Investigators:
Daniel F. Heitjan, PhD (PI), Wade H. Berrettini, MD, PhD, Caryn Lerman, PhD


Bayesian Analysis in Pharmacogenetic Trials of Nicotine Dependence Treatment

Pharmacogenomic science has identified numerous genetic polymorphisms that influence patient response to drug treatment, yet it is believed that many more remain undiscovered.  The search for important factors is complicated by the large number of polymorphisms – potentially there are millions – of which the vast majority will have no function.  Thus discovery approaches based on conventional statistical methods, which as typically applied have a 5% false positive rate, may be too sensitive and insufficiently specific.  Standard multiple-comparisons corrections may go too far in the other direction, leading to procedures that are exquisitely specific but insufficiently sensitive.  Moreover, standard approaches are unable to make use of potentially relevant prior data, such as the situation of a SNP within a gene known to be related to drug metabolism or action.  Bayesian hypothesis testing methods are generally less sensitive and more specific than conventional tests, handle multiplicity more gracefully, and can make use of prior information.  In this application we propose to develop Bayesian methods for the identification of important SNPs in data from two clinical trials of nicotine dependence treatment.