PMID- 23845253 OWN - NLM STAT- MEDLINE DCOM- 20140602 LR - 20130930 IS - 1541-0420 (Electronic) IS - 0006-341X (Linking) VI - 69 IP - 3 DP - 2013 Sep TI - Bayesian approach for clinical trial safety data using an Ising prior. PG - 661-72 LID - 10.1111/biom.12051 [doi] AB - In drug safety, development of statistical methods for multiplicity adjustments has exploited potential relationships among adverse events (AEs) according to underlying medical features. Due to the coarseness of the biological features used to group AEs together, which serves as the basis for the adjustment, it is possible that a single adverse event can be simultaneously described by multiple biological features. However, existing methods are limited in that they are not structurally flexible enough to accurately exploit this multi-dimensional characteristic of an adverse event. In order to preserve the complex dependencies present in clinical safety data, a Bayesian approach for modeling the risk differentials of the AEs between the treatment and comparator arms is proposed which provides a more appropriate clinical description of the drug's safety profile. The proposed procedure uses an Ising prior to unite medically related AEs. The proposed method and an existing Bayesian method are applied to a clinical dataset, and the signals from the two methods are presented. Results from a small simulation study are also presented. CI - (c) 2013, The International Biometric Society. FAU - McEvoy, Bradley W AU - McEvoy BW AD - Office of Biostatistics, CDER, FDA, 10903 New Hampshire Ave, Silver Spring, Marryland 20993, U.S.A. FAU - Nandy, Rajesh R AU - Nandy RR FAU - Tiwari, Ram C AU - Tiwari RC LA - eng PT - Journal Article DEP - 20130711 PL - England TA - Biometrics JT - Biometrics JID - 0370625 SB - IM MH - Adverse Drug Reaction Reporting Systems/*statistics & numerical data MH - *Bayes Theorem MH - Biometry/methods MH - Clinical Trials as Topic/statistics & numerical data MH - Computer Simulation MH - Databases, Factual/statistics & numerical data MH - Drug-Related Side Effects and Adverse Reactions MH - Humans MH - Markov Chains MH - *Models, Statistical MH - Monte Carlo Method OTO - NOTNLM OT - Bayes Factor OT - Drug safety OT - High-dimensional data analysis OT - Ising prior OT - Markov random field OT - MedDRA EDAT- 2013/07/13 06:00 MHDA- 2014/06/03 06:00 CRDT- 2013/07/13 06:00 PHST- 2012/05/01 00:00 [received] PHST- 2013/03/01 00:00 [revised] PHST- 2013/04/01 00:00 [accepted] PHST- 2013/07/13 06:00 [entrez] PHST- 2013/07/13 06:00 [pubmed] PHST- 2014/06/03 06:00 [medline] AID - 10.1111/biom.12051 [doi] PST - ppublish SO - Biometrics. 2013 Sep;69(3):661-72. doi: 10.1111/biom.12051. Epub 2013 Jul 11.