Table 2.
Parameter estimates and bootstrap results of the final model
Parameter | Unit | Final model | Bootstrap | |||
---|---|---|---|---|---|---|
Estimate | RSE (%) | Shrinkage (%) | Median | 95% CI | ||
ka | 1/h | 0.6 | Fixed | – | 0.6 | Fixed |
CL_ENA/F | L/h | 4.61 | 12.6 | – | 4.53 | 3.43–5.67 |
CL_ENAAT/F | L/h | 1.55 | 7.1 | – | 1.54 | 1.36–1.75 |
Vd_ENA/F | L | 4.98 | 18.1 | – | 4.68 | 2.83–8.32 |
Vd_ENAAT/F | L | 34.1 | 15.7 | – | 33.66 | 24.45–47.14 |
tlag | h | 0.515 | 2.8 | – | 0.515 | 0.195–0.731 |
Weight on CL_ENA/F (referenced to 5 kg) | – | 0.75 | Fixed | – | 0.75 | Fixed |
Weight on CL_ENAAT/F (referenced to 5 kg) | – | 0.75 | Fixed | – | 0.75 | Fixed |
Weight on Vd_ENA/F (referenced to 5 kg) | – | 1 | Fixed | – | 1 | Fixed |
Weight on Vd_ENAAT/F (referenced to 5 kg) | – | 1 | Fixed | – | 1 | Fixed |
Age on CL_ENAAT/F | – | 0.311 | 29.3 | – | 0.316 | 0.092–0.553 |
Serum creatinine on CL_ENAAT/F | – | − 0.0141 | 33.3 | – | − 0.0141 | − 0.0288 to − 0.004 |
Ross score on Vd_ENAAT/F | – | − 0.15 | 26.3 | – | − 0.149 | − 0.248 to − 0.004 |
Interindividual variabilitya | ||||||
IIV CL_ENA/F | % | 65.3 | 30 | 9.7 | 62.6 | 37.7–82.7 |
IIV CL_ENAAT/F | % | 37.7 | 30.1 | 6.5 | 35.6 | 25.4–48.7 |
IIV Vd_ENA/F | % | 80.2 | 41.5 | 17.8 | 79.8 | 41.0–114.3 |
IIV Vd_ENAAT/F | % | 90.4 | 27.9 | 4.9 | 87.5 | 56.1–114.9 |
Residual variability enalapril | ||||||
Proportional errorb | % | 53.5 | 19.9 | 10 | 52.7 | 39.6–64.1 |
Additive errorc | µg/L | 1.34 | 23.1 | 10 | 1.27 | 0.56–2.09 |
Residual variability enalaprilat | ||||||
Proportional errorb | % | 39.5 | 11.3 | 9.9 | 39.2 | 33.9–44.2 |
CL_ENA/F, CL_ENAAT/F, Vd_ENA/F and Vd_ENAAT/F estimates are given for a patient with a body weight of 5 kg. RSE derived from the covariance matrix (R matrix). CI confidence interval, CL_ENA/F apparent clearance of enalapril, CL_ENAAT/F apparent clearance of enalaprilat, IIV interindividual variability, ka absorption rate constant, RSE relative standard error, tlag lag time, Vd_ENA/F apparent volume of distribution of enalapril, Vd_ENAAT/F apparent volume of distribution of enalaprilat
aThe interindividual variability is expressed as a coefficient of variation calculated according to the equation , where ω2 is the NONMEM® output for the interindividual variability of the parameter estimate
bThe proportional error is expressed as a coefficient of variation calculated according to the equation , where σ2 is the NONMEM® output for the proportional error term
cThe additive error is expressed as standard deviation calculated according to the equation , where σ2 is the NONMEM® output for the additive error term