Predictive Modeling of Drug Treatment in the Area of Personalized Medicine

Lesley A Ogilvie1, Christoph Wierling1,2, Thomas Kessler1,2

  • 1Alacris Theranostics GmbH, Berlin, Germany.

Cancer Informatics
|December 23, 2015
PubMed

Insights

Mechanistic computational modeling offers a powerful approach to overcome the limitations of current statistical methods in oncology. This enables personalized medicine and targeted drug development by predicting individual patient responses to cancer treatments.

Area of Science:

  • Computational biology
  • Oncology
  • Pharmacology

Background:

  • Cancer treatment success rates remain modest despite advances in understanding disease mechanisms.
  • Current statistical methods inadequately capture the complex tumor/patient/drug interactions.
  • Mechanistic modeling offers a way to resolve this complexity.

Purpose of the Study:

  • To describe how mechanistic virtual patient models can shift the theranostic paradigm in oncology.
  • To highlight the potential of these models for personalized medicine and targeted drug development.
  • To introduce the ModCell™ platform for individualized treatment response prediction.

Main Methods:

  • Generating large-scale in silico models using fundamental knowledge of biological system interactions.
  • Systematic molecular characterization of patients and their diseases.
  • Developing and applying the ModCell™ mechanistic modeling platform.

Main Results:

  • Mechanistic virtual patient models can be generated with predictive capabilities.
  • These models have the potential to individualize treatment response predictions.
  • The ModCell™ platform demonstrates a viable approach for personalized oncology.

Conclusions:

  • Mechanistic modeling is crucial for addressing the complexity of cancer treatment.
  • Virtual patient models can revolutionize personalized medicine and drug development in oncology.
  • The ModCell™ platform provides a promising tool for predicting patient responses to therapy.

Related Concept Videos

Pharmacogenomics: Identification of New Drug Targets01:29

Pharmacogenomics: Identification of New Drug Targets

Advances in genomics have profoundly influenced drug discovery by increasing both the speed and accuracy of pharmaceutical development. Pharmacogenomics, which examines how genetic variation influences drug response, facilitates the identification of novel therapeutic targets and enables patient stratification for personalized treatment. These strategies contribute to improved drug efficacy, minimized adverse effects, and more efficient clinical trial design.Mapping genetic differences...
76
Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
6.3K
Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

1.8K
Pharmacogenetic Phenotypes: Alterations in Pharmacokinetics, Drug Targets and Biologic Milieu01:29

Pharmacogenetic Phenotypes: Alterations in Pharmacokinetics, Drug Targets and Biologic Milieu

Genetic variations significantly influence drug response through pharmacokinetics, receptor interactions, and biologic milieu modifications. Pharmacokinetic alterations impact drug metabolism and clearance, affecting efficacy and toxicity. Variants in drug-metabolizing enzymes, such as CYP2C9 and CYP2C19, alter drug activation and elimination. For example, CYP2C9 loss-of-function variants require lower warfarin doses to prevent excessive bleeding, while CYP2C19 variants reduce clopidogrel...
109
Pharmacogenetics and Pharmacogenomics: Overview01:29

Pharmacogenetics and Pharmacogenomics: Overview

Pharmacogenetics and pharmacogenomics examine how genetic factors influence an individual's response to drugs. While pharmacogenetics focuses on the impact of specific genetic variants on drug effects, pharmacogenomics takes a broader approach, studying how genetic variation across populations contributes to differences in drug responses. These fields aim to explain why individuals may experience varying levels of efficacy or adverse reactions to the same medication.Variability in drug...
142
Impact of Pharmacokinetic–Pharmacodynamic Models: Regulatory Decisions01:15

Impact of Pharmacokinetic–Pharmacodynamic Models: Regulatory Decisions

PK–PD modeling has significantly influenced FDA regulatory decisions, particularly drug approval, dosage optimization, and labeling. These models integrate pharmacokinetics (PK) and pharmacodynamics (PD) to predict drug behavior and effects, aiding in optimizing dosing regimens and enhancing the probability of clinical trial success.One notable example is Nesiritide (Natrecor®), a recombinant human brain natriuretic peptide for treating acute decompensated congestive heart failure...
71