Evidence map›Paper›PMID 32565027›Full record

ArticleEBioMedicine2020

Machine learning guided association of adverse drug reactions with in vitro target-based pharmacology.

Robert Ietswaart, Seda Arat, Amanda X Chen, Saman Farahmand, Bumjun Kim, William DuMouchel, Duncan Armstrong, Alexander Fekete, Jeffrey J Sutherland, Laszlo Urban

Open access · goldAbstract read
In one paragraph

Article in EBioMedicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
6.8field-weighted citation impact, top 3% 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

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 77 citations in OpenAlex.

  1. Pooled it
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  6. Review
  7. Applications of Artificial Intelligence in Drug Repurposing.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
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  10. Clinical Pharmacology of Asciminib: A Review.Clinical pharmacokinetics · 2024
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  12. Xenobiotica; the fate of foreign compounds in biological systems · 2024
    Review
  13. Review
  14. Acta pharmaceutica Sinica. B · 2024
    Article
  15. Article
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  19. Review
  20. Evaluation of four machine learning models for signal detection.Therapeutic advances in drug safety · 2023
    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

10 authors at 9 institutions in 3 countries.

Robert IetswaartDepartment of Genetics, Blavatnik Institute, Harvard Medical School, Boston, MA 02115, United States. Electronic address: robert_ietswaart@hms.harvard.edu.
Seda AratThe Jackson Laboratory, Farmington, CT 06032, United States. Electronic address: seda8arat@gmail.com.
Amanda X ChenDavid H. Koch Institute for Integrative Cancer Research, Massachusetts Institute of Technology, Cambridge, MA 02142, United States; Department of Biological Engineering, Massachusetts Institute of Technology, Cambridge, MA 02139, United States.
Saman FarahmandComputational Sciences PhD program, University of Massachusetts Boston, Boston, MA 02125, United States.
Bumjun KimDepartment of Chemical Engineering, Northeastern University, Boston, MA 02115, United States.
William DuMouchelOracle Health Sciences, Burlington, MA 01803, United States.
Duncan ArmstrongNovartis Institutes for Biomedical Research, Cambridge, MA 02139, United States.
Alexander FeketeNovartis Institutes for Biomedical Research, Cambridge, MA 02139, United States.
Jeffrey J SutherlandNovartis Institutes for Biomedical Research, Cambridge, MA 02139, United States. Electronic address: jeffrey.sutherland@novartis.com.
Laszlo UrbanNovartis Institutes for Biomedical Research, Cambridge, MA 02139, United States. Electronic address: laszlo.urban@novartis.com.
Novartis (United States) · USHarvard University · USJackson Laboratory · USMassachusetts Institute of Technology · USNortheastern University · USNovartis (China) · CNNovartis (Switzerland) · CHOracle (United States) · USUniversity of Massachusetts Boston · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdverse drug reactions (ADRs) are one of the leading causes of morbidity and mortality in health care. Understanding which drug targets are linked to ADRs can lead to the development of safer medicines.

methodsHere, we analyse in vitro secondary pharmacology of common (off) targets for 2134 marketed drugs. To associate these drugs with human ADRs, we utilized FDA Adverse Event Reports and developed random forest models that predict ADR occurrences from in vitro pharmacological profiles.

findingsBy evaluating Gini importance scores of model features, we identify 221 target-ADR associations, which co-occur in PubMed abstracts to a greater extent than expected by chance. Amongst these are established relations, such as the association of in vitro hERG binding with cardiac arrhythmias, which further validate our machine learning approach. Evidence on bile acid metabolism supports our identification of associations between the Bile Salt Export Pump and renal, thyroid, lipid metabolism, respiratory tract and central nervous system disorders. Unexpectedly, our model suggests PDE3 is associated with 40 ADRs.

interpretationThese associations provide a comprehensive resource to support drug development and human biology studies.

fundingThis study was not supported by any formal funding bodies.

Indexed as

Machine LearningDrug-Related Side Effects and Adverse ReactionsHumansPubMedAdverse drug reactionsAdverse event reportDrug discovery & developmentDrug safetyFAERSMachine learningSecondary pharmacologystatistical modeling

Identifiers

PMID32565027
PMCPMC7379147
OpenAlexW3035943921

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.