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Nonlinear Mixed Effects Models: Theory

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Book cover Pharmacokinetic-Pharmacodynamic Modeling and Simulation

Abstract

This chapter introduces the theory behind nonlinear mixed effects models through the concept of a structural model or covariate model coupled to both fixed and random effects in a nonlinear manner. Modeling and estimation of model parameters in the face of different sources of variability (between-subject, inter-occasion, inter-study, and residual or within-subject) are discussed, as is modeling the nature of the relationship between the covariate and dependent variable via linear, power, and exponential functions. Model building, identifying significant covariates through covariate screening and covariate modeling, influence analysis, and examination of goodness of fit through both scrutiny of the model building data set and validation via internal and external techniques are discussed.

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Notes

  1. 1.

    Individual predicted values (IPRED) have a special place in nonlinear mixed effects models. If the model is written as Y = f(x;θ;Ω;Σ) then taking into account the random effects in the model, IPRED = Y. Population predicted values (PRED) are computed as Y = f(x;θ;Ω;Σ) when all the random effects are set equal to zero. Many manuscripts publish scatter plots of IPRED vs. Y and PRED vs. Y. Both plots should be scattered around the line of unity and show no systematic trends. By definition, IPRED plots will “look” better than PRED plots because of the extra variability that is accounted for in the former.

  2. 2.

    More recent versions of SAS use a different, more accurate algorithm than the NLMIXED macro released with earlier versions.

References

  • Aarons L, Balant LP, Mentre F, Morsellu PL, Rowland M, Steimer JL, and Vozeh S. Practical experience and issues in designing and performing population pharmacokinetic/pharmacodynamic studies. European Journal of Clinical Pharmacology 1996; 49: 251-254.

    PubMed  CAS  Google Scholar 

  • Abboud I, Lerolle N, Urien S, Tadie J-M, Leviel F, Fagon J-Y, and Faisy C. Pharmacokinetics of epinephrine in patients with septic shock: modelization and interaction with endogenous neurohormonal status. Critical Care 2009; 13: R120.

    PubMed  Google Scholar 

  • Adolph EF. Quantitative relations in the physiological constitutions of mammals. Science 1949; 109: 579-585.

    PubMed  CAS  Google Scholar 

  • Agranat I, Caner H, and Caldwell J. Putting chirality to work: the strategy of chiral switches. Nature Reviews Drug Discovery 2002; 1: 753-768.

    PubMed  CAS  Google Scholar 

  • Altham PME. Improving the precision of estimation by fitting a model. Journal of the Royal Statistical Society, Series B 1984; 46: 118-119.

    Google Scholar 

  • Altman DG. Categorising continuous variables. British Journal of Cancer 1991; 64: 975.

    PubMed  CAS  Google Scholar 

  • Antic, J., Concordet, D., Chenel, D., Laffont, C. M., and Chafai, D. Nonparametric (NP) methods: When using them which method to chose? Abstracts of the Population Analysis Group in Europe, St. Petersburg, Russia (Abstract 1458); 2010.

    Google Scholar 

  • Antic, J., Laffont, C. M., Chafai, D., and Concordet, D. Can nonparametric methods improve sub-population detection? A simulation-based comparison of nonparametric (NP) methods for population PK analysis. Presented at Population Approach Group in Europe (PAGE), Kobenhavn, Denmark; 2007.

    Google Scholar 

  • Bauer RJ. NONMEM 7: Workshop for improvements and new methods. 2010.

    Google Scholar 

  • Bauer RJ, Guzy S, and Ng C. A survey of population analysis methods and software for complex pharmacokinetic and pharmacodynamic models with examples. The AAPS Journal 2007; 9: Article 7.

    Google Scholar 

  • Beal S. Computation of CV's from OMEGA; 1997 (http://www.cognigencorp.com/nonmem/nm/98sep261997.html).

  • Bhattaram VA, Bonapace C, Chilukuri DM, Duan JZ, Garnett C, Gobburu JVS, Jang SH, Kenna L, Lesko LJ, Madabushi R, Men Y, Powell JR, Qiu W, Ramchandani RP, Tornoe CW, Wang Y, and Zheng JJ. Impact of pharmacometric reviews on New Drug Applications and labeling decisions - a survey of 31 New Drug Applications submitted between 2005 and 2006. Clinical Pharmacology and Therapeutics 2007; 81: 213-221.

    PubMed  CAS  Google Scholar 

  • Bhattaram VA, Booth BJ, Ramchandani R, Nhi Beasley B, Wang Y, Tandon V, Duan JZ, Baweja RK, Marroum PJ, Uppoor RS, Rahman NA, Sahajwalla CG, Powell JR, Mehta MU, and Gobburu JVS. Impact of pharmacometric reviews on drug approval and labeling decisions: a survey of 42 New Drug Applications. AAPS Journal 2005; 7: Article 51.

    Google Scholar 

  • Bies, R. R., Sale, M. E., Smith, G., Muldoon, M., Lotrich, F., and Pollack, B. G. Outcome of NONMEM analysis depends on modeling strategy. Presented at the Annual Meeting of the American Society for Clinical Pharmacology and Toxicology, Washington DC; 2003.

    Google Scholar 

  • Bonate PL. The effect of collinearity on parameter estimates in nonlinear mixed effect models. Pharmaceutical Research 1999; 16: 709-717.

    PubMed  CAS  Google Scholar 

  • Bonate PL. Assessment of QTc interval prolongation in a Phase I study using Monte Carlo simulation. In: Simulation for Designing Clinical Trials: A Pharmacokinetic-Pharmacodynamic Modeling Perspective, (Ed. Kimko HC and Duffull S). Marcel Dekker, New York, pp. 353-367, 2003.

    Google Scholar 

  • Bonate PL. Covariate detection in population pharmacokinetics using partially linear mixed effects models. Pharmaceutical Research 2005; 22: 541-549.

    PubMed  CAS  Google Scholar 

  • Box GEP. Science and statistics. Journal of the American Statistical Association 1976; 71: 791-799.

    Google Scholar 

  • Brendel K, Comets E, Laffont CM, Laveille C, and Mentre F. Metrics for external model evaluation with application to the population pharmacokinetics of glicazide. Pharmaceutical Research 2006; 23: 2036-2049.

    PubMed  CAS  Google Scholar 

  • Brendel K, Dartois C, Comets E, Lemenuel-Diot A, Laveille C, Tranchand B, Girard P, Laffont CM, and Mentre F. Are population pharmacokinetic-pharmacodynamic models adequately evaluated? A survey of the literature from 2002 to 2004. Clinical Pharmacokinetics 2007; 46: 221-234.

    PubMed  Google Scholar 

  • Bruno R, Vivier N, Vergniol JC, De Phillips SL, Montay G, and Shiener LB. A population pharmacokinetic model for docetaxel (Taxotere): model building and validation. Journal of Pharmacokinetics and Biopharmaceutics 1996; 24: 153-172.

    PubMed  CAS  Google Scholar 

  • Byon W, Fletcher CV, and Brundage RC. Impact of censoring data below an arbitrary quantification limit on structural model misspecification. Journal of Pharmacokinetics and Pharmacodynamics 2008; 35: 101-116.

    PubMed  Google Scholar 

  • Carroll RJ, Ruppert D, and Stefanski LA. Measurement Error in Nonlinear Models. Chapman & Hall, New York, 1995.

    Google Scholar 

  • Chen X, Bies RB, Ramanathan RK, Zuhowski EG, Trump DL, and Egorin MJ. Population pharmacokinetic analysis of 17-(allylamino)-17-demethoxygeldanamycin (17AAG) in adult patients with advanced malignancies. Cancer Chemotherapy and Pharmacology 2008; 55: 237-243.

    Google Scholar 

  • Comets E, Brendel K, and Mentre F. Computing normalized prediction distribution errors to evalulate nonlinear mixed effects models: the npde package and R. Computer Methods and Programs in Biomedicine 2008; 90: 154-166.

    PubMed  Google Scholar 

  • Cox DS, Kleiman NS, Boyle DA, Aluri J, Parchman LG, Holdbrook F, and Fossler MJ. Pharmacokinetics and pharmacodynamics of argatroban in combination with a platelet glycoprotein IIB/IIIA receptor antagonist in patients undergoing percutaneous coronary intervention. Journal of Clinical Pharmacology 2004; 44: 981-990.

    PubMed  CAS  Google Scholar 

  • Dartois C, Brendel K, Comets E, Laffont CM, Laveille C, Tranchand B, Mentre F, Lemenuel-Diot A, and Girard P. Overview of model-building strategies in population PK/PD analyses: 2002-2004 literature strategy. British Journal of Clinical Pharmacology 2007; 64: 603-612.

    PubMed  CAS  Google Scholar 

  • Davidian M and Carroll RJ. Variance function estimation. Journal of the American Statistical Association 1987; 82: 1079-1091.

    Google Scholar 

  • Davidian M and Gallant AR. The nonlinear mixed effects model with smooth random effects density. Biometrika 1993; 80: 475-488.

    Google Scholar 

  • Davidian M and Giltinan DM. Nonlinear Models for Repeated Measures Data. Chapman and Hall, New York, 1995.

    Google Scholar 

  • Delyon B, Lavielle M, and Moulines E. Convergence of a stochastic approximation version of the EM algorithm. Annals of Statistics 1999; 27: 94-128.

    Google Scholar 

  • du Toit SHC, Steyn AGW, and Stumpf RH. Graphical Exploratory Data Analysis. Springer-Verlag, New York, 1986.

    Google Scholar 

  • Ette E, Williams PJ, Kim YH, Lane JR, Liu M-J, and Capparelli EV. Model appropriateness and population pharmacokinetic modeling. Journal of Clinical Pharmacology 2003; 43: 610-623.

    PubMed  CAS  Google Scholar 

  • Ette EI and Ludden TM. Population pharmacokinetic modeling: the importance of informative graphics. Pharmaceutical Research 1995; 12: 1845-1855.

    PubMed  CAS  Google Scholar 

  • European Medicines Agency (EMEA) and Committee for Medicinal Products for Human Use (CHMP). Guideline on the Reporting the Results of Population Pharmacokinetic Analyses. http://www.emea.europa.eu/pdfs/human/ewp/18599006enfin.pdf; 2007.

  • Everitt BS. An introduction to finite mixture distributions. Statistical Methods in Medical Research 1996; 5: 107-127.

    PubMed  CAS  Google Scholar 

  • Food and Drug Administration. Challenge and opportunity on the critical path to new medical products; 2004 (http://www.fda.gov/oc/initiatives/criticalpath/whitepaper.html#fig2).

  • Fowlkes EB. Some methods for studying the mixture of two normal (lognormal) distributions. Journal of the American Statistical Association 1979; 74: 561-575.

    Google Scholar 

  • Frame B, Koup J, Miller R, and Lalonde R. Population pharmacokinetics of clinafloxacin in healthy volunteers and patients with infections: experience with heterogeneous pharmacokinetic data. Clinical Pharmacokinetics 2001; 40: 307-315.

    PubMed  CAS  Google Scholar 

  • Frame B, Miller R, and Lalonde RL. Evaluation of mixture modeling with count data using NONMEM. Journal of Pharmacokinetics and Biopharmaceutics 2003; 30: 167-183.

    CAS  Google Scholar 

  • Friberg LE, Henningsson A, Mace K, Nguyen L, and Karlsson MO. Model of chemotherapy-induced myelosuppression with parameter consistency across drugs. Journal of Clinical Oncology 2002; 20: 4713-4721.

    PubMed  Google Scholar 

  • Gibiansky, E. Precision of parameter estimates: covariance ($COV) step versus bootstrap procedure. Presented at Population Approach Group in Europe (PAGE), Kobenhavn, Denmark; 2007.

    Google Scholar 

  • Gibiansky, E., Gibiansky, L., and Bramer, S. Comparison of NONMEM, bootstrap, jackknife, and profiling parameter estimates and confidence intervals for the aripiprazole population pharmacokinetic model. Presented at the Annual Meeting of the American Association of Pharmaceutical Scientists, Denver CO; 2001a.

    Google Scholar 

  • Gibiansky, L. and Gibiansky, E. Parameter estimates and confidence intervals for a population pharmacokinetic model. Presented at the Annual Meeting of the American Association of Pharmaceutical Scientists, Denver CO; 2001.

    Google Scholar 

  • Gibiansky, L., Gibiansky, E., Yu, R. Z., and Geary, R. S. ISIS 2302: Validation of the population pharmacokinetic model and PK/PD analysis. Presented at the Annual Meeting of the American Association of Pharmaceutical Scientists, Denver CO; 2001b.

    Google Scholar 

  • Gieschke R, Burger H-U, Reigner B, Blesch KS, and Steimer J-L. Population pharmacokinetics and concentration-effect relationships of capecitabine metabolites in colorectal cancer patients. British Journal of Clinical Pharmacology 2003; 55: 252-263.

    PubMed  CAS  Google Scholar 

  • Gisleskog PO, Hermann D, Hammarlund-Udenaes M, and Karlsson MO. Validation of a population pharmacokinetic/pharmacodynamic model for 5α-reductase inhibitors. European Journal of Clinical Pharmacology 1999; 8: 291-299.

    Google Scholar 

  • Hartford A and Davidian M. Consequences of misspecifying assumptions in nonlinear mixed effects models. Computational Statistics & Data Analysis 2000; 34: 139-164.

    Google Scholar 

  • Holford, N. H. G., Gobburu, J., and Mould, D. Implications of including and excluding correlation of random effects in hierarchical mixed effects pharmacokinetic models. Presented at the Population Approach Group in Europe, Verona, Italy; 2003.

    Google Scholar 

  • Hooker, A. C., Staatz, C. E., and Karlsson, M. O. Conditionally weighted residuals, an improved model diagnostics for the FO/FOCE methods. Presented at Population Approach Group in Europe (PAGE), Brugge/Bruges, Belgium; 2006.

    Google Scholar 

  • Hooker AC, Staatz CE, and Karlsson MO. Conditional weighted residuals (CWRES): a model diagnostic for the FOCE method. Pharmaceutical Research 2007; 24: 2187-2197.

    PubMed  CAS  Google Scholar 

  • Hossain M, Wright E, Baweja R, Ludden T, and Miller R. Nonlinear mixed effects modeling of single dose and multiple dose data for immediate release (IR) and a controlled release (CR) dosage form of alprazolam. Pharmaceutical Research 1997; 14: 309-315.

    PubMed  CAS  Google Scholar 

  • Hussein R, Charles BG, Morris RG, and Rasiah RL. Population pharmacokinetics of perhexiline From very sparse, routine monitoring data. Therapeutic Drug Monitoring 2001; 23: 636-643.

    PubMed  CAS  Google Scholar 

  • International Conference on Harmonisation of Technical Requirements for Registration of Pharmaceuticals for Human Use. General Considerations for Clinical Trials (E8). 1997.

    Google Scholar 

  • International Conference on Harmonisation of Technical Requirements for Registration of Pharmaceuticals for Human Use. Ethnic Factors in the Acceptability of Foreign Clinical Data (E5). 1998a.

    Google Scholar 

  • International Conference on Harmonisation of Technical Requirements for Registration of Pharmaceuticals for Human Use. Statistical Principles for Clinical Trials (E9). 1998b.

    Google Scholar 

  • Jackson JE. A User's Guide to Principal Components. John Wiley and Sons, Inc., New York, 1991.

    Google Scholar 

  • Jonsson EN and Karlsson MO. Automated covariate model building in NONMEM. Pharmaceutical Research 1998; 15: 1463-1468.

    PubMed  CAS  Google Scholar 

  • Kaila N, Straka RJ, and Brundage RC. Mixture models and subpopulation classification: a pharmacokinetic simulation study and application to metoprolol CYP2D6 phenotype. Journal of Pharmacokinetics and Pharmacodynamics 2006; 34: 141-156.

    PubMed  Google Scholar 

  • Karlsson MO, Beal SL, and Sheiner LB. Three new residual error models for population PK/PD analyses. Journal of Pharmacokinetics and Biopharmaceutics 1995; 23: 651-672.

    PubMed  CAS  Google Scholar 

  • Karlsson MO, Jonsson EN, Wiltse CG, and Wade JR. Assumption testing in population pharmacokinetic models: illustrated with an analysis of moxonidine data from congestive heart failure patients. Journal of Pharmacokinetics and Biopharmaceutics 1998; 26: 207-246.

    PubMed  CAS  Google Scholar 

  • Karlsson MO and Savic RM. Model based diagnostics. Clinical Pharmacology and Therapeutics 2007; 82: 1-17.

    Google Scholar 

  • Karlsson MO and Sheiner LB. The importance of modeling interoccassion variability in population pharmacokinetic analyses. Journal of Pharmacokinetics and Biopharmaceutics 1993; 21: 735-750.

    PubMed  CAS  Google Scholar 

  • Kerbusch T, Milligan PA, and Karlsson MO. Assessment of the relative in vivo potency of the hydroxylated metabolite of darifenacin in its ability to decrease salivary flow using pooled population pharmacokinetic-pharmacodynamic data. British Journal of Clinical Pharmacology 2003; 57: 170-180.

    Google Scholar 

  • Kimko, H. Qualifying models for simulation: model evaluation methods. Presented at the American Association of Pharmaceutical Scientists Annual Meeting, Denver, CO; 2001.

    Google Scholar 

  • Kisor DF, Watling SM, Zarowitz BJ, and Jelliffe RW. Population pharmacokinetics of gentamicin: use of the nonparametric expectation maximization (NPEM) algorithm. Clinical Pharmacokinetics 1992; 23: 62-68.

    PubMed  CAS  Google Scholar 

  • Kowalski KG and Hutmacher M. Design evaluation for a population pharmacokinetic study using clinical trial simulations: a case study. Statistics in Medicine 2001; 20: 75-91.

    PubMed  CAS  Google Scholar 

  • Kowalski KG and Hutmacher M. Efficient screening of covariates in population models using Wald's approximation to the likelihood ratio test. Journal of Pharmacokinetics and Pharmacodynamics 2002; 28: 253-275.

    Google Scholar 

  • Kowalski, K. G. and Kowalski, K. Screening covariate models using Wald's approximation: An evaluation of the WAM algorithm on several data sets. Presented at the 9th Annual Midwest User's Forum: Population Data Analysis (MUFPADA); 2001.

    Google Scholar 

  • Kuhn E and Lavielle M. Maximum likelihood estimation in nonlinear mixed effects models. Computational Statistics & Data Analysis 2005; 49: 1020-1038.

    Google Scholar 

  • Laer S, Barrett JS, and Meibohm B. The in silico child: using simulation to guide pediatric guide development and manage pediatric pharmacotherapy. Journal of Clinical Pharmacology 2009; 49: 889-904.

    PubMed  CAS  Google Scholar 

  • Laporte-Simitsidis S, Girard P, Mismetti P, Chabaud S, Decousus H, and Boissel JP. Inter-study variability in population pharmacokinetic analysis: when and how to estimate it? Journal of Pharmaceutical Sciences 2000; 89: 155-166.

    PubMed  CAS  Google Scholar 

  • Lavielle M and Mentre F. Estimation of the population pharmacokinetic parameters of saquinavir in HIV patients with MONOLIX software. Journal of Pharmacokinetics and Pharmacodynamics 2007; 34: 229-249.

    PubMed  CAS  Google Scholar 

  • Lesko LJ, Rowland M, Peck CC, and Blaschke TF. Optimizing the science of drug development: opportunities for better candidate selection and accelerated evaluation in humans. Pharmaceutical Research 2000; 17: 1335-1344.

    PubMed  CAS  Google Scholar 

  • Lindbom, L., Wilkins, J., Frey, N., Karlsson, M. O., and Jonsson, E. N. Evaluating the evaluations: resampling methods for determining model appropriateness in pharmacometric data analysis. Presented at Population Approach Group in Europe (PAGE), Brugge/Bruges, Belgium; 2006.

    Google Scholar 

  • Littell RC, Milliken GA, Stroup WW, and Wolfinger RD. SAS System for Mixed Models. SAS Institute, Inc., Cary, NC, 1996.

    Google Scholar 

  • Maitre PO, Buhrer M, Thomson D, and Stanski DR. A three step approach combining Bayesian regression and NONMEM population analysis: application to midazolam. Journal of Pharmacokinetics and Biopharmaceutics 1991; 19: 377-384.

    PubMed  CAS  Google Scholar 

  • Mallet A. A maximum likelihood method for random coefficient regression models. Biometrika 2010; 73: 645-656.

    Google Scholar 

  • Mandema JW, Verotta D, and Sheiner LB. Building population pharmacokinetic-pharmacodynamic models. I. Models for covariate effects. Journal of Pharmacokinetics and Biopharmaceutics 1992; 20: 511-528.

    PubMed  CAS  Google Scholar 

  • Mandema j, Kaiko RF, Oshlack B, Reder RF, and Stanski DR. Characterization and validation of a pharmacokinetic model for controlled- release oxycodone. British Journal of Clinical Pharmacology 1996; 42: 747-756.

    Google Scholar 

  • Marroum PJ and Gobburu J. The product label: how pharmacokinetics and pharmacodynamics reach the practitioner. Clinical Pharmacokinetics 2002; 41: 161-169.

    PubMed  Google Scholar 

  • McCullough BD. Assessing the reliability of statistical software: Part I. American Statistician 1998; 52: 358-366.

    Google Scholar 

  • McCullough BD. Assessing the reliability of statistical software: Part II. American Statistician 1999a; 53: 149-159.

    Google Scholar 

  • McCullough BD and Wilson B. On the accuracy of statistical procedures in Excel 97. Computational Statistics & Data Analysis 1999b; 31: 27-37.

    Google Scholar 

  • McLachlan GJ. On bootstrapping the likelihood ratio test for the number of components in a normal mixture. Applied Statistics 1987; 36: 318-324.

    Google Scholar 

  • Mentre F and Escolano S. Prediction discrepancies for the evaluation of nonlinear mixed effects models. Journal of Pharmacokinetics and Pharmacodynamics 2006; 33: 345-367.

    PubMed  Google Scholar 

  • Mould DR, Holford NHG, Schellens JHM, Beijnen JH, Hutson PR, Rosing H, ten Bokkel Huinink WW, Rowinsky E, Schiller JH, Russo M, and Ross G. Population pharmacokinetic and adverse event analysis of topotecan in patients with solid tumors. Clinical Pharmacology and Therapeutics 2002; 71: 334-348.

    PubMed  CAS  Google Scholar 

  • Nesterov I, Zitnik R, and Ludden T. Population pharmacokinetic modeling of subcutaneously administered etanercept in patients with psoriasis. Journal of Pharmacokinetics and Pharmacodynamics 2004; 31: 462-490.

    Google Scholar 

  • Nyberg, J., Bauer, R., and Hooker, A. C. Investigations of weighed residuals in NONMEM 7. Presented at Population Approach Group in Europe (PAGE), Berlin, Germany; 2010.

    Google Scholar 

  • Olson SC, Bockbrader H, Boyd RA, Cook J, Koup JR, Lalonde RL, Siedlik PH, and Powell JR. Impact of population pharmacokinetic-pharmacodynamic analyses on the drug development process. Clinical Pharmacokinetics 2000; 38: 449-459.

    PubMed  CAS  Google Scholar 

  • Panhard X, Goujard C, Legrand M, Taburet AM, Diquet B, Mentre F, and and the COPHAR 1-ANRS Study Group. Population pharmacokinetic analysis for nelfinavir and its metabolite M8 in virologically controlled HIV-infected patients on HAART. British Journal of Clinical Pharmacology 2005; 60: 390-403.

    Google Scholar 

  • Petersson, K., Hanze, E., Savic, R., and Karlsson, M. O. Semiparametric distributions with estimated shape parameters: implementation and evaluation. Presented at the Population Analysis Group Europe (PAGE), Abstract 1166, Marseille France; 2008.

    Google Scholar 

  • Petersson KJF, Hanze E, Savic R, and Karlsson MO. Semiparametric distributions with estimated shape parameters. Pharmaceutical Research 2009; 26: 2174-2185.

    PubMed  CAS  Google Scholar 

  • Phillips, L. Covariates: Back to the Basics. Why do we do what we do? Presented at the Annual Meeting of the American Association of Pharmaceutical Scientists, New Orleans LA; 1999.

    Google Scholar 

  • Phillips, L., Vo, M., Hammel, J., Fiedler-Kelly, J., and Antal, E. J. Comparison of parametric (NONMEM) and non-parametric (NPEM) methods for population pharmacokinetic (PK) modeling of bi-modal populations. Annual Meeting of the American Association of Pharmaceutical Scientists, 2003; 2010.

    Google Scholar 

  • Pinheiro JC and Bates DM. Model building in nonlinear mixed effect models. In: ASA Proceedings of the Biopharmaceutical Section, American Statistical Association, Alexandria, VA, pp. 1-8, 1994.

    Google Scholar 

  • Pinheiro JC and Bates DM. Approximations to the log-likelihood function in nonlinear mixed-effects models. Journal of Computational and Graphical Statistics 1995; 1: 12-35.

    Google Scholar 

  • Pinheiro JC and Bates DM. Mixed-Effect Models in S and S-Plus. Springer Verlag, New York, 2000.

    Google Scholar 

  • Rajagopalan P and Gastonguay MR. Population pharmacokinetics of ciprofloxacin in pediatric patients. Journal of Clinical Pharmacology 2003; 43: 698-710.

    PubMed  CAS  Google Scholar 

  • Ribbing, J. and Jonsson, E. N. Power, selection bias and predictive performance of the population pharmacokinetic covariate model. Presented at the Population Analysis Group in Europe Annual Meeting, Verona, Italy; 2003.

    Google Scholar 

  • Ribbing J and Jonsson EN. Power, selection bias, and predictive performance of the population pharmacokinetic covariate model. Journal of Pharmacokinetics and Pharmacodynamics 2004; 31: 109-134.

    PubMed  CAS  Google Scholar 

  • Ritschel WA, Vachharajani NN, Johnson RD, and Hussain AS. The allometric approach for interspecies scaling of pharmacokinetic parameters. Comparative Biochemistry & Physiology 1992; 103C: 249-253.

    CAS  Google Scholar 

  • Roe DJ. Comparison of population pharmacokinetic modeling methods using simulated data: results from the population modeling workgroup. Statistics in Medicine 1997; 16: 1241-1262.

    PubMed  CAS  Google Scholar 

  • Sahota, T., Buil, N., Hara, K., and Della Pasqua, O. E. The chicken and the egg in interoccasion variability. Presented at Population Approach Group in Europe (PAGE), Berlin, Germany; 2010.

    Google Scholar 

  • Sale, M. E. Model fitness measures for machine learning based model selection. Presented at the Annual Meeting of the American Association of Pharmaceutical Scientists, Denver CO; 2001.

    Google Scholar 

  • Salinger DH, Blough DK, Vicini P, Anasetti C, O'Donnell PV, Sandmaier BM, and McCune JS. A limited sampling schedule to estimate individual pharmacokinetic parameters of fludarabine in hematopoietic cell transplant patients. Clinical Cancer Research 2009; 15: 5280-5287.

    PubMed  CAS  Google Scholar 

  • Savic R. Improved Pharmacometric Model Building Techniques. Uppsala University, Uppsala, Sweden, 2008.

    Google Scholar 

  • Schilling MF, Watkins AE, and Watkins W. Is human height bimodal? American Statistician 2002; 56: 223-229.

    Google Scholar 

  • Schiltmeyer B, Klingebiel T, Schwab M, Murdter TE, Ritter CA, Jenke A, Ehninger G, Gruhn B, Wurthwein G, Boos J, and Hempel G. Population pharmacokinetics of oral busulfan in children. Cancer Chemotherapy and Pharmacology 2003; 52: 209-216.

    PubMed  CAS  Google Scholar 

  • Schumitsky A. Nonparametric EM algorithms for estimating prior distributions. Applied Mathematics and Computation 1991; 45: 141-157.

    Google Scholar 

  • Sheiner L and Peck C. Hypothesis: a single clinical trial plus causal evidence of effectiveness is sufficient for drug approval. Clinical Pharmacology and Therapeutics 2003; 73: 481-490.

    PubMed  Google Scholar 

  • Sheiner LB and Beal SL. Evaluation of methods for estimating population pharmacokinetics parameters. I. Michaelis-Menten model: routine clinical pharmacokinetic data. Journal of Pharmacokinetics and Biopharmaceutics 1980; 8: 553-571.

    PubMed  CAS  Google Scholar 

  • Sheiner LB and Beal SL. Evaluation of methods for estimating population pharmacokinetic parameters. II. Biexponential model and experimental pharmacokinetic data. Journal of Pharmacokinetics and Biopharmaceutics 1981; 9: 635-651.

    PubMed  CAS  Google Scholar 

  • Sheiner LB and Beal SL. Evaluation of methods for estimating population pharmacokinetic parameters. III. Monoexponential model: routine clinical pharmacokinetic data. Journal of Pharmacokinetics and Biopharmaceutics 1983; 11: 303-319.

    PubMed  CAS  Google Scholar 

  • Sheiner LB, Rosenberg B, and Marathe VV. Estimation of population characteristics of pharmacokinetic parameters from routine clinical data. Journal of Pharmacokinetics and Biopharmaceutics 1977; 5: 445-479.

    PubMed  CAS  Google Scholar 

  • Shen M, Schilder RJ, Obasaju C, and Gallo JM. Population pharmacokinetic and limited sampling models for carboplatin administered in high dose combination regimens with peripheral blood stem cell support. Cancer Chemotherapy and Pharmacology 2002; 50: 243-250.

    PubMed  CAS  Google Scholar 

  • Silber HE, Kjellsson MC, and Karlsson MO. The impact of misspecification of residual error or correlation structure on the type I error rate for covariate inclu. Journal of Pharmacokinetics and Pharmacodynamics 2009; 36: 81-99.

    PubMed  Google Scholar 

  • Smith MK. Software for non-linear mixed effects modelling: a review of several packages. 2 2003; 69: 75.

    Google Scholar 

  • Stram DO and Lee JW. Variance components testing in the longitudinal mixed effects model. Biometrics 1994; 50: 1171-1177.

    PubMed  CAS  Google Scholar 

  • Sun H, Ette EI, and Ludden TM. On the recording of sample times and parameter estimation from repeated measures pharmacokinetic data. Journal of Pharmacokinetics and Biopharmaceutics 1996; 24: 637-650.

    PubMed  CAS  Google Scholar 

  • Tett S, Holford NHG, and McLachlan AJ. Population pharmacokinetics and pharmacodynamics: an underutilized resource. Drug Information Journal 1998; 32: 693-710.

    Google Scholar 

  • Tornoe CW, Agerso H, Nielson HA, Madsen H, and Jonsson EN. Pharmacokinetic/pharmacodynamic modelling of GnRH antagonist degarelix: a comparison of the non-linear mixed-effects programs NONMEM and NLME. Journal of Pharmacokinetics and Pharmacodynamics 2005; 31: 441-461.

    Google Scholar 

  • TUnblad K, Lindbom L, McFadyen L, Jonsson EN, Marshall S, and Karlsson MO. The use of clinical irrelevance criteria in covariate model building with application to dofetilide pharmacokinetic data. Journal of Pharmacokinetics and Pharmacodynamics 2008; 35: 503-526.

    Google Scholar 

  • Turing AM. Computer machinery and intelligence. Mind 1950; 59: 433-460.

    Google Scholar 

  • United States Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research, and Center for Biologics Evaluation and Research. Guidance for Industry: Population Pharmacokinetics. 1999.

    Google Scholar 

  • Verbeke G and Molenberghs G. Linear Mixed Models in Practice: A SAS-Oriented Approach. Springer Verlag, New York, 1997.

    Google Scholar 

  • Verme CN, Ludden TM, Clementi WA, and Harris SC. Pharmacokinetics of quinidine in male patients: a population analysis. Clinical Pharmacokinetics 1992; 22: 468-480.

    PubMed  CAS  Google Scholar 

  • Vermes A, Mathot RA, van der Sijs H, Dankert J, and Guchelaar H-J. Population pharmacokinetics of flucytosine: comparison and validation of three models using STS, NPEM, and NONMEM. Therapeutic Drug Monitoring 2000; 32: 676-687.

    Google Scholar 

  • Verotta D. Building population pharmacokinetic-pharmacodynamic models using trees. In: The Population Approach: Measuring and Managing Variability in Response, Concentration, and Dose, (Ed. Balant LP and Aarons L). Commission of the European Communities, European Cooperation in the field of Scientific and Technical Research, Brussels, 1997.

    Google Scholar 

  • Wade JR, Beal SL, and Sambol NC. Interaction between structural, statistical, and covariate models in population pharmacokinetic analysis. Journal of Pharmacokinetics and Biopharmaceutics 1994; 22: 165-177.

    PubMed  CAS  Google Scholar 

  • Wade JR, Kelman AW, Howie CA, and Whiting B. Effect of misspecification of the absorption process on subsequent parameter estimation in population analysis. Journal of Pharmacokinetics and Biopharmaceutics 1993; 21: 209-222.

    PubMed  CAS  Google Scholar 

  • Wahlby U, Jonsson EN, and Karlsson MO. Assessment of actual significance levels for covariate effects in NONMEM. Journal of Pharmacokinetics and Pharmacodynamics 2001; 28: 231-252.

    PubMed  CAS  Google Scholar 

  • Wahlby U, Jonsson EN, and Karlsson MO. Comparison of stepwise covariate model building strategies in population pharmacokinetic-pharmacodynamic analysis. AAPS PharmSci 2002; 4: Article 27.

    Google Scholar 

  • Wand MP. Data-based choice of histogram bin width. American Statistician 1997; 51: 59-64.

    Google Scholar 

  • Wang Y. Derivation of various NONMEM estimation methods. Journal of Pharmacokinetics and Pharmacodynamics 2009; 34: 575-593.

    CAS  Google Scholar 

  • Wolfe JH. A Monte Carlo study of the sampling distribution of the likelihood ratio for mixtures of multinormal distributions. Naval Personnel and Training Laboratory; Technical Bulletin STB 72-2; 1971.

    Google Scholar 

  • Wu H and Wu L. Identification of significant host factors for HIV dynamics modelled by non-linear mixed-effects models. Statistics in Medicine 2002; 21: 753-771.

    PubMed  Google Scholar 

  • Yafune A and Ishiguro M. Bootstrap approach for constructing confidence intervals for population pharmacokinetic parameters. I: A use of bootstrap standard error. Statistics in Medicine 1999; 18: 581-599.

    CAS  Google Scholar 

  • Yano Y, Beal SL, and Sheiner LB. Evaluating pharmacometric/pharmacodynamic models using the posterior predictive check. Journal of Pharmacokinetics and Pharmacodynamics 2001; 28: 171-192.

    PubMed  CAS  Google Scholar 

  • Zhou H. Population-based assessments of clinical drug-drug interactions: qualitative indices or quantitative measures? Journal of Clinical Pharmacology 2006; 46: 1268-1289.

    PubMed  CAS  Google Scholar 

  • Zuideveld KP, Rusic-Pavletic J, Maas HJ, Peletier LA, van der Graaf PH, and Danhof M. Pharmacokinetic-pharmacodynamic modeling of buspirone and its metabolite 1-(2-pyrimidinyl)-piperazine in rats. Journal of Pharmacology and Experimental Therapeutics 2002a; 303: 1130-1137.

    PubMed  CAS  Google Scholar 

  • Zuideveld KP, van Gestel A, Peletier LA, van der Graaf PH, and Danhof M. Pharmacokinetic-pharmacodynamic modelling of the hypothermic and corticosterone effects of the 5-HT1A receptor agonist flesinoxan. European Journal of Pharmacology 2002b; 445: 43-54.

    PubMed  CAS  Google Scholar 

  • Recommended Reading

    Google Scholar 

  • Bauer RJ, Guzy S, and Ng C. A survey of population analysis methods and software for complex pharmacokinetic and pharmacodynamic models with examples. AAPS Journal 2007;Article 7.

    Google Scholar 

  • Bruno R, Vivier N, Vergnoid JC, De Phillips SL, Montay G, Sheiner LB. A population pharmacokinetic model for docetaxel (Taxotere®): Model building and validation. Journal of Pharmacokinetics and Pharmacodynamics 1996; 24: 153-172.

    CAS  Google Scholar 

  • Davidian M, Giltinan DM. Nonlinear Models for Repeated Measurement Data. Chapman & Hall, London, 1995.

    Google Scholar 

  • Ette EI, Ludden TM. Population pharmacokinetic modeling: The importance of informative graphics. Pharmaceutical Research 1995; 12: 1845-1855.

    PubMed  CAS  Google Scholar 

  • Karlsson MO, Jonsson EN, Wiltse CG, Wade JR. Assumption testing in population pharmacokinetic models: illustrated with an analysis of moxonidine data from congestive heart failure. Journal of Pharmacokinetics and Pharmacodynamics 1998; 26: 207-246.

    CAS  Google Scholar 

  • Pillai GC, Mentre, F, Steimer-J.L. Non-linear mixed effects modeling - from methodology and software development to driving implementation in drug development science. Journal of Pharmacokinetics and Pharmacodynamics 2005; 32: 161-183.

    PubMed  CAS  Google Scholar 

  • Wahlby U, Jonsson EN, Karlsson MO. Assessment of actual significance levels for covariate effects in NONMEM. Journal of Pharmacokinetics and Pharmacodynamics 2001; 28: 321-352. With comments and discussion given in 29; 403-412.

    Google Scholar 

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Bonate, P.L. (2011). Nonlinear Mixed Effects Models: Theory. In: Pharmacokinetic-Pharmacodynamic Modeling and Simulation. Springer, Boston, MA. https://doi.org/10.1007/978-1-4419-9485-1_7

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