Choice of models
Dear all,
I have a general question on the choice of model in a population analysis. I
have a set of data set that includes a large number of studies with about ¾
of the data from extensive sampling schemes (phase 1, 2, and 3 studies) and
the rest from sparse samples (phase 3 clinical studies). When developing the
PK model, a model on the extensive samples only fits the data well and I can
get quite reasonable parameter estimates, including covariate effects, and a
successful $COV (NONMEM). When all data is used, the model becomes somewhat
instable: the same covariates are identified but the model becomes quite
sensitive to the initial estimates and the $COV step wont go through. I
could, of course, perform a bootstrap to go around this issue. In general,
the fit of the model based on the full data set is not as good as the
extensive data set model, although the two models are rather similar with
regard to the parameter estimates. However, the range of estimated
parameters is wider when using all data and noticeably KA and V2 are skewed
to very larger values.
Moving forward, I could either use the full data model and simulate steady
state profiles for the phase 3 study (sparse samples) data. Or, I could use
the model based on the extensive samples only, use the sparse data and
generate post-hoc estimates for the sparsely sampled individuals and move
forward that way. The advantage with the first option is that all the
available data have been used in the modeling process. The disadvantage
would be that the model is not as good as the other model, with sparse data
distorting the parameter estimates. The advantage of the second option is
that the model performs better and there is really no reason why the
underlying PK model for the sparsely sampled subjects should be different,
which means one should be able to use that model to generate post-hoc
estimates. The disadvantage is that not all the available data have been
used in the model building process.
It would be interesting to hear other peoples thoughts and ideas on this.
Toufigh