titrate: Perform neutrophil-guided dose titration of a chemotherapy...

In DTAT: Dose Titration Algorithm Tuning

Perform neutrophil-guided dose titration of a chemotherapy drug.

Description

This is included in package DTAT mainly for archival purposes, with the aim to document a reproduction of Figure 5 from the 2017 F1000Research paper (referenced below), using a clearer and more general software design than is found in the online code supplement available at https://osf.io/vwnqz/.

Usage

titrate(draw.days = NULL, Ncycles = 10, doserange = c(50, 500), dta = NULL)

Arguments

draw.days	Integer days on which ANC is to be measured
Ncycles	Number of chemo cycles through which to simulate titration
doserange	Range of doses to consider
dta	A Dose Titration Algorithm (DTA) to drive the titration

Value

A list with 2 components:

course	A data frame containing cycle-wise measures of each id's titration course
anc.ts	A data frame detailing high-frequency ANC measures for each id

Author(s)

David C. Norris

References

Norris DC. Dose Titration Algorithm Tuning (DTAT) should supersede ‘the’ Maximum Tolerated Dose (MTD) in oncology dose-finding trials. F1000Research. 2017;6:112. doi:10.12688/f1000research.10624.3. https://f1000research.com/articles/6-112/v3

Examples

if(interactive()){
# Reproduce Figure 5 from the F1000Research paper (run time > 10 s).
# 1. Set up sim$pop & sim$pkpd by running the repro for Figures 1 & 3:
example(topic="Onoue.Friberg", package="DTAT", ask=FALSE)
# 2. Do the neutrophil-nadir-guided dose titration:
chemo <- titrate(doserange = c(50, 3000),
                 dta=newton.raphson(dose1 = 50,
                                    omega = 0.75,
                                    slope1 = -2.0,
                                    slopeU = -0.2)
                 )
library(latticeExtra)
newton <- chemo$course
new.ts <- chemo$anc.ts
anc.tics <- c(200,500,1500,4000,10000)
right <- xYplot(ANC ~ time | id, data=new.ts
                , as.table=TRUE, type="l"
                , layout=c(5,5)
                , scales=list(y=list(log=TRUE, lim=c(100,1.5e4)
                                     , at=anc.tics
                                     , lab=as.character(anc.tics)),
                              x=list(at=seq(0,30,3)))
)
newton <- upData(newton
                 , time = 3*(cycle-1)
                 , labels = c(time="Time")
                 , units = c(time="weeks")
                 , print = FALSE)
dose.tics <- c(50, 200, 600, 1500, 3000)
left <- xYplot(scaled.dose ~ time | id, data=newton
               , as.table=TRUE, type='p', pch='+', cex=1.5
               , layout=c(5,5)
               , scales=list(y=list(lim=DTAT:::scaled(c(30,3200))
                                    , at=DTAT:::scaled(dose.tics)
                                    , lab=as.character(dose.tics)),
                             x=list(lim=c(-1,31)
                                    , at=seq(0,30,3)
                                    , lab=c('0','','6','','12','','18','','24','','30')))
)
update(doubleYScale(left, right, add.ylab2=TRUE)
       , par.settings = simpleTheme(col=brewer.pal(4,"PRGn")[c(4,1)])
)
}

DTAT documentation built on May 29, 2024, 7:10 a.m.