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| PK_PD_SIMULTANEOUS_4 EXAMPLE |
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This is an example for simultaneous analysis of PK and indirect PD,
where the PREDPP PK prediction is modified by $ERROR code.
$PROB WARFARIN
$INPUT ID TIME DV AMT CMT
; DV = DRUG CONC OR EFFECT (PROTHROMBIN TIME)
$DATA data
$SUBROUTINE ADVAN6 TOL=5
$MODEL
COMP=(CENTRAL,DEFDOSE,DEFOBS)
; CAN ADD ADD'L COMPARTMENTS IF PK MULTICOMPARTMENTAL
COMP=(CLOTFAC)
$PK
K10= THETA(1)*EXP(ETA(1)) ;LOSS RATE DRUG
S1= THETA(2)*EXP(ETA(2)) ;VD DRUG
SYNTH=THETA(3)*EXP(ETA(3)) ;SYNTH RATE OF CLOTING FACTOR
LOSS= SYNTH
C50= THETA(4)*EXP(ETA(4))
$DES
DADT(1)=-K10*A(1)
EFF = C50/(C50+A(1)/S1)
DADT(2)= SYNTH*EFF - LOSS*A(2) ;CF LEVEL
$ERROR
PT = THETA(5)/(THETA(6)+F) ; HYPERBOLIC MODEL FOR PRO-TIME
IF (CMT.EQ.2) THEN
Y = PT*EXP(EPS(2)) ; OBS IS PRO-TIME
ELSE
Y = F*EXP(EPS(1)) ; OBS IS DRUG CONCENTRATION
ENDIF
; ADD APPROPRIATE $THETA, $OMEGA, $SIGMA, $ESTIMATION, ETC.
The system should be initialized with a bolus dose of AMT=1 into com-
partment 2 (CLOTFAC) at time zero to establish the initial condition
A(1)=0, A(2)=1 at time zero. This is appropriate because, in the
absence of drug, the system is assumed to be at steady-state
(DADT(2)=0).
REFERENCES: Guide IV Section V.C.6, V.C.7
REFERENCES: Guide VI Section IV.B.2, VII.C.6
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