Hi Al,
   Serge's suggestion is available in practise,however when we are considering 
to add one covariate such as body weight to the parameter-CL,e.g.,the number of 
off-diagonal elements retained in the base model may be different from the one 
in the covariate model .As I have noticed,one or above off-diagonal elements 
could cross the zero cutoff again and should be excluded from the OMEGA block 
structure.So it is hardly to keep the constructure of OMEGA block same during 
the model improvment .
    In my opinion,if all the diagonal elements fall in an acceptable 
interval,such as the CV of parameter is within 50%,there is no need to insert 
the off-diagonal element.The off-diagonal element which means covariance 
between the diagonal paramete,represents the correlation between them.So 
another way is to refer to the scatter plots between ETAs estimated by the 
model with  diagonal elements .Which off-diagonal element is included depends 
on the correlation between two ETAs in the scaterr plots.
Most frequently,the diagonal elements are enough.Do not be worried about that.
By the way, when we discussed the off-diagonal issue,we should not forget the 
basic purpose of model building-to make the model predictive performance to be 
in accordance with the observed values as far as possible. 

Jeroen,
    Do you mean the off-diagonal elements instead of diagonal elements when you 
mentioned in the second paragraph,because I would like to believe the the 
off-digonal elements are more difficult to estimate

hongbo ye
from nanjing city.
2010-08-26



yhb5442387



发件人: "Serge Guzy" <[email protected]>
发送时间: 2010-08-26 04:46
主 题: RE: [NMusers] Block versus diagonal omega
收件人: "Berg, Alexander K., Pharm.D., Ph.D." <[email protected]>, 
<[email protected]>



I am not sure there is one single statistical test you can use like we do with 
covariate selection (forward followed by backward deletion method).
The easiest way to deal with this problem would be first to use a stable method 
like importance sampling assisted by MAP estimation (IMPMAP in NONMEM7) and 
getting the full variance covariance matrix and correlation matrix. NONMEM7 
will give you also like SADAPT the standard errors associated with each 
correlation coefficient. A way to categorize these correlation coefficients 
would be to look at each correlation mean +- 2 standard errors and see if it 
crosses the zero cutoff. If so, you would assume this correlation not to be 
statistically significant. Once all the not statistically significant 
correlations are deleted, you have your new blocks to be considered (I guess 
you have sometimes to change the order of your parameters to define this new 
block in NONMEM7) and you refit your model with this new blocks. Of course, 
this is an approximation but at least it allows you ranking the most important 
correlations based on both their mean but also their corresponding standard 
errors.
A pure diagonal variance covariance matrix will affect the outcome of your 
subsequent simulations and usually would inflate the response variability 
across the population as important correlations are may be missing. 
Serge Guzy; Ph.D
President, CEO; POP_PHARM; INC;
www.poppharm.com
[email protected]
510 684 87 40
 
 
From: [email protected] [mailto:[email protected]] On 
Behalf Of Berg, Alexander K., Pharm.D., Ph.D.
Sent: Wednesday, August 25, 2010 12:20 PM
To: [email protected]
Subject: [NMusers] Block versus diagonal omega
 
Hello - 
I was curious if someone from the group could perhaps describe the basis for 
deciding whether to use a block (variance and covariance) versus diagonal 
(variance only) form of omega.  Specifically, what tests if any can be 
performed to decide between the two forms and are there certain situations 
where one is preferred over the other as I often see only the diagonal form 
used.  Any help would be much appreciated - 
Al Berg, PhD/PharmD 
Clinical Pharmacology Fellow 
Mayo Clinic - Rochester 
[email protected] 



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