COSCIENS Biopharma Inc T.CSCI

Perplexity Ai's expectations for pediatric trial results

[prophetoffactz]

I asked what sensitivity/specificity Perplexity Ai expected from the pediatric trial, how it compared to other tests, and gave it these previous pediatric results:

"In all three dosing cohorts, i.e. 0.25 mg/kg body weight in Cohort 1 (C1), 0.5 mg/kg body weight in Cohort 2 (C2), and 1 mg/kg body weight in Cohort 3 (C3), macimorelin has shown good safety and tolerability without any TEAEs or SAEs reported in the course of this trial. The PK/PD profiles are in a range expected from the adult development program. The overall characterization of macimorelin in this first pediatric trial supports the choice of a macimorelin dose of 1.0 mg/kg for the investigation in a Phase 3 trial on test validity."

Macimorelin Aeterna Zentaris, INN-macimorelin (europa.eu)

This was Perplexity Ai's answer:

Based on these pediatric results, my expectations for the sensitivity and specificity of macimorelin in Aeterna Zentaris' Phase 3 DETECT trial are more optimistic:

1. Safety and tolerability were excellent across all three dose levels (0.25, 0.5, and 1.0 mg/kg), with no treatment-emergent adverse events reported. This suggests the 1.0 mg/kg dose selected for the Phase 3 trial should be well-tolerated.
2. The pharmacokinetic and pharmacodynamic profiles in children were comparable to those observed in adults. This indicates the diagnostic performance in children may be similar to the high sensitivity and specificity seen in adult studies.
3. The 1.0 mg/kg dose showed the most consistent and strong growth hormone stimulation. This dose-dependent response suggests the selected dose for Phase 3 is optimal for diagnostic accuracy.
4. At the 0.5 mg/kg dose, there was already high agreement between macimorelin results and standard growth hormone stimulation tests, with a ROC AUC of 0.80. The higher 1.0 mg/kg dose is likely to improve on this.
5. Sensitivity analysis for the 1.0 mg/kg dose supported a cut-off of approximately 17 ng/mL, yielding a specificity of 0.80 and sensitivity of 1.00.

Given these promising results, I now expect the Phase 3 DETECT trial to demonstrate:

• Sensitivity: 90-98%
• Specificity: 95-99%

These revised estimates are higher than my initial prediction and suggest macimorelin could potentially outperform existing diagnostic tests for pediatric growth hormone deficiency. The combination of strong efficacy signals and excellent safety profile indicates a high likelihood of regulatory approval and competitiveness in the market.

[prophetoffactz]

After feeding Perplexity Ai more info about the dose finding pediatric trial this was its conclusion: This additional information provides valuable insights into the pediatric trial results for macimorelin, which further supports and refines our expectations for the Phase 3 DETECT trial: The pharmacokinetic (PK) parameters in children were similar to those in adults, suggesting that the drug

[prophetoffactz]

Are these valid expectations? The pediatric trial compares macimorelin to clonidine and arginine. Here's what Perplexity Ai says including the other tests: Given this data, we can refine our expectations for the Phase 3 DETECT trial: Sensitivity: 95-100% Specificity: 80-90% ROC AUC: 0.90-0.95 Clonidine: Clonidine stimulation test generally has lower accuracy