2018
DOI: 10.18642/jpamaa_7100121911
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Optimal Control Applied to Hepatitis C Therapy Considering Immune System

Abstract: We present a mathematical model for the dynamics of hepatitis C (HCV). We included in the model treatment with combination therapy of interferon and ribavirin. In order to provide a treatment regimen that minimizes both economic cost and side effects, we propose and solve numerically an optimal control problem considering the cost of treatment and its side effects in the patient. The optimal control is obtained by applying the Pontryagin maximum principle.

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Cited by 3 publications
(4 citation statements)
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“…Due to the dangers of the disease progress towards liver cancer and death, many researches have been carried out to propose effective treatment strategies for HCV infection by using different control strategies. [36][37][38][39][40][41][42][43] In previous works, [36][37][38][39][40] offline optimal control has been utilized to design effective methods for the HCV treatment. In these works, objective functions have been considered to minimize viral load, infected cells, and drug side effects.…”
Section: Introductionmentioning
confidence: 99%
See 1 more Smart Citation
“…Due to the dangers of the disease progress towards liver cancer and death, many researches have been carried out to propose effective treatment strategies for HCV infection by using different control strategies. [36][37][38][39][40][41][42][43] In previous works, [36][37][38][39][40] offline optimal control has been utilized to design effective methods for the HCV treatment. In these works, objective functions have been considered to minimize viral load, infected cells, and drug side effects.…”
Section: Introductionmentioning
confidence: 99%
“…Due to the dangers of the disease progress towards liver cancer and death, many researches have been carried out to propose effective treatment strategies for HCV infection by using different control strategies 36–43 . In previous works, 36–40 offline optimal control has been utilized to design effective methods for the HCV treatment.…”
Section: Introductionmentioning
confidence: 99%
“…The Neumann model, as the most common mathematical model of HCV, as well as the PK/PD equations have been utilized to simulate the behaviors of the hepatitis-C-infected patients. The control objective is to reduce the viral load to a threshold that is called the cure boundary. , Different control strategies have been proposed for the treatment of hepatitis C infection. Chakrabarty et al , presented the treatment methods for the monotherapy, as well as the combination therapy, by considering an objective function and minimizing the viral load, number of infected cells, and the drug side effects. Also, a control technique has been proposed for hepatitis C disease by considering the role of the immune system on the viral load decline.…”
Section: Introductionmentioning
confidence: 99%
“…44−47 Chakrabarty et al 44,45 presented the treatment methods for the monotherapy, as well as the combination therapy, by considering an objective function and minimizing the viral load, number of infected cells, and the drug side effects. Also, a control technique has been proposed 47 for hepatitis C disease by considering the role of the immune system on the viral load decline. Again, an objective function has been utilized for finding the control input.…”
Section: Introductionmentioning
confidence: 99%