Alison,

I think the problem with the on-line help arose because a relatively inexperienced nmuser was searching through the help to find some clues on what to do. The use of the "physiological variable changes" expression to describe an EVID=2 event seems to have been interpreted as something special within NONMEM that knew about physiological changes. Of course, this was a misunderstanding.

To avoid the misunderstanding I suggest you make it clearer that the change in a physiological variable is just an example of a covariate change at a non-dose and non-observation event time e.g.

"Examples of other-type events are: A compartment is turned on or off (CMT specifies which compartment is to be turned on or off); a prediction is obtained at a specified time so that it may be displayed in a table or scatterplot ; some event occurs at a different time than any observation or dose event e.g. a covariate such as weight changes, an intervention such as hemodialysis is started or stopped."

Adding more specific examples of the use of EVID=2 would perhaps be useful. Does anyone have any other examples?

I also suggest removing reference to PCMT "(PCMT specifies the compartment from which the prediction is obtained)" because it is not directly relevant to EVID=2. An inexperienced user might interpret the remark about PCMT to imply that PCMT is required for use with EVID=2. In my own experience I have never found the need to use PCMT. I usually do not rely on the default compartment with complex models but use the compartment explicitly in $ERROR to define the prediction I want to output.

Best wishes,

Nick

On 27/08/2013 10:45 p.m., Alison Boeckmann wrote:
There have been a number of interesting comments.
The original issue has to do with the way this is described in on-line help for EVID.
Would it be more clear if this said:
a physiological variable changes (and this is at a different time than any observation or dose event).
Or can someone suggest a better wording that would not add to the confusion?
On Fri, Aug 23, 2013, at 10:51 AM, siwei Dai wrote:
Hi, Nick:
Thank you for the response.
I meant to say EVID = 2 but not '4', my mistake. In the user guide, it says:

 2    Other-type event.  The DV data  item  is ignored.   Dose-related
      data  items  must  be zero.  Examples of other-type events are: A
      compartment is turned on or off (CMT specifies which  compartment
      is  to be turned on or off); a prediction is obtained at a speci-
      fied time so that it may be displayed in a table or  scatterplot
      (PCMT  specifies  the  compartment  from  which the prediction is
      obtained); a physiological variable changes.
I am asking the question because I thought that usually the covariates stay the same, but I want to add a covariate that changes during the day, so every observation line will have a different covariate value. If I understand your email correctly, I don't need to do anything special to treat this type covariates then?
Thanks!
Best regards,
Siwei



On Fri, Aug 23, 2013 at 1:10 PM, Nick Holford <[email protected] <mailto:[email protected]>> wrote:

    Siwei,

    I don't know why you think this complicated. Suppose you have age
    (AGE) as a covariate. This must of course be a time varying
    covariate if it is intended to be the current age. And you might
    have weight (WT) or creatinine clearance (CLCR) as covariates
    which typically change with time. So just code the $INPUT data
    items and use them as you wish e.g.

    $INPUT ID TIME AGE WT CLCR etc
    ...

    $PK
    ; CL=(CLnon-renal*f(age) + CLrenal*f(renal_function)) * allometric WT
    CL=(THETA(1)*EXP(THETA(2)*(AGE-40)) +
    THETA(3)*CLCR/100)*(WT/70)**0.75

    EVID=4 has nothing to do with using time varying covariates.

    Perhaps you could explain more clearly what your problem is and
    why you think it is complicated to use time varying covariates?

    Best wishes,

    Nick


    On 23/08/2013 6:00 p.m., siwei Dai wrote:

        Hi, Dear NMusers:
        I want to add a time-varing covariate in my model. For
        example, blood pressure or blood flow as covariates. But I am
        not sure how to do it. I see some earlier threads to discuss
        it but they all use complicated methods.
        I am wondering if there are any new way  to do it in NM 7.2?
        I see in the user guide that EVID=4 can indicate
        physiological change. Is this what I should use?
        Thank you very much for any suggestions.
        Best regards,
        Siwei

    --
    Nick Holford, Professor Clinical Pharmacology
    Dept Pharmacology & Clinical Pharmacology, Bldg 503 Room 302A
    University of Auckland,85 Park Rd,Private Bag 92019,Auckland,New
    Zealand
    office:+64(9)923-6730 <tel:%2B64%289%29923-6730> mobile:NZ
    +64(21)46 23 53 <tel:%2B64%2821%2946%2023%2053> FR +33(7)85 36 84
    99 <tel:%2B33%287%2985%2036%2084%2099>
    email: [email protected] <mailto:[email protected]>
    http://holford.fmhs.auckland.ac.nz/

    Holford NHG. Disease progression and neuroscience. Journal of
    Pharmacokinetics and Pharmacodynamics. 2013;40:369-76
    http://link.springer.com/article/10.1007/s10928-013-9316-2
    Holford N, Heo Y-A, Anderson B. A pharmacokinetic standard for
    babies and adults. J Pharm Sci. 2013:
    http://onlinelibrary.wiley.com/doi/10.1002/jps.23574/abstract
    Holford N. A time to event tutorial for pharmacometricians.
    CPT:PSP. 2013;2:
    http://www.nature.com/psp/journal/v2/n5/full/psp201318a.html
    Holford NHG. Clinical pharmacology = disease progression + drug
    action. British Journal of Clinical Pharmacology. 2013:
    http://onlinelibrary.wiley.com/doi/10.1111/bcp.12170/abstract

--
Alison Boeckmann
[email protected] <mailto:[email protected]>

--
Nick Holford, Professor Clinical Pharmacology
Dept Pharmacology & Clinical Pharmacology, Bldg 503 Room 302A
University of Auckland,85 Park Rd,Private Bag 92019,Auckland,New Zealand
office:+64(9)923-6730 mobile:NZ +64(21)46 23 53 FR +33(7)85 36 84 99
email: [email protected]
http://holford.fmhs.auckland.ac.nz/

Holford NHG. Disease progression and neuroscience. Journal of Pharmacokinetics 
and Pharmacodynamics. 2013;40:369-76 
http://link.springer.com/article/10.1007/s10928-013-9316-2
Holford N, Heo Y-A, Anderson B. A pharmacokinetic standard for babies and 
adults. J Pharm Sci. 2013: 
http://onlinelibrary.wiley.com/doi/10.1002/jps.23574/abstract
Holford N. A time to event tutorial for pharmacometricians. CPT:PSP. 2013;2: 
http://www.nature.com/psp/journal/v2/n5/full/psp201318a.html
Holford NHG. Clinical pharmacology = disease progression + drug action. British 
Journal of Clinical Pharmacology. 2013: 
http://onlinelibrary.wiley.com/doi/10.1111/bcp.12170/abstract


Reply via email to