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Model and source

  • Citation: BAST Inc Limited. BAST approach to parametric time-to-event (PTTE) modelling. Loughborough, UK; 12 July 2017. Internal guiding document (BAST_PTTE_modelling.pdf) shipped with DDMORE bundle DDMODEL00000243; no peer-reviewed publication. Run prepared by Jon Moss (Command.txt; runCOMPEV2_005). DDMORE Foundation Model Repository: DDMODEL00000243.
  • Description: Parametric time-to-event log-logistic hazard model for Competing Event 2 in the BAST PTTE 2017 four-event teaching dataset (DDMODEL00000243). Hazard h(t) = alpha * (lam^alpha) * t^(alpha-1) / (1 + (lam*t)^alpha), where lam = lambda/1000 and alpha is unscaled. No covariates were retained. Note: the BAST guiding-document text (Section 2.4.1, Figure 2-4) selected log-normal as the base distribution for Competing Event 2, but the executable supplied with the bundle (Executable_runCOMPEV2_005.mod, $PROBLEM ‘Log_logistic model’) and the final-fit listing in the bundle are log-logistic, not log-normal. This file follows the executable; the publication-vs-bundle distribution discrepancy is documented in the validation vignette’s Errata.
  • Source: BAST Inc Limited, “BAST approach to parametric time-to-event (PTTE) modelling,” internal guiding document, 12 July 2017 (BAST_PTTE_modelling.pdf shipped in the DDMORE bundle).
  • DDMORE Foundation Model Repository entry: DDMODEL00000243
  • Source bundle: dpastoor/ddmore_scraping/243/
  • Linked publication: none. The bundle is a methodological teaching example built on entirely simulated data; the BAST guiding-document text states “there is not yet a publication to go along with the model” (Model_Accommodations.txt).

This vignette validates the BAST 2017 PTTE Competing Event 2 hazard model packaged under inst/modeldb/ddmore/NA_NA_tte_loglogistic.R (NONMEM run name runCOMPEV2_005). Competing Event 2 in the bundle is right-censored only; no covariate was retained. Note: the BAST guiding-document text Section 2.4.1 (Figure 2-4) selected log-normal as the base distribution for Competing Event 2 by AIC, but the executable shipped in the bundle (Executable_runCOMPEV2_005.mod, $PROBLEM "Log_logistic model") and the final-fit listing are log-logistic, not log-normal – see the Errata section below.

For sibling Event 1, Event 2, and Competing Event 1 hazard models from the same bundle, see NA_NA_tte_gompertz.R, NA_NA_tte_gompertz_ev2.R, and NA_NA_tte_lognormal.R.

Population

The BAST 2017 PTTE bundle is a methodological teaching example with N = 200 simulated patients, four timed event types, and six baseline covariates (BAST Section 2.2.2). Of the 200 simulated patients, 142 (71%) experienced Competing Event 2 (BAST Table 2-1) – the highest event incidence of the four event types. Competing Event 2 is right- censored only (CENSORING = 1); exact event times are observed.

m <- readModelDb("NA_NA_tte_loglogistic")
str(m()$meta$population, max.level = 1)
#> List of 10
#>  $ n_subjects    : int 200
#>  $ n_studies     : int 1
#>  $ age_range     : chr "24-84 years (mean 58.7) in the BAST PTTE 2017 simulated cohort"
#>  $ weight_range  : chr "not reported (the BAST PTTE 2017 simulated cohort does not include body weight)"
#>  $ sex_female_pct: num NA
#>  $ race_ethnicity: NULL
#>  $ disease_state : chr "Hypothetical / unspecified clinical population (the BAST PTTE 2017 guiding document is a methodological teachin"| __truncated__
#>  $ dose_range    : chr "Not applicable (no drug administration is modelled)."
#>  $ regions       : chr "Not applicable (simulated data)."
#>  $ notes         : chr "200 simulated patients; 142 (71%) had Competing Event 2. Competing Event 2 is right-censored only (CENSORING = "| __truncated__

Source trace

Equation / parameter Value Source location
Hazard form h(t) = alpha * lam^alpha * t^(alpha-1) / (1 + (lam*t)^alpha) n/a Executable_runCOMPEV2_005.mod $PK / $DES (Lam1 = Lam/1000, alpha1 = alpha, val1 = alpha1*(lam1**alpha1)*T**(alpha1-1)); BAST guiding doc Appendix B
llam_compev2 (lambda) log(5.93) Output_simulated_runCOMPEV2_005.res FINAL TH1 = 5.93E+00; rescaled by /1000 inside model()
lalpha_compev2 (shape) log(1.60) Output_simulated_runCOMPEV2_005.res FINAL TH2 = 1.60E+00; not rescaled
eta on lam (OMEGA(1,1)) 0 FIXED Output_simulated_runCOMPEV2_005.res FINAL OMEGA(1,1) = 0.00E+00 (placeholder; no estimated IIV)
Covariate-selection result none BAST guiding doc Section 2.4.2, Table 2-5 (no covariate DeltaOFV exceeded the -6.6 threshold; final model has no covariates)

Virtual cohort

set.seed(20260506)

n_subjects <- 50
cohort_subjects <- tibble(id = seq_len(n_subjects))

obs_grid <- tibble(
  time = c(0, seq(7, 540, by = 7)),
  evid = 0L,
  amt  = 0
)

events <- tidyr::crossing(cohort_subjects, obs_grid)
events <- events[, c("id", "time", "evid", "amt")]

stopifnot(!anyDuplicated(unique(events[, c("id", "time", "evid")])))
cat("Cohort: ", n_subjects, " subjects, ", nrow(events), " event rows\n", sep = "")
#> Cohort: 50 subjects, 3900 event rows

Simulation

sim <- rxode2::rxSolve(m, events = events) |>
  as.data.frame()

Because the model has no covariates and no IIV, all 50 subjects share the same trajectory. The plot below shows a single-line typical-value survival curve.

Replicate published behaviour – typical-value survival trajectory

The BAST guiding document Section 2.4.1 (Figure 2-4) reports a Kaplan-Meier curve of Competing Event 2 vs. the candidate parametric distributions. The covariate VPC (Figure 2-13, Figure 2-14) covers the window 0 – 400 days. Competing Event 2 is the most aggressive event in the bundle (71% incidence); at the typical-value parameters (lambda = 5.93/1000, alpha = 1.60), the model’s survival drops from S(0) = 1 to about S(400) ~= 0.20.

sim |>
  filter(id == 1L) |>
  ggplot(aes(time, sur)) +
  geom_line(colour = "steelblue") +
  labs(
    x        = "Time (days)",
    y        = "Survival probability",
    title    = "Competing Event 2 typical-value survival (single trajectory; no covariates, no IIV)",
    caption  = "Compare against BAST 2017 PTTE guiding-document Figure 2-4 / Figure 2-13."
  ) +
  scale_y_continuous(limits = c(0, 1))

Mechanistic sanity checks

Hazard has the characteristic log-logistic shape (rises then falls when alpha > 1)

The log-logistic hazard with alpha > 1 rises, peaks at t_peak = (alpha - 1)^(1/alpha) / lam, and decays at long times. With alpha = 1.60 and lam = 5.93/1000 = 0.00593, the peak is at (0.60)^(1/1.60) / 0.00593 ~= 0.731 / 0.00593 ~= 123 days. The check below confirms the simulated hazard rises, peaks near day 100-150, and falls.

ev_typ <- tibble(id = 1L, time = c(0, seq(1, 540, by = 1)),
                 evid = 0L, amt = 0)
sim_typ <- rxode2::rxSolve(m, events = ev_typ) |> as.data.frame()
ggplot(sim_typ, aes(time, hazard)) +
  geom_line(colour = "firebrick") +
  geom_vline(xintercept = 123, colour = "grey60", linetype = "dotted") +
  labs(x = "Time (days)", y = "Instantaneous hazard (1/day)",
       title = "Competing Event 2 typical-subject hazard trajectory",
       caption = "Log-logistic hazard: rises, peaks near 123 days (alpha=1.60), decays.")


hazard_peak_idx  <- which.max(sim_typ$hazard)
hazard_peak_time <- sim_typ$time[hazard_peak_idx]
cat("Hazard peaks at t =", hazard_peak_time, "days\n")
#> Hazard peaks at t = 123 days

# Peak should be in the 60-200-day window (closed-form predicts ~123).
stopifnot(hazard_peak_time > 60, hazard_peak_time < 200)

# Hazard at peak should exceed both early-time (t = 1) and late-time
# (t = 500) values.
stopifnot(sim_typ$hazard[hazard_peak_idx] > sim_typ$hazard[sim_typ$time == 1])
stopifnot(sim_typ$hazard[hazard_peak_idx] > sim_typ$hazard[sim_typ$time == 500])

Closed-form survival check at long times

For a log-logistic with lam (rate) and alpha (shape), the cumulative hazard is H(t) = log(1 + (lam * t)^alpha). Compute the typical-value survival at day 200 from the closed form and compare against the integrated-ODE simulation:

lam   <- 5.93 / 1000
alpha <- 1.60

t_check <- 200
H_closed <- log(1 + (lam * t_check)^alpha)
S_closed <- exp(-H_closed)

# rxode2 grid is whole-day; pick t = 200.
S_sim <- sim_typ$sur[sim_typ$time == t_check]

cat(sprintf("S(%d) closed-form = %.4f, simulation = %.4f\n",
            t_check, S_closed, S_sim))
#> S(200) closed-form = 0.4322, simulation = 0.4322
# Allow 1% relative tolerance for ODE-integration error.
stopifnot(abs(S_closed - S_sim) / S_closed < 0.01)

Final-fit objective-function value matches the bundle

Output_simulated_runCOMPEV2_005.res reports OBJV = 1846.946 at the final estimates. This value is informational here.

Self-consistency with the bundle’s simulated dataset

A full self-consistency check would re-simulate the bundle’s shipped Simulated_event_data.csv (200 subjects, DVID = 4 records) under the nlmixr2lib model and compare against the bundle’s Output_simulated_runCOMPEV2_005.res $TABLE output. The bundle dataset is outside this package and not redistributed.

Assumptions and deviations

  • Distribution discrepancy between the BAST guiding-document text and the bundle’s executable. The BAST PTTE 2017 guiding document Section 2.4.1 (Figure 2-4) selects log-normal as the base distribution for Competing Event 2 (AIC -2.144 vs. exponential 0). However, the bundle ships an executable (Executable_runCOMPEV2_005.mod) whose $PROBLEM line declares “Log_logistic model” and whose hazard equation is the log-logistic form, not the log-normal form. The .res listing (Output_simulated_runCOMPEV2_005.res) is consistent with the log-logistic .mod. We follow the executable that produced the shipped final estimates (the .lst is the source of truth for parameter VALUES). The packaged nlmixr2lib model is therefore log-logistic, matching the bundle’s executable rather than the guiding-document narrative. A log-normal alternative is already provided in NA_NA_tte_lognormal.R (Competing Event 1).

  • Numerical rescalings preserved. The .mod uses a /1000 rescaling on lambda only; alpha is not rescaled. The biologically meaningful values are:

    • Log-logistic lambda: 5.93 / 1000 = 0.00593 / day
    • Log-logistic alpha (shape): 1.60 (unitless)
  • No DEL = 1e-8 offset on the time term. The BAST guiding document’s Appendix B canonical log-logistic form uses (t + DEL)^(alpha - 1) with a small-time offset; the bundle’s Executable_runCOMPEV2_005.mod $DES omits the offset and uses T^(alpha - 1) directly. We follow the bundle’s executable. At t = 0 and alpha > 1, the term evaluates to 0 (finite), so the hazard is well-defined.

  • No estimated IIV. The source $OMEGA is 0 FIX. No inter- subject variability is in the BAST PTTE 2017 guiding-document model. Combined with the absence of covariates, every subject’s typical- value trajectory is identical.

  • No publication-PDF cross-check. The BAST PTTE 2017 guiding document is the only source of equations and methodological narrative; no peer-reviewed publication exists.

  • Convention warning. nlmixr2lib::checkModelConventions() flags the units$concentration field (the TTE output sur is a survival probability, not a mass/volume concentration). The compartment is named cumhaz (canonical TTE auxiliary-state name).