help on problem with baseline estimation
I am really struggling with something. I am trying to do an adaptive dosing
problem. I have a PKPD model with 2-compartment IV pharmacokinetic model
(compartment 1 and 2) and an indirect response model for Compartment 3. What I
need is a way to get the observed baseline 24 h after dosing and then make a
dosing recommendation based on the observed value.
I thought this would work
$INPUT ID AGE WGT GEN CLO V1O QO V2O EVID MDV CMT TIME AMT RATE NSIM GRP DV TRT
$SUB ADVAN8 TOL=5
$MODEL COMP= (CENTRAL) COMP= (PER) COMP= (RESPONSE, DEFOBS)
$PK ;PD parameters (IDR model, Elimination-Inhibition)
CALLFL= -1
IF (NEWIND .EQ. 1) DELTA=0
CL= CLO
V1= V1O
Q= QO
V2= V2O
K= CL/V1
K12= Q/V1
K21= Q/V2
PLA= -THETA(3)*EXP(ETA(3))*TIME
KIN= THETA(1)
BASE= THETA(4)+ETA(2)
KOUT= KIN/BASE
IMAX= 1
IC50= THETA(2)*EXP(ETA(1))
A_0(3)= BASE
F1 = 0
IF (CMT .EQ. 1 .AND. EVID .EQ. 1) F1 = 1
IF (CMT .EQ. 1 .AND. EVID .EQ. 1 .AND. TIME .EQ. 24 .AND. DELTA .LE.
4) F1 = 1
IF (CMT .EQ. 1 .AND. EVID .EQ. 1 .AND. TIME .EQ. 36 .AND. DELTA .LE.
4) F1 = 1
IF (CMT .EQ. 1 .AND. EVID .EQ. 1 .AND. TIME .EQ. 24 .AND. DELTA .GT. 4
.AND. DELTA .LE. 8) F1 = 1
IF (CMT .EQ. 1 .AND. EVID .EQ. 1 .AND. TIME .EQ. 36 .AND. DELTA .GT. 4
.AND. DELTA .LE. 8) F1 = 0
IF (CMT .EQ. 1 .AND. EVID .EQ. 1 .AND. TIME .EQ. 24 .AND. DELTA .GE.
8) F1 = 0
IF (CMT .EQ. 1 .AND. EVID .EQ. 1 .AND. TIME .EQ. 36 .AND. DELTA .GE.
8) F1 = 0
$DES
DADT(1)=-K12*A(1) +K21*A(2) -K*A(1)
DADT(2)= K12*A(1) -K21*A(2)
DADT(3)= KIN+PLA -KOUT*A(3)*(1-IMAX*(A(1)/V1)/(IC50+(A(1)/V1)))
$ERROR
IPRE= F
Y= F + EPS(1)
IF (TIME .EQ. 0 .AND. CMT .EQ. 3 .AND. EVID .EQ. 0) BASE2 = Y
IF (TIME .LT. 24) DELTA = 0
IF (TIME .EQ. 24) DELTA = Y - BASE2
My thought was that I could use F1 to turn on and off a dose.
But this did not work. What I need is for BASE2 to be retained in subsequent
records so that it can be used to calculate DELTA.
Here are the first couple of observations for Patient 10001
TABLE NO. 1
ID EVID MDV CMT
TIME IPRE DV BASE2 DELTA
BASE AMT F1 NSIM
1.0001E+04 1.0000E+00 1.0000E+00 1.0000E+00 0.0000E+00 1.1433E+02
0.0000E+00 0.0000E+00 0.0000E+00 1.1433E+02 2.7150E+00 1.0000E+00
0.0000E+00
1.0001E+04 1.0000E+00 1.0000E+00 3.0000E+00 0.0000E+00 1.1533E+02
0.0000E+00 0.0000E+00 0.0000E+00 1.1433E+02 1.0000E+00 0.0000E+00
0.0000E+00
1.0001E+04 0.0000E+00 0.0000E+00 3.0000E+00 0.0000E+00 1.1533E+02
1.1769E+02 1.1769E+02 0.0000E+00 1.1433E+02 0.0000E+00 0.0000E+00
0.0000E+00
1.0001E+04 0.0000E+00 0.0000E+00 3.0000E+00 5.0000E-01 1.1546E+02
1.1359E+02 0.0000E+00 0.0000E+00 1.1433E+02 0.0000E+00 0.0000E+00
0.0000E+00
1.0001E+04 0.0000E+00 0.0000E+00 3.0000E+00 1.0000E+00 1.1567E+02
1.1713E+02 0.0000E+00 0.0000E+00 1.1433E+02 0.0000E+00 0.0000E+00
0.0000E+00
1.0001E+04 0.0000E+00 0.0000E+00 3.0000E+00 2.0000E+00 1.1593E+02
1.1454E+02 0.0000E+00 0.0000E+00 1.1433E+02 0.0000E+00 0.0000E+00
0.0000E+00
1.0001E+04 0.0000E+00 0.0000E+00 3.0000E+00 4.0000E+00 1.1616E+02
1.1740E+02 0.0000E+00 0.0000E+00 1.1433E+02 0.0000E+00 0.0000E+00
0.0000E+00
1.0001E+04 0.0000E+00 0.0000E+00 3.0000E+00 6.0000E+00 1.1628E+02
1.1775E+02 0.0000E+00 0.0000E+00 1.1433E+02 0.0000E+00 0.0000E+00
0.0000E+00
1.0001E+04 0.0000E+00 0.0000E+00 3.0000E+00 1.2000E+01 1.1640E+02
1.1497E+02 0.0000E+00 0.0000E+00 1.1433E+02 0.0000E+00 0.0000E+00
0.0000E+00
1.0001E+04 0.0000E+00 0.0000E+00 3.0000E+00 2.3900E+01 1.1611E+02
1.2103E+02 0.0000E+00 0.0000E+00 1.1433E+02 0.0000E+00 0.0000E+00
0.0000E+00
1.0001E+04 1.0000E+00 1.0000E+00 1.0000E+00 2.4000E+01 1.1610E+02
0.0000E+00 0.0000E+00 1.1656E+02 1.1433E+02 2.7150E+00 1.0000E+00
0.0000E+00
1.0001E+04 0.0000E+00 0.0000E+00 3.0000E+00 2.4500E+01 1.1623E+02
1.1715E+02 0.0000E+00 1.1656E+02 1.1433E+02 0.0000E+00 0.0000E+00
0.0000E+00
1.0001E+04 0.0000E+00 0.0000E+00 3.0000E+00 2.8000E+01 1.1688E+02
1.1774E+02 0.0000E+00 1.1656E+02 1.1433E+02 0.0000E+00 0.0000E+00
0.0000E+00
1.0001E+04 0.0000E+00 0.0000E+00 3.0000E+00 3.6000E+01 1.1697E+02
1.1702E+02 0.0000E+00 1.1656E+02 1.1433E+02 0.0000E+00 0.0000E+00
0.0000E+00
1.0001E+04 1.0000E+00 1.0000E+00 1.0000E+00 3.6000E+01 1.1697E+02
0.0000E+00 0.0000E+00 1.1656E+02 1.1433E+02 2.7150E+00 0.0000E+00
0.0000E+00
1.0001E+04 0.0000E+00 0.0000E+00 3.0000E+00 3.6500E+01 1.1697E+02
1.1600E+02 0.0000E+00 1.1656E+02 1.1433E+02 0.0000E+00 0.0000E+00
0.0000E+00
1.0001E+04 0.0000E+00 0.0000E+00 3.0000E+00 4.0000E+01 1.1687E+02
1.1249E+02 0.0000E+00 1.1656E+02 1.1433E+02 0.0000E+00 0.0000E+00
0.0000E+00
1.0001E+04 0.0000E+00 0.0000E+00 3.0000E+00 4.8000E+01 1.1645E+02
1.1227E+02 0.0000E+00 1.1656E+02 1.1433E+02 0.0000E+00 0.0000E+00
0.0000E+00
1.0001E+04 0.0000E+00 0.0000E+00 3.0000E+00 6.0000E+01 1.1556E+02
1.1372E+02 0.0000E+00 1.1656E+02 1.1433E+02 0.0000E+00 0.0000E+00
0.0000E+00
1.0001E+04 0.0000E+00 0.0000E+00 3.0000E+00 7.2000E+01 1.1460E+02
1.1265E+02 0.0000E+00 1.1656E+02 1.1433E+02 0.0000E+00 0.0000E+00
0.0000E+00
1.0001E+04 0.0000E+00 0.0000E+00 3.0000E+00 8.4000E+01 1.1367E+02
1.1345E+02 0.0000E+00 1.1656E+02 1.1433E+02 0.0000E+00 0.0000E+00
0.0000E+00
1.0001E+04 0.0000E+00 0.0000E+00 3.0000E+00 9.6000E+01 1.1283E+02
1.1508E+02 0.0000E+00 1.1656E+02 1.1433E+02 0.0000E+00 0.0000E+00
0.0000E+00
The baseline is 117.7 but DELTA has values of 116.6. I cannot figure out what
NONMEM is doing.
Can anyone offer any suggestions. Thanks, pete bonate
Peter L. Bonate, PhD
Senior Director
Global Head - Pharmacokinetics, Modeling, and Simulation
Global Clinical Pharmacology & Exploratory Development
Astellas Pharma Global Development
Three Parkway North
Deerfield, IL 60015
phone: (847) 282-5855
cell: 224-619-4901
email: [email protected]
"Confidence is what you have before you understand the problem" - Woody Allen