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A stochastic framework for evaluating CAR T cell therapy efficacy and variability.

Chau Hoang1, Tuan Anh Phan2, Cameron J Turtle3

  • 1Department of Mathematical Sciences, New Mexico State University, Las Cruces, NM 88001, USA.

Mathematical Biosciences
|January 8, 2024
PubMed
Summary
This summary is machine-generated.

This study models CAR T cell therapy using a hybrid approach, accounting for patient variability to predict treatment outcomes. The findings help compare different CAR T cell protocols for improved patient cure rates.

Keywords:
CAR-T cell therapyErgodic distributionStochastic modelingStopping time

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Area of Science:

  • Immunology
  • Mathematical Biology
  • Computational Biology

Background:

  • CAR T cell therapy shows promise but requires optimization for diverse patient responses.
  • Patient variability and heterogeneity significantly impact treatment efficacy.
  • Mathematical modeling is crucial for understanding complex biological systems like cancer therapy.

Purpose of the Study:

  • To develop and apply a hybrid deterministic-stochastic model to evaluate CAR T cell therapy protocols.
  • To analyze patient heterogeneity and variability in treatment outcomes.
  • To predict short-term and long-term efficacy of different CAR T cell treatment strategies.

Main Methods:

  • Constructed a hybrid model combining deterministic and stochastic processes using Ito stochastic differential equations.
  • Incorporated white noise to represent patient variability and a hyperparameter for cohort heterogeneity.
  • Simulated treatment protocols using transient dynamics and defined stopping times (time to cure, time to progress).

Main Results:

  • The stochastic model identified three ergodic invariant measures, acting as attractors for tumor growth under certain conditions.
  • Transient dynamics of the stochastic model revealed short-term chances of cure.
  • Probability distributions of time to cure and time to progress provided detailed outcome comparisons for three CAR T cell protocols.

Conclusions:

  • The developed stochastic model effectively simulates CAR T cell therapy, capturing patient variability and heterogeneity.
  • The model's predictions of cure and progression times offer valuable insights for optimizing treatment protocols.
  • This approach supports clinical studies by providing a quantitative framework for assessing CAR T cell therapy efficacy.