多源数据整合的贝叶斯框架--应用于临床前研究的人体外推。

IF 1.6 3区 医学 Q3 HEALTH CARE SCIENCES & SERVICES Statistical Methods in Medical Research Pub Date : 2024-04-01 Epub Date: 2024-03-06 DOI:10.1177/09622802241231493
Sandrine Boulet, Moreno Ursino, Robin Michelet, Linda Bs Aulin, Charlotte Kloft, Emmanuelle Comets, Sarah Zohar
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引用次数: 0

摘要

在临床前研究中,例如在体外、体内和硅学研究中,对药物的药代动力学、药效学和毒理学特征进行评估,然后再进行首次人体试验。通常,每项研究都是独立分析的,人体剂量范围并不能充分利用从所有研究中获得的知识。通过推论程序将所有临床前数据考虑在内,对于获得更精确、更可靠的起始剂量和剂量范围尤为重要。我们的目标是为多源数据整合提出一个贝叶斯框架,该框架可根据具体研究问题进行定制。我们的重点是将临床前结果推断到人体,从而预测人体的相关数量(如最大耐受剂量等)。我们建立了一种方法,分为四个步骤,分别基于每项研究的顺序参数估计、人体外推法、后验分布之间的可比性检查和最终信息合并,以提高估算精度。我们根据肿瘤学的实际案例,通过广泛的模拟研究对新框架进行了评估。与标准框架相比,我们的方法能更好地利用所有信息,减少预测的不确定性,并有可能提高剂量选择的效率。
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Bayesian framework for multi-source data integration-Application to human extrapolation from preclinical studies.

In preclinical investigations, for example, in in vitro, in vivo, and in silico studies, the pharmacokinetic, pharmacodynamic, and toxicological characteristics of a drug are evaluated before advancing to first-in-man trial. Usually, each study is analyzed independently and the human dose range does not leverage the knowledge gained from all studies. Taking into account all preclinical data through inferential procedures can be particularly interesting in obtaining a more precise and reliable starting dose and dose range. Our objective is to propose a Bayesian framework for multi-source data integration, customizable, and tailored to the specific research question. We focused on preclinical results extrapolated to humans, which allowed us to predict the quantities of interest (e.g. maximum tolerated dose, etc.) in humans. We build an approach, divided into four steps, based on a sequential parameter estimation for each study, extrapolation to human, commensurability checking between posterior distributions and final information merging to increase the precision of estimation. The new framework is evaluated via an extensive simulation study, based on a real-life example in oncology. Our approach allows us to better use all the information compared to a standard framework, reducing uncertainty in the predictions and potentially leading to a more efficient dose selection.

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来源期刊
Statistical Methods in Medical Research
Statistical Methods in Medical Research 医学-数学与计算生物学
CiteScore
4.10
自引率
4.30%
发文量
127
审稿时长
>12 weeks
期刊介绍: Statistical Methods in Medical Research is a peer reviewed scholarly journal and is the leading vehicle for articles in all the main areas of medical statistics and an essential reference for all medical statisticians. This unique journal is devoted solely to statistics and medicine and aims to keep professionals abreast of the many powerful statistical techniques now available to the medical profession. This journal is a member of the Committee on Publication Ethics (COPE)
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