Table 2.
Parameter | Description | Typical estimate | RSE%a | 95% CIb |
---|---|---|---|---|
Drug PK parametersc | ||||
CL/F (L · h−1) | Oral clearance at the preinduced state in a patient weighing 70 kg | 10.0 FIX | ‐ | ‐ |
V/F (L) | Apparent volume of distribution in a patient weighing 70 kg | 86.7 FIX | ‐ | ‐ |
MTT (h) | Mean transit time | 0.713 FIX | ‐ | ‐ |
NN | Number of transit compartments | 1.00 FIX | ‐ | ‐ |
Emax | Maximal increase in the enzyme production rate | 1.04 FIX | ‐ | ‐ |
EC50 (mg · L−1) | Rifampicin concentration at which half the Emax is reached | 0.0705 FIX | ‐ | ‐ |
kENZ (h−1) | Rate constant for first‐order degradation of the enzyme pool | 0.00369 FIX | ‐ | ‐ |
F | Bioavailability | 1.00 FIX | ‐ | ‐ |
(Ffat)CL/F | Contribution of fat‐free mass and body weight to CL/F | 0.311 FIX | ‐ | ‐ |
(Ffat)V/F | Contribution of fat‐free mass and body weight to V/F | 0.188 FIX | ‐ | ‐ |
Multistate Tuberculosis Pharmacometric modeld | ||||
kG (days−1)e | Fast‐multiplying bacterial growth rate | 0.206 FIX | ‐ | ‐ |
kFN (days−1) | Transfer rate from fast‐ to nonmultiplying state | 8.97·10−7 FIX | ‐ | ‐ |
kSN (days−1) | Transfer rate from slow‐ to nonmultiplying state | 0.186 FIX | ‐ | ‐ |
kSF (days−1) | Transfer rate from slow‐ to fast‐multiplying state | 0.0145 FIX | ‐ | ‐ |
kNS (days−1) | Transfer rate from non‐ to slow‐multiplying state | 0.00123 FIX | ‐ | ‐ |
kFSlin (days−2)f | Time‐dependent transfer rate from fast‐ to slow‐multiplying state | 0.00166 FIX | ‐ | ‐ |
F0 (mL−1) | Initial bacterial number of fast‐multiplying state | 4.10 FIX | ‐ | ‐ |
S0 (mL−1) | Initial bacterial number of slow‐multiplying state | 9770 FIX | ‐ | ‐ |
Bmax (mL−1)d | System carrying capacity per mL sputum | 2.61·109 | 30.5 | 1.51·109−4.52·109 |
IIV Bmax (%)g | Interindividual variability in Bmax | 152 | 15.9 | 97.8–191 |
Exposure‐response parameters | ||||
FGon/off | Fractional inhibition of growth of fast‐multiplying state | 1.00 FIX | ‐ | ‐ |
SDk (L·mg−1·days−1) | Second‐order slow‐multiplying state death rate | 0.200 | 41.6 | 0.0854–0.390 |
NDk (L·mg−1·days−1) | Second‐order nonmultiplying state death rate | 0.106 | 19.0 | 0.0643–0.188 |
Residual error parameters | ||||
ε (CV%) | Additive residual error on log scale (approximates a proportional error on normal scale) for all replicates | 110 | 12.0 | 83.7–133 |
εrepl (CV%) | Additive residual error on log scale (approximates a proportional error on normal scale) between replicates | 23.1 | 10.2 | 18.4–27.2 |
CI, confidence interval; FIX, parameter was fixed during estimation; PK, pharmacokinetic; RSE, relative standard error.
Relative standard error from the covariance step in NONMEM18 reported on the approximate SD scale.
95% CI is the 95% percentile confidence interval from a nonparametric bootstrap (1,000 samples).
All drug PK model parameters were fixed to estimates reported by Smythe et al.19
All Multistate Tuberculosis Pharmacometric Model parameters except Bmax were fixed to estimates reported by Clewe et al.15
IIV is the inter‐individual variability expressed as coefficient of variation (CV).