Non-invasive determination of likely response to anti-diabetic therapies for cardiovascular disease
AssigneeElucid Bioimaging Inc.
InventorsAndrew J. Buckler, Ulf Hedin, Ljubica Matic, Matthew Phillips
Life of this patent
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Abstract
Provided herein are methods and systems for making patient-specific therapy recommendations of an anti-diabetic therapy for patients with known or suspected cardiovascular disease, such as atherosclerosis.
Claims24
A method of providing a recommendation of an anti-diabetic therapy for a patient with known or suspected atherosclerotic cardiovascular disease, the method comprising:
- receiving a first input of non-invasively obtained imaging data related to a plaque from a set of test subjects;
- receiving a second input of molecular expression data from the set of test subjects;
- creating a training set comprising the first input and the second input;
- training a neural network using the training set, the neural network configured to predict molecule levels based on the non-invasively obtained imaging data from the set of test subjects;
- receiving non-invasively obtained imaging data related to a plaque from the patient;
- generating virtual ′omics data that include predicted molecule levels of the patient, by applying the neural network to the non-invasively obtained imaging data from the patient;
- providing the virtual ′omics data to a systems biology model of atherosclerotic cardiovascular disease to generate a patient-specific systems biology model, wherein
- (i) the systems biology model represents a plurality of pathways associated with atherosclerotic cardiovascular disease,
- (ii) each pathway in the plurality of pathways corresponds to one or more of MTOR, NFκβ1, ICAM1, or VCAM1,
- (iii) the systems biology model includes a disease-associated molecule level for each molecule in the systems biology model, and
- (iv) the patient-specific systems biology model includes predicted molecule levels that are updated from the disease-associated molecule level;
- updating the patient-specific systems biology model with information relating to an effect on glucose levels by an anti-diabetic agent based on a known mechanism of action of the anti-diabetic agent;
- and
- simulating a therapeutic response by the patient to the anti-diabetic agent in the updated patient-specific systems biology model to obtain a simulated therapeutic effect, wherein the simulated therapeutic effect is based on change in the predicted molecule levels in the updated patient-specific systems biology model with and without the anti-diabetic agent.
A method of identifying one or more contraindications associated with an anti-diabetic therapy for a patient diagnosed with atherosclerotic cardiovascular disease, the method comprising:
- receiving a first input of non-invasively obtained imaging data related to a plaque from a set of test subjects;
- receiving a second input of molecular expression data from the set of test subjects;
- creating a training set comprising the first input and the second input;
- training a neural network using the training set, the neural network configured to predict molecule levels based on the non-invasively obtained imaging data from the set of test subjects;
- receiving non-invasively obtained imaging data related to a plaque from the patient;
- generating virtual ′omics data that include predicted molecule levels of the patient, by applying the neural network to the non-invasively obtained imaging data from the patient;
- providing the virtual ′omics data to a systems biology model of atherosclerotic cardiovascular disease to generate a patient-specific systems biology model, wherein
- (i) the systems biology model represents a plurality of pathways associated with atherosclerotic cardiovascular disease,
- (ii) each pathway in the plurality of pathways corresponds to one or more of MTOR, NFκβ1, ICAM1, or VCAM1,
- (iii) the systems biology model includes a disease-associated molecule level for each molecule in the systems biology model, and
- (iv) the patient-specific systems biology model includes predicted molecule levels that are updated from the disease-associated molecule level;
- updating the patient-specific systems biology model with information relating to an effect on glucose levels by an anti-diabetic agent based on a known mechanism of action of the anti-diabetic agent;
- simulating a therapeutic response by the patient to the anti-diabetic agent in the updated patient-specific systems biology model to obtain a simulated therapeutic effect, wherein the simulated therapeutic effect is based on change in the predicted molecule levels in the updated patient-specific systems biology model with and without the anti-diabetic agent;
- and
- identifying one or more contraindications associated with the anti-diabetic agent based on change in the predicted molecule levels in the patient-specific systems biology model with and without the anti-diabetic agent.
A method of screening a candidate anti-diabetic agent for atherosclerotic cardiovascular disease, the method comprising:
- receiving a first input of non-invasively obtained imaging data related to a plaque from a first set of test subjects;
- receiving a second input of molecular expression data from the first set of test subjects;
- creating a training set comprising the first input and the second input;
- training a neural network using the training set, the neural network configured to predict molecule levels based on the non-invasively obtained imaging data from the first set of test subjects;
- receiving non-invasively obtained imaging data related to a plaque from each of a second set of test subjects who have been diagnosed with atherosclerotic cardiovascular disease;
- for each test subject of the second set of test subjects:
- generating virtual ′omics data that include predicted molecule levels of a respective test subject, by applying the neural network to the non-invasively obtained imaging data from the respective test subject;
- providing the virtual ′omics data to a systems biology model of atherosclerotic cardiovascular disease to generate a test subject-specific systems biology model for the respective test subject, wherein
- (i) the systems biology model represents a plurality of pathways associated with atherosclerotic cardiovascular disease,
- (ii) the plurality of pathways include one or more pathways corresponding to potential targets of the candidate anti-diabetic agent,
- (iii) the systems biology model includes a disease-associated molecule level for each molecule in the systems biology model, and
- (iv) the test subject-specific systems biology model includes predicted molecule levels that are updated from the disease-associated molecule level;
- updating the test subject-specific systems biology model with information relating to an effect on glucose levels by a candidate anti-diabetic agent based on a known mechanism of action of the candidate anti-diabetic agent;
- and
- simulating a therapeutic response by the respective test subject to the anti-diabetic agent in the updated test subject-specific systems biology model to obtain a simulated therapeutic effect, wherein the simulated therapeutic effect is based on change in the predicted molecule levels in the updated test subject-specific systems biology model with and without the candidate anti-diabetic agent.
A method of screening a potential subject for enrollment in a clinical trial testing safety or efficacy, or both, of a candidate anti-diabetic agent for atherosclerotic cardiovascular disease, the method comprising:
- receiving a first input of non-invasively obtained imaging data related to a plaque from a set of test subjects;
- receiving a second input of molecular expression data from the set of test subjects;
- creating a training set comprising the first input and the second input;
- training a neural network using the training set, the neural network configured to predict molecule levels based on the non-invasively obtained imaging data from the set of test subjects;
- receiving non-invasively obtained imaging data related to a plaque from the potential subject;
- generating virtual ′omics data that include predicted molecule levels of the potential subject, by applying the neural network to the non-invasively obtained imaging data from the potential subject;
- providing the virtual ′omics data to a systems biology model of atherosclerotic cardiovascular disease to generate a subject-specific systems biology model, wherein
- (i) the systems biology model represents a plurality of pathways associated with atherosclerotic cardiovascular disease,
- (ii) each pathway in the plurality of pathways corresponds to one or more of MTOR, NFκβ1, ICAM1, or VCAM1,
- (iii) the systems biology model includes a disease-associated molecule level for each molecule in the systems biology model, and
- (iv) the subject-specific systems biology model includes predicted molecule levels that are updated from the disease-associated molecule level;
- updating the subject-specific systems biology model with predicted molecular levels derived from information relating to an effect on glucose by a candidate anti-diabetic agent based on a known mechanism of action of the candidate anti-diabetic agent;
- and
- simulating a therapeutic response by the potential subject to the candidate anti-diabetic agent in the updated subject-specific systems biology model to obtain a simulated therapeutic effect, wherein the simulated therapeutic effect is based on change in the predicted molecule levels in the updated subject-specific systems biology model with and without the candidate anti-diabetic agent.
Dependencies are inferred from the claim text.