Hi Douglas,

 

This has been a concern for me as well, although I do not know if this ever 
happens(?). For the automatic (generic scripts) exclusion of etas that I use 
for eta-diagnostics, I tend to exclude a group (e.g. each dose or dose-study 
combination) if all subjects have eta=0 in that group. This would for example 
exclude IOV-eta3 from a study that only hade two occasions, or the placebo 
group(s) for etas on drug effect. I feel safe with that exclusion for my 
diagnostics. If I had to make the choice between excluding all etas that are 
exactly equal to zero or none at all, I would more trust diagnostics after 
exclusion.

 

Jakob

 

________________________________

From: Eleveld, DJ [mailto:d.j.elev...@anest.umcg.nl] 
Sent: 21 August 2009 13:57
To: Ribbing, Jakob; Pyry Välitalo; nmusers@globomaxnm.com
Subject: RE: [NMusers] Calculating shrinkage when some etas are zero

 

Hi Pyry and Jacob,

 

If you exclude zero etas then what happens to infomative individuals who just 
happen to have the population typical values?  

This approch would exclude these individuals when trying to indicate how 
informative an estimation is about a parameter.

I know this is unlikely, but it is possible. 

 

The etas just tell what value is estimated, its not the whole story about how 
infomative an estimation is.  I dont think you can do

this without considering how 'certian' you are of each of those eta values.

 

Douglas Eleveld

 

________________________________

Van: owner-nmus...@globomaxnm.com namens Ribbing, Jakob
Verzonden: vr 21-8-2009 12:26
Aan: Pyry Välitalo; nmusers@globomaxnm.com
Onderwerp: RE: [NMusers] Calculating shrinkage when some etas are zero

Hi Pyry,

 

Yes, when calculating shrinkage or looking at eta-diagnostic plots it is often 
better to exclude etas from subjects that has no information on that parameter 
at all. For a PK model we would not include subjects that were only 
administered placebo (if PK is exogenous compound). In the same manner placebo 
subjects are not informative on the drug-effects parameters of a (PK-)PD model. 
These subjects have informative etas for the placebo-part of the PD model, but 
not on the drug-effects (etas on Emax, ED50, etc.). For any eta-diagnostics you 
can removed these etas based on design (placebo subject, IV dosing, et c) or 
the empirical-Bayes estimate of eta being zero.

 

Cheers

 

Jakob

 

________________________________

From: owner-nmus...@globomaxnm.com [mailto:owner-nmus...@globomaxnm.com] On 
Behalf Of Pyry Välitalo
Sent: 21 August 2009 10:45
To: nmusers@globomaxnm.com
Subject: [NMusers] Calculating shrinkage when some etas are zero

 

Hi all,

I saw this snippet of information on PsN-general mailing list.

Kajsa Harling wrote in PsN-general:
"I talked to the experts here about shrinkage. Apparently, sometimes an
individual's eta may be exactly 0 (no effect, placebo, you probably
understand this better than I do). These zeros should not be included in
the shrinkage calculation, but now they are (erroneously) in PsN."

This led me to wonder about the calculation of shrinkage. I decided to post 
here on nmusers, because my question mainly relates to NONMEM. I could not find 
previous discussions about this topic exactly.

As I understand, if a parameter with BSV is not used by some individuals, the 
etas for these individuals will be set to zero. An example would be a dataset 
with IV and oral dosing data. If oral absorption rate constant KA with BSV is 
estimated for this data, then all eta(KA) values for IV dosing group will be 
zero.

The shrinkage of etas is calculated as 
1-sd(etas)/omega 
If the etas that equal exactly zero would have to be removed from this equation 
then it would mean that NONMEM estimates the omega based on only those 
individuals who need it for the parameter in question, e.g. the omega(KA) would 
be estimated only based on the oral dosing group. Is this a correct 
interpretation for the rationale to leave out zero etas? 

I guess the inclusion of zero etas into shrinkage calculations significantly 
increases the estimate of shrinkage because the zero etas always reduce the 
sd(etas). As a practical example, suppose a dataset of 20 patients with oral 
and 20 patients with IV administration. Suppose NONMEM estimates an omega of 
0.4 for BSV of KA. Suppose the sd(etas) for oral group is 0.3 and thus sd(etas) 
for all patients is 0.3/sqrt(2) since the etas in IV group for KA are zero. 
Thus, as far as I know, PsN would currently calculate a shrinkage of 
1-(0.3/sqrt(2))/0.4=0.47.
Would it be more appropriate to manually calculate a shrinkage of 
1-0.3/0.4=0.25 instead?

All comments much appreciated.

Kind regards,
Pyry



Kajsa Harling wrote:

Dear Ethan,

I have also been away for a while, thank you for your patience.

I talked to the experts here about shrinkage. Apparently, sometimes an
individual's eta may be exactly 0 (no effect, placebo, you probably
understand this better than I do). These zeros should not be included in
the shrinkage calculation, but now they are (erroneously) in PsN.

Does this explain the discrepancy?

Then, the heading shrinkage_wres is incorrect, it should say
shrinkage_iwres (or eps) they say.

Comments are fine as long as they do not have commas in them. But this
is fixed in the latest release.

Best regards,
Kajsa

________________________________

De inhoud van dit bericht is vertrouwelijk en alleen bestemd voor de 
geadresseerde(n). Anderen dan de geadresseerde(n) mogen geen gebruik maken van 
dit bericht, het niet openbaar maken of op enige wijze verspreiden of 
vermenigvuldigen. Het UMCG kan niet aansprakelijk gesteld worden voor een 
incomplete aankomst of vertraging van dit verzonden bericht.

The contents of this message are confidential and only intended for the eyes of 
the addressee(s). Others than the addressee(s) are not allowed to use this 
message, to make it public or to distribute or multiply this message in any 
way. The UMCG cannot be held responsible for incomplete reception or delay of 
this transferred message. 

Reply via email to