Dear Mahesh,
 
The relevant parts of the code we used was the following
 
IV=0

IF (FORM.EQ.5) IV=1

CR=0

IF (FORM.EQ.2.OR.FORM.EQ.7) CR=1

IR=0

IF (FORM.EQ.1.OR.FORM.EQ.6) IR=1

OCCF=IOV*(OCC1*ETA(7)+OCC2*ETA(8)+OCC3*ETA(9)+OCC4*ETA(10)); IOV
FDIR=1+((1-IV)*IR*THETA(16)*(DOS-10000)/1000); centered at middle dose

FDCR=1+((1-IV)*(1-IR)*THETA(17)*(DOS-30000)/1000)        ; dose-effect centered 
at middle dose
FGEN=1+(THETA(22)*PM)+THETA(27)*HET    ; CYP2D6 effect

 

;immediate release

TF1 =FGEN*FDIR*THETA(10)   

PHI =LOG(TF1/(1-TF1))                

TVF1=EXP(PHI+ETA(5)+OCCF)/(1+EXP(PHI+ETA(5)+OCCF))

; cont. release

IF (FORM.EQ.7) THEN

   TF1 =FGEN*FDCR*THETA(11)

   PHI =LOG(TF1/(1-TF1))   ;F CR

   TVF1=EXP(PHI+ETA(6)+OCCF)/(1+EXP(PHI+ETA(6)+OCCF))

ENDIF

You can see that both the IIV (ETA(6)) and IOV (OCCF) are inside the 
logit-transform. The dose effect (FDCR) of a continuous release formulation 
(CR) was centered at the middle dose of 30mg. So indeed the reported typical 
value for F is different for each dose, but the IIV and IOV are independent of 
dose. A different typical F was estimated for immediate release formulations 
and also with a different IIV (but not IOV, was not supported as separate for 
IR/CR).

Friendly regards,

Thomas

Thomas Kerbusch, PhD
Section Head PK-PD
Dept. CPK
N.V. Organon - XW 3133
PO Box 20
5340 BH  Oss
The Netherlands
tel:  +31 412 661621
cell: +31 613045046 (intern 4936)
fax:  +31 412 662542
[EMAIL PROTECTED]  

 

  _____  

From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Samtani, Mahesh 
[PRDUS]
Sent: Saturday, 30 June, 2007 1:12
To: [email protected]
Subject: [NMusers] Additive model for IOV and IIV within a logit-transform



Dear NMusers, 
In a paper by Kerbusch, Wählby, Milligan, & Karlsson (BJCP 56 (6), 639-652) the 
authors state that: "The bioavailability (F) depended on the formulation 
(immediate = IR or extended = CR), the dose, and CYP2D6 genotype. 
Interindividual variation for FIR and FCR, and interoccasion variability for 
FIR and FCR were described using additive models within a logit-transform" and 
reported

VARIABILITY     ESTIMATE (CV) 
IIV F,IR                67% (20%) 
IIV F,CR                67% (20%) 
IOV F                   37% (13%) 

Could a kind NMuser please provide the additive model for IOV and IIV within a 
logit-transform. MORE importantly, please elucidate the formula for computing 
the variability estimate of IIV and IOV in F. The table footer states "F: 
bioavailability centred at median dose". Does this mean that the reported 
variability estimate is only relevant at the computed F value for the median 
dose?

Thanking you in advance...MNS 



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