Evidence map›Paper›PMID 25994981›Full record

ArticlePharmaceutical research2015

Generating Virtual Patients by Multivariate and Discrete Re-Sampling Techniques.

D Teutonico, F Musuamba, H J Maas, A Facius, S Yang, M Danhof, O Della Pasqua

Open access · hybridAbstract read
In one paragraph

Article in Pharmaceutical research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
1.8field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 46 citations in OpenAlex.

  1. Copulas for Covariate Simulation in Pharmacometrics.CPT: pharmacometrics & systems pharmacology · 2026
    Article
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  5. Multivariate Normal Distribution Method for a Virtual Cerebral Arterial Population.International journal for numerical methods in biomedical engineering · 2025
    Article
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  7. Review
  8. Information-theoretic evaluation of covariate distributions models.Journal of pharmacokinetics and pharmacodynamics · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

D TeutonicoDivision of Pharmacology, Leiden Academic Centre for Drug Research, Leiden, The Netherlands.
F MusuambaDivision of Pharmacology, Leiden Academic Centre for Drug Research, Leiden, The Netherlands.
H J MaasClinical Pharmacology Modelling & Simulation, GlaxoSmithKline, Stockley Park, Middlesex, UK.
A FaciusDepartment of Pharmacometrics, Nycomed GmbH, Constance, Germany.
S YangClinical Pharmacology Modelling & Simulation, GlaxoSmithKline, Stockley Park, Middlesex, UK.
M DanhofDivision of Pharmacology, Leiden Academic Centre for Drug Research, Leiden, The Netherlands.
O Della PasquaDivision of Pharmacology, Leiden Academic Centre for Drug Research, Leiden, The Netherlands. o.dellapasqua@ucl.ac.uk.
Centre for Human Drug Research · NLGlaxoSmithKline (United Kingdom) · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeClinical Trial Simulations (CTS) are a valuable tool for decision-making during drug development. However, to obtain realistic simulation scenarios, the patients included in the CTS must be representative of the target population. This is particularly important when covariate effects exist that may affect the outcome of a trial. The objective of our investigation was to evaluate and compare CTS results using re-sampling from a population pool and multivariate distributions to simulate patient covariates.

methodsCOPD was selected as paradigm disease for the purposes of our analysis, FEV1 was used as response measure and the effects of a hypothetical intervention were evaluated in different populations in order to assess the predictive performance of the two methods.

resultsOur results show that the multivariate distribution method produces realistic covariate correlations, comparable to the real population. Moreover, it allows simulation of patient characteristics beyond the limits of inclusion and exclusion criteria in historical protocols.

conclusionBoth methods, discrete resampling and multivariate distribution generate realistic pools of virtual patients. However the use of a multivariate distribution enable more flexible simulation scenarios since it is not necessarily bound to the existing covariate combinations in the available clinical data sets.

Indexed as

Computer SimulationAdultAgedAged, 80 and overClinical Trials as TopicDecision MakingFemaleHumansMaleMiddle AgedPulmonary Disease, Chronic Obstructiveclinical trial simulationscovariate effectdemographicsdrug developmentinclusion and exclusion criteriamultivariate distributionre-sampling

Identifiers

PMID25994981
PMCPMC4577546
OpenAlexW1562323213

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.