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Table 2 SprayX cluster themes identified by HDBSCAN algorithm

From: Advancing medical affair capabilities and insight generation through machine learning techniques

SprayX cluster themes

Cluster

Themes

Potential explorations

Cluster -1

Not enough cases to be classified as a cluster

N/A

Cluster 0

Question was missing

N/A

Cluster 1

Question was missing

N/A

Cluster 2

Safety on plane

Med info-website potential, educate pharmacists

Allowed on plane/dangerous goods

Cluster 3

Measurement of foam (Changes have been added to PM)

# Inquiry Vs Time to see if # of questions decreased (Are the PM changes sufficient)

Amount/actuation

Concern to not exceed 15gm

How much to apply?

Confusion on instructions

Cluster 4

How to apply to Scalp?

Add content to Med Info Website

(therein forth described as

“Med Info Website”)

Drug holidays

Med Info Website

Re-starting SprayX

Med Info Website

Long term efficacy and maintenance

Med Info Website (SprayX-Data)

#Inquiry vs time to see if # of questions changes following a) rep reactive handling of HCP requests for long-term/maintenance use; b) PM changes

Grease removal/Can't get it out"/"Washed my hair many times"/"How to remove from scalp?"/ "Recommendations are not working"

Sending a follow-up questionnaire if the "Shampoo on dry hair” or general recommendations works after reply

Information in the use of SprayX post-4 weeks

Med Info Website (SprayX Data)

Disposal of SprayX

Educate Pharmacists, Doctors, Med Info Website

Paul Study: SprayX vs DrugX/ SprayX and DrugY®

Med Info Website (SprayX- Data)

SprayX Study: SprayX vs DrugZ/ SprayX and DrugZ

Med info Website (SprayX-Data)

How long to leave application on? / How long does it take to absorb?

Educate Pharmacists (part of counselling)

Use with vitamin D

Med Info Website

Use in adolescence/use in children

Med Info Website

Confusion on instructions of "A can lasts 4 days" with their physician’s SIG

PM improvements in wording

Application on off-label sensitive areas ("Can it be applied on […]”

(Areas where PM advises not to use)

Med Info Website

SprayX vs DrugA/SprayX and DrugA

Med Info Website

Use in pregnancy/breastfeeding

Med Info Website

Putting on gloves/socks/occluding area (band-aid) after application from patients/"used under occlusion"

Educate pharmacists (part of counselling)

Calcium levels

Med Info Website

SprayX vs phototherapy/ SprayX and phototherapy

Med Info Website

Staining fabrics

Educate pharmacists (part of counselling)

Removal of product. ("Do I wait for it to dry?", "Do I need to wipe off the excess?")

Educate pharmacists (part of counseling)

SprayX trial data

Med Info Website (SprayX Data)

Any concerns with the treatment of hair (colored hair/perm)

Educate pharmacists (part of counselling), Med-Info Website

Risks of inhalation

Educate pharmacists (part of counseling)

Use of moisturizer/sunscreen

Educate pharmacists (part of counseling)

Psoriasis of various kinds (Pustular psoriasis, plaque psoriasis, palmoplantar psoriasis, nail psoriasis)

Med Info Website

Does it contain "…"

Med Info Website

Positive feedbacks/marketing feedback

Data visualization: use of MAFUSA

Hyperpigmentation

Med Info Website

Photocarcinogenicity/sun exposure

Educate pharmacists (part of counselling)

Is SprayX the same as DrugB®

Med Info Website

Accidentally got into eyes

Educate pharmacists (part of counselling)

Requests for OLA slide decks

Data visualization: use of MAFUSA

Cluster 5

Appearance/"why is the foam not foaming?"

Product monograph improvements in wording

Cold feeling after application

Med Info Website

Product defects

Data visualization (Use of MAFUSA)

Application near the eyes

Med Info Website

What is the environmental impact of improper disposal?

Educate pharmacists, doctors, Med Info Website

Compassionate use

Med Info Website (instructions/forms)

Cluster 6

SprayX patient cases program: use beyond 4 weeks

N/A: Very old cases

Cluster 7

PV case reports—off-label use

Data visualization: use of MAFUSA