Evidence map›Paper›PMID 40450151›Full record

ArticleNPJ digital medicine2025

From trial data to personalized medicine: a validated framework with an application to Crohn's disease.

Vivek A Rudrapatna, Vignesh G Ravindranath, Douglas V Arneson, Arman Mosenia, Atul J Butte, Shan Wang

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. Article
  2. Review
  3. Article
  4. Review
  5. Review
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

6 authors.

Vivek A RudrapatnaDivision of Gastroenterology, Department of Medicine, University of California, San Francisco, CA, USA. vivek.rudrapatna@ucsf.edu.ORCID http://orcid.org/0000-0003-1789-3004
Vignesh G RavindranathBakar Computational Health Sciences Institute, University of California, San Francisco, CA, USA.
Douglas V ArnesonBakar Computational Health Sciences Institute, University of California, San Francisco, CA, USA.
Arman MoseniaSchool of Medicine, University of California, San Francisco, CA, USA.
Atul J ButteBakar Computational Health Sciences Institute, University of California, San Francisco, CA, USA.ORCID http://orcid.org/0000-0002-7433-2740
Shan WangDepartment of Mathematics and Statistics, University of San Francisco, San Francisco, CA, USA. swang151@usfca.edu.

Funding

Clinical and Translational Science InstituteUL1TR001872 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI COLLARD, HAROLD R, JACOBY, VANESSA · 2016 to 2025
$112.1M
TRAINING PROGRAM IN DISGESTIVE DISEASES AND NUTRITIONT32DK007007 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI AVERIL I MA · 1986 to 2026
$6.4M
A data science framework for transforming electronic health records into real-world evidenceR00LM014099 · NLM · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Vivek Ashok Rudrapatna · 2025 to 2026
$498k
A data science framework for transforming electronic health records into real-world evidenceK99LM014099 · NLM · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI RUDRAPATNA, VIVEK ASHOK · 2023 to 2024
$178k
NCATS NIH HHS UL1 TR001872NIDDK NIH HHS T32 DK007007NLM NIH HHS K99 LM014099NLM NIH HHS R00 LM014099U.S. Department of Health & Human Services | NIH | National Center for Advancing Translational Sciences (NCATS) TR001872U.S. Department of Health & Human Services | NIH | National Institute of Diabetes and Digestive and Kidney Diseases (National Institute of Diabetes & Digestive & Kidney Diseases) 5T32DK007007U.S. Department of Health & Human Services | NIH | U.S. National Library of Medicine (NLM) K99LM014099
6 · The paper itself

Abstract

Clinical practice is currently guided by studies that average over patient outcomes. This may not be the best approach, as different patients may have different treatment responses. Here we extend a method for simulating clinical trials to identify optimal treatments for each patient, and we illustrate this approach in the context of Crohn's disease. Using the data from 15 randomized trials (N = 5703), we used statistical hypothesis testing to identify seven subgroups with distinct responses to three different drug classes. The largest subgroup consisted of patients with equivocal responses to all drug classes, whereas the second largest showed superiority with anti-TNFs. We also identified a subgroup of women over 50 with superior responses to anti-IL-12/23s. Interestingly, this group appeared under-represented in the trials (2%) compared to patients at the University of California (25%). Overall, these results underscore the importance of studying personalized medicine, demonstrate the value of clinical trial data, and provide a roadmap for applying this method broadly across diseases. These results also highlight the importance of diverse and representative recruitment into clinical trials.

Identifiers

PMID40450151
PMCPMC12126477

What OpenQuestion holds

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LicenceCC BY
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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.