Learn how to set up PBRER aggregate reports and generate PBRER report tables.
Note: Depending on your Admin’s configuration, object, field, and section labels, lifecycle states, and workflows may differ from the general information on this page. Refer to your organization’s business processes for guidance.
About PBRER Reports
Vault Safety provides Periodic Benefit-Risk Evaluation Report (PBRER) authoring and table generation capabilities. The Vault Safety PBRER follows the ICH E2C(R2) and GvP Module VII regulatory guidelines.
The following table summarizes the PBRER tabulations that Vault Safety generates:
Tabulation | Generated by Default? | Masking Support? |
---|---|---|
Summary Tabulation of Adverse Drug Reactions from Postmarketing Sources | Yes | No |
Cumulative Tabulation of Serious Adverse Events (from Clinical Trials) | Yes | Yes |
Interval Line Listings of Serious Adverse Reactions (from Clinical Trials) | Yes | Yes |
Note: Your Admin can configure custom PBRER templates for your organization.
Prerequisites
Consider the following prerequisites before you generate aggregate report tables:
- You must be assigned permissions to view and prepare aggregate reports.
Typically, these permissions are reserved for the Safety Writer and Head of Safety roles. - Your Admin must have already configured the Reporting Family with the Products and Studies to include in the report.
- To generate table data from Study-type Cases, your Admin must have configured the appropriate Study Products.
- Your Admin must have configured a Datasheet for each Study Product, Study, or Case Product with a list of expected adverse events for the reporting family.
- To add a tab at the beginning of the aggregate report document detailing the criteria used to generate the report, your Admin must have enabled the Criteria Page for Aggregate reports.
Create a PBRER Aggregate Report
Create a PBRER Aggregate Report and specify the report settings.
Add a PBRER
- In the Vault primary navigation bar, select Aggregate Reports > PBRER, and then select Create.
- In the Create Aggregate Report window, under Select Aggregate Report Type, select PBRER.
- Complete the fields on the Create PBRER page.
- Save the record.
Result
The Aggregate Report record enters the Pending state. Vault assigns a task to users in the Safety Writer role to review the report details.
PBRER Fields
You can specify the following fields for a PBRER Aggregate Report:
Field | Description |
---|---|
Product Family (Required) | Select the Reporting Family configured for aggregate reporting. The Reporting Family defines which Cases are included in the report:
Note: The Reporting Family object type should be Product Family.
|
Organization | This field is automatically populated with the Organization on the selected Reporting Family. |
Data Period Start (Required) | Enter the start date for the reporting period. Vault uses the Cases within the reporting period to generate the table data. Cases are included when the date corresponding to the Filter Case By setting is within the reporting period. Cumulative reports do not consider the start date. The data period contains all Cases up to the Data Period End Date. To learn more, see How Aggregate Reports Filter by Data Period. |
Data Period End (Required) | Enter the end date for the reporting period. To learn more, see How Aggregate Reports Filter by Data Period. |
Filter Case By | To customize how Vault filters Cases within the specified date range, select an option:
If this field is blank, Vault uses the Case Receipt Date/New Info Date. |
Include Criteria Page on Documents | Select the checkbox to add a tab at the beginning of the aggregate report document detailing the criteria used to generate the report. When selected, the criteria page summarizes the following:
|
States to Include (Required) |
Select the states that Cases must be in to be included in the report. By default, only Cases in the Approved, Closed, Superseded, and Medical Review states are included. Although Superseded is not listed as an option, it is included within the Closed state. Only system-provided states in the Case Processing lifecycle are supported.
Note: If the latest Case version within the aggregate reporting period is in the Nullified or Voided state or in a lifecycle state assigned to the Deleted state type, the Case is excluded from the aggregate report.
|
Drug Roles to Include | Select one or more Drug Roles from the dropdown list to include in the following tabulations:
The Suspect and Interacting Drug Roles are selected by default for PBRERS created with the 23R3 release or later. For PBRERs created from prior releases, update the field to specify or revise which Drug Roles to include in the report.
Note: Drug Roles are not considered when generating the Summary Tabulation of Adverse Drug Reactions from Postmarketing Sources.
|
Documents to Generate | You can select which documents to generate. The following options are available:
If you don't specify this field, by default Vault generates the following documents:
By default, the documents are unmasked unless you select the Generate Masked Documents option. Depending on when your Vault was originally deployed, an Admin may need to add this field to appear on the layout. |
Generate Masked Documents | Select this option to generate a masked copy of the following tables for masked distributions, depending on the tables selected in the Documents to Generate field:
|
Indicate Unexpected Term | Select Yes to display an asterisk beside each unexpected adverse event term in the Interval Line Listings of Serious Adverse Reactions report (masked and unmasked). |
Datasheet | This field works alongside the Indicate Unexpected Term setting for evaluating approved terms in Product and Study Product Datasheets. For DSUR and PBRER, Vault always uses Use Approved Version at the beginning of the reporting period, including when this field is left blank. This setting means that the aggregate report Start Date must be within a term's active range to be considered Expected. To learn more, see Manage Datasheets and Auto-Expectedness. |
Generate PBRER Tabulations
Review and verify the report settings. Once you have confirmed the report details are correct, use the Generate Aggregate Report Tabulations action to generate PBRER report tables.
Mark Unexpected Terms in PBRER Reports
You can set the Indicate Unexpected Term on a PBRER so that when the Interval Line Listings of Serious Adverse Reactions report (masked and unmasked) report is generated, Vault marks each unexpected adverse event with an asterisk (*).
To identify unexpected events, your Admin must have configured Datasheets for the investigational Study Product or Study added to the PBRER Reporting Family.
The Datasheet can specify the Active Date Start and, optionally, an Active Date End, which indicates when a term is approved as expected for the Product. If configured, the PBRER Start Date must be within a term’s active range to be considered expected. For more information about how to define an active range for expectedness in aggregate reports, see Manage Datasheets and Auto-Expectedness.
PBRER Table Generation Data Mapping
Vault Safety populates aggregate report tables using Cases within the reporting period specified on the PBRER, and the reporting family members configured on the associated Reporting Family.
The following sections describe how Vault Safety generates PBRER tabulations:
- Cumulative Adverse Drug Reactions from Postmarketing
- Cumulative Tabulation of Serious Adverse Events (from Clinical Trials)
- Interval Line Listings of Serious Adverse Reactions (from Clinical Trials)
Note: For blinded studies, Vault populates blinded product information as Blinded
in the generated tables.
Summary Tabulation of Adverse Drug Reactions from Postmarketing Sources
The following image map shows how Vault Safety generates the Summary Tabulation of Adverse Drug Reactions from Postmarketing Sources table.
Note: The table above displays the Total row (10) when the DSUR and PBRER Summary Totals and Separate Log Files feature is enabled. Contact your Admin if you would like this feature to be configured in your Vault.
Table Constraints
Vault filters Cases to include in the Summary Tabulation of Adverse Drug Reactions from Postmarketing Sources using the following constraints:
Case Not Suppressed
The Case Suppress Submission field must be set to No or blank (not suppressed).
case_version__v.suppress_submission__v ≠ Yes
Case Product in Reporting Family
A Case Product must be a member of the Reporting Family.
case_version__vr.case_product__v.product__v IN
aggregate_report_family__vr.aggregate_report_family_join__vr.products__v
Case Data in Cumulative Reporting Period
The date must be within the aggregate report cumulative reporting period (Product IBD to Data Period End). How Aggregate Reports Filter by Data Period provides more information.
DATE ≤ pbrer__v.data_period_end__v
where DATE depends on the option selected in the PBRER Filter Cases By (pbrer__v.filter_cases_by__v
) field:
- When Approval Date:
case_version__v.approval_date__v
- When blank or Receipt Date / New Info Date (Default):
- If the Case New Info Date (
new_info_date__v
) is blank, the Receipt Date is used:case_version__v.receipt_date__v
- Otherwise, the New Info Date is used:
case_version__v.new_info_date__v
- If the Case New Info Date (
If there are multiple versions of the Case within the reporting period, only the most recent Case version within the reporting period is listed.
Case Lifecycle State in Aggregate States to Include
The latest Case version within the reporting period must be in a state specified in the States to Include field on the PBRER.
case_version__v.state__v CONTAINS pbrer__v.states_to_include__v
Note the following considerations:
- Cases in the following states are omitted:
- Nullified (
nullified_state__v
) - Voided (
voided_state__v
)
- Nullified (
Note: You cannot select these states in the States to Include field. These states are always omitted.
- If the Case is in a Lifecycle State assigned a State Type of “Deleted”, the Case is omitted.
- When evaluating the States to Include field, the system evaluates Cases in the Superseded (
superseded_state__v
) state as Closed (closed_state__v
).
Table Mapping
Number | Name | Description | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Spontaneous, including regulatory authority and literature | Cases are listed in this category when the Case Report Type is set to one of the following:
case_version__v.report_type__v = 1, 3, 4
|
|||||||||||||
Non-interventional | Cases are listed in this category when they match one of the following scenarios:
COUNT IF
|
|||||||||||||
Serious | Number of adverse events with a value entered in the Case Adverse Event Seriousness field.
case_adverse_event__v.seriousness__v ≠ EMPTY |
|||||||||||||
Non-Serious | Number of adverse events with an empty Case Adverse Event Seriousness field.
case_adverse_event__v.serious__v = EMPTY |
|||||||||||||
SOC | The MedDRA System Organ Class (SOC) for the adverse event.event_meddra__v.soc_term__v |
|||||||||||||
Preferred Term | The MedDRA Preferred Term (PT) for each adverse event, grouped by the MedDRA SOC.case_adverse_event__v.event_meddra__v.pt_term__v The report counts Cases depending on category:
Note: Contact Veeva Support to request PT Aggregation in periodic reports, which counts only unique instances of Preferred Terms (PT) in summary tabulations. Once this feature is enabled, when a Case contains multiple Case Adverse Events coded under the same MedDRA Preferred Term (PT), the report counts a single PT event instead of multiple events. |
|||||||||||||
Interval | Number of adverse events with a Case date within the aggregate report interval reporting period (Data Period Start to Data Period End). How Aggregate Reports Filter by Data Period provides more information. DATE ≥ pbrer__v.data_period_start__v AND
where DATE depends on the option selected in the PBRER Filter Cases By (
|
|||||||||||||
Cumulative | Number of adverse events with a Case date within the aggregate report cumulative reporting period (up to the Data Period End). How Aggregate Reports Filter by Data Period provides more information. DATE ≤ pbrer__v.data_period_end__v
where DATE depends on the option selected in the PBRER Filter Cases By (
|
|||||||||||||
Total Spontaneous | The total number of all adverse events within the "Spontaneous, including regulatory authority and literature" category, including both serious and non-serious, within the cumulative reporting period. | |||||||||||||
Total | The total number of adverse events for each category within the reporting period. |
If the DSUR and PBRER Summary Totals and Separate Log Files feature is enabled in your Vault, the Cases in the report are listed in a separate log file once the system generates the report.
If the DSUR and PBRER Summary Totals and Separate Log Files feature is not enabled in your Vault, the Cases in the report are listed in a separate table as part of the report:
Cumulative Tabulation of Serious Adverse Events From Clinical Trials
Vault generates the Cumulative Tabulation of Serious Adverse Events From Clinical Trials by default for PBRER Aggregate Reports.
Note: The table above displays the Totals when the DSUR and PBRER Summary Totals and Separate Log Files feature is enabled. Contact your Admin if you would like this feature to be configured in your Vault.
Table Constraints
Note: In order for a Case to be considered for the report, the Case (created from an Inbox Item or Imported Case) must have a Case Product set to Primary.
Vault filters Cases to include in the Cumulative Tabulation of Serious Adverse Events From Clinical Trials using the following constraints:
Case Not Suppressed
The Case Suppress Submission field must be set to No or blank (not suppressed).
case_version__v.suppress_submission__v ≠ Yes
Case Report and Study Type
To filter study cases, the system looks at the Case Report Type and Study Type fields. A Case is included when it matches one of the following scenarios:
Scenario | Report Type | Study Type |
---|---|---|
1 |
|
|
case_version_v.report_type__v.controlled_vocabulary__v. |
||
2 |
|
|
case_version_v.report_type__v.controlled_vocabulary__v. |
Case Lifecycle State in Aggregate States to Include
The latest Case version within the reporting period must be in a state specified in the States to Include field on the PBRER.
case_version__v.state__v CONTAINS pbrer__v.states_to_include__v
Note the following considerations:
- Cases in the following states are omitted:
- Nullified (
nullified_state__v
) - Voided (
voided_state__v
)
- Nullified (
Note: You cannot select these states in the States to Include field. These states are always omitted.
- If the Case is in a Lifecycle State assigned a State Type of “Deleted”, the Case is omitted.
- When evaluating the States to Include field, the system evaluates Cases in the Superseded (
superseded_state__v
) state as Closed (closed_state__v
).
Case Data in Cumulative Reporting Period
The date must be within the aggregate report cumulative reporting period (Product IBD to Data Period End). How Aggregate Reports Filter by Data Period provides more information.
DATE ≤ pbrer__v.data_period_end__v
where DATE depends on the option selected in the PBRER Filter Cases By (pbrer__v.filter_cases_by__v
) field:
- When Approval Date:
case_version__v.approval_date__v
- When blank or Receipt Date / New Info Date (Default):
- If the Case New Info Date (
new_info_date__v
) is blank, the Receipt Date is used:case_version__v.receipt_date__v
- Otherwise, the New Info Date is used:
case_version__v.new_info_date__v
- If the Case New Info Date (
If there are multiple versions of the Case within the reporting period, only the most recent Case version within the reporting period is listed.
Serious Case Adverse Event
The Case Seriousness field contains a value (not blank).
case_version__v.seriousness__v ≠ BLANK
If the Aggregate Report feature DSUR and PBRER Investigational Product Causality is enabled, the Study Product must be Blinded (blank) or has a Study Product Role of Investigational, Placebo, or Active Comparator.
Note: Your Admin must first enable this Aggregate Report setting in your Vault.
Study Member of Reporting Family
The Study field links to a Study record that meets any of the following criteria:
- A member of the Reporting Family
case_version__v.study__v CONTAINS
reporting_family__v.reporting_family_member__v.study__v - Contains a Product that matches a Product Reporting Family Member
case_version__v.product__v CONTAINS
reporting_family__v.reporting_family_member__v.product__v - Contains a Blinded Study Product that matches a Product Reporting Family Member
case_version__v.study__v CONTAINS
reporting_family__v.reporting_family_member__v.products__v.study_product__v.study__v WHERE (case.blinded = Yes OR study.blinded = YES)
Note: To ensure Blind Protection, unblinded Cases are counted as blinded until End of Study Reconciliation unblinding is complete for each Case.
Unmasked Documents
If the Reporting Family includes only Products (no Studies), the report excludes Cases for which the Study’s Product is not in the Reporting Family.
Table Mapping
The following table outlines how Vault maps data to populate the Cumulative Tabulation of Serious Adverse Events From Clinical Trials:
Number | Name | Description |
---|---|---|
SOC | The MedDRA System Organ Class (SOC) for the adverse event.case_adverse_event__v.event_meddra__v.soc_term__v |
|
Preferred Term | The MedDRA Preferred Term (PT) for each adverse event, grouped by the MedDRA SOC.case_adverse_event__v.event_meddra__v.pt_term__v
Note: Contact Veeva Support to request PT Aggregation in periodic reports, which counts only unique instances of Preferred Terms (PT) in summary tabulations. Once this feature is enabled, when a Case contains multiple Case Adverse Events coded under the same MedDRA Preferred Term (PT), the report counts a single PT event instead of multiple events. |
|
Investigational Medicinal Product |
The total number of adverse events with suspect investigational products.
|
|
Blinded |
The total number of adverse events with suspect blinded products.
|
|
Active Comparator |
The total number of adverse events with suspect active comparators.
|
|
Placebo |
The total number of adverse events with suspect placebos.
|
|
Total | The sum of the Investigational Medicinal Product, Blinded, Active Comparator, and Placebo SAE occurrences for each SOC and Preferred Term. | |
Total | The total number of SAE occurrences for each of the Investigational Medicinal Product, Blinded, Active Comparator, and Placebo categories. | |
1. If the DSUR and PBRER Investigational Product Causality feature is enabled in your Vault, case_version__v.case_product__v.primary__v == Yes is omitted.
|
If the DSUR and PBRER Summary Totals and Separate Log Files feature is enabled in your Vault, the Cases in the report are listed in a separate log file once the system generates the report.
If the DSUR and PBRER Summary Totals and Separate Log Files feature is not enabled in your Vault, the Cases in the report are listed in a separate table as part of the report:
The Investigational Medicinal Products (IMP) table contains a breakdown of the Products that appear in the Investigational Medicinal Products column in the main table.
Note: The table above displays the Totals when the DSUR and PBRER Summary Totals and Separate Log Files feature is enabled. Contact your Admin if you would like this feature to be configured in your Vault.
The IMP breakdown table considers only Cases that contain Investigational Product roles and Products that are in the Reporting Family. The IMP breakdown table contains a column for each combination of Products that appear in the Cases included on the main report. Up to a maximum of ten (10) combinations are supported. The sum of these totals corresponds with the total Adverse Event count for the Investigational Medicinal Product on the main report.
Interval Line Listings of Serious Adverse Reactions
By default, Vault generates the Interval Line Listings of Serious Adverse Reactions (from Clinical Trials) for PBRERs.
Table Constraints
Vault filters Cases to include in the Interval Line Listings of Serious Adverse Reactions using the following constraints:
Case Not Suppressed
The Case Suppress Submission field must be set to No or blank (not suppressed).
case_version__v.suppress_submission__v ≠ Yes
Study Member of Reporting Family
The Study field links to a Study record that meets any of the following criteria:
- A member of the Reporting Family
case_version__v.study__v CONTAINS
reporting_family__v.reporting_family_member__v.study__v - Contains a Product that matches a Product Reporting Family Member
case_version__v.product__v CONTAINS
reporting_family__v.reporting_family_member__v.product__v - Contains a Blinded Study Product that matches a Product Reporting Family Member
case_version__v.study__v CONTAINS
reporting_family__v.reporting_family_member__v.products__v.study_product__v.study__v WHERE (case.blinded = Yes OR study.blinded = YES)
Unmasked Documents
If the Reporting Family includes only Products (no Studies), the report excludes Cases for which the Study’s Product is not in the Reporting Family.
Case Report and Study Type
To filter study cases, the system looks at the Case Report Type and Study Type fields. A Case is included when it matches one of the following scenarios:
Scenario | Report Type | Study Type |
---|---|---|
1 |
|
|
case_version_v.report_type__v.controlled_vocabulary__v. |
||
2 |
|
|
case_version_v.report_type__v.controlled_vocabulary__v. |
Case Date in Interval Reporting Period
The date must be within the aggregate report interval reporting period (Data Period Start to Data Period End). How Aggregate Reports Filter by Data Period provides more information.
DATE ≥ pbrer__v.data_period_start__v AND
DATE ≤ pbrer__v.data_period_end__v
where DATE depends on the option selected in the PBRER Filter Cases By (pbrer__v.filter_cases_by__v
) field:
- When Approval Date:
case_version__v.approval_date__v
- When blank or Receipt Date / New Info Date (Default):
- If the Case New Info Date (
new_info_date__v
) is blank, the Receipt Date is used:case_version__v.receipt_date__v
- Otherwise, the New Info Date is used:
case_version__v.new_info_date__v
- If the Case New Info Date (
If there are multiple versions of the Case within the reporting period, only the most recent Case version within the reporting period is listed.
Serious Case Adverse Event
The Case Seriousness field contains a value (not blank).
case_version__v.seriousness__v ≠ BLANK
If the Aggregate Report feature DSUR and PBRER Investigational Product Causality is enabled, the report only considers Adverse Events where the Case Assessment Causality Established field is set to either Yes or blank (unknown) for any Study Product on the Case. The Study Product must be Blinded (blank) or has a Study Product Role of Investigational, Placebo, or Active Comparator.
Note: Your Admin must first enable this Aggregate Report setting in your Vault.
Causality Established is Yes or Blank on Any Case Assessment
The Causality Established field must be either Yes or blank (unknown) on any Case Assessment to consider the Case.
case_assessment_result.causality_established == (Yes OR Blank)
A Case is excluded from this report if all serious Case Adverse Events are assessed as unrelated. That is, if all serious Case Adverse Events are linked with at least two Case Assessment Results with the Causality Established field set to No, where:
- One Case Assessment Result is for the company (“Sponsor” or “MAH”). That is, the Source Type maps to E2B Code
2
or4
. - One other Case Assessment Result where the Source Type does not map to E2B Code
2
or4
.
If the Aggregate Report feature DSUR and PBRER Investigational Product Causality is enabled, the report only considers Cases where the Study Product is either Blinded (blank) or has a Study Product Role of Investigational, Placebo, or Active Comparator.
Note: Your Admin must first enable this Aggregate Report setting in your Vault.
Case Lifecycle State in Aggregate States to Include
The latest Case version within the reporting period must be in a state specified in the States to Include field on the PBRER.
case_version__v.state__v CONTAINS pbrer__v.states_to_include__v
Note the following considerations:
- Cases in the following states are omitted:
- Nullified (
nullified_state__v
) - Voided (
voided_state__v
)
- Nullified (
Note: You cannot select these states in the States to Include field. These states are always omitted.
- If the Case is in a Lifecycle State assigned a State Type of “Deleted”, the Case is omitted.
- When evaluating the States to Include field, the system evaluates Cases in the Superseded (
superseded_state__v
) state as Closed (closed_state__v
).
Case Product in Drug Roles to Include
Only include Case Products in the listing where the Drug Role matches one of the Drug Roles specified on the Drug Roles to Include field on the PBRER
case_product__v.drug_role__v CONTAINS pbrer__v.drug_roles_to_include__v
Table Mapping
The following table outlines how Vault maps data to populate the Interval Line Listings of Serious Adverse Reactions: