Unlocking the potential of synthetic patients for accelerating clinical trials: Results of the first GIMEMA experience on acute myeloid leukemia patients

EJHaem Pub Date : 2024-03-15 DOI:10.1002/jha2.873
Alfonso Piciocchi, Marta Cipriani, Monica Messina, Giovanni Marconi, Valentina Arena, Stefano Soddu, Enrico Crea, Maria Valeria Feraco, Marco Ferrante, Edoardo La Sala, Paola Fazi, Francesco Buccisano, Maria Teresa Voso, Giovanni Martinelli, Adriano Venditti, Marco Vignetti
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Abstract

Artificial Intelligence has the potential to reshape the landscape of clinical trials through innovative applications, with a notable advancement being the emergence of synthetic patient generation. This process involves simulating cohorts of virtual patients that can either replace or supplement real individuals within trial settings. By leveraging synthetic patients, it becomes possible to eliminate the need for obtaining patient consent and creating control groups that mimic patients in active treatment arms. This method not only streamlines trial processes, reducing time and costs but also fortifies the protection of sensitive participant data. Furthermore, integrating synthetic patients amplifies trial efficiency by expanding the sample size. These straightforward and cost-effective methods also enable the development of personalized subject-specific models, enabling predictions of patient responses to interventions. Synthetic data holds great promise for generating real-world evidence in clinical trials while upholding rigorous confidentiality standards throughout the process. Therefore, this study aims to demonstrate the applicability and performance of these methods in the context of onco-hematological research, breaking through the theoretical and practical barriers associated with the implementation of artificial intelligence in medical trials.

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释放合成患者的潜力,加速临床试验:急性髓性白血病患者的首次 GIMEMA 经验结果
人工智能有可能通过创新应用重塑临床试验的格局,其中一个显著的进步就是合成病人生成技术的出现。这一过程包括模拟虚拟患者群组,它们可以在试验环境中替代或补充真实个体。通过利用合成患者,就可以省去征得患者同意和创建对照组的环节,从而模拟积极治疗组中的患者。这种方法不仅能简化试验流程,减少时间和成本,还能加强对敏感参与者数据的保护。此外,整合合成患者还能扩大样本量,从而提高试验效率。这些简单易行、成本效益高的方法还有助于开发个性化的特定受试者模型,从而预测患者对干预措施的反应。合成数据在临床试验中生成真实世界证据方面大有可为,同时在整个过程中坚持严格的保密标准。因此,本研究旨在证明这些方法在肿瘤血液学研究中的适用性和性能,突破与在医学试验中实施人工智能相关的理论和实践障碍。
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