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Simulation of Clinical Trials with Mathematical Models ... - CBI

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A-L-L: <strong>Clinical</strong> trial simulation enabled testing<br />

<strong>of</strong> a novel hypothesis<br />

Situation<br />

• A group <strong>of</strong> physicians at Kaiser Permanente<br />

suggested that a combination <strong>of</strong> aspirin, lovastatin,<br />

and lisinopril would reduce complications <strong>of</strong><br />

diabetes<br />

• However, there was no direct evidence and no way<br />

to determine effects on health outcomes and costs<br />

• Yet, data would be needed to support adoption<br />

27

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