In real life
Dear NM users:
I have questions about the principles.
It is rather common that clinical PK data are 'bad': very sparse sampling
and/or the sampling stopped too early. (I understand that you can never
make a useful model with 'bad' data, but in the case that you have to make
a model from them).
In this case, I understand that you want to go for a simpler model, say if
rich data support a 3-compartment model, you probably need to go for
a 2-compartment or even a 1-compartment model, otherwise you may see signs
of overparameterization. However, after I modeled the data with a simpler
model, I saw situations where the GOF plots are biased, with low
concentration being underestimated and high concentration overestimated;
the CWRES vs. PRED plot showed a falling trend line.
My questions are:
1. Are these bias due to the use of a simplified model?
2. if the answer is 'yes', should I go back to a more complex model but fix
some of the parameters based on literature?
3. Are these, after all, legitamate questions? or should I just say 'the
data are bad, we cannot make a model from it?"
Thank you very much in advance for your input.
Best regards,
Siwei