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Peer-Reviewed Publication
BMJ Open Gastroenterol2025;12(1)December 7, 2025Journal Article

Comparative evaluation of a hybrid machine learning-human adjudication paradigm for endoscopic scoring in ulcerative colitis.

Klaus T Gottlieb1, Chakib Battioui2, Yeli Wang3, Pavel A Brodskiy3, Mohammad Haft-Javaherian3, Daniel R Colucci3, Darren Thomason3, Shrujal Baxi3
1Eli Lilly and Company, Indianapolis, Indiana, USA klaus.gottlieb@gmail.com.
2Eli Lilly and Company, Indianapolis, Indiana, USA.
3Iterative Health Inc, Cambridge, Massachusetts, USA.

Abstract

OBJECTIVE: Endoscopic scoring of disease activity is essential in ulcerative colitis trials but is limited by inter-reader variability and operational complexity. We evaluated a novel central reading paradigm integrating two independently developed machine learning models with human adjudication for discordant cases ('2M+1H') to determine whether it is statistically non-inferior to the traditional…

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