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Automated Off-label Drug Use Detection from User Generated Content

Published: 20 August 2017 Publication History

Abstract

Off-label drug use refers to using marketed drugs for indications that are not listed in their FDA labeling information. Such uses are very common and sometimes inevitable in clinical practice. To some extent, off-label drug uses provide a pathway for clinical innovation, however, they could cause serious adverse effects due to lacking scientific research and tests. Since identifying the off-label uses can provide a clue to the stakeholders including healthcare providers, patients, and medication manufacturers to further the investigation on drug efficacy and safety, it raises the demand for a systematic way to detect off-label uses. Given data contributed by health consumers in online health communities (OHCs), we developed an automated approach to detect off-label drug uses based on heterogeneous network mining. We constructed a heterogeneous healthcare network with medical entities (e.g. disease, drug, adverse drug reaction) mined from the text corpus, which involved 50 diseases, 1,297 drugs, and 185 ADRs, and determined 13 meta paths between the drugs and diseases. We developed three metrics to represent the meta-path-based topological features. With the network features, we trained the binary classifiers built on Random Forest algorithm to recognize the known drug-disease associations. The best classification model that used lift to measure path weights obtained F1-score of 0.87, based on which, we identified 1,009 candidates of off-label drug uses and examined their potential by searching evidence from PubMed and FAERS.

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Cited By

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  • (2024)Mining Patient-Generated Content for Medication Relations and Transition Network to Predict the Rankings and Volumes of Different MedicationsInformation Systems Frontiers10.1007/s10796-024-10530-wOnline publication date: 7-Sep-2024
  • (2020)Use of Social Media for Pharmacovigilance Activities: Key Findings and Recommendations from the Vigi4Med ProjectDrug Safety10.1007/s40264-020-00951-2Online publication date: 16-Jun-2020
  • (2018)Exploiting OHC Data with Tensor Decomposition for Off-Label Drug Use Detection2018 IEEE International Conference on Healthcare Informatics (ICHI)10.1109/ICHI.2018.00010(22-28)Online publication date: Jun-2018

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    cover image ACM Conferences
    ACM-BCB '17: Proceedings of the 8th ACM International Conference on Bioinformatics, Computational Biology,and Health Informatics
    August 2017
    800 pages
    ISBN:9781450347228
    DOI:10.1145/3107411
    Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than ACM must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected]

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    Publication History

    Published: 20 August 2017

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    Author Tags

    1. classification
    2. heterogeneous network
    3. meta path
    4. off-label drug use
    5. online health community

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    ACM-BCB '17 Paper Acceptance Rate 42 of 132 submissions, 32%;
    Overall Acceptance Rate 254 of 885 submissions, 29%

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    Cited By

    View all
    • (2024)Mining Patient-Generated Content for Medication Relations and Transition Network to Predict the Rankings and Volumes of Different MedicationsInformation Systems Frontiers10.1007/s10796-024-10530-wOnline publication date: 7-Sep-2024
    • (2020)Use of Social Media for Pharmacovigilance Activities: Key Findings and Recommendations from the Vigi4Med ProjectDrug Safety10.1007/s40264-020-00951-2Online publication date: 16-Jun-2020
    • (2018)Exploiting OHC Data with Tensor Decomposition for Off-Label Drug Use Detection2018 IEEE International Conference on Healthcare Informatics (ICHI)10.1109/ICHI.2018.00010(22-28)Online publication date: Jun-2018

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