Limited Sampling with Enterohepatic Recirculation
Good afternoon -
I am curious if anyone could tell me if any of the limited sampling
design software are able to handle enterohepatic recirculation models.
Specifically, I have a model that is coded as follows:
$PK
IF(AMT.GT.0)PODO=AMT
MU_1=LOG(THETA(1))
KA1=EXP(MU_1+ETA(1))
BIO=1 ; bioavailability = 1 for tablet
MU_2=LOG(THETA(2))
MTT=EXP(MU_2+ETA(2))
MU_3=LOG(THETA(3))
N=EXP(MU_3+ETA(3))
F1=0
TVK20=THETA(4)
K20=TVK20*EXP(ETA(4))
TVV=THETA(5)
V=TVV*EXP(ETA(5))
TVK23=THETA(6)
K23=TVK23*EXP(ETA(6))
TVK32=THETA(7)
K32=TVK32*EXP(ETA(7))
TVK35=THETA(8)
K35=TVK35*EXP(ETA(8))
TVK53=THETA(9)
K53=TVK53*EXP(ETA(9))
TVK24=THETA(10)
K24=TVK24*EXP(ETA(10))
TVK41=THETA(11)
K41=TVK41*EXP(ETA(11))
TVMTIME1=THETA(12)
MTIME(1)=TVMTIME1*EXP(ETA(12))
TVDUR=THETA(13)
MTIME(2)=MTIME(1)+TVDUR*EXP(ETA(13))
S2=V
S3=V
S6=V
K12=KA1
KTR=(N+1)/MTT
LNFAC=LOG(2.5066)+(N+0.5)*LOG(N)-N
MU_4=LOG(TVK20)
MU_5=LOG(TVV)
MU_6=LOG(TVK23)
MU_7=LOG(TVK32)
MU_8=LOG(TVK35)
MU_9=LOG(TVK53)
MU_10=LOG(TVK24)
MU_11=LOG(TVK41)
MU_12=LOG(TVMTIME1)
MU_13=LOG(TVDUR)
$DES
DL=1/100000
FLAG=MPAST(1)-MPAST(2)
DADT(1)=EXP(LOG(BIO*PODO+DL)+LOG(KTR+DL)+N*LOG(KTR*T+DL)-KTR*T-LNFAC)-K1
2*A(1)+K41*A(4)*FLAG
DADT(2)=K12*A(1)-(K23+K20+K24)*A(2)+K32*A(3)
DADT(3)=K23*A(2)-(K35+K32)*A(3)+K53*A(5)
DADT(4)=K24*A(2)-K41*A(4)*FLAG
DADT(5)=K35*A(3)-K53*A(5)
Since I am using the MPAST coding in NONMEM to account for the EHR, is
there any way that I can use this type of coding (or a variation
thereof) with any of the optimal design software programs that are
available? If not, I was curious if anyone has any experience with
designing limited sampling strategies in the context of enterohepatic
recirculation and could possibly give me some advice.
Thanks in advance -
Al
Alexander Berg, Ph.D./Pharm.D.
Clinical Pharmacology Fellow
Mayo Clinic - Rochester
[email protected]
507-284-4303