Dear Siwei,

 

If you have a time-varying covariate, you may want to entertain the extended
models possible/necessary for time-varying, as opposed to time-constant,
covariates. See Wählby et al “Models for time-varying covariates in
population pharmacokinetic-pharmacodynamic analysis.” Br J Clin Pharmacol.
2004 Oct;58(4):367-77.

 

Best regards,

Mats

Mats Karlsson, PhD

Professor of Pharmacometrics

 

Dept of Pharmaceutical Biosciences

Faculty of Pharmacy

Uppsala University

Box 591

75124 Uppsala

 

Phone: +46 18 4714105

Fax + 46 18 4714003

 <http://www.farmbio.uu.se/research/researchgroups/pharmacometrics/>
www.farmbio.uu.se/research/researchgroups/pharmacometrics/

 

From: owner-nmus...@globomaxnm.com [mailto:owner-nmus...@globomaxnm.com] On
Behalf Of siwei Dai
Sent: 26 August 2013 18:13
To: nmusers@globomaxnm.com
Subject: Re: [NMusers] Time-varing covariate

 

Hi, Sebastien, Bill, Nick, Leonid, Mats and Hans:

 

Thank you all very much for the suggestions and nice discussions. I enjoyed
to learn from this thread and I am very clear how this should be handled
now. I believe this thread also provided a nice record for other new folks
like me to learn from.

 

Thanks a lot. 

 

Best regards, 

 

Siwei

 

On Fri, Aug 23, 2013 at 1:10 PM, Nick Holford <n.holf...@auckland.ac.nz>
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: n.holf...@auckland.ac.nz
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



 

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