Age effect on Clearance

From: Mona Alameddine Date: December 15, 2009 technical Source: mail-archive.com
Dear nmusers, I am getting funny results when i add age as a covariate on oral clearance: The OF decreases by 16 points, but : BSV on CL increases from 35% to 37% BSV on V decreases from 49% to 47% Intra-Individual variability decreases from 41% to 38% And the most important is that the age had a positive effect on CL Where CL INCREASED with age (THETA2 = -0.37 ). Age is not correlated to other covariates and remained significant in the final model together with the body weight. I also tried several ways to test the effect of age , but NONMEM didn't converge. I also had funny results when i tried FOCE-I method, because i got a very small variability on oral CL (0.7%) though i had much lower OF (-55 points) and the Covariance step failed. I used the following: $SUB ADVAN2 TRANS2 $PK MAGE = 40 ; Median age FAGE = (AGE-MAGE)/MAGE ; Fractional effect of age TVCL = THETA(1)* (1- THETA(2)*FAGE) CL = TVCL * EXP (ETA(1)) V = THETA(3)* EXP (ETA(2)) KA = THETA(4) F1 = THETA(5) S2=V/1000 $THETA (0,10)(0.5)(0,100)(0,0.6)(1 FIX) $OMEGA 0.5 0.5 $ERROR Y=F*EXP(ERR(1)) IPRED=F IRES=DV-IPRED W=F; if err prop W=F else W=1 IWRES=IRES/W $SIGMA 0.5 $ESTIMATION SIGDIGITS=3 METHOD=1 MAXEVAL=9999 NOABORT POSTHOC PRINT=1 $TABLE UNCONDITIONAL ID TIME AMT CL V KA DV PRED IPRED IRES RES WRES IWRES AGE SEX BW HGT ETA1 ETA2 EVID NOPRINT ONEHEADER FILE=run08.table.txt Any suggestions on how to handle these results?? Thank you in advance for your help Mona
Dec 15, 2009 Mona Alameddine Age effect on Clearance
Dec 15, 2009 Mona Alameddine Age effect on Clearance
Dec 15, 2009 Saik Urien Svp Re: Age effect on Clearance
Dec 15, 2009 Nick Holford Re: Age effect on Clearance