Building Optimal Three-Drug Combination Chemotherapy Regimens

Author:

Drusano G. L.1,Neely Michael N.2,Kim Sarah3ORCID,Yamada Walter M.2,Schmidt Stephan3,Duncanson Brandon1,Nole Jocelyn1,Mtchedlidze Nino1,Peloquin Charles A.4ORCID,Louie Arnold1

Affiliation:

1. Institute for Therapeutic Innovation, College of Medicine, University of Florida, Orlando, Florida, USA

2. Division of Pediatric Infectious Diseases, Children’s Hospital of Los Angeles, Los Angeles, California, USA

3. Center for Pharmacometrics and Systems Pharmacology, Department of Pharmaceutics, College of Pharmacy, University of Florida, Orlando, Florida, USA

4. Division Head for the Translational Research Division, Department of Pharmacotherapy and Translational Research, College of Pharmacy, University of Florida, Gainesville, Florida, USA

Abstract

Multidrug therapy is often required. Examples include antiviral therapy, nosocomial infections, and, most commonly, anti- Mycobacterium tuberculosis therapy. Our laboratory previously identified a mathematical approach to identify 2-drug regimens with a synergistic or additive interaction using a full factorial study design. Our objective here was to generate a method to identify an optimal 3-drug therapy. We studied M. tuberculosis isolate H37Rv in log-phase growth in flasks.

Funder

HHS | NIH | National Institute of Allergy and Infectious Diseases

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

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