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Record W4387393578 · doi:10.1093/cid/ciad607

Food and Drug Administration Public Workshop Summary—Addressing Challenges in Inhaled Antifungal Drug Development

2023· article· en· W4387393578 on OpenAlexaff
Caroline J Jjingo, Shukal Bala, Ursula Waack, Mark Needles, Timothy J. Bensman, Owen McMaster, Thomas A. Smith, Brandon L. Blakely, Irene Z. Chan, Khalid Puthawala, Cheryl Dixon, Yongman Kim, Robert Lim, Philip Colangelo, Christopher St. Clair, Sumathi Nambiar, Richard B. Moss, Radu Botgros, Rohit Bazaz, David W. Denning, Kieren A. Marr, Shahid Husain, Lance Berman, Dale J. Christensen, Charlotte Keywood, Russell Gene Clayton, Thomas J. Walsh, Hyo Sook E Song, Sunita J. Shukla, John Farley

Bibliographic record

VenueClinical Infectious Diseases · 2023
Typearticle
Languageen
FieldMedicine
TopicAntifungal resistance and susceptibility
Canadian institutionsUniversity of TorontoUniversity Health Network
FundersCenter for Drug Evaluation and ResearchU.S. Food and Drug Administration
KeywordsMedicineIntensive care medicineClinical trialFood and drug administrationDrugAntifungalDrug developmentClinical researchAntifungal drugAntifungal drugsAspergillosisPharmacologyImmunologyInternal medicine

Abstract

fetched live from OpenAlex

Allergic bronchopulmonary aspergillosis and invasive fungal diseases represent distinct infectious entities that cause significant morbidity and mortality. Currently, administered inhaled antifungal therapies are unapproved, have suboptimal efficacy, and are associated with considerable adverse reactions. The emergence of resistant pathogens is also a growing concern. Inhaled antifungal development programs are challenged by inadequate nonclinical infection models, highly heterogenous patient populations, low prevalence rates of fungal diseases, difficulties defining clinical trial enrollment criteria, and lack of robust clinical trial endpoints. On 25 September 2020, the US Food and Drug Administration (FDA) convened a workshop with experts in pulmonary medicine and infectious diseases from academia, industry, and other governmental agencies. Key discussion topics included regulatory incentives to facilitate development of inhaled antifungal drugs and combination inhalational devices, limitations of existing nonclinical models and clinical trial designs, patient perspectives, and industry insights.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.027
metaresearch head score (Gemma)0.012
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Other · Consensus signal: none
Teacher disagreement score0.036
Threshold uncertainty score0.144

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0270.012
Meta-epidemiology (narrow)0.0020.001
Meta-epidemiology (broad)0.0010.002
Bibliometrics0.0010.001
Science and technology studies0.0040.002
Scholarly communication0.0090.006
Open science0.0040.007
Research integrity0.0210.018
Insufficient payload (model declined to judge)0.0360.013

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.160
GPT teacher head0.393
Teacher spread0.233 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreOther

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations7
Published2023
Admission routes1
Has abstractyes

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