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Virtual Clinical Trial Emulation with Generative AI Models

This is a Medical Research Council funded research project in partnership with Strathclyde, NHSGGC and Surrey. We aim at a 6-month robust, fast paced proof-of-concept study to unlock the potential of AI in biomedical and health research. The study has been focused on investigating virtual clinical trial emulations with synthetic data to validate the concept of “generating synthetic data with generative AI and causality learning technology to support virtual clinical trial emulation”. This new approach has great potential to transform future biomedical and health research.

Funding Body: Medical Research Council, Reference: MR/X005925/1, Duration: Sept 2022 – Feb 2023

Background

Real world health data contain important knowledge that enables clinical research to assess treatment effect in real world settings. However, there are significant limitations: real-world data are typically imbalanced across different population, diseases and interventions; they contain bias, noise and missing measurements; the process of removing patient identifiable information may take significant time and effort, which also faces the risk of deleting valuable information from the original data. More importantly, observational studies with real-world data have inherent limitations in their ability to identify treatment effects due to their observational nature.

This project is designed to investigate an alternative approach to support clinical research through the use of synthetic data. We study the feasibility of virtual clinical trial emulations through creating synthetic patient populations with the help of the latest AI technology in generative AI and causality learning. The clincail trial emulations aim to answer clinical questions about treatment effect size in a wide range of clinical trial settings.

We have studied the feasibility of this new approach through a specific use case in the context of Type 2 diabetes mellites (T2DM). Through training the AI model with the SCI Diabetes data on the Safe Haven platform, we have carried out virtual trial emulations to assess the effect size of a target drug and compared the outcomes with the real ones. .

Project Team

University of Strathclyde

NHS Greater Glasgow and Clyde

University of Surrey