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Assessing goodness-of-fit for evaluation of dose-proportionality
Authors:Martin J. Wolfsegger  Alexander Bauer  Detlew Labes  Helmut Schütz  Richardus Vonk  Benjamin Lang  Stephan Lehr  Thomas F. Jaki  Werner Engl  Michael D. Hale
Affiliation:1. Baxalta Innovations GmbH, a Takeda company, Vienna, Austria;2. Consultant, Berlin, Germany;3. BEBAC – Consultancy Services for Bioequivalence and Bioavailability Studies, Vienna, Austria;4. Bayer AG, Berlin, Germany;5. Boehringer Ingelheim Pharma GmbH & Co. KG, Biberach, Germany;6. Austrian Medicines and Medical Devices Agency, Wien, Austria;7. Department of Mathematics and Statistics, Lancaster University, Lancaster, UK;8. Shire, a Takeda company, Lexington, Massachusetts, USA
Abstract:For the clinical development of a new drug, the determination of dose-proportionality is an essential part of the pharmacokinetic evaluations, which may provide early indications of non-linear pharmacokinetics and may help to identify sub-populations with divergent clearances. Prior to making any conclusions regarding dose-proportionality, the goodness-of-fit of the model must be assessed to evaluate the model performance. We propose the use of simulation-based visual predictive checks to improve the validity of dose-proportionality conclusions for complex designs. We provide an illustrative example and include a table to facilitate review by regulatory authorities.
Keywords:dose-proportionality  linear pharmacokinetics  visual predictive checks
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