medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2021,
Volume and Issue:
unknown
Published: July 2, 2021
Abstract
Objectives
We
aimed
to
harness
IDentif.AI
2.0,
a
clinically
actionable
AI
platform
rapidly
pinpoint
and
prioritize
optimal
combination
therapy
regimens
against
COVID-19.
Methods
A
pool
of
starting
candidate
therapies
was
developed
in
collaboration
with
community
infectious
disease
clinicians
included
EIDD-1931
(metabolite
EIDD-2801),
baricitinib,
ebselen,
selinexor,
masitinib,
nafamostat
mesylate,
telaprevir
(VX-950),
SN-38
irinotecan),
imatinib
remdesivir,
lopinavir,
ritonavir.
Following
the
initial
drug
assessment,
focused,
6-drug
interrogated
at
3
dosing
levels
per
representing
nearly
10,000
possible
regimens.
2.0
paired
prospective,
experimental
validation
multi-drug
efficacy
on
SARS-CoV-2
live
virus
(propagated,
original
strain,
B.1.351
B.1.617.2
variants)
Vero
E6
assay
quadratic
optimization
workflow.
Results
Within
weeks,
realized
list
regimens,
ranked
by
efficacy,
for
clinical
go/no-go
regimen
recommendations.
revealed
be
strong
upon
which
multiple
combinations
can
derived.
Conclusions
promising
translation.
It
pinpointed
dose-dependent
synergy
behavior
play
role
trial
design
realizing
positive
treatment
outcomes.
represents
an
path
towards
optimizing
following
pandemic
emergence.
Graphical
Highlights
-
When
novel
pathogens
emerge,
immediate
strategy
is
repurpose
drugs.
Good
drugs
delivered
together
suboptimal
doses
yield
low
or
no
leading
misperception
that
are
ineffective.
does
not
use
silico
modeling
pre-existing
data.
pairs
prospectively
acquired
data
using
SARS-CoV-2/Vero
assay.
pinpoints
as
foundation
optimized
anti-SARS-CoV-2
therapies.
Pharmacological Research,
Journal Year:
2023,
Volume and Issue:
189, P. 106706 - 106706
Published: Feb. 20, 2023
Liver
cancers
are
the
fourth
leading
cause
of
cancer-related
mortality
worldwide.
In
past
decade,
breakthroughs
in
field
artificial
intelligence
(AI)
have
inspired
development
algorithms
cancer
setting.
A
growing
body
recent
studies
evaluated
machine
learning
(ML)
and
deep
(DL)
for
pre-screening,
diagnosis
management
liver
patients
through
diagnostic
image
analysis,
biomarker
discovery
predicting
personalized
clinical
outcomes.
Despite
promise
these
early
AI
tools,
there
is
a
significant
need
to
explain
'black
box'
work
towards
deployment
enable
ultimate
translatability.
Certain
emerging
fields
such
as
RNA
nanomedicine
targeted
therapy
may
also
benefit
from
application
AI,
specifically
nano-formulation
research
given
that
they
still
largely
reliant
on
lengthy
trial-and-error
experiments.
this
paper,
we
put
forward
current
landscape
along
with
challenges
management.
Finally,
discussed
future
perspectives
how
multidisciplinary
approach
using
could
accelerate
transition
medicine
bench
side
clinic.
American Society of Clinical Oncology Educational Book,
Journal Year:
2023,
Volume and Issue:
43
Published: May 1, 2023
Recently,
a
wide
spectrum
of
artificial
intelligence
(AI)–based
applications
in
the
broader
categories
digital
pathology,
biomarker
development,
and
treatment
have
been
explored.
In
domain
these
included
novel
analytical
strategies
for
realizing
new
information
derived
from
standard
histology
to
guide
selection
development
predict
response.
therapeutics,
AI-driven
drug
target
discovery,
design
repurposing,
combination
regimen
optimization,
modulated
dosing,
beyond.
Given
continued
advances
that
are
emerging,
it
is
important
develop
workflows
seamlessly
combine
various
segments
AI
innovation
comprehensively
augment
diagnostic
interventional
arsenal
clinical
oncology
community.
To
overcome
challenges
remain
with
regard
ideation,
validation,
deployment
oncology,
recommendations
toward
bringing
this
workflow
fruition
also
provided
clinical,
engineering,
implementation,
health
care
economics
considerations.
Ultimately,
work
proposes
frameworks
can
potentially
integrate
domains
sustainable
adoption
practice-changing
by
community
drive
improved
patient
outcomes.
Advanced Therapeutics,
Journal Year:
2024,
Volume and Issue:
7(3)
Published: Jan. 12, 2024
Abstract
Antimicrobial
resistance
challenges
the
sustainability
of
healthcare
systems
and
results
in
substantial
economic
losses
worldwide.
This
issue
is
further
aggravated
by
paucity
new
drugs
treatment
options.
In
this
study,
an
artificial
intelligence
(AI)‐derived
platform
termed
IDentif.AI
utilized
to
accelerate
development
effective
therapeutic
options
for
carbapenem‐resistant
Enterobacteriaceae
(CRE).
Twelve
Food
Drug
Administration‐approved
are
selected
vitro
inhibitory
efficacy
155
combinations
consisting
various
determined
at
different
concentrations
against
both
Klebsiella
pneumoniae
Escherichia
coli
.
Correlating
these
experimental
data
via
AI‐derived
relationship,
rapidly
determines
a
ranked
list
drug
search
space
over
half
million
possible
combinations.
Meropenem
found
strongly
synergize
with
low
doses
anticancer
bleomycin,
showing
broad‐spectrum,
bactericidal
activity
nine
isolates
across
three
CRE
species
rich
minimal
media
no
synergistic
cytotoxicity
on
mammalian
cells.
Synergy
also
detected
between
bleomycin
other
key
carbapenems
clinical
use
(imipenem,
ertapenem).
Bleomycin/carbapenem
appears
be
promising
combination
therapy
treating
infections.
shows
profound
capability
identifying
pan‐active
family
bacteria
through
surveying
strains
from
parallel.
Advanced Intelligent Systems,
Journal Year:
2022,
Volume and Issue:
4(9)
Published: May 26, 2022
Worldwide,
digital
medicine
technologies
are
being
developed
at
a
rapid
rate.
While
these
offer
the
potential
to
transform
and
revolutionize
health
care,
many
risk
of
stalling
remaining
in
pilot
stage,
known
as
“pilotitis,”
thus
never
reaching
true
potential.
Therefore,
overcoming
“pilotitis”
increase
uptake
is
global
concern.
To
date,
several
authors
have
proposed
solutions
overcome
various
barriers
owing
technologies,
such
regulatory
frameworks
patients’
data
ownership;
however,
areas
require
further
consideration.
This
perspective
piece
identifies
three
adoption
implementation
proposes
approaches
for
how
them.
Addressing
may
provide
pathway
success
improve
patient
outcomes
efficiency
healthcare
delivery.
npj Digital Medicine,
Journal Year:
2022,
Volume and Issue:
5(1)
Published: June 30, 2022
IDentif.AI-x,
a
clinically
actionable
artificial
intelligence
platform,
was
used
to
rapidly
pinpoint
and
prioritize
optimal
combination
therapies
against
COVID-19
by
pairing
prospective,
experimental
validation
of
multi-drug
efficacy
on
SARS-CoV-2
live
virus
Vero
E6
assay
with
quadratic
optimization
workflow.
A
starting
pool
12
candidate
drugs
developed
in
collaboration
community
infectious
disease
clinicians
first
narrowed
down
six-drug
then
interrogated
50
regimens
at
three
dosing
levels
per
drug,
representing
729
possible
combinations.
IDentif.AI-x
revealed
EIDD-1931
be
strong
upon
which
multiple
drug
combinations
can
derived,
pinpointed
number
interactions,
were
further
reconfirmed
variants
B.1.351
(Beta)
B.1.617.2
(Delta).
prioritized
promising
for
clinical
translation
immediately
adjusted
re-executed
new
an
path
towards
optimizing
therapy
following
pandemic
emergence.
PLoS Computational Biology,
Journal Year:
2024,
Volume and Issue:
20(3), P. e1011247 - e1011247
Published: March 1, 2024
The
advancements
in
next-generation
sequencing
have
made
it
possible
to
effectively
detect
somatic
mutations,
which
has
led
the
development
of
personalized
neoantigen
cancer
vaccines
that
are
tailored
unique
variants
found
a
patient’s
cancer.
These
can
provide
significant
clinical
benefit
by
leveraging
immune
response
eliminate
malignant
cells.
However,
determining
optimal
vaccine
dose
for
each
patient
is
challenge
due
heterogeneity
tumors.
To
address
this
challenge,
we
formulate
mathematical
optimization
problem
based
on
previous
model
encompasses
cascade
produced
patient.
We
propose
an
approach
identify
doses,
considering
fixed
vaccination
schedule,
while
simultaneously
minimizing
overall
number
tumor
and
activated
T
validate
our
approach,
perform
silico
experiments
six
real-world
trial
patients
with
advanced
melanoma.
compare
results
applying
those
suboptimal
(the
used
its
deviations).
Our
simulations
reveal
regimen
higher
initial
doses
lower
final
may
lead
reduction
size
certain
patients.
offers
promising
improving
outcomes.
Singapore Medical Journal,
Journal Year:
2024,
Volume and Issue:
65(3), P. 167 - 175
Published: March 1, 2024
Abstract
The
fields
of
precision
and
personalised
medicine
have
led
to
promising
advances
in
tailoring
treatment
individual
patients.
Examples
include
genome/molecular
alteration-guided
drug
selection,
single-patient
gene
therapy
design
synergy-based
combination
development,
these
approaches
can
yield
substantially
diverse
recommendations.
Therefore,
it
is
important
define
each
domain
delineate
their
commonalities
differences
an
effort
develop
novel
clinical
trial
designs,
streamline
workflow
rethink
regulatory
considerations,
create
value
healthcare
economics
assessments,
other
factors.
These
segments
are
essential
recognise
the
diversity
within
domains
accelerate
respective
workflows
towards
practice-changing
healthcare.
To
emphasise
points,
this
article
elaborates
on
concept
digital
health
medicine-enabled
N-of-1
medicine,
which
individualises
regimen
dosing
using
a
patient’s
own
data.
We
will
conclude
with
recommendations
for
consideration
when
developing
based
emerging
digital-based
platforms.
Abstract
Background
Standard‐of‐care
for
warfarin
dose
titration
is
conventionally
based
on
physician‐guided
drug
dosing.
This
may
lead
to
frequent
deviations
from
target
international
normalized
ratio
(INR)
due
inter‐
and
intra‐patient
variability
potentially
result
in
adverse
events
including
recurrent
thromboembolism
life‐threatening
hemorrhage.
Objectives
We
aim
employ
CURATE.AI,
a
small‐data,
artificial
intelligence‐derived
platform
that
has
been
clinically
validated
range
of
indications,
optimize
guide
Patients/methods
A
personalized
CURATE.AI
response
profile
was
generated
using
(inputs)
corresponding
change
INR
between
two
consecutive
days
(phenotypic
outputs)
used
identify
recommend
an
optimal
achieve
treatment
outcomes.
CURATE.AI's
predictive
performance
then
evaluated
with
set
metrics
assessed
both
technical
clinical
relevance.
Results
conclusions
In
this
retrospective
study
127
patients,
fared
better
terms
Percentage
Absolute
Prediction
Error
20%
compared
other
models
the
literature.
It
also
had
negligible
underprediction
bias,
translating
into
lower
bleeding
risk.
Modeled
potential
time
therapeutic
not
significantly
different
dosing,
so
it
on‐par
yet
provides
systematic
approach
easing
mental‐burden
guesswork
by
physicians.
lays
groundwork
prospective
as
decision
support
system.
facilitate
effective
use
affordable
well‐established
safety
profile,
without
need
costly,
new
oral
anticoagulants.
can
have
significant
impact
individual
public
health.