Right skewness in bootstrap distribution
Dear NONMEM users,
I am modeling some PK data using a linear 3-compartment model, in which drug
concentrations were measured in two of these compartments simultaneously
after i.v. dose. The model fits the data reasonably well, and all parameters
seem reasonable except for V1 (volume of the central compartment, which
occurs to be the dosing compartment). Estimate for V1 is very small, what
does not make sense considering the average dose given and the mean Cp0
calculated by NCA. This result suggests drug distribution is restricted to
plasma, however it was observed extensive distribution to tissues. IIV for
V1 is relatively small (19.6%, n=8 subjects). The histogram for V1
(nonparametric bootstrap with 100 replicates) shows a right skewed
distribution with the presence of a subpopulation and broad confidence
interval (5th percentile tends to zero).
I tried to solve this by fixing V1 to a reasonable value, running the model
to calculate all other parameters, and then changing the initial estimates
to these parameters in order to recalculate V1, but it turns out to the same
small estimate.
Any suggestions will be appreciated! Thanks in advance.
Felipe