A proposed dynamic dosing scheme to secure the target plasma drug concentrations based on the precision of the AUC estimate

Autor: Harukazu, Tsuruta, Toyofumi, Wada
Rok vydání: 2013
Předmět:
Zdroj: Studies in health technology and informatics. 192
ISSN: 1879-8365
Popis: To reduce the number of blood samples necessary to estimate the patient's AUC (the area under the plasma drug concentration time-curve), various limited sampling strategies (LSSs) have been developed. We proposed a new LSS for busulfan, in which a curve that best approximates the measured data was searched for from a set of pre-generated theoretical plasma drug concentration time-curves. We evaluated this LSS and proved that it had virtually no bias and better precision compared with conventional LSSs. However, further study revealed that the precision of our new accurate LSS was still insufficient to secure the target concentration. To solve this problem, we proposed a new dosing scheme, in which the amount of dose was adjusted dynamically according to the estimated precision of the AUC estimator.
Databáze: OpenAIRE