Skip to main content

Evolving Classification Models for Prediction of Patient Recruitment in Multicentre Clinical Trials Using Grammatical Evolution

  • Conference paper
  • First Online:
Applications of Evolutionary Computation (EvoApplications 2016)

Part of the book series: Lecture Notes in Computer Science ((LNTCS,volume 9597))

Included in the following conference series:

Abstract

Successful and timely completion of prospective clinical trials depends on patient recruitment as patients are critical to delivery of the prospective trial data. There exists a pressing need to develop better tools/techniques to optimise patient recruitment in multicentre clinical trials. In this study Grammatical Evolution (GE) is used to evolve classification models to predict future patient enrolment performance of investigators/site to be selected for the conduct of the trial. Prediction accuracy of the evolved models is compared with results of a range of machine learning algorithms widely used for classification. The results suggest that GE is able to successfully induce classification models and analysis of these models can help in our understanding of the factors providing advanced indication of a trial sites’ future performance.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Schueler, P., Buckley, B. (eds.): Re-Engineering Clinical Trials. Best Practices for Streamlining the Development Process, 1st edn. Academic Press Elsevier, Amsterdam (2014)

    Google Scholar 

  2. Marks, L., Power, E.: Using technology to address recruitment issues in the clinical trial process. Trends Biotechnol. 20(3), 105–109 (2002)

    Article  Google Scholar 

  3. Trizna, C.: Chapter 9 - no patients, no data: patient recruitment in the 21st century. In: Re-Engineering Clinical Trials. Best Practices for Streamlining the Development Process, 1st edn, pp. 91–105. Academic Press Elsevier (2014)

    Google Scholar 

  4. Tufts: CSDD impact report - 89% of trials meet enrolment, but timelines slip, half of sites under-enrol. 15(1) (2013)

    Google Scholar 

  5. Kasenda, B., von Elm, E., You, J., Blumle, A., Tomonaga, Y., Saccilotto, R., Amstutz, A., Bengough, T., Meerpohl, J.J., Stegert, M., Tikkinen, K.A.O., Neumann, I., Carrasco-Labra, A., Faulhaber, M., Mulla, S.M., Mertz, D., Akl, E.A., Bassler, D., Busse, J.W., Ferreira-Gonzalez, I., Lamontagne, F., Nordmann, A., Gloy, V., Raatz, H., Moja, L., Rosenthal, R., Ebrahim, S., Schandelmaier, S., Xin, S., Vandvik, P.O., Johnston, B.C., Walter, M.A., Burnand, B., Schwenkglenks, M., Hemkens, L.G., Bucher, H.C., Guyatt, G.H., Briel, M.: Prevalence, characteristics, and publication of discontinued randomized trials. JAMA 311, 1045–1052 (2014)

    Article  Google Scholar 

  6. O’Neill, M., Ryan, C.: Grammatical Evolution: Evolutionary Automatic Programming in a Arbitrary Language, Genetic programming, vol. 4. Kluwer Academic Publishers, Dordrecht (2003)

    Book  MATH  Google Scholar 

  7. Dempsey, I., O’Neill, M., Brabazon, A.: Foundations in Grammatical Evolution for Dynamic Environments. SCI, vol. 194. Springer, Heidelberg (2009)

    Google Scholar 

  8. McKay, R.I., Hoai, N.X., Whigham, P.A., Shan, Y., O’Neill, M.: Grammar-based genetic programming: a survey. Genet. Program. Evolvable Mach. 11(3/4), 365–396 (2010). Tenth Anniversary Issue: Progress in Genetic Programming and Evolvable Machines

    Article  Google Scholar 

  9. Anisimov, V.V., Fedorov, V.V.: Modelling, prediction and adaptive adjustment of recruitment in multicentre trials. Stat. Med. 26(27), 4958–4975 (2007)

    Article  MathSciNet  Google Scholar 

  10. Aegerter, P., Bendersky, N., Tran, T.C., Ropers, J., Taright, N., Chatellier, G.: The use of drg for identifying clinical trials centers with high recruitment potential: a feasibility study. Stud. Health Technol. Inf. 205, 783–787 (2014)

    Google Scholar 

  11. Kopcke, F., Lubgan, D., Fietkau, R., Scholler, A., Nau, C., Sturzl, M., Croner, R., Prokosch, H.U., Toddenroth, D.: Evaluating predictive modeling algorithms to assess patient eligibility for clinical trials from routine data. BMC Medical Informatics and Decision Making (2013)

    Google Scholar 

  12. Kopcke, F., Prokosch, H.U.: Employing computers for the recruitment into clinical trials: a comprehensive systematic review. J. Med. Internet Res. 16(7), 161 (2014)

    Article  Google Scholar 

  13. Barnard, K.D., Dent, L., Cook, A.: A systematic review of models to predict recruitment to multicentre clinical trials. BMC Medical Research Methodology 10(63) (2010)

    Google Scholar 

  14. Han, J., Kamber, M., Pei, J.: Data Mining: Concepts and Techniques, 3rd edn. MORGAN KAUFMANN, San Francisco (2011)

    MATH  Google Scholar 

  15. Koza, J.R.: Hierarchical genetic algorithms operating on populations of computer programs. In: Sridharan, N.S. (ed.) Proceedings of the Eleventh International Joint Conference on Artificial Intelligence IJCAI 1989, vol. 1, pp. 768–774. Detroit, MI, USA, Morgan Kaufmann, 20–25 August 1989

    Google Scholar 

  16. Koza, J.R., Keane, M.A., Streeter, M.J., Mydlowec, W., Yu, J., Lanza, G.: Genetic Programming IV: Routine Human-Competitive Machine Intelligence. Kluwer Academic Publishers, Dordrecht (2003)

    MATH  Google Scholar 

  17. Espejo, P.G., Ventura, S., Herrera, F.: A survey on the application of genetic programming to classification. IEEE Trans. Syst. Man Cybernetics, Part C: Appl. Rev. 40(2), 121–144 (2010)

    Article  Google Scholar 

  18. Nicolau, M., Saunders, M., O’Neill, M., Osborne, B., Brabazon, A.: Evolving interpolating models of net ecosystem CO\(_{2}\) exchange using grammatical evolution. In: Moraglio, A., Silva, S., Krawiec, K., Machado, P., Cotta, C. (eds.) EuroGP 2012. LNCS, vol. 7244, pp. 134–145. Springer, Heidelberg (2012)

    Chapter  Google Scholar 

  19. Brabazon, A., O’Neill, M.: Diagnosing corporate stability using grammatical evolution. Int. J. Appl. Math. Comput. Sci. 14(3), 363–374 (2004)

    MATH  Google Scholar 

  20. Brabazon, A., O’Neill, M.: Credit classification using grammatical evolution. Informatica 30(3), 325–335 (2006)

    MATH  Google Scholar 

  21. Tuite, C., Agapitos, A., O’Neill, M., Brabazon, A.: A preliminary investigation of overfitting in evolutionary driven model induction: implications for financial modelling. In: Di Chio, C., et al. (eds.) EvoApplications 2011, Part II. LNCS, vol. 6625, pp. 120–130. Springer, Heidelberg (2011)

    Chapter  Google Scholar 

  22. Kuhn, M.: Building predictive models in r using the caret package. J. Stat. Softw. 28(5), 1–26 (2008)

    Article  Google Scholar 

  23. Ryan, C., Azad, R.M.A.: Sensible initialisation in grammatical evolution. In: Barry, A.M. (ed.) GECCO 2003: Proceedings of the Bird of a Feather Workshops, Genetic and Evolutionary Computation Conference, AAAI 142–145 (2003)

    Google Scholar 

  24. Agapitos, A., O’Neill, M., Brabazon, A.: Evolving seasonal forecasting models with genetic programming in the context of pricing weather-derivatives. In: Di Chio, C., et al. (eds.) EvoApplications 2012. LNCS, vol. 7248, pp. 135–144. Springer, Heidelberg (2012)

    Chapter  Google Scholar 

  25. Kuhn, M., Johnson, K.: Applied Predictive Modeling. Springer, New York (2013)

    Book  MATH  Google Scholar 

Download references

Acknowledgments

The authors would like to thank Thomas O’Leary, Pamela Howard and Wilhelm Muehlhausen from ICON Plc. for critical reading of the manuscript and expert advice on patient recruitment and Dr. David Fagan, Dr. Alexandros Agapitos and Stefan Forstenlechner from the UCD Natural Computing Research and Applications Group for their insightful advice on GE methodology. This research is based upon work supported by ICON plc.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Gilyana Borlikova .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this paper

Cite this paper

Borlikova, G., Phillips, M., Smith, L., O’Neill, M. (2016). Evolving Classification Models for Prediction of Patient Recruitment in Multicentre Clinical Trials Using Grammatical Evolution. In: Squillero, G., Burelli, P. (eds) Applications of Evolutionary Computation. EvoApplications 2016. Lecture Notes in Computer Science(), vol 9597. Springer, Cham. https://doi.org/10.1007/978-3-319-31204-0_4

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-31204-0_4

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-31203-3

  • Online ISBN: 978-3-319-31204-0

  • eBook Packages: Computer ScienceComputer Science (R0)

Publish with us

Policies and ethics