Evidence map›Paper›PMID 40413299›Full record

ArticleNPJ digital medicine2025

Advancing efficacy prediction for electronic health records based emulated trials in repurposing heart failure therapies.

Nansu Zong, Shaika Chowdhury, Shibo Zhou, Sivaraman Rajaganapathy, Yue Yu, Liewei Wang, Qiying Dai, Pengyang Li, Xiaoke Liu, Suzette J Bielinski and 3 more

Abstract read
In one paragraph

Article in NPJ digital medicine, 2025. 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.

  1. Review
  2. Review
  3. Article
  4. Review
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Nansu Zong *Department of Artificial Intelligence and Informatics Research, Mayo Clinic, Rochester, MN, USA. Zong.Nansu@mayo.edu.
Shaika Chowdhury *Department of Artificial Intelligence and Informatics Research, Mayo Clinic, Rochester, MN, USA.
Shibo Zhou *Department of Artificial Intelligence and Informatics Research, Mayo Clinic, Rochester, MN, USA.
Sivaraman RajaganapathyDepartment of Artificial Intelligence and Informatics Research, Mayo Clinic, Rochester, MN, USA.
Yue YuDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, MN, USA.
Liewei WangDepartment of Molecular Pharmacology and Experimental Therapeutics, Mayo Clinic, Rochester, MN, USA.
Qiying DaiDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA.
Pengyang LiDivision of Cardiology, Pauley Heart Center, Virginia Commonwealth University, Richmond, VA, USA.
Xiaoke LiuDivision of Community Cardiology, Department of Cardiovascular Medicine, La Crosse, Wisconsin, WI, USA.
Suzette J BielinskiDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, MN, USA.
Jun ChenDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, MN, USA.
Yongbin ChenDepartment of Biochemistry and Molecular Biology, Mayo Clinic, Rochester, MN, USA.ORCID http://orcid.org/0000-0001-9359-6525
James R CerhanDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, MN, USA.ORCID http://orcid.org/0000-0002-7482-178X

Funding

BOND: Benchmarking based on heterogeneous biOmedical Network and Deep learning novel drug-target associationsR00GM135488 · NIGMS · MAYO CLINIC ROCHESTER · PI ZONG, NANSU · 2021 to 2023
$747k
BOND: Benchmarking based on heterogeneous biOmedical Network and Deep learning novel drug-target associationsK99GM135488 · NIGMS · MAYO CLINIC ROCHESTER · PI ZONG, NANSU · 2020 to 2021
$108k
NIGMS NIH HHS K99 GM135488NIGMS NIH HHS R00 GM135488U.S. Department of Health & Human Services | NIH | National Institute of General Medical Sciences (NIGMS) R00GM135488
6 · The paper itself

Abstract

The complexities inherent in EHR data create discrepancies between real-world evidence and RCTs, posing substantial challenges in determining whether a treatment is likely to have a beneficial impact compared to the standard of care in RCTs. The objective of this study is to enhance the prediction of efficacy direction for repurposed drugs tested in RCTs for heart failure (HF). To achieve this, we propose an efficacy direction prediction framework that integrates drug-target predictions with EHR-based Emulation Trials (ET) to derive surrogate endpoints for prediction using HF prognostic markers. Our validation of the proposed novel drug-target prediction model against the BETA benchmark demonstrates superior performance, surpassing existing baseline algorithms. Furthermore, an evaluation of our framework in identifying 17 repurposed drugs-derived from 266 phase 3 HF RCTs-using data from 59,000 patients at the Mayo Clinic highlights its remarkable predictive accuracy.

Identifiers

PMID40413299
PMCPMC12103528

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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.