On the MTD paradigm and optimal control for multi-drug cancer chemotherapy

In standard chemotherapy protocols, drugs are given at maximum tolerated doses(MTD) with rest periods in between. In this paper, we briefly discuss therationale behind this therapy approach and, using as examplemulti-drug cancer chemotherapy with a cytotoxic and cytostatic agent, show thatthese type...

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Main Authors: Urszula Ledzewicz, Heinz Schättler, Mostafa Reisi Gahrooi, Siamak Mahmoudian Dehkordi
Format: Article
Language:English
Published: AIMS Press 2013-03-01
Series:Mathematical Biosciences and Engineering
Subjects:
Online Access:https://www.aimspress.com/article/doi/10.3934/mbe.2013.10.803
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author Urszula Ledzewicz
Heinz Schättler
Mostafa Reisi Gahrooi
Siamak Mahmoudian Dehkordi
author_facet Urszula Ledzewicz
Heinz Schättler
Mostafa Reisi Gahrooi
Siamak Mahmoudian Dehkordi
author_sort Urszula Ledzewicz
collection DOAJ
description In standard chemotherapy protocols, drugs are given at maximum tolerated doses(MTD) with rest periods in between. In this paper, we briefly discuss therationale behind this therapy approach and, using as examplemulti-drug cancer chemotherapy with a cytotoxic and cytostatic agent, show thatthese types of protocols are optimal in the sense of minimizing a weightedaverage of the number of tumor cells (taken both at the end of therapy and atintermediate times) and the total dose given if it is assumed that the tumorconsists of a homogeneous population of chemotherapeutically sensitive cells.A $2$-compartment linear model is used to model the pharmacokinetic equations for the drugs.
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issn 1551-0018
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series Mathematical Biosciences and Engineering
spelling doaj-art-b096fbcd13444fd3ad5e0ff4b3d39dff2025-01-24T02:26:12ZengAIMS PressMathematical Biosciences and Engineering1551-00182013-03-0110380381910.3934/mbe.2013.10.803On the MTD paradigm and optimal control for multi-drug cancer chemotherapyUrszula Ledzewicz0Heinz Schättler1Mostafa Reisi Gahrooi2Siamak Mahmoudian Dehkordi3Dept. of Mathematics and Statistics, Southern Illinois University Edwardsville, Edwardsville, Illinois, 62026-1653Dept. of Mathematics and Statistics, Southern Illinois University Edwardsville, Edwardsville, Illinois, 62026-1653Dept. of Mathematics and Statistics, Southern Illinois University Edwardsville, Edwardsville, Illinois, 62026-1653Dept. of Mathematics and Statistics, Southern Illinois University Edwardsville, Edwardsville, Illinois, 62026-1653In standard chemotherapy protocols, drugs are given at maximum tolerated doses(MTD) with rest periods in between. In this paper, we briefly discuss therationale behind this therapy approach and, using as examplemulti-drug cancer chemotherapy with a cytotoxic and cytostatic agent, show thatthese types of protocols are optimal in the sense of minimizing a weightedaverage of the number of tumor cells (taken both at the end of therapy and atintermediate times) and the total dose given if it is assumed that the tumorconsists of a homogeneous population of chemotherapeutically sensitive cells.A $2$-compartment linear model is used to model the pharmacokinetic equations for the drugs.https://www.aimspress.com/article/doi/10.3934/mbe.2013.10.803multi-drug treatments.chemotherapyoptimal control
spellingShingle Urszula Ledzewicz
Heinz Schättler
Mostafa Reisi Gahrooi
Siamak Mahmoudian Dehkordi
On the MTD paradigm and optimal control for multi-drug cancer chemotherapy
Mathematical Biosciences and Engineering
multi-drug treatments.
chemotherapy
optimal control
title On the MTD paradigm and optimal control for multi-drug cancer chemotherapy
title_full On the MTD paradigm and optimal control for multi-drug cancer chemotherapy
title_fullStr On the MTD paradigm and optimal control for multi-drug cancer chemotherapy
title_full_unstemmed On the MTD paradigm and optimal control for multi-drug cancer chemotherapy
title_short On the MTD paradigm and optimal control for multi-drug cancer chemotherapy
title_sort on the mtd paradigm and optimal control for multi drug cancer chemotherapy
topic multi-drug treatments.
chemotherapy
optimal control
url https://www.aimspress.com/article/doi/10.3934/mbe.2013.10.803
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