RE: PK models for rich and sparse sampling
From: mark.e.sale@gsk.com
Subject: RE: [NMusers] PK models for rich and sparse sampling
Date: Sun, May 30, 2004 2:12 pm
At the risk of making a CLM (Career Limiting Move), I'm going to disagree with the
FDA (Food and drug administration). You can see that we at GSK (GlaxoSmithKline)
are fond of our TLAs (Three Letter Acronyms). I'll try to avoid TLA speak. Combining
the data sets is certainly an option, one we use frequently. But it isn't clear
that it is (always) the best. Limitations include computational time. Perhaps
more important is the possibility that the rich data set will dominate the estimation
methods, resulting in very little being learned from the sparse data set. This would
happen particularly if the rich data set is larger. I'd propose considering another
methods we've had some success with in constructing very complex models. This is a
much more Bayesian approach. Essentially, you use the PRIOR functionality in NONMEM,
setting the initial estimates for THETA and OMEGA to a distrib! utions derived from
the rich data set. So, if you find that K23 has a mean of 0.5 and a SEE of 0.2 you
specify that using PRIOR. In this way, if the second (sparse) data set is uninformative
about K23, then the estimates of K23 (including the SEE) are unchanged, but other
parameters (for which the sparse data set is informative) will be essentially reestimated,
using what you've learned from the first data set. It also adds very little computational
time to the analysis. Let me know if you need help for the use of PRIOR hich is not
documented in V5, but can be used.)
Mark