WITHDRAWAL: Adaptive Therapy of Metastatic Melanoma: Calibration and Prediction of a Mathematical Model

Haiying Liu1,2, Hongli Yang1, Liangui Yang1

  • 1School of Mathematical Sciences, Inner Mongolia University, Hohhot, 010021, China.

IET Systems Biology
|December 11, 2025
PubMed
Abstract

Insights

Adaptive therapy uses tumor competition to delay drug resistance in metastatic melanoma. Optimizing treatment withdrawal and minimizing resistance rates enhances its effectiveness.

Area of Science:

  • Oncology
  • Mathematical Biology
  • Cancer Therapeutics

Background:

  • Adaptive therapy is an emerging cancer treatment strategy aiming to delay drug resistance by exploiting intra-tumoral competition.
  • Initial successes in metastatic castrate-resistant prostate cancer trials have spurred interest in applying adaptive therapy to other tumor types.

Purpose of the Study:

  • To investigate the efficacy of adaptive therapy for metastatic melanoma using a mathematical model.
  • To identify key parameters influencing the success of adaptive therapy in melanoma patients.

Main Methods:

  • Development and calibration of a mathematical model incorporating sensitive and drug-resistant cell populations.
  • Simulation of adaptive therapy outcomes using patient data from metastatic melanoma.

Main Results:

  • Adaptive therapy's effectiveness is contingent upon initial tumor density, resistance levels, drug-induced resistance rate, and baseline tumor size.
  • Sufficient tumor burden reduction for treatment withdrawal, strong intra-tumoral competition, and minimized drug-induced resistance are crucial for therapeutic benefit.
  • Extended treatment holidays can amplify intra-tumoral competition, thereby improving adaptive therapy outcomes.

Conclusions:

  • Adaptive therapy presents a practical and potentially effective treatment strategy for metastatic melanoma.
  • This study offers insights for designing personalized adaptive treatment plans for melanoma patients.