A Mathematical Modeling Approach for Targeted Radionuclide and Chimeric Antigen Receptor T Cell Combination Therapy
Targeted radionuclide therapy (TRT) has recently seen a surge in popularity with the use of radionuclides conjugated to small molecules and antibodies. Similarly, immunotherapy also has shown promising results, an example being chimeric antigen receptor T cell (CAR-T) therapy in hematologic malignancies. Moreover, TRT and CAR-T therapies possess unique features that require special consideration when determining how to dose as well as the timing and sequence of combination treatments including the distribution of the TRT dose in the body, the decay rate of the radionuclide, and the proliferation and persistence of the CAR-T cells. These characteristics complicate the additive or synergistic effects of combination therapies and warrant a mathematical treatment that includes these dynamics in relation to the proliferation and clearance rates of the target tumor cells. Here, we combine two previously published mathematical models to explore the effects of dose, timing, and sequencing of TRT and CAR-T cell-based therapies in a multiple myeloma setting. We find that, for a fixed TRT and CAR-T cell dose, the tumor proliferation rate is the most important parameter in determining the best timing of TRT and CAR-T therapies.
Medienart: |
E-Artikel |
---|
Erscheinungsjahr: |
2021 |
---|---|
Erschienen: |
2021 |
Enthalten in: |
Zur Gesamtaufnahme - volume:13 |
---|---|
Enthalten in: |
Cancers - 13(2021), 20 vom: 15. Okt. |
Sprache: |
Englisch |
---|
Beteiligte Personen: |
Adhikarla, Vikram [VerfasserIn] |
---|
Links: |
---|
Themen: |
Actinium-225 |
---|
Anmerkungen: |
Date Revised 16.07.2022 published: Electronic Citation Status PubMed-not-MEDLINE |
---|
doi: |
10.3390/cancers13205171 |
---|
funding: |
|
---|---|
Förderinstitution / Projekttitel: |
|
PPN (Katalog-ID): |
NLM332204626 |
---|
LEADER | 01000naa a22002652 4500 | ||
---|---|---|---|
001 | NLM332204626 | ||
003 | DE-627 | ||
005 | 20231225215120.0 | ||
007 | cr uuu---uuuuu | ||
008 | 231225s2021 xx |||||o 00| ||eng c | ||
024 | 7 | |a 10.3390/cancers13205171 |2 doi | |
028 | 5 | 2 | |a pubmed24n1107.xml |
035 | |a (DE-627)NLM332204626 | ||
035 | |a (NLM)34680320 | ||
035 | |a (PII)5171 | ||
040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
041 | |a eng | ||
100 | 1 | |a Adhikarla, Vikram |e verfasserin |4 aut | |
245 | 1 | 2 | |a A Mathematical Modeling Approach for Targeted Radionuclide and Chimeric Antigen Receptor T Cell Combination Therapy |
264 | 1 | |c 2021 | |
336 | |a Text |b txt |2 rdacontent | ||
337 | |a ƒaComputermedien |b c |2 rdamedia | ||
338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
500 | |a Date Revised 16.07.2022 | ||
500 | |a published: Electronic | ||
500 | |a Citation Status PubMed-not-MEDLINE | ||
520 | |a Targeted radionuclide therapy (TRT) has recently seen a surge in popularity with the use of radionuclides conjugated to small molecules and antibodies. Similarly, immunotherapy also has shown promising results, an example being chimeric antigen receptor T cell (CAR-T) therapy in hematologic malignancies. Moreover, TRT and CAR-T therapies possess unique features that require special consideration when determining how to dose as well as the timing and sequence of combination treatments including the distribution of the TRT dose in the body, the decay rate of the radionuclide, and the proliferation and persistence of the CAR-T cells. These characteristics complicate the additive or synergistic effects of combination therapies and warrant a mathematical treatment that includes these dynamics in relation to the proliferation and clearance rates of the target tumor cells. Here, we combine two previously published mathematical models to explore the effects of dose, timing, and sequencing of TRT and CAR-T cell-based therapies in a multiple myeloma setting. We find that, for a fixed TRT and CAR-T cell dose, the tumor proliferation rate is the most important parameter in determining the best timing of TRT and CAR-T therapies | ||
650 | 4 | |a Journal Article | |
650 | 4 | |a CAR-T | |
650 | 4 | |a CS1 | |
650 | 4 | |a TRT | |
650 | 4 | |a actinium-225 | |
650 | 4 | |a alpha particle therapy | |
650 | 4 | |a combination therapy | |
650 | 4 | |a daratumumab | |
650 | 4 | |a immunotherapy | |
650 | 4 | |a mathematical model | |
650 | 4 | |a multiple myeloma | |
650 | 4 | |a targeted radionuclide therapy | |
700 | 1 | |a Awuah, Dennis |e verfasserin |4 aut | |
700 | 1 | |a Brummer, Alexander B |e verfasserin |4 aut | |
700 | 1 | |a Caserta, Enrico |e verfasserin |4 aut | |
700 | 1 | |a Krishnan, Amrita |e verfasserin |4 aut | |
700 | 1 | |a Pichiorri, Flavia |e verfasserin |4 aut | |
700 | 1 | |a Minnix, Megan |e verfasserin |4 aut | |
700 | 1 | |a Shively, John E |e verfasserin |4 aut | |
700 | 1 | |a Wong, Jeffrey Y C |e verfasserin |4 aut | |
700 | 1 | |a Wang, Xiuli |e verfasserin |4 aut | |
700 | 1 | |a Rockne, Russell C |e verfasserin |4 aut | |
773 | 0 | 8 | |i Enthalten in |t Cancers |d 2009 |g 13(2021), 20 vom: 15. Okt. |w (DE-627)NLM198667213 |x 2072-6694 |7 nnns |
773 | 1 | 8 | |g volume:13 |g year:2021 |g number:20 |g day:15 |g month:10 |
856 | 4 | 0 | |u http://dx.doi.org/10.3390/cancers13205171 |3 Volltext |
912 | |a GBV_USEFLAG_A | ||
912 | |a GBV_NLM | ||
951 | |a AR | ||
952 | |d 13 |j 2021 |e 20 |b 15 |c 10 |