Repository logo

Infoscience

  • English
  • French
Log In
Logo EPFL, École polytechnique fédérale de Lausanne

Infoscience

  • English
  • French
Log In
  1. Home
  2. Academic and Research Output
  3. Journal articles
  4. Explainable machine learning prediction of edema adverse events in patients treated with tepotinib
 
research article

Explainable machine learning prediction of edema adverse events in patients treated with tepotinib

Amato, Federico  
•
Strotmann, Rainer
•
Castello, Roberto  
Show more
September 1, 2024
Clinical and Translational Science

Tepotinib is approved for the treatment of patients with non-small-cell lung cancer harboring MET exon 14 skipping alterations. While edema is the most prevalent adverse event (AE) and a known class effect of MET inhibitors including tepotinib, there is still limited understanding about the factors contributing to its occurrence. Herein, we apply machine learning (ML)-based approaches to predict the likelihood of occurrence of edema in patients undergoing tepotinib treatment, and to identify factors influencing its development over time. Data from 612 patients receiving tepotinib in five Phase I/II studies were modeled with two ML algorithms, Random Forest, and Gradient Boosting Trees, to predict edema AE incidence and severity. Probability calibration was applied to give a realistic estimation of the likelihood of edema AE. Best model was tested on follow-up data and on data from clinical studies unused while training. Results showed high performances across all the tested settings, with F1 scores up to 0.961 when retraining the model with the most relevant covariates. The use of ML explainability methods identified serum albumin as the most informative longitudinal covariate, and higher age as associated with higher probabilities of more severe edema. The developed methodological framework enables the use of ML algorithms for analyzing clinical safety data and exploiting longitudinal information through various covariate engineering approaches. Probability calibration ensures the accurate estimation of the likelihood of the AE occurrence, while explainability tools can identify factors contributing to model predictions, hence supporting population and individual patient-level interpretation.

  • Files
  • Details
  • Metrics
Type
research article
DOI
10.1111/cts.70010
Scopus ID

2-s2.0-85202933439

PubMed ID

39222377

Author(s)
Amato, Federico  

EPFL

Strotmann, Rainer

Merck KGaA

Castello, Roberto  

EPFL

Bruns, Rolf

Merck KGaA

Ghori, Vishal

Merck KGaA

Johne, Andreas

Merck KGaA

Berghoff, Karin

Merck KGaA

Venkatakrishnan, Karthik

EMD Serono, Inc.

Terranova, Nadia

Merck KGaA

Date Issued

2024-09-01

Published in
Clinical and Translational Science
Volume

17

Issue

9

Article Number

e70010

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
SDSC-GE  
FunderFunding(s)Grant NumberGrant URL

healthcare business of Merck KGaA

Syneos Health

Available on Infoscience
January 24, 2025
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/243713
Logo EPFL, École polytechnique fédérale de Lausanne
  • Contact
  • infoscience@epfl.ch

  • Follow us on Facebook
  • Follow us on Instagram
  • Follow us on LinkedIn
  • Follow us on X
  • Follow us on Youtube
AccessibilityLegal noticePrivacy policyCookie settingsEnd User AgreementGet helpFeedback

Infoscience is a service managed and provided by the Library and IT Services of EPFL. © EPFL, tous droits réservés