Assessment for possible drug application delays in MCT strategy due to pathophysiological constraints of cancer

D. Majumder
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引用次数: 1

Abstract

Different analytical modelling showed that metronomic chemotherapeutic (MCT) strategy is a better option than maximum tolerable dosing (MTD) for the treatment of cancer under the condition of malignancy. In this work, a major physiological constraint, drug clearance rate has been considered. Incorporating it into analytical state-space models, the transformation of the overall system has been examined through computer simulations. Accumulation of drug, dead tumor cells and metabolites produced by living tumor cells in turn affect the subsequent drug application and thereby the therapeutic procedure and its outcome. Simulation results suggest that subsequent drug administration delay increases gradually with time due to this constraint.
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由于癌症的病理生理限制,MCT策略中可能的药物应用延迟的评估
不同的分析模型表明,在恶性肿瘤条件下,节律化疗(MCT)策略比最大耐受剂量(MTD)治疗癌症更好。在这项工作中,主要考虑了生理上的制约因素,药物清除率。将其纳入分析状态空间模型,通过计算机模拟检查了整个系统的转换。药物、死亡肿瘤细胞和活肿瘤细胞产生的代谢物的积累反过来影响随后的药物应用,从而影响治疗过程及其结果。模拟结果表明,由于这一约束,后续给药延迟随时间逐渐增加。
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