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    • 1. 发明申请
    • CANCER THERAPY BY DOCETAXEL AND GRANULOCYTE COLONY-STIMULATING FACTOR (G-CSF)
    • DOCETAXEL和GRANULOCYTE COLONY-STIMULATING FACTOR(G-CSF)治疗癌症
    • US20110286960A1
    • 2011-11-24
    • US13126929
    • 2009-11-02
    • Oded VainasVladimir VainsteinOri InbarMarina KleimanRadel Ben-avZvia Agur
    • Oded VainasVladimir VainsteinOri InbarMarina KleimanRadel Ben-avZvia Agur
    • A61K38/19A61P37/00G06G7/60A61P35/00
    • A61K45/06A61K38/193G16C20/30A61K2300/00
    • Neutropenia is the dose-limiting toxicity of the tri-weekly docetaxel (Taxotere®) schedule. Here, we evaluate in Metastatic Breast Cancer (MBC) patients (N=38) a computerized method for predicting docetaxel-induced neutropenia, and use the model to identify improved docetaxel and Granulocyte Colony Stimulating Factor (G-CSF) regimens. Pharmacokinetics/pharmacodynamics (PK/PD) models were created and simulated concomitantly with a mathematical granulopoiesis model. Individual baseline neutrophil counts and docetaxel schedules served as inputs. Our trial validated the model accuracy in predicting nadir timings (r=0.99), grade 3/4 neutropenia (86% success) and neutrophil profiles (r=0.62). Model was robust to CYP3A-induced variability, except for slightly less accurate grade 3/4 neutropenia predictions. Simulations confirm smaller toxicity of the weekly docetaxel regimen than the tri-weekly one, and suggest an optimal G-CSF support for alleviating neutropenia, 60 μg/day QD×3, 6-7 days post-docetaxel, administered tri- and bi-weekly, and 4 days post weekly docetaxel>33 mg/m2.
    • 中性粒细胞减少是三周多西他赛(Taxotere®)计划的剂量限制性毒性。 在这里,我们评估转移性乳腺癌(MBC)患者(N = 38)一种预测多西紫杉醇诱导的中性粒细胞减少的计算机化方法,并使用该模型来鉴定改良的多西他赛和粒细胞集落刺激因子(G-CSF)方案。 药物动力学/药效学(PK / PD)模型被创建并模拟与数学粒子学模型。 单个基线嗜中性粒细胞计数和多西他赛计划作为输入。 我们的试验验证了模型准确性预测最低点时间(r = 0.99),3/4级中性粒细胞减少(86%成功)和嗜中性粒细胞分布(r = 0.62)。 模型对CYP3A诱导的变异性是稳健的,除了稍微不太准确的3/4级中性粒细胞减少预测。 模拟证实每周多西紫杉醇方案的毒性小于三周一次,并建议最佳的G-CSF支持减轻中性粒细胞减少,60μg/天QD×3,6-天后多西紫杉醇,给予三 - 和二 - 每周,每周多西紫杉醇> 33 mg / m2。
    • 2. 发明授权
    • Treatment protocol generation for diseases related to angiogenesis
    • 与血管生成相关的疾病的治疗方案生成
    • US07418374B2
    • 2008-08-26
    • US10207772
    • 2002-07-31
    • Zvia AgurLevon ArakelyanVladimir Vainstein
    • Zvia AgurLevon ArakelyanVladimir Vainstein
    • G06N3/00
    • G01N33/74G01F1/3218G01F1/3263G01F1/3272G01F1/86G01N2333/515
    • A computer-implemented method for determining an optimal treatment protocol for a disease related to angiogenesis, comprising creating an angiogenesis model including pro-angiogenic and anti-angiogenic factors. Effective vessel density (EVD) is incorporated as a factor regulating switching on and switching off of at least one component in the angiogenesis model. Effects of vasculature maturation and mature vessel destabilization are incorporated. Pro-angiogenic and anti-angiogenic factors, which can influence changes in state of a tissue, are selected. Effects of drugs in the pro-angiogenic and anti-angiogenic factors are incorporated. A plurality of treatment protocols in a protocol space is generated. A best treatment protocol based on a pre-determined criteria is selected.
    • 一种用于确定与血管发生相关的疾病的最佳治疗方案的计算机实现的方法,包括产生包括促血管生成和抗血管生成因子的血管生成模型。 有效血管密度(EVD)作为调节血管生成模型中至少一种成分的开启和关闭的因子而被引入。 纳入血管成熟和成熟血管不稳定的作用。 选择可影响组织状态变化的促血管生成因子和抗血管生成因子。 药物在促血管生成因子和抗血管生成因子中的作用被并入。 生成协议空间中的多个处理协议。 选择基于预定标准的最佳治疗方案。
    • 5. 发明授权
    • Interactive technique for optimizing drug development from the pre-clinical phases through phase-IV
    • 从临床前阶段到第四阶段优化药物开发的互动技术
    • US07970550B2
    • 2011-06-28
    • US10662345
    • 2003-09-16
    • Levon ArakelyanVera SelitserZvia Agur
    • Levon ArakelyanVera SelitserZvia Agur
    • G06F19/00
    • G06F19/704G06F19/00G06F19/3456G06Q50/22G16H10/20G16H50/50
    • A method of performing interactive clinical trials for testing a new drug. A pre-clinical phase is performed in which a computer model for pharmacokinetics and pharmacodynamics of the drug is created and adjusted based on in vitro studies and in vivo studies in animals. A phase I clinical research is performed in which a clinical trial on at least a single dose is performed in parallel with performing computer simulation studies using the computer model. An optimal protocol is determined for the most responsive patient populations and indications for a phase II clinical trial. Phase II clinical trial is performed where a number of small scale clinical trials are performed in parallel based on results of the above. Phase III clinical research is performed for chosen indications by chosen protocols. Phase IV studies are performed for post-marketing subpopulation analysis and long term product safety assessment.
    • 执行交互式临床试验以测试新药的方法。 进行临床前阶段,其中基于动物的体外研究和体内研究,创建并调整药物的药代动力学和药效学计算机模型。 进行I期临床研究,其中使用计算机模型进行与至少一个剂量的临床试验并行执行计算机模拟研究。 确定最有反应的患者群体的最佳方案和II期临床试验的适应症。 基于上述结果,进行了多次小规模临床试验并行进行II期临床试验。 通过选择的方案对选定的指示进行III期临床研究。 进行第四阶段研究,进行营销后人群分析和长期产品安全评估。