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. 2020 Dec 6;109(5):1314–1325. doi: 10.1002/cpt.2096

Table 2.

Parameter estimates from the final population pharmacokinetics model for released drug

Parameter Final released‐drug model Bootstrap analysis a Sensitivity analysis with inclusion of outliers
Estimate Between‐patient variability Estimate Estimate
Typical value RSE b (%) Magnitude (%CV) RSE b (%) Shrinkage c (%) Typical value 95% CI Typical value RSE b (%)
Released‐drug clearance (CLdrug, L/h) 19.2 4.41 25.4 6.31 37.8 19.1 17.8–20.4 19.1 4.50
Released‐drug volume of distribution (Vdrug, L)

Fixed

17•BSA

42.0 4.64 19.9

Fixed

17•BSA

Fixed

17•BSA

Release rate (Krel, 1/h) 0.0159 4.42 37.6 4.56 16.0 0.0159 0.0146–0.0172 0.0158 4.37
Fraction of Krel when cycle > 1 0.830 1.62 22.9 4.01 17.5 0.829 0.803–0.859 0.828 1.85
Cycle effect on Krel –0.137 5.23 –0.137 –0.160 to −0.114 –0.139 5.40
Ritonavir on CLdrug –0.113 13.9 –0.112 –0.236 to −0.0177 –0.113 15.2
Itraconazole on CLdrug –0.103 19.0 –0.104 –0.159 to −0.0535 –0.103 20.9
AST on CLdrug –0.219 14.5 –0.221 –0.290 to −0.150 –0.206 15.2
Total bilirubin on CLdrug –0.207 18.4 –0.209 –0.294 to −0.128 –0.191 19.7
Body weight on CLdrug 0.440 18.9 0.448 0.299–0.576 0.480 17.6
Age on Vdrug 0.562 16.8 0.558 0.377–0.750 0.644 15.4
FL‐DP2 formulation on Vdrug 0.255 28.0 0.258 0.115–0.392 0.278 27.1
FL‐DP1 formulation on Vdrug –0.212 20.4 –0.215 –0.289 to −0.124 –0.209 21.1
Residual variability d
Proportional residual error SD 0.279 0.483 0.279 0.272–0.288 0.298 0.380
Between‐patient variability
Variance of CLdrug 0.0647 12.6 0.0623 0.0340–0.102 0.0705 12.1
Variance of Vdrug 0.176 9.28 0.175 0.141–0.211 0.178 9.73
Variance of Krel 0.142 9.13 0.142 0.116–0.175 0.140 9.57
Variance of fraction of Krel when cycle> 1 0.0524 8.01 0.0525 0.0438–0.0635 0.0692 6.84

AST, aspartate aminotransferase; BSA, body surface area; CI, confidence interval; CLdrug, released drug clearance; CV, coefficient of variation; FL‐DP1, frozen liquid drug product 1; FL‐DP2, frozen liquid drug product 2; Krel, release‐rate constant; RSE, relative standard error; Vdrug, released drug volume of distribution; —, not applicable.

a

200 bootstrapped data sets were used.

b

RSEs of parameter estimate are calculated as 100 × (SE/typical value); RSEs of between‐patient variability magnitude are presented on %CV scale and approximated as 100 × (SE/variance estimate)/2.

c

Shrinkage (%) is calculated as 100 × (1 − variance of post hoc/estimated variance).

d

Overall residual variability shrinkage was estimated to be 8.74%.