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Nimble

Case study · Phase III oncology

A closer look at data quality in the EXPAND trial

A focused application of Nimble’s AI-assisted review identified 12 discrepancy types and additional clinical-context and assessment-pattern concerns in released EXPAND trial data.

Three complementary ways to examine study data

We reviewed the deidentified chemotherapy-only control arm of EXPAND, a completed phase III study in advanced gastric or gastroesophageal-junction cancer, using data made available through Project Data Sphere.

436 participants · 48 datasets · 237,784 rows

Programmed checks

Twelve discrepancy types across measurement integrity, tumor and disease assessment, eligibility, treatment exposure and record chronology, with counts, severity and explanations.

AI checks

Clinical-context review connected laboratory episodes with adverse-event histories and resolved four of five initial missed-dose concerns after examining the wider treatment history.

Pattern review

Participant groups showed recurring differences in ECG assessment timing. The case study compares those schedules with the supplied protocol and explains why they warrant review.

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