Robust Control of Repeated Drug Administration with Variable Doses Based on Uncertain Mathematical Model.

The aim of this paper was to design a repeated drug administration strategy to reach and maintain the requested drug concentration in the body. Conservative designs require an exact knowledge of pharmacokinetic parameters, which is considered an unrealistic demand. The problem is usually resolved using the trial-and-error open-loop approach; yet, this can be considered insufficient due to the parametric uncertainties as the dosing strategy may induce an undesired behavior of the drug concentrations. Therefore, the presented approach is rather based on the paradigms of system and control theory. An algorithm was designed that computes the required doses to be administered based on the blood samples. Since repeated drug dosing is essentially a discrete time process, the entire design considers the discrete time domain. We have also presented the idea of applying this methodology for the stabilization of an unstable model, for instance, a model of tumor growth. The simulation experiments demonstrated that all variants of the proposed control algorithm can reach and maintain the desired drug concentration robustly, i.e., despite the presence of parametric uncertainties, in a way that is superior to that of the traditional open-loop approach. It was shown that the closed-loop control with the integral controller and stabilizing state feedback is robust against large parametric uncertainties.