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Activity Number: 24
Type: Contributed
Date/Time: Sunday, August 6, 2006 : 2:00 PM to 3:50 PM
Sponsor: Biopharmaceutical Section
Abstract - #305624
Title: Assessing PK-AE Relationships Using Nonlinear Models
Author(s): Haiyuan Zhu*+
Companies: Merck Research Laboratories
Address: 126 E. Lincoln Ave., Rahway, NJ, 07065,
Keywords: PK/PD modeling ; adverse events ; odds ratio ; plateau
Abstract:

Adverse events (AEs) occur in preclinical and clinical trials. Understanding the relationship between a drug's Pharmacokinetic (PK) profile and AEs is crucial to finding the maximum tolerated dose and clinical dose in drug development. One question often asked during dose finding is whether a plateau in the incidence of AEs has been reached at a dose or plasma concentration level. However, commonly used logistic regression models are not capable of addressing this question. For this reason, nonlinear models are proposed to model the PK/AE relationships. Log odds ratio, which is a function of plasma concentration in these nonlinear models, is studied and a testing procedure for plateau hypothesis is constructed based on simultaneous confidence band for the log odds ratio curve. An example is used to illustrate the model fitting and testing procedure.


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