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Model‐Based Evaluation of Radiation and Radiosensitizing Agents in Oncology

Radiotherapy is one of the major therapy forms in oncology, and combination therapies involving radiation and chemical compounds can yield highly effective tumor eradication. In this paper, we develop a tumor growth inhibition model for combination therapy with radiation and radiosensitizing agents....

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Detalles Bibliográficos
Autores principales: Cardilin, Tim, Almquist, Joachim, Jirstrand, Mats, Zimmermann, Astrid, El Bawab, Samer, Gabrielsson, Johan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5784742/
https://www.ncbi.nlm.nih.gov/pubmed/29218836
http://dx.doi.org/10.1002/psp4.12268
Descripción
Sumario:Radiotherapy is one of the major therapy forms in oncology, and combination therapies involving radiation and chemical compounds can yield highly effective tumor eradication. In this paper, we develop a tumor growth inhibition model for combination therapy with radiation and radiosensitizing agents. Moreover, we extend previous analyses of drug combinations by introducing the tumor static exposure (TSE) curve. The TSE curve for radiation and radiosensitizer visualizes exposure combinations sufficient for tumor regression. The model and TSE analysis are then tested on xenograft data. The calibrated model indicates that the highest dose of combination therapy increases the time until tumor regrowth 10‐fold. The TSE curve shows that with an average radiosensitizer concentration of [Formula: see text] the radiation dose can be decreased from [Formula: see text] to [Formula: see text]. Finally, we successfully predict the effect of a clinically relevant treatment schedule, which contributes to validating both the model and the TSE concept.