A Stochastic Model of Cancer Growth Subject to an Intermittent Treatment with Combined Effects: Reduction of Tumor Size and Raise of Growth Rate

A model of cancer growth based on the Gompertz stochastic process with jumps is proposed to analyze the effect of a therapeutic program that provides intermittent suppression of cancer cells. In this context, a jump represents an application of the therapy that shifts the cancer mass to a return state and it produces an increase in the growth rate of the cancer cells. For the resulting process, consisting in a combination of different Gompertz processes characterized by different growth parameters, the first passage time problem is considered. A strategy to select the inter-jump intervals is given so that the first passage time of the process through a constant boundary is as large as possible and the cancer size remains under this control threshold during the treatment. A computational analysis is performed for different choices of involved parameters. Finally, an estimation of parameters based on the maximum likelihood method is provided and some simulations