|
59 | 59 | pdf: '' |
60 | 60 | url: https://computo-journal.org/published-202606-devijver-scb/ |
61 | 61 | status: published |
| 62 | +- title: Detecting adverse high-order drug combinations from individual case safety reports using computational statistics on disproportionality measures |
| 63 | + name: published-202605-bangard-adverse |
| 64 | + authors: Jules Bangard, Einar Holsbø, Kristian Svendsen, Vittorio Perduca and Étienne Birmelé |
| 65 | + journal: Computo |
| 66 | + doi: 10.57750/7e54-2z98 |
| 67 | + year: 2026 |
| 68 | + date: 2026-07-15 |
| 69 | + description: > |
| 70 | + Adverse drug combination detection using individual case safety reports |
| 71 | + abstract: >- |
| 72 | + Adverse drug reactions linked to the intake of drug |
| 73 | + combinations are a critical concern in pharmacovigilance, |
| 74 | + particularly as the controlled environment of clinical trials often |
| 75 | + lacks the scale and diversity to detect rare events involving |
| 76 | + multiple medications. While spontaneous reporting systems provide |
| 77 | + the necessary breadth for post-market surveillance, identifying |
| 78 | + overrepresented drug cocktails within such large-scale data remains |
| 79 | + a significant computational challenge. This study introduces a |
| 80 | + computational framework for the detection of drug cocktails |
| 81 | + associated with adverse events, leveraging disproportionality |
| 82 | + analysis on individual case safety reports. By integrating the |
| 83 | + Anatomical Therapeutic Chemical classification, the framework |
| 84 | + extends beyond individual drugs to capture hierarchical |
| 85 | + pharmacological relationships, enabling exploration of the space of |
| 86 | + drug combinations beyond pairwise analysis. To address biases |
| 87 | + inherent in existing disproportionality measures, we employ a |
| 88 | + hypergeometric risk metric, while a Markov Chain Monte Carlo |
| 89 | + algorithm provides robust empirical p-value estimation for the risk |
| 90 | + associated with cocktails. A genetic algorithm further facilitates |
| 91 | + efficient identification of high-risk drug cocktails. A |
| 92 | + post-treatment step based on penalized logistic regression allows |
| 93 | + distinguishing true pharmacological interactions from combined |
| 94 | + individual effects for cocktails of any size. Validation on |
| 95 | + synthetic and FDA Adverse Event Reporting System data demonstrates |
| 96 | + the method’s efficacy in detecting established drugs and drug |
| 97 | + combinations associated with myopathy-related adverse events. |
| 98 | + Implemented as an R package, this framework offers a reproducible, |
| 99 | + scalable tool for post-market drug safety surveillance. |
| 100 | + repo: published-202605-bangard-adverse |
| 101 | + bibtex: >+ |
| 102 | + @article{bangard2026, |
| 103 | + author = {Bangard, Jules and Holsbø, Einar and Svendsen, Kristian and |
| 104 | + Perduca, Vittorio and Birmelé, Étienne}, |
| 105 | + publisher = {French Statistical Society}, |
| 106 | + title = {Detecting Adverse High-Order Drug Combinations from |
| 107 | + Individual Case Safety Reports Using Computational Statistics on |
| 108 | + Disproportionality Measures}, |
| 109 | + journal = {Computo}, |
| 110 | + date = {2026-07-15}, |
| 111 | + url = {https://computo-journal.org/published-202605-bangard-adverse/}, |
| 112 | + doi = {10.57750/7e54-2z98}, |
| 113 | + issn = {2824-7795}, |
| 114 | + langid = {en}, |
| 115 | + abstract = {Adverse drug reactions linked to the intake of drug |
| 116 | + combinations are a critical concern in pharmacovigilance, |
| 117 | + particularly as the controlled environment of clinical trials often |
| 118 | + lacks the scale and diversity to detect rare events involving |
| 119 | + multiple medications. While spontaneous reporting systems provide |
| 120 | + the necessary breadth for post-market surveillance, identifying |
| 121 | + overrepresented drug cocktails within such large-scale data remains |
| 122 | + a significant computational challenge. This study introduces a |
| 123 | + computational framework for the detection of drug cocktails |
| 124 | + associated with adverse events, leveraging disproportionality |
| 125 | + analysis on individual case safety reports. By integrating the |
| 126 | + Anatomical Therapeutic Chemical classification, the framework |
| 127 | + extends beyond individual drugs to capture hierarchical |
| 128 | + pharmacological relationships, enabling exploration of the space of |
| 129 | + drug combinations beyond pairwise analysis. To address biases |
| 130 | + inherent in existing disproportionality measures, we employ a |
| 131 | + hypergeometric risk metric, while a Markov Chain Monte Carlo |
| 132 | + algorithm provides robust empirical p-value estimation for the risk |
| 133 | + associated with cocktails. A genetic algorithm further facilitates |
| 134 | + efficient identification of high-risk drug cocktails. A |
| 135 | + post-treatment step based on penalized logistic regression allows |
| 136 | + distinguishing true pharmacological interactions from combined |
| 137 | + individual effects for cocktails of any size. Validation on |
| 138 | + synthetic and FDA Adverse Event Reporting System data demonstrates |
| 139 | + the method’s efficacy in detecting established drugs and drug |
| 140 | + combinations associated with myopathy-related adverse events. |
| 141 | + Implemented as an R package, this framework offers a reproducible, |
| 142 | + scalable tool for post-market drug safety surveillance.} |
| 143 | + } |
| 144 | +
|
| 145 | + pdf: '' |
| 146 | + url: https://computo-journal.org/published-202605-bangard-adverse/ |
| 147 | + status: published |
62 | 148 | - title: Variational inference for approximate objective priors using neural networks |
63 | 149 | name: published-202512-baillie-varp |
64 | 150 | authors: Nils Baillie, Antoine Van Biesbroeck and Clément Gauchy |
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