Hi,

There are both pros and cons of using baseline observations as a covariate. We 
presented four different options for how to handle baseline and investigated 
estimation properties in the paper below. What we didn't look at, because it is 
a very bad idea, is to use an baseline observation both as a covariate and 
dependent variable.

Approaches to handling pharmacodynamic baseline responses.
Dansirikul C, Silber HE, Karlsson MO.
J Pharmacokinet Pharmacodyn. 2008 Jun;35(3):269-83.

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 Peiming Ma
Sent: Tuesday, July 28, 2015 3:31 AM
To: Mark Sale; Zhao,Li; nmusers@globomaxnm.com
Subject: [NMusers] RE: Is it reasonable to add covarite to PD parameters kin or 
kout?

Dear Mark and Li,

I think there is nothing wrong with using baseline as a covariate. Baseline 
observations contain more information than just some pre-treatment observations 
and thus have a lot of explanatory power; this is the reason they appear 
significant more often than not. Comparisons after treatments should try to use 
all information before treatments (thus including baselines).

Statisticians habitually use baselines as covariates in their ANCOVA models for 
obviously good reasons.

Regards,
Peiming

From: owner-nmus...@globomaxnm.com<mailto:owner-nmus...@globomaxnm.com> 
[mailto:owner-nmus...@globomaxnm.com] On Behalf Of Mark Sale
Sent: Tuesday, July 28, 2015 3:34 AM
To: Zhao,Li; nmusers@globomaxnm.com<mailto:nmusers@globomaxnm.com>
Subject: [NMusers] RE: Is it reasonable to add covarite to PD parameters kin or 
kout?

Li,
I'm going to go out on a limb (since I haven't seen your data or understand the 
biology) and suggest that the baseline value is not a covariate, but is just 
another observation (presumably with drug concentration = 0).  The baseline 
value is sort of by definition a function of kin.  So, you might look for 
predictors of Kin (age? Disease stage?) rather than using the observed value to 
predict the parameters (which then predict the observed value).  Also note that 
covariates are, by definition, measured without error, and a baseline value is 
likely measure with error (the same error as any other observation?).

Mark



From: owner-nmus...@globomaxnm.com<mailto:owner-nmus...@globomaxnm.com> 
[mailto:owner-nmus...@globomaxnm.com] On Behalf Of Zhao,Li
Sent: Monday, July 27, 2015 2:39 PM
To: nmusers@globomaxnm.com<mailto:nmusers@globomaxnm.com>
Subject: [NMusers] Is it reasonable to add covarite to PD parameters kin or 
kout?


Dear NMusers,



Right now I am doing covarite analysis for an indirect response model.



 I tested a few potential covarites and found it's STATISTICALLY significant if 
I add observed baseline value to kin.



But I am not sure if it makes sense to add the baseline value as a covarite to 
kin.



Could you please help me if you have had similar experiences before?



Thank you very much!

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