artificial intelligence in clinical trials - gov.uk...algorithm “deep learning neural network”...
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Artificial Intelligence in Clinical TrialsMHRA StEM
Jonathan PalmerSenior Director, Product Strategy, Digital TrialsOracle Health Sciences Global Business Unit7 May 2019
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Artificial Intelligence – Embedded in our lives
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Artificial Intelligence & Machine Learning
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Any technique which enables computers to mimic human behavior
AI techniques that give computers the ability to learn without being explicitly programmed to do so A subset of ML which make the
computation of multi-layer neural networks feasible
ARTIFICIAL INTELLIGENCE
MACHINE LEARNING
DEEP LEARNING
1950’s 1960’s 1970’s 1980’s 1990’s 2000’s 2010s
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Artificial Intelligence & Machine Learning
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Mapping to Machine Learning Terms
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Term We used Data scientist might use
Technique Classify (fruit) Classification, clustering, time series. etc.
Algorithm “Deep learning neural network” in your brains Neural network, decision tree, k-means clustering, etc.
Training Data The initial basket of fruitData set supplied by IT, often setup and cleaned up by data scientist
Model This is what identified the fruit Look at the data and score, classify, etc.
Training the model You figured it outAdjust different parameters in response to the data to make it more accurate
Testing the model The left over fruitAlways reserve some data that the model hasn’t seen to test.
Model deployment Sent you to fruit packing lineMake model available to app developers, execs, analytics tools etc.
Model update Brought you back for more trainingBuild a new model or re-train the old on additional data. Must re-deploy
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EKG/ECG – From Bed to Pocket
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Blood Pressure Monitoring – Evolution to Disruption1 in 3 American Adults have High Blood Pressure
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Cuffed Cuffless, Continuous
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Medication Adherence1
Decentralized / Virtual Trial3
2
Real World Evidence / Outcomes4
Remote Patient Monitoring
Digital Therapy5
Investigator
Therapeutic Lead
Clinical Operations
PATIENT
Data Management
Data Scientist
Commercial
Digital Clinical TrialsDisruptive Change is Happening Now
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Medical Coding
• Central medical coding team
– Clinical trial data and PV cases
– Increased workload
– Skilled resources hard to find/train
• AI Solution
– Trained with Bayer data
– Substitutes the Proposer role
–MPC (Bayer core coding platform) sends omission to be coded
– AI returns suggestion
– Coder accepts or overwrites12
Without AI With AI
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Remote Cervical Cancer Screening in Cameroon
• The Problem
– Large country, widely distributed population
– Severe lack of pathologists/medical staff per region
– Ultimate diagnosis too late in disease progression
• AI Solution
–Mobile clinics perform photocervicography
–Magnified real time image stored in database
– AI helps triage images for early detection
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University of Alabama Medical Center & Cameroon Women’s Health Program
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Safety Case Management
• Automated Document Classification
• MedWatch, Literature, VAERS, social media, AE forms, etc
• Classify and Categorize data to identify relationships and signals
• Uses Machine Learning, NLP, Clustering
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Each dot represents a document
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Medication AdherenceIncreased Adherence / Increased Retention / Reduced Fraud
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Medical Ingestion Recognition – AI Cure Smart Pill – Otsuka Abilify
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Increase in device data and self assessments
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UK National Health ServiceDigital Strategy
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• Trial Design
• Recruitment
• Behavioral Analysis
• Real World Evidence
• Medical Sensors
• Assisted Diagnostics
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And more
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Data Complexity vs AI Complexity
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• Blood Pressure
• Daily Step Count
• Pulse per second, 24x7 (86,400 data points per day)
• Documents• Narratives• Medical Records• Medical images
• Medical Records
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• AI/Machine Learning requires training
–Only as good as the training data
• Some use cases more suited than others
– Discrete numeric data easier than unstructured text
• Validation–Methods widely used in other mission critical industries
– Train with broad set of data
– Test with unseen data
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Considerations
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Data Driven Clinical Research needs Data Science
• Adoption of AI/ML/Data Science is critical
– Biosensors
– Medical Records
– Images
– Genomics
– ….
• Augmented Intelligence
– More meaningful way to consider AI
• Patients need better treatments
– Better Science needs Data Science
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