Evidence map›Paper›PMID 38509224›Full record

ArticleNPJ digital medicine2024

Mimicking clinical trials with synthetic acute myeloid leukemia patients using generative artificial intelligence.

Jan-Niklas Eckardt, Waldemar Hahn, Christoph Röllig, Sebastian Stasik, Uwe Platzbecker, Carsten Müller-Tidow, Hubert Serve, Claudia D Baldus, Christoph Schliemann, Kerstin Schäfer-Eckart and 9 more

Abstract read
In one paragraph

Article in NPJ digital medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
–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

32 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. AI-based augmentation of oncology clinical trials.Nature reviews. Clinical oncology · 2026
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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

19 authors.

Jan-Niklas EckardtDepartment of Internal Medicine I, University Hospital Carl Gustav Carus, Technical University Dresden, Dresden, Germany. jan-niklas.eckardt@uniklinikum-dresden.de.ORCID http://orcid.org/0000-0002-3649-2823
Waldemar HahnCenter for Scalable Data Analytics and Artificial Intelligence (ScaDS.AI) Dresden/Leipzig, Leipzig, Germany.
Christoph RölligDepartment of Internal Medicine I, University Hospital Carl Gustav Carus, Technical University Dresden, Dresden, Germany.
Sebastian StasikDepartment of Internal Medicine I, University Hospital Carl Gustav Carus, Technical University Dresden, Dresden, Germany.
Uwe PlatzbeckerMedical Clinic and Policlinic I Hematology and Cell Therapy, University Hospital, Leipzig, Germany.
Carsten Müller-TidowDepartment of Medicine V, University Hospital Heidelberg, Heidelberg, Germany.
Hubert ServeDepartment of Medicine 2, Hematology and Oncology, Goethe University Frankfurt, Frankfurt, Germany.
Claudia D BaldusDepartment of Hematology and Oncology, University Hospital Schleswig Holstein, Kiel, Germany.
Christoph SchliemannDepartment of Medicine A, University Hospital Münster, Münster, Germany.ORCID http://orcid.org/0000-0003-1755-9583
Kerstin Schäfer-EckartDepartment of Internal Medicine V, Paracelsus Medizinische Privatuniversität and University Hospital Nürnberg, Nürnberg, Germany.
Maher HanounDepartment of Hematology, University Hospital Essen, Essen, Germany.
Martin KaufmannDepartment of Hematology, Oncology and Palliative Care, Robert-Bosch-Hospital, Stuttgart, Germany.
Andreas BurchertDepartment of Hematology, Oncology and Immunology, Philipps-University-Marburg, Marburg, Germany.
Christian ThiedeDepartment of Internal Medicine I, University Hospital Carl Gustav Carus, Technical University Dresden, Dresden, Germany.
Johannes ScheteligDepartment of Internal Medicine I, University Hospital Carl Gustav Carus, Technical University Dresden, Dresden, Germany.
Martin SedlmayrInstitute for Medical Informatics and Biometry, Technical University Dresden, Dresden, Germany.ORCID http://orcid.org/0000-0002-9888-8460
Martin BornhäuserDepartment of Internal Medicine I, University Hospital Carl Gustav Carus, Technical University Dresden, Dresden, Germany.ORCID http://orcid.org/0000-0002-5916-3029
Markus WolfienCenter for Scalable Data Analytics and Artificial Intelligence (ScaDS.AI) Dresden/Leipzig, Leipzig, Germany.
Jan Moritz MiddekeDepartment of Internal Medicine I, University Hospital Carl Gustav Carus, Technical University Dresden, Dresden, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clinical research relies on high-quality patient data, however, obtaining big data sets is costly and access to existing data is often hindered by privacy and regulatory concerns. Synthetic data generation holds the promise of effectively bypassing these boundaries allowing for simplified data accessibility and the prospect of synthetic control cohorts. We employed two different methodologies of generative artificial intelligence - CTAB-GAN+ and normalizing flows (NFlow) - to synthesize patient data derived from 1606 patients with acute myeloid leukemia, a heterogeneous hematological malignancy, that were treated within four multicenter clinical trials. Both generative models accurately captured distributions of demographic, laboratory, molecular and cytogenetic variables, as well as patient outcomes yielding high performance scores regarding fidelity and usability of both synthetic cohorts (n = 1606 each). Survival analysis demonstrated close resemblance of survival curves between original and synthetic cohorts. Inter-variable relationships were preserved in univariable outcome analysis enabling explorative analysis in our synthetic data. Additionally, training sample privacy is safeguarded mitigating possible patient re-identification, which we quantified using Hamming distances. We provide not only a proof-of-concept for synthetic data generation in multimodal clinical data for rare diseases, but also full public access to synthetic data sets to foster further research.

Identifiers

PMID38509224
PMCPMC10954666

What OpenQuestion holds

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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.