AnzarSeha

ALCOA+

By Dr Rida Akodad · Publication director · Updated 22 August 2026

ALCOA+ is a checklist, not an enforceable standard. It enumerates the nine properties data must hold for a third party to rely on it — and its virtue is making visible, point by point, what ordinary collection leaves to chance.

Where it comes from

The ALCOA acronym emerged in 1990s US pharmaceutical inspection as a mnemonic for judging how trial data was kept. The "+" adds four attributes formalised later. The list was never a regulatory text: it became the common grammar in which inspectors, sponsors and methodologists discuss data integrity.

It stays useful outside regulated trials — in a thesis, a departmental registry, a retrospective study — because the questions it asks are the ones a reviewer will ask anyway.

The original five

AttributeRequirementThe question that tests it
AttributableIt is known who produced the data, and whenWho entered this value on 12 March?
LegibleThe data reads, today and in ten yearsDoes this file still open without the original software?
ContemporaneousRecorded at the moment of observationWas this taken on the day of the consultation, or the night before analysis?
OriginalThe first source exists, or a certified copyWhere does this figure come from — the record, or a transcription?
AccurateThe data matches the observationWhat does the source document say?

The most frequently betrayed of the five is contemporaneous. Transcribing at the end of a study values observed along the way produces a dataset that looks clean and has lost what gave it value: the coincidence between observation and record.

The four in the "+"

  • Complete. Nothing was removed silently. A discarded value stays visible, with the reason for discarding it — that is the difference between cleaning a dataset and arranging it.
  • Consistent. Dates order correctly, units do not change from row to row, the same variable means the same thing throughout.
  • Enduring. The data outlives its medium, its software, and the person who entered it.
  • Available. It can be found and re-read on request — an inaccessible dataset cannot be verified.

What a spreadsheet satisfies, and what it cannot

The exercise is instructive, because a spreadsheet is the tool actually used in most work.

AttributeShared spreadsheetWhy
AttributableNoA cell says neither who wrote it nor when
LegibleYesThe format reads widely
ContemporaneousNot verifiableNothing distinguishes a same-day entry from a retrospective one
OriginalNoThe value is transcribed, and the link to the source is lost
AccurateNot verifiableNo bounds, no type: "250" goes in where "25.0" was expected
CompleteNoA deleted row leaves no trace
ConsistentNoNothing stops a unit changing mid-column
EnduringPartlyThe file survives; its successive versions do not
AvailableYesAs long as someone knows where it is

In AnzarSeha

Every value carries its origin — registry, rule, model or human review — and every action enters the log with its author and timestamp. The database lock fixes the analysed state, and the audit trail hash-chains events, so that a past entry cannot be rewritten without the chain showing it.

Applicable frameworks

ICH E6(R3) addresses trial data integrity and traceability, and is the text ALCOA+ serves as a mnemonic for. The FAIR principles cover availability and reuse; the GDPR separately imposes retention periods that bound "enduring".

Sources and standards