A Goemans-Williamson type algorithm for identifying subcohorts in clinical trials

Abstract

We design an efficient algorithm that outputs tests for identifying predominantly homogeneous subcohorts of patients from large in-homogeneous datasets. Our theoretical contribution is a rounding technique, similar to that of Goemans and Wiliamson (1995), that approximates the optimal solution within a factor of $0.82$. As an application, we use our algorithm to trade-off sensitivity for specificity to systematically identify clinically interesting homogeneous subcohorts of patients in the RNA microarray dataset for breast cancer from Curtis et al. (2012). One such clinically interesting subcohort suggests a link between LXR over-expression and BRCA2 and MSH6 methylation levels for patients in that subcohort.