A mathematical justification for metronomic chemotherapy in oncology

We mathematically justify metronomic chemotherapy as the best strategy to apply many cytotoxic drugs in oncology for both curative and palliative approaches, assuming the classical pharmacokinetic model together with the Emax pharmacodynamic and the Norton-Simon hypothesis. From the mathematical poi...

Descripción completa

Detalles Bibliográficos
Autores: Fernández Fernández, Luis Alberto|||0000-0002-1962-4302, Pola Méndez, Cecilia|||0000-0003-1626-5508, Sáinz-Pardo Díaz, Judith|||0000-0002-8387-578X
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Universidad de Cantabria (UC)
Repositorio:UCrea Repositorio Abierto de la Universidad de Cantabria
Idioma:inglés
OAI Identifier:oai:repositorio.unican.es:10902/32759
Acceso en línea:https://hdl.handle.net/10902/32759
Access Level:acceso abierto
Palabra clave:Metronomic chemotherapy
Mixed-integer nonlinear optimization
Norton-Simon hypothesis
Emax model
Descripción
Sumario:We mathematically justify metronomic chemotherapy as the best strategy to apply many cytotoxic drugs in oncology for both curative and palliative approaches, assuming the classical pharmacokinetic model together with the Emax pharmacodynamic and the Norton-Simon hypothesis. From the mathematical point of view, we will consider two mixed-integer nonlinear optimization problems, where the unknowns are the number of the doses and the quantity of each one, adjusting the administration times a posteriori.