Publications by authors named "Jonathan Spiker"

There is a critical need for a streamlined process to identify genotype-matched individuals eligible for enrollment into clinical trials and/or targeted therapies, as current methodologies face challenges in integrating diverse molecular data sources. We have developed a precision oncology platform to assist molecular tumor boards and community oncologists in reviewing patients' phenotypes, evaluating related knowledge, and identifying genotype-matched therapies.

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Article Synopsis
  • The text discusses the need for standardized common data models (CDMs) in precision oncology to enhance clinical decision-making through initiatives like Molecular Tumor Boards (MTBs), which analyze clinical-genomic data for tailored therapies.
  • The authors developed a new precision oncology core data model called Precision-DM by building on existing models like mCODE, incorporating key elements such as next-generation sequencing and variant annotations, ultimately comprising 16 profiles and 355 data elements.
  • The findings showed that Precision-DM largely overlaps with existing models (50.7% with mCODE), demonstrating better coverage of mCODE elements but much less with others, indicating it could support standardized data sharing across healthcare systems.
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Many decision support methods and systems in pharmacovigilance are built without explicitly addressing specific challenges that jeopardize their eventual success. We describe two sets of challenges and appropriate strategies to address them. The first are data-related challenges, which include using extensive multi-source data of poor quality, incomplete information integration, and inefficient data visualization.

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Background: Our objective was to support the automated classification of Food and Drug Administration (FDA) Adverse Event Reporting System (FAERS) reports for their usefulness in assessing the possibility of a causal relationship between a drug product and an adverse event.

Method: We used a data set of 326 redacted FAERS reports that was previously annotated using a modified version of the World Health Organization-Uppsala Monitoring Centre criteria for drug causality assessment by a group of SEs at the FDA and supported a similar study on the classification of reports using supervised machine learning and text engineering methods. We explored many potential features, including the incorporation of natural language processing on report text and information from external data sources, for supervised learning and developed models for predicting the classification status of reports.

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Introduction: The US FDA receives more than 2 million postmarket reports each year. Safety Evaluators (SEs) review these reports, as well as external information, to identify potential safety signals. With the increasing number of reports and the size of external information, more efficient solutions for data integration and decision making are needed.

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