Interactive process mining of cancer treatment sequences with melanoma real-world data.

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State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_DD5F930248D5
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Interactive process mining of cancer treatment sequences with melanoma real-world data.
Journal
Frontiers in oncology
Author(s)
Wicky A., Gatta R., Latifyan S., Micheli R., Gerard C., Pradervand S., Michielin O., Cuendet M.A.
ISSN
2234-943X (Print)
ISSN-L
2234-943X
Publication state
Published
Issued date
2023
Peer-reviewed
Oui
Volume
13
Pages
1043683
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
The growing availability of clinical real-world data (RWD) represents a formidable opportunity to complement evidence from randomized clinical trials and observe how oncological treatments perform in real-life conditions. In particular, RWD can provide insights on questions for which no clinical trials exist, such as comparing outcomes from different sequences of treatments. To this end, process mining is a particularly suitable methodology for analyzing different treatment paths and their associated outcomes. Here, we describe an implementation of process mining algorithms directly within our hospital information system with an interactive application that allows oncologists to compare sequences of treatments in terms of overall survival, progression-free survival and best overall response. As an application example, we first performed a RWD descriptive analysis of 303 patients with advanced melanoma and reproduced findings observed in two notorious clinical trials: CheckMate-067 and DREAMseq. Then, we explored the outcomes of an immune-checkpoint inhibitor rechallenge after a first progression on immunotherapy versus switching to a BRAF targeted treatment. By using interactive process-oriented RWD analysis, we observed that patients still derive long-term survival benefits from immune-checkpoint inhibitors rechallenge, which could have direct implications on treatment guidelines for patients able to carry on immune-checkpoint therapy, if confirmed by external RWD and randomized clinical trials. Overall, our results highlight how an interactive implementation of process mining can lead to clinically relevant insights from RWD with a framework that can be ported to other centers or networks of centers.
Keywords
immunotherapy, melanoma, precision oncology, process mining, real-world data, targeted treatment, treatment sequence
Pubmed
Web of science
Open Access
Yes
Create date
11/04/2023 17:34
Last modification date
23/01/2024 8:35
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