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ABSTRACT: Background
Regulatory agencies, such as the European Medicines Agency and Health Canada, are requiring the public sharing of clinical trial reports that are used to make drug approval decisions. Both agencies have provided guidance for the quantitative anonymization of these clinical reports before they are shared. There is limited empirical information on the effectiveness of this approach in protecting patient privacy for clinical trial data.Methods
In this paper we empirically test the hypothesis that when these guidelines are implemented in practice, they provide adequate privacy protection to patients. An anonymized clinical study report for a trial on a non-steroidal anti-inflammatory drug that is sold as a prescription eye drop was subjected to re-identification. The target was 500 patients in the USA. Only suspected matches to real identities were reported.Results
Six suspected matches with low confidence scores were identified. Each suspected match took 24.2?h of effort. Social media and death records provided the most useful information for getting the suspected matches.Conclusions
These results suggest that the anonymization guidance from these agencies can provide adequate privacy protection for patients, and the modes of attack can inform further refinements of the methodologies they recommend in their guidance for manufacturers.
SUBMITTER: Branson J
PROVIDER: S-EPMC7029478 | biostudies-literature | 2020 Feb
REPOSITORIES: biostudies-literature
Branson Janice J Good Nathan N Chen Jung-Wei JW Monge Will W Probst Christian C El Emam Khaled K
Trials 20200218 1
<h4>Background</h4>Regulatory agencies, such as the European Medicines Agency and Health Canada, are requiring the public sharing of clinical trial reports that are used to make drug approval decisions. Both agencies have provided guidance for the quantitative anonymization of these clinical reports before they are shared. There is limited empirical information on the effectiveness of this approach in protecting patient privacy for clinical trial data.<h4>Methods</h4>In this paper we empirically ...[more]