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_quarto-dfda-spec.yml
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project:
type: website
output-dir: _site/dfda-spec
execute-dir: project
resources:
- knowledge/data/
- assets/
- _redirects
- robots.txt
- llms.txt
render:
# Paper is copied to index.qmd by render script
- index.qmd
- knowledge/appendix/parameters-and-calculations.qmd
# Custom fields for render-quarto.py
dih-render:
emoji: "🔬"
index-source: knowledge/appendix/dfda-spec-paper.qmd
fallback-404-redirect-domain: https://manual.WarOnDisease.org # Redirects here if path doesn't exist on this site
pdf-output-file: dfda-spec-paper.pdf
netlify-site-id: "01e9af64-b6d0-48ee-8c3d-43994745ac3f"
netlify-cname: "dfda-spec-warondisease-org.netlify.app"
show-confidence-intervals: true # Show 95% CI ranges for calculated values in academic papers
concept-terms:
- term: "decentralized FDA"
aliases:
- "dFDA"
- "decentralized framework for drug assessment"
manual-target: knowledge/solution/dfda.qmd
citation-keys:
- dfda-spec-paper-2025
- dfda-impact-paper-2025
- term: "Continuous Evidence Generation Protocol"
aliases:
- "CEGP"
- "Two-Stage Validation"
# Image generation prompts (used by scripts/images/generate-project-branding-images.ts)
favicon-prompt: "Pill/capsule inside a magnifying glass."
profiles:
default:
dotenv:
allowEmptyValues: true
author:
- name: Mike P. Sinn
email: m@warondisease.org
orcid: 0009-0006-0212-1094
affiliations:
- name: "Institute for Accelerated Medicine"
url: https://acceleratedmedicine.org
website:
title: "The Continuous Evidence Generation Protocol: Two-Stage Validation (RWE → Pragmatic Trials)"
description: 'We present the Predictor Impact Score (PIS), a novel composite metric operationalizing Bradford Hill causality criteria for automated signal detection from aggregated N-of-1 observational studies. Combined with pragmatic trial confirmation (based on evidence from 108+ embedded trials), this two-stage framework would generate validated outcome labels at 44.1x lower cost than traditional Phase III trials. This enables continuous, population-scale pharmacovigilance and precision dosing recommendations.'
site-url: https://manual.warondisease.org/knowledge/appendix/dfda-spec-paper.html
favicon: assets/icons/dfda-favicon.png
page-navigation: true
page-footer:
left: "© 2025 [Institute for Accelerated Medicine](https://acceleratedmedicine.org) | [CC BY-NC 4.0](https://creativecommons.org/licenses/by-nc/4.0/)"
center: "[PDF](https://manual.warondisease.org/knowledge/appendix/dfda-spec-paper.pdf) | [All Papers](https://manual.warondisease.org/knowledge/papers.html)"
right: "[VOTE](https://WarOnDisease.org)"
navbar:
right:
- text: "Prototype"
href: https://dfda.earth
- text: "Calculations"
href: knowledge/appendix/parameters-and-calculations.qmd
- text: "VOTE"
href: https://WarOnDisease.org
execute:
fig-path: "knowledge/figures/"
cache: false
freeze: auto # Only re-run cells when content changes
daemon: 300
daemon-restart: false
env:
PYTHONPATH: "."
metadata:
importance: 78
creator: "Mike P. Sinn"
orcid: "0009-0006-0212-1094"
primary-author: "Mike P. Sinn"
byline: "Mike P. Sinn"
human-author: "Mike P. Sinn"
author-email: "mike@warondisease.org"
author-url: "https://mikesinn.com"
author-website: "https://mikesinn.com"
contact: "mike@warondisease.org"
language: "en-US"
subject: "Pharmacovigilance, Real-World Evidence, N-of-1 Trials, Causal Inference, Statistical Methods"
category: "Academic Paper, Medical Research, Methodology"
coi-statement: "The author declares no competing interests. The author does maintain a bias toward the Bradford Hill criteria producing correct answers, which some regulatory agencies may find disruptive."
data-availability: "All data and code used in this analysis are publicly available at https://github.com/wishonia/earth-optimization-protocol"
ethics-statement: "This research did not involve human subjects. It proposes a framework that would involve considerably more of them, but with their informed consent and at 44x lower cost."
funding: "This research received no funding. The statistical framework described herein costs less to develop than a single traditional Phase III trial costs to delay."
github-profile: "https://github.com/mikepsinn"
linkedin: "https://www.linkedin.com/in/mikesinn"
orcid-url: "https://orcid.org/0009-0006-0212-1094"
google-scholar: "https://scholar.google.com/citations?user=RjDd_qcAAAAJ"
keywords:
- dfda
- predictor-impact-score
- pharmacovigilance
- real-world-evidence
- n-of-1-trials
- causal-inference
- bradford-hill-criteria
- treatment-effects
- adverse-events
- outcome-labels
- statistical-methods
- dfda
- decentralized-fda
version: "0.9"
edition: "Working Draft"
copyright: "© 2025 The Institute for Accelerated Medicine"
copyright-year: "2025"
license: "CC BY-NC 4.0"
license-url: "https://creativecommons.org/licenses/by-nc/4.0/"
rights: "Creative Commons Attribution-NonCommercial 4.0 International License"
publisher: "Institute for Accelerated Medicine"
publisher-url: "https://acceleratedmedicine.org"
publisher-name: "Mike P. Sinn"
publisher-email: "mike@warondisease.org"
repo-url: "https://github.com/wishonia/earth-optimization-protocol"
issue-url: "https://github.com/wishonia/earth-optimization-protocol/issues"
source-url: "https://github.com/wishonia/earth-optimization-protocol"
geographic-coverage: "Global"
audience: "Researchers, Regulatory Scientists, Biostatisticians, Pharmacoepidemiologists, Health Data Scientists"
format: "Working Paper"
type: "Academic"
genre: "Biostatistics, Pharmacoepidemiology, Methodology"
medium: "Digital"
twitter-site: "https://x.com/warondisease"
twitter-creator: "https://x.com/warondisease"
og-site-name: "Decentralized FDA"
# Identifiers
# Zenodo Concept DOI (stable across all versions - use for citations and new versions)
doi: "10.5281/zenodo.18203375"
# Open Graph metadata (enables per-page custom OG images)
open-graph: true
image: "https://manual.warondisease.org/assets/og/dfda-spec-og-1200x630.jpg"
# Publication tracking
publishing:
own-site:
url: "https://manual.warondisease.org/knowledge/appendix/dfda-spec-paper.html"
status: deployed
preprints:
- platform: zenodo
status: auto-uploaded
url: "https://zenodo.org/record/18522034"
doi: "10.5281/zenodo.18203375"
- platform: medrxiv
status: pending
url: ""
- platform: arxiv
status: pending
category: stat.ME
journals:
- name: "Clinical Pharmacology & Therapeutics"
tier: 2
status: target
url: ""
- name: "Pharmacoepidemiology and Drug Safety"
tier: 2
status: target
url: ""
- name: "Drug Safety"
tier: 2
status: target
url: ""
# Remove "Appendix" prefix
language:
crossref-apx-prefix: ""
section-title-appendices: ""
# Bibliography: Single source of truth for all citations
bibliography: references.bib
csl: nature-annotated.csl # Renders 'abstract' field (quotes) in bibliography
jupyter: dih-project-kernel
format:
html:
lightbox: auto
theme:
- cosmo
mermaid:
theme: neutral
echo: false
number-sections: true
toc: true
toc-depth: 3
css:
- styles.css
- economics-overrides.css
include-before-body:
- file: assets/html/page-loader.html
include-after-body:
- file: assets/html/site-enhancements-loader.html
include-in-footer:
- file: assets/html/generated-footer.html
include-in-header:
- text: |
<!-- Icons (project-specific) -->
<link rel="icon" type="image/png" sizes="32x32" href="/assets/icons/dfda-favicon-32x32.png">
<link rel="icon" type="image/png" sizes="16x16" href="/assets/icons/dfda-favicon-16x16.png">
<link rel="apple-touch-icon" sizes="180x180" href="/assets/icons/dfda-apple-touch-icon.png">
<link rel="icon" type="image/png" sizes="192x192" href="/assets/icons/dfda-android-chrome-192x192.png">
<link rel="icon" type="image/png" sizes="512x512" href="/assets/icons/dfda-android-chrome-512x512.png">
- file: assets/html/google-analytics.html
- file: assets/html/hypothesis.html
- file: assets/html/fonts-preload.html
citation-hover: true
code-fold: true
link-citations: true
smooth-scroll: true
code-tools: false
filters: [assets/filters/live-version-note.lua]
pdf:
output-file: "dfda-spec-paper.pdf"
documentclass: article
institute: "Institute for Accelerated Medicine"
echo: false
toc: true
toc-depth: 3
number-sections: true
colorlinks: true
link-citations: true
date: ""
include-in-header:
- callout-bw.tex
- institute-header.tex
- text: |
\paperurl{https://manual.warondisease.org/knowledge/appendix/dfda-spec-paper.html}
geometry:
- top=1in
- bottom=1in
- left=1in
- right=1in
fontsize: 11pt
filters: [assets/filters/live-version-note.lua]