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Accurate prediction method for tacrolimus dosage of organ transplantation patient

A technology of tacrolimus and drug dosage, applied in the computer field, can solve problems such as the quantification of factors that cannot be quantitatively investigated and affecting the pharmacokinetic process of drugs

Active Publication Date: 2021-05-11
XIEHE HOSPITAL ATTACHED TO TONGJI MEDICAL COLLEGE HUAZHONG SCI & TECH UNIV
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

[0006] The purpose of the present invention is to provide a method for accurately predicting the dosage of tacrolimus for organ transplantation patients, so as to solve the problem that the prior art cannot quantitatively investigate the influence of different physiological factors, pathophysiological factors, genetic factors, and drug interactions on the in vivo process of drugs , the problem of quantifying the factors affecting the pharmacokinetic process of a drug
[0008] In order to realize the accurate prediction method of tacrolimus dosage in patients with organ transplantation mentioned above, the existing technology cannot quantitatively investigate the influence of different physiological factors, pathophysiological factors, genetic factors, and drug interactions on the in vivo process of drugs, so that the pharmacokinetics of drugs can be affected. For the quantitative problem of process factors, the present invention provides the following technical solutions:

Method used

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  • Accurate prediction method for tacrolimus dosage of organ transplantation patient
  • Accurate prediction method for tacrolimus dosage of organ transplantation patient
  • Accurate prediction method for tacrolimus dosage of organ transplantation patient

Examples

Experimental program
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Effect test

Embodiment 1

[0045] like figure 1 As shown, the construction of an accurate prediction model for tacrolimus dosage in kidney transplant patients:

[0046] 1 Research Design

[0047] Collect personal data of renal transplant patients, outpatient and inpatient clinical drug data of tacrolimus after renal transplantation, tacrolimus blood drug concentration monitoring data, genetic testing data and other relevant clinical data. Kinetic methods were used to establish models to clarify the factors that affect individual differences in tacrolimus blood concentration, and to determine the mathematical formula for accurate tacrolimus dose prediction.

[0048] 2 Study population

[0049] 2.1 Inclusion criteria

[0050] Patients included in this study should meet the following criteria:

[0051] (1) Patients undergoing kidney transplantation for the first time.

[0052] (2) Aged 18 to 70 years old.

[0053](3) Patients receiving triple immunosuppressive therapy of tacrolimus + mycophenolic aci...

Embodiment 2

[0129] like figure 2 As shown, the establishment of a clinical decision support system for accurately predicting the dosage of tacrolimus for kidney transplant patients in the present invention includes:

[0130] 1 Development of system architecture

[0131] 1.1 Data support layer

[0132] Based on the data collected by the precision medical comprehensive service platform and the database formed, the data conversion and storage are realized through the remote / mobile medical system.

[0133] 1.2 Analysis and development layer

[0134] Based on the big data analysis system, integrated into the mirror data of various disease precision drug databases, based on the comprehensive application of Bayes, decision tree, Svm and other classification algorithms, Isodata and other clustering algorithms, and improved Apriori method and other association algorithms, the establishment of various diseases Clinical decision support system for precision medicine.

[0135] 1.3 Functional app...

Embodiment 3

[0190] like figure 1 As shown, the construction of the accurate prediction model for tacrolimus dosage in patients with liver transplantation, the differences are as follows, and the rest are the same as the above-mentioned embodiment of the construction of the accurate prediction model for tacrolimus dosage in kidney transplant patients.

[0191] Induction program

[0192] Liver transplantation induction regimens mainly include the following three types: ① basiliximab (Sulle) 20 mg during operation and on the 4th day after operation; ② methylprednisolone 1 g during operation; ③ intraoperative and 1 day after operation Methylprednisolone 500 mg was used for each, and basiliximab (Sulle) 20 mg was used during the operation and on the 4th day after the operation.

[0193] maintenance regimen

[0194] Immunosuppressive therapy was started within 24 hours after operation, and triple immunosuppressive therapy with tacrolimus + mycophenolic acid + glucocorticoid was adopted. Tacr...

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Abstract

The invention discloses an accurate prediction method for a tacrolimus dosage of an organ transplantation patient. The method comprises the following steps: collecting model establishment data including but not limited to patient personal data, tacrolimus clinical medication data based on the organ transplantation patient and gene detection data; carrying out management and statistical analysis on the collected model establishment data; and establishing a tacrolimus dosage model for organ transplantation based on the model establishment data, wherein the model establishment comprises data arrangement, basic structure model, covariable incorporation and model verification. The tacrolimus accurate dosage prediction mathematical model helps clinically and accurately predict the initial medication dosage and dosage adjustment scheme of an individual patient, reduces toxic and side effects caused by too large tacrolimus dosage or the risk of rejection caused by too low tacrolimus dosage of the patient, reduces the occurrence rate of acute rejection reaction and reduces adverse drug events. The prediction method has important significance on accurate application of immunosuppressive drugs for organ transplantation patients; meanwhile, has good economic benefits and social benefits.

Description

technical field [0001] The invention relates to the field of computer technology, in particular to a method for accurately predicting the dosage of tacrolimus for organ transplant patients. Background technique [0002] Immunosuppression and post-transplant rejection are prone to occur after kidney, liver, heart and other organ transplants. Tacrolimus is the core drug in the anti-rejection treatment of organ transplant patients. Insufficient or excessive anti-rejection can lead to transplant failure or even patient death. Due to the narrow therapeutic window and large individual differences of tacrolimus, blood concentration monitoring is required, and the initial dose setting and dose adjustment of tacrolimus are based on experience, which may easily lead to large fluctuations in concentration and difficulty in reaching the standard. . [0003] The patent application number CN202010579290.5 discloses the use of products for detecting mutations in CYP3A4 rs2242480 and CYP3...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): G16H20/10G16H50/70G16H70/40
CPCG16H20/10G16H70/40G16H50/70Y02A90/10
Inventor 张玉曾芳周红周莹刘亚妮杨玉程芳黄潇马利云王振迪熊俊胡艳珂胡敏
Owner XIEHE HOSPITAL ATTACHED TO TONGJI MEDICAL COLLEGE HUAZHONG SCI & TECH UNIV
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