Evidence map›Paper›PMID 32530430›Full record

ArticleJMIR medical informatics2020

Detecting and Filtering Immune-Related Adverse Events Signal Based on Text Mining and Observational Health Data Sciences and Informatics Common Data Model: Framework Development Study.

Yue Yu, Kathryn Ruddy, Aaron Mansfield, Nansu Zong, Andrew Wen, Shintaro Tsuji, Ming Huang, Hongfang Liu, Nilay Shah, Guoqian Jiang

Abstract read
In one paragraph

Article in JMIR medical informatics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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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

10 authors.

Yue YuDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, United States.ORCID https://orcid.org/0000-0002-3900-1217
Kathryn RuddyDivision of Medical Oncology, Department of Oncology, Mayo Clinic, Rochester, MN, United States.ORCID https://orcid.org/0000-0001-6298-332X
Aaron MansfieldDivision of Medical Oncology, Department of Oncology, Mayo Clinic, Rochester, MN, United States.ORCID https://orcid.org/0000-0002-9483-6903
Nansu ZongDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, United States.ORCID https://orcid.org/0000-0003-0066-9524
Andrew WenDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, United States.ORCID https://orcid.org/0000-0001-9090-8028
Shintaro TsujiDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, United States.ORCID https://orcid.org/0000-0003-2809-2122
Ming HuangDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, United States.ORCID https://orcid.org/0000-0001-7367-3626
Hongfang LiuDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, United States.ORCID https://orcid.org/0000-0003-2570-3741
Nilay ShahDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, United States.ORCID https://orcid.org/0000-0002-8597-3447
Guoqian JiangDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, United States.ORCID https://orcid.org/0000-0003-2940-0019

Funding

Tools for standardizing clinical research metadata using HL7 FHIRU01HG009450 · NHGRI · MAYO CLINIC ROCHESTER · PI JIANG, GUOQIAN · 2016 to 2018
$1.4M
NHGRI NIH HHS U01 HG009450
6 · The paper itself

Abstract

backgroundImmune checkpoint inhibitors are associated with unique immune-related adverse events (irAEs). As most of the immune checkpoint inhibitors are new to the market, it is important to conduct studies using real-world data sources to investigate their safety profiles.

objectiveThe aim of the study was to develop a framework for signal detection and filtration of novel irAEs for 6 Food and Drug Administration-approved immune checkpoint inhibitors.

methodsIn our framework, we first used the Food and Drug Administration's Adverse Event Reporting System (FAERS) standardized in an Observational Health Data Sciences and Informatics (OHDSI) common data model (CDM) to collect immune checkpoint inhibitor-related event data and conducted irAE signal detection. OHDSI CDM is a standard-driven data model that focuses on transforming different databases into a common format and standardizing medical terms to a common representation. We then filtered those already known irAEs from drug labels and literature by using a customized text-mining pipeline based on clinical text analysis and knowledge extraction system with Medical Dictionary for Regulatory Activities (MedDRA) as a dictionary. Finally, we classified the irAE detection results into three different categories to discover potentially new irAE signals.

resultsBy our text-mining pipeline, 490 irAE terms were identified from drug labels, and 918 terms were identified from the literature. In addition, of the 94 positive signals detected using CDM-based FAERS, 53 signals (56%) were labeled signals, 10 (11%) were unlabeled published signals, and 31 (33%) were potentially new signals.

conclusionsWe demonstrated that our approach is effective for irAE signal detection and filtration. Moreover, our CDM-based framework could facilitate adverse drug events detection and filtration toward the goal of next-generation pharmacovigilance that seamlessly integrates electronic health record data for improved signal detection.

Indexed as

adverse drug reaction reporting systems/standardsdrug-related side effects and adverse reactionsimmunotherapy/adverse effectspharmacovigilancetext mining

Identifiers

PMID32530430
PMCPMC7320306

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Registered trials

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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.