PK analysis of data from different occasions
Dear nmusers,
I'm working on an PK analysis of a data set in NONMEM and have run into
some questions. I would really appreciate if any of you have the chance
to give me some suggestions.
The data set I'm analyzing consist of concentration-time profiles
obtained at three different occasions for every subject (n=20).
Non-compartmental analysis and individual modeling indicate changes in
CL/F between the occasions, possibly explained by renal function. If I
analyze the occasions separately, a two-compartment model describes the
data well at occasions 2 and 3, but not at occasion 1. At occasion 1
large inter-individual variation is observed and a one-compartment model
can to some degree describe the data. If I analyze all occasions
simultaneously with between-occasion variation, a one-compartment model
is able to fit the data reasonably well (two-compartment model is not
considered robust). The parameter estimates are in the right ball park,
but GOF plots from the simultaneous analysis indicate model
misspecification typical for a one-compartment model fit of
"two-compartment data".
My question is therefore how I should proceed? Will separate or
simultaneous modeling be most ideal and what should I consider to get
most relevant information?
Best regards,
Havard
Havard Thogersen,
Master student
University of Oslo/Cincinnati Children's Hospital Medical Center
Pediatric Pharmacology Research Unit
and Laboratory of Applied Pharmacokinetics & TDM
Cincinnati Children's Hospital Medical Center
3333 Burnet Avenue, MLC 6018
Cincinnati, OH 45229-3039
Phone: (513) 636-9011