CARE Lab

Research → Hypothesis-free signal detection and drug repurposing

Hypothesis-free signal detection and drug repurposing

Most pharmacoepidemiology begins with a question about a particular drug and a particular outcome. A complementary approach begins with the data: screening large numbers of drug–outcome pairs at once, without deciding in advance which ones are worth looking at. We apply data-driven methods — tree-based scan statistics, Bayesian approaches, disproportionality analysis, and machine learning — across spontaneous reporting systems, national claims databases, and global pharmacovigilance data to surface associations that a targeted study would never have been designed to find.

The same screening logic runs in two directions. Pointed at harm, it is post-marketing safety surveillance: detecting signals early enough to matter, and separating the ones worth pursuing from the noise that any large database produces. Pointed at benefit, it becomes drug repurposing — generating candidate hypotheses for therapeutic effects outside a drug's approved indication. In both directions, what comes out is not a conclusion but a question, which we then test with the comparative designs used elsewhere in the lab.

Selected work

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