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From: Lopez Pintor, Elsa <elsa.lopez>
Date: Wed, 8 Jul 2009 10:46:49 +0200

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De: owner-nmusers
Para: nmusers
Asunto: [NMusers] simulation with nonparametric method in NONMEM

Dear all,

I have a question concerning the nonparametric estimation in NONMEM. I =
used the nonparametric method for phase I single dose PK data because =
parameters seemed not to be normally distributed. The dataset contained =
40 subjects and each received 3 different doses. The model fit the data =
well, and as a last evaluation I wanted to simulate 500 new subjects for =
each dose level and compare the simulations to the observed values (in a =
spaghetti plot which includes all simulated profiles as =
half-transparent, which enables the identification of concentrations =
which are repeated more often than others, as the respective area is =
darker). For comparison, I wanted to use the IPRED values and disregard =
the residual error component. What puzzled me when I saw the plot was =
that I did only see as many lines as I had subjects in the trial. So my =
question is: If I only have a limited number of subjects, does it make =
sense to use a nonparametric method at all, because the simulations I =
get from this seem to be a bit limited? Do I only get the exact =
parameter combination as I have already observed with my subjects, or =
can a nonparametric method also simulate other parameter combinations =
(in my case I have IIV on three different parameters)? The used model =
code is shown below.

Thanks and best regards
Nele

\$MODEL COMP=(GUT) COMP=(CENTRAL) COMP=(PERIPH) =
COMP=(BINDING)
;
\$PK

JD=DEN_
DN1=CDEN_(1)
DN2=CDEN_(2)
DN3=CDEN_(3)

;
TVCL=THETA(1)
CL=TVCL*EXP(ETA(1))

TVV2=THETA(2)
V2=TVV2*EXP(ETA(3))

TVQ=THETA(3)
Q=TVQ

TVV3=THETA(4)
V3=TVV3

TVKA=THETA(5)
KA=TVKA

TVF1=THETA(6)
F1=TVF1*EXP(ETA(2))

TVLAG=THETA(7)
ALAG1=TVLAG

TVK1=THETA(8)
K1=TVK1

TVK2=THETA(9)
K2=TVK2

TVBMAX=THETA(10)
BMAX=TVBMAX

S2=V2
K23=Q/V2
K32=Q/V3
K20=CL/V2

\$DES

KA*A(1)-K23*A(2)+K32*A(3)-K20*A(2)-K1*A(2)*(BMAX-A(4))+K2*A(4)
;
\$ERROR
IPRED=F
DEL=0
IF (IPRED.EQ.0) DEL=0.0001
W=F
IRES=DV-IPRED
IWRES=IRES/(W+DEL)
Y=F+SQRT(THETA(12)*THETA(12)+THETA(11)*THETA(11)*F**2)*EPS(1)

\$MSFI=msfb1
\$SIMULATION (12245) (123456 NONPARAMETRIC) ONLYSIM TRUE=FINAL
SUBPROBLEMS=500

______________________________________________________________

Dr. Nele Käßner
Pharmacometrics -- Modeling and Simulation

Nycomed GmbH
Byk-Gulden-Str. 2
D-78467 Konstanz, Germany

Fon: (+49) 7531 / 84 - 4759
Fax: (+49) 7531 / 84 - 94759

mailto: nele.kaessner
http://www.nycomed.com

County Court: Freiburg, Commercial Register HRB 701257
Chairman Supervisory Board: Charles Depasse
Management Board: Dr. Barthold Piening, Gilbert Rademacher, Dr. Anders =
Ullman

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