;;"An input-output approach for model-informed personalized drug dosing for antibiotics: ;;Case of meropenem in adult patients with severe pneumonia" (submitted - July 2019) ;;Journal: British Journal of Pharmacology ;; Authors: Pauline Thémans, Joseph J. Winkin, Flora T. Musuamba ;; 1. Based on: 3 ;; 2. Description: covariate model + WT on V2 + CPRED in pred3 ($TABLE) ;; x1. Author: user $PROBLEM MEROPENEM IV INFUSION 3COMP DESCRIPTION PLASMA AND ELF ; CONCENTRATIONS FINAL COV MODEL ; ------------dataset------------ $INPUT ID WT GFR DV TIME MDV CMT AMT RATE SS II EVID ; WT [kg], GFRC [0: poor hepatic function, 1: good hepatic function], ; GFR [mL/min], DV [mg/L], TIME [h], CMT [1: plasma conc., 2: ELF conc], ; AMT (DOSE) [g], RATE (K) [g/h], II (T) [h], GRP=AMT/RATE (delta) [h] ; CL [L/h], V1 V2 V3 [L], Q2 Q3 [L/h], S1 S2 [L] $DATA Simulated_dataset.csv IGNORE=@ ; ------------model------------ $SUBROUTINE ADVAN11 TRANS4 $PK ; parmacokinetic parameters TVCL=THETA(1)*((GFR/65)**THETA(2)) ; CENTRAL TVV1=THETA(3)*((WT/75)**THETA(4)) TVQ2=THETA(5) ; ELF TVV2=THETA(6)*((WT/75)**THETA(9)) TVQ3=THETA(7) ; PERIPHERAL TVV3=THETA(8) ; interindividual variance model CL=TVCL*EXP(ETA(1)) V1=TVV1*EXP(ETA(2)) Q2=TVQ2 V2=TVV2*EXP(ETA(3)) Q3=TVQ3*EXP(ETA(4)) V3=TVV3 ; scaling factor S1=V1/1000 ; dose [g] and conc. [mg/L] S2=V2/THETA(10) $ERROR ; calcultate de result (i.e. model prediction) H1=0 H2=0 IF(CMT.EQ.1) H1=1 IF(CMT.EQ.2) H2=1 Y=H1*(F*(1+EPS(1))+EPS(2))+H2*(F*(1+EPS(3))) ; +EPS(4) W=F IPRED=F ; prediction individuelle IRES=DV-IPRED ; (individual-specific residual) IWRES=IRES/W ; (individual-specific weighted residual) ; Initial conditions $THETA (0,7.94418) ; CL $THETA 0.722104 ; GFRCL $THETA (0,13.5735) ; V1 $THETA (0,0.948774); WTV1 $THETA (0,6.72748) ; Q2; ELF $THETA (0,4.08255) ; V2 $THETA (0,8.22236) ; Q3; PERIPHERAL $THETA (0,10.1118) ; V3 $THETA (0,1.04299) ; WTV2 $THETA 248.608 ; V2/S2 $OMEGA BLOCK(4) 0.126073 ; IIVCL 0 0.139857 ; IIVV1 0 0 1.76372 ; IIVV2 0 0 0 0.186898 ; IIVQ3 $SIGMA 0.0240037 ; epsPROP1 0.207718 ; epsADD1 0.404161 ; epsPROP2 $ESTIMATION METHOD=1 INTER MAXEVAL=9999 SIGDIGITS=3 POSTHOC PRINT=5 ; PRINT=1 ; ; standard error of estimates & correlation matrix $COVARIANCE PRINT=E $TABLE ID WT GFR TIME MDV CMT RATE PRED CPRED RES WRES IPRED IRES IWRES CWRES EVID NOPRINT FILE=pred4new ; population and individual predictions and residuals $TABLE ID WT GFR CL V1 Q2 V2 Q3 V3 ETA(1) ETA(2) ETA(3) ETA(4) TVCL TVV1 TVQ2 TVV2 TVQ3 TVV3 NOPRINT NOAPPEND FIRSTONLY FILE=param4new ; individual PK parameters (bayesiens,posthoc)