Predictions beyond SS dosing time + II

From: Mike Dodds Date: November 23, 2010 technical Source: mail-archive.com
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
Nov 23, 2010 Mike Dodds Predictions beyond SS dosing time + II
Nov 23, 2010 Leonid Gibiansky Re: Predictions beyond SS dosing time + II