Dear Nick,

I do not claim to have much real life experience with HPLC 
or LC-MS/MS either. However, I think both these methods 
can yield negative concentrations and both have some
measurement noise.

As far as I know, for HPLC-UV and HPLC-Fluorescence 
methods photons are converted into an electronic signal 
that then becomes the chromatogram. For LC-MS/MS, 
ions of a specific mass/charge ratio hit a photomultiplier 
tube and thereby create an electric signal. Some MS have 
a resolution in the mass/charge ratio of 10^(-5) atomic 
units. All those devices that provide an electric signal will 
most likely have some level of random background noise.

I think the most likely reason to measure negative 
concentrations might not be a negative area or negative 
peak height in a chromatogram. Negative conc. might 
more likely come from the regression equation of the 
calibration row itself:

Drug_conc = intercept + (area_drug / area_IS) * slope

The area denotes the area of the drug of interest and of 
the internal standard (IS) in the chromatogram. An IS 
is often spiked to all samples at a known concentration. 
If you have a chromatogram without noise, then area_drug 
will be zero and area_IS will be a large number 
(otherwise e.g. the HPLC-injection went wrong and the 
sample is likely to be correctly discarded). A truly blank 
sample will then have a negative concentration, if the 
intercept is negative. As usually not all samples are 
measured in one analytical run, one will have several 
regression equations in a clinical trial with random 
intercepts which may be negative and should be centered 
around zero.

Hope we will see more of these negative numbers in our 
datasets (-:

Best wishes
Juergen


-----------------------------------------------
Jurgen Bulitta, PhD, Post-doctoral Fellow 
ID - Pharmacometrics, University at Buffalo, NY, USA
Phone: +1 716 645 2855 ext. 281, [EMAIL PROTECTED]
Fax: +1 716 645 3693 
-----------------------------------------------



-----Ursprüngliche Nachricht-----
Von: "Nick Holford" <[EMAIL PROTECTED]>
Gesendet: 23.05.08 17:54:26
An: [email protected]
Betreff: Re: [NMusers] Visual predictive check!

Ken,

First of all -- I have almost no real world experience of modern 
analytical laboratory methods. But I have seen chromatograms from HPLC 
machines which have baseline noise. One way to quantitate the sample is 
to integrate over an interval at the expected retention time after a 
true zero specimen had passed through the system then the resulting area 
could be either positive or negative. Another method would be to search 
for a positive peak around the expected retention time and center the 
integration around that peak -- this would of course lead to a positive 
bias.

So if the first (potentially unnbiased) method is used for a series of 
pre-dose concs then the resulting distribution should have both negative 
and positive values. Whether it was symmetrical or even normal would 
depend on the factors that cause the baseline noise.

I suspect that commonly used methods today rely on software that will 
have a truncation bias built into it (e.g. using the second method) even 
before the LLOQ bias is added.

I have even less experience of mass spectroscopy methods - my naive 
understanding is that the mass lines are measured within one atomic 
weight unit of resolution so it is unlikely even for true zero samples 
that a negative mass would be obtained. So for mass spec assays the 
assumption that measurements are non-negative may be true.

Best wishes,

Nick

Ken Kowalski wrote:
> Nick,
>
> Yes, I'm making the assumption that a measured concentration cannot be
> negative.  Educate me about chemical assays.  Can you get troughs rather
> than peaks in a chromatogram such that the area below zero is integrated and
> reported as a negative concentration?  If so, what would happen if you
> assayed a bunch of pre-dose samples (before drug is administered) where the
> true mean concentration is zero?  Would we get measured concentrations
> symmetrically distributed about zero (with about 50% of the measured
> concentrations reported as negative and 50% positive)?  If so, then a normal
> residual error model may indeed be appropriate.  
>
> Ken
>
> -----Original Message-----
> From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On
> Behalf Of Nick Holford
> Sent: Friday, May 23, 2008 10:40 AM
> To: [email protected]
> Subject: Re: [NMusers] Visual predictive check!
>
> Ken,
>
> You wrote among other things:
> "The combined residual error model cannot be the correct model at very 
> low concentrations since the normal distribution will put non-zero 
> probability mass at concentrations less than zero if the mean is low 
> relative to its SD."
>
> I think you are making the assumption that *measured* concentrations 
> have to be non-negative. In a real world measurement system there will 
> be random measurement noise around true zero. Thus a real world 
> measurement system would return both negative and positive measurements 
> for a true zero. Additive residual error models in theory describe this 
> behaviour. Simulations of *measurements* will then quite reasonably 
> include negative values.
>
> In the truncated real world of chemical analysis real measurements of 
> true zero seem to be always reported as non-negative. Its a pity 
> chemical analysts don't seem to understand that this truncation always 
> causes measurement bias (whether the LLOQ is 0 or greater).
>
> Best wishes,
>
> Nick
>
> Ken Kowalski wrote:
>   
>> Andreas,
>>
>> Your simulations highlight a limitation with the combined (additive + 
>> proportional or slope-intercept) residual error model. The combined 
>> residual error model cannot be the correct model at very low 
>> concentrations since the normal distribution will put non-zero 
>> probability mass at concentrations less than zero if the mean is low 
>> relative to its SD. The purist in me says don't truncate as that will 
>> lead to bias in your simulations although it may be minimal if few 
>> observations are simulated with negative concentrations. A better 
>> approach would be to consider an alternative residual error model that 
>> bounds the concentrations to be positive such as the log-normal 
>> residual error model (log-transform both sides approach) or fit a 
>> model that takes into account the censored BQL data ( see Beal, Ways 
>> to Fit a PK Model with Some Data Below the Quantification Limit. JPP 
>> 2001;28:481-504).
>>
>> Ken
>>
>> Kenneth G. Kowalski
>>
>> President & CEO
>>
>> A2PG - Ann Arbor Pharmacometrics Group
>>
>> 110 E. Miller Ave., Garden Suite
>>
>> Ann Arbor, MI 48104
>>
>> Work: 734-274-8255
>>
>> Cell: 248-207-5082
>>
>> [EMAIL PROTECTED]
>>
>> *From:* [EMAIL PROTECTED] 
>> [mailto:[EMAIL PROTECTED] *On Behalf Of *andreas lindauer
>> *Sent:* Friday, May 23, 2008 6:23 AM
>> *To:* [email protected]
>> *Subject:* [NMusers] Visual predictive check!
>>
>> Dear NMusers,
>>
>> I have a question regarding simulations for a VPC. When a combined 
>> residual error is used it happens that for low concentrations negative 
>> values are simulated. While this is statistically correct, I wonder if 
>> it is correct to use these results for the VPC because the 
>> distribution of the observed low concentrations is truncated by the 
>> LLOQ. So the VPC might suggest model misspecification for lower 
>> concentrations. Further, when one wants to use the model for clinical 
>> trial simulation should then the negative (BQL) values be omitted 
>> because they would never appear in reality?
>>
>> I would like to know how the more experienced NMusers handle this.
>>
>> Thanks in advance, Andreas.
>>
>> ____________________________
>>
>> Andreas Lindauer
>>
>> University of Bonn
>>
>> Department of Clinical Pharmacy
>>
>> An der Immenburg 4
>>
>> D-53121 Bonn
>>
>> phone:+49 228 73 5781
>>
>> fax: +49 228 73 9757
>>
>>     
>
>   

-- 
Nick Holford, Dept Pharmacology & Clinical Pharmacology
University of Auckland, 85 Park Rd, Private Bag 92019, Auckland, New Zealand
[EMAIL PROTECTED] tel:+64(9)373-7599x86730 fax:+64(9)373-7090
www.health.auckland.ac.nz/pharmacology/staff/nholford





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