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  • 标题:PK/PD-Based Impulsive Control to Tailor Therapies in Infectious Diseases ⁎
  • 本地全文:下载
  • 作者:Gustavo Hernandez-Mejia ; Esteban A. Hernandez-Vargas
  • 期刊名称:IFAC PapersOnLine
  • 印刷版ISSN:2405-8963
  • 出版年度:2020
  • 卷号:53
  • 期号:2
  • 页码:16055-16060
  • DOI:10.1016/j.ifacol.2020.12.418
  • 语种:English
  • 出版社:Elsevier
  • 摘要:AbstractStrategic initiatives in pharmaceutical companies and drug research have incorporated the pharmacokinetics (PK) and pharmacodynamics (PD) modeling, known as the PK/PD framework. Herein, we use an inverse optimal impulsive approach to devise PK/PD-based treatment policies for infectious diseases such as HIV and influenza. The optimal PK/PD-based HIV therapy maintains the viral load under detection levels for a thirty-year period when the treatment initiates 2 or 4 years post-infection. We also explore the implications of late HIV treatment initiation. On the other hand, the optimal PK/PD-based influenza treatment reduces ca. 30% the amount of drug compared to the treatment recommended by the Food and Drug Administration while reaching the same efficacy levels (98%). The PK/PD framework mastermind new schemes for tailoring treatments in infectious diseases.
  • 关键词:KeywordsPK/PD DynamicsBiomedical SystemsImpulsive ControlInfluenzaHIV
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