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Testing for synergism over a range of fixed ratio drug combinations: replacing the isobologram.

机译:测试一系列固定比例药物组合的协同作用:替换等效线图。

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An isobologram is a Cartesian plot of pairs of doses that, in combination, yield a specified level of effect. It is a convenient and presently popular way of graphically displaying results of drug-combination and similar studies, because paired values of experimental points that fall below or above the line connecting the axial points (usually ED50 values) denote supra- and sub-additive combinations, respectively. However, an isobologram does not fulfill the criteria for standard least squares regression analysis. It is thus less useful for addressing questions related to the range of combination ratios over which synergy occurs. We describe herein a substitute for the isobologram in which log(total-dose) is plotted against the proportion of a component in a combination. One advantage is that a nonlinear curve-fitting procedure and determination of the confidence interval of a single parameter allow the determination of departure from additivity over a range of fixed proportion mixtures. An example is given of the combination of two analgesics (acetaminophen and tramadol hydrochloride). Another advantage of the new method is the reduction of animal use.
机译:等效线图是剂量对的笛卡尔图,这些剂量对组合产生特定的作用水平。这是图形显示药物组合和类似研究结果的一种便捷且当前流行的方式,因为落在连接轴向点的线以下或之上的实验点的配对值(通常为ED50值)表示超加和亚加组合, 分别。但是,等效线图不符合标准最小二乘回归分析的标准。因此,它对于解决与出现协同作用的组合比率范围有关的问题的用处不大。我们在这里描述了等效线图的替代物,其中对数(总剂量)相对于组合中组分的比例作图。一个优点是非线性曲线拟合程序和单个参数置信区间的确定允许确定在一定比例的混合物范围内与可加性的偏离。举两种止痛药(对乙酰氨基酚和盐酸曲马多)的组合为例。新方法的另一个优点是减少了动物的使用。

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