How many subjects are necessary for population pharmacokinetic experiments? Confidence interval approach.

OBJECTIVE: To describe an approach using simulations for determining sample size for population pharmacokinetic experiments METHODS: We address this problem by proposing method based on the estimation of the model parameters. The power to estimate the confidence interval of a parameter of choice to...

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Publicado en:European Journal of Clinical Pharmacology Vol. 64; no. 7; pp. 705 - 714
Autores principales: Ogungbenro K, Aarons L
Formato: equations & formulas research tables/charts Journal Article
Publicado: Springer Nature Jul2008
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2008
      vid: 64
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00228-008-0493-7
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        atl: How many subjects are necessary for population pharmacokinetic experiments? Confidence interval approach.
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        au:
          Ogungbenro K
          Aarons L
        affil: Centre for Applied Pharmacokinetic Research, The University of Manchester, Oxford Road, Manchester, M13 9PL, UK, kayode.ogungbenro@manchester.ac.uk.
      sug:
        subj:
          Research Subject Recruitment Methods
          Sample Size
          Pharmacy and Pharmacology
          Human
      ab: OBJECTIVE: To describe an approach using simulations for determining sample size for population pharmacokinetic experiments METHODS: We address this problem by proposing method based on the estimation of the model parameters. The power to estimate the confidence interval of a parameter of choice to a particular precision is determined for different sample sizes by making stepwise increases in the sample size until the power is achieved. The method is based on simulation using previous information about the model and parameter estimates. Two examples are presented based on one-compartment and two-compartment first-order absorption models. RESULTS: Sample size depends on the parameter of choice, the sampling designs and the method for the analysis of the collected data among other things. For the one-compartment first-order absorption model, assuming the parameter of choice is rate of absorption, the sample sizes required to estimate the 95% confidence interval within a 20% precision level with a power of 0.9 using the FO: , FOCE: and FOCE/INTERACTION: methods in NONMEM: and WINBUGS: for a design that involved sampling at 0.01, 7.75 and 12 h (the population optimal design) are 20, 30, 30 and 30 respectively. For an extensive design (sampling at 0.5, 2, 4, 8, 12 and 24 h), the sample sizes are 20, 20, 20 and 30, respectively. For the two-compartment first-order absorption model, assuming the parameter of choice is initial volume of distribution, the sample sizes required to estimate the 95% confidence interval within a 50% precision level with a power of 0.8 for FO: , FOCE/INTERACTION: and WINBUGS: were 50, 50 and 20, respectively. CONCLUSION: The determination of sample size using the confidence interval approach appears to be a pragmatic approach to determine the minimum number of subjects for a population pharmacokinetic experiment.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
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    language: English
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