On the brink of transformation
Clinical research
Keywords:
artificial intelligence, pharmacovigilance, clinical research, health, ADRAbstract
The research on drug development life cycle and bringing sole new drug to the market is a million dollar question for pharmaceutical organization. Any clinical trial consumes average of 10 to 15 years and USD 1.5-2.0 billion with uncertainty of medications for its effectiveness for human use. Hardly, one out of 10 compounds entering into the clinical trial that reaches to the market rendering a major loss to pharmaceutical or biotech company in case of trial failure. Conversely, with changing time and an increase in the number of medicines approved by regulatory authorities, the regulatory teams are increasing networks for monitoring and assembling adverse event reports from varied sources. This in turn, has increases annual exponential rise in data volumes and the companies are facing a huge challenge in processing it. To meet such challenges, organizations must sharpen their ability to introduce new wearables for clinical trials and provide advanced cognitive solution to handle large and complex datasets. This has summoned concepts like Artificial Intelligence to expedite medical science and clinical trial and pharmacovigilance attain success.
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Abatemarco, D., Perera, S., Bao, S. (2018). Training Augmented Intelligent Capabilities for Pharmacovigilance: Applying Deep-learning Approaches to Individual Case Safety Report Processing. Pharmaceutical Medicine, 32(6), 391-401. 10.1007/s40290-018-0251-9.
Agrafiotis, D.K., Lobanov, V.S., Farnum, M.A., Yang, E., Ciervo, J., Walega, M., Baumgart, A., Mackey, A.J. (2018 July). Risk-based Monitoring of Clinical Trials: An Integrative Approach. Clinical Therapeutics, 40(7), 1204-1212. https://doi.org/10.1016/j.clinthera.2018.04.020.
Alexander, M., Solomon, B., Ball, D.L., Sheerin, M., Dankwa-Mullan, I., Preininger, A.M., Jackson, G.P., Herath, D.M. (2020 July). Evaluation of an artificial intelligence clinical trial matching system in Australian lung cancer patients, JAMIA Open, 3(2), 209-215. https://doi.org/10.1093/jamiaopen/ooaa002.
Ali, Z., Zibert, J.R., Thomsen, S.F. (2020). Virtual Clinical Trials: Perspectives in Dermatology. Dermatology, 236, 375-382. 10.1159/000506418.
ArisGlobal. (2018). From Push to Pull – Making the Triage of Adverse Events Downloaded from EMA Hassle Free Available online at: https://www.arisglobal.com/push-to-pull-making-triage-of-adverse-events-downloaded-from-ema-hassle-free/ (Accessed on 2nd August 2019).
Babel, A., Taneja, R., Mondello Malvestiti, F., Monaco, A., Donde, S. (2021 June). Artificial Intelligence Solutions to Increase Medication Adherence in Patients With Non-communicable Diseases. Front Digit Health, 3, 669869. 10.3389/fdgth.2021.669869.
Bain, E.E., Shafner, L., Walling, D.P., Othman, A.A., Chuang-Stein, C., Hinkle, J., Hanina, A. (2017 February). Use of a Novel Artificial Intelligence Platform on Mobile Devices to Assess Dosing Compliance in a Phase 2 Clinical Trial in Subjects With Schizophrenia. JMIR Mhealth Uhealth., 21, 5(2), e18. 10.2196/mhealth.7030.
Bakkar, N., Kovalik, T., Lorenzini, I., Spangler, S., Lacoste, A., Sponaugle, K., Ferrante, P., Argentinis, E., Sattler, R., Bowser, R. (2018 February). Artificial intelligence in neurodegenerative disease research: use of IBM Watson to identify additional RNA-binding proteins altered in amyotrophic lateral sclerosis. Acta Neuropathol, 135(2), 227–247. https://doi.org/10.1007/s00401-017-1785-8.
Bandodkar, A., Wang, J. (2014). Non-invasive wearable electrochemical sensors: a review. Trends In Biotechnology, 32(7), 363-371. 10.1016/j.tibtech.2014.04.005.
Bhattacharya, M., Snyder, S., Malin, M. (2017). Using Social Media Data in Routine Pharmacovigilance: A Pilot Study to Identify Safety Signals and Patient Perspectives. Pharmaceutical Medicine, 31(3), 167-174. 10.1007/s40290-017-0186-6.
Bhatt, A. (2021). Artificial intelligence in managing clinical trial design and conduct: Man and machine still on the learning curve? Perspect Clin Res., 12(1),1-3. 10.4103/picr.PICR_312_20.
Chunara, R., Andrews, J., Brownstein, J. (2012). Social and News Media Enable Estimation of Epidemiological Patterns Early in the 2010 Haitian Cholera Outbreak. The American Journal of Tropical Medicine And Hygiene, 86(1), 39-45. 10.4269/ajtmh.2012.11-0597.
Coloma, P., Becker, B., Sturkenboom, M. (2015). Evaluating Social Media Networks in Medicines Safety Surveillance: Two Case Studies. Drug Safety, 38(10), 921-930. 10.1007/s40264-015-0333-5.
Comfort, S., Perera, S., Hudson, Z. (2018). Sorting Through the Safety Data Haystack: Using Machine Learning to Identify Individual Case Safety Reports in Social-Digital Media. Drug Safety, 41(6), 579-590. 10.1007/s40264-018-0641-7.
Davies, M. (2008). Listening to consumers in a highly regulated environment: how pharmaceutical manufacturers can leverage consumer-generated media. Available online at: http://blog.nielsen.com/nielsenwire/wp-content/uploads/2009/11/Nielsen-Online-HealthcarePractice_Social-Media-Adverse-Event-Reporting_nov09.pdf (Accessed on 2nd August 2019).
Dhinakaran, M., Phasinam, K., Alanya-Beltran, J., Srivastava, K., Babu, V., Singh, S.K. (2022). A System of Remote Patients’ Monitoring and Alerting Using the Machine Learning Technique. Journal of Food Quality, Article ID 6274092. https://doi.org/10.1155/2022/6274092.
European Medicines Agency (EMA). (2022). EV reporting process users: EV Gateway, WEB-Trader, EV-post functions training module. Available online at: https://www.ema.europa.eu/en/documents/presentation/presentation-ev-reporting-process-users-ev-gateway-web-trader-ev-post-functions-training-module-ev_en.pdf (Accessed on 2nd April 2022).
European Union. (2019). Available online at: https://ec.europa.eu/digital-single-market/en/glossary (Accessed on 2nd August 2019).
Fisher, A., McKenney, J. (1993). The development of the ERMA banking system: lessons from history. IEEE Annals of The History Of Computing, 15(1), 44-57. 10.1109/85.194091
Fred, P. Accenture: Artificial Intelligence Healthcare Market to Reach $6.6B by 2021. (2017 June). Available online at: https://hitconsultant.net/2017/06/23/artificial-intelligence-healthcare-market-acn/ (Accessed on 15th March 2022).
Glass, L., Shorter, G., Patil, R. (2019). Five Ways to Enhance Clinical Operational Efficiencies Utilizing AI. Available online at: https://www.contractpharma.com/contents/view_experts-opinion/2019-10-21/five-ways-to-enhance-clinical-operational-efficiencies-utilizing-ai/#_ftn1 (Accessed on 23rd March 2022).
Haddad, T., Helgeson, J.M., Pomerleau, K.E., Preininger, A.M., Roebuck, M.C., Dankwa-Mullan, I., Jackson, G.P., Goetz, M.P. (2021 March). Accuracy of an Artificial Intelligence System for Cancer Clinical Trial Eligibility Screening: Retrospective Pilot Study. JMIR Med Inform., 9(3), e27767. 10.2196/27767.
Harrer, S., Shah, P., Antony, B., Hu, J. (2019 August). Artificial Intelligence for Clinical Trial Design. Trends in Pharmacological Sciences, 40(8), P577-591. https://doi.org/10.1016/j.tips.2019.05.005
Leaman, R., Wojtulewicz, L., Sullivan, R. (2010). Towards internet-age pharmacovigilance: extracting adverse drug reactions from user posts to health-related social networks. In 2010 workshop on biomedical natural language processing, 117-25.
Liu, X., Cruz Rivera, S., Moher, D., Calvert, M.J., Denniston, A.K., SPIRIT-AI and CONSORT-AI Working Group. (2020 September). Reporting guidelines for clinical trial reports for interventions involving artificial intelligence: the CONSORT-AI extension. Nat Med., 26(9), 1364-1374. 10.1038/s41591-020-1034-x.
Mitchel, J.T., Gittleman, D., Schloss Markowitz, J.M., Cho, T., Kim, Y.J., Choi, J., Hamrell, M.R., Nora, S.D., Carrara, D. (2014). Time to change the clinical trial monitoring paradigm: results from a multicenter clinical trial using a quality by design methodology, risk-based monitoring and real-time direct data entry. Appl Clin Trials, Available online at: http://www.appliedclinicaltrialsonline.com/time-change-clinical-trial-monitoring-paradigm (Accessed on 31st March 2022).
Mitchel, J.T., Kim, Y.J., Choi, J., Park, G., Cappi, S., Horn, D., Kist, M., D’Agostino, R.B. (2011). Evaluation of Data Entry Errors and Data Changes to an Electronic Data Capture Clinical Trial Database. Drug Information Journal, 45(4), 421-430. 10.1177/009286151104500404.
Narayanasetty, S., Jallu, R. (2021). A Review on Virtual Clinical Trials: The Future. Int. J. Pharm. Sci. Rev. Res., 68(1), 111-116. http://dx.doi.org/10.47583/ijpsrr.2021.v68i01.019.
Nayak, V.S., Khan, M.S., Shukla, B.K., Chaturvedi, P.R. (2016). Artificial intelligence in clinical research. Int J Clin Trials, 3(4), 187-93.
Nestor, B., McDermott, M.B.A., Chauhan, G., Naumann, T., Hughes, M.C., Goldenberg, A., Ghassemi, M. (2018 November). Rethinking clinical prediction: Why machine learning must consider year of care and feature aggregation. 32nd Conference on Neural Information Processing Systems (NeurIPS 2018), Montréal, Canada. https://doi.org/10.48550/arXiv.1811.12583.
Nikfarjam, A., Gonzalez, G.H. (2011). Pattern mining for extraction of mentions of Adverse Drug Reactions from user comments. AMIA Annu Symp Proc. 2011, 1019-1026.
Pandian, P., Mohanavelu, K., Safeer, K. (2008). Smart Vest: Wearable multi-parameter remote physiological monitoring system. Medical Engineering & Physics, 30(4), 466-477. 10.1016/j.medengphy.2007.05.014.
Raizada, M. (2018). Digitally transformed pharmacovigilance. Available online at: http://www.navitaslifesciences.com/collaterals/Whitepapers/WP-Digitally_transformed_pharmacovigilance.pdf. (Accessed on 2nd August 2019).
Rivera, S.C., Liu, X., Chan, A.W., Denniston, A.K., Calvert, M.J., SPIRIT-AI and CONSORT-AI Working Group. (2020 September). Guidelines for clinical trial protocols for interventions involving artificial intelligence: the SPIRIT-AI Extension. BMJ., 9, 370, m3210. 10.1136/bmj.m3210.
Simmering, J., Polgreen, L., Polgreen, P. (2014). Web search query volume as a measure of pharmaceutical utilization and changes in prescribing patterns. Research In Social And Administrative Pharmacy, 10(6), 896-903. 10.1016/j.sapharm.2014.01.003.
Spangler, S., Wilkins, A.D., Bachman, B.J., Nagarajan, M., Dayaram, T., Haas, P., Regenbogen, S., Pickering, C.R., Comer, A., Myers, J.N., Stanoi, I., Kato, L., Lelescu, A., Labrie, J.J., Parikh, N., Lisewski, A.M., Donehower, L., Chen, Y., Lichtarge, O. (2014 August). Automated hypothesis generation based on mining scientific literature. Proceedings of the 20th ACM SIGKDD international conference on Knowledge discovery and data mining. 1877–1886. https://doi.org/10.1145/2623330.2623667.
Sparkes, S. (2018). The Role of Artificial Intelligence within Pharmacovigilance and Medical information. Aris Global. Available online at: https://www.arisglobal.com (Accessed on 2nd March 2019).
Tantsyura, V., McCanless Dunn, I., Fendt, K., Kim, Y.J., Waters, J., Mitchel, J. (2015). Risk-based monitoring: a closer look at source document verification, queries, study size effects and data quality. Ther Inno. Regul Sci., 49, 903-910. https://doi.org/10.1177/2168479015586001.
Taylor, K., Properzi, F., Cruz, M.J. (2020). Intelligent clinical trials Transforming through AI-enabled engagement. Available online at: https://www2.deloitte.com/us/en/insights/industry/life-sciences/artificial-intelligence-in-clinical-trials.html/#endnote-sup-5 (Accessed on 31st Mar. 2022).
WEB-RADR. (2019). WEB-RADR: Recognising Adverse Drug Reactions. Available online at: http://web-radr.eu/ (Accessed on 2nd August 2019).
Weissler, E.H., Naumann, T., Andersson, T., Ranganath, R., Elemento, O., Luo, Y., Freitag, D.F., Benoit, J., Hughes, M.C., Khan, F., Slater, P., Shameer, K., Roe, M., Hutchison, E., Kollins, S.H., Broedl, U., Meng, Z., Wong, J.L., Curtis, L., Huang, E., Ghassemi, M. (2021). The role of machine learning in clinical research: transforming the future of evidence generation. Trials 22, 537. https://doi.org/10.1186/s13063-021-05489-x.
Wiens, J., Saria, S., Sendak, M., Ghassemi, M., Liu, V.X., Doshi-Velez, F., Jung, K., Heller, K., Kale, D., Saeed, M., Ossorio, P.N., Thadaney-Israni, S., Goldenberg, A. (2019 September). Do no harm: a roadmap for responsible machine learning for health care. Nat Med., 25(9), 1337-40. https://doi.org/10.1038/s41591-019-0548-6.
Wong, C.H., Siah, K.W., Lo, A.W. (2019 April). Estimation of clinical trial success rates and related parameters. Biostatistics, 20(2), 273-286. https://doi.org/10.1093/biostatistics/kxx069.
Yang, F., Heng, J., Li, K., Wang, J. (2021 March). The new Good Clinical Practice-2020 in China: Views from ethical perspective. The Lancet, 8, 100117. https://doi.org/10.1016/j.lanwpc.2021.100117.
Yates, A., Goharian, N. (2013). ADRTrace: Detecting Expected and Unexpected Adverse Drug Reactions from User Reviews on Social Media Sites. In: ,et al. Advances in Information Retrieval. ECIR 2013. Lecture Notes in Computer Science, vol 7814. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-36973-5_92
Yilmaz, T., Foster, R., Hao, Y. (2010). Detecting Vital Signs with Wearable Wireless Sensors. Sensors, 10(12), 10837-10862. 10.3390/s101210837.
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