RE: [EXTERNAL] Re: MU referencing and time-varying covariates
Hi Bob,
Thanks for explaining that EM and BAYES methods are a form of naïve pooled data
analysis for the individual.
I will make sure I stick to the classic methods when dealing with clinical data
with time varying covariates such as body mass, post-menstrual age and serum
creatinine.
Best wishes,
Nick
--
Nick Holford, Professor Emeritus Clinical Pharmacology, MBChB, FRACP
mobile: NZ+64(21) 46 23 53 ; FR+33(6) 62 32 46 72
email: [email protected]<mailto:[email protected]>
web: http://holford.fmhs.auckland.ac.nz/
Quoted reply history
From: Bauer, Robert <[email protected]>
Sent: Tuesday, 14 January 2025 5:34 am
To: Nick Holford <[email protected]>; 'Leonid Gibiansky'
<[email protected]>; Sébastien Bihorel
<[email protected]>; [email protected]
Subject: RE: [EXTERNAL] Re: [NMusers] MU referencing and time-varying covariates
Hello Nick:
The statement I made pertains only to EM algorithms (ITS, SAEM, IMP), and
BAYES. The classic methods (FOCEI, Laplace), do not engage in averaging the
covariates across records even when thetas are MU referenced, as the classic
algorithms do not use EM update methods to advance the theta estimates.
Robert J. Bauer, Ph.D.
Senior Director
Pharmacometrics R&D
ICON Early Phase
731 Arbor way, suite 100
Blue Bell, PA 19422
Office: (215) 616-6428
Mobile: (925) 286-0769
[email protected]<mailto:[email protected]>
http://www.iconplc.com/
From: Nick Holford <[email protected]<mailto:[email protected]>>
Sent: Saturday, January 11, 2025 9:29 PM
To: Bauer, Robert <[email protected]<mailto:[email protected]>>;
'Leonid Gibiansky'
<[email protected]<mailto:[email protected]>>; Sébastien
Bihorel
<[email protected]<mailto:[email protected]>>;
[email protected]<mailto:[email protected]>
Subject: RE: [EXTERNAL] Re: [NMusers] MU referencing and time-varying covariates
Hi Bob,
I am really puzzled by this statement. I would expect NONMEM to recognize time
varying covariates provide information about the fixed effects and used the
time specific value of the covariate to make a prediction.
Averaging the covariate across all the records for a subject seems like a poor
use of information.
Is your statement saying something special associated with the mu-referenced
transformation? If so would you please clarify your statement about averaging?
Best wishes,
Nick
--
Nick Holford, Professor Emeritus Clinical Pharmacology, MBChB, FRACP
mobile: NZ+64(21) 46 23 53 ; FR+33(6) 62 32 46 72
email: [email protected]<mailto:[email protected]>
web: http://holford.fmhs.auckland.ac.nz/
From: [email protected]<mailto:[email protected]>
<[email protected]<mailto:[email protected]>> On Behalf
Of Bauer, Robert
Sent: Saturday, 11 January 2025 8:32 pm
To: 'Leonid Gibiansky'
<[email protected]<mailto:[email protected]>>; Sébastien
Bihorel
<[email protected]<mailto:[email protected]>>;
[email protected]<mailto:[email protected]>
Subject: RE: [EXTERNAL] Re: [NMusers] MU referencing and time-varying covariates
If a covariate varies across records within a subject, NONMEM obtains a simple
average among the records and uses this as the covariate value for that subject.
Robert J. Bauer, Ph.D.
Senior Director
Pharmacometrics R&D
ICON Early Phase
731 Arbor way, suite 100
Blue Bell, PA 19422
Office: (215) 616-6428
Mobile: (925) 286-0769
[email protected]<mailto:[email protected]>
http://www.iconplc.com
-----Original Message-----
From: [email protected]<mailto:[email protected]>
<[email protected]<mailto:[email protected]>> On Behalf
Of Leonid Gibiansky
Sent: Friday, January 10, 2025 5:21 PM
To: Sébastien Bihorel
<[email protected]<mailto:[email protected]>>;
[email protected]<mailto:[email protected]>
Subject: [EXTERNAL] Re: [NMusers] MU referencing and time-varying covariates
Hi Sébastien,
As you did these experiments, can you share the results: have you seen any
differences in the fit, parameter estimates, precision, convergence speed
(number of iteration), and evaluation time for SAEM/IMP (I think, FOCEI does
not have this restriction of time-independence even if you use Mu referencing,
so results should be identical or very close).
As code is encrypted, only Bob can answer the question but my understanding is
that some kind of averaging is used to get time independent value of WT that is
then used by the SAEM/IMP algorithm for parameter update procedure.
As WT changes slowly and not very significantly, it could be hard to see the
differences. A more stringent test would be to use time-dependent and strongly
influential ADA (0/1): how bad is the incorrect version 1 in this case?
Thank you
Leonid
On 1/10/2025 2:56 PM, Sébastien Bihorel wrote:
>
> Happy New Year,
>
> I hope everybody is ready for a great 2025 !
>
> I'll start my message/question by defining 2 different ways of coding
> a simple power relationship between body weigh on clearance.
>
> *
> Coding 1
>
> MU_1 = THETA(1) + THETA(2) * LOG(WGT/70) CL = EXP( MU_1 + ETA(1) )
>
> *
> Coding 2
>
> MU_1 = THETA(1)
> CL = EXP( MU_1 + ETA(1) ) * ( WGT/70 )**THETA(2)
>
> The reference and training materials for NONMEM clearly indicate that
> MU variables should be time invariant within occasions and recommend
> using coding 2 when body weight is time varying. Nevertheless, it is
> possible for an analyst to use coding 1. As far as I can tell from
> some limited testing, this is not a "fatal" error. Either with FOCE(I)
> or SAEM/IMP, NONMEM reports a warning but performs the model
> optimization. The table outputs also report CL as a time varying
> variable changing as body weight changes.
>
> So my questions are the following: when coding 1 is used and body
> weight is time varying, what is NONMEM actually doing during model
> optimization? Does NONMEM internally create occasions to break the
> records by interval of constant body weight and constant MU1?
> Alternatively, does NONMEM internally calculate an average of MU1?
> Something entirely different? What's the risk taken by an analyst when
> using coding 1 versus coding 2?
>
> Thank you in advance for you input
>
>
> __
> Sébastien Bihorel
> Director, Quantitative Pharmacology
> +1 914-648-9581
> [email protected]<mailto:[email protected]>
>
>
> Regeneron - Internal
>
> ********************************************************************