability indicators, including injection site reactions and systemic safety measures.
      • Integrating safety biomarkers, including cardiovascular markers, in formats that enabled consistent tracking over time and efficient review of potential safety signals.
      • Implementing checks and derivations that improved consistency across sites and strengthened the reliability of interim summaries.

     

    Successful Client Outcomes

      • Improved confidence in multi-site data quality and consistency, supporting more meaningful interim evaluation.
      • Clearer visibility of testosterone suppression over time, enabling comparison between dose levels and assessment of sustained suppression at castration levels.
      • Analysis-ready integration of PK/PD and biomarker data, reducing delays and supporting efficient interpretation of complex endpoints.
      • Strengthened safety oversight, including structured review of injection site tolerability and systemic safety signals, supported by harmonised biomarker tracking.
      • Smoother interim reporting, supported by repeatable quality control and programming workflows aligned to the study’s evidence needs.

    Overall, the sponsor gained a stronger foundation for dose and schedule decision-making, supported by regulatory-grade traceability and outputs designed for speed without sacrificing rigor 

    Conclusion

    Adaptive oncology studies demand more than standard end-of-study reporting. By combining strong multicentre data control with fit-for-purpose Statistical Programming, Quanticate helped the sponsor generate decision-ready evidence on an investigational gonadotropin-releasing hormone (GnRH) antagonist in advanced prostate cancer, while maintaining the quality standards required for confident next-step planning.

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