RE: seeking help on NONMEM code for simulation of Repeated Time to Event Data
Dear Leonid, Nick and Bill,
Thank you very much for responding to my question! Sorry my original question
was not detailed enough, let me try it again:
I have a hazard function h(t) which is concentration dependent:
h(t)=h0(t)*(1-CP(t)/(EC50+CP(t))), where CP(t) is the drug exposure at time t,
h0(t) is the baseline hazard function without drug (may be a constant).
Definition of EC50 is as usual.
The cumulative hazard H(t) is integral of h(x) from time 0 to t, and the
survival function S(t)=exp(-H(t)).
Let's make it simple, assume the concentration follows a one-compartment model
and it's a bolus IV dose, CL and V are known. Also assume h0(t) is a constant
lambda, along with EC50 are known. Every time a dose is introduced, the amount
is the same. Here is how I intend to simulate the event (repeated) history for
one subject:
At time 0, a unit dose is introduced, CP(t) can be determined, therefore S(t)
can be determined (maybe through the $DES, not necessarily a closed form). The
time of first event will be simulated by first generating a random number u1
from Uniform[0,1], and then solve the equation S(t1)=u1. That's why I need to
inverse the survival function. Right at time t1 following the first event, I'll
introduce another unit dose. Because most likely the concentration coming from
the first dose has not reached zero by time t1, the survival function starting
from t1 could be different than the survival function starting from the first
dose (time 0). I'll follow the same procedure to simulate a t2, which is the
time from first event to second event, and another unit dose will be introduced
at time t1+t2. This process will continue until a certain cut-off time point
has been met. That's why I said the dosing is dynamic.
Hope this time I've stated it clear enough. It's just one thought on how to do
the simulation, I'd like to get some advice on how this can be accomplished in
NONMEM.
Kind Regards,
Yaming
Quoted reply history
-----Original Message-----
From: [email protected] [mailto:[email protected]] On
Behalf Of Leonid Gibiansky
Sent: Wednesday, April 03, 2013 5:39 PM
To: Yaming Hang
Subject: Re: [NMusers] seeking help on NONMEM code for simulation of Repeated
Time to Event Data
Yaming
Could you, please, add some more details about the procedure to determine the
time of the event/dose. Is it some numerical integral of hazard, and when it
reaches some value (integral from 0 to T0) then the dose is given at T0 ? Or
you can determine it earlier, say by time T1 <
T0 (where T1 is known in advance)?
Leonid
--------------------------------------
Leonid Gibiansky, Ph.D.
President, QuantPharm LLC
web: www.quantpharm.com
e-mail: LGibiansky at quantpharm.com
tel: (301) 767 5566
On 4/3/2013 4:35 PM, Yaming Hang wrote:
> Dear NONMEM Users,
>
> I have some questions about how to accomplish the following tasks in
> NONMEM, would you kindly share your experience with me or provide some
> suggestions? I'm trying to make a simulation that involves dynamic
> dosing. Here is the algorithm of simulation: at time 0, a dose is
> given, then the time to the first event will be simulated based on a
> certain survival function which depends on the drug exposure. Next,
> conditioning on that simulated first event time, a second dose will be
> introduced, and again time to the second event will be simulated. This
> will be repeated until a certain cut off time point.
>
> My specific questions are:
>
> 1. since the dosing history will be depending on the simulated event
> time, I cannot construct the dosing history in NONMEM data set a
> prior, how can this be done?
>
> 2. The survival function is a function of the time-varying drug
> exposure, therefore I need to inverse an integral which does not have
> a closed form (i.e. only expressed in differential equation), how can
> I do that?
>
> Your help will be much appreciated!
>
> Yaming Hang
>