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Use case · Aggregate safety reports

PSUR, PBRER, DSUR — drafted, cited, ready for review.

Asthra consolidates exposure data, ICSR line listings, literature, and historical periodic reports into compliant aggregate-safety drafts — across ICH E2C and ICH E2F formats. Pharmacovigilance teams stay focused on signal evaluation, not assembly.

Signal review · §16
PSUR_2025_H2 · candidate signals
Hepatic enzyme increase42 cases / 12,830 PYE · ROR 2.8
↑ 64%Flag
Pneumonitis (immune-related)18 cases / 12,830 PYE · ROR 1.4
+11%Review
Headache312 cases / 12,830 PYE · expected
stableCleared
Nausea456 cases / 12,830 PYE · expected
−4%Cleared
3
ICH formats supported in one engine: PSUR (E2C), DSUR (E2F), PBRER.
~70%
Reduction in assembly time across pilot pharmacovigilance teams.
0
Invented numerators or denominators — every count traces to source.
Three formats, one engine

Whatever your reporting obligation looks like.

DOC / PSUR

Periodic Safety Update Report

Marketed-product post-authorization safety. ICH E2C(R2) structure — exposure, signals, benefit-risk evaluation.

DOC / PBRER

Periodic Benefit-Risk Evaluation Report

The PSUR's modern equivalent under ICH E2C(R2). Asthra writes either format from the same source set.

DOC / DSUR

Development Safety Update Report

Investigational-product annual safety reporting. ICH E2F structure — clinical-trial integrated safety review.

Inputs

What Asthra reads.

All structured and unstructured safety data, ingested into a single closed corpus per reporting period.

CDS

Company Core Data Sheet

Reference safety information used as the baseline for listedness assessment.

XLS

ICSR line listings

Spontaneous and clinical-trial case reports for the reporting period — by SOC, PT, seriousness, expectedness.

XLS

Exposure data

Patient-years, kilograms dispensed, treatment-days. Asthra reconciles denominators across regions and dosage forms.

PDF

Prior PSURs / PBRERs

For continuity of cumulative tables, signal-history sections, and benefit-risk narratives.

DOC

Literature search results

Embase / Medline output, screened and tagged. Asthra cites exact PMIDs and snippets in §15 literature review.

XLS

Signal-detection output

Disproportionality analyses, EBGM, ROR/PRR. Feeds §16 signal evaluation with statistical context preserved.

Workflow

From data lock
to QPPV-ready draft.

01

Load reporting-period data (~1 hour)

Drop in line listings, exposure tables, literature output, and prior PSUR. Asthra reconciles dates, classifies sources, and confirms the data lock window.

02

Generate cumulative tables (~30 min)

Asthra builds the standard tabulations — cumulative ICSRs by SOC/PT, seriousness, expectedness, action taken — directly from line listings, with cell-level traceability.

03

Draft narrative sections (~2 hours)

§4 Estimated exposure, §6–§8 risks & effectiveness, §15 literature, §16 signal evaluation. Each narrative is generated from approved sources only.

04

Safety scientist review

The PV team reviews in Word — chats with Asthra to refine signal narratives, swap evidence, or pull additional cases. The reasoning behind every flag is auditable.

05

QPPV sign-off & submission

Final draft ships with the audit ledger embedded. The QPPV signs off; the document submits to EudraVigilance, FDA, or PMDA with a complete provenance trail.

Manual vs. Asthra

Where the time goes — and where it goes back.

Manual PSUR drafting

  • 4–8 weeks per PSUR cycle, longer for global products
  • Cumulative-tables assembly across line listings: days of work
  • Signal narratives rewritten manually each period
  • Listedness verified against the CDS line by line
  • QPPV review starts only after the full draft is assembled

PSUR drafting with Asthra

  • +Draft-ready in days; review begins as sections complete
  • +Tables auto-generated from line listings with cell traceability
  • +Signal narratives reuse prior context, regenerated with new data
  • +Listedness check applied at draft time, against the CDS
  • +QPPV reviews while the data is fresh, with full provenance

Pilot Asthra
on a real PSUR.

30-day pilot. Bring one product, one reporting period. We benchmark Asthra's draft against your existing process — line listing to QPPV.