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A privacy preserving protocol for tracking participants in phase I clinical trials

Authors :
Elizabeth Jonker
Hanna Farah
Murat Kantarcioglu
Saeed Samet
Aleksander Essex
Khaled El Emam
Craig C. Earle
Source :
Journal of Biomedical Informatics. 57:145-162
Publication Year :
2015
Publisher :
Elsevier BV, 2015.

Abstract

Display Omitted We present a privacy-preserving protocol to detect concurrent trial participants.We present a name representation scheme resilient to frequency attacks.The accuracy of the protocol is similar to standard non-secure methods.For a database size of 20,000, the private query time is under 40s on 32 cores. ObjectiveSome phase 1 clinical trials offer strong financial incentives for healthy individuals to participate in their studies. There is evidence that some individuals enroll in multiple trials concurrently. This creates safety risks and introduces data quality problems into the trials. Our objective was to construct a privacy preserving protocol to track phase 1 participants to detect concurrent enrollment. DesignA protocol using secure probabilistic querying against a database of trial participants that allows for screening during telephone interviews and on-site enrollment was developed. The match variables consisted of demographic information. MeasurementThe accuracy (sensitivity, precision, and negative predictive value) of the matching and its computational performance in seconds were measured under simulated environments. Accuracy was also compared to non-secure matching methods. ResultsThe protocol performance scales linearly with the database size. At the largest database size of 20,000 participants, a query takes under 20s on a 64 cores machine. Sensitivity, precision, and negative predictive value of the queries were consistently at or above 0.9, and were very similar to non-secure versions of the protocol. ConclusionThe protocol provides a reasonable solution to the concurrent enrollment problems in phase 1 clinical trials, and is able to ensure that personal information about participants is kept secure.

Details

ISSN :
15320464
Volume :
57
Database :
OpenAIRE
Journal :
Journal of Biomedical Informatics
Accession number :
edsair.doi.dedup.....6e1d88888120401cb2d965cc9bb8faa9
Full Text :
https://doi.org/10.1016/j.jbi.2015.06.019