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Introductory NONMEM & PDx-Pop & New and Advanced Features of NONMEM 7 and<br />

PDx-POP 5 Workshop<br />

Date of Meeting: 9-11 April 2013 & 10-12 September 2013<br />

Location:<br />

Presenters:<br />

Ellicott City, Maryland<br />

William Bachman, PhD; Robert Bauer, PhD<br />

<strong>Agenda</strong> Items:<br />

DAY 1 - "Introductory NONMEM & PDx-Pop" - Presentation: Instructor Time<br />

1. Course Introduction William Bachman, PhD<br />

9:00 –<br />

9:15 AM<br />

2.<br />

Introduction to Population Pharmacokinetics (2hrs)<br />

- Classical Population Analysis Principles/Methodologies<br />

- Sums of Squares Objective Functions<br />

- Extended Least Squares<br />

- Fixed and Random effects<br />

- Population Analysis Methods<br />

- First Order<br />

- First Order Conditional Estimation<br />

- Model Development Validation<br />

- data exploration<br />

- structural and error model development<br />

- goodness of fit diagnostics<br />

- diagnostic plots<br />

Robert Bauer, PhD<br />

William Bachman, PhD<br />

9:15 –<br />

11:15 AM<br />

3. Coffee Break<br />

11:15 –<br />

11:30 AM<br />

4.<br />

Analysis of Data from One Subject (3hrs)<br />

- Example (PK, Variance Models)<br />

- Introduction to NONMEM Files and Analysis<br />

Robert Bauer, PhD 11:30 –<br />

12:30 AM<br />

5. Lunch<br />

6. Analysis of Data from One Subject (continued)<br />

7. Break<br />

12:30 –<br />

1:30 AM<br />

Robert Bauer, PhD 1:30 –<br />

3:30 PM<br />

3:30 –<br />

3:45 PM<br />

8. Population Analysis with No Covariates (1.75hrs) William Bachman, PhD<br />

3:45 –<br />

5:30 PM<br />

2012 Page 1 of 4 Prepared by: L. Wilhelm


2012<br />

DAY 2 – "Introductory NONMEM & PDx-Pop" - Presentation: Presenter Time<br />

1. Population Analysis with No Covariates (continued) William Bachman, PhD<br />

8:30 –<br />

9:00 AM<br />

2.<br />

Population Analysis with Covariates (3.25hrs)<br />

- NONMEM Files<br />

- Exploratory Analysis<br />

- Model Building Example<br />

Robert Bauer, PhD 9:00 –<br />

10:00 AM<br />

3. Break<br />

4. Population Analysis with Covariates (continued)<br />

5. Lunch<br />

6. Population Analysis with Covariates (continued)<br />

10:00 –<br />

10:15 AM<br />

Robert Bauer, PhD 10:15 –<br />

11:30 AM<br />

11:30 –<br />

12:30 AM<br />

Robert Bauer, PhD 12:30 –<br />

1:30 PM<br />

7.<br />

Introduction to Model Evaluation Methods<br />

- User-Written Models in NONMEM (1.75hrs)<br />

* A PK-PD Example<br />

* NONMEM Files<br />

William Bachman, PhD<br />

1:30 –<br />

2:30 PM<br />

8. Break<br />

2:30 –<br />

2:45 PM<br />

9.<br />

User-Written Models (continued)<br />

PK-PD Model Problem<br />

Robert Bauer, PhD 2:45 –<br />

3:30 PM<br />

10. Population Analysis Final Example & Practice Session William Bachman, PhD<br />

3:30 –<br />

5:00 PM<br />

DAY 3 - "New and Advanced Features of NONMEM 7 and<br />

PDx-POP 5" – Presentation:<br />

1. Introduction Robert Bauer, PhD<br />

2.<br />

Modifications and Enhancements to NONMEM 7<br />

- Conversion of Fortran 77 to Fortran 90/95<br />

- Centralized Error Processing<br />

- Improvements in Gradient Methods<br />

- Decreased Incidence of Estimation Failure Due to Numerical<br />

Problems<br />

- Added Option to Specify Step-Size for Gradient Calculation<br />

- Increased Number of Data Items and Label Lengths<br />

- Flexible Numerical Formats for Input and Output<br />

- Added Information in Standard Results File<br />

- Identifier Tags for Certain Sections<br />

- Shrinkage of Variance<br />

- Additional Output Files Easily Readable by Post-Processing Software<br />

William Bachman, PhD<br />

8:30 –<br />

8:45 AM<br />

8:45 –<br />

9:30 AM<br />

2012 Page 2 of 4 Prepared By: L. Wilhelm


2012<br />

- Additional Weighted Residuals outputs (conditional, exact versions)<br />

3.<br />

New Methods Available in NONMEM 7, Theory, Overview<br />

- Monte Carlo Importance Sampling Expectation Maximization (EM)<br />

(IMP)<br />

- Markov Chain Monte Carlo (MCMC) Stochastic Approximation EM<br />

(SAEM)<br />

- Iterative Two Stage (ITS)<br />

Robert Bauer, PhD<br />

9:30 –<br />

10:00 AM<br />

4. Break<br />

10:00 –<br />

10:15 AM<br />

5.<br />

Mu Modeling<br />

- Model Modifications That Improve Efficiency of EM Methods (Mu<br />

Modeling)<br />

Robert Bauer, PhD<br />

10:15 –<br />

11:00 AM<br />

6.<br />

Examples for EM Methods (hands-on)<br />

- Basic two compartment model problem, incorporate Mu Model<br />

Robert Bauer, PhD<br />

11:00 –<br />

11:45 AM<br />

7. Lunch<br />

11:45 –<br />

12:45 PM<br />

8.<br />

Examples for EM Methods (hands-on)<br />

- Two compartment model with age and gender covariates Robert Bauer, PhD<br />

12:45 –<br />

1:45 PM<br />

9.<br />

Bayesian Analysis (hands-on)<br />

- MCMC Bayesian Analysis (BAYES)<br />

- Prior information for MCMC Bayesian Analysis<br />

- Revisit two compartment model, adding Bayesian analysis<br />

Robert Bauer, PhD<br />

1:45 –<br />

2:45 PM<br />

10. Break<br />

11.<br />

More Examples with EM and Bayesian Analysis<br />

- Population mixture model problem<br />

- Interoccasion variability problem<br />

- Categorical data problem<br />

2:45 –<br />

3:00 PM<br />

3:00-3:30<br />

12.<br />

13.<br />

Additional Considerations for EM and Bayesian Analysis<br />

- Termination Testing<br />

- Making Numerically Stable Models<br />

- Gibbs vs. Metropolis-Hastings<br />

Creating Random Initial Parameters for Multiple Chains (CHAIN)<br />

- Chain command syntax<br />

- Thetas: univariate or normal randomization<br />

- Sigmas: univariate randomization<br />

- Omegas: Wishart randomization<br />

- Using random samples for immediate, or later problems<br />

- Creating random initial values example<br />

Robert Bauer, PhD<br />

3:30-4:00<br />

4:00 –<br />

4:30 PM<br />

14.<br />

PDx-Pop Interface For NONMEM 7<br />

- Real-Time Graphical Monitoring of Objective Function<br />

- Interaction with NONMEM Run<br />

- Toggle Switch for Console Printing of Iterations<br />

- Switch to End a Problem Gracefully<br />

- Switch to End a NONMEM Gracefully<br />

William Bachman, PhD<br />

4:30 –<br />

5:00 PM<br />

2012 Page 3 of 4 Prepared By: L. Wilhelm


2012<br />

- Extended Summary Output<br />

- Graphical Display of Parameter Sampling History (BAYES)<br />

- Setting Up and Running Multiple Analysis Chains Simultaneously<br />

- Graphical and Tabular Summary of Multiple Analysis Chains (BAYES)<br />

- nitial Parameters Variation Test<br />

- PDx-Pop on Linux and MAC OS X<br />

15. Question and Answer Session, Demonstrations 5:00 PM<br />

2012 Page 4 of 4 Prepared By: L. Wilhelm

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