unsuscribe

________________________________

De: [email protected] en nombre de [email protected]
Enviado el: vie 03/07/2009 12:53
Para: [email protected]
Asunto: [NMusers] simulation with nonparametric method in NONMEM



Dear all, 

I have a question concerning the nonparametric estimation in NONMEM. I used the 
nonparametric method for phase I single dose PK data because parameters seemed 
not to be normally distributed. The dataset contained 40 subjects and each 
received 3 different doses. The model fit the data well, and as a last 
evaluation I wanted to simulate 500 new subjects for each dose level and 
compare the simulations to the observed values (in a spaghetti plot which 
includes all simulated profiles as half-transparent, which enables the 
identification of concentrations which are repeated more often than others, as 
the respective area is darker). For comparison, I wanted to use the IPRED 
values and disregard the residual error component. What puzzled me when I saw 
the plot was that I did only see as many lines as I had subjects in the trial. 
So my question is: If I only have a limited number of subjects, does it make 
sense to use a nonparametric method at all, because the simulations I get from 
this seem to be a bit limited? Do I only get the exact parameter combination as 
I have already observed with my subjects, or can a nonparametric method also 
simulate other parameter combinations (in my case I have IIV on three different 
parameters)? The used model code is shown below. 

Thanks and best regards 
Nele 

$MODEL      COMP=(GUT) COMP=(CENTRAL) COMP=(PERIPH) COMP=(BINDING) 
; 
$PK 

JD=DEN_ 
DN1=CDEN_(1) 
DN2=CDEN_(2) 
DN3=CDEN_(3) 

; 
TVCL=THETA(1) 
CL=TVCL*EXP(ETA(1)) 

TVV2=THETA(2) 
V2=TVV2*EXP(ETA(3)) 

TVQ=THETA(3) 
Q=TVQ 

TVV3=THETA(4) 
V3=TVV3 

TVKA=THETA(5) 
KA=TVKA 

TVF1=THETA(6) 
F1=TVF1*EXP(ETA(2)) 

TVLAG=THETA(7) 
ALAG1=TVLAG 

TVK1=THETA(8) 
K1=TVK1 

TVK2=THETA(9) 
K2=TVK2 

TVBMAX=THETA(10) 
BMAX=TVBMAX 

S2=V2 
K23=Q/V2 
K32=Q/V3 
K20=CL/V2 

$DES 

DADT(1)=-KA*A(1) 
DADT(2)= KA*A(1)-K23*A(2)+K32*A(3)-K20*A(2)-K1*A(2)*(BMAX-A(4))+K2*A(4) 
DADT(3)= K23*A(2)-K32*A(3) 
DADT(4)= K1*A(2)*(BMAX-A(4))-K2*A(4) 
; 
$ERROR 
  IPRED=F 
  DEL=0 
  IF (IPRED.EQ.0) DEL=0.0001 
  W=F 
  IRES=DV-IPRED 
  IWRES=IRES/(W+DEL) 
  Y=F+SQRT(THETA(12)*THETA(12)+THETA(11)*THETA(11)*F**2)*EPS(1) 

$MSFI=msfb1 
$SIMULATION (12245) (123456 NONPARAMETRIC) ONLYSIM TRUE=FINAL 
SUBPROBLEMS=500 
$TABLE      ID TIME TAD DOSE DV IPRED NOPRINT ONEHEADER FILE=simtab073 
______________________________________________________________

Dr. Nele Käßner
Pharmacometrics -- Modeling and Simulation

Nycomed GmbH
Byk-Gulden-Str. 2
D-78467 Konstanz, Germany

Fon: (+49) 7531 / 84 -  4759
Fax: (+49) 7531 / 84 - 94759

mailto: [email protected]
http://www.nycomed.com

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