Publications by authors named "C R Valiathan"

The use of partial residual plots (PRPs) was explored as a model diagnostic tool in Model-based Meta-Analysis (MBMA). Mathematical derivations illustrating the concepts were followed by an MBMA example using publicly available literature data of anti-depressive treatments with fluoxetine and venlafaxine. An E dose-response model was identified for venlafaxine while a constant drug effect combining all dose levels vs.

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Article Synopsis
  • - Single-arm trials in early-phase oncology help evaluate the effectiveness of new treatments, but comparing them to standard treatments is challenging due to differences in study populations and conditions.
  • - A model-based meta-analysis (MBMA) approach was created to adjust for these differences specifically in metastatic non-small cell lung cancer (mNSCLC) by analyzing data from 15 studies on PD-1 inhibitors like pembrolizumab and nivolumab.
  • - The analysis included logistic regression to determine overall response rates and survival outcomes, offering a framework for using efficacy data from early trials to inform treatment decisions and assess potential futility.
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Vaccine efficacy is often assessed by counting disease cases in a clinical trial. A new quantitative framework proposed here ("PoDBAY," Probability of Disease Bayesian Analysis), estimates vaccine efficacy (and confidence interval) using immune response biomarker data collected shortly after vaccination. Given a biomarker associated with protection, PoDBAY describes the relationship between biomarker and probability of disease as a sigmoid probability of disease ("PoD") curve.

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Objective: The purpose of this systematic literature review (SLR) and meta-analysis was to compile the response of historic treatment options in first-line settings for patient populations who are cisplatin ineligible.

Materials And Methods: SLR was conducted to compile objective response rate (ORR), duration of response (DOR), progression-free survival (PFS), and overall survival (OS) of historic therapies for this population based on stringent criteria. Clinical trials published in English from January 1991 to June 2016 were identified by searching the PubMed (Medline), Cochrane, and Embase databases.

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Pembrolizumab, a humanized monoclonal antibody against programmed death 1 (PD-1), has a manageable safety profile and robust clinical activity against advanced malignancies. The lowest effective dose for evaluation in further dose-ranging studies was identified by developing a translational model from preclinical mouse experiments. A compartmental pharmacokinetic model was combined with a published physiologically based tissue compartment, linked to receptor occupancy as the driver of observed tumor growth inhibition.

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