Hi Sameer,

Several comments:
--------------------
You did not provide the entire code, but if BL is the observed baseline, it should not be included in the dataset. If you have BL=THETA(*)*EXP(ETA(*)) then the data are fine
--------------------
Additive error is assumed. I would rather use combined error (my guess is that assay STD at DV=65 is larger than STD at DV < LLOQ).
---------------------
M2 method can be implemented using YLO option (BQL observations are included with MDV=1). PRB will give you a model-based probability of
DV > YLO (see YLO EXAMPLE in help).

$ERROR
YLO   = LOG1
IF(ASSY.EQ.2) YLO=LOG2
PRB   = PR_Y

$EST METH=1 LAPLACIAN SLOW NOABORT
--------------------

I would increase TOL to 9 (if possible). It does not look like a stiff system, so ADVAN6 can be tried

------------------
You have not described the problem: how well these M3 - M4 methods describe your data? If you are not satisfied, could you describe the deficiencies if there are any; these can help to resolve them.

Thanks
Leonid

--------------------------------------
Leonid Gibiansky, Ph.D.
President, QuantPharm LLC
web:    www.quantpharm.com
e-mail: LGibiansky at quantpharm.com
tel:    (301) 767 5566




Doshi, Sameer wrote:
Hello,
We are attempting to model suppression of a biomarker, where a number of samples (40-60%) are below the quantification limit of the assay and where 2 different assays (with different quantification limits) were used. We are trying to model these BQL data using the M3 and M4 methods proposed by Ahn et al (2008). I would like to know if anyone has any comments or experience implementing the M3 or M4 methods for biomarker data, where levels are observed at baseline, are supressed below the LOQ for a given duration, and then return to baseline. Also please advise if there are other methods to try and incorporate these BQL data into the model. I have included the relevant pieces of the control file (for both M3 and M4) and data from a single subject. Thanks for your review/suggestions. Sameer DATA:
#ID     TIME    AMT     DV      CMT     EVID    TYPE    ASSY
1       0       0       65.71   0       0       0       1
1       0       120     0       3       1       0       1
1       168     0       10      0       0       1       1
1       336     0       10      0       0       1       1
1       336     120     0       3       1       0       1
1       504     0       12.21   0       0       0       1
1       672     120     0       3       1       0       1
1       1008    0       10      0       0       1       1
1       1008    120     0       3       1       0       1
1       1344    0       10      0       0       1       1
1       1344    120     0       3       1       0       1
1       1680    0       10      0       0       1       1
1       1680    120     0       3       1       0       1
1       2016    0       10      0       0       0       1
1       2352    0       25.64   0       0       0       1
1       2688    0       59.48   0       0       0       1
MODEL M3:
$DATA data.csv IGNORE=#
$SUB ADVAN8 TRANS1 TOL=6
$MODEL
  COMP(central)
  COMP(peri)
  COMP(depot,DEFDOSE)
  COMP(effect)
$DES
DADT(1) =  KA*A(3) - K10*A(1) - K12*A(1) + K21*A(2)
DADT(2) =                       K12*A(1) - K21*A(2)
DADT(3) = -KA*A(3)
CONC    =  A(1)/V1
DADT(4) =  KEO*(CONC-A(4))
$ERROR
CALLFL = 0
LOQ1=10
LOQ2=20
EFF = BL* (1 - IMAX*A(4)**HILL/ (IC50**HILL+A(4)**HILL))
IPRED=EFF
SIGA=THETA(7)
STD=SIGA
IF(TYPE.EQ.0) THEN ; GREATER THAN LOQ
  F_FLAG=0
  Y=IPRED+SIGA*EPS(1)
  IRES =DV-IPRED
  IWRES=IRES/STD
ENDIF
IF(TYPE.EQ.1.AND.ASSY.EQ.1) THEN ; BELOW LOQ1
  DUM1=(LOQ1-IPRED)/STD
  CUM1=PHI(DUM1)
  F_FLAG=1
  Y=CUM1
  IRES  = 0
  IWRES=0
ENDIF
IF(TYPE.EQ.1.AND.ASSY.EQ.2) THEN ; BELOW LOQ2
  DUM2=(LOQ2-IPRED)/STD
  CUM2=PHI(DUM2)
  F_FLAG=1
  Y=CUM2
  IRES  = 0
  IWRES=0
ENDIF
$SIGMA 1 FIX $ESTIMATION MAXEVAL=9990 NOABORT SIGDIG=3 METHOD=1 INTER LAPLACIAN
  POSTHOC PRINT=2 SLOW NUMERICAL
$COVARIANCE PRINT=E SLOW
MODEL M4:
$DATA data.csv IGNORE=#
$SUB ADVAN8 TRANS1 TOL=6
$MODEL
  COMP(central)
  COMP(peri)
  COMP(depot,DEFDOSE)
  COMP(effect)
$DES
DADT(1) =  KA*A(3) - K10*A(1) - K12*A(1) + K21*A(2)
DADT(2) =                       K12*A(1) - K21*A(2)
DADT(3) = -KA*A(3)
CONC    =  A(1)/V1DADT(4) = KEO*(CONC-A(4))
$ERROR
CALLFL = 0
LOQ1=10
LOQ2=20
EFF = BL* (1 - IMX*A(4)**HILL/ (IC50**HILL+A(4)**HILL))
IPRED=EFF
SIGA=THETA(7)
STD=SIGA
IF(TYPE.EQ.0) THEN ; GREATER THAN LOQ
  F_FLAG=0
  YLO=0
  Y=IPRED+SIGA*EPS(1)
  IRES =DV-IPRED
  IWRES=IRES/STD
ENDIF
IF(TYPE.EQ.1.AND.ASSY.EQ.1) THEN
  DUM1=(LOQ1-IPRED)/STD
  CUM1=PHI(DUM1)
  DUM0=-IPRED/STD
  CUMD0=PHI(DUM0)
  CCUMD1=(CUM1-CUMD0)/(1-CUMD0)
  F_FLAG=1
  Y=CCUMD1
  IRES  = 0
  IWRES=0
ENDIF
IF(TYPE.EQ.1.AND.ASSY.EQ.2) THEN
  DUM2=(LOQ2-IPRED)/STD
  CUM2=PHI(DUM2)
  DUM0=-IPRED/STD
  CUMD0=PHI(DUM0)
  CCUMD2=(CUM2-CUMD0)/(1-CUMD0)
  F_FLAG=1
  Y=CCUMD2
  IRES  = 0
  IWRES=0
ENDIF
$SIGMA 1 FIX $ESTIMATION MAXEVAL=9990 NOABORT SIGDIG=3 METHOD=1 INTER LAPLACIAN
  POSTHOC PRINT=2 SLOW NUMERICAL
$COVARIANCE PRINT=E SLOW
Sameer Doshi
Pharmacokinetics and Drug Metabolism, Amgen Inc.
(805) 447-6941

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