Zierhut ML, Gastonguay MR, Martin SW, Vicini P, Bekker PJ, Holloway D, Leese
PT, Peterson MC. Population PK-PD model for Fc-osteoprotegerin in healthy
postmenopausal women. J Pharmacokinet Pharmacodyn. 2008 Aug;35(4):379-99.
doi: 10.1007/s10928-008-9093-5. Epub 2008 Jul 17. PubMed PMID: 18633695.
library(depot)
library(dplyr)
mod <- depot("opg", end = 14*24, delta = 0.5) %>% zero_re()
. Events:
. time cmt amt evid
. 1 0 1 210 1
- Plot of OPG concentration and
NTX
versus time
out <- mod %>% mrgsim_e(e) %>% mutate_sims(DAY = time/24)
plot(out, PKDV+NTX ~ DAY)
![](/mrgsolve/depot/raw/master/vignette/opg_files/figure-gfm/unnamed-chunk-4-1.png)
[PROB]
1: Zierhut ML, Gastonguay MR, Martin SW, Vicini P, Bekker PJ, Holloway D, Leese
PT, Peterson MC. Population PK-PD model for Fc-osteoprotegerin in healthy
postmenopausal women. J Pharmacokinet Pharmacodyn. 2008 Aug;35(4):379-99.
doi: 10.1007/s10928-008-9093-5. Epub 2008 Jul 17. PubMed PMID: 18633695.
[PARAM] @annotated
IV : 0 : IV dose indicator
[CMT] @annotated
SC : Subcutaneous dosing compartment (mg)
CENT : Central compartment (mg)
P1 : First peripheral compartment (mg)
P2 : Second peripheral compartment (mg)
NTX : Urinary N-telopeptide
[PARAM] @annotated
TVCL : 168 : Clearance (ml/h)
TVVC : 2800 : Central volume (ml)
TVVP1 : 443 : Volume of first peripheral cmt (ml)
TVVP2 : 269 : Volume of second peripheral cmt (ml)
TVQ1 : 15.5 : Distribution clearance (ml/h)
TVQ2 : 3.02 : Distribution clearance (ml/h)
TVKA : 0.0131 : Absorption rate constant (1/h)
TVVMAX : 13300 : Maximum velocity (ng/h)
TVKM : 6.74 : Michaelis constant (ng/ml)
TVFSC : 0.0719 : Bioavailability of SC dose (.)
TVKSYN : 0.864 : Biomarker synthesis rate (.)
TVKDEG : 0.0204 : Biomarker elimination rate constant (1/h)
TVIC50 : 5.38 : Half-maximal inhibitory conc (ng/ml)
[GLOBAL]
#define CP (CENT/(VC/1000000.0))
[MAIN]
double CL = exp(log(TVCL) + ECL);
double VC = exp(log(TVVC) + EVC);
double VP1 = exp(log(TVVP1) + EVP1);
double VP2 = exp(log(TVVP2) + EVP2);
double Q1 = exp(log(TVQ1) + EQ1);
double Q2 = TVQ2;
double KA = exp(log(TVKA) + EKA);
double VMAX = TVVMAX;
double KM = TVKM;
double FSC = exp(log(TVFSC) + EFSC);
double KSYN = exp(log(TVKSYN) + EKSYN);
double KDEG = exp(log(TVKDEG) + EKDEG);
double IC50 = exp(log(TVIC50) + EIC50);
NTX_0 = KSYN/KDEG;
F_SC = FSC/(1.0+FSC);
[OMEGA] @annotated
ECL : 0.0391 : IIV on clearance
EVC : 0.0102 : IIV on VC
EVP1 : 0.0144 : IIV on VP1
EVP2 : 0.0333 : IIV on VP2
EQ1 : 0.0379 : IIV on Q1
EKA : 0.0457 : IIV on KA
EFSC : 0.263 : IIV on FSC
[OMEGA] @block @annotated
EKSYN : 0.281 : IIV on KSYN
EKDEG : 0.0867 0.0325 : IIV on KDEG
EIC50 : 0.0000 0.0000 1.18 : IIV on IC50
[SIGMA] @annotated
ADDIV : 0.0193 : Additive error IV dose
ADDSC : 0.7330 : Additive error SC dose
[SIGMA] @annotated
PDPROP : 0.0407 : Proportional error NTX
PDADD : 20.7 : Additive error NTX
[ODE]
double CLNL = VMAX/(CP+KM);
dxdt_SC = -KA*SC;
dxdt_CENT = KA*SC - (CL+Q1+Q2+CLNL)*CENT/VC + Q1*P1/VP1 + Q2*P2/VP2;
dxdt_P1 = CENT*Q1/VC - P1*Q1/VP1;
dxdt_P2 = CENT*Q2/VC - P2*Q2/VP2;
dxdt_NTX = KSYN*(1.0 - CP/(IC50+CP)) - KDEG*NTX;
[TABLE]
double IPRED = CP;
double PKEPS = IV==1 ? ADDIV : ADDSC;
double PKDV = exp(log(IPRED)+PKEPS);
double PDDV = NTX*(1+PDPROP) + PDADD;
[CAPTURE] @annotated
PKDV : Fc-OPG serum concentration (ng/ml)
PDDV : NTX (nM BCE/mM creatinine per hr)