Evaluating the performance of machine‐learning regression models for pharmacokinetic drug–drug interactions

Abstract Combination therapy or concomitant drug administration can be associated with pharmacokinetic drug–drug interactions, increasing the risk of adverse drug events and reduced drug efficacy. Thus far, machine‐learning models have been developed that can classify drug–drug interactions. However...

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Main Authors: Jaidip Gill, Marie Moullet, Anton Martinsson, Filip Miljković, Beth Williamson, Rosalinda H. Arends, Venkatesh Pilla Reddy
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:CPT: Pharmacometrics & Systems Pharmacology
Online Access:https://doi.org/10.1002/psp4.12884
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author Jaidip Gill
Marie Moullet
Anton Martinsson
Filip Miljković
Beth Williamson
Rosalinda H. Arends
Venkatesh Pilla Reddy
author_facet Jaidip Gill
Marie Moullet
Anton Martinsson
Filip Miljković
Beth Williamson
Rosalinda H. Arends
Venkatesh Pilla Reddy
author_sort Jaidip Gill
collection DOAJ
description Abstract Combination therapy or concomitant drug administration can be associated with pharmacokinetic drug–drug interactions, increasing the risk of adverse drug events and reduced drug efficacy. Thus far, machine‐learning models have been developed that can classify drug–drug interactions. However, to enable quantification of the pharmacokinetic effects of a drug–drug interaction, regression‐based machine learning should be explored. Therefore, this study investigated the use of regression‐based machine learning to predict changes in drug exposure caused by pharmacokinetic drug–drug interactions. Fold changes in exposure relative to substrate drug monotherapy were collected from 120 clinical drug–drug interaction studies extracted from the Washington Drug Interaction Database and SimCYP compound library files. Drug characteristics (features) were collected such as structure, physicochemical properties, in vitro pharmacokinetic properties, cytochrome P450 metabolic activity, and population characteristics. Three different regression‐based supervised machine‐learning models were then applied to the prediction task: random forest, elastic net, and support vector regressor. Model performance was evaluated using fivefold cross‐validation. Strongest performance was observed with support vector regression, with 78% of predictions within twofold of the observed exposure changes. The results show that changes in drug exposure can be predicted with reasonable accuracy using regression‐based machine‐learning models trained on data available early in drug discovery. This has potential applications in enabling earlier drug–drug interaction risk assessment for new drug candidates.
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spelling doaj.art-f96ea62fd0d24a9babc7f8349e98ad162023-01-12T12:01:56ZengWileyCPT: Pharmacometrics & Systems Pharmacology2163-83062023-01-0112112213410.1002/psp4.12884Evaluating the performance of machine‐learning regression models for pharmacokinetic drug–drug interactionsJaidip Gill0Marie Moullet1Anton Martinsson2Filip Miljković3Beth Williamson4Rosalinda H. Arends5Venkatesh Pilla Reddy6Clinical Pharmacology and Quantitative Pharmacology Clinical Pharmacology & Safety Sciences, Biopharmaceuticals Research & Development, AstraZeneca Cambridge UKClinical Pharmacology and Quantitative Pharmacology Clinical Pharmacology & Safety Sciences, Biopharmaceuticals Research & Development, AstraZeneca Cambridge UKImaging and Data Analytics Clinical Pharmacology & Safety Sciences, Research & Development, AstraZeneca Gothenburg SwedenImaging and Data Analytics Clinical Pharmacology & Safety Sciences, Research & Development, AstraZeneca Gothenburg SwedenOncology Drug Metabolism and Pharmacokinetics, Research & Development, AstraZeneca Cambridge UKClinical Pharmacology and Quantitative Pharmacology Clinical Pharmacology & Safety Sciences, Biopharmaceuticals, Research & Development, AstraZeneca Gaithersburg Maryland USAClinical Pharmacology and Quantitative Pharmacology Clinical Pharmacology & Safety Sciences, Biopharmaceuticals Research & Development, AstraZeneca Cambridge UKAbstract Combination therapy or concomitant drug administration can be associated with pharmacokinetic drug–drug interactions, increasing the risk of adverse drug events and reduced drug efficacy. Thus far, machine‐learning models have been developed that can classify drug–drug interactions. However, to enable quantification of the pharmacokinetic effects of a drug–drug interaction, regression‐based machine learning should be explored. Therefore, this study investigated the use of regression‐based machine learning to predict changes in drug exposure caused by pharmacokinetic drug–drug interactions. Fold changes in exposure relative to substrate drug monotherapy were collected from 120 clinical drug–drug interaction studies extracted from the Washington Drug Interaction Database and SimCYP compound library files. Drug characteristics (features) were collected such as structure, physicochemical properties, in vitro pharmacokinetic properties, cytochrome P450 metabolic activity, and population characteristics. Three different regression‐based supervised machine‐learning models were then applied to the prediction task: random forest, elastic net, and support vector regressor. Model performance was evaluated using fivefold cross‐validation. Strongest performance was observed with support vector regression, with 78% of predictions within twofold of the observed exposure changes. The results show that changes in drug exposure can be predicted with reasonable accuracy using regression‐based machine‐learning models trained on data available early in drug discovery. This has potential applications in enabling earlier drug–drug interaction risk assessment for new drug candidates.https://doi.org/10.1002/psp4.12884
spellingShingle Jaidip Gill
Marie Moullet
Anton Martinsson
Filip Miljković
Beth Williamson
Rosalinda H. Arends
Venkatesh Pilla Reddy
Evaluating the performance of machine‐learning regression models for pharmacokinetic drug–drug interactions
CPT: Pharmacometrics & Systems Pharmacology
title Evaluating the performance of machine‐learning regression models for pharmacokinetic drug–drug interactions
title_full Evaluating the performance of machine‐learning regression models for pharmacokinetic drug–drug interactions
title_fullStr Evaluating the performance of machine‐learning regression models for pharmacokinetic drug–drug interactions
title_full_unstemmed Evaluating the performance of machine‐learning regression models for pharmacokinetic drug–drug interactions
title_short Evaluating the performance of machine‐learning regression models for pharmacokinetic drug–drug interactions
title_sort evaluating the performance of machine learning regression models for pharmacokinetic drug drug interactions
url https://doi.org/10.1002/psp4.12884
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