Analytical capability

Multi-omics data integration and analysis

Genomic, transcriptomic, proteomic, imaging and clinical data rarely tell a complete story in isolation. This page explains when integration is scientifically worthwhile, how Sonrai does it, and what it produces for a programme.

Genomics Transcriptomics Proteomics Epigenomics Digital pathology Clinical data MOFA+ Biomarker discovery
Who this is for
Translational scientists, biomarker leads, bioinformaticians, clinical researchers
Programmes supported
Discovery through clinical development, across oncology, immunology, and rare disease
Delivered through
Sonrai Discovery — a governed, cloud-native Trusted Research Environment

A single data type rarely answers the question that matters

Most precision medicine programmes generate data across multiple modalities. Genomic sequencing, RNA-seq, proteomic profiling, digital pathology, and clinical outcome data are all collected, often by different teams, stored in different systems, and analysed independently.

That independence is the problem. Individual modalities answer narrower questions than the programme actually needs. A transcriptomic analysis might identify differentially expressed genes without explaining whether those genes translate to protein-level changes. A pathology analysis might reveal tissue-level patterns without connecting them to the molecular biology. Clinical outcome data shows who responded — not why.

Multi-omics integration may add value when the biological question requires evidence from more than one dimension. It is not a substitute for independent validation — findings from integrated analysis still need to be assessed across additional cohorts and evidence sources before they can support major programme decisions. Common scenarios where integration changes what is possible:

Integration may add value when
Explaining treatment response requires connecting molecular signals to clinical outcomes
Biomarker candidates need to be validated across multiple independent evidence sources
Patient stratification needs to hold up across cohorts, not just within the discovery dataset
Mechanism of action evidence needs to be built continuously, not assumed from preclinical data
Evidence needs to be traceable and reproducible for regulatory review or partner scrutiny
Integration is less critical when
A single well-characterised biomarker already has strong independent validation
The programme question is narrow enough to be answered by one modality with high confidence
Only one data type exists and no additional collection is feasible within programme timelines

Why datasets that exist alongside each other are not the same as datasets that work together

Most translational teams have data. The challenge is that data collected for different purposes, by different teams, in different formats, on different timescales, does not integrate automatically. Several distinct problems need to be solved before biological analysis can begin.

Data format heterogeneity
RNA-seq produces count matrices. Mass spectrometry produces intensity tables. Digital pathology produces image files. Clinical data lives in EDC systems. These formats are structurally incompatible without deliberate harmonisation at the data engineering layer before any analysis begins.
Different sample sources and timepoints
Transcriptomics may come from tissue. Proteomics may come from plasma and urine at different collection timepoints. Linking these observations to the same patient at the right moment in the treatment course requires careful data alignment that cannot be automated without programme-specific scientific input.
Governance and data protection
Patient-level clinical data, proprietary molecular data, and public reference datasets each carry different governance requirements. Integrating them within a single environment requires a framework that maintains data protection, access controls, and audit trails without fragmenting the analytical workflow across separate systems.
Reproducibility across the programme lifecycle
Integrated analyses that cannot be reproduced are difficult to defend. Regulatory submissions, partner scrutiny and internal governance all require that findings can be traced back to exact data versions and analytical methods. Analysis environments that optimise for speed over traceability create problems that become consequential later in development.
Scientific interpretation across modalities
Even when datasets are technically integrated, interpreting the findings in biological context requires expertise across multiple disciplines simultaneously. A finding that is statistically significant in integrated analysis still needs to be evaluated for biological plausibility, programme relevance, and analytical robustness before it can support a development decision.
Trying to connect datasets that are currently living in separate systems?
Talk to our team about what integration would require for your programme.
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The data types Sonrai works with and the analytical methods applied

Sonrai scientists work alongside your team to integrate molecular, imaging, and clinical data within Sonrai Discovery, a governed cloud-native environment built for multimodal biomedical data. The combination of scientific expertise and analytical infrastructure means that integration goes beyond data engineering — findings are interpreted in the context of your programme from the start.

Genomics
Whole genome sequencing, variant analysis, targeted sequencing panels
Somatic and germline variant identification, copy number analysis, and integration with expression and clinical outcome data.
Transcriptomics
Bulk RNA-seq, single-cell RNA-seq, spatial transcriptomics
Differential expression analysis, pathway analysis, cell type deconvolution, and integration with proteomic and clinical data.
Epigenomics
DNA methylation, chromatin accessibility, histone modification
Methylation array and sequencing-based analysis, integration with transcriptomic data to connect epigenetic regulation with gene expression.
Proteomics
Mass spectrometry, Olink, CyTOF, flow cytometry
Quantitative protein expression analysis from tissue, plasma, and urine, integrated with molecular and clinical data across timepoints.
Imaging
Digital pathology, H&E, IHC, whole slide imaging
AI-based image feature extraction and integration with molecular data, enabling tissue-level signals to be connected to omics findings.
Clinical
EDC data, clinical outcomes, biomarker measurements, radiology
Structured clinical trial data harmonised and integrated with molecular and imaging datasets to connect biological signals to patient outcomes.

For a complete reference of the data types, formats, pipelines and analytical workflows Sonrai supports across each modality, see the precision medicine data modalities page.

Analytical methods

Sonrai applies analytical methods based on the biological question and available data types rather than applying a fixed workflow. Methods used across multi-omics integration engagements include:

Multi-Omics Factor Analysis (MOFA+)
An unsupervised statistical framework that integrates multiple omics datasets collected from the same samples. MOFA+ identifies shared patterns of variation across modalities and reduces complex data into key latent factors — making it possible to investigate which biological processes drive variation across patients and how those factors relate to clinical outcomes. Used by Sonrai in the Candel Therapeutics Phase II oncology analysis and a simulated rheumatoid arthritis clinical trial.
Differential expression analysis
Identification of genes, proteins, or other molecular features that differ significantly between defined groups — such as responders and non-responders, or treated and untreated cohorts. Applied across transcriptomic, proteomic, and epigenomic data and connected to clinical outcome variables within the integrated environment.
Survival analysis
Statistical assessment of relationships between molecular features and time-to-event clinical outcomes, including overall survival and progression-free survival. Enables identification of molecular signatures associated with clinical outcome, and supports patient stratification into high and low responder groups.
Machine learning for predictive modelling
Supervised machine learning, including XGBoost classification, applied to integrated multi-omics data to build predictive models for clinical outcomes. In the Candel Therapeutics analysis, MOFA-derived factors used as XGBoost inputs produced an F1-score of 0.74 compared to 0.67 from the raw omics dataset in that specific programme. The degree of improvement will vary depending on the data types, sample sizes, and biological question involved.
Imaging AI and digital pathology analysis
AI-based feature extraction from whole slide images, H&E staining, and IHC, enabling tissue-level findings to be connected to molecular and clinical data within the same environment. Applied in the multi-modal biomarker discovery case study alongside transcriptomic, epigenomic, proteomic, and clinical data for early-stage breast cancer.
Public dataset integration and cross-cohort validation
Curated public genomic, proteomic, and transcriptomic datasets integrated alongside proprietary data within Sonrai Discovery to provide validation context. Enables biomarker candidates identified in internal data to be assessed against independent external cohorts without fragmenting the analytical environment or compromising data governance.

Outputs and evidence from a multi-omics integration engagement

Outputs from Sonrai engagements are structured to support programme decisions — not just to report findings. Every output is delivered with full analytical provenance, meaning findings can be traced, reviewed, and reproduced as the programme evolves.

Integrated dataset
Harmonised, governed multi-modal dataset
A quality-assessed, harmonised dataset connecting molecular, imaging, and clinical data across relevant patients and timepoints — versioned and accessible within Sonrai Discovery for ongoing analysis.
Analytical findings
Reproducible analysis with full provenance
All analyses are versioned, documented, and re-runnable. Every finding can be traced back to its source data and the exact analytical steps used to generate it — supporting regulatory review, partner scrutiny, and internal governance.
Biomarker evidence
Cross-modal biomarker candidates and evidence summaries
Structured evidence for biomarker candidates identified across modalities, including signal consistency across cohorts, pathway context, and assessment of predictive versus prognostic signal.
Visualisations
Interactive dashboards and publication-quality figures
Clinical, biomarker, and translational dashboards generated within Sonrai Discovery, alongside static figures suitable for internal presentations, board materials, or publication.
Patient stratification
Cohort characterisations and subgroup analyses
Patient subgroup profiles and cohort definitions grounded in multi-modal evidence, structured to support patient selection strategy and enrichment criteria for future trials.
Scientific interpretation
Findings contextualised for programme decisions
Sonrai scientists remain involved in interpreting and communicating findings throughout the engagement, helping to ensure outputs are presented with biological context rather than as computational findings alone.

How integrated analysis connects to the decisions that move programmes forward

Multi-omics integration is not an end in itself. It is most valuable when the findings directly inform a programme decision. Sonrai's three principal Decision Modules each represent a distinct decision context where integrated evidence plays an important role.

Not sure which decision is most relevant to your current programme? The Precision Medicine Decisions page explores seven common decision points in translational and clinical development — and may help you identify where integrated evidence would have the most immediate impact.

What multi-omics integration has supported in practice

The case studies below represent programmes where multi-omics integration was central to the analytical work. All outcomes described are drawn from published case study content on this website.

"For us, it's been like having an extension of our company, with that expertise that we could bring in."

Dr Francesca Barone, MD PhD, Chief Scientific Officer, Candel Therapeutics

Questions about multi-omics data integration and analysis

What is multi-omics data integration?

Multi-omics data integration is the process of combining data from multiple biological measurement types, such as genomics, transcriptomics, proteomics, epigenomics, and imaging, within a single analytical framework. Rather than analysing each data type independently, integration enables researchers to identify patterns and relationships that would not be visible in any single modality. In a clinical trial context, this means connecting molecular signals with imaging findings and clinical outcomes to build a more complete picture of treatment response.

When is multi-omics integration scientifically worthwhile?

Multi-omics integration is most valuable when a single data type cannot answer the biological question at hand. If your programme needs to explain why patients responded differently to treatment, identify biomarkers that hold up across independent cohorts, understand a drug's mechanism of action, or build patient selection criteria for a future trial, a single modality will rarely provide sufficient evidence. Integration becomes essential when the programme decision depends on convergent evidence from multiple biological dimensions.

What data types can Sonrai integrate?

Sonrai integrates genomic, transcriptomic, epigenomic, proteomic, metabolomic, imaging, and clinical data within a single governed analytical environment. This includes RNA-seq, whole genome sequencing, methylation data, mass spectrometry-derived proteomics, flow cytometry, CyTOF, Olink proteomics, digital pathology and H&E imaging, and structured clinical trial datasets. Data from different sample sources, such as tissue, plasma, and urine, can be combined within the same analytical framework.

What is the main technical challenge in integrating omics, imaging and clinical data?

The main challenges are data heterogeneity, governance, and reproducibility. Different modalities use different formats, scales, and collection methods. Harmonising them requires careful data engineering, quality assessment, and normalisation before any biological analysis begins. Beyond the technical integration, the environment in which analysis runs must be governed, versioned, and auditable so that findings can be reviewed, reproduced, and defended as the programme progresses.

What analytical methods does Sonrai use for multi-omics integration?

Sonrai applies a range of analytical methods depending on the biological question and available data types. These include Multi-Omics Factor Analysis (MOFA+) for unsupervised integration across modalities, differential expression analysis, survival analysis, machine learning including XGBoost for predictive modelling, and imaging AI for pathology data. All analyses run within Sonrai Discovery, a governed cloud environment with versioned datasets and traceable pipelines.

How does Sonrai support reproducibility in integrated analyses?

All analyses run within Sonrai Discovery, a secure Trusted Research Environment with versioned datasets, traceable analytical pipelines, and complete output provenance. Every finding can be traced back to the exact data version and analytical steps used to generate it. This means analyses can be revisited, independently reviewed, and reproduced months or years after the original work, which is essential for regulatory review, partner scrutiny, and internal governance.

Can Sonrai integrate our proprietary data with publicly available datasets?

Yes. Sonrai supports integration of proprietary clinical and molecular datasets alongside curated public resources within the same governed environment. Public proteomic databases, gene expression datasets, and published cohort data can be incorporated to provide validation context or additional biological reference points. Proprietary data remains protected within each client's isolated instance of Sonrai Discovery and is never shared across organisational boundaries.

How does multi-omics integration support patient stratification?

Patient stratification built on a single biomarker or data type is often fragile, particularly in heterogeneous disease populations. Multi-omics integration enables stratification based on converging evidence across molecular, imaging, and clinical dimensions. Subgroups identified through multiple independent lines of evidence are more biologically co