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In Silico Clinical Trials (ISCT), i.e., clinical experimental campaigns carried out by means of computer simulations, hold the promise to decrease time and cost for the safety and efficacy assessment of pharmacological treatments, reduce the need for animal and human testing, and enable precision medicine.
In this paper we present a case study aiming at quantifying, by means of a multi-arm ISCT supervised by intelligent search, the potential impact of precision medicine approaches on a real pharmacological treatment, namely the downregulation phase of a complex clinical protocol for assisted reproduction.
We present an overview of the current status of the European collaborative
project PAEON. The challenge of PAEON is to provide specialists in reproduc-
tive medicine with a computerised model of the menstrual cycle under normal
and various pathological conditions, which will allow them to get further in-
sight in fertility dynamics. This model also enables the simulation of treatment
protocols, which were used within in vitro fertilization. By the definition of
virtual patients through biologically admissible parametrizations our approach
allows not only the evaluation of a given treatment strategy in silico, but also
the design and optimization of such protocols. Once a protocol is formalized
in the virtual hospital, the success can be controlled by a treatment execution
monitor, which works then as a clinical decision support system. All these tools
will be combined in a virtual hospital environment, enabling the access to the
PAEON services through the web.
