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Data Management & Oversight

Safety Signal Detection Agent

H1ST-AI-MON-003 · Task 2.3

The signal no single site can see

A signal you catch between reviews protects patients; one that waits for the next manual roll-up doesn't. The Safety Signal Detection Agent applies signal-detection algorithms over data aggregated from your safety database across all sites, surfaces reportable events early, and suggests medical coding — so your reviewers move from detection to assessment without the aggregation lag, cutting signal-to-review time by up to half.

The grind you know

The signal no single site can see

The signal that matters most is the one no single site can see — it only appears when events across all your sites are put together. But manual aggregation happens periodically, coding backs up, and a pattern that should have triggered a review can sit quietly undetected in the gap between one safety data review and the next. That gap is exactly where you don't want to be blind.

Part of the Risk-Based Monitoring family

Risk-based monitoring & safety oversight.

A signal you catch between reviews protects patients; one that waits for the next manual roll-up doesn't. The Safety Signal Detection Agent applies signal-detection algorithms over data aggregated from your safety database across all sites, surfaces reportable events early, and suggests medical coding — so your reviewers move from detection to assessment without the aggregation lag, cutting signal-to-review time by up to half.

  • ICH E6(R3)
Explore the Risk-Based Monitoring family

How it works

  1. 1

    Aggregate from the safety database

    The agent pulls and aggregates events across all sites from the connected safety database.

  2. 2

    Run signal detection

    Signal-detection algorithms surface disproportionate patterns and reportable-event candidates study-wide.

  3. 3

    Suggest coding and route

    It proposes medical coding for each event and routes reportable candidates to safety reviewers with the supporting evidence.

Capabilities

What it takes off your plate

Signal-detection algorithms

Applies disproportionality and pattern-based signal-detection methods to identify events occurring more than expected across the study population.

Cross-site aggregation

Integrates with the safety database to aggregate events across all sites, so patterns invisible at a single site become visible study-wide.

Medical-coding suggestions

Suggests MedDRA-style coding for reported events, giving safety reviewers a starting point that speeds coding and consistency.

Early reportable-event surfacing

Flags events meeting reportability criteria as they aggregate, reducing the lag between an event and a safety review decision.

What you get

  • Aggregated safety signal report across sites
  • Reportable-event candidate list with supporting evidence
  • Suggested medical coding for detected events
  • Signal-detection audit trail for safety review

In practice

What this looks like on a real study

Where the agent shows up in the day-to-day of a live trial — the moments the grind usually lives in.

A pattern no single site can see

An event rate that looks like normal variation at any one site is a real signal once the sites are combined. The agent aggregates events across all sites from the safety database and applies signal-detection algorithms, so the study-wide pattern becomes visible.

Coding backlog delaying review

Reported events pile up waiting to be coded before anyone can assess them. The agent suggests MedDRA-style coding for each detected event, giving reviewers a consistent starting point that moves them from detection to assessment faster.

The gap between two safety reviews

A pattern that should trigger a review can sit undetected between periodic manual roll-ups. The agent flags reportable-event candidates with supporting evidence as they aggregate, shrinking the blind gap between one safety data review and the next.

Proof

The impact on your study

95%
Reportable events detected
All sites
Cross-site aggregation
50%
Faster signal-to-review

Figures shown are pre-launch targets based on internal benchmarks, not guaranteed outcomes.

Works with your stack

  • Medidata Rave

    EDC

  • Gemini / Anthropic LLM

    LLM

Who it's for

Built for the teams who run trials

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Peace of mind

Built to the standards inspectors expect

Every output is generated inside a validated, audit-ready platform, kept under human-in-the-loop control, and mapped to the regulatory and CDISC standards this agent supports.

  • ICH E6(R3)

Frequently asked questions

See the Safety Signal Detection Agent on your study

Walk through it on your own workflow with a clinical-trials expert — no pressure, no obligation, and honest answers, including on the limits.