RE: In real life
Dear Siwei,
The 'badness' of the clinical PK does not mean that the model changes. If you
try 'reduce' the model by removing compartments that describe the kinetics of
the drug it will result in bias as you no longer are describing the drug
kinetics but rather are just trying to fit a model to the data at hand.
One purpose of developing a model in early stages with rich data is to build
the structural framework to allow you confidence to evaluate the sparse data
effectively. With regards to overparameterization, if your sparse data does not
allow you to appropriately characterize the phases I would suggest fixing or
bounding some parameters based on the prior rich data at hand to allow for
estimation of as much as you can given the sparse data.
Best of luck,
Devin Pastoor
Clinical Research Scientist
Center for Translational Medicine
University of Maryland, Baltimore
Quoted reply history
From: [email protected] [mailto:[email protected]] On
Behalf Of siwei Dai
Sent: Tuesday, August 13, 2013 10:12 AM
To: [email protected]
Subject: [NMusers] 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