Ayesan Rewane’s research while affiliated with Rush University Medical Center and other places

What is this page?


This page lists works of an author who doesn't have a ResearchGate profile or hasn't added the works to their profile yet. It is automatically generated from public (personal) data to further our legitimate goal of comprehensive and accurate scientific recordkeeping. If you are this author and want this page removed, please let us know.

Publications (8)


Figure 1: Preclinical and clinical trial phases. FDA: Food and Drug Administration (https://www.fda.gov/)
Figure 2: Distribution of the most common therapeutic clinical trials on COVID-19, as reported by clinicaltrials.gov.
Figure 3: (A) The number of COVID-19 vaccine candidates in preclinical evaluation trials. (B) The number of COVID-19 vaccines clinical trials in clinical evaluation.
Summary of six ISCTs.
Exploring the Power and Promise of In Silico Clinical Trials with Application in COVID-19 Infection
  • Article
  • Full-text available

September 2021

·

979 Reads

·

1 Citation

Sudan Journal of Medical Sciences

·

Safinaz I. Khalil

·

·

[...]

·

Background: COVID-19 pandemic has dramatically engulfed the world causing catastrophic damage to human society. Several therapeutic and vaccines have been suggested for the disease in the past months, with over 150 clinical trials currently running or under process. Nevertheless, these trials are extremely expensive and require a long time, which presents the need for alternative cost-effective methods to tackle this urgent requirement for validated therapeutics and vaccines. Bearing this in mind, here we assess the use of in silico clinical trials as a significant development in the field of clinical research, which holds the possibility to reduce the time and cost needed for clinical trials on COVID-19 and other diseases. Methods: Using the PubMed database, we analyzed six relevant scientific articles regarding the possible application of in silico clinical trials in testing the therapeutic and investigational methods of managing different diseases. Results: Successful use of in silico trials was observed in many of the reviewed evidence. Conclusion: In silico clinical trials can be used in refining clinical trials for COVID-19 infection.

Download


Apr 2021Coronavirus Virtual Event Series-Labroots
Corona virus Virtual Event Certification
In silico CT.Labroots
Exploring the Power and the Promise of In Silico Clinical Trials: Possible Applications in COVID-19 Pandemic.Coronavirus Virtual Event Series-Labroots.

April 2021

·

188 Reads

Abstract Background: COVID-19 pandemic has dramatically engulfed the world causing millions of deaths in almost all human populations. Several therapeutic and vaccines have been suggested for the disease with over 150 clinical trials currently running or under process. Nevertheless, these trials are hugely expensive and require a very long time, which presents the need for alternative cost-effective methods to tackle this urgent requirement for a validated therapeutics and vaccines. Bearing this in mind, here we assess the use of in silico clinical trials as a significant development in the field of clinical research which holds the possibility to reduce the time and cost needed in clinical trials on COVID-19 and other diseases. Material& Methods: Using the PubMed database, we analyzed eight relevant scientific articles regarding the possible application of in silico clinical trials in testing the therapeutic and investigational methods related to different diseases. Results: Successful uses of in silico trials were observed in all of the reviewed articles. Conclusion: In silico clinical trials can be effectively used in refining clinical trials for the COVID-19 pandemic. Poster Link: https://events.labroots.com/event/Coronavirus2020/en-us/contents/647765/share?rid=PosterHall&nid=1142199


Figure 3.: Interpretable Machine Learning feature selection strategies for the best model classifier Keynotes: A. Understanding the problem formulation and modeling process (i.e., clean, apply feature selection, and feed best features to ML algorithms) B. Probing strategies to inspect the structure and parameters learned by a trained ML model. C. Perturbing strategies for comparing ML classification results (model performance e.g., test accuracy, MCC, Recall & precision) with 59 features against 55 features selected via filtering (correlation) and LASSO shrinkage. Using the interpretable model (e.g., XGBoost, or decision tree).
Figure I: Risk Infection pyramid displaying risk status categories of individuals to COVID-19 infection (https://www.covid19survivalcalculator.com/en/research). While the class distribution of the target variable (Risk infection status) is available in Figure 2.
Figure II: Distribution of risk infection status (target variable) showing imbalanced classification problem among the class instances. The class distribution was: Low risk 92.28 %, Medium risk 7.42 %, and High 0.31 % of the target variable in the dataset.
Figure V: Model comparison of 59 features and 55 features selected from Pearson correlation and LASSO.
Interpretable machine learning approach for predicting COVID-19 risk status of an individual

April 2021

·

180 Reads

Transactions on Networks and Communications

This study aimed to identify the best features that predict COVID-19 infection risk status (“Low”, “Medium”, “High”) of an individual, using statistical feature selection methods and interpretable Machine learning models. The research analyzed a publicly available dataset obtained from a web-based COVID-19 risk assessment calculator. Fifty-seven (57) of the 59 features in the dataset were first filtered for multicollinearity using the Pearson Correlation Coefficient, and are further shrunk to 55 features with LASSO GLM. A class imbalance was identified in the dataset, same was addressed with SMOTE resampling technique. Multiple interpretable ML algorithms were explored during the classification phase. The best classifier predictions were saved as a new instance and were perturbed with a single Decision tree classifier. To further build trust and explainability of the best model, the XGBoost classifier was utilized as a global surrogate model to train predictions of the best model. The XGBoost individual’s explanation was done using the SHAP explainable AI framework. Random Forest classifier with a validation accuracy score of 96.35 % from 55 features reduced by feature selection emerged as the best classifier model. The decision tree classifier approximated the best classifier correctly with a prediction accuracy score of 92.23 % and Matthew’s correlation coefficient of 0.8960. The XGBoost classifier approximated the best classifier model with a prediction score of 99.7 %. This study identified COVID-19 positive, COVID-19 contacts, COVID-19 symptoms, health workers, and public transport count as the five major predictors of COVID-19 risk exposure status of an individual.


Assessment result page with next steps and disease control contacts.Source: www.wellvis.org
COVID-19 triage questions and scoring algorithm.
Mobile health approaches to disease surveillance in Africa; Wellvis COVID triage tool

February 2021

·

363 Reads

·

8 Citations

COVID-19 has rapidly spread across the globe and was declared a pandemic by the World Health Organization (WHO). The COVID-19 infection continues to spread across Africa. In Africa, mobile phone applications have been used for the surveillance and reporting of infectious diseases such as malaria, measles, polio, and other notifiable diseases as mandated by the WHO. A good example is the early warning alert and response system. We developed an eight-question triage tool using the Nigerian Centre for Disease Control surveillance case definitions for new coronavirus disease. Based on the assessed risk level we offered advice and guidance on the next steps. A user-administered tool such as this is vital to COVID19 control. It is also significant in relieving the burden on health systems, providing information on national health guidelines for prevention and control, fostering the participation of citizens, and giving them the next steps, pandemic control efforts become more effective.


Figure (2): distribution of the most common therapeutic clinical trials on COVID-19. As reported by clinicaltrials.gov.
Exploring the Power and the Promise of In Silico Clinical Trials: Possible Applications in COVID-19 Pandemic

October 2020

·

277 Reads

SSRN Electronic Journal

Background: COVID-19 pandemic has dramatically engulfed the word causing catastrophic damage to the human society. Several therapeutic and vaccines has been suggested for the disease with over 150 clinical trial currently running or under process. Nevertheless, these trials are hugely expensive and require a very long times, which present the need for an alternative cost effective methods to tackle this urgent requirements for validated therapeutics and vaccine. Bearing this in mind, here we assess the use of in silico clinical trials as a significant development in the field of clinical research which hold the possibility to reduce the time and cost needed in clinical trials on COVID-19 and other disease. Methods: Here we analyzed six relevant scientific articles regarding possible application of in silico clinical trial in testing the therapeutic and investigational methods managing different diseases using PubMed database. Finding: Successful uses of in silico trials was observed in many of the reviewed evidence. Interpretation: we deduced from this review that more focus and fund should be put on in silico clinical trials as it help in refinement and partial replacing of the current long conventional clinical trials on COVID-19. Abstract: Background: COVID-19 pandemic has dramatically engulfed the word causing catastrophic damage to the human society. Several therapeutic and vaccines has been suggested for the disease with over 150 clinical trial currently running or under process. Nevertheless, these trials are hugely expensive and require a very long times, which present the need for an alternative cost effective methods to tackle this urgent requirements for validated therapeutics and vaccine. Bearing this in mind, here we assess the use of in silico clinical trials as a significant development in the field of clinical research which hold the possibility to reduce the time and cost needed in clinical trials on COVID-19 and other disease. Methods: Here we analyzed six relevant scientific articles regarding possible application of in silico clinical trial in testing the therapeutic and investigational methods managing different diseases using PubMed database. Finding: Successful uses of in silico trials was observed in many of the reviewed evidence. Interpretation: we deduced from this review that more focus and fund should be put on in silico clinical trials as it help in refinement and partial replacing of the current long conventional clinical trials on COVID-19. Funding: no funding was acquired for this paper.



A Proposed Machine Learning approach for Monitoring Individual’s Health Status on Corona virus (COVID-19)

March 2020

·

484 Reads

Since the outbreak of the Coronaviruses (CoV) in Wuhan China, it continues to spread across countries like wildfire, defiling all the measures put in places by government and individuals to curb it. Corona virus belongs to a large family of viruses that cause illness ranging from the common cold to more severe diseases such as Middle East Respiratory Syndrome (MERS-CoV) and Severe Acute Respiratory Syndrome (SARS-CoV). Common symptoms of the infection include respiratory difficulties, fever, cough, shortness of breath and breathing difficulties. In more complicated cases, infection may lead to pneumonia, severe acute respiratory syndrome, kidney failure and even death. The continuous rise in the spread of the virus has continue to pose great setback to the entire scientific community and humanity. The difficulties in containing the spread of the virus across localities is challenging and required drastic measures. It is in the light of this that this research proposed an urgent end-to-end data driven modeling approach that will utilize tweets, open public healthcare data and online survey applications to collect data that will be feed to a Supervised Machine learning model in order to ascertain individual’s exposure risk status. Individuals exposed to the virus or noticed some symptoms of the infection and perhaps scared of reporting to local authorities can utilize this platform to join in curbing the spread of the virus. This will develop a more fast and efficient way for individuals to predicts their risk status with regards to the activities and symptoms they developed from present to past two-three weeks. This information can assist healthcare officials to identify/report emergence cases and ensure they access timely health care and self-isolation methods in their respective locations. This aimed to enhance citizens know their current and future risk status in their respective locations for continuous monitoring by healthcare officials so as to avoid spreading the virus further among loved ones, neighbors, etc. and to make it easy for healthcare officials to redistribute healthcare facilities. Creating a data driven model application that will bring the stakeholders and government closer to its’ citizens at such a time as this with regards to curbing the spread of the COVID19 virus is paramount, in order to assist them in designing the best policies, timely response and mitigating measures across the globe. Keywords: Supervised Machine Learning, COVID19, Percentage Risk of COVID19, Monitoring, Health status

Citations (4)


... Several toolboxes and platforms are currently available. Some of them are commercial (e.g., InSilico trial platform with many services to support drug development 10 ), while others are open-source and (partially) freely available (e.g., The QSP (quantitative systems pharmacology) Toolbox 11 , Universal Immune System Simulator (UISS) 12 , Simulo 13 ). In addition, clinical trial simulators, such as the Highly Efficient Clinical Trials Simulator (HECT), may be valuable for designing in-silico trials 14 . ...

Reference:

An open source statistical web application for validation and analysis of virtual cohorts
Exploring the Power and Promise of In Silico Clinical Trials with Application in COVID-19 Infection

Sudan Journal of Medical Sciences

... Notably, we found that the protection provided by a previous SARS-CoV-2 infection far exceeded that provided by inhaled Ad5-nCoV, which was consistent with previous real-world studies suggesting that the protective effect conferred by hybrid immunity was stronger than that of vaccine [21] or infection alone [18], although the magnitude of the effectiveness differs. Several studies have indicated that the immune responses elicited by hybrid immunity are stronger than those elicited by vaccination or naturally acquired immunity alone [44][45][46][47]. One of the reasons might be that most of the marketed vaccines target the spike protein belonging to the previous circulating subvariants or strains, and the currently predominant variants have accumulated spike changes that enable them to escape antibody recognition [17]. ...

SARS-CoV-2 Antibody Responses in Infection-Naive or Previously Infected Individuals after 1 and 2 Doses of the BNT162b2 Vaccine

JAMA Network Open

... The included studies were assessed for risk of bias using tools appropriate for each study type. The steps followed in assessing risk are detailed in Multimedia Appendix 3 [6,8,27,[32][33][34][35][36][37][38][39][40][41][42][43][44][45][46][47][48]. The Cochrane Risk of Bias 2 tool was used for randomized clinical trials [49]. ...

Mobile health approaches to disease surveillance in Africa; Wellvis COVID triage tool

... With the development of embryo, three brain vesicles including forebrain, midbrain, and hindbrain are formed in the front of neural tube. These simple early vesicles further expand and divide into the telencephalon, diencephalon, mesencephalon, metencephalon, and myelencephalon [2] ( Fig. 1). During this period, the walls of neural tubes contain neural stem cells, which drive brain growth when they divide multiple times. ...

Embryology, Central Nervous System, Malformations