PMID- 33847541 OWN - NLM STAT- MEDLINE DCOM- 20210802 LR - 20240402 IS - 1477-0334 (Electronic) IS - 0962-2802 (Print) IS - 0962-2802 (Linking) VI - 30 IP - 6 DP - 2021 Jun TI - A method for systematically ranking therapeutic drug candidates using multiple uncertain screening criteria. PG - 1502-1522 LID - 10.1177/09622802211002861 [doi] AB - Multiple different screening tests for candidate leads in drug development may often yield conflicting or ambiguous results, sometimes making the selection of leads a nontrivial maximum-likelihood ranking problem. Here, we employ methods from the field of multiple criteria decision making (MCDM) to the problem of screening candidate antibody therapeutics. We employ the SMAA-TOPSIS method to rank a large cohort of antibodies using up to eight weighted screening criteria, in order to find lead candidate therapeutics for Alzheimer's disease, and determine their robustness to both uncertainty in screening measurements, as well as uncertainty in the user-defined weights of importance attributed to each screening criterion. To choose lead candidates and measure the confidence in their ranking, we propose two new quantities, the Retention Probability and the Topness, as robust measures for ranking. This method may enable more systematic screening of candidate therapeutics when it becomes difficult intuitively to process multi-variate screening data that distinguishes candidates, so that additional candidates may be exposed as potential leads, increasing the likelihood of success in downstream clinical trials. The method properly identifies true positives and true negatives from synthetic data, its predictions correlate well with known clinically approved antibodies vs. those still in trials, and it allows for ranking analyses using antibody developability profiles in the literature. We provide a webserver where users can apply the method to their own data: http://bjork.phas.ubc.ca. FAU - Peng, Xubiao AU - Peng X AD - Department of Physics and Astronomy, University of British Columbia, Vancouver, BC, Canada. FAU - Gibbs, Ebrima AU - Gibbs E AD - Brain Research Center, Department of Medicine, University of British Columbia, Vancouver, BC, Canada. FAU - Silverman, Judith M AU - Silverman JM AD - Brain Research Center, Department of Medicine, University of British Columbia, Vancouver, BC, Canada. FAU - Cashman, Neil R AU - Cashman NR AD - Brain Research Center, Department of Medicine, University of British Columbia, Vancouver, BC, Canada. FAU - Plotkin, Steven S AU - Plotkin SS AUID- ORCID: 0000-0001-8998-877X AD - Department of Physics and Astronomy, University of British Columbia, Vancouver, BC, Canada. AD - Genome Science and Technology Program, University of British Columbia, Vancouver, BC, Canada. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210413 PL - England TA - Stat Methods Med Res JT - Statistical methods in medical research JID - 9212457 RN - 0 (Pharmaceutical Preparations) SB - IM MH - Humans MH - *Pharmaceutical Preparations MH - *Research Design MH - Uncertainty PMC - PMC8189013 OTO - NOTNLM OT - Alzheimer's disease OT - MCDM OT - SMAA-TOPSIS OT - drug development OT - lead optimization OT - ranking COIS- Declaration of conflicting interests: The author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: SSP was the Chief Physics Officer of ProMIS Neurosciences until October 2020. NRC is the Chief Scientific Officer of ProMIS Neurosciences. XP has received consultation compensation from ProMIS. SSP, NRC, and XP are inventors on several pending patent applications directed to therapeutics for Alzheimer's disease and which describe immunogens, antibodies and methods of their making as well as their use. EDAT- 2021/04/14 06:00 MHDA- 2021/08/03 06:00 PMCR- 2021/06/09 CRDT- 2021/04/13 12:10 PHST- 2021/04/14 06:00 [pubmed] PHST- 2021/08/03 06:00 [medline] PHST- 2021/04/13 12:10 [entrez] PHST- 2021/06/09 00:00 [pmc-release] AID - 10.1177_09622802211002861 [pii] AID - 10.1177/09622802211002861 [doi] PST - ppublish SO - Stat Methods Med Res. 2021 Jun;30(6):1502-1522. doi: 10.1177/09622802211002861. Epub 2021 Apr 13.