Random effect on ALAG between dose events
Dear NMusers,
I'm modeling a PK data set with a discrepancy between the documented dosing
time and the actual dosing time. According to our clinical practice, actual
dosing time is always >= documented time. I added a ALAG with IIV to address
this issue using the following formulation.
ALAG1 = THETA(5) * EXP(ETA(5))
This indeed improved the model fitting quite a lot. However, this
parameterization does not reflect the reality as I expect the ETAs should vary
between each dosing event rather than only between patients. So I expect a
"inter dose event variability" would better make sense to this end. Since there
are too many dosing events per patients, a IOV-like approach is doable but not
preferred. And it may not accurately reflect "inter dose event variability"
either. I was wondering if there is any good solution to this problem? Any
comments are very much appreciated!
Warm regards,
Tingjie Guo