2019
DOI: 10.1038/s41598-019-38907-x
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Comparison of null models for combination drug therapy reveals Hand model as biochemically most plausible

Abstract: Null models for the effect of combination therapies are widely used to evaluate synergy and antagonism of drugs. Due to the relevance of null models, their suitability is continuously discussed. Here, we contribute to the discussion by investigating the properties of five null models. Our study includes the model proposed by David J. Hand, which we refer to as Hand model. The Hand model has been introduced almost 20 years ago but hardly was used and studied. We show that the Hand model generalizes the principl… Show more

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Cited by 20 publications
(58 citation statements)
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“…It is obvious, that the scores based on Bliss Independence are larger than those of Loewe Additivity and mainly above zero. This is due to the more conservative null reference surface as derived from Bliss Independence [see Sinzger et al (2019), Figure 6 ]. The scores from models that are based on Loewe Additivity are very similar to each other, as they scatter along the diagonal (panels in middle right and lower row).…”
Section: Resultsmentioning
confidence: 99%
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“…It is obvious, that the scores based on Bliss Independence are larger than those of Loewe Additivity and mainly above zero. This is due to the more conservative null reference surface as derived from Bliss Independence [see Sinzger et al (2019), Figure 6 ]. The scores from models that are based on Loewe Additivity are very similar to each other, as they scatter along the diagonal (panels in middle right and lower row).…”
Section: Resultsmentioning
confidence: 99%
“…During the analysis, we observed higher synergy scores when applying the Bliss Independence principle as null reference model. This is due to the more conservative null reference surface as derived from Bliss Independence [see exemplary comparison of isoboles from most of the models discussed here in (Sinzger et al, 2019, Figure 6 )]. Due to the synergy scores being relatively high, a differentiation between categories based on the synergy score poses a bigger challenge.…”
Section: Discussionmentioning
confidence: 99%
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“…The most common candidates for the non-interactive response models are the Loewe additivity and Bliss independence models. However, there are other candidates such as the Highest Single Agent (HSA), the Tallarida and the recently rediscovered Hand model [20].…”
mentioning
confidence: 99%
“…We construct the null reference model numerically using the Hand model [20] by locally inverting the GP-fitted monotherapeutic data. Synergy is then assessed by a synergy effect surface as the difference between the GP-fitted response surface and the Hand-constructed null reference surface.…”
mentioning
confidence: 99%