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. 2024 Apr 20;47(7):699–710. doi: 10.1007/s40264-024-01425-5

Table 1.

Sequential analytic steps in developing the composite plot, their function and use in review

Steps Function Use in review

Step 1: Pretreatment eDISH plot

Scatterplot of pretreatment BILI and ALT values in ×ULN. Subjects are represented by colored symbols corresponding to the pretreatment quadrant:

Identifies subjects based on the degree of existing liver injury in an eDISH plot

What are the subjects’ test values before treatment?

Identifies extent and relative proportions of abnormal liver tests in the population

Inline graphic Normal & NN Inline graphic Temple’s Corollary
Inline graphic Cholestasis Inline graphic Hy’s Law

Step 2: Peak on-treatment eDISH plot

Subjects were replotted in an on-treatment eDISH scatterplot showing peak on-treatment BILI and ALT values in ×ULN

Identifies on-treatment migration path between each eDISH quadrant

Which subjects had more extreme ALT and BILI in the population? What is the subject’s origin and destination between different quadrants on eDISH plot?

Identifies extent and relative proportions of subjects that migrate between pretreatment and peak on-treatment values

Step 3: Peak on-treatment composite plot (×BLN based)

The peak on-treatment BILI and ALT values replotted from ×ULN to ×BLN in each of the eDISH quadrants

Treatment responses of subjects in each eDISH quadrant from Step 2 presented visually as ×BLN, to quickly assess liver tests’ rise or fall from BLN

For subjects within the ×ULN quadrant, how do the peak on-treatment values change compared with their individual pretreatment values?

Identifies magnitude of increase or decrease of BILI and ALT values for subjects in each eDISH quadrant compared with their baseline

Comparison of proportions of subjects that had liver tests worsen or stabilize/improve on treatment

ALT alanine aminotransferase, BILI total bilirubin, BLN baseline liver test value, eDISH electronic drug-induced serious hepatotoxicity, NN near normal, ULN upper limit of normal