Absorption
Dear nmusers,
I am working on a rising single dose study, with 5 cohorts (10, 25,
50, 100 and 200 mg dose groups). This is a oral drug. There are a
total of 45 subjects in the study, 9 subjects in each cohort.
The data fits well to a two compartment model, but at higher doses 100
and 200mg dose groups the concentrations leading to Cmax is
overpredicted significantly that the model seems to be completely
ineffecient in explaining the absorption phase at higher doses.
I have tried using a
Mixture model assuming that there is a sub population with a totally
different absorption, this seemed to work but visual predictive check
failed.
Used a cobination zero and first order absorption model which couldn't
fix the issue at higher doses
Transit compartment model (A flexible approach to modeling variable
absorption in the context of repeated dosing: illustrated with
rifampicin, J. Wilkins, Page 2007). This approach did not work with
NONMEM V.
i assumed that the drug at higher doses has saturable absorption but
even that does not help much.
Can someone please comment on this.
Thanks
Adithya