PMID- 33675157 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20211125 LR - 20240403 IS - 1539-1612 (Electronic) IS - 1539-1604 (Print) IS - 1539-1604 (Linking) VI - 20 IP - 4 DP - 2021 Jul TI - Matrix decomposition in meta-analysis for extraction of adverse event pattern and patient-level safety profile. PG - 806-819 LID - 10.1002/pst.2109 [doi] AB - The purpose of assessing adverse events (AEs) in clinical studies is to evaluate what AE patterns are likely to occur during treatment. In contrast, it is difficult to specify which of these patterns occurs in each patient. To tackle this challenging issue, we constructed a new statistical model including nonnegative matrix factorization by incorporating background knowledge of AE-specific structures such as severity and drug mechanism of action. The model uses a meta-analysis framework for integrating data from multiple clinical studies because insufficient information is derived from a single trial. We demonstrated the proposed method by applying it to real data consisting of three Phase III studies, two mechanisms of action, five anticancer treatments, 3317 patients, 848 AE types, and 99,546 AEs. The extracted typical treatment-specific AE patterns coincided with medical knowledge. We also demonstrated patient-level safety profiles using the data of AEs that were observed by the end of the second cycle. CI - (c) 2021 The Authors. Pharmaceutical Statistics published by John Wiley & Sons Ltd. FAU - Matsuura, Kentaro AU - Matsuura K AUID- ORCID: 0000-0001-5262-055X AD - Department of Management Science, Graduate School of Engineering, Tokyo University of Science, Tokyo, Japan. FAU - Tsuchida, Jun AU - Tsuchida J AUID- ORCID: 0000-0003-2349-2709 AD - Department of Information and Computer Technology, Faculty of Engineering, Tokyo University of Science, Tokyo, Japan. FAU - Ando, Shuji AU - Ando S AD - Department of Information and Computer Technology, Faculty of Engineering, Tokyo University of Science, Tokyo, Japan. FAU - Sozu, Takashi AU - Sozu T AD - Department of Information and Computer Technology, Faculty of Engineering, Tokyo University of Science, Tokyo, Japan. LA - eng PT - Journal Article DEP - 20210305 PL - England TA - Pharm Stat JT - Pharmaceutical statistics JID - 101201192 SB - IM PMC - PMC8359197 OTO - NOTNLM OT - clinical trial OT - co-occurrence OT - nonnegative matrix factorization OT - normal dynamic linear model OT - pattern extraction COIS- The authors declare no conflicts of interest. EDAT- 2021/03/07 06:00 MHDA- 2021/03/07 06:01 PMCR- 2021/08/12 CRDT- 2021/03/06 05:46 PHST- 2021/01/08 00:00 [revised] PHST- 2020/07/09 00:00 [received] PHST- 2021/02/14 00:00 [accepted] PHST- 2021/03/07 06:00 [pubmed] PHST- 2021/03/07 06:01 [medline] PHST- 2021/03/06 05:46 [entrez] PHST- 2021/08/12 00:00 [pmc-release] AID - PST2109 [pii] AID - 10.1002/pst.2109 [doi] PST - ppublish SO - Pharm Stat. 2021 Jul;20(4):806-819. doi: 10.1002/pst.2109. Epub 2021 Mar 5.