Hi Brady,

If you want to include (circadian) rhythms in the production (or elimination) 
of your endogenous substance, there are also other considerations. One is that 
you need to retain information about the clock time of your samples, even those 
before start of therapy. The other is how to initialize the system, which you 
can either do at the earliest observation using eqns (like Bill suggested), or 
just start the system at its average value 24 h before your first observation 
and let the system run. The latter is sometimes simpler when the analytic 
solutions to complex rhythm patterns become too intricate.

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

From: owner-nmus...@globomaxnm.com [mailto:owner-nmus...@globomaxnm.com] On 
Behalf Of Paolo Denti
Sent: Wednesday, May 27, 2015 7:52 AM
To: Moffett, Brady S.; nmusers@globomaxnm.com
Subject: Re: [NMusers] RE: Dataset coding for baseline endogenous substance

Hi Brady,
for actual code examples and methods to introduce error or estimate you 
baseline, I would suggest looking into this paper.

C. Dansirikul, H. E. Silber, and M. O. Karlsson, "Approaches to handling 
pharmacodynamic baseline responses," J. Pharmacokinet. Pharmacodyn., vol. 35, 
no. 3, pp. 269-283, Jun. 2008.

The appendix includes code and dataset examples, so it should be of help.

Regards,
Paolo


On 2015/05/27 01:01, Denney, William S. wrote:
Hi Brady,

Generally, you will just include the baseline measurement as time=0 and then 
reference all other times from that time.  So, if your baseline value was drawn 
at 8AM on day 1 while the first dose was at 10AM, just set the baseline time as 
0 and the first dose time as 2 (also assuming that your time is in hours).  If 
baseline is taken far before the next time, the only important part is that you 
want the time between baseline and the next measurement to be more than ~5-fold 
the auto-correlation time of your system.

>From there, you will estimate your A_0 values as you have seen other places.  
>A general note that is not always covered in other discussions of endogenous 
>substance PK:  You want to make sure that your equations work so that A_0 is 
>at steady state (usually).  Often, you will not directly set A_0, but you will 
>solve the equations for A_0 being steady-state and set it to the steady-state 
>value.

Thanks,

Bill

From: owner-nmus...@globomaxnm.com<mailto:owner-nmus...@globomaxnm.com> 
[mailto:owner-nmus...@globomaxnm.com] On Behalf Of Moffett, Brady S.
Sent: Tuesday, May 26, 2015 6:02 PM
To: nmusers@globomaxnm.com<mailto:nmusers@globomaxnm.com>
Subject: [NMusers] Dataset coding for baseline endogenous substance

I am modeling a drug that is also an endogenous substance.

I have found quite a bit of information on modeling practices with endogenous 
substances, but nothing on how to incorporate the baseline endogenous substance 
value (DV) into the dataset.

The data is from clinical use, and the baseline values are not drawn at exactly 
the same times prior to drug administration.

Any assistance would be appreciated!  Thank you in advance...

Brady S Moffett, PharmD, MPH

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Paolo Denti, PhD

Pharmacometrics Group

Division of Clinical Pharmacology

Department of Medicine

University of Cape Town



K45 Old Main Building

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7925 South Africa

phone: +27 21 404 7719

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email: paolo.de...@uct.ac.za<mailto:paolo.de...@uct.ac.za>

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  • ... Moffett, Brady S.
    • ... Denney, William S.
      • ... Paolo Denti
        • ... Mats Karlsson
        • ... Standing Joseph (GREAT ORMOND STREET HOSPITAL FOR CHILDREN NHS FOUNDATION TRUST)

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