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Leveraging the semantic web and natural language processing to enhance drug-mechanism knowledge in drug product labels

Published:11 November 2010Publication History

ABSTRACT

Multiple studies indicate that drug-drug interactions are a significant source of preventable adverse drug events. Factors contributing to the occurrence of preventable ADEs resulting from DDIs include a lack of knowledge of the patient's concurrent medications and inaccurate or inadequate knowledge of interactions by health care providers. FDA-approved drug product labeling is a major source of information intended to help clinicians prescribe drugs in a safe and effective manner. Unfortunately, drug product labeling has been identified as often lagging behind emerging drug knowledge; especially when it has been several years since a drug has been released to the market. In this paper we report on a novel approach that explores employing Semantic Web technology and natural language processing to identify drug mechanism information that may update or expand upon statements present in product labeling.

References

  1. Amgen. SENSIPAR (cinacalcet hydrochloride) tablet, coated. FDA-approved drug product labeling, 122008. Last accessed on DailyMed 06/29/2009.Google ScholarGoogle Scholar
  2. Apotex. fluconazole (fluconazole) solution. FDA-approved drug product labeling, 01 2007. Lastaccessed on DailyMed 05/22/2010.Google ScholarGoogle Scholar
  3. R. Boyce, C. Collins, J. Horn, and I. Kalet. Modelingdrug mechanism knowledge using evidence and truth maintenance. IEEE Transactions on Information Technology in Biomedicine, 11(4):386--397, 2007. Google ScholarGoogle ScholarDigital LibraryDigital Library
  4. R. Boyce, C. Collins, J. Horn, and I. Kalet. Computing with evidence part I: A drug-mechanism evidence taxonomy oriented toward confidence assignment. J Biomed Inform, 42(6):979--989, 2009. Google ScholarGoogle ScholarDigital LibraryDigital Library
  5. R. Boyce, C. Collins, J. Horn, and I. Kalet. Computing with evidence part II: An evidential approach to predicting metabolic drug-drug interactions. J Biomed Inform, 42(6):990--1003, 2009. Google ScholarGoogle ScholarDigital LibraryDigital Library
  6. W. W. Chapman, W. Bridewell, P. Hanbury, G. F.Cooper, and B. G. Buchanan. A simple algorithm for identifying negated findings and diseases in discharge summaries. J Biomed Inform, 34(5):301--10, Oct 2001.Google ScholarGoogle ScholarCross RefCross Ref
  7. Y.-F. Chen, A. Avery, K. Neil, C. Johnson, M. Dewey, and I. Stockly. Incidence and possible causes of prescribing potential hazardous/contraindicated drug combinations in general practice. Drug Safety, 28:67--80, 2005.Google ScholarGoogle ScholarCross RefCross Ref
  8. Committee on Identifying and Preventing Medication Errors. Preventing medication errors. Technical report, Institute of Medicine, 2006. 0309102685.Google ScholarGoogle Scholar
  9. U. Congress. Code of Federal Regulations 21 Part 201, chapter Labeling. Washington, DC: US Government Printing Office, 2010.Google ScholarGoogle Scholar
  10. U. Congress. Code of Federal Regulations 21 Part 201.56, chapter Requirements on content and format of labeling for human prescription drug and biological products. Washington, DC: US Government Printing Office, 2010.Google ScholarGoogle Scholar
  11. T. Fayruzov, M. D. Cock, C. Cornelis, and V. Hoste. Linguistic feature analysis for protein interaction extraction. BMC Bioinformatics, 10: 374, 2009. PMID: 19909518.Google ScholarGoogle ScholarCross RefCross Ref
  12. G.D.-Searle-LLC. COVERA-HS (verapamil hydrochloride) tablet, extended release. FDA-approved drug product labeling, 04 2010. Lastaccessed on Daily Med 05/22/2010.Google ScholarGoogle Scholar
  13. Global-Pharmaceuticals. GEMFIBROZIL tablet, coated. FDA-approved drug product labeling, 092009. Last accessed on DailyMed 05/22/2010.Google ScholarGoogle Scholar
  14. J. Gurwitz, T. Field, J. Judge, P. Rochon, L. Harrold, C. Cadoret, M. Lee, K. White, J. LaPrino, J. Erramuspe-Mainard, M. DeFlorio, L. Gavendo, J. Auger, and D. Bates. The incidence of adverse drug events in two large academic long-term facilities. Am J Med, 118: 251--258, 2005.Google ScholarGoogle ScholarCross RefCross Ref
  15. Internal. FDA guideline: Drug interaction studies - study design, data analysis, and implications for dosing and labeling. http://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/ucm072101. pdf, Sept. 2006. Last Accessed: 03/31/2010.Google ScholarGoogle Scholar
  16. IVAX. cimetidine (Cimetidine) tablet, film coated. FDA-approved drug product labeling, 08 2008. Last accessed on DailyMed 12/28/2009.Google ScholarGoogle Scholar
  17. D. N. Juurlink, M. Mamdani, A. Kopp, A. Laupacis, and D. A. Redelmeier. Drug-drug interactions among elderly patients hospitalized for drug toxicity. JAMA, 289(13): 1652--1658, 2003.Google ScholarGoogle ScholarCross RefCross Ref
  18. P. Marroum and J. Gobburu. The product label: how pharmacokinetics and pharmacodynamics reach the prescriber. Clin Pharmacokinet., 41(3):161--9, 2002.Google ScholarGoogle ScholarCross RefCross Ref
  19. G. Móra, R. Farkas, G. Szarvas, and Z. Molnár. Exploring ways beyond the simple supervised learning approach for biological event extraction. In BioNLP '09: Proceedings of the Workshop on BioNLP, pages 137--140, Morristown, NJ, USA, 2009. Association for Computational Linguistics. Google ScholarGoogle ScholarDigital LibraryDigital Library
  20. Mutual. PROPAFENONE HYDROCHLORIDE tablet, film coated. FDA-approved drug product labeling, 07 2009. Last accessed on DailyMed 05/15/2010.Google ScholarGoogle Scholar
  21. Mylan. cimetidine (Cimetidine) tablet, film coated. FDA-approved drug product labeling, 07 2007. Last accessed on DailyMed 12/28/2009.Google ScholarGoogle Scholar
  22. S. H. Preskorn. How drug-drug interactions can impact managed care. The American Journal of Managed Care, 10(6 Suppl): S186--S198, July 2004.Google ScholarGoogle Scholar
  23. Teva. trimethoprim (Trimethoprim) tablet. FDA-approved drug product labeling, 06 2008. Last accessed on DailyMed 05/22/2010.Google ScholarGoogle Scholar
  24. Teva Pharmaceuticals. fluconazole (fluconazole) Teva. FDA-approved drug product labeling, 10 2006. Last accessed on DailyMed 05/22/2010.Google ScholarGoogle Scholar
  25. Watson. mexiletine hcl (Mexiletine hydrochloride) capsule. FDA-approved drug product labeling, 04 2008. Last accessed on DailyMed 05/22/2010.Google ScholarGoogle Scholar
  26. D. S. Wishart, C. Knox, A. C. Guo, S. Shrivastava, M. Hassanali, P. Stothard, Z. Chang, and J. Woolsey. Drugbank: a comprehensive resource for in silico drug discovery and exploration. Nucleic Acids Res, 34(Database issue): D668--D672, 2006.Google ScholarGoogle Scholar
  27. R. Yuan, T. Parmelee, J. D. Balian, R. S. Uppoor, F. Ajayi, A. Burnett, L. J. Lesko, and P. Marroum. In vitro metabolic interaction studies: experience of the Food and Drug Administration. Clin Pharmacol Ther, 66(1):9--15, 1999.Google ScholarGoogle ScholarCross RefCross Ref

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      cover image ACM Other conferences
      IHI '10: Proceedings of the 1st ACM International Health Informatics Symposium
      November 2010
      886 pages
      ISBN:9781450300308
      DOI:10.1145/1882992

      Copyright © 2010 ACM

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      Publication History

      • Published: 11 November 2010

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