Bayesian credible subgroup identification for treatment effectiveness in time-to-event data.

Due to differential treatment responses of patients to pharmacotherapy, drug development and practice in medicine are concerned with personalized medicine, which includes identifying subgroups of population that exhibit differential treatment effect. For time-to-event data, available methods only fo...

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Main Authors: Duy Ngo, Richard Baumgartner, Shahrul Mt-Isa, Dai Feng, Jie Chen, Patrick Schnell
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2020-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0229336
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author Duy Ngo
Richard Baumgartner
Shahrul Mt-Isa
Dai Feng
Jie Chen
Patrick Schnell
author_facet Duy Ngo
Richard Baumgartner
Shahrul Mt-Isa
Dai Feng
Jie Chen
Patrick Schnell
author_sort Duy Ngo
collection DOAJ
description Due to differential treatment responses of patients to pharmacotherapy, drug development and practice in medicine are concerned with personalized medicine, which includes identifying subgroups of population that exhibit differential treatment effect. For time-to-event data, available methods only focus on detecting and testing treatment-by-covariate interactions and may not consider multiplicity. In this work, we introduce the Bayesian credible subgroups approach for time-to-event endpoints. It provides two bounding subgroups for the true benefiting subgroup: one which is likely to be contained by the benefiting subgroup and one which is likely to contain the benefiting subgroup. A personalized treatment effect is estimated by two common measures of survival time: the hazard ratio and restricted mean survival time. We apply the method to identify benefiting subgroups in a case study of prostate carcinoma patients and a simulated large clinical dataset.
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spelling doaj.art-5228bcb3e2d4437ea842319c5a2ce7ac2022-12-21T19:52:50ZengPublic Library of Science (PLoS)PLoS ONE1932-62032020-01-01152e022933610.1371/journal.pone.0229336Bayesian credible subgroup identification for treatment effectiveness in time-to-event data.Duy NgoRichard BaumgartnerShahrul Mt-IsaDai FengJie ChenPatrick SchnellDue to differential treatment responses of patients to pharmacotherapy, drug development and practice in medicine are concerned with personalized medicine, which includes identifying subgroups of population that exhibit differential treatment effect. For time-to-event data, available methods only focus on detecting and testing treatment-by-covariate interactions and may not consider multiplicity. In this work, we introduce the Bayesian credible subgroups approach for time-to-event endpoints. It provides two bounding subgroups for the true benefiting subgroup: one which is likely to be contained by the benefiting subgroup and one which is likely to contain the benefiting subgroup. A personalized treatment effect is estimated by two common measures of survival time: the hazard ratio and restricted mean survival time. We apply the method to identify benefiting subgroups in a case study of prostate carcinoma patients and a simulated large clinical dataset.https://doi.org/10.1371/journal.pone.0229336
spellingShingle Duy Ngo
Richard Baumgartner
Shahrul Mt-Isa
Dai Feng
Jie Chen
Patrick Schnell
Bayesian credible subgroup identification for treatment effectiveness in time-to-event data.
PLoS ONE
title Bayesian credible subgroup identification for treatment effectiveness in time-to-event data.
title_full Bayesian credible subgroup identification for treatment effectiveness in time-to-event data.
title_fullStr Bayesian credible subgroup identification for treatment effectiveness in time-to-event data.
title_full_unstemmed Bayesian credible subgroup identification for treatment effectiveness in time-to-event data.
title_short Bayesian credible subgroup identification for treatment effectiveness in time-to-event data.
title_sort bayesian credible subgroup identification for treatment effectiveness in time to event data
url https://doi.org/10.1371/journal.pone.0229336
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