Table 4.
Melphalan population pharmacokinetic parameter estimates using the final covariate population pharmacokinetic model (model development dataset)
| Parameter | Meaning | Population mean (95% CI) | Variability in estimation | |
|---|---|---|---|---|
| SE | %RSE | |||
| θ1 | Constant in CL model | Fixed to zero | ||
| θ2 | Constant in V model | 1.12 (0.11, 2.13) | 0.506 | 45% |
| θ3 | Constant in k12 model | 1.70 (1.16, 2.24) | 0.270 | 16% |
| θ4 | Constant in k21 model | 1.84 (1.39, 2.29) | 0.224 | 12% |
| θ5 | Coefficient for WT in CL | 0.34 (0.26, 0.42) | 0.0405 | 12% |
| θ6 | Coefficient for CPT in CL | −3.17 (−4.62, −1.72) | 0.725 | 23% |
| θ7 | Coefficient for GFR in CL | 0.0377 (0.021, 0.054) | 0.00838 | 22% |
| θ8 | Coefficient for WT in V | 0.178 (0.120, 0.236) | 0.0288 | 16% |
| IIVCL | Interindividual variability in CL | 27.3% (21, 32) | 0.0143 | 32% |
| IIVV | Interindividual variability in V | 33.8% (20, 43) | 0.0366 | 32% |
| IIVk12 | Interindividual variability in k12 | 52.2% (30, 68) | 0.0924 | 34% |
| IIVk21 | Interindividual variability in k21 | 61.7% (28, 83) | 0.151 | 40% |
| σ | Residual variability* | |||
| Proportional (%CV) | 9.3% (7, 11) | 0.00189 | 22% | |
| Additive (mg l−1) | 0.00731 (−0.004, 0.019) | 0.00565 | 77% | |
| Objective function | −177.345 | |||
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where WT = weight (kg), CPT = prior carboplatin therapy (0 = no, 1 = yes), GFR = glomerular filtration rate (ml min−1 1.73 m−2). IIV, Interindividual variability in the pharmacokinetic parameters, expressed as percentage coefficient of variation (%CV); variability in estimation: SE, standard error; RSE, relative standard error, calculated as standard error/population estimate and expressed as a percentage.
Proportional component of residual variability was expressed as %CV, while the additive component was expressed as standard deviation. 95% CI, Lower and upper limits of the 95% confidence interval, calculated as θ ± 2 SE.
