No, there is no other solution except IOV.
One option to lessen the impart of the discrepancy is to have inflated residual error in the some interval post-dose
;TAD: time after dose
SD=THETA()
IF(TAD.LE.XX) SD=SD*THETA()

$ERROR
Y=TY*(1+SD*EPS(1))

$SIGMA
1 FIX

Then observations close to the dose (with uncertain dose time) will have less influence on PK parameters.
Regards,
Leonid


On 8/12/2020 4:51 AM, Tingjie Guo wrote:
Dear NMusers,

I'm modeling a PK data set with a discrepancy between the documented dosing time and the actual dosing time. According to our clinical practice, actual dosing time is always >= documented time. I added a ALAG with IIV to address this issue using the following formulation.

ALAG1 = THETA(5) * EXP(ETA(5))

This indeed improved the model fitting quite a lot. However, this parameterization does not reflect the reality as I expect the ETAs should vary between each dosing event rather than only between patients. So I expect a "inter dose event variability" would better make sense to this end. Since there are too many dosing events per patients, a IOV-like approach is doable but not preferred. And it may not accurately reflect "inter dose event variability" either. I was wondering if there is any good solution to this problem? Any comments are very much appreciated!

Warm regards,
Tingjie Guo


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