$PROBLEM Midazolam PK in morbidly obese patients and healthy ; volunteers $INPUT ID TIME AMT RATE DV CMT MDV OBES TBW $DATA Simulated_data_MDZ.csv IGNORE=@ $SUBROUTINE ADVAN6 TOL=5 $MODEL COMP=(PODOSE) COMP=(CENTRAL) COMP=(PERIP) COMP=(PERIP2) COMP=(TRANSIT1) COMP=(TRANSIT2) COMP=(TRANSIT3) $PK TVCL= THETA(1) CL= TVCL*EXP(ETA(1)) ; midazolam CL in L/min IF(OBES.EQ.0) TVF1= THETA(2) IF(OBES.EQ.1) TVF1= THETA(10) F1= TVF1*EXP(ETA(2)) ; bioavailabilty TVV2= THETA(3)*(1+THETA(8)*(TBW-127)) V2= TVV2*EXP(ETA(5)) ; volume (L) TVQ= THETA(4) Q= TVQ*EXP(ETA(3)) ; CL to peripheral compartment (L/min) TVV3= THETA(5)*(TBW/127)**THETA(9) V3= TVV3*EXP(ETA(6)) ; volume perif. compartment (L) IF(OBES.EQ.0) TVKA= THETA(6) IF(OBES.EQ.1) TVKA= THETA(6)*THETA(11) KA= TVKA*EXP(ETA(4)) ; min-1 KTR= KA V4= V3 ; 2nd periph volume compartment (L) Q4= THETA(7) ; CL to 2nd peripheral comp (L/min) ; S2=V2 S3=V3 ; K15=KA K56=KTR K67=KTR K72=KTR K20=CL/V2 K23=Q/V2 K32=Q/V3 K24=Q4/V2 K42=Q4/V4 $DES DADT(1)= -K15*A(1) DADT(2)= KTR*A(7) -K23*A(2) +K32*A(3) -K24*A(2) +K42*A(4) -K20*A(2) DADT(3)= K23*A(2) -K32*A(3) DADT(4)= K24*A(2) -K42*A(4) DADT(5)= K15*A(1) -KTR*A(5) DADT(6)= KTR*A(5) -KTR*A(6) DADT(7)= KTR*A(6) -KTR*A(7) $ERROR COM1=0 IF (OBES.EQ.0) COM1=1 COM2=0 IF (OBES.EQ.1) COM2=1 ; IPRED=F ; individual prediction ; Y1=IPRED*(1+ERR(1)) ; healthy volunteers (HV) Y2=IPRED*(1+ERR(2)) ; morbidly obese (MO) ; Y=Y1*COM1+Y2*COM2 ; IRES=DV-IPRED ; individual residual DEL=0 IF(IPRED.EQ.0)DEL=1 IWRES=(1-DEL)*IRES/(IPRED+DEL) $THETA (0,0.358884) ; CL (L/min) (0,0.284478) ; F1 healthy volunteers (0,44.1387) ; V2 (L) (0,1.32531) ; Q (L/min) (0,138.516) ; V3 (L) (0,0.130108) ; KA healthy volunteers (0,0.149851) ; Q4 (0,0.0105014) ; TBW power V2 (0,3.05864) ; TBW power V3 (0,0.603158) ; F1 MO (0,0.441406) ; frac KA MO $OMEGA 0.0321446 ; CL 0.067436 ; F1 0 FIX ; Q 0.155626 ; KA $OMEGA BLOCK(2) 0.266402 ; V2 0.120077 0.111963 ; V3 ; $SIGMA 0.0100397 0.218069 ; residuele (error/epsilon) $ESTIMATION SIGDIG=3 MAXEVAL=0 PRINT=5 NOABORT METHOD=1 INTERACTION POSTHOC ;$COVARIANCE COMP $TABLE ID TIME AMT RATE DV CMT MDV OBES TBW IPRED IWRES CWRES CMT NOPRINT ONEHEADER FILE=sdtab $TABLE ID TIME AMT RATE DV CMT MDV OBES TBW ETA(1) ETA(2) ETA(3) ETA(4) ETA(5) ETA(6) NOPRINT NOAPPEND ONEHEADER FILE=patab $TABLE ID TIME AMT RATE DV CMT MDV OBES TBW NOPRINT NOAPPEND ONEHEADER FILE=cotab