How AI can prevent TMF document upload errors: Watch the 2-minute video

Phlexglobal - a Cencora PharmaLex company

/@Phlexglobal

Published: March 20, 2023

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This video introduces Phlex TMF Version 21, an AI-powered electronic Trial Master File (eTMF) solution designed to dramatically reduce the incidence of document misfiles and metadata errors, which are pervasive problems across the pharmaceutical industry. The core purpose of the solution is to ensure clinical documents are filed "right first time" at the critical upload stage, thereby improving overall TMF quality, completeness, and timeliness while mitigating the significant risk of inspection findings.

The presentation highlights the severity of the TMF quality problem, noting that misfiles and metadata errors can account for as much as 50% of all document filing issues in many companies. In extreme cases, a staggering one in every ten documents is misfiled. These errors necessitate time-consuming remediation efforts and expose organizations to regulatory risk. The Phlex TMF solution addresses this by embedding next-generation AI, which has been pre-trained on millions of TMF documents and incorporates the cumulative guidance of hundreds of TMF experts. This pre-training allows the system to be effective immediately upon deployment, unlike older "first-generation TMF Bots" that require lengthy, custom training on an organization's specific document set before delivering limited value.

The operational workflow is streamlined and intuitive. When a user drops a document into the designated site, the AI immediately analyzes the content and provides suggestions for classification. These suggestions are accompanied by an image preview of the document and a confidence score for each AI-powered attribute recommendation. Upon selection, the system automatically populates the correct metadata attributes, including Zone, Section, Artifact, Sub-Artifact, Country, Language, and File Type. This automation not only saves valuable time for highly trained users but also enables users unfamiliar with the complex TMF filing structure—or those who use the system infrequently—to file documents quickly and accurately. By preventing critical problems before they occur, the system frees clinical operations teams to focus on essential study tasks rather than remediation efforts.

Key Takeaways: • Addressing Widespread TMF Quality Issues: TMF misfiles and metadata errors are noted as an industry-wide problem, often constituting up to 50% of all document filing issues, with some organizations experiencing misfiling rates as high as one in ten documents, leading to significant inspection risk. • AI for Proactive Error Prevention: The solution focuses on preventing critical filing problems at the document upload stage, ensuring documents are classified and filed correctly from the start, which is significantly more efficient than post-filing remediation. • Next-Generation AI Capabilities: The AI engine is pre-trained on millions of TMF documents and incorporates the expertise of hundreds of TMF specialists, allowing the system to be immediately effective ("ready on Day One") without the lengthy training required by previous generations of TMF bots. • Efficiency for All User Levels: The AI automates the complex task of metadata tagging, allowing highly trained users to save time and enabling less familiar users (or those who use the system infrequently) to file documents quickly and accurately while maintaining high quality. • Confidence Scoring for Validation: The system provides a confidence score alongside each AI-powered suggestion, offering transparency and allowing users to validate the system's recommendations before finalizing the filing. • Comprehensive Metadata Population: Upon user selection, the AI automatically populates all necessary TMF attributes, including Zone, Section, Artifact, Sub-Artifact, Country, Language, and File Type, ensuring regulatory completeness and consistency. • Reduced Remediation Time: By ensuring "right first time" filing, the solution significantly reduces the need for time-consuming and costly TMF remediation efforts, allowing clinical teams to reallocate resources to core study tasks. • Mitigating Inspection Risk: The primary benefit of improved TMF quality, completeness, and timeliness is the substantial reduction in regulatory inspection findings related to document management and integrity.

Tools/Resources Mentioned:

  • Phlex TMF Version 21 (an AI-powered eTMF solution)

Key Concepts:

  • TMF Misfile/Metadata Errors: Errors in classifying or tagging clinical trial documents (e.g., placing a document in the wrong section or failing to assign correct attributes like country or artifact type), which compromise the integrity and inspectability of the Trial Master File.
  • eTMF (Electronic Trial Master File): A digital system used by pharmaceutical and biotech companies to manage the essential documents of a clinical trial, required for regulatory compliance (GxP).
  • Next-Generation AI: Refers to advanced AI models, likely leveraging LLMs or deep learning, that are pre-trained on vast industry-specific datasets, providing immediate utility and high accuracy compared to older, rule-based or narrowly trained systems.
  • Right First Time: A quality management principle emphasizing the importance of performing tasks correctly initially to avoid subsequent rework, applied here to the critical process of clinical document filing.