Publications by authors named "Francois Le Grand"

Purpose: Using artificial intelligence techniques, we compute optimal personalized protocols for temozolomide administration in a population of patients with variability.

Methods: Our optimizations are based on a Pharmacokinetics/Pharmacodynamics (PK/PD) model with population variability for temozolomide, inspired by Faivre et al. [10] and Panetta et al.

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Background: The standard treatment for high-grade non-Hodgkin lymphoma involves the combination of chemotherapy and immunotherapy. We characterize in-silico the optimal combination protocol that maximizes the overall survival probability. We rely on a pharmacokinetics/pharmacodynamics (PK/PD) model that describes the joint evolution of tumor and effector cells, as well as the effects of both chemotherapy and immunotherapy.

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Article Synopsis
  • Researchers developed an optimal injection pattern for anti-VEGF treatment and its combination with unlicensed dendritic cells to enhance tumor eradication.
  • The study used a mathematical model to simulate tumor growth, angiogenesis, and immune responses, employing a Monte-Carlo tree search algorithm to minimize total drug doses needed for successful treatment.
  • Key findings show that optimized protocols significantly reduce drug doses required, with some combinations eradicating tumors with only a fraction of standard doses, and they also allow for later diagnosis dates without increasing drug amounts.
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We determine an optimal protocol for temozolomide using population variability and dynamic optimization techniques inspired by artificial intelligence. We use a Pharmacokinetics/Pharmacodynamics (PK/PD) model based on Faivre and coauthors (Faivre, et al., 2013) for the pharmacokinetics of temozolomide, as well as the pharmacodynamics of its efficacy.

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Article Synopsis
  • The study compares Maximum Tolerated Dose (MTD) and Metronomic Chemotherapy (MC) protocols for temozolomide, aiming to identify optimal chemotherapy regimens.
  • A pharmacokinetics/pharmacodynamics model is used to evaluate drug efficacy and toxicity, including myelosuppression caused by temozolomide.
  • Findings indicate that the MC regimen can lower toxicity without losing efficacy, while the MTD protocol faces trade-offs between improved efficacy and increased toxicity, paving the way for customized treatment plans.
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