How do I begin work on stuff - next step is causal story. key points include - we are trying to separate strategic and operational concerns. (why is this a difficult problem?) - we can't trust what we are told - terminations could be due to safety, strategic, or operational concerns. - explaining confounding between - population/market and enrollment. -population/market and market conditions. - market conditions and enrollment. - describe other confounders - safety and effectiveness - duration <--> enrollment/termination - Condition - Decision to procede with Phase III trial - How do I handle this? - Introduce Do-Calculus - DAG model - What do I need to control for, in some form or other? CURRENTLY HERE: - Introduce Data - Clinical Trial Progression - AACT gives us information on - terminated/completed status - compound-indication pairs - MeSH/RxNorm links - Snapshots - Market Conditions - can't directly measure alternate treatments/standards of care. - Can get measures of USP - formulary alternatives - Can get number of generics or brand names with same drug. - Population Sizes - IHME Global Burden of Disease dataset. Best measure of impact of a given disease category. - DALY's - How much data do I have? - Econometric model - for a given state, what is the probability it will terminate? - more accurately for my dist-diff analysis: for a given state, what is the distribution of the probabilities it will terminate? - basic bernoulli-logistic model, linear in parameters. - What are the specific things I am looking at? - number of competing treatments. - delaying close of enrollment.