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PK/PD-Based Impulsive Control to Tailor Therapies in Infectious Diseases

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Strategic 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… Click to show full abstract

Strategic 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/PDbased 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.

Keywords: control tailor; impulsive control; treatment; infectious diseases; tailor therapies; based impulsive

Journal Title: IFAC-PapersOnLine
Year Published: 2020

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