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Sökning: hsv:(MEDICIN OCH HÄLSOVETENSKAP) hsv:(Medicinska och farmaceutiska grundvetenskaper) hsv:(Farmaceutiska vetenskaper) > (2000-2009) > (2009) > Kjellsson Maria C.

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1.
  • Savic, Radojka M., et al. (författare)
  • Evaluation of the Nonparametric Estimation Method in NONMEM VI
  • 2009
  • Ingår i: European Journal of Pharmaceutical Sciences. - : Elsevier BV. - 0928-0987 .- 1879-0720. ; 37:1, s. 27-35
  • Tidskriftsartikel (refereegranskat)abstract
    • PURPOSE: In NONMEM VI, a novel method exists for estimation of a nonparametric parameter distribution. The parameter distributions are approximated by discrete probability density functions at a number of parameter values (support points). The support points are obtained from the empirical Bayes estimates from a preceding parametric estimation step, run with the First Order (FO) or First Order Conditional Estimation (FOCE) methods. The purpose of this work is to evaluate this new method with respect to parameter distribution estimation. METHODS: The performance of the method, with special emphasis on the analysis of data with non-normal distribution of random effects, was studied using Monte Carlo (MC) simulations. RESULTS: The mean value (and ranges) of absolute relative biases (ARBs, %) in parameter distribution estimates with nonparametric methods preceded with FO and FOCE were 0.80 (0.1-3.7) and 0.70 (0-3), respectively, while for parametric methods, these values were 23.74 (3.3-97.5) and 4.38 (0.1-17.9), for FO and FOCE, respectively. The nonparametric estimation method in NONMEM could identify non-normal parameter distributions and correct bias in parameter estimates seen when applying the FO estimation method. CONCLUSIONS: The method shows promising properties when analyzing different types of pharmacokinetic (PK) data with both the FO and FOCE methods as preceding steps.
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2.
  • Silber, Hanna E, 1977-, et al. (författare)
  • The impact of misspecification of residual error or correlation structure on the type I error rate for covariate inclusion
  • 2009
  • Ingår i: Journal of Pharmacokinetics and Pharmacodynamics. - : Springer Science and Business Media LLC. - 1567-567X .- 1573-8744. ; 36:1, s. 81-99
  • Tidskriftsartikel (refereegranskat)abstract
    • It has been shown that when using the FOCE method in NONMEM, the likelihood ratio test (LRT) can be sensitive to the use of an inappropriate estimation method in that ignoring an existing eta-epsilon interaction leads to actual significance levels for type I errors being higher than the nominal levels. The objective of this study was to assess through simulations the LRT sensitivity to various types of residual error model misspecifications in both continuous and categorical data. The study contained two parts, simulations based on continuous and categorical data. Data sets containing 250 individuals with up to 24 observations per individual were simulated multiple times (1000) with different types of residual error models for the continuous data and different strength of correlation between observations for the categorical data. The data sets were analyzed using either the correct or a simpler (incorrect) model with or without addition of a covariate. The type I error rate of inclusion of the non-informative covariate on the 5% level was calculated as the number of runs where the drop in the objective function value (OFV) was larger than 3.84 when the covariate relationship was included in the model using the correct or the incorrect model. The difference in OFV between the model with the correct and the incorrect structure was also calculated as a measure of the residual error model misspecification. For continuous data the FOCE method was used in most cases (with interaction when appropriate). The Laplacian estimation method was used for one of the continuous models and for categorical data. The results showed that the residual error model misspecifications when the erroneous model was used were pronounced, as indicated by the OFV being substantially higher than for the corresponding correct models. The significance levels of the LRT with the incorrect model were appropriate in all cases but ignoring (serial) correlations between observations (continuous and categorical data) as well as when the eta-epsilon interaction was ignored (which has previously been shown, continuous data). When ignoring correlation, the type I error rates were shown to be sensitive to the correlation strength, the number of observations per individual and the magnitude of the inter-individual variability on clearance. We conclude that the LRT appears robust towards all tested cases, but ignoring (serial) correlations between observations and eta-epsilon interaction.
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  • Resultat 1-2 av 2
Typ av publikation
tidskriftsartikel (2)
Typ av innehåll
refereegranskat (2)
Författare/redaktör
Karlsson, Mats O. (2)
Savic, Radojka M. (1)
Silber, Hanna E., 19 ... (1)
Lärosäte
Uppsala universitet (2)
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Engelska (2)
Forskningsämne (UKÄ/SCB)
Medicin och hälsovetenskap (2)
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