4.7 Article

Model Calibration of Pharmacokinetic-Pharmacodynamic Lung Tumour Dynamics for Anticancer Therapies

期刊

JOURNAL OF CLINICAL MEDICINE
卷 11, 期 4, 页码 -

出版社

MDPI
DOI: 10.3390/jcm11041006

关键词

lung cancer; tumor growth; mathematical model; treatment planning; patient response; optimal dosing therapy; pharmacokinetic-pharmacodynamic

资金

  1. Special Research Fund of Ghent University [01D15919, 01J01619]
  2. Flanders Research Foundation (FWO) [12X6819N]

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The study utilized a PKPD model to accurately predict lung growth curves in non-small cell lung cancer patients, demonstrating the potential value of mathematical modeling in anticancer research.
Individual curves for tumor growth can be expressed as mathematical models. Herein we exploited a pharmacokinetic-pharmacodynamic (PKPD) model to accurately predict the lung growth curves when using data from a clinical study. Our analysis included 19 patients with non-small cell lung cancer treated with specific hypofractionated regimens, defined as stereotactic body radiation therapy (SBRT). The results exhibited the utility of the PKPD model for testing growth hypotheses of the lung tumor against clinical data. The model fitted the observed progression behavior of the lung tumors expressed by measuring the tumor volume of the patients before and after treatment from CT screening. The changes in dynamics were best captured by the parameter identified as the patients' response to treatment. Median follow-up times for the tumor volume after SBRT were 126 days. These results have proven the use of mathematical modeling in preclinical anticancer investigations as a potential prognostic tool.

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