Effective visualization of integrated knowledge and data to enable informed decisions in drug development and translational medicine
Open accessAbstract
Integrative understanding of preclinical and clinical data is imperative to enable informed decisions and reduce the attrition rate during drug development. The volume and variety of data generated during drug development have increased tremendously. A new information model and visualization tool was developed to effectively utilize all available data and current knowledge. The Knowledge Plot integrates preclinical, clinical, efficacy and safety data by adding two concepts: knowledge from the different disciplines and protein binding.Internal and public available data were gathered and processed to allow flexible and interactive visualizations. The exposure was expressed as the unbound concentration of the compound and the treatment effect was normalized and scaled by including expert opinion on what a biologically meaningful treatment effect would be.The Knowledge Plot has been applied both retrospectively and prospectively in project teams in a number of different therapeutic areas, resulting in closer collaboration between multiple disciplines discussing both preclinical and clinical data. The Plot allows head to head comparisons of compounds and was used to support Candidate Drug selections and differentiation from comparators and competitors, back translation of clinical data, understanding the predictability of preclinical models and assays, reviewing drift in primary endpoints over the years, and evaluate or benchmark compounds in due diligence comparing multiple attributes.The Knowledge Plot concept allows flexible integration and visualization of relevant data for interpretation in order to enable scientific and informed decision-making in various stages of drug development. The concept can be used for communication, decision-making, knowledge management, and as a forward and back translational tool, that will result in an improved understanding of the competitive edge for a particular project or disease area portfolio. In addition, it also builds up a knowledge and translational continuum, which in turn will reduce the attrition rate and costs of clinical development by identifying poor candidates early.
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The new version of the guideline does not introduce any specific outline of nonclinical safety studies needed to support first-in-human studies, because relevant information is provided by ICH guidelines.
“The new version of the guideline does not introduce any specific outline of the nonclinical safety studies needed to support FIH studies, since the relevant information is provided by the well-established overarching nonclinical ICH guidelines (ICH M3 [16], S6 [21] and S9 [22]).”
From Commentary on the <scp>EMA Guideline</scp> on strategies to identify and mitigate risks for first‐in‐human and early clinical trials with investigational medicinal products (2018) · cites this paper as [16]
The Results passages discuss visualization of preclinical safety data and early clinical studies, not the content of a revised guideline. Searches for first-in-human nonclinical safety requirements and ICH M3, S6, and S9 found no passage addressing why a guideline omits an outline of those studies. Page numbers were not available in our copy. (LLM, conf=0.77)
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Cites
Donepezil for dementia due to Alzheimer’s disease.
Birks, J. S., & Harvey, R. J. (2018) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd001190.pub3 · Cited by 1,200 · see citing works
Morgan, P., Van Der Graaf, P. H., Arrowsmith, J., Feltner, D. E., Drummond, K. S., Wegner, C. D., & Street, S. D. A. (2012) · Drug Discovery Today · doi:10.1016/j.drudis.2011.12.020 · Cited by 692 · see citing works
NCI Thesaurus: A semantic model integrating cancer-related clinical and molecular information
Sioutos, N., de Coronado, S., Haber, M. W., Hartel, F. W., Shaiu, W.-L., & Wright, L. W. (2006) · Journal of Biomedical Informatics · doi:10.1016/j.jbi.2006.02.013 · Cited by 444 · see citing works
Translational research: understanding the continuum from bench to bedside
Drolet, B. C., & Lorenzi, N. M. (2010) · Translational research · doi:10.1016/j.trsl.2010.10.002 · Cited by 373 · see citing works
Donepezil for dementia due to Alzheimer's disease
Birks, J., & Harvey, R. J. (2006) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd001190.pub2 · Cited by 285 · see citing works
Efficacy of Donepezil in Early-Stage Alzheimer Disease
Seltzer, B. (2004) · Archives of Neurology · doi:10.1001/archneur.61.12.1852 · Cited by 256 · see citing works
Assessing the translatability of drug projects: what needs to be scored to predict success?
Wehling, M. (2009) · Nature Reviews Drug Discovery · doi:10.1038/nrd2898 · Cited by 119 · see citing works
Gabrielsson, J., Dolgos, H., Gillberg, P., Bredberg, U., Benthem, B., & Duker, G. (2009) · Drug Discovery Today · doi:10.1016/j.drudis.2008.12.011 · Cited by 104 · see citing works
Effective knowledge management in translational medicine
Szalma, S., Koka, V. N., Khasanova, T., & Perakslis, E. D. (2010) · Journal of Translational Medicine · doi:10.1186/1479-5876-8-68 · Cited by 97 · see citing works
Automatic medical encoding with SNOMED categories
Ruch, P., Gobeill, J., Lovis, C., & Geissbühler, A. (2008) · BMC Medical Informatics and Decision Making · doi:10.1186/1472-6947-8-s1-s6 · Cited by 79 · see citing works
Translational medicine: can it really facilitate the transition of research “from bench to bedside”?
Wehling, M. (2005) · European Journal of Clinical Pharmacology · doi:10.1007/s00228-005-0060-4 · Cited by 70 · see citing works
Model-based drug discovery: implementation and impact
Visser, S. A. G., Aurell, M., Jones, R. D. O., Schuck, V., Egnell, A., Peters, S. A., Brynne, L., Yates, J. W. T., Jansson‐Löfmark, R., Tan, B., et al. (2013) · Drug Discovery Today · doi:10.1016/j.drudis.2013.05.012 · Cited by 66 · see citing works
Self-citationBenefit–risk assessment: the use of clinical utility index
Ouellet, D. (2010) · Expert Opinion on Drug Safety · doi:10.1517/14740330903499265 · Cited by 51 · see citing works
Global clinical data interchange standards are here!
Souza, T., Kush, R. D., & Evans, J. (2007) · Drug Discovery Today · doi:10.1016/j.drudis.2006.12.012 · Cited by 51 · see citing works
Translatability scoring in drug development: eight case studies
Wendler, A., & Wehling, M. (2012) · Journal of Translational Medicine · doi:10.1186/1479-5876-10-39 · Cited by 43 · see citing works
The Clinical Utility Index as a Practical Multiattribute Approach to Drug Development Decisions
Poland, B., Hodge, F. L., Khan, A. A., Clemen, R., Wagner, J. A., Dykstra, K. H., & Krishna, R. (2009) · Clinical Pharmacology & Therapeutics · doi:10.1038/clpt.2009.71 · Cited by 34 · see citing works
Gold, M., Alderton, C., Zvartau-Hind, M. E., Ritchie, S. Y., Saunders, A. M., Craft, S., Landreth, G. E., Linnamägi, Ü., & Sawchak, S. T. (2009) · Alzheimer s & Dementia · doi:10.1016/j.jalz.2009.05.219 · Cited by 18 · see citing works
Schulz, S., & Klein, G. O. (2008) · BMC Medical Informatics and Decision Making · doi:10.1186/1472-6947-8-s1-s1 · Cited by 15 · see citing works
Krishna, R., Schaefer, H. G., & Bjerrum, O. J. (2007) · The Journal of Clinical Pharmacology · doi:10.1177/0091270007300746 · Cited by 13 · see citing works
Maher‐Edwards, G., Dixon, R., Hunter, J. A., Gold, M., Hopton, G., Hunter, J., & Williams, P. M. (2008) · Alzheimer s & Dementia · doi:10.1016/j.jalz.2008.05.2411 · Cited by 3 · see citing works
The Napiergram: A tool for visualising efficacy and safety data
Napier, C. M., & Wallis, R. M. (2010) · Journal of Pharmacological and Toxicological Methods · doi:10.1016/j.vascn.2010.11.039 · Cited by 2 · see citing works
Flagged first, then by citations
Research works printed but not linked: 2
- Gold M Alderton A Zvartau-Hind M Ritchie S Saunders A Craft S Landreth G Linnamägi U Sawchak S Effects of rosigltazone as monotherapy in APOE4-stratified subjects with mild-to-moderate Alzheimer's disease The Journal of the Alzheimer's Association 2009 5 4 86
- MeSH http://www.ncbi.nlm.nih.gov/mesh
Cited by
Sorted by citations
Pharmacology of dextromethorphan: Relevance to dextromethorphan/quinidine (Nuedexta®) clinical use
Taylor, C. P., Traynelis, S. F., Siffert, J. O., Pope, L. E., & Matsumoto, R. R. (2016) · Pharmacology & Therapeutics · doi:10.1016/j.pharmthera.2016.04.010 · Cited by 188 · see citing works
van Gerven, J., & Bonelli, M. (2018) · British Journal of Clinical Pharmacology · doi:10.1111/bcp.13550 · Cited by 174 · see citing works
Implementation of Quantitative and Systems Pharmacology in Large Pharma
Visser, S. A. G., de Alwis, D. P., Kerbusch, T., Stone, J. A., & Allerheiligen, S. R. B. (2014) · CPT Pharmacometrics & Systems Pharmacology · doi:10.1038/psp.2014.40 · Cited by 91 · see citing works
Agent-Based Modeling in Systems Pharmacology
Cosgrove, J., Butler, J., Alden, K., Read, M. N., Kumar, V., Cucurull-Sanchez, L., Timmis, J., & Coles, M. C. (2015) · CPT Pharmacometrics & Systems Pharmacology · doi:10.1002/psp4.12018 · Cited by 58 · see citing works
Hallgreen, C. E., Mt‐Isa, S., Lieftucht, A., Phillips, L. D., Hughes, D., Talbot, S. M., Asiimwe, A., Downey, G. F., Genov, G., Hermann, R. P., et al. (2015) · Pharmacoepidemiology and Drug Safety · doi:10.1002/pds.3880 · Cited by 36 · see citing works
Bueters, T., Gibson, C. R., & Visser, S. A. G. (2015) · Future Medicinal Chemistry · doi:10.4155/fmc.15.143 · Cited by 27 · see citing works
van Gerven, J., & Cohen, A. F. (2018) · British Journal of Clinical Pharmacology · doi:10.1111/bcp.13529 · Cited by 20 · see citing works
Courville, J., Barber, A., & Fura, A. (2025) · The Journal of Clinical Pharmacology · doi:10.1002/jcph.70002 · Cited by 5 · see citing works
Dhingra, A. K., Chopra, B., Bhardwaj, S., Grewal, A. S., & Guarve, K. (2023) · Elsevier eBooks · doi:10.1016/b978-0-323-99137-7.00007-1 · Cited by 4 · see citing works
- Authors
- Brynne, L., Bresell, A., & Sjögren, N.
- Affiliations
- AstraZeneca (Sweden) (SE)
- Corresponding author
- Brynne, Lena
- ORCID
- Brynne, Lena
- Venue
- Journal of Translational Medicine
- Published
- 2013
- Volume
- 11
- Issue
- 1
- Pages
- 250
- ISSN
- 1479-5876 (ISSN-L)
- PMC
- PMC3842641
- OpenAlex
- W2149280153
- Cited by
- 9
- References
- 19
- Citations by year
- 2025: 1 · 2023: 1 · 2018: 2 · 2016: 1 · 2015: 3 · 2014: 1
- FWCI
- 1.87
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Journal of Translational Medicine (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Topics
- Physical Sciences › Computer Science › Computer Vision and Pattern Recognition › Data Visualization and Analytics
- Physical Sciences › Mathematics › Statistics and Probability › Statistical Methods in Clinical Trials
- Physical Sciences › Computer Science › Computational Theory and Mathematics › Computational Drug Discovery Methods
- Keywords
- drug development, data visualization, translational medicine, drug attrition, expert opinion, knowledge management, decision support
- MeSH terms
- Alzheimer Disease, Decision Making, Drug Evaluation, Preclinical, Humans, Drug Design, Treatment Outcome, Knowledge, Translational Research, Biomedical
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