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Unifying Citations, Cross-Checks and Human Sign-Off for Accountable AI-Assisted CSR Authoring
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The Challenge
Reviewers and auditors cannot see where a CSR statement came from or how AI was used. Protocol amendments, SAP updates and TLF reruns arrive without a record of which CSR text depends on them, so amendment references risk going stale. Review runs sequentially, writer → biostatistics → clinical review, and consistency is checked by reading.
Key Challenges
- AI use isn’t on the record: Nothing shows which statements AI produced, what they rest on, or how reliable they are.
- Oversight spread across handoffs: Writer → biostatistics → clinical review leaves approval split across people and versions.
- Checks leave no trace: Cross-document consistency is verified by reading, with no record of what was checked.
- Numbers lack a verification record: About 150 TLFs are retyped into Sections 10–12 and hand-checked, with no proof of verification.
Our Solution
CSR Studio lets Regulatory Operations and QA adopt AI in CSR authoring without giving up control. Writers keep authorship, and a human approves every section before it moves on.
Every claim answerable:
Each statement and number is cited to study data, so a regulatory question (FDA, EMA, PMDA) points straight to its source.
Amendments stay current:
Stale protocol and amendment references are flagged before the CSR goes forward.
Independent verification:
A separate cross-check confirms every citation against the source value.
Automated QC before review:
Deterministic checks catch numeric mismatches and inconsistencies, so reviewers see a cleaner draft.
Risk-based review:
High / Medium / Low confidence ratings and SME routing direct effort to flagged items.
The Outcomes
Defensible Submissions:
100% of numeric statements are designed to be traceable to source, so Regulatory Operations can answer regulator questions with evidence.
Controls QA Can Rely On:
An independent cross-check and deterministic QC verify claims before they reach a reviewer.
Human Accountability at Every Gate:
5 checkpoints mean no section finalizes without sign-off, and 6 AI agents stay inside that workflow.
Review Where It Matters:
Confidence ratings and SME routing focus reviewer attention on flagged items.

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