RE: Subpopulation

From: Jakob Ribbing Date: August 12, 2008 technical Source: mail-archive.com
Dear Huali, The best is to derive one model for all data. If you are pressed with time it may be sufficient to describe the data in the dose range which is clinically relevant (if known). Possibly, in this dose range there is no nonlinerarity. However, splitting the subjects based on the outcome is not a good idea. The two models you end up with will both be biased in the parameter estimates since subjects with e.g. high Km (or slow absorption/high Vmax) will be more abundant in the linear-kinetics dataset and vice versa for the nonlinear-kinetics dataset*. Additionally, without a model it is difficult to distinguish an initial nonlinearity from the absorption process, so that borderline cases may end up in the wrong dataset. The nonlinearity may only be relevant for a subpopulation of your study subjects. This can be investigated in a mixture model, in case a single distribution of parameter values can not describe your data. Before making such an attempt, try to understand the possible sources of nonlinearity in your specific case, so that the model captures this. I hope this helps! Jakob *I do not know the source of nonlinearity in the specific case, so this just to exemplify with nonlinear CL.
Quoted reply history
________________________________ From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Huali Wu Sent: 12 August 2008 17:14 To: [email protected] Subject: [NMusers] Subpopulation Dear NMusers: I am trying to fit a dataset with 13 dose levels. The highest dose is about 10 times of the lowest dose. Each patient receive one dose and were sampled intensively up to 7 days. The results of individual PK analysis shown linear kinetics for some of the patients and nonlinear kinetics for the other patients. I have tried to fit all of them together. But my advisor wants me to fit linear patients and nonlinear patients separately to get a better look of fitting. Additionally, all the nonlinear patients are from higher dose levels. But not all the patients in higher dose levels shown nonlinear kinetics. So my question is which way is more appropriate in this case? Should I fit them all together or separately? Could these two types of patients be considered as subpopulations? Any comment or suggestion will be highly appreciated. Best regards, Huali
Aug 12, 2008 Huali Wu Subpopulation
Aug 12, 2008 Jeffrey.a.wald Re: Subpopulation
Aug 12, 2008 Jeffrey . a . Wald Re: Subpopulation
Aug 12, 2008 Jakob Ribbing RE: Subpopulation
Aug 13, 2008 Saik Urien Svp Re: Subpopulation
Aug 13, 2008 Serge Guzy RE: Subpopulation