Controllability in a class of cancer therapy models with co-evolving resistance

Fuente: arXiv
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Main Authors: Thomsen, Frederik J., Dubbeldam, Johan L. A.
Format: Preprint
Published: 2025
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author Thomsen, Frederik J.
Dubbeldam, Johan L. A.
author_facet Thomsen, Frederik J.
Dubbeldam, Johan L. A.
contents Adaptive therapy is a recent paradigm in cancer treatment aiming at indefinite, safe containment of the disease when cure is judged unattainable. In modeling this approach, inherent limitations arise due to the structure of the vector fields and the bounds imposed by toxic side-effects of the drug. In this work we analyze these limitations in a minimal class of models describing a cancer population with a slowly co-evolving drug resistance trait. Chemotherapeutic treatment is introduced as any bounded time-varying input, forcing the cells to adapt to a changing environment. We leverage the affine structure and low dimension of the system to explicitly construct controllable subsets of the state space enclosing sets of equilibria. We show that these controllable sets entirely determine the asymptotic behavior of all trajectories that cannot lead to a cure.
format Preprint
id arxiv_https___arxiv_org_abs_2503_07533
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Controllability in a class of cancer therapy models with co-evolving resistance
Thomsen, Frederik J.
Dubbeldam, Johan L. A.
Dynamical Systems
Populations and Evolution
Adaptive therapy is a recent paradigm in cancer treatment aiming at indefinite, safe containment of the disease when cure is judged unattainable. In modeling this approach, inherent limitations arise due to the structure of the vector fields and the bounds imposed by toxic side-effects of the drug. In this work we analyze these limitations in a minimal class of models describing a cancer population with a slowly co-evolving drug resistance trait. Chemotherapeutic treatment is introduced as any bounded time-varying input, forcing the cells to adapt to a changing environment. We leverage the affine structure and low dimension of the system to explicitly construct controllable subsets of the state space enclosing sets of equilibria. We show that these controllable sets entirely determine the asymptotic behavior of all trajectories that cannot lead to a cure.
title Controllability in a class of cancer therapy models with co-evolving resistance
topic Dynamical Systems
Populations and Evolution
url https://arxiv.org/abs/2503.07533