Evidence map›Paper›PMID 31929188›Full record

ReviewThe Journal of clinical investigation2020

The promise and reality of therapeutic discovery from large cohorts.

Eugene Melamud, D Leland Taylor, Anurag Sethi, Madeleine Cule, Anastasia Baryshnikova, Danish Saleheen, Nick van Bruggen, Garret A FitzGerald

Abstract readReview
In one paragraph

Review in The Journal of clinical investigation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Can genetics guide exercise prescriptions in osteoarthritis?Frontiers in rehabilitation sciences · 2022
    Article
  6. Review
  7. Article
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

8 authors.

Eugene MelamudCalico Life Sciences LLC, South San Francisco, California, USA.
D Leland TaylorCalico Life Sciences LLC, South San Francisco, California, USA.
Anurag SethiCalico Life Sciences LLC, South San Francisco, California, USA.
Madeleine CuleCalico Life Sciences LLC, South San Francisco, California, USA.
Anastasia BaryshnikovaCalico Life Sciences LLC, South San Francisco, California, USA.
Danish SaleheenDepartment of Genetics and.
Nick van BruggenCalico Life Sciences LLC, South San Francisco, California, USA.
Garret A FitzGeraldInstitute for Translational Medicine and Therapeutics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Funding

Atherosclerosis, Prostaglandin Inhibition and Checkpoint BlockadeR01HL141912 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2019 to 2022
$2.6M
NHLBI NIH HHS R01 HL141912Wellcome Trust
6 · The paper itself

Abstract

Technological advances in rapid data acquisition have transformed medical biology into a data mining field, where new data sets are routinely dissected and analyzed by statistical models of ever-increasing complexity. Many hypotheses can be generated and tested within a single large data set, and even small effects can be statistically discriminated from a sea of noise. On the other hand, the development of therapeutic interventions moves at a much slower pace. They are determined from carefully randomized and well-controlled experiments with explicitly stated outcomes as the principal mechanism by which a single hypothesis is tested. In this paradigm, only a small fraction of interventions can be tested, and an even smaller fraction are ultimately deemed therapeutically successful. In this Review, we propose strategies to leverage large-cohort data to inform the selection of targets and the design of randomized trials of novel therapeutics. Ultimately, the incorporation of big data and experimental medicine approaches should aim to reduce the failure rate of clinical trials as well as expedite and lower the cost of drug development.

Indexed as

Big DataBiomedical ResearchCohort StudiesModels, StatisticalRandomized Controlled Trials as TopicHumans

Identifiers

PMID31929188
PMCPMC6994121

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.