Evidence map›Paper›PMID 40804048›Full record

ArticleNature communications2025

FedECA: federated external control arms for causal inference with time-to-event data in distributed settings.

Jean Ogier du Terrail, Quentin Klopfenstein, Honghao Li, Imke Mayer, Nicolas Loiseau, Mohammad Hallal, Michael Debouver, Thibault Camalon, Thibault Fouqueray, Jorge Arellano Castro and 15 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

25 authors.

Jean Ogier du Terrail *Owkin, Inc., New York, NY, USA. jean.duterrail.scientific.contact@gmail.com.ORCID http://orcid.org/0000-0001-6320-819X
Quentin Klopfenstein *Owkin, Inc., New York, NY, USA.
Honghao Li *Owkin, Inc., New York, NY, USA.
Imke MayerOwkin, Inc., New York, NY, USA.
Nicolas LoiseauOwkin, Inc., New York, NY, USA.
Mohammad HallalOwkin, Inc., New York, NY, USA.ORCID http://orcid.org/0000-0003-1624-9647
Michael DebouverOwkin, Inc., New York, NY, USA.
Thibault CamalonOwkin, Inc., New York, NY, USA.
Thibault FouquerayOwkin, Inc., New York, NY, USA.
Jorge Arellano CastroOwkin, Inc., New York, NY, USA.
Zahia YanesOwkin, Inc., New York, NY, USA.
Laëtitia DahanDepartment of Digestive Oncology, Hôpital la Timone, Marseille, France.
Julien TaïebGI oncology department Georges Pompidou European Hospital, Université Paris Cité, CARPEM CCC, 20 rue leblanc 75015 Paris, APHP, Paris, France.ORCID http://orcid.org/0000-0002-9955-4753
Pierre Laurent-PuigCentre de Recherche des Cordeliers, Sorbonne Université, Inserm, Université Paris Cité, Paris, France.ORCID http://orcid.org/0000-0001-8475-5459
Jean-Baptiste BachetSorbonne University, Hepatogastroenterology and digestive oncology department, Pitié Salpêtrière hospital, APHP, Paris, France.ORCID http://orcid.org/0000-0003-4337-286X
Shulin ZhaoCentre de Recherche des Cordeliers, Sorbonne Université, Inserm, Université Paris Cité, Paris, France.ORCID http://orcid.org/0000-0001-8233-0115
Remy NicolleUniversité Paris Cité, Centre de Recherche sur l'Inflammation (CRI), INSERM, U1149, CNRS, ERL 8252, F-75018, Paris, France.ORCID http://orcid.org/0000-0001-8084-1173
Jérôme CrosDepartment of Pathology, Université Paris Cité - FHU MOSAIC, Beaujon Hospital, Clichy, France.ORCID http://orcid.org/0000-0002-4935-3865
Daniel GonzalezFédération Francophone de Cancérologie Digestive, Dijon, France.ORCID http://orcid.org/0000-0002-6530-2355
Robert Carreras-TorresInstitut d'Investigació Biomèdica de Girona (IDIBGI), Girona, Catalonia, Spain.ORCID http://orcid.org/0000-0002-2925-734X
Adelaida Garcia VelascoInstitut d'Investigació Biomèdica de Girona (IDIBGI), Girona, Catalonia, Spain.ORCID http://orcid.org/0000-0001-8388-0522
Kawther AbdillehPancreatic Cancer Action Network, El Segundo, CA, USA.
Sudheer DossPancreatic Cancer Action Network, El Segundo, CA, USA.
Félix BalazardOwkin, Inc., New York, NY, USA.ORCID http://orcid.org/0000-0003-3336-0128
Mathieu AndreuxOwkin, Inc., New York, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

External control arms can inform early clinical development of experimental drugs and provide efficacy evidence for regulatory approval. However, accessing sufficient real-world or historical clinical trials data is challenging. Indeed, regulations protecting patients' rights by strictly controlling data processing make pooling data from multiple sources in a central server often difficult. To address these limitations, we develop a method that leverages federated learning to enable inverse probability of treatment weighting for time-to-event outcomes on separate cohorts without needing to pool data. To showcase its potential, we apply it in different settings of increasing complexity, culminating with a real-world use-case in which our method is used to compare the treatment effect of two approved chemotherapy regimens using data from three separate cohorts of patients with metastatic pancreatic cancer. By sharing our code, we hope it will foster the creation of federated research networks and thus accelerate drug development.

Indexed as

Data MiningFederated LearningHumansPancreatic Neoplasms

Identifiers

PMID40804048
PMCPMC12350967

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.