Predictions beyond SS dosing time + II
All,
I've recently been working up a Phase 2 PK data set: oral administration, QD
dosing and PK samples on weeks 3, 5 and 7 of the study. Per protocol, the
morning dose is withheld and the patient comes to the clinic for a blood
sample. To me, this seems like a straightforward application of SS and II,
something like:
ID DATE TIME CMT DV EVID AMT SS II MDV
11101 3/30/2010 7:45 1 . 1 200 1 24 1
11101 3/31/2010 9:33 2 25.6 0 . . . 0
However, Guide V, section 8.2.8 indicates predictions can't be made beyond the
dosing time + II:
"Ordinarily, steady-state levels can only be predicted between t1 , the time on
the steady-state dose record, and t2 , the sum of t1 and the interdose
interval. If it is not only necessary to compute a steady-state prediction
between t1 and t2 , but also after t2 , then there must also occur one or more
non-steady-state dose records at t2 , t2+II , etc. with doses just like the
steady-state dose. "
Here, the PK sample is taken after dosing + II. NONMEM 7.1.2 appears to give
me a prediction, but I'm suspicious of the results. I thought about adding a
very, very small transient dose at the II, but the language in 8.2.8 seems to
indicate the dose needs be "just like the steady-state dose", so that might not
work.
* Have others encountered this issue, and if so, what did you do to work
around the limitation?
* Can other shed some light on what predictions can't be made beyond II,
since transient equations can be mixed with SS equations?
Warm Regards,
Mike Dodds