Abstract
A lack of understanding of human biology creates a hurdle for the development of precision medicines. To overcome this hurdle we need to better understand the potential synergy between a given investigational treatment (vs. placebo or active control) and various demographic or genetic factors, disease history and severity, etc., with the goal of identifying those patients at increased “risk” of exhibiting clinically meaningful treatment benefit. For this reason, we propose the VG method, which combines the idea of an individual treatment effect (ITE) from Virtual Twins with the unbiased variable selection and cutoff value determination algorithm from GUIDE. Simulation results show the VG method has less variable selection bias than Virtual Twins and higher statistical power than GUIDE Interaction in the presence of prognostic variables with strong treatment effects. Type I error and predictive performance of Virtual Twins, GUIDE and VG are compared through the use of simulation studies. Results obtained after retrospectively applying VG to data from an Alzheimer’s disease clinical trial also are discussed.
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References
Dusseldorp E, Mechelen IV (2014) Qualitative interaction trees: a tool to identify qualitative treatment-subgroup interaction. Stat Med 33:219–237
Foster JC et al (2016) Permutation testing for treatment–covariate interactions and subgroup identification. Stat Biosci 8(1):77–98
Foster JC, Taylor JM, Ruberg SJ (2011) Subgroup identification from randomized clinical trial data. Stat Med 30:2867–2880
Hochberg Y, Tamhane AC (1987) Multiple comparison procedures. Wiley, Hoboken
Lipkovich I, Dmitrienko A, Denne J, Enas G (2011) Subgroup identification based on differential effect search—a recursive partitioning method for establishing response to treatment in patient subpopulations. Stat Med 30:2601–2621
Loh W-Y (2002) Regression trees with unbiased variable selection and interaction detection. Stat Sin 12:361–386
Loh W-Y, He X, Man M (2015) A regression tree approach to identifying subgroups with differential treatment effects. Stat Med 34:1818–1833
Negassa A et al (2005) Tree-structured subgroup analysis for censored survival data: validation of computationally inexpensive model selection criteria. Stat Comput 15:231–239
Perneczky et al (2006) Mapping scores onto stages: mini-mental state examination and clinical dementia rating. Am J Geriatr Psychiatry 14(2):139–144
Su X et al (2009) Subgroup analysis via recursive partitioning. J Mach Learn Res 10:141–158
Su X et al (2008) Interaction trees with censored survival data. Int J Biostat 4(1):2
Acknowledgement
This manuscript was sponsored by AbbVie. AbbVie contributed to the design, research, and interpretation of data, writing, reviewing, and approving the publication. Jia Jia, and Wangang Xie are employees of AbbVie, Inc. Qi Tang is an employee of Sanofi US, Inc. and a former employee of AbbVie, Inc. We thank Richard Rode, a former AbbVie employee, for reviewing and editing the manuscript.
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Jia, J., Tang, Q., Xie, W. (2020). A Novel Method of Subgroup Identification by Combining Virtual Twins with GUIDE (VG) for Development of Precision Medicines. In: Ting, N., Cappelleri, J., Ho, S., Chen, (G. (eds) Design and Analysis of Subgroups with Biopharmaceutical Applications. Emerging Topics in Statistics and Biostatistics . Springer, Cham. https://doi.org/10.1007/978-3-030-40105-4_7
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DOI: https://doi.org/10.1007/978-3-030-40105-4_7
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