Weighted target interval stochastic control methods with global optimization and their applications in individualizing therapy.
Several improvements on the target interval stochastic control (TISC) method are addressed for individualizing therapy. In particular, a global optimization control strategy is implemented to obtain the optimal dosage regimen, and weighting functions are introduced to balance the drug efficacy and the risk of toxicity. Since general guidance is often lacking in the determination of a weighting function, we introduce a systematic approach, i.e., the standard reference gamble method of medical decision theory, for the determination of the weighting function. The population model for the individualization of theophylline therapy reported by D'Argenio and Katz is applied in this research. The present method of the integration of weighting functions and global optimal strategy offer an effective and safe means to balance the drug efficacy and risk of toxicity. In addition, it also achieves better accuracy than the existing TISC method which uses a local optimal strategy.
Ji
Shaolin
S
Department of Pharmacology, Faculty of Medicine, National University of Singapore, Building MD2, 18 Medical Drive, Singapore 119260, Singapore.
Zeng
Yingzhi
Y
Wu
Ping
P
Lee
Edmund Jon Deoon
EJ
D000465:Algorithms; D001499:Bayes Theorem; D003198:Computer Simulation; D004358:Drug Therapy / Q000379:methods*; D064420:Drug-Related Side Effects and Adverse Reactions; D006801:Humans; D016013:Likelihood Functions; D008954:Models, Biological; D004364:Pharmaceutical Preparations / Q000008:administration & dosage* / Q000097:blood; D010599:Pharmacokinetics; D016008:Statistical Distributions; D013269:Stochastic Processes; D013806:Theophylline / Q000008:administration & dosage / Q000097:blood / Q000493:pharmacokinetics; D014665:Vasodilator Agents / Q000008:administration & dosage / Q000097:blood / Q000493:pharmacokinetics
D004364:Pharmaceutical Preparations; D014665:Vasodilator Agents; D013806:Theophylline