Publications by authors named "Alex Paynter"

Clinical trials often demonstrate treatment efficacy through change in forced expiratory volume in one second (FEV), comparing single FEV measurements from post- versus pre-treatment timepoints. Day-to-day variation in measured FEV is common for reasons such as diurnal variation and intermittent health changes, relative to a stable, monthly average. This variation can alter estimation of associations between change in FEV and baseline in predictable ways, through a phenomenon called regression to the mean.

View Article and Find Full Text PDF

The cystic fibrosis (CF) modulator drug, elexacaftor/tezacaftor/ivacaftor (ETI), proved highly effective in controlled clinical trials for individuals with at least one F508del allele, which occurs in at least 85% of people with CF. PROMISE is a postapproval study to understand the broad effects of ETI through 30 months' clinical use in a more diverse U.S.

View Article and Find Full Text PDF
Article Synopsis
  • * In a study involving participants aged 14 and older, home spirometry was found to measure 2.0 percentage points lower on average than clinic spirometry, with various methods revealing differing longitudinal changes.
  • * It’s crucial to recognize the discrepancies between home and clinic spirometry to avoid misleading conclusions, as factors such as coaching and device variability may impact the reliability of home measurements.
View Article and Find Full Text PDF

Our goal is to estimate the true number of classes in a population, called the species richness. We consider the case where multiple frequency count tables have been collected from a homogeneous population, and investigate a penalized maximum likelihood estimator under a negative binomial model. Because high probabilities of unobserved classes increase the variance of species richness estimates, our method penalizes the probability of a class being unobserved.

View Article and Find Full Text PDF