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Abstract
Introduction
Materials and Methods
Results
Discussion
Conclusion
References

Scientific Journals: AAPS PharmSci

Jonsson EN, Wade JR and Karlsson MO Nonlinearity Detection: Advantages of Nonlinear Mixed-Effects Modeling AAPS PharmSci 2000; 2 (3) article 32 (https://www.pharmsci.org/scientificjournals/pharmsci/journal/32.html).

Figures and Tables

Table 1. Parameter values used during data simulation

Parameter

Value

Pharmacokinetic model I

Km

10

Vmax

10

V

10

Clint

1

Pharmacokinetic model II

Km

10

Vmax

10

k

0.05

V

10

Clint

1.5

Pharmacodynamic model

CL

1

V

10

Base

100

Emax

0.5

EC50

0.7

γ

2

*Clint is the ratio of Vmax and Km and the ratio of Vmax and Km plus k over V for pharmacokinetic models I and II, respectively.




Figure 1.Dose-specific profiles for the 3 simulation models. Each line corresponds to 1 dose level (1, 10, 35, 50, 200, 600, and 1,000 and 3, 5, 7, 10, 15, 20, 30, and 60 for the 2 pharmacokinetic models and the pharmacodynamic models, respectively). In the panel for the pharmacodynamic model, the curves are separated by a small shift in concentration to avoid superposition.

Table 2. Median parameter estimates (and range) when fitting competing linear and nonlinear models to the data simulated using pharmacokinetic model I

Method

Dose

Km

Clint

No. data sets best described by

(True value 10)

(True value 1)

Linear model (simple model)

Nonlinear model (true model)

STS

1

-*

-*

30

0

10

-*

-*

30

0

35

-*

-*

29

1

50

-*

-*

28

2

200

10.6 (9.3-14.8)

0.98 (0.85-1.53)

5

25

600

9.9 (9.3-13.6)

1.05 (0.97-1.46)

7

23

1000

10.3 (8.8-13.1)

0.95 (0.85-1.53)

5

25

FOCE

1

-*

-*

30

0

10

-*

-*

28

2

35

-*

-*

26

4

50

10.5 (6.43-16.0)

0.93 (0.69-1.47)

0

30

200

10.2 (7.67-12.5)

0.94 (0.71-1.50)

0

30

600

10.2 (7.66-12.4)

0.93 (0.72-1.48)

0

30

1000

10.1 (8.14-12.3)

0.93 (0.73-1.44)

0

30

The number of the 30 data sets best described by each of the linear and nonlinear models is also shown. The FO method failed to detect the true nonlinear model at all dose levels; thus, no results are presented for this method.

*No results for Km and Clint are presented when the nonlinear model did not best describe the 30 data sets overall (as described in Materials and Methods).



Table 3. Median parameter estimates (and range) when fitting competing linear and nonlinear models to the data simulated using pharmacokinetic model II

Method

Dose

Km

Clint

No. data sets best described by

(True value 10)

(True value 1.5)

Linear model (simple model)

Nonlinear model (true model)

STS

1

-*

-*

29

1

10

-*

-*

29

1

35

-*

-*

29

1

50

-*

-*

29

1

200

-*

-*

18

12

600

11.7 (6.0-33.8)

1.0 (0.8-1.5)

2

28

1000

10.4 (4.3-24.9)

1.1 (0.7-1.3)

0

30

FOCE

1

-*

-*

29

1

10

-*

-*

29

1

35

-*

-*

16

14

50

8.5 (2.8-19.0)

1.4 (1.2-1.7)

8

22

200

10.1 (4.5-27.8)

1.4 (1.2-2.0)

0

30

600

10.6 (7.0-40.4)

1.4 (1.2-2.0)

0

30

1000

11.2 (7.1-26.0)

1.4 (1.1-2.0)

0

30

The number of the 30 data sets best described by each of the linear and nonlinear model is also shown. The FO method failed to detect the true nonlinear model at all dose levels; thus, no results are presented for this method.

*No results for Km and Clint are presented when the nonlinear model did not best describe the 30 data sets overall (as described in Materials and Methods).



Table 4. Median parameter estimates (and range) when fitting competing linear and nonlinear models to the data simulated using pharmacodynamic model

Method

Dose

EC50

Emax

γ

No. data sets best described by:

(True value 0.7)

(True value 0.5)

(True value 2)

Log linear model (simple model)

Nonlinear model (true model)

STS

3

-*

-*

-*

29

1

5

-*

-*

-*

29

1

7

-*

-*

-*

29

1

10

-*

-*

-*

29

1

15

-*

-*

-*

29

1

20

-*

-*

-*

29

1

30

-*

-*

-*

29

1

60

-*

-*

-*

25

5

FO

3

-*

-*

-*

29

1

5

-*

-*

-*

28

2

7

-*

-*

-*

29

1

10

0.87 (0.71-0.97)

0.62 (0.56-0.73)

2.17 (1.97-2.44)

14

16

15

0.75 (0.49-1.29)

0.51 (0.42-0.72)

1.89 (1.39-2.56)

5

25

20

0.78 (0.34-1.07)

0.50 (0.39-0.65)

1.81 (1.33-2.51)

0

30

30

0.82 (0.63-1.23)

0.52 (0.47-0.63)

1.85 (1.58-2.24)

5

25

FOCE

3

-*

-*

-*

30

0

5

-*

-*

-*

28

2

7

-*

-*

-*

23

7

10

0.95 (0.84-1.25)

0.67 (0.55-0.89)

2.23 (1.99-2.43)

15

15

15

0.74 (0.52-1.32)

0.51 (0.38-0.76)

1.96 (1.40-2.54)

3

27

20

0.75 (0.50-1.45)

0.50 (0.38-0.65)

2.02 (1.48-2.48)

0

30

30

0.77 (0.51-1.08)

0.50 (0.41-0.60)

2.03 (1.47-2.44)

0

26 †

The number of the 30 data sets best described by each of the linear and nonlinear model is also shown.

*No results for EC50, Emax and γ are presented when the nonlinear model did not best describe the thirty data sets overall (as described in Materials and Methods).

†At the highest dose level and FOCE, there were 4 instances when neither of the power or nonlinear model terminated successfully, which is why the totals in the 2 rightmost columns do not add up to 30.



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