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Activity Number: 21
Type: Topic Contributed
Date/Time: Sunday, August 3, 2014 : 2:00 PM to 3:50 PM
Sponsor: Biopharmaceutical Section
Abstract #311659 View Presentation
Title: Drug Monitoring in Infectious Disease Therapy: Optimizing the Dose Individually and Dynamically
Author(s): Alfred H. Balch*+
Companies: University of Utah
Keywords: Therapeutic Drug Monitoring ; Adaptive Design ; Dynamic Treatment Allocation ; D-Optimality ; Q-Learning
Abstract:

Pharmacokinetic (PK) monitoring is commonly employed for narrow therapeutic window drugs. These are drugs where the range of safe concentrations and the range of effective concentrations have a narrow intersection. Determining a safe and effective dose depends on feedback in the form of bacteria/virus/fungus culture, patient drug concentration, and patient laboratory values.

This research will review and compare drug administration policies based on stochastic control theory using Q-learning (Watkins (1989), Murphy (2005) and D-optimality (Aarons and Ogungbenro (2009)) and propose an optimal TDM-based algorithm for patients receiving narrow therapeutic window drugs.


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