Table 2.
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.
200 bootstrapped data sets were used.
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.
Shrinkage (%) is calculated as 100 × (1 − variance of post hoc/estimated variance).
Overall residual variability shrinkage was estimated to be 8.74%.