TABLE 2.
Parameterb | POPS data |
External data |
||
---|---|---|---|---|
Parameter value (% RSE)c | Bootstrap analysis (n = 1,000), 2.5th–97.5th percentiles | Parameter value (% RSE) | Bootstrap analysis (n = 1,000), 2.5th–97.5th percentiles | |
Minimization successful | Yes | 998/1,000 | Yes | 999/1,000 |
Fixed effects | ||||
Ka (h–1) | 1.3 (36) | 0.57–2.5 | 1.4 (21) | 0.97–2.4 |
CL/F (liters/h) | 11 (5.7) | 9.3–12.0 | 9.8 (10) | 7.9–13 |
V/F (liters) | 150 (6.8) | 130–170 | 125 (7.4) | 110–150 |
PNA50 (yr) | 0.24 (25) | 0.13–0.41 | 0.91 (41) | 0.35–2.7 |
SCR exponent | 0.40 (20) | 0.22–0.56 | 0.71 (25) | 0.31–1.4 |
Random effects | ||||
IIV, CL/F (%) | 34 (18) | 12–48 | 31 (9.9) | 22–36 |
IIV, V/F (%) | 21 (45) | 0.21–46 | 16 (45) | 0.16–29 |
Proportional error (%) | 51 (7.2) | 43–58 | 19 (13) | 14–24 |
The Pediatric Opportunistic Pharmacokinetic Study (POPS) trimethoprim (TMP) model and the external TMP model have the same structural relationship: Ka (h–1) = θ1; ; V/F (liters) = θ5 × (WT/70), where θ is an estimated fixed effect, WT is the actual body weight in kilograms, and PNA is the postnatal age in years.
CL/F, apparent clearance; IIV, interindividual variability; Ka, absorption rate constant; PNA50, maturation half-life calculated as a function of postnatal age (in years); SCR, serum creatinine; V/F, apparent volume of distribution.
RSE, relative standard error.