Getting rid of correlation issues between CL and volume parameters
Dear all,
I have come across an interesting proposal to account for correlation between
CL and volume parameters by dividing by bioavailability within the NONMEM
control stream:
http://www.wright-dose.com/tip2.php
I liked the approach, however I have been wondering how exactly to interpret
the resulting parameter values for CL and V.
As an illustration, a potential problem might be that we have doses of 10, 25
and 50 mg with a fixed bioavailability of 100% for the 10 mg dose, and
bioavailabilities of 80% and 50% for the doses of 25 and 50 mg, respectively.
In addition, a between-subject variability on F1 of ~30% would be present.
If I now code my CL and V as follows:
CL=THETA(1)/F1
V=THETA(2)/F1,
to account for the correlation between CL and V, what exactly would be the
meaning/interpretation of THETA(1) and THETA(2)?
As the THETAs would be the same for all doses, the CL of 50 mg would be twice
as high as the one for the 10 mg dose – does that make sense, as we already
estimated the reduced relative bioavailability using parameter F1?
Any comments would be very much appreciated.
Thanks and best
Nele
Dr. Nele Müller-Plock, CAPM
Principal Scientist Modeling and Simulation
Pharmacometrics
Experimental Medicine
Takeda Pharmaceuticals International GmbH
8152 Glattpark-Opfikon (Zürich)
Switzerland
Visitor address:
Alpenstrasse 3
8152 Glattpark-Opfikon (Zürich)
Switzerland
Phone: (+41) 44 / 55 51 404
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mailto: [email protected]
http://www.takeda.com
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