Scientific article
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English

Deep learning-based risk prediction for interventional clinical trials based on protocol design: A retrospective study

Published inPatterns, vol. 4, no. 3, 100689
Publication date2023-03-10
First online date2023-02-10
Abstract

Success rate of clinical trials (CTs) is low, with the protocol design itself being considered a major risk factor. We aimed to investigate the use of deep learning methods to predict the risk of CTs based on their protocols. Considering protocol changes and their final status, a retrospective risk assignment method was proposed to label CTs according to low, medium, and high risk levels. Then, transformer and graph neural networks were designed and combined in an ensemble model to learn to infer the ternary risk categories. The ensemble model achieved robust performance (area under the receiving operator characteristic curve [AUROC] of 0.8453 [95% confidence interval: 0.8409–0.8495]), similar to the individual architectures but significantly outperforming a baseline based on bag-of-words features (0.7548 [0.7493–0.7603] AUROC). We demonstrate the potential of deep learning in predicting the risk of CTs from their protocols, paving the way for customized risk mitigation strategies during protocol design.

Keywords
  • Clinical trials
  • Risk prediction
  • Deep learning
  • Graph neural networks
  • Transformer-based language models
  • Neural language models
  • Text classification
  • Text mining
Funding
  • Swiss Innovation Agency – Innosuisse [41013.1 IP-ICT]
Citation (ISO format)
FERDOWSI, Sohrab et al. Deep learning-based risk prediction for interventional clinical trials based on protocol design: A retrospective study. In: Patterns, 2023, vol. 4, n° 3, p. 100689. doi: 10.1016/j.patter.2023.100689
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Article (Published version)
Identifiers
Journal ISSN2666-3899
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115downloads

Technical informations

Creation20/02/2023 13:18:07
First validation06/04/2023 17:09:47
Update06/04/2023 17:09:47
Status update06/04/2023 17:09:47
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