Unknown Dosing Histories
I'm in the process of designing a population PK design for a phase II efficacy
study. Patients will be instructed to take their study medication three times
a day, 1-2 hours before meals. Since this is an out-patient study, complete
dosing histories will not be known. However, during each visit to the clinic
for PK blood sampling, the patient will be asked to recall the times of their
last 3 doses. Here's my question:
What is the best way to code the model when the complete dosing history is not
known?
Some possible options are:
i) assume equally-spaced dosing, or
ii) assume a standard unequally-spaced dosing regimen perhaps indexed to
typical meal times (e.g., 7am, 12noon, 6pm) since patients are instructed
to take their study medication 1-2 hours before meals, or
iii) for each patient, assume a daily dosing pattern to be fixed between visits
based on the times of their last 3 doses prior to their visit to the
clinic.