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Term of the Day

Natural history study

A natural history study is a preplanned observational study intended to track the course of a disease over time, identifying demographic, genetic, environmental and other variables that correlate with its development and outcomes in the absence of intervention, or under standard of care. Designs may be retrospective (chart review of existing records) or prospective (longitudinal follow-up of a cohort or registry).

Natural history data is particularly important in rare and paediatric diseases, where randomised placebo-controlled trials may be infeasible or unethical. The FDA (guidance on rare disease natural history studies, 2019) and the EMA accept well-designed natural history studies to define endpoints and biomarkers, identify patient subgroups, estimate sample sizes and, in some cases, serve as external or historical control arms for single-arm trials supporting orphan products.

Because they are non-interventional, natural history studies fall outside the CTR and are governed by national law (for example France's MR-003 or MR-004 reference methodologies) and by the GDPR. They typically involve secondary use of medical records, long-term follow-up, genetic data and small populations in which anonymisation is rarely achievable, so pseudonymisation, a DPIA and a robust research legal basis under Art. 9(2)(j) are essential. Registries maintained by patient organisations or academic consortia raise additional questions of joint controllership and data access governance.

S

Security breach (security incident)

A security breach is an event in which a stated organisational policy or legal requirement regarding information security has been violated, or in which the confidentiality, integrity or availability of information or systems has been compromised. In practice organisations distinguish a security event (an observable occurrence), a security incident (an event that has or may have compromised security and requires response) and a confirmed breach. Every breach starts as an incident; not every incident becomes a breach.

A security breach becomes a personal data breach under Art. 4(12) GDPR only where personal data is actually affected, in which case the 72-hour notification clock of Art. 33 starts when the controller becomes aware with reasonable certainty. Incidents affecting systems that hold no personal data (for example a research server holding only anonymised aggregates, or manufacturing systems) are security breaches without being personal data breaches, but they may still trigger other duties: reporting of significant incidents within 24 hours (early warning) and 72 hours under the NIS2 Directive for entities in the health sector, reporting of cybersecurity incidents affecting medical devices under the MDR vigilance system, and, for clinical trials, serious breach reporting under Art. 52 CTR where trial integrity or subject safety is affected.

Life sciences organisations are attractive targets for ransomware and intellectual property theft, and their incident response plans should therefore integrate the GDPR, NIS2, MDR and GCP assessment paths into a single triage. ISO 27001 and ISO 27035 provide the management framework; the ENISA methodology supports severity assessment of the personal data component. Vendor contracts should define incident notification timelines (typically 24 to 48 hours to the sponsor) so that downstream regulatory deadlines can be met.

Is every security incident a reportable personal data breach?

No. First establish whether personal data confidentiality, integrity or availability has been compromised. Then assess the risk to individuals and the relevant notification duties. Under EU GDPR Article 33, notification to the authority is required unless the breach is unlikely to result in a risk; record the assessment rather than reporting or dismissing incidents automatically.