A software to develop personalized treatment strategies for COVID-19

Investigators
Dr. Souvik Roy, Dr. Suvra Pal, Dr. Richard Medford
Contact info (email)
souvik.roy@uta.edu
1. Define context(s)
aid in clinical decision making
identify/explore new therapies
reveal new biological insights
Current Conformance Level / Target Conformance Level
Adequate
Primary goal of the model/tool/database

The main goal of this project is to develop a software based on a novel mathematical framework that uses individual COVID-19 patient data to obtain accurate personalized treatment strategies. We aim to achieve this goal using an extensive pharmacokinetic model building, an optimal control approach for parameter estimation, and tools from statistical sensitivity analysis to devise new and efficient treatment strategies. Our proposed framework will be highly beneficial for health professionals to make fast and accurate decisions about treatment strategies, without the need for numerous clinical trials, thereby assisting the world in its fight against COVID-19.

Biological domain of the model
Infectious diseases (COVID-19)
Structure(s) of interest in the model
Respiratory system
Spatial scales included in the model
10^-6 to 10^-4 metres
Time scales included in the model
1 to 30 days, depending on the patient data.
Other uses for the model (optional)

Our model can be used by clinicians to assess fast and accurate treatments for a large class of infectious diseases besides COVID-19.

Additional comments about the model’s context (optional)

Our model is specifically designed to analyze gene expression data from patients suffering from COVID-19. 

2. Data for building and validating the model
Data for building the model Published? Private? How is credibility checked? Current Conformance Level / Target Conformance Level
in vitro (primary cells cell, lines, etc.)
ex vivo (excised tissues)
in vivo pre-clinical (lower-level organism or small animal)
in vivo pre-clinical (large animal)
Human subjects/clinical Yes Deidentified individual COVID-19 patient gene expression data is available Peer-reviewed and published data Adequate
Other: ________________________
Data for validating the model Published? Private? How is credibility checked? Current Conformance Level / Target Conformance Level
in vitro (primary cells cell, lines, etc.)
ex vivo (excised tissues)
in vivo pre-clinical (lower-level organism or small animal)
in vivo pre-clinical (large animal)
Human subjects/clinical Yes Deidentified individual COVID-19 patient gene expression data is available Peer-reviewed and published data Adequate
Other: ________________________
3. Validate within context(s)
Who does it? When does it happen? How is it done? Current Conformance Level / Target Conformance Level
Verification Project research team Throughout development of the software with an independent peer-review prior to release There is an assessment of software risk and line by line review and global testing to insure code meets conceptual implementation Extensive
Validation Developers and end-users will perform the validation Throughout the development of the software 3-fold cross validation technique will be performed and FDR rates will be calculated to assess accuracy. An FDR < 20% will imply that the model is validated. Extensive
Uncertainty quantification the model is designed to propagate uncertainty, so this requirement is met by virtue of the model development and application Every time the model is run for a new scenario Normalization of data to remove noise and optimal control approach for robustness. Extensive
Sensitivity analysis Dr Suvra Pal Once the optimal parameters are obtained Through Latin Hypercube Sampling and Partial Rank Correlation Coefficient Extensive
Other:__________
Additional Comments
4. Limitations
Disclaimer statement (explain key limitations) Who needs to know about this disclaimer? How is this disclaimer shared with that audience? Current Conformance Level / Target Conformance Level
The pharmacokinetic differential equation model represents spread of virus in a diffusive way. Other forms of spread are not taken into account because of their rare occurrence. However, for some patients, other types of virus spreads can happen. Clinicians, health professionals and health researchers. A list of limitations is provided with each report from each model run and stated in the accompanying documentation. Extensive
5. Version control
Current Conformance Level / Target Conformance Level
Extensive
Naming Conventions? Repository? Code Review?
individual modeler Yes GITHUB Yes
within the lab N.A. N.A. N.A.
collaborators No GITHUB Yes
6. Documentation
Current Conformance Level / Target Conformance Level
Code commented? Extensive: Each part of the code will be commented in detail
Scope and intended use described? Extensive: Supporting material in publications
User’s guide? Adequate
Developer’s guide? Partial: No, there is a concept document and a software design document
7. Dissemination
Current Conformance Level / Target Conformance Level
Extensive
Target Audience(s): “Inner circle” Scientific community Public
Simulations Through peer-reviewed publications
Models Through peer-reviewed publications GITHUB
Software GITHUB GITHUB
Results Through peer-reviewed publications Scientific articles, news, social media, GITHUB
Implications of results Scientific articles, news, social media, GITHUB
8. Independent reviews
Current Conformance Level / Target Conformance Level
Insufficient
Reviewer(s) name & affiliation: To be done
When was review performed? To be done
How was review performed and outcomes of the review? N.A.
9. Test competing implementations
Current Conformance Level / Target Conformance Level
Insufficient
Yes or No (briefly summarize)
Were competing implementations tested? To be done
Did this lead to model refinement or improvement? To be done
10. Conform to standards
Current Conformance Level / Target Conformance Level
Extensive
Yes or No (briefly summarize)
Are there operating procedures, guidelines, or standards for this type of multiscale modeling?
How do your modeling efforts conform? We meet all documentation, programming and credibility standards as confirmed by independent assessment by users.