Re: IIV decrease in mixture model
Svetiana,
Without seeing the code, these are a few questions/thoughts that came to my
mind.
Do the actual measures of the initial viral load appear to have 2 peaks?
When you fit with the mixture model, how many subjects is NONMEM assigning to
each group?
Are you using 2 different theta & etas for the 2 different groups with a BLOCK
SAME option?
SAME assumes the size of the variability is the same for the 2 groups. However, with the 2 different etas, as NONMEM is testing which group the subject should belong to it can assess 2 different eta values for an individual.
$OMEGA BLOCK(1) 0.25 ;--eta1-IIV in V0 grp 1 [exp]
$OMEGA BLOCK(1) SAME ;--eta2-IIV in V0 grp 2 [exp]
;assign mixnum to a variable to output in table
EST=MIXEST
;Assign V0 group
IF(MIXNUM.EQ.1) THEN
TV0=THETA(1)
V0=TV0*EXP(ETA(1))
ELSE
TV0=THETA(2)
V0=TV0*EXP(ETA(2))
ENDIF
You might also try initializing the viral load compartment to the estimated value rather than the measured value.
IF(A_0FLG.EQ.1) THEN
A_0(N) = V0 ;initialize the viral load cmt to the estimated value
Luann Phillips
Director of PK/PD
Cognigen Corporation
Vinogradova Svetlana wrote:
> Dear NMusers,
>
> I have a PD model describing viral infection process. There is variable Vo for
> initial viral load and it has IIV, omega(V0). When I fit the data with simple
> model, omega(V0) is 52% and covariance step is ok. But when I try mixture
> model, omega(V0) becomes very low, and covariance step is not finished. But if
> I look at post-hos values of Vo, there are two peaks, for 2 groups of patients.
> Do you have any idea why it is like this? I mean it seems strange that
> omega(V0) decreases so much.
>
> Thank you all in advance,
> Svetlana