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

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<strong>Simulation</strong> methods have their own challenges,<br />

and differ in their capabilities<br />

Potential Challenges<br />

• Limited to current knowledge <strong>of</strong> drug action, efficacy/effectiveness,<br />

safety, dosing<br />

• May not capture <strong>of</strong>f-target toxicities<br />

• Not a substitute for a real trial<br />

Differences Among Methods<br />

• Level <strong>of</strong> accuracy in capturing physiological and pathophysiological<br />

relationships<br />

• Level <strong>of</strong> integration across different organs and disease processes<br />

• Ability to capture clinical care processes<br />

• Ability to capture healthcare system costs<br />

• Ability to capture downstream/ripple effects on outcomes and costs<br />

6

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