|
Abacavir
(Archary 2019)
|
Two-compartment population PK model for abacavir in severely
malnourished HIV-infected children (Archary 2019); CL/F steps up between
day 1 and day 14 of antiretroviral treatment and bioavailability is 31%
higher in the early-ART arm
|
|
Abacavir
(Jullien 2005)
|
Two-compartment population PK model for abacavir in HIV-infected adults
(Jullien 2005); apparent clearance scales with body weight via an
estimated power exponent, Q/F is fixed when BW is added to the model
|
|
Abacavir
(Tikiso 2021)
|
Two-compartment population PK model for oral abacavir in HIV-infected
African children (Tikiso 2021), with a Savic 2007-style analytical
transit-compartment chain feeding a first-order absorption depot,
allometric body-weight scaling on disposition (0.75 on CL/Q, 1 on Vc/Vp
at 70 kg), sigmoidal Hill-type maturation of CL on postmenstrual age,
and multiplicative covariate effects of efavirenz co-medication on CL,
rifampicin + super-boosted lopinavir/ritonavir co-medication on F,
fixed-dose-combination tablet formulation on MTT, and a time-decaying
malnutrition effect on F and CL.
|
|
Abacavir
(Zhao 2012)
|
Two-compartment population PK model for oral abacavir in HIV-infected
infants and toddlers (Zhao 2012) developed on the PENTA 15 crossover
trial of 8 mg/kg twice-daily vs 16 mg/kg once-daily dosing; CL/F scales
with body weight via an estimated power exponent (1.14) referenced to
the population median weight of 12 kg, and inter-occasion variability on
CL/F is multiplexed by the binary OCC indicator across the BID (occasion
1) and QD (occasion 2) study phases.
|
|
Abacavir
(Zhao 2013)
|
Two-compartment population PK model for oral abacavir in HIV-infected
infants, toddlers, and children (Zhao 2013); body weight is the only
retained covariate (allometric on CL/F and V1/F with estimated exponents
and reference weight 17.6 kg).
|
|
Abatacept
(Gandhi 2021)
|
Two-compartment population PK model for abatacept (CTLA4-Ig Fc-fusion)
pooled across adults with rheumatoid arthritis and patients aged 2-17
years with polyarticular juvenile idiopathic arthritis (Gandhi 2021),
with first-order SC absorption, zero-order IV infusion support,
first-order linear elimination, logit-scale SC bioavailability with
disease/age/weight covariates, and a KA parameterisation that enforces
KA > k_el.
|
|
Abatacept
(Li 2019)
|
Two-compartment population PK model for abatacept (CTLA4-Ig Fc-fusion)
in adults with rheumatoid arthritis (Li 2019), with first-order SC
absorption, zero-order IV infusion support, first-order linear
elimination, logit-scale SC bioavailability, full-block IIV on
CL/VC/Q/VP, and a KA parameterisation that enforces KA > k_el.
|
|
Abatacept
(Lon 2013)
|
Two-compartment population PK model with linear elimination and
short-term zero-order SC absorption for abatacept (CTLA-4Ig Fc-fusion)
in male Lewis rats with collagen-induced arthritis (Lon 2013).
|
|
Abatacept
(Takahashi 2023)
|
Two-compartment IV population PK model for abatacept (CTLA4-Ig
Fc-fusion) pooled across 685 adult/pediatric patients with rheumatoid
arthritis or polyarticular juvenile idiopathic arthritis and
adult/pediatric patients receiving allogeneic hematopoietic cell
transplantation in the ABA2 trial (Takahashi 2023). Linear elimination,
allometric weight scaling on CL/Vc/Vp/Q with estimated exponents, and a
three-level cohort categorical (RA/JIA reference, ABA2 HLA 7/8, ABA2 HLA
8/8) on CL and Vc.
|
|
Abatacept
(Zhong 2026)
|
Two-compartment population PK model for abatacept (CTLA4-Ig Fc-fusion)
pooled across 9 phase 2/3 studies (Zhong 2026): adults with rheumatoid
arthritis, patients aged 2-17 years with polyarticular juvenile
idiopathic arthritis, and patients aged 6+ years with hematologic
malignancies receiving HLA-matched unrelated-donor HSCT (the ABA2
trial). Final model has zero-order IV infusion, first-order SC
absorption, first-order linear elimination, additive plus proportional
residual error, allometric weight on CL/VC/VP, hepatic (AST) and renal
(cGFR) markers on CL, sex on CL and VC, two HSCT cohort indicators
(7-of-8 and 8-of-8 HLA-matched URD) on CL/VC, and a logit-scale SC
bioavailability sub-model with weight, age, and pJIA-disease covariates
fixed to a previously developed internal JIA PPK model (values match
Gandhi 2021).
|
|
ABT
102 (Othman 2013)
|
Population PK/PD model of body-temperature effects of ABT-102, a TRPV1
antagonist, in 108 healthy adult volunteers across three phase 1 trials
(Othman 2013). PK is a one-compartment model with one transit absorption
compartment, first-order elimination, and formulation-dependent
absorption lag (0.3 h solution, 0.6 h solid dispersion) and relative
bioavailability (40% solution vs solid-dispersion reference); PK
parameter values are taken from the upstream popPK analysis (Othman
2012, J Clin Pharmacol). The PD layer models body temperature as the
additive sum of (a) a measurement-type-dependent baseline (oral
thermometer vs core ingestible capsule), (b) a 24-h circadian rhythm
(cosine in time with measurement-type-dependent amplitude and a shared
7.6-h phase shift), and (c) an Emax drug effect on plasma concentration
with time-driven exponential tolerance (Emax decays with half-life T50 =
28 h). Two parallel outputs (BT_oral, BT_core) are produced with
measurement-type-dependent additive residual error; for a given subject
only one output is realised (oral thermometer subjects use BT_oral; core
ingestible-capsule subjects use BT_core).
|
|
Acetaminophen
(vanRongen 2016)
|
Parent-and-metabolites population PK model for intravenous acetaminophen
(paracetamol) and its glucuronide, sulphate, and CYP2E1-oxidation
(cysteine + mercapturate) metabolites in morbidly obese and non-obese
adults (van Rongen 2016). One-compartment plasma disposition for parent
acetaminophen with four parallel elimination pathways from the central
compartment (glucuronidation, sulphation, CYP2E1 oxidation, and
unchanged renal); one-compartment plasma disposition for glucuronide and
cysteine + mercapturate metabolites each fed via a
single-transit-compartment delay; two-compartment plasma disposition for
sulphate (central + peripheral, fixed equal volumes 5.66 L each). Lean
body weight (LBW; Janmahasatian et al. 2005 equation) enters as a
power-law covariate on parent V, all three formation clearances, the
CYP2E1 transit rate constant, and glucuronide elimination CL. Total body
weight enters on the glucuronide volume of distribution.
|
|
Acetaminophen
rat pbpk (Westerhout 2012)
|
PBPK (semi-mechanistic, regional brain) population PK model for
acetaminophen (paracetamol) in 24 male Wistar WU rats (225-275 g),
developed to investigate regional brain distribution kinetics with
simultaneous microdialysis sampling in striatum (brain extracellular
fluid), lateral ventricle (CSF_LV), and cisterna magna (CSF_CM) after a
10-min intravenous infusion of 15 mg/kg acetaminophen (Westerhout et
al. 2012, AAPS J). Seven physiological compartments: plasma plus
peripheral tissue plus brain extracellular fluid (with the brain
intracellular space volume added per paper text page 5) plus four
anatomically distinct CSF subcompartments (lateral ventricle, third and
fourth ventricle combined, cisterna magna, subarachnoid space). Brain
compartment volumes (V_pl, V_ICS, V_ECF, V_LV, V_TFV, V_CM, V_SAS) and
bulk fluid flows (Q_ECF, Q_CSF) are fixed to literature physiological
values for a 250-g rat; plasma-to-region and region- to-plasma
clearances are estimated. The plasma-to-third-fourth- ventricle
clearances CL15 / CL51 are structurally assumed equal to the
plasma-to-lateral-ventricle clearances CL14 / CL41 (paper Results). An
enterohepatic-recirculation continuous input F_abs * DOSE adds drug back
to plasma to capture the apparent plateau after t = 120 min. The model
is fitted to unbound plasma concentrations (plasma concentrations
corrected to free fraction fu_p = 0.805); fu_p is documented in
population metadata but does not enter the structural ODEs (see vignette
Assumptions and deviations).
|
|
Acyclovir
(Zeng 2009)
|
One-compartment population PK model with first-order absorption for
acyclovir in 43 children and young people (age 0.8-19.9 years; weight
7.3-70.2 kg) with malignancy, after intravenous acyclovir (5 mg/kg q8h,
1 h infusion) or oral valacyclovir prodrug (10 mg/kg q12h), developed in
NONMEM v5.1.1 (FOCE-I) from 1216 plasma observations. Structural model:
first-order absorption (ka) from a depot with bioavailability F (oral
valacyclovir delivered as systemic acyclovir), one-compartment
disposition with first-order elimination. Allometric body-weight scaling
on CL (fixed exponent 0.75) and V (fixed exponent 1) referenced to the
cohort median 19.6 kg; CL additionally varies with creatinine clearance
via a power function (CRCL/106.7 mL/min/1.73 m2)FAC.
Inter-individual variability is diagonal on CL, V, ka, and F. Residual
error is a combined exponential (proportional after linearization) +
additive model. Inter-occasion variability on CL (19.2% CV) and V (30.4%
CV) reported by Zeng 2009 Table 3 is NOT encoded structurally here (per
the Andrews 2017 / Brooks 2021 tacrolimus precedent) – the source paper
does not define an operational occasion column for the model-library use
case.
|
|
Adalimumab
(Drweesh 2026)
|
One-compartment population PK model with first-order subcutaneous
absorption and linear elimination for adalimumab originator (Humira) and
biosimilars (Amgevita, Hyrimoz) in adults with inflammatory bowel
disease and other autoimmune disorders, fit to multicenter
therapeutic-drug-monitoring trough data from Saudi Arabia and Qatar
(Drweesh 2026). Structural backbone (V/F, IIV variances, residual error)
inherited from Marquez-Megias 2023 because Drweesh 2026 reports only ka
(fixed) and the typical clearance value.
|
|
Adalimumab
(Marquez-Megias 2023)
|
One-compartment population PK model with first-order subcutaneous
absorption and linear elimination for adalimumab in adults with
inflammatory bowel disease, with albumin and anti-drug-antibody
covariates on apparent clearance (Marquez-Megias 2023)
|
|
Adecatumumab
(Cao 2013)
|
Second-generation minimal physiologically-based PK (mPBPK) model for
adecatumumab in adults (Cao 2013 Model A; clearance from plasma)
|
|
Aflibercept
(Thai 2011)
|
Mechanism-based population PK model for free and bound aflibercept
(anti-VEGF Fc-fusion ‘trap’ protein; VEGF-Trap) in healthy adult male
subjects (Thai 2011 BJCP). Two-compartment disposition of free
aflibercept with linear elimination from the central compartment plus
Michaelis-Menten binding of free aflibercept to VEGF occurring in the
peripheral (tissue) compartment, producing a one-compartment
bound-aflibercept species that is eliminated by first-order
internalisation (kint). This is the second Michaelis-Menten
approximation of the TMDD model of Gibiansky et al. (irreversible
binding), with the bound complex carried as an explicit state. The
bound-aflibercept volume of distribution Vb is fixed equal to the
central volume Vc for identifiability. Pooled data from two phase 1
single-dose IV-infusion studies in healthy males (1, 2, 4 mg/kg over 1
h). No covariates were tested or retained in the final model.
|
|
Agomelatine
(Xie 2019)
|
A semiphysiological population pharmacokinetic model of agomelatine and
its metabolites in Chinese healthy volunteers
|
|
Alemtuzumab
(Mould 2007)
|
Two-compartment population PK model with Michaelis-Menten elimination
for alemtuzumab in B-cell chronic lymphocytic leukaemia (Mould 2007)
|
|
Alemtuzumab
wbc (Mould 2007)
|
Coupled population PK-PD model for alemtuzumab in B-cell chronic
lymphocytic leukaemia (Mould 2007): the two-compartment Michaelis-Menten
PK from Mould 2007 Table 2 driven by the simulated WBC state via Vmax =
TVVmax * (WBC/10)^0.194, joined to an indirect-response model on WBC
(stimulation of Kout by alemtuzumab; Mould 2007 Table 3). WBC is a state
variable initialised per subject at Kin/Kout.
|
|
Alirocumab
(Djebli 2017)
|
Quasi-steady-state target-mediated drug disposition (TMDD-QSS)
population PK model for alirocumab and total PCSK9 in healthy adults and
adults with hypercholesterolemia (Djebli 2017, final model on expanded
data set n=2870). Two-compartment disposition with first-order SC
absorption (lag time and bioavailability), linear catabolic clearance
from central, and PCSK9 binding / complex internalization described by
QSS algebra; allometric weight scaling on CLL, Q, and Vc plus a
statin-coadministration effect on CLL.
|
|
Alirocumab
(Martinez 2019)
|
Two-compartment population PK model for alirocumab in healthy volunteers
and adults with hypercholesterolemia (Martinez 2019, Part I), with
first-order SC absorption (with lag time), linear plus Michaelis-Menten
(target-mediated) elimination from the central compartment, and
logit-transformed bioavailability.
|
|
Alvespimycin
(Aregbe 2012)
|
Three-compartment population PK model for the heat shock protein 90
inhibitor 17-DMAG (alvespimycin, NSC 707545) given as a 1 h IV infusion
to adult patients with advanced solid tumors (Aregbe 2012), with
first-order elimination, log-normal IIV on CL/Q3/V1/V2/V3, and
between-occasion variability on Q2 and V1 multiplexed by an OCC
indicator across up to five daily dosing occasions.
|
|
Amatuximab
(Gupta 2016)
|
Two-compartment population PK model with parallel linear and
Michaelis-Menten elimination for amatuximab in patients with advanced
cancers / malignant pleural mesothelioma (Gupta 2016)
|
|
Amifampridine
(Thakkar 2017)
|
Joint parent-metabolite population PK + fractional-Emax PD model for
3,4-diaminopyridine (3,4-DAP, amifampridine) free base and its N-acetyl
metabolite 3-Ac DAP in 49 adults with Lambert-Eaton myasthenia (Thakkar
2017). Two-compartment parent + one-compartment metabolite with Fm fixed
to 1 (all parent clearance forms metabolite). Body weight is
allometrically scaled on CL/F and CLm/F3ACDAP (exponent 0.75 fixed) and
linearly on Vp/F (exponent 1 fixed), all with reference weight 82 kg.
Serum creatinine acts on CLm/F3ACDAP through (0.8/SCR)^0.7 with median
SCR 0.8 mg/dL. The PD submodel describes the Triple Timed Up and Go
(3TUG) score in seconds via a fractional-inhibitory Emax equation Effect
= E0 * (1 - Emax * Cp / (EC50 + Cp)) where Cp is the parent 3,4-DAP
plasma concentration in ng/mL.
|
|
Amikacin
(Delattre 2010)
|
Two-compartment IV population PK model for amikacin in critically ill
adult patients with severe sepsis or septic shock during the first 24
hours of antibiotic treatment (Delattre 2010)
|
|
Amikacin
(Tod 1998)
|
Two-compartment intravenous population PK model for amikacin in febrile,
severely neutropenic adults with hematological malignancies (Tod 1998);
clearance modeled as the sum of a non-renal intercept and a
Cockcroft-Gault-like renal component with sex-stratified slope
coefficient (males theta_1, females theta_2), age-correction factor
(theta_3 - AGE/100), and Cockcroft-Gault-like renal-function ratio (WT /
CREAT). Power-variance residual-error model.
|
|
Aminocaproic
acid (Stricker 2015)
|
Two-compartment IV population PK model for epsilon-aminocaproic acid
(EACA) in infants undergoing craniofacial reconstruction and adolescents
undergoing posterior spinal fusion surgery (Stricker 2015)
|
|
AminocaproicAcid
(Stricker 2013)
|
Two-compartment IV population PK model for epsilon-aminocaproic acid
(EACA) in infants (2-24 months) undergoing craniofacial reconstruction
surgery. Allometric scaling on body weight (reference 8.82 kg; fixed
exponents 0.75 on CL and Q, 1.0 on V1 and V2), an asymptotically
increasing post-natal age maturation effect on clearance (age50 = 7.36
weeks), and binary intra-operative-period multipliers on CL (0.89) and
V1 (0.80) capturing the composite effect of anaesthesia, blood loss, and
surgical fluid management. Parameter values from Stricker 2013 Table 4.
|
|
Amlitelimab
(Tiraboschi 2025)
|
Two-compartment population PK model for amlitelimab (anti-OX40L mAb) in
adults, with parallel first-order and Michaelis-Menten (TMDD)
elimination, SC absorption with lag time, allometric body-weight
scaling, and SCORE_EASI / albumin covariate effects (Tiraboschi 2025)
|
|
Amodiaquine
(Ali 2018)
|
Joint parent-metabolite population PK model for oral amodiaquine and its
CYP2C8-derived active metabolite desethylamodiaquine in adults and
children with uncomplicated Plasmodium malaria, pooled across five WWARN
cohorts (Burkina Faso, Ghana, Kenya, Uganda, Thailand). Two-transit
absorption (NN = 2) into a 2-compartment amodiaquine disposition model
with complete in-vivo conversion (with MW correction) to a 3-compartment
desethylamodiaquine disposition model. Allometric body-weight scaling on
CL/Q (exponent 0.75) and Vc/Vp (exponent 1.0) referenced at WT = 50 kg;
sigmoidal postmenstrual-age maturation on both amodiaquine and
desethylamodiaquine clearance; 22.4% lower bioavailability on the first
daily dose relative to subsequent doses.
|
|
Amoxicillin
(Fournier 2018)
|
Two-compartment IV population PK model for amoxicillin in adult ICU burn
patients hospitalized at a Swiss tertiary-care centre, with
Cockcroft-Gault creatinine clearance as a linear covariate on CL
(centered at 110 mL/min) and body weight as a linear (allometric
exponent 1) covariate on the central volume V1 (centered at 70 kg)
(Fournier 2018).
|
|
Amoxicillin
(Muller 2008)
|
Three-compartment population PK model for intravenous amoxicillin in
pregnant women before, during and immediately after labour, with
labour-state binary indicators reducing the peripheral volume V2 during
active labour (-13.7%) and the immediate postpartum period (-29.5%)
relative to before labour (Muller 2008).
|
|
Amoxicillin
(Tang 2019)
|
Two-compartment population PK model with first-order elimination for
intravenous amoxicillin in Chinese neonates and young infants (Tang
2019). Current weight enters as a fixed allometric power on both volumes
(exponent 1) and on CL and Q (exponent 0.75); CL is further modulated by
a maturation factor F_age that is the product of two power functions of
gestational age and postnatal age. Interindividual variability is
estimated on the peripheral volume V2 and on CL only; residual
variability follows an exponential model (proportional in linear space).
|
|
AmphotericinB
liposomal (Hong 2006)
|
Two-compartment population PK model for liposomal amphotericin B
(AmBisome) in 39 pediatric oncology patients receiving 1-h IV infusions
(Hong 2006). Clearance and central volume scale exponentially with body
weight centered at the cohort-median 21 kg; the paper additionally
reports substantial between-occasion variability on CL and V1 that is
encoded here as IIV on fixed-at-1 multiplicative anchors (Bellanti 2015
IOV-as-IIV pattern).
|
|
Ampicillin
(Tremoulet 2014)
|
One-compartment IV population PK model for ampicillin in preterm and
term neonates (Tremoulet 2014; opportunistic POPS / PTN study).
Clearance is allometrically scaled linearly to body weight and modulated
by a serum-creatinine power factor (0.6/SCR)^0.428 and a
postmenstrual-age power factor (PMA/37)^1.34. Central volume scales
linearly with body weight (0.399 L/kg). Inter-individual variability is
supported on CL only; residual variability is proportional.
|
|
Ampicillin
sulbactam (Soto 2014)
|
Joint two-compartment population PK model for ampicillin and sulbactam
in 47 Japanese adults with moderate or severe community-acquired
pneumonia receiving 30-minute IV infusions of 3 g ampicillin/sulbactam
(2:1) every 6 hours (Soto 2014). Both drugs are fitted simultaneously
via the NONMEM L2 data item; a single common Cockcroft-Gault CLcr power
effect (0.701) is applied to CL of both drugs, and CL random effects are
correlated across drugs (rho = 0.858). Body weight is a fixed linear
allometric scalar on peripheral volume V2 for both drugs. Ampicillin
uses the unsuffixed canonical compartment / parameter set; sulbactam
carries the sibling-drug suffix _sbt throughout.
|
|
Anakinra
(Urien 2013)
|
One-compartment population pharmacokinetic model for subcutaneous
anakinra (recombinant nonglycosylated human IL-1 receptor antagonist) in
87 children and adolescents (8 months to 21 years, 4.3 to 83 kg) treated
for systemic-onset juvenile idiopathic arthritis (SJIA) and diverse
autoinflammatory syndromes (Urien 2013). First-order absorption (Ka)
into a single central compartment with first-order elimination; apparent
clearance CL/F and apparent volume V/F are allometrically scaled to body
weight with estimated power exponents (0.47 on CL/F and 0.76 on V/F,
reference 70 kg). Inter-individual variability is reported on CL/F and
between-occasion variability on V/F; no other covariate effect (age,
sex, co-administered anti-inflammatory drugs) was retained.
|
|
Angiotensin
(BuchwalderCsajka 1999)
|
Population pharmacodynamic dose-response model of the peak systolic
(SBP) and diastolic (DBP) blood pressure increase elicited by a single
intravenous bolus of exogenous angiotensin (used as a pharmacologic
probe / ‘challenge’) in 228 healthy male volunteers across 13 phase I
trials of antihypertensive drugs acting on the renin-angiotensin system.
The final structural form is the molecular-weight-corrected Emax model E
= Emax * D / (D + ED50) (Buchwalder-Csajka 1999 Table 1 last row), where
D = DOSE_AGT_UG is the angiotensin challenge dose in ug already
expressed as angiotensin II equivalents (multiply an angiotensin I dose
by Q = 0.78 in data preparation; the paper’s text reports Q = 0.78 as
the molar-weight ratio), and Emax / ED50 are estimated separately for
SBP and DBP. This is a purely algebraic snapshot model: no PK, no time
course, no ODEs. Each observation row in the event dataset carries one
DOSE_AGT_UG value (the dose given just before the peak was sampled) and
yields one peak BP increase. The model is suitable for simulating the
peak BP response to a single angiotensin bolus during dose-finding and
placebo-period segments of an angiotensin-challenge phase I protocol; it
is NOT a model of the antihypertensive drugs whose trials supplied the
data.
|
|
Anifrolumab
(Almquist 2022)
|
Two-compartment QSS-TMDD population PK model for anifrolumab
(anti-IFNAR1 IgG1-kappa) in healthy volunteers and adults with systemic
lupus erythematosus (Almquist 2022): linear plus quasi-steady-state
target-mediated elimination via a dynamic IFNAR1 receptor pool,
time-varying linear clearance (Emax-on-time), and IFNGS-high/low and
body-weight covariate effects.
|
|
Anrukinzumab
(Hua 2015)
|
Two-compartment population PK model for anrukinzumab (anti-IL-13 IgG1
monoclonal antibody) with first-order SC absorption and linear
elimination, pooling healthy volunteers, mild-to-moderate asthma,
moderate-to-severe asthma, and ulcerative colitis patients (Hua 2015)
|
|
Anthracycline
troponinT (deVriesSchultink 2018)
|
Kinetic-pharmacodynamic (K-PD) direct-effect model for serum
high-sensitive cardiac troponin T (hs-TnT) in early-breast-cancer
patients receiving an adjuvant anthracycline regimen (de Vries Schultink
2018). The dose enters a virtual K-PD body amount compartment with
first-order elimination at rate kel; the linear direct effect TRP = TRP0
* (1 + SLOPE * Aant) raises serum troponin T above a population baseline
TRP0 in proportion to the current K-PD amount. The proportional SLOPE is
anthracycline-type dependent: epirubicin produces a 0.524-fold smaller
effect than the doxorubicin reference, encoded jointly by the
CONMED_DOXORUBICIN and CONMED_EPIRUBICIN indicators. No other covariates
retained. Companion file
deVriesSchultink_2018_trastuzumab_LVEF.R consumes the
per-subject peak troponin T from this model as a covariate.
|
|
Anti
tryptase (Rymut 2023)
|
Mechanistic population PK/PD model for the anti-tryptase IgG4 monoclonal
antibody MTPS9579A in healthy adults and adults with moderate-to-severe
asthma (Rymut 2023). Two-compartment serum disposition with first-order
SC absorption and allometric weight scaling on linear CL and central
volume; quasi-equilibrium (QE) TMDD describes saturable binding of
MTPS9579A to total monomeric serum tryptase; a mechanistic airway
interstitial-fluid (ISF) compartment receives free mAb and mAb-monomer
complex from the systemic circulation through lymph flow with vascular
reflection coefficients; in the ISF, tryptase is secreted as the active
tetramer (target_isf), spontaneously dissociates into inactive monomers
(monomer_isf), and is rapidly disrupted by bound mAb (kbreak); free
MTPS9579A binds tetramer and monomer with the same KD. Estimated
systemic TMDD parameters come from a NONMEM 7.4.3 SAEM fit to 106
healthy Phase 1 subjects (Table 1); fixed mechanistic ISF parameters
come from in vitro / physiological literature and from a healthy-subject
visual fit of the upper-airway biodistribution coefficient at 3%
(Methods, Table S2, Figure S2).
|
|
Apixaban
(Ueshima 2018)
|
One-compartment population pharmacokinetic and pharmacogenomic model for
oral apixaban in Japanese adult patients with atrial fibrillation
(Ueshima 2018). Apparent oral clearance CL/F is the sum of an apparent
renal arm (power on creatinine clearance, CCR/70) and an apparent
non-renal arm carrying two recessive-/dominant-style pharmacogenomic
factors: CYP3A5 3 carrier (genotype 1/3 or 3/*3)
reduces non-renal CL/F by a factor of 0.312, and ABCG2 421A/A (rs2231142
homozygous variant) reduces non-renal CL/F by a factor of 0.341.
Apparent volume of distribution Vd/F = 24.7 L (no significant
covariates). Absorption rate constant ka was fixed at 0.42 1/h from a
prior publication (Frost 2013 Br J Clin Pharmacol, reference 13 in the
paper) because the sparse trough-and-2-point-postdose sampling design
lacked enough absorption-phase data to identify ka.
|
|
Apomine
(Bonate 2004)
|
Two-compartment population PK model for oral apomine (a synthetic
bisphosphonate-ester anti-cancer agent) in 38 subjects – 19 healthy
adult males and 19 male and female patients with advanced solid tumours
– pooled from four model-development studies (Bonate 2004 Studies 1, 2,
5, 6) with three validation studies (Studies 3, 4, 7). Apomine is
administered orally with or without food in single and multiple-dose
regimens over 30 to 2100 mg total daily dose. Disposition is a
two-compartment model with linear elimination and a first-order
absorption mixture: a dominant Group 1 subpopulation (97 %, paper P1
logit) with an estimable lag time and faster absorption rate, and a
minority Group 2 subpopulation (3 %) with no lag time and slower
absorption (Table 3). Apparent oral clearance is time-dependent via an
empirical sigmoid Emax auto-induction model in elapsed time (CL = CL0 +
CLmax * time^n / (t50^n + time^n); Table 3), reaching 50 % of the
maximal induction-driven increment in about two days. Relative
bioavailability F1 is dose-saturable (F1 = D50 / (Dose + D50)) with an
additional fractional food effect (1 + theta_food * FED), where the
F1max anchor is structurally fixed at 1 (Table 3). Cancer patients have
lower baseline CL/F and lower central volume than healthy males (encoded
via the DIS_CANCER indicator with log-additive effects e_cancer_cl and
e_cancer_vc back-derived from Table 3); intercompartmental clearance and
peripheral volume are common to both populations. Central volume scales
proportionally with body weight at a fixed allometric exponent of 1.0
(Table 3). A bimodal high-Vp subpopulation observed in the four
healthy-male multiple-dose subjects (Bonate 2004 Study 2) is encoded as
a binary indicator MIX_HIGH_VP multiplying the typical peripheral volume
by 23.5. Inter-occasion variability (18 % on CL and Vc, Table 3) is
omitted from this file because occasion definitions are
study-design-specific (per the standard nlmixr2lib practice; see
vignette Assumptions and deviations).
|
|
Arginine
(Brussee 2016)
|
Two-compartment population PKPD model for intravenous L-arginine
adjunctive therapy in 73 adults with moderately severe falciparum
malaria. Exogenous L-arginine PK is two-compartment IV with allometric
scaling on CL and V1 and a multiplicative Papuan-ethnicity effect on CL.
Endogenous L-arginine concentration follows a second-order polynomial
recovery function indexed from approximately two days before
presentation (start of symptoms); lognormal between-subject variability
multiplies the typical polynomial. Pharmacodynamic output 1 (exhaled NO,
ppb) is linear in the exogenous arginine concentration with a
per-subject baseline. Pharmacodynamic output 2 (reactive-hyperemia
peripheral-arterial-tonometry index, RH-PAT) is linear in the predicted
NO minus its baseline, i.e., linear in the exogenous arginine
concentration.
|
|
Aripiprazole
(Kim 2008)
|
Joint one-compartment population PK model for oral aripiprazole and its
active metabolite dehydroaripiprazole in 80 Korean psychiatric patients
(Kim 2008). First-order absorption (Ka FIXED at 1.06 1/h per a prior
popPK analysis; the sparse-sampling design could not identify Ka) into a
single aripiprazole central compartment with first-order elimination,
and a metabolite central compartment that receives the entire parent
elimination flux (fm = 1 assumed for identifiability; metabolite CL and
V are apparent values scaled by the unknown fm and reported as CL(m)/fm
and V(m)/fm) with first-order elimination of dehydroaripiprazole.
Covariate analysis retained CYP2D6 genetic polymorphisms as the only
significant covariate on parent CL/F, with four genotype strata fit as
independent typical-value clearances (Group I 3.15 L/h, Group II 2.66,
Group III 2.27, Group IV 1.83); the paper rejected pooling Groups I+II
+III into a single CYP2D6 extensive-metabolizer stratum (uniting them
increased OFV by 15.8 points). Age, body weight, gender, and CYP3A5
genetic polymorphisms were screened and not retained. Inter-individual
variability is fit on CL/F (shared across strata), V/F, and CL(m)/fm
with an estimated covariance between CL/F and CL(m)/fm (value not
reported by the paper; see vignette Assumptions and deviations). A
proportional residual-error model is used separately for aripiprazole
and dehydroaripiprazole.
|
|
Aripiprazole
(Knights 2015)
|
Two-compartment population PK model for oral aripiprazole in adult
psychiatric patients (Knights 2015), with first-order absorption,
linear-deviation weight (gated by WT < 115 kg) and age effects on
apparent oral clearance, multiplicative CYP2D6 poor-metabolizer effect
on CL/F, linear weight (gated by WT < 115 kg) and age effects with
multiplicative female-sex effect on the peripheral volume, linear weight
(gated by WT < 115 kg) effect with multiplicative female-sex effect
on apparent inter-compartmental clearance, correlated inter-individual
variability across Vc/F, Q/F, and Vp/F, independent IIV on ka and CL/F,
and a proportional residual error.
|
|
Aripiprazole
(Koue 2007)
|
Two-compartment population PK model for oral aripiprazole in healthy
Japanese male volunteers (Koue 2007), with first-order absorption, an
absorption lag time, body-weight linear scaling on Vc/F, Vp/F, Q/F, and
CL/F, additive linear-deviation CYP2D6 intermediate- and
poor-metabolizer effects on CL/F (Group 1 = extensive metabolizer
reference), an additive linear-deviation itraconazole-coadministration
(CYP3A4 inhibitor) effect on CL/F, independent inter-individual
variability on every structural parameter, and a log-normal
(exponential) residual error.
|
|
Artemether
(Hietala 2010)
|
Joint parent-metabolite population PK model for oral artemether (ARM)
and its active metabolite dihydroartemisinin (DHA) in 50 Tanzanian
children (ages 1-10 years, weights 8-30 kg) with uncomplicated
Plasmodium falciparum malaria treated with the standard six-dose
weight-based Coartem (artemether 20 mg + lumefantrine 120 mg per tablet)
regimen at 0, 8, 24, 36, 48, and 60 hours (Hietala 2010). Absorption is
first-order with ka fixed at 1/h. Disposition is two-compartment for ARM
with complete in-vivo conversion to DHA (bioavailability of DHA fixed at
1 to render the metabolite model identifiable); DHA disposition is
one-compartment. The apparent oral clearance of ARM is time-dependent
with a linear increase per dose number occasion (CL/F_ARM = theta1 * (1
+ theta2 * (OCC - 1)), OCC = 1..6), reproducing a ~3.4-fold rise over
the six-dose regimen attributed to enzyme induction. All PK parameters
are reported per kilogram body weight (linear weight normalisation
applied inside model()).
|
|
Artemether
(Hoglund 2015)
|
Joint parent-metabolite population PK model for oral artemether and its
active metabolite dihydroartemisinin (DHA) in 89 HIV-infected Ugandan
adults receiving artemether-lumefantrine (Coartem) with or without
concomitant antiretroviral therapy (efavirenz, nevirapine, or
lopinavir/ritonavir) (Hoglund 2015). 3-transit-compartment absorption
with ka = ktr feeds a 1-compartment artemether disposition; complete
in-vivo conversion of artemether to a 1-compartment DHA disposition with
stoichiometric molar conversion. Enzymatic auto-induction of the
first-pass demethylation of artemether is modelled as a Hill function of
time-since-first-dose with fixed maximum maturation (100 % increase in
apparent CL) and fixed maturation half-time (62 h, literature value) and
an estimated Hill coefficient (0.445). Relative bioavailability F is
anchored at 1 (fixed) with log-normal IIV (58.6 % CV). Three
antiretroviral drug-drug interactions are encoded as linear-deviation
effects: lopinavir/ritonavir increases AM CL/F by 32.8 % and DHA CL/F by
143 %; efavirenz and nevirapine decrease relative bioavailability by
71.5 % and 66.3 % respectively; nevirapine additionally decreases DHA
CL/F by 44.5 %. IIV is retained on AM CL, DHA CL, the mean transit time,
and F. NONMEM additive residual error on log-transformed concentrations
is encoded as a proportional residual in linear concentration space for
both parent and metabolite.
|
|
Artemether
(Mosha 2014)
|
Joint parent-metabolite population PK model for oral artemether (AM) and
dihydroartemisinin (DHA) in 33 pregnant (2nd or 3rd trimester) and 22
non-pregnant women with uncomplicated Plasmodium falciparum malaria in
Rufiji, Tanzania after standard fixed-dose artemether-lumefantrine
(Mosha 2014). One-compartment AM disposition with first-order absorption
and linear metabolism to a one-compartment DHA disposition, including a
presystemic AM-to-DHA conversion fraction (1 - F1) with F1 =
expit(logit_F1) parameterised on the logit scale. Absorption ka fixed at
0.70 1/h and DHA volume fixed equal to AM Vc per the source paper. IIV
is present only on AM CL (99% CV); the remaining structural parameters
carry no IIV in the final model. None of the available covariates
(pregnancy, body weight, BMI, age, gestational age, diarrhoea) reached
statistical significance on AM or DHA PK in Mosha 2014 and so none are
encoded. AM residual error is combined (proportional plus additive); DHA
residual error is proportional.
|
|
Artemether
(Tarning 2012)
|
Joint parent-metabolite population PK model for oral artemether and its
active metabolite dihydroartemisinin (DHA) in 21 pregnant women (2nd or
3rd trimester) with uncomplicated Plasmodium falciparum malaria in
Uganda after the standard fixed-dose oral artemether-lumefantrine
regimen (Tarning 2012). Absorption is flexible: zero-order dissolution
into a depot of duration DUR feeds a 6-compartment transit chain at rate
ktr; the same ktr empties transit6 into central (ka set equal to ktr).
Disposition is 1-compartment for both artemether and DHA with complete
in-vivo conversion of artemether to DHA. Relative bioavailability F is
fixed at 1 with log-normal IIV; no statistically significant covariates
were retained in the final model (Methods / Results); a single combined
additive residual on log-transformed plasma concentrations is shared by
both species.
|
|
Artemether
parasitemia (Hietala 2010)
|
Joint artemether (ARM) + dihydroartemisinin (DHA) PK model coupled to a
semimechanistic Plasmodium falciparum parasite life-cycle PD model in
Tanzanian children (ages 1-10 years, weights 8-30 kg) with uncomplicated
falciparum malaria (Hietala 2010). The PK is the same Table 1
two-compartment ARM (with time-dependent CL/F_ARM via the OCC
dose-occasion covariate) and one-compartment DHA structure as
modellib(‘Hietala_2010_artemether’). The PD (Table 3) is a five-stage
parasite life-cycle model: parasites mature through tinyrings (PTR),
smallrings (PSR), largerings (PLR), and mature trophozoites / schizonts
(PMT), and parasites killed or injured by drug accumulate in a spleen
compartment (Pspleen) before clearance at a fixed elimination rate
k_spleen = 0.26 / h (Gordi et al. 2002, ref 9). Replication is encoded
as a multiplication factor REPL_p applied to the PMT -> PTR transit
(estimated to 4 in symptomatic patients; fixed to 1 in asymptomatic
children, not encoded in this file). Drug killing is modelled on all
visible developmental stages as k_ARM = S * log[ARM] and k_DHA = S *
log[DHA] with shared slope S_ARMDHA = 0.073 (Table 3). Visible
parasitemia is the sum of the ring-stage compartments plus the spleen
pool. Lumefantrine effect was tested but not retained in the source
paper and is intentionally absent from this model.
|
|
Artemisinin
(Asimus 2007)
|
Semiphysiological autoinduction popPK model for oral artemisinin, fit to
pooled plasma data from six clinical studies (33 healthy male Vietnamese
volunteers + 54 male falciparum-malaria patients). The structural model
is identical to the original Gordi 2005 saliva-based model except no
absorption lag-time is estimated. Three artemisinin compartments (gut
depot, liver V_H = 1 L fixed, sampling V_S = 26.1 L) are linked in a
circular well-stirred-hepatic-extraction loop with hepatic plasma flow
Q_H = 0.63 L/h/kg of body weight. Two enzyme states (precursor1 + enzyme
pool) drive autoinduction: hepatic artemisinin amount linearly
stimulates precursor formation (slope s_ind); the precursor transitions
to enzyme with rate constant kpout = 1/MIT = 1/(2.0 h); the enzyme
decays with first-order rate kdeg = ln(2)/94 h. Intrinsic clearance is
proportional to enzyme amount and saturates in hepatic concentration via
Michaelis-Menten kinetics (CL_int,t = vmax * enzyme / (km + C_H)),
giving a pre-induced hepatic extraction E_H = 0.74 increasing to 0.98
after autoinduction (a roughly 13-fold drop in oral bioavailability with
only a modest change in systemic clearance).
|
|
Artemisinin
(Birgersson 2016)
|
One-compartment population PK model for oral artemisinin in 15 healthy
male Vietnamese volunteers, with a seven-compartment transit-absorption
chain (number of transits fixed at 7). The published final model carries
inter-occasion variability on apparent clearance and mean transit-time
and inter-individual variability on relative bioavailability; for
forward simulation in nlmixr2lib the IOV terms are mapped onto etas
(etalcl, etalmtt) so a single-occasion simulation reproduces the
population variability. The published full covariate analysis found no
clinically significant effect (>20 %) of formulation, dose level (160
vs 500 mg), or concomitant piperaquine on the structural PK parameters,
so no covariates are carried in the model.
|
|
Artemisinin
(Sidhu 1998)
|
One-compartment population PK model with first-order absorption for oral
artemisinin in 23 paediatric (2-12 y) and 31 adult (16-45 y) Vietnamese
patients with uncomplicated falciparum malaria, fit to sparse capillary
plasma samples from a 5-day 10 mg/kg/day field-setting regimen. Separate
population estimates for CL/F and V/F are carried for adults
(per-subject) and children (per-kg body weight) via a CHILD age-group
covariate. Time-dependency in artemisinin disposition is modelled as a
6.9-fold systematic decrease in oral bioavailability between the Day 1
and Day 5 doses, with the published inter-occasion variability on
apparent CL/F and V/F retained per occasion. Inter-individual
variability on CL/F and V/F is collectively estimated for both age
groups; the published etaCL/etaVc correlation ‘near unity’ is encoded at
0.95 for numerical stability.
|
|
Artesunate
(Hendriksen 2013)
|
Joint parent-metabolite population PK model of intramuscular artesunate
(ARS) and its active metabolite dihydroartemisinin (DHA) in 70 African
children aged 7 months to 11 years admitted with severe Plasmodium
falciparum malaria (Hendriksen 2013). Each species has a one-compartment
apparent-volume disposition; ARS is delivered by a zero-order input over
a 1-min fixed duration (the IM absorption from the injection site, fixed
because too few samples were collected during the absorption phase to
identify the rate) and is converted mole-for-mole to DHA with no
separate parent elimination. Body weight is the dominant covariate
(allometric scaling with fixed exponents 0.75 on apparent clearance and
1.0 on apparent volume for both species; reference 10.9 kg), with
hemoglobin additionally lowering DHA clearance by 10.2% per g/dL above
the reference 7.1 g/dL.
|
|
Artesunate
(LohyDas 2018)
|
Joint parent-metabolite population PK model of oral artesunate (ARS) and
its active metabolite dihydroartemisinin (DHA) in 50 adult patients with
uncomplicated, artemisinin sensitive or resistant Plasmodium falciparum
malaria in southern Myanmar (Lohy Das 2018, Malaria Journal). ARS
absorption is described by a 3-transit-compartment chain (n = 3 fixed)
followed by a one-compartment ARS disposition; complete in-vivo
conversion of ARS to DHA is assumed (all ARS clearance is metabolic
conversion). DHA disposition is one-compartment. Allometric body-weight
scaling is applied to all CL (exponent 0.75) and V (exponent 1.0)
parameters, centered on the population-median 50 kg. F is fixed at 1.
The packaged model file omits the published time-varying
parasite-density covariates on MTT and on F (Eqs. 3 and 4) and the
entire PD layer (mixture-Emax parasite-killing model with effect
compartment); both depend on the upstream Lohy Das 2017 AAPS J paper
(ref [36]) which is not on disk. See the vignette’s Assumptions and
deviations section for the rationale.
|
|
Artesunate
(Morris 2011)
|
Joint parent-metabolite population PK model for single-dose oral
artesunate (AS) and its active metabolite dihydroartemisinin (DHA) in 26
pregnant and 25 non-pregnant women with asymptomatic Plasmodium
falciparum malaria in the Democratic Republic of Congo (Morris 2011).
Each species has a one-compartment apparent-volume disposition, with
mixed zero-order plus lagged first-order absorption of AS and complete
in-vivo conversion of AS to DHA (no separate AS elimination). Pregnancy
increases DHA apparent clearance by 42.3% relative to non-pregnant
controls (the only retained covariate); the postpartum sub-cohort could
not be characterised by a structural model and is not represented.
|
|
Artesunate
(Simpson 2013)
|
In vitro (P. falciparum). Sigmoid Emax inhibition model of artesunate
effect on hypoxanthine uptake by clinical Plasmodium falciparum isolates
from the Thai-Myanmar border (Shoklo Malaria Research Unit, 1993-2005),
with pfmdr1 genotype covariate effects on EC50. The ‘subject’ in the
NLME framework is a parasite isolate (n=474 isolates with artesunate
data). STIM_ARTESUNATE_NM is the per-well drug concentration in the in
vitro hypoxanthine-uptake-inhibition assay; the model has no PK and no
time evolution. E0 and Emax are fixed per Simpson 2013 Table 3 footnote.
|
|
Artesunate
(Tan 2009)
|
Joint parent-metabolite population PK model of oral artesunate (AS) and
its active metabolite dihydroartemisinin (DHA) in 91 healthy Korean
adult volunteers (Tan 2009). AS is described by a one-compartment
first-order absorption / first-order elimination disposition; DHA by a
two-compartment disposition (central + peripheral). AS is converted
mole-for-mole to DHA as the only elimination pathway. Body weight
linearly increases DHA apparent clearance (1.9 L/h per kg above the 61.5
kg reference) and a high-fat / high-caloric meal at dosing reduces AS
absorption rate Ka by 84%. Subjects pooled across four Phase I studies
(single-dose ascending, drug-interaction with pyronaridine, food-effect,
and three-day multiple-dose) at 2-5 mg/kg oral AS.
|
|
Asenapine
(Dogterom 2018)
|
Two-compartment population PK model with first-order sublingual
absorption for asenapine in pediatric patients (aged 10-17 years) with
schizophrenia, bipolar I disorder, or other psychiatric disorders
(Dogterom 2018 Drug Design, Development and Therapy). Central /
peripheral volumes and absorption-rate constant were fixed from a Phase
I-only fit; no intrinsic covariate (age, BMI, race, sex) was retained in
the final model. Residual error switches per observation between
intensive Phase I PK sampling (27.8% CV) and sparse Phase III efficacy
sampling (56.0% CV), with an additional between-subject scaling of the
residual SD (19.2% CV).
|
|
Astegolimab
(Kotani 2022)
|
Two-compartment population PK model for astegolimab (anti-ST2 IgG2) in
adults with severe asthma (Kotani 2022)
|
|
Asundexian
(Yassen 2025)
|
Two-compartment population PK model with two transit absorption
compartments for asundexian, an oral selective Factor XIa inhibitor, in
healthy volunteers and adult patients at risk for thromboembolic /
cardiovascular events (Yassen 2025)
|
|
AT9283
(Duong 2017)
|
Two-compartment IV population PK model for AT9283 (aurora kinase
inhibitor) in adults and children with leukaemia or solid tumours (Duong
2017): allometric body-weight scaling on all four disposition parameters
(CL, Vc, Q, Vp) with a power effect of estimated GFR on CL. Population
residual error switches between adults (combined additive +
proportional) and children (additive only) via the CHILD binary
indicator.
|
|
Atazanavir
(Colombo 2006)
|
One-compartment first-order-absorption population PK model with
absorption lag-time for orally administered atazanavir in HIV-1 infected
adults; binary low-dose ritonavir (RTV) coadministration reduces
apparent oral clearance by 46% (Colombo 2006).
|
|
Atazanavir
(Dickinson 2009)
|
One-compartment first-order-absorption population PK model with
absorption lag-time for oral ritonavir-boosted atazanavir in
HIV-infected adults and healthy volunteers; ritonavir AUC0-24 (median
7.52 mg*h/L) enters CL/F via a power function (Dickinson 2009).
|
|
Atazanavir
(Foissac 2011)
|
One-compartment first-order-absorption population PK model for orally
administered atazanavir in 51 HIV-1-infected children and adolescents
(3-18 years, 13-79 kg) on therapeutic drug monitoring. Body weight is
carried through a fixed-exponent allometric scaling on CL/F (0.75) and
V/F (1.0) referenced to 70 kg. Two binary co-medication indicators enter
linearly on apparent oral clearance: low-dose ritonavir as a PK booster
reduces CL/F (the typical CL/F = 7.1 L/h is the RTV-boosted reference,
and absence of ritonavir multiplies CL/F by 1.80) and concomitant 300 mg
tenofovir disoproxil fumarate increases CL/F by 25%. Between-subject
variability is retained only on CL/F; residual error is proportional
(Foissac 2011).
|
|
Atazanavir
(Hong 2011)
|
C0-delinked one-compartment first-order-absorption population PK model
with absorption lag-time for orally administered atazanavir (ATV) in
HIV-infected adults and pediatric patients (3 months to 21 years), with
covariate effects of age (ka), body weight (CL/F, V/F), sex, study-site
region (Africa), ritonavir comedication (CL/F and Frel), and
capsule-vs-powder formulation (Frel) (Hong 2011).
|
|
Atazanavir
(Rekic 2011)
|
Population PK / PD model for atazanavir (boosted with ritonavir 100 mg
QD) and its concentration-dependent effect on plasma bilirubin in adult
antiretroviral-naive HIV-positive patients from the NORTHIV trial (Rekic
2011). Atazanavir disposition is described by a one-compartment model
with first-order absorption and an absorption lag, fitted to
log-transformed plasma atazanavir concentrations; ka and the lag time
were fixed to the published values from the Colombo 2006 atazanavir
popPK report (ref 27) because sparse absorption-phase sampling did not
support their re-estimation, and CL/F and V/F were re-estimated under
fixed allometric scaling on body weight centred at 70 kg (exponents 0.75
on CL/F and 1 on V/F, both fixed a priori). The bilirubin response is
described by an indirect-response (turnover) model with
concentration-dependent inhibition of the fractional turnover rate kout:
dB/dt = kin - kout * (1 - Imax * Cc / (IC50 + Cc)) * B, with kin
re-parameterised at steady state as kin = kout * Baseline.
Inter-individual variability is supported only on V/F, CL/F (PK), and
bilirubin baseline (PD); the paper notes that the data did not support
IIV on the remaining PD parameters. PK residual variability is
proportional; bilirubin residual variability is combined additive +
proportional (the paper’s ‘slope-intercept’ model).
|
|
Atazanavir
ritonavir (Molto 2016)
|
Simultaneous one-compartment popPK model for oral atazanavir (ATV,
parent / substrate) and ritonavir (RTV, sibling-drug suffix _rtv) in 83
HIV-1-infected Caucasian adults receiving either ATV 400 mg or ATV 300
mg + RTV 100 mg once daily. Both drugs use a Savic transit- compartment
absorption chain (ATV: N = 7, MTT = 0.80 h, ka = 2.05 1/h; RTV: N = 11,
MTT = 0.522 h, ka = 1.21 1/h) feeding a depot, followed by first-order
elimination from a one-compartment central. ATV apparent clearance is
exponentially inhibited by RTV plasma concentration: CL/F_ATV(t) =
exp(lcl) * exp(-e_crtv_cl * C_RTV(t)) with the unboosted CL/F_ATV = 11.7
L/h and inhibition coefficient 0.296 L/mg. This functional form
reproduces the paper’s reported ~18% reduction in ATV CL at the
cohort-mean RTV concentration of 0.63 mg/L and explains 17.5% of
inter-individual variability in ATV CL. Demographic covariates (weight
allometric, gender, age, TDF, HCV, dose-timing, AAG, albumin) were
screened by GAM and tested in NONMEM but not retained; an Emax-form and
a linear-form inhibition were also tested and rejected (Emax:
unrealistic estimates; linear: biased fit). IIV on ka / CL/F / V/F is
reported for both drugs with unusually large IIV on absorption (~200%
CV) confirmed in the paper Results. ATV residual error is combined
(27.0% proportional + 0.07 mg/L additive); RTV residual error is
proportional only (28.0%; the additive component of the initial combined
error was deleted as negligible) (Molto 2016).
|
|
Atazanavir
ritonavir (Schipani 2013)
|
Simultaneous one-compartment first-order-absorption popPK model for oral
atazanavir (ATV) and ritonavir (RTV) in 30 HIV-infected adults receiving
ATV/RTV 300/100 mg once daily, with a direct sigmoidal-Emax inhibition
of ATV apparent clearance by RTV plasma concentration (Imax = 0.988,
IC50 = 0.221 mg/L). Both drugs share a one-compartment structure with
first-order absorption and an absorption lag time; ka values are fixed
to the separate-model final estimates (ATV ka = 1.81 1/h, RTV ka = 0.898
1/h) because joint estimation produced numerical instability.
Inter-individual variability is carried on V/F for both drugs and on
CL/F for RTV (correlated with V/F RTV, rho = 0.75); ATV CL/F is fitted
without IIV. Demographic covariates and tenofovir co-administration were
tested and none retained (Schipani 2013).
|
|
Atorvastatin
(Kakara 2014)
|
PD-only indirect-response Imax model for LDL-cholesterol lowering by
atorvastatin (Kakara 2014). One LDL-C compartment with zero-order
synthesis Kin inhibited by Imax * DOSE / (ID50 + DOSE), where DOSE is
the current daily atorvastatin dose (mg/day) supplied as a time-varying
covariate column. An additive 0.109 contribution to the inhibition
fraction is applied when ezetimibe is coadministered (CONMED_EZE = 1).
The LDL-C synthesis-elimination loop is set up at steady state by
enforcing Kin = Baseline * Kout (Kout derived inside model() as Kin /
Baseline). Baseline LDL-C is age-scaled as 152 * (AGE/62)^(-0.240). Imax
(0.567), Kin (32.8 mg/dL/day), Baseline (152 mg/dL), the age power
exponent (-0.240), the ezetimibe INH contribution (0.109), and the IIV
magnitudes are shared with Kakara_2014_pitavastatin and
Kakara_2014_rosuvastatin (one joint NONMEM 7.2 FOCE-INTER fit across 378
patients). Atorvastatin ID50 = 2.22 mg per Kakara 2014 Table 2.
|
|
Avelumab
(Masters 2022)
|
Two-compartment population PK model for avelumab (anti-PD-L1 IgG1) with
time-dependent clearance in patients with advanced solid tumors (Masters
2022)
|
|
Axatilimab
(Yang 2024)
|
Semimechanistic population PK/PD model for axatilimab (anti-CSF-1R IgG4
monoclonal antibody) in healthy adults, patients with advanced solid
tumors, and patients with chronic graft-versus-host disease (Yang 2024).
Two-compartment IV PK with parallel linear clearance and CSF-1R-mediated
saturable elimination via competitive Hill binding with circulating
CSF-1; CSF-1, NCMC, AST, and CPK pharmacodynamics integrated as turnover
indirect-response biomarkers.
|
|
Axitinib
(Garrett 2014)
|
Two-compartment population PK model for axitinib in healthy volunteers
(Garrett 2014). First-order absorption with fixed lag time, allometric
power-form effect of body weight on the central volume of distribution
(reference 75 kg), linear-proportional fasting effects on the
first-order absorption rate constant ka and on bioavailability F, and a
linear-proportional reduction in F for the marketed crystal polymorph
Form XLI relative to the earlier Form IV reference. Pooled data from 337
healthy subjects across ten Pfizer Phase I studies.
|
|
Axomadol
(MangasSanjuan 2016)
|
Semi-physiological population pharmacokinetic and joint pharmacodynamic
model of axomadol (a racemic analgesic with opioid agonistic and
monoamine-reuptake-inhibitor activity) and its O-demethyl (ODM)
metabolite in healthy adult volunteers. The PK structure carries two
parallel enantiomer chains (RR-suffix r and SS-suffix s), each
consisting of a first-order absorption depot, a liver compartment
mimicking first-pass conversion, a parent central compartment, and a
metabolite central compartment. Within each enantiomer the parent and
metabolite share a single apparent volume of distribution (VP = VM) and
share a single typical first-order elimination rate constant (kP0 =
kM0), although between-subject variability is estimated separately for
the two elimination pathways. The PD layer is shared across the
enantiomer chains and is driven by the SS parent in plasma (mydriatic
Emax) and by the RR metabolite at a hysteresis effect site (linearly
miotic). Pupil diameter is the sum of those two opposing effects;
cold-pressor analgesic AUC is a linear function of the parent and
metabolite contributions to pupil diameter. Parameter values are from
Mangas-Sanjuan et al. 2016 Tables 2, 4, and 5.
|
|
Azithromycin
(Merchan 2015)
|
Population PK model for intravenous azithromycin in preterm neonates at
risk for Ureaplasma respiratory tract colonization (Merchan 2015).
Pooled re-analysis of three studies (single 10 mg/kg, single 20 mg/kg,
and 3 daily doses of 20 mg/kg). Two-compartment linear model with all PK
parameters allometrically scaled on body weight: fixed exponent 0.75 on
CL and Q, fixed exponent 1.0 on V1 and V2, reference body weight 1 kg.
|
|
Azithromycin
(Sampson 2014)
|
Four-compartment mamillary population PK model for oral azithromycin
simultaneously describing concentrations in whole blood, peripheral
blood mononuclear cells (PBMCs), and polymorphonuclear cells (PMNs) in
healthy adults (Sampson 2014). First-order absorption with lag;
unidirectional flow from central to PBMC and to PMN compartments;
bidirectional flow between central and a peripheral tissue compartment;
elimination from central, PBMC, and PMN compartments. The observed
whole-blood concentration is a weighted sum of plasma, PBMC, and PMN
concentrations.
|
|
Azithromycin
(Zheng 2014)
|
Semi-mechanistic tissue distribution population PK model for oral
azithromycin in healthy adults (Zheng 2014). Three-compartment plasma PK
(depot with absorption lag time and first-order absorption, central, two
peripheral compartments) with concentration-dependent fraction unbound
in plasma (equation 1). Three tissue distribution compartments (muscle
interstitial space fluid, subcutaneous adipose tissue interstitial space
fluid, polymorphonuclear-leukocyte (PML) cytosol) each driven by free
unbound (or, for PML cytosol, free unionized) plasma drug via
first-order rate constants kin and kout, with tissue-specific
distribution factors df_muscle, df_adipose, df_pmn that scale the
steady-state tissue:plasma free-unbound ratio. Each tissue compartment
also exchanges with a deep nonspecific phospholipid-binding compartment
via shared kon and koff (Methods equations 1-13).
|
|
Azithromycin
(Zheng 2018)
|
Pediatric population PK model for intravenous azithromycin in children
with community-acquired pneumonia (Zheng 2018). Two-compartment model
with linear elimination, allometric scaling on clearance and
intercompartmental clearance (exponent 0.75 fixed) and on central and
peripheral volumes (exponent 1.0 fixed) with reference body weight 21.5
kg, and a binary alanine aminotransferase covariate that reduces CL by
24 percent when ALT > 40 IU/L.
|
|
Bapineuzumab
(Hu 2014)
|
Two-compartment population PK model for bapineuzumab in adults with
mild-to-moderate Alzheimer’s disease following IV administration (Hu
2014, reduced model)
|
|
BAY81
8973 (Garmann 2017)
|
Two-compartment population PK model for BAY 81-8973 (Kovaltry,
full-length unmodified recombinant human factor VIII) in patients with
severe haemophilia A aged 1-61 years pooled from the LEOPOLD I, II and
Kids trials (Garmann 2017). Final model uses NONMEM M3 likelihood for
samples below the chromogenic-assay limit of quantitation (1.5 IU/dL).
|
|
BAY94
9027 (Solms 2020)
|
One-compartment population PK model for BAY 94-9027 (damoctocog alfa
pegol, Jivi, an extended-half-life site-specifically PEGylated
B-domain-deleted recombinant factor VIII) in 198 male patients aged 2-62
years with severe haemophilia A pooled from the BAY 94-9027 phase I
(NCT01184820), PROTECT VIII (NCT01580293), and PROTECT VIII Kids
(NCT01775618) trials (Solms 2020). Final chromogenic-assay model has
lean body weight (LBW) as a power-form covariate on CL and Vc and von
Willebrand factor antigen (VWF) as a power-form covariate on CL;
between-subject variability is a BLOCK(2) on CL and Vc with correlation
0.449; residual error is combined additive plus proportional. NONMEM M3
likelihood was used for samples below the chromogenic-assay lower limit
of quantitation (1.5-3 IU/dL).
|
|
Bedaquiline
(Svensson 2013)
|
Three-compartment population PK model for bedaquiline (BDQ) with a
two-compartment N-desmethyl metabolite M2 and a two-compartment
N,N-bis-desmethyl metabolite M3 in healthy adult volunteers following
single 400 mg oral doses, with Savic 2007 analytical transit-compartment
absorption (non-integer NN feeding a first-order depot at rate ka) and
an instantaneous-switch concomitant-efavirenz induction factor of 2.07
on apparent CL_BDQ and CL_M2 and 1.12 on apparent CL_M3, applied from 1
week after the start of 600 mg once-nightly efavirenz co-administration.
|
|
Bedaquiline
(Svensson 2014)
|
Three-compartment population PK model for bedaquiline (BDQ) and a
two-compartment N-desmethyl metabolite M2 in healthy adult volunteers
following single 400 mg oral doses, with Savic 2007 analytical
transit-compartment absorption (non-integer NN feeding a first-order
depot at rate ka), fixed allometric scaling on disposition (0.75 on CL/Q
at 70 kg, 1 on Vc/Vp), and multiplicative rifampicin or rifapentine
drug-drug-interaction factors of 4.78 and 3.96 on bedaquiline and M2
apparent clearance, applied at full induction from day 3 of rifamycin
co-administration.
|
|
Bedaquiline
(Svensson 2017)
|
Pharmacodynamic exposure-response model for the mycobacterial load (MBL,
n bacteria per sample inoculum) in adult patients with drug-resistant
pulmonary tuberculosis treated with bedaquiline plus an optimized
background regimen. The latent MBL state declines mono-exponentially
with a half-life HL that is prolonged by 28.1% in patients with pre-XDR
or XDR tuberculosis and shortened by individual bedaquiline
weekly-average plasma concentration CAV via an Emax model with the
maximum fractional effect on HL fixed at -100% (EC50 1.42 mg/L). The
per-subject starting MBL_0 is informed by the baseline mean
Time-to-Positivity in MGIT liquid culture (TTP_MGIT_BASE) via a
power-form covariate (exponent -3.69 around the cohort median 6.8 days).
Inter-individual variability on log HL uses a Box-Cox-transformed eta
distribution (Petersson 2009 form, shape 0.66, variance 0.33);
inter-occasion variability in sputum sampling on log MBL (variance 3.71)
is folded into the residual log-scale error. The Svensson 2017 source’s
full 3-component model (longitudinal MBL plus per-sample probability of
bacterial presence plus MGIT-tube logistic-growth-driven time-to-event
for observed TTP) is reduced here to the MBL component, with the latent
MBL state treated directly as the observable; the
probability-of-presence and tube-growth-driven TTP machinery are
measurement-model artifacts of how MBL was inferred from TTP data and
are dropped (see vignette Assumptions and deviations). Bedaquiline CAV
is supplied as a time-varying covariate column from any popPK source;
the upstream popPK paper (Svensson 2016 CPT PSP, reference 21) is
shipped in nlmixr2lib as modellib(‘Svensson_2016_bedaquiline’).
|
|
Bedaquiline
(Svensson 2018)
|
Three-compartment population PK model for the antimycobacterial
bedaquiline (BDQ) and a two-compartment N-desmethyl metabolite M2 in
healthy adult volunteers following single 400 mg oral doses, with
four-transit-compartment first-order absorption (rate of absorption from
the last transit compartment fixed equal to the inter-transit transfer
rate, i.e. KA = KTR) and a multiplicative formulation effect adding 23%
to the typical mean absorption time when the four 100 mg tablets are
suspended in water before swallowing relative to swallowing the tablets
whole.
|
|
Bedaquiline
lpvr (Svensson 2014)
|
Three-compartment population PK model for bedaquiline (BDQ) and a
two-compartment N-desmethyl metabolite M2 in healthy adult volunteers
following single 400 mg oral doses, with Savic 2007 analytical
transit-compartment absorption (non-integer NN feeding a first-order
depot at rate ka), fixed allometric scaling on disposition (0.75 on CL/Q
at 70 kg, 1 on Vc/Vp), and multiplicative ritonavir-boosted lopinavir
(LPV/r) drug-drug-interaction factors of 0.347 on bedaquiline apparent
clearance and 0.578 on M2 apparent clearance during LPV/r
co-administration (study C110).
|
|
Bedaquiline
nvp (Svensson 2014)
|
Three-compartment population PK model for bedaquiline (BDQ) and a
two-compartment N-desmethyl metabolite M2 in HIV-1-infected ART-naive
adult volunteers following single 400 mg oral doses, with Savic 2007
analytical transit-compartment absorption (non-integer NN feeding a
first-order depot at rate ka), fixed allometric scaling on disposition
(0.75 on CL/Q at 70 kg, 1 on Vc/Vp), and multiplicative nevirapine (NVP)
drug-drug-interaction factors of 0.915 on bedaquiline and 1.05 on M2
apparent clearances during steady-state NVP co-administration (study
C117). The factors are fixed-effects only because BSV on the NVP
interaction effects was not estimated.
|
|
Belantamab
(Papathanasiou 2025)
|
Two-compartment population PK model for the antibody-drug conjugate
(ADC) belantamab mafodotin in patients with relapsed/refractory multiple
myeloma, with sigmoidal time-varying clearance and covariate effects of
baseline body weight, BMI, albumin, soluble BCMA, serum IgG, race, and
combination therapy (Papathanasiou 2025; ADC moiety only – the
cys-mcMMAF payload sub-model is not included; see vignette for
rationale)
|
|
Belatacept
(Shen 2013)
|
PK/PD model for belatacept (CTLA-4/IgG1 fusion protein, selective T-cell
co-stimulation blocker) in adult kidney transplant recipients (Shen
2013). The PK side is a one-compartment IV-infusion model derived from
the paper’s noncompartmental analysis (Table 1, 10 mg/kg substudy, n =
10): typical clearance and volume for a 70 kg adult are set so the model
reproduces the reported geometric-mean CL, Vss, AUC over a 4-week dosing
interval, and ~8-9 day terminal half-life. The PD side is the inhibitory
Emax model of Eq. 2 (Section 3.2, n = 62 in the phase II
corticosteroid-avoidance substudy IM103034) describing free CD86
receptor expression on peripheral-blood monocytes (MESF) as E0 - Emax *
Cc / (EC50 + Cc); CD86 receptor occupancy is derived as 100 * (E0 -
freeCD86) / E0. Belatacept exhibited linear PK across 5-10 mg/kg with
relatively low between-subject variability; the full population PK with
body-weight covariates was published separately by Zhou et al. (2012)
and is not refit here.
|
|
Belimumab
(Struemper 2017)
|
Linear two-compartment subcutaneous population PK model for belimumab in
healthy volunteers and adult patients with systemic lupus erythematosus,
with first-order absorption + lag time, allometric body-weight scaling
on CL/Vc/Q/Vp, and baseline BMI on Vc and baseline albumin and IgG on CL
(Struemper 2017)
|
|
Belimumab
(Zhou 2021)
|
Linear two-compartment IV population PK model for belimumab in Chinese
and non-Chinese adult and pediatric patients with systemic lupus
erythematosus (Zhou 2021)
|
|
Benralizumab
(Wang 2017)
|
Two compartment PK model of benralizumab (anti-IL-5Ralpha) in healthy
volunteers and patients with asthma (Wang 2017)
|
|
Benznidazole
(Soy 2015)
|
One-compartment population PK model with first-order absorption and
first-order elimination for oral benznidazole in adult patients with
chronic Chagas disease (Soy 2015; CINEBENZ trial, n = 39 index plus n =
10 external validation). Apparent clearance CL/F = 1.73 L/h, apparent
volume of distribution V/F = 89.6 L, and absorption rate constant Ka =
1.15 1/h fixed from the literature (Raaflaub & Ziegler 1979).
Inter-individual variability is on CL/F (33.4% CV) and V/F (68.8% CV);
inter-occasion variability is on CL/F (29.5% CV), folded into the CL/F
eta as BSV-equivalent for forward simulation. Residual error is combined
additive (0.57 mg/L) plus proportional (19.53% CV). No demographic or
biological covariates were retained in the final model.
|
|
Benzylpenicillin
(Nielsen 2011)
|
In vitro (Streptococcus pyogenes M12 NCTC P1800). Semimechanistic PKPD
model of benzylpenicillin time-kill kinetics; two-stage bacterial
life-cycle (proliferating drug-sensitive S and non-growing
drug-insensitive R) with sigmoidal Emax killing of S via an effect
compartment; first-order drug elimination (ke set per in vitro
kinetic-system flow rate) plus drug-specific degradation kdeg. Parameter
values are from the combined static and dynamic estimation in Table 3.
|
|
Betamethasone
(Schoenmakers 2025)
|
Two-compartment population PK model with first-order absorption (no lag
time) for intramuscular betamethasone in pregnant women admitted with
imminent preterm birth, including early-onset pre-eclampsia (eoPE;
diagnosed before 34 weeks gestation). Apparent clearance is multiplied
by 0.617 (a 38% reduction, or ~60% of the non-eoPE clearance) when eoPE
is present; this is the only retained covariate after backward
elimination at P < 0.01. Body weight, BMI, lean body weight, age,
gestational age, number of foetuses, white blood cell counts and CRP
were screened but did not retain after backward elimination.
|
|
Bevacizumab
(Han 2016)
|
Two-compartment population PK model for IV bevacizumab in adult cancer
patients (Han 2016) with allometric body-weight scaling and covariate
effects of sex, baseline albumin, baseline alkaline phosphatase, and
concomitant interferon alpha on clearance.
|
|
Bevacizumab
(Panoilia 2015)
|
Quasi-steady-state target-mediated drug-disposition (TMDD QSS) model for
IV bevacizumab and free VEGF165 in adults with stage IV colorectal
cancer, with fixed allometric body-weight scaling on PK clearances and
volumes (Panoilia 2015, Table 3 TMDD model column)
|
|
Bevacizumab
pk (Papachristos 2020)
|
Two-compartment population PK model for IV bevacizumab in adults with
metastatic colorectal cancer, with allometric weight scaling and ICAM-1
/ VEGF-A genotype covariates (Papachristos 2020, Table 1)
|
|
Bevacizumab
pkpd (Papachristos 2020)
|
Two-compartment population PK plus immediate-response Imax PK/PD model
for IV bevacizumab and free VEGF-A in adults with metastatic colorectal
cancer, with allometric weight scaling and ICAM-1 / VEGF-A genotype
covariates (Papachristos 2020, Table 3)
|
|
Bevacizumab
qss (Papachristos 2020)
|
Quasi-steady-state target-mediated drug-disposition (TMDD QSS) model for
IV bevacizumab and free VEGF-A in adults with metastatic colorectal
cancer, with allometric weight scaling and ICAM-1 / VEGF-A genotype
covariates (Papachristos 2020, Table 2)
|
|
Biib107
(Toukam 2025)
|
Two-compartment population PK model with parallel linear and
Michaelis-Menten elimination, plus direct sigmoidal Emax PK/PD model of
alpha-4 integrin receptor saturation, for BIIB107 (humanized aglycosyl
anti-alpha-4 integrin IgG4 monoclonal antibody) in healthy adult
volunteers (Toukam 2025).
|
|
Bivalirudin
(Zhang 2012)
|
Population PK and PK-PD model for bivalirudin, a synthetic bivalent
direct thrombin inhibitor, in young healthy Chinese volunteers (Zhang
2012). PK: two-compartment intravenous disposition with
body-weight-normalised structural parameters (CL = 0.323 L/h/kg, V1 =
0.086 L/kg, Q = 0.0957 L/h/kg, V2 = 0.0554 L/kg); no covariates retained
after a 30-covariate screen; log-normal IIV on CL, V1, and V2 with IIV
on Q fixed to zero. PD: direct-response sigmoid Emax (Hill coefficient
fixed at 1) on activated clotting time (ACT) using the
central-compartment concentration as the effect site (E0 = 134 s, Emax =
318 s, EC50 = 2.44 mg/L); one covariate retained – red blood cell count
(RBC, 10^12 cells/L) on EC50 via the linear-deviation form EC50_i =
theta_EC50 * exp(eta_EC50) * (1 + 1.70 * (RBC - 4.40)) centred at the
cohort median 4.40.
|
|
Brentuximab
(Li 2017)
|
Semimechanistic coupled population PK model for brentuximab vedotin
antibody-drug conjugate (ADC) and its released small-molecule payload
monomethyl auristatin E (MMAE) in adults with CD30-expressing
hematologic malignancies (Li 2017). ADC is described by a linear
3-compartment model with first-order elimination; MMAE by a linear
2-compartment model with first-order elimination. MMAE formation is
driven by (1) proteolytic degradation of the ADC (scaled by a
time-decaying drug-antibody ratio DAR(t) and a cycle-dependent fraction
Fmc = Cycle^Fm) and (2) a first-order deconjugation flux proportional to
the per-ADC MMAE payload above the minimum-detectable DAR. Modeled in
molar units (amount nmol, volume L, concentration pmol/mL = nmol/L = nM)
following the paper’s convention.
|
|
Brentuximab
(Suri 2018)
|
Coupled population PK model for brentuximab vedotin antibody-drug
conjugate (ADC) and its released payload monomethyl auristatin E (MMAE)
in 380 patients with CD30-positive malignancies (Hodgkin lymphoma,
systemic anaplastic large-cell lymphoma, mycosis fungoides, primary
cutaneous ALCL) pooled from six clinical studies including the phase III
ALCANZA study (Suri 2018). ADC is described by a linear 3-compartment
model with zero-order input and first-order elimination; MMAE by a
2-compartment model with first-order elimination, fed from ADC by (a) a
saturable target-binding flux KdTargetADC (initial Target = 1,
irreversibly depleted) and (b) a proteolytic flux
FMexp(-ALFMtad)K10ADC whose conversion fraction
declines as a function of time after the most recent dose. Both fluxes
accumulate in an intermediate Lag compartment that empties to MMAE
central with rate Klag (FM is fixed to 1).
|
|
Brentuximab
(Zhou 2025)
|
Coupled population PK model for brentuximab vedotin antibody-drug
conjugate (ADC) and its released payload monomethyl auristatin E (MMAE)
in pediatric patients (5-18 years) with relapsed/refractory or newly
diagnosed Hodgkin lymphoma or systemic anaplastic large-cell lymphoma
(Zhou 2025). ADC is described by a linear 3-compartment model with
first-order elimination; MMAE by a 2-compartment model with first-order
elimination. ADC -> MMAE flux is the sum of (a) a one-time saturable
target-binding flux KdTargetADC (initial Target = 1 unitless,
irreversibly depleted) and (b) a proteolytic flux
FMexp(-ALFMtad)K10ADC where the conversion fraction
declines as a function of time after the most recent dose. Both fluxes
accumulate in an intermediate Lag compartment that empties to MMAE
central with rate Klag. Final-model parameter values come from Zhou 2025
supplementary Tables S1 (ADC) and S2 (MMAE); equations come from the
NONMEM control streams in Zhou 2025 Supplementary Methods.
|
|
Brivaracetam
(Schoemaker 2017)
|
One-compartment population PK model for oral brivaracetam in paediatric
patients with epilepsy aged 1 month to 16 years (Schoemaker 2017).
First-order absorption, single-compartment distribution, and first-order
elimination, with allometric scaling of CL/F (exponent 0.750 fixed) and
V/F (exponent 1.00 fixed) on lean body weight normalised to a 50 kg
adult typical value. Co-administration of phenobarbital (PB; pooled with
primidone), carbamazepine (CBZ), or valproate (VPA) modify apparent oral
clearance via linear-additive multiplicative factors.
|
|
Brodalumab
(Timmermann 2019)
|
Two-compartment population PK model for brodalumab in adults with
moderate-to-severe plaque psoriasis (Timmermann 2019), with first-order
SC absorption, fixed bioavailability, and combined linear plus
Michaelis-Menten (target-mediated) elimination from the central
compartment.
|
|
Busulfan
(Choe 2012)
|
One-compartment IV PK model for intravenous busulfan in adult Korean
hematopoietic stem cell transplant recipients, with allometric scaling
on actual body weight (fixed exponent 0.5) on CL and Vd and a sex effect
on Vd (Choe 2012).
|
|
Busulfan
(Lawson 2022)
|
Two-compartment IV PK model for once-daily busulfan in pediatric
hematopoietic stem cell transplant recipients with allometric
normal-fat-mass (NFM) scaling, postmenstrual-age maturation on CL, and a
time-associated within-treatment-course CL decline (Lawson 2022).
|
|
Busulfan
(Long-Boyle 2015)
|
One-compartment IV PK model with Michaelis-Menten elimination for
busulfan in pediatric and young adult patients (0.1-24 yrs) undergoing
hematopoietic cell transplant. Allometric body-weight scaling on
intrinsic clearance (CLin, exponent fixed 0.75) and central volume (Vc,
exponent fixed 1) with reference weight 22 kg; hockey-stick age effect
on CLin (linear increase below the 12-yr breakpoint applied to AGE
directly, multiplicative linear decrease above). Correlated IIV on CLin
and Vc; combined proportional + additive residual error (Long-Boyle
2015).
|
|
Butanediol
rat (Fung 2008)
|
Preclinical (rat). Population PK model for 1,4-butanediol (BD) and its
bioactivation pathway in adult male Sprague-Dawley rats after
intravenous and oral dosing, jointly with the unmeasured semialdehyde
intermediate (ALD), the gamma-hydroxybutyric acid metabolite (GHB), and
co-administered ethanol (ETOH). Each of the four substances follows
two-compartment disposition with Michaelis-Menten (mixed-order)
elimination; GHB additionally has a parallel first-order elimination.
The metabolic flux is BD -> ALD -> GHB; ETOH has no metabolic
connection to the BD/ALD/GHB chain. Mutual competitive inhibition is
encoded for BD elimination inhibited by GHB and by ETOH; ALD elimination
inhibited by BD; GHB elimination inhibited by BD; ETOH elimination
inhibited by BD. Oral BD absorption is first-order with a 7.5 min
lag-time; the absorbed fraction (F = 0.93, dose-independent) is split
between BD and ALD central compartments to represent pre-systemic
conversion of BD to ALD. The fraction entering as BD was dose-dependent
in the source paper (30 percent at 1.58 mmol/kg and 55 percent at 6.34
mmol/kg); the model defaults to the low-dose 1.58 mmol/kg fractions (30
percent as BD, 70 percent as ALD); see the vignette Assumptions and
deviations for the high-dose alternative. Volume of distribution of ALD
is mathematically non-identifiable and was constrained so that Vss of
ALD equals Vss of BD (source paper footnote c). Volume of the central
compartment for GHB was fixed at the average rat plasma volume of 0.010
L (source paper footnote b). Fit by NONMEM VI ADVAN9 with FOCE-I.
|
|
C3G
(Jeon 2012)
|
One-compartment first-order absorption population PK model with an
absorption lag time for cyanidin-3-glucoside (C3G) following 2-week
multiple oral dosing of 1 g black bean (Phaseolus vulgaris,
Cheongjakong-3-ho) seed coat extract once daily in 12 healthy adult
Korean volunteers (Jeon 2012), with log-normal IIV on CL/F and V/F (with
correlation rho = 0.883) and on Ka, and proportional residual error.
|
|
Cabazitaxel
(Ferron 2013)
|
Three-compartment population PK model for intravenous cabazitaxel in
patients with advanced solid tumors (Ferron 2013)
|
|
Cabazitaxel
(Janssen 2017)
|
Two-compartment population PK model for intravenous cabazitaxel in 10
men with metastatic castration-resistant prostate cancer, with
individual midazolam clearance as a CYP3A metabolic-phenotype covariate
on cabazitaxel clearance (Janssen 2017 Table 2B ‘Metabolic phenotype
model’). The covariate enters via a linear deviation from the population
midazolam clearance reference of 26 L/h. The individual midazolam
clearance is sourced from the companion Janssen 2017 midazolam model
(see modellib(‘Janssen_2017_midazolam’)).
|
|
Cabozantinib
(Lacy 2018)
|
Two-compartment population PK model for oral cabozantinib (tyrosine
kinase inhibitor) in healthy volunteers and patients with renal cell
carcinoma, castration-resistant prostate cancer, medullary thyroid
carcinoma, glioblastoma multiforme, or other advanced malignancies (Lacy
2018, n=1534 across 9 clinical studies). Absorption is described by
parallel dual processes: a fraction F1 enters depot1 via first-order
absorption rate Ka with absorption lag time ALAG1, and the remaining
(1-F1) enters depot2 via zero-order infusion over duration D2. Capsule
(vs tablet, reference) formulation reduces both Ka and overall
bioavailability; Ka also scales with dose via a power function (DOSE/60
mg)^0.677. Two-compartment disposition (central + peripheral1) with
first-order elimination from central. Covariates on CL/F and Vc/F are
baseline age (power on median 64 y), body weight (power on median 81
kg), female sex, race (Black/Asian/Other vs White reference), and tumor
type (RCC/CRPC/MTC/GB/Other vs HV reference); MTC cancer type drives an
approximately 93% higher CL/F.
|
|
Cabozantinib
dose modification (Lacy 2018)
|
Repeated time-to-event (RTTE) hazard model for the ‘dose modification of
any kind’ (DMAK) endpoint in adults with advanced renal cell carcinoma
(RCC) treated with oral cabozantinib in the phase III METEOR study (Lacy
2018 exposure-response analysis, n=317 patients with 0-52 events per
patient). The instantaneous risk of a dose modification (interruption,
reduction, or escalation) depends on whether the patient is currently on
an active dose or on a dose interruption. When on active dose (DOSE >
0) the hazard increases log-linearly with the time-varying average
cabozantinib plasma concentration CAV. When on a dose interruption (DOSE
= 0) the hazard is governed by a separate, larger baseline log-hazard
with no cabozantinib effect (cabozantinib effect on hold-state hazard
was tested and dropped during base-model development). The drug input
Cavg is the individual predicted daily average plasma cabozantinib
concentration (ng/mL) derived from the upstream Lacy 2018 popPK model
Lacy_2018_cabozantinib. Forward simulation exposes
hazard (instantaneous DMAK rate per day) and
sur (survival = probability of no DMAK event since t = 0)
as derived outputs.
|
|
Cabozantinib
tumor (Lacy 2018)
|
Longitudinal sum-of-tumor-diameter (SOD) growth-inhibition PD model for
oral cabozantinib in adults with advanced renal cell carcinoma (RCC)
enrolled in the phase III METEOR study (Lacy 2018 exposure-response
analysis, n=319 patients with 1637 evaluable tumor-diameter
measurements). The tumor diameter Y follows first-order exponential
growth at rate k_grow, with a saturable cabozantinib drug-effect of the
form Cavg/(EC50 + Cavg) modulating a time-dependent decay rate decay(t)
= k_dmax + k_dmax_tot * exp(-k_tol * t). The k_dmax term is the
non-attenuating asymptotic decay rate, k_dmax_tot is the magnitude of
the resistance-driven loss of decay rate, and k_tol governs the
attenuation kinetics (paper-reported attenuation half-life 25.6 days).
The drug input Cavg is the individual predicted daily average plasma
cabozantinib concentration (ng/mL) carried as a time-varying CAV data
column; the upstream popPK model is Lacy_2018_cabozantinib
(Lacy 2018 popPK companion paper). Residual error is additive on Y (mm);
IIV is exponential on Y(0), k_grow, k_dmax, and k_dmax_tot, with IIV on
EC50 and k_tol fixed at a near-zero variance (paper Supplemental Table 3
footnote b).
|
|
Canakinumab
(AitOudhia 2012)
|
Integrated population PK/PD model of canakinumab (anti-IL-1beta IgG1/k
mAb) in adults with rheumatoid arthritis (Ait-Oudhia 2012).
Two-compartment popPK for total canakinumab is coupled to a
quasi-equilibrium target-binding model with endogenous IL-1beta
(zero-order production ksyn, linear clearance CLL). Predicted free
IL-1beta drives downstream PD: (1) a three-compartment CRP transduction
chain with a power-law stimulation (beta) on free-IL-1beta ratio and an
empirical amplification (gamma) on the input to the third compartment,
and (2) a single-compartment ACR latent variable (ACRL) regulated by a
sigmoid Emax on the drop in free IL-1beta below baseline plus a
first-order placebo build-up; the latent is mapped to ACR20/50/70
response probabilities via a logit transform with a between-subject
random effect. Only body weight was a significant covariate (allometric
on CL, CLL, CLDL, Vc, Vp with reference 70 kg).
|
|
Canakinumab
(Chakraborty 2012)
|
Population pharmacokinetic-binding model for canakinumab (anti-IL-1b
IgG1/k monoclonal antibody) and its endogenous target IL-1b in adult
cryopyrin-associated periodic syndromes (CAPS) patients (Chakraborty
2012). Two physical compartments (central and peripheral) each carry
three species: free canakinumab, free IL-1b, and the canakinumab-IL-1b
complex. Drug, ligand, and complex share the same volumes of
distribution; complex clearance is set equal to free-drug clearance (CLX
= CLD). Distribution between compartments uses two
permeability-surface-area coefficients: PSD for free drug and complex,
PSL for free ligand. Endogenous IL-1b production RLI enters the
peripheral compartment. Drug-ligand binding is solved algebraically
under a quasi-steady-state assumption with dissociation constant KD
(Hayashi 2007 form). Subcutaneous bioavailability F1 was estimated on
the logit scale; this file uses the Sp2/0 cell-line value (commercial
Ilaris). Body weight modifies CLD, VC, VP via centred power covariates;
serum albumin modifies CLD; age modifies SC ka. Two observed analytes:
total canakinumab (free + complex) in ug/mL and total IL-1b (free +
complex) in pg/mL.
|
|
Canrenone
(Suyagh 2012)
|
One-compartment population PK model for canrenone, the pharmacologically
active metabolite of intravenous potassium canrenoate (K-canrenoate), in
23 paediatric patients (2 days to 10 years; median weight 4 kg, range
2.16-28.0 kg) receiving K-canrenoate in the NICU / PICU for retained
fluids or congestive heart failure (Suyagh 2012). The K-canrenoate dose
compartment (modelled as ‘depot’ because only canrenone is measured) is
converted to canrenone by a first-order metabolic transformation rate kf
(paper symbol) = 5.25 1/h. Canrenone disposition is described by
apparent clearance CL/F and apparent central volume V/F (the ‘F’ factor
absorbs the unknown fraction of K-canrenoate that ultimately reaches the
canrenone compartment; the model assumes the total dose is converted to
canrenone). Bodyweight scales CL/F and V/F by fixed allometric exponents
(0.75 on CL, 1.0 on V) with a reference weight of 70 kg. No other
covariate (gestational age, postnatal age, postmenstrual age, serum
creatinine, serum albumin, haematocrit, sex) was retained in the final
model. Residual error is proportional only.
|
|
Capecitabine
(Blesch 2003)
|
Population PK model ‘CAP7440’ for oral capecitabine, evaluated by
simultaneously fitting plasma concentrations of three sequential
metabolites: 5’-DFUR (5’-deoxy-5-fluorouridine), 5-FU (5-fluorouracil),
and FBAL (alpha-fluoro-beta-alanine). Parent capecitabine and the first
metabolite 5’-DFCR are not modelled as compartments; the dose enters the
5’-DFUR pool directly through a first-order absorption rate constant KA
with absorption lag TLAG. Sequential first-order kinetics carry mass
through 5’-DFUR -> 5-FU -> FBAL using apparent oral clearances
CL/F and volumes V/F (CL1/V1 for 5’-DFUR, CL2/V2 for 5-FU, CL3/V3 for
FBAL). 5-FU volume V2 is fixed at 17.8 L from literature (Heggie 1987)
because it was not sensitive to the dataset. Three retained covariate
effects in the final population PK model: alkaline phosphatase on 5-FU
clearance (CL2), creatinine clearance on FBAL clearance (CL3) and volume
(V3), and body surface area on FBAL volume (V3) – all multiplicative
power forms. Fit to 481 patients with advanced or metastatic colorectal
cancer (Phase III studies) plus 24 patients with extensive sampling from
a Phase I bioequivalence study.
|
|
Capecitabine
(Urien 2005)
|
Population PK model for oral capecitabine and its three sequential
metabolites 5’-DFCR (5’-deoxy-5-fluorocytidine), 5’-DFUR
(5’-deoxy-5-fluorouridine), and 5-FU (5-fluorouracil) in 40 adult
patients with metastatic cancer (Urien 2005). Capecitabine PK is a
one-compartment apparent V1/F model with first-order absorption (Ka) and
a lag time; non-transformation elimination CL10/F runs in parallel with
the formation clearance CL12/F to 5’-DFCR. Each metabolite has its own
central compartment with apparent volume fixed to 1 L (only output rate
constants are identifiable in the source NONMEM ADVAN6 fit), so the
chain 5’-DFCR -> 5’-DFUR -> 5-FU -> output is described by
first-order rate constants K23, K34, K40 (paper’s notation). Total
bilirubin (canonical TBILI; source column BILT, umol/L) is the only
retained covariate: power exponent +0.32 on CL10/F and -0.36 on K34,
both centred on the median bilirubin 8.8 umol/L. Inter-individual
variability is reported on TLAG, V1, CL10, K23, K34, and K40; ISV on
CL12 was fixed to 0 and ISV on Ka was deleted in favour of a large
inter-occasion variability on Ka that is not represented in this static
model file (see vignette Errata).
|
|
Carboplatin
(Ekhart 2008)
|
Two-compartment population PK model for free (ultrafilterable)
carboplatin in adult cancer patients (Ekhart 2008)
|
|
Carboplatin
(Zandvliet 2008)
|
Two-compartment population PK model for free (ultrafilterable)
carboplatin in adult cancer patients receiving combination chemotherapy
with indisulam (Zandvliet 2008). Clearance is modelled as a renal +
non-renal split: a Cockcroft-Gault creatinine-clearance-proportional
renal component (theta1 = 0.76) plus a fixed non-renal component (theta2
= 1.5 L/h, fixed at the Calvert 1989 estimate).
|
|
Carfentanil
iv (Mann 2022)
|
Three-compartment IV carfentanil population PK with a first-order
biophase (effect-site) equilibrium compartment, used as the agonist
input layer of the Mann 2022 translational opioid-overdose model. Mann
2022 had no full carfentanil clinical PK study to fit – only a single
microdose case report (Minkowski 2012) reporting a roughly 45-minute
plasma half-life. They therefore took the fentanyl Algera 2021 PK
micro-constants and applied a fixed set of rate- constant modifications
(k_el and k13 divided by 10; k21 and k31 multiplied by 10; k1 increased
to 10/min) to reproduce the longer plasma persistence and faster
effect-site equilibration of carfentanil. The resulting macro-constants
encoded in ini() below yield exactly those micro-constants when combined
with (WT/70)^0.75 / (WT/70) allometric scaling. Inter-subject
variability is assumed equal to the fentanyl model (same omega^2 values,
no carfentanil-specific IIV estimated). Outputs plasma concentration Cc
in ng/mL and effect-site Ce in pM for downstream consumption by
Mann_2022_mu_receptor_binding.
|
|
Carvedilol
(Honda 2005)
|
One-compartment population PK model for orally administered racemic
carvedilol in 23 healthy Japanese volunteers, with R- and S-enantiomer
whole-blood concentrations measured by chiral HPLC at 2 h and 6 h after
a single 5- or 10-mg oral dose (Honda 2005). NONMEM ADVAN1/TRANS2 with
very rapid absorption: the racemic dose is split equally between two
parallel central compartments (central_r, central_s) with no separate
absorption depot. CL/F and V/F scale linearly with body weight; an S/R
ratio theta_3 (CL/F) and theta_4 (V/F) parameterise the stereoselective
difference. One subject-level eta on CL/F and one on V/F are shared
between enantiomers (correlated block IIV, rho ~ 0.90). Power-variance
residual error with fixed exponent 1/2 (Honda Eq. 3), shared between R-
and S-enantiomer observations. CYP2D610 genotype is not in the
structural model; Honda 2005 reports the 10-carrier effect only as
a post-hoc stratification of the individual Bayes estimates (Figs. 3-4).
|
|
Carvedilol
(Othman 2007)
|
Two-compartment population PK model for S(-)-carvedilol in healthy
volunteers after oral administration of the immediate-release (IR) and
the new controlled-release (CR) dosage forms of carvedilol (Othman
2007). Three parallel depot compartments encode the dosage-form-specific
absorption: depot (CR, 3-stage time-varying KA), depot2 (IR morning,
2-stage), depot3 (IR evening, 2-stage). Diurnal variability in IR
absorption is captured by separate morning and evening KAs and a lower
IR-PM relative bioavailability.
|
|
Casirivimab
(Lin 2024)
|
Two-compartment population PK model for casirivimab in pediatric and
adult subjects (non-infected, ambulatory or hospitalized
SARS-CoV-2-infected, or household contacts) following IV or SC
administration (Lin 2024, casirivimab arm of the joint casirivimab +
imdevimab popPK model)
|
|
Caspofungin
(Wurthwein 2013)
|
Linear two-compartment population PK model with proportional residual
error for once-daily 2-hour intravenous caspofungin infusions (70, 100,
150, 200 mg QD) in adults with proven or probable invasive aspergillosis
(Wurthwein 2013). Clearance and central volume share a single linear
body-weight fractional change centred on the cohort median body weight
of 76 kg (CL_i = CL_typ * [1 + 0.0102 * (WT - 76)]; V1_i = V1_typ * [1 +
0.0102 * (WT - 76)]). Inter-individual variability is modelled
exponentially on CL, V1, and V2 with an estimated CL-V1 covariance
(correlation 0.802). Inter-occasion variability (16% CV) is included on
CL across five sampling occasions (days 1, 4, 7, 14, 28) via the OCC
covariate; downstream users who only need typical-value or IIV-only
simulations can pass OCC = 0 (or any value outside 1..5) so the IOV
terms zero out. Dose-level, gender, age, baseline serum bilirubin and
baseline creatinine clearance were screened but not retained.
|
|
CC292
(Li 2017)
|
Two-compartment population PK model for oral CC-292 (spebrutinib, a
potent Bruton tyrosine kinase inhibitor) in 145 pooled subjects: 32
healthy adults (AVL-292-004) and 113 patients with relapsed and/or
refractory B-cell malignancies including chronic lymphocytic leukemia
(AVL-292-003). First-order absorption with a single absorption lag,
linear elimination from the central compartment, with linear-deviation
female-sex effect on apparent clearance (females have 26% lower CL/F)
and a power age effect on apparent central volume (reference age 62
years). Residual variability is split into healthy-volunteer and patient
strata.
|
|
Cebranopadol
(Kleideiter 2017)
|
Two-compartment population PK model for oral cebranopadol with two
lagged transition compartments in healthy subjects and chronic-pain
patients (Kleideiter 2017; with 2018 correction)
|
|
Cebranopadol
(Kleideiter 2018)
|
Two-compartment population PK model for cebranopadol, a NOP / opioid
receptor agonist, in healthy adults and adult chronic-pain patients (low
back pain or osteoarthritis, diabetic polyneuropathy,
post-bunionectomy), with two transit absorption compartments before
central, first-order elimination, and covariate effects from sex, CYP2C9
phenotype, ALT, CrCl, age, body weight, formulation, and disease status
(Kleideiter 2018)
|
|
Cediranib
(Li 2017)
|
Two-compartment population PK model for oral cediranib (AZD2171) in
adult cancer patients (Li 2017), with sequential zero- and first-order
absorption (zero-order release into depot followed by first-order
absorption to central), bioavailability fixed to 1, allometric power
scaling on apparent clearance ((WT/73 kg)^0.517 and (Age/59 y)^-0.409)
and on apparent central volume ((WT/73 kg)^0.65), correlated
inter-individual variability between CL/F and Vc/F (correlation 0.839),
independent IIV on Ka, and proportional residual error (rich-sampling
estimate).
|
|
Cefathiamidine
(Zhi 2018)
|
Two-compartment population PK model for intravenous cefathiamidine (a
first-generation cephalosporin) in 54 children (age 2.0-11.8 years;
weight 8.0-36.0 kg) with hematologic disease, developed in NONMEM v7.2
(FOCE-I) from 120 sparse plasma samples. Structural model: first-order
elimination from a central compartment, with allometric body-weight
scaling on CL, Q (exponent 0.75) and V1, V2 (exponent 1), reference
weight 17.75 kg (the cohort median current weight). Inter-individual
variability (exponential) is estimated for CL and V2 only; residual
variability is exponential (lognormal on the linear scale). Bodyweight
was the only retained covariate; age and creatinine clearance were not
significant in the limited cohort (CrCL range 130-462 mL/min).
|
|
Cefepime
(Capparelli 2005)
|
One-compartment population PK model for cefepime in preterm and term
neonates (Capparelli 2005); additive renal-plus-non-renal CL on serum
creatinine, additive Vc step for PCA < 30 weeks.
|
|
Cefepime
(Jonckheere 2019)
|
Two-compartment population PK model for IV cefepime in critically ill
ICU patients (Jonckheere 2019), updated by simultaneously fitting plasma
+ urine PK from the original Jonckheere 2017 pilot (STDY1) and the
Jonckheere 2019 target-controlled-infusion cohort (STDY2). Total
clearance is the sum of an estimated-creatinine-clearance-driven renal
arm (CL_renal = 2.29 * (eCrCL/60)^0.943 L/h per 70 kg) and a
covariate-free non-renal arm (CL_nonren = 0.795 L/h per 70 kg); all PK
parameters are scaled allometrically with body weight (reference 70 kg,
exponent 3/4 for clearances, 1 for volumes). The structural form encodes
the non-dialysis patient (paper Equations 1-4); a separate CL_dialysis =
4.48 L/h applied during intermittent hemodialysis sessions in the source
dataset is documented in the vignette but not enabled in this model
file.
|
|
Cefepime
(Shoji 2016)
|
Two-compartment IV population PK model for cefepime in 91 neonates,
infants, and children (Shoji 2016); body-weight allometric scaling
(fixed exponents 0.75 on CL and Q, 1.0 on Vss), nonlinear
postmenstrual-age maturation on CL, a power effect of serum creatinine
on CL, and a power effect of gestational age on Vss. Central volume of
distribution enters as a fixed fraction of steady-state volume (V/Vss =
0.460).
|
|
Cefotaxime
(Ahsman 2010)
|
One-compartment population PK model for cefotaxime (CTX) and its active
metabolite desacetylcefotaxime (DACT) in critically ill neonates and
infants on extracorporeal membrane oxygenation (ECMO). IV bolus parent
with first-order elimination; the metabolite is generated 1:1 from
parent elimination on a CTX-equivalent mass basis (the source paper
converted observed DACT concentrations to CTX equivalents by the
molecular weight ratio Mr_CTX / Mr_DACT = 455.5 / 413.4 before fitting,
and assumed a conversion fraction FDACT/CTX = 1). Parent CL is scaled by
body weight (WT) via a power model centred at 3.5 kg; both parent and
metabolite CL include a power covariate effect of time after ECMO
decannulation (T_POST_ECMO) centred at 100 h that is removed during ECMO
(T_POST_ECMO = 0). Metabolite CL additionally includes a power covariate
effect of continuous venovenous hemofiltration flow Q_CVVH centred at
193 mL/min that is removed when CVVH is not running (Q_CVVH = 0).
Volumes (Vc, Vc_dact) carry no covariate effects.
|
|
Cefotaxime
(Leroux 2016)
|
Two-compartment IV population PK model for cefotaxime in neonates and
young infants (Leroux 2016). Clearance, central volume, peripheral
volume, and inter-compartmental clearance are allometrically scaled to
current body weight (fixed exponents 0.75 on CL and Q, 1.0 on V1 and V2;
reference weight 1.665 kg). Clearance carries a power-form maturation
function on gestational age (reference 30 weeks) and postnatal age
(reference 12 days). Only CL has inter-individual variability; residual
error is proportional.
|
|
Cefpirome
(Bulitta 2011)
|
Three-compartment population PK model for IV cefpirome with simultaneous
fit of plasma concentrations and amounts excreted unchanged in urine.
Built from a pooled cohort of 24 Caucasian adults: 12 cystic fibrosis
(CF) patients and 12 healthy volunteers (HVs) each given a single 10-min
IV infusion of 2 g cefpirome. Body size is captured by allometric
scaling on lean body mass (LBM) with fixed exponents 0.75 on clearance
terms and 1.0 on volumes (reference LBM = 53 kg). Total clearance is
split into an estimated renal arm (CL_R, urinary recovery is tracked in
the canonical urine compartment) and a non-renal arm (CL_NR). A CF / HV
cohort indicator DIS_CF (1 = CF patient, 0 = HV reference) carries three
disease- specific scale factors estimated by the paper: FCYF_CLR = 1.07
applied to CL_R, FCYF_CLNR = 1.13 applied to CL_NR, and FCYF_VSS = 0.98
applied uniformly to V1 (central), V2 (shallow peripheral), and V3 (deep
peripheral). The inter-compartmental clearances Q12 (central <->
shallow) and Q23 (central <-> deep) are shared across cohorts.
Typical-value clearance and volume estimates are anchored to DIS_CF = 0
(HV reference) per the DIS_CF covariate convention registered in
inst/references/covariate-columns.md.
|
|
Cefpirome
(Kang 2020)
|
Two-compartment IV-bolus population PK model for cefpirome in critically
ill adults on venoarterial extracorporeal membrane oxygenation (VA-ECMO)
(Kang 2020). Final-model covariates: power-form serum creatinine on CL
(reference 1.6 mg/dL), and a binary ECMO-active treatment-status
indicator on CL (1.41-fold higher when ECMO-ON) and V1 (4.22-fold higher
when ECMO-ON).
|
|
Ceftazidime
(Bulitta 2010)
|
Three-compartment population PK model for ceftazidime after 5-min IV
infusion in cystic fibrosis patients and healthy volunteers (Bulitta
2010), with allometric fat-free-mass scaling and a
cystic-fibrosis-vs-healthy disease-group factor on total clearance.
|
|
Ceftazidime
(Conil 2007)
|
Two-compartment IV population PK model for ceftazidime in adult burn-ICU
patients, with creatinine clearance on CL and sex / mechanical
ventilation / creatinine clearance on the peripheral volume V2 (Conil
2007)
|
|
Ceftazidime
(Georges 2009)
|
Two-compartment IV population PK model for ceftazidime in critically ill
adults (ICU). Total clearance is an additive linear function of
MDRD-estimated glomerular filtration rate; central volume V1 is selected
by mechanical-ventilation status; peripheral volume V2 is selected by
ICU admission etiology (polytrauma, postsurgical, or medical).
|
|
Ceftazidime
(Shi 2018)
|
One-compartment IV population PK model for ceftazidime in infants
0.1-2.0 years (Shi 2018) with allometric body-weight scaling and a
power-form creatinine-clearance effect on clearance.
|
|
Ceftriaxone
(Garot 2011)
|
Two-compartment IV-infusion population PK model for ceftriaxone in
critically ill adult ICU patients with sepsis, severe sepsis, or septic
shock (Garot 2011)
|
|
Cefuroxime
(Alqahtani 2018)
|
Two-compartment IV population PK model for cefuroxime in adults
undergoing coronary artery bypass graft (CABG) surgery with
cardiopulmonary bypass (Alqahtani 2018), with a power-form
creatinine-clearance (Cockcroft-Gault) effect on clearance.
|
|
Cefuroxime
(Nielsen 2011)
|
In vitro (Streptococcus pyogenes M12 NCTC P1800). Semimechanistic PKPD
model of cefuroxime time-kill kinetics; two-stage bacterial life-cycle
(proliferating drug-sensitive S and non-growing drug-insensitive R) with
sigmoidal Emax killing of S via an effect compartment; first-order drug
elimination (ke set per in vitro kinetic-system flow rate) plus
drug-specific degradation kdeg. Parameter values are from the combined
static and dynamic estimation in Table 3.
|
|
Cefuroxime
(Viberg 2006)
|
Two-compartment population PK model for intravenous cefuroxime in adult
patients with bacterial infections and a wide range of renal function
(Viberg 2006); reciprocal serum cystatin C (1/CYSC) and body weight
enter as centred-linear covariates on clearance, and body weight enters
as a centred-linear covariate on the central volume of distribution.
|
|
Cefuroxime
axetil (Bulitta 2009)
|
Semiphysiological population PK model for oral cefuroxime axetil
(acetoxyethyl-ester prodrug of cefuroxime) in healthy adult male
volunteers after a standardized high-fat breakfast. Three drug
compartments (stomach -> intestine -> central): a saturable,
time-dependent Michaelis-Menten release from the stomach to the
intestine followed by first-order absorption from the intestine to the
central compartment, with one-compartment linear disposition. The
maximum gastric-release rate Vmax is modulated over time-past- meal by a
sigmoidal (Hill) function whose maximum fractional change Emax is
logit-transformed to range over [-1, 9]. Vmax and Km are estimated as
fractions of dose (Bulitta 2009 Results, ‘estimated and are reported as
fractions of the cefuroxime dose’), so the absolute Vmax (mg/h) and Km
(mg) scale linearly with the stomach-compartment dose amount. Parameter
values reproduced here are from the S-ADAPT importance-sampling Monte
Carlo EM fit (Bulitta 2009 Table 2, ‘S-ADAPT Population mean’ column),
which the authors recommend as the best parametric fit; NONMEM and NPAG
estimates are reported alongside in the paper for comparison.
|
|
Cemiplimab
(Yang 2021)
|
Two-compartment population PK model for cemiplimab (anti-PD-1 IgG4) with
time-varying clearance (sigmoid Emax) in adults with advanced solid
tumors including cutaneous squamous cell carcinoma (Yang 2021)
|
|
Cephalexin
rat (Padoin 1998)
|
Preclinical (rat, male Wistar). Two-compartment population PK model for
cephalexin after intra-arterial (IA) or oral (gastric-tube)
administration in rats, with first-order absorption and a competitive
drug-drug interaction from coadministered oral quinapril that lowers
cephalexin Ka (paper Table 4: 0.249 to 0.177 1/h; ~29% lower) and CL
(paper Table 4: 0.810 to 0.640 L/h/kg; ~21% lower) when both drugs are
given by the oral route. The paper parameterizes the disposition as {CL,
Vc, CL_D, Vss = Vc + Vp}; this implementation uses the canonical {CL,
Vc, Q, Vp} parameterization with the typical-value Vp derived as Vss -
Vc = 1.23 - 0.416 = 0.814 L/kg. Intra-arterial quinapril or
intra-arterial cephalexin produced no detectable interaction on
cephalexin elimination, attributed by the authors to the much higher
cephalexin renal concentrations outcompeting quinapril at the renal
anionic transport carrier (and to Ka being irrelevant for IA dosing).
|
|
Certolizumab
(Wade 2015)
|
One-compartment population PK model with first-order SC absorption and
an additive baseline concentration for certolizumab pegol in adults with
Crohn’s disease (Wade 2015)
|
|
Chloroquine
(Simpson 2013)
|
In vitro (P. falciparum). Sigmoid Emax inhibition model of chloroquine
effect on hypoxanthine uptake by clinical Plasmodium falciparum isolates
from the Thai-Myanmar border (Shoklo Malaria Research Unit, 1993-2005),
with pfmdr1 genotype covariate effects on EC50. The ‘subject’ in the
NLME framework is a parasite isolate (n=421 isolates with chloroquine
data). STIM_CHLOROQUINE_NM is the per-well drug concentration in the in
vitro hypoxanthine-uptake-inhibition assay; the model has no PK and no
time evolution. E0 and Emax are fixed per Simpson 2013 Table 3 footnote.
|
|
Ciclosporin
(Fanta 2007)
|
Three-compartment population PK model with first-order absorption for
ciclosporin in paediatric renal transplant candidates (Fanta 2007)
|
|
Ciclosporin
(Frobel 2013)
|
Parametric time-to-event (TTE) model for the first acute rejection (AR)
event after paediatric kidney transplantation in patients receiving oral
ciclosporin A (Neoral microemulsion). The baseline hazard is a
five-interval step-function exponential with break-points at 5, 8, 25,
and 100 days after transplantation. The final model carries no
covariates: 15 candidate covariates (including ciclosporin AUC, baseline
AUC, demographics, donor characteristics, HLA mismatches, dialysis time,
basiliximab induction) were screened by univariate testing, stepwise
covariate modelling, cross-validated SCM, and bootstrap-SCM, and none
reached statistical significance or clinical relevance. The model output
sur is the probability of remaining acute-rejection-free at
time t; hazard and cumhaz are exposed as
derived outputs.
|
|
Ciclosporin
(Ni 2013)
|
One-compartment first-order-absorption population PK model for oral
ciclosporin in Chinese children with aplastic anemia (Ni 2013)
|
|
Ciclosporin
(Press 2010)
|
Two-compartment population pharmacokinetic model for oral ciclosporin A
(Neoral) in adult kidney transplant recipients (Press 2010). Delayed
absorption is described by one transit compartment with the first-order
transit rate constant set equal to the absorption rate constant ka
(chain: depot -> transit1 -> central at common rate ka; mean
absorption time = (n+1)/ka with n = 1 transit compartment). Oral
bioavailability is FIXED at 0.5 (Methods ‘Structural model’). Apparent
clearance CL and apparent central volume of distribution Vc are
allometrically scaled to body weight at a 76 kg median reference with
theory-based exponents 0.75 on CL and 1.0 on Vc; the peripheral volume
Vp and intercompartmental clearance Q are not weight-scaled. Concomitant
high-dose oral prednisolone (PRED_DOSE >= 20 mg/day) is associated
with a 55% reduction in the absorption rate constant and a 22% reduction
in bioavailability (binary threshold-form covariate). Inter-occasion
variability on bioavailability is encoded here as IIV on lfdepot because
the source does not specify a per-subject occasion count for downstream
simulation (see vignette Assumptions and deviations).
|
|
Ciclosporin
(Wilhelm 2012)
|
Two-compartment population PK model for ciclosporin (CsA) in adults
undergoing haematopoietic allogeneic stem cell transplantation, with
first-order oral absorption + lag time and a 3 h intravenous infusion
directly into the central compartment (Wilhelm 2012). Twenty subjects on
routine fluconazole antimycotic prophylaxis (a CYP3A4 inhibitor) were
included; ciclosporin was assayed in whole blood by FPIA (AxSYM,
Abbott). Body weight, body surface area, co-medication with CYP3A4
inducers and co-medication with CYP3A4 inhibitors were tested but none
reached statistical or clinical significance, so no covariates are
retained in the final model. Inter-individual variability was reported
on every PK parameter (CL, Vc, Q, Vp, ka, F, tlag); the paper estimated
a full omega variance-covariance matrix but did not publish the
off-diagonal elements, so the packaged model uses diagonal IIVs only
(see vignette Assumptions and deviations).
|
|
Ciclosporin
(Willemze 2008)
|
Two-compartment population PK model for ciclosporin in children (aged
1.8-16.1 years) after allogeneic haematopoietic stem cell
transplantation (Willemze 2008). First-order absorption with lag time
and partial bioavailability for oral Neoral microemulsion; intravenous
Sandimmune is given as a 2-hour infusion to the central compartment. The
‘alternative parameterization’ (CL, Q, Vp, plus Ka, Vc, Tlag, F)
reported in Table 2 is used directly because it is the more
physiologically interpretable set. IIV on Vc was fixed to zero; IIVs on
Ka, CL, Q, Vp, Tlag, and F are estimated. Residual error is
proportional. No covariate (body weight, length, age, or estimated GFR)
was retained in the final model; those covariates are documented in
covariatesDataExcluded.
|
|
Ciclosporin
(Woillard 2014)
|
Two-compartment population PK model with Erlang-distributed transit
absorption (5 sequential delay compartments) and first-order elimination
for oral ciclosporin (CsA) in adult haematopoietic stem cell transplant
(HSCT) recipients on graft-versus-host disease prophylaxis (Woillard
2014, NONMEM final model). The apparent peripheral volume of
distribution Vp/F is fixed at 500 L; no covariate effects were retained
in the final model. Combined additive plus proportional residual error.
|
|
Cilostazol
(Yoo 2009)
|
Two-compartment population PK model for oral cilostazol with first-order
absorption from the depot and an absorption lag time, estimated in 104
healthy Korean male volunteers receiving a single 50- or 100-mg dose
(Yoo 2009). Apparent oral clearance CL/F is modulated by two
pharmacogenetic covariates entered in linear-fractional form: a
three-level CYP3A5 genotype (CYP3A51/1 = reference,
1/3 = -22.3%, 3/3 = -40.7%) and a three-level CYP2C19
metabolizer phenotype (extensive metabolizer = reference, intermediate =
-14.7%, poor = -27.2%). The final NONMEM ADVAN4/TRANS4 model places
exponential IIV on CL/F, Vc/F, Q/F and Vp/F with a partial OMEGA BLOCK
retaining the (Vp/F, CL/F), (Q/F, Vc/F) and (Vp/F, Q/F) covariances; the
remaining off-diagonals are held at zero. Residual error is combined
additive plus proportional.
|
|
Cipaglucosidase
(Hajjar 2018)
|
Two-compartment population PK model for IV cipaglucosidase alfa (ATB200;
recombinant human acid alpha-glucosidase / rhGAA) in adult patients with
Pompe disease (Hajjar 2018 ACCP poster, phase 1/2 study ATB200-02 /
NCT02675465). Disposition has parallel linear clearance (CL 0.569 L/h
per 70 kg) and Michaelis-Menten saturable elimination (Vmax 98.6 mg/h
per 70 kg, Km 62.4 mg/L) from the central compartment. Clearance and
volume parameters are allometrically scaled by total body weight
(exponent 0.75 fixed on all clearances, exponent 1 fixed on all volumes;
reference 70 kg). Co-administration of the pharmacological chaperone
miglustat (AT2221) reduces ATB200 linear CL: 130 mg AT2221 multiplies CL
by 0.738 (26.2% reduction), 260 mg AT2221 multiplies CL by 0.595 (40.5%
reduction); both effects are estimated as separate categorical covariate
multipliers (paper Methods ‘A categorical covariate effect model was
implemented’). Residual error is proportional (variance 0.0317, SD 0.178
on the linear-scale concentration).
|
|
Ciprofloxacin
(Schaefer 1996)
|
Two-compartment population PK model for intravenous and oral
ciprofloxacin in 10 pediatric cystic fibrosis patients aged 6-16 years
(Schaefer 1996). First-order absorption from a depot, two disposition
compartments, plus a cumulative urine compartment driven by an
independently estimated renal clearance. Total clearance is a
linear-with-intercept function of body weight (CL = 8.8 + 0.396 * WT,
L/h), and central / peripheral volumes are directly proportional to body
weight with slopes 0.698 and 1.3 L/kg respectively. Intercompartmental
clearance, absorption rate, renal clearance, and oral bioavailability
are weight-independent. IIV is retained on CL, Vc, and Vp only; residual
error is proportional. Calibrated to the study weight range (15-42 kg);
extrapolation beyond is not appropriate per the source authors.
|
|
Ciprofloxacin
(Thuo 2011)
|
One-compartment population PK model with first-order absorption and
absorption lag for oral ciprofloxacin in Kenyan children with severe
malnutrition (Thuo 2011). Apparent CL and apparent Vc are allometrically
scaled to body weight (exponents 0.75 and 1) and modified by linear
deviations from a serum sodium reference of 136 mmol/L; apparent CL is
further reduced by 28.3% in the paper-defined high-mortality-risk
stratum.
|
|
Ciprofloxacin
(Zhao 2014)
|
Two-compartment population PK model with first-order elimination for
intravenous ciprofloxacin in neonates and young infants less than three
months of age (Zhao 2014). Central and peripheral volumes (V1, V2) scale
allometrically with current body weight (fixed exponent 1, reference
1.955 kg); clearance (CL) and inter-compartmental clearance (Q) scale
with current body weight at a fixed exponent of 0.75. CL is further
multiplied by a renal-maturation factor in gestational age and postnatal
age (F_age), a renal-function factor in serum creatinine (RF =
exp((CREAT - 42 umol/L) * theta7)), and a fractional reduction (factor
0.708) when inotropic / vasoactive agents are coadministered. IIV is
reported on V1, V2, and CL as %CV on an exponential model. Residual
error is proportional. Inter-occasion variability on CL (16.4%CV)
reported by Zhao 2014 is not encoded structurally here – the source
paper does not define an operational occasion mapping for the
model-library use case; users who need IOV can add an OCC indicator and
per-occasion eta downstream.
|
|
Cisplatin
(Boer 2015)
|
Two-compartment population PK model for long-term circulating platinum
(Pt) decay after cisplatin-based chemotherapy in adult testicular cancer
survivors followed 1-13 years post-treatment (Boer 2015). Dose is the
cumulative cisplatin dose expressed as elemental Pt in mg (multiply
cumulative cisplatin in mg by 0.6502, the Pt/cisplatin mass ratio
195.08/300.05). An apparent bioavailability F1 (fdepot) accounts for the
fraction of the administered Pt remaining in the body after the rapid
pre-measurement urinary-excretion phase. Pt is assumed to be cleared
solely via urine.
|
|
Cisplatin
(Urien 2004)
|
Integrated two-compartment population PK model for ultrafilterable
(unbound) plasma platinum coupled to a metabolite compartment
representing irreversibly protein-bound plasma platinum (Urien 2004
BJCP). Fitted simultaneously to 396 unbound and 477 total plasma
platinum concentration-time observations from 43 adult cancer patients
receiving 30-min cisplatin infusions. Unbound clearance depends on body
surface area and Cockcroft-Gault creatinine clearance; the unbound
central volume depends on BSA. The bound formation parameter fm/Vm
depends on dose per m^2 and total serum protein; its BSA and
creatinine-clearance exponents are fixed at the negatives of the unbound
CL exponents so the formation flux (fm/Vm)CLCc is net BSA- and
CLCr-neutral. The apparent metabolite volume Vm is not separately
identifiable; the composite parameters fm/Vm (1/L) and CLm0/Vm (1/h)
absorb Vm and the bound state is carried in concentration units.
|
|
Cladribine
(Savic 2017)
|
Population PK model for cladribine (CdA) in patients with
relapsing-remitting multiple sclerosis (Savic 2017): three-compartment
disposition with first-order oral absorption, separate fasted vs fed (or
unknown food-state) absorption parameters, renal clearance proportional
to Cockcroft-Gault creatinine clearance, and a multiplicative
non-renal-clearance effect of concomitant subcutaneous interferon
beta-1a coadministration.
|
|
Clarithromycin
(Abduljalil 2009)
|
Semimechanistic population pharmacokinetic model for oral clarithromycin
and its 14-(R)-hydroxy metabolite during repeated b.i.d. administration
(Abduljalil 2009): a single-phase Weibull absorption (kw, lambda) into a
one-compartment parent disposition with linear distribution and a parent
clearance that is partly inhibited by the parent’s own concentration in
a hypothetical effect-style inhibition compartment (Imax form with FCLp
= fraction of CLp not subject to inhibition and IC50 =
inhibition-compartment concentration giving 50% of maximum inhibition);
all parent metabolic clearance feeds a parallel one-compartment
metabolite disposition (14-OH-clarithromycin). Body weight enters
allometrically with fixed exponents 0.75 on CL and 1.0 on V (parent and
metabolite), reference 70 kg.
|
|
Clesrovimab
(Hu 2026)
|
Two-compartment population PK model for clesrovimab in preterm and
full-term infants (Hu 2026)
|
|
Clindamycin
(Bouazza 2012)
|
One-compartment population PK model for clindamycin administered orally
(immediate-release tablet) or intravenously (20-min infusion) in 50
adult patients (ages 18-93 y, body weight 23-133 kg) treated for bone
and joint infections (Bouazza 2012). First-order absorption for oral
dosing with estimated absolute bioavailability F = 0.876; apparent
clearance CL/F = 15.2 L/h at 70 kg, with an estimated (non-allometric)
body-weight exponent of 0.497 on CL. Apparent volume V/F = 66.2 L and
absorption rate Ka = 0.967 1/h, neither carrying retained
interindividual variability. IIV is retained only on CL/F (omega =
0.39). Residual variability is proportional (sigma = 0.38). Rifampicin
co-administration was screened but not retained in the final model (see
covariatesDataExcluded).
|
|
Clindamycin
(Muller 2010)
|
Three-compartment intravenous popPK model for clindamycin in pregnant
women during the peripartum period (Muller 2010). Fit to 175 maternal
venous serum concentrations from 7 women receiving either 600 mg over 20
min every 6 h (endocarditis prophylaxis) or 900 mg over 30 min every 8 h
(group B streptococcal disease prophylaxis). No covariates were retained
in the final model; demographic and laboratory screens (maternal age,
gestational age, BMI, weight, edema, temperature, creatinine, ALP, AST,
ALT, mode of delivery) are documented in covariatesDataExcluded.
Proportional residual error with a per-subject log-normal scaling eta on
the residual error magnitude (NONMEM omega-sigma interaction with an
extra ETA on epsilon).
|
|
Clindamycin
(Smith 2017)
|
One-compartment population PK model for intravenous clindamycin in obese
and nonobese children, with allometric total body weight on CL and V,
sigmoidal Hill maturation on CL by postmenstrual age, and power effects
of serum albumin and alpha-1 acid glycoprotein on V (Smith 2017).
|
|
Clomethiazole
(Zingmark 2003)
|
Two-compartment intravenous population PK model for clomethiazole
(Zingmark 2003) in 774 adult acute-stroke patients dosed with a
three-phase IV infusion of clomethiazole edisilate over 24 h (6 mg/kg
over 0.25 h then 31 mg/kg over 0.25-8 h then 31 mg/kg over 8-24 h, total
68 mg/kg edisilate). The structural model is parameterized in CL/V1/Q/V2
with body weight as a linear covariate on V1 and V2 and a
piecewise-linear covariate on CL (linear up to WT50 = 100 kg, constant
above) plus a multiplicative effect of concomitant liver-enzyme-
inducing drugs (carbamazepine, phenytoin, rifampicin) on CL. IIV uses
parameter-specific etas combined with a shared eta common to all four PK
parameters (paper text: attributed to clomethiazole adsorption to the
infusion tubing) – the joint structure induces a single pairwise
correlation among the structural parameters. The paper also reports a
proportional-odds sedation-score PD model with a sensitive/non-sensitive
mixture component; that PD layer is not encoded here – it requires a
NONMEM MIXNUM-style mixture construct that is not naturally expressed in
nlmixr2 / rxode2 model files, and the NIH stroke-scale covariate is not
yet in the canonical covariate register. See the validation vignette’s
Assumptions and deviations section.
|
|
Clonazepam
pediatric (Yukawa 2002)
|
Steady-state population PK model for clonazepam relative clearance
(CL/F) in 137 Japanese pediatric and adult epileptic patients (Yukawa
2002 Table III row 4). CL/F is a body-weight power function with a
3-tier drug-interaction factor for concomitant antiepileptic drugs
(monotherapy, +1 AED (CBZ or VPA), +>=2 AEDs).
|
|
Clopidogrel
(Danielak 2017)
|
Joint parent-metabolite population PK model for oral clopidogrel and its
active thiol H4 metabolite (the antiplatelet-active diastereomer) in
adult Caucasian patients undergoing elective coronarography or
percutaneous coronary intervention on chronic clopidogrel 75 mg/day
(Danielak 2017). Clopidogrel is described by a one-compartment model
with first-order absorption (rate constant ka = source k12) and
first-order elimination (CL/F = source CL/F, V/F = source V2/F). The H4
metabolite is described by a one-compartment model with irreversible
first-order formation from clopidogrel central at the rate FM * CL/F *
(clopidogrel central / Vc) and first-order elimination (CL_h4/F = source
Q2/F, V_h4/F = source V3/F). FM was constrained to <= 20% in the
source fit because clopidogrel undergoes extensive first-pass metabolism
to the inactive carboxylic acid (the competing CES1 pathway accounts for
~85% of the absorbed dose); the final estimate is FM = 4.5%. H4 plasma
concentrations were assayed after bromo-3’-methoxyacetophenone
derivatisation of the labile thiol and were adjusted to the mass
equivalent of clopidogrel, so the parent <-> H4 flux carries 1:1
molar / mass-equivalent stoichiometry. Inter-individual variability is
reported on ka, V/F, CL/F, and FM with a covariance between ka and V/F.
The only retained covariate is CYP2C19*2 carriage on FM
(linear-deviation effect, e_cyp2c19_s2_fm = -0.45); carriers convert 45%
less of the absorbed dose to the active H4 metabolite. Bioavailability F
was assumed to be unity (typical value 1, not estimated because no IV
clopidogrel data exist). Residual error is proportional on the
linear-concentration scale for both observed analytes; M3-method
handling was used for samples below the quantitation limit (0.25 ng/mL
for both clopidogrel and H4).
|
|
Clozapine
(Li 2012)
|
One-compartment parent-plus-metabolite population PK model for oral
clozapine and its primary active metabolite norclozapine
(N-desmethylclozapine) in 162 Chinese adult inpatients (74 male, 88
female; 35.5 +/- 10.6 years) with refractory schizophrenia on
maintenance oral clozapine therapy (Li 2012). First-order absorption (Ka
fixed at 1.3 1/h from prior rich-data clozapine PK studies) into a
single central compartment with first-order elimination; a fixed
fraction (KF = 0.66) of the absorbed clozapine dose is converted in the
parent central compartment to norclozapine and feeds a separate
one-compartment metabolite compartment with its own apparent clearance
and apparent volume. Two binary covariates were retained in the final
forward-and-backward-selected model: current-smoker status increases
apparent clearance of both species (clozapine by 45%, norclozapine by
54.3%), and male sex increases apparent clearance of both species
(clozapine by 20.8%, norclozapine by 24.2%); the typical values reported
in Table 2 are for the female-nonsmoker reference stratum. A combined
additive-plus-proportional residual error model is reported separately
for clozapine and norclozapine. The model was internally validated using
normalized prediction distribution errors (NPDE).
|
|
Colistin
(Jacobs 2016)
|
Two-state parent-metabolite population PK model for colistimethate
sodium (CMS, prodrug) and colistin (active polymyxin) in critically ill
ICU patients with acute renal failure requiring intermittent
hemodialysis (n=8). One compartment each for CMS and colistin. CMS renal
clearance is structurally fixed at 0 (anuric HD population); the
estimated CMS clearance is therefore nonrenal (CL_NRCMS). Colistin
disposition is parameterised in apparent units (V_col/f_m and
CL_col/f_m) because the fraction f_m of nonrenally cleared CMS that
becomes colistin is not separately identifiable from plasma data.
Hemodialysis clearances of CMS (90 mL/min) and colistin (137 mL/min) are
fixed experimental constants from Marchand 2010 (ref 7 of Jacobs 2016)
and are gated on/off by the time-varying RRT_HEMODIAL_ACTIVE covariate;
PK sampling in the source study was conducted between HD sessions, so
RRT_HEMODIAL_ACTIVE = 0 over the model-fit data.
|
|
Colistin
(Karaiskos 2015)
|
Population PK model for colistimethate sodium (CMS, prodrug) and
colistin (active polymyxin formed by in vivo hydrolysis) in critically
ill adults after a 9 MU CMS loading dose. CMS distributes through four
compartments representing two states of the prodrug (CMS1 = more fully
sulfomethylated, CMS2 = partially sulfomethylated derivatives); each
state has central and peripheral compartments sharing volumes Vc and Vp
but distinct inter-compartmental clearances Q1 and Q2. The same nonrenal
clearance CL_NR drives the first-order hydrolysis CMS1 -> CMS2 (in
both central and peripheral, with the same rate constant) and CMS2 ->
colistin (central only); CMS1 and CMS2 central compartments are
additionally cleared by renal clearance proportional to creatinine
clearance. Colistin disposition follows a one-compartment model with
apparent clearance and volume (CL/fm, V/fm) scaled to the unknown
fraction of administered CMS converted to colistin. Measured
colistimethate concentration is the sum of CMS1 and CMS2 central
concentrations.
|
|
Colistin
(Lee 2013)
|
One-compartment population PK model of colistin in adult burn-ICU
patients receiving colistimethate sodium (CMS) as a 30-minute IV
infusion every 12 hours, with first-order CMS-to-colistin conversion
(Lee 2013). Apparent CL and Vc of colistin are scaled inversely by the
relative fraction of CMS converted to colistin (RFM = 1 - theta4 *
(CRCL/128)); the CMS-to-colistin turnover rate constant TR is reduced in
patients with clinically-evident peripheral edema (TR = theta3 - theta5
* DIS_EDEMA).
|
|
Colistin
(Mohamed 2012)
|
Two-compartment population PK model for colistin methanesulfonate (CMS,
prodrug) plus a one-compartment apparent model for colistin (formed
metabolite) in critically ill patients, with concentration-dependent
unbound fraction of colistin A and a semimechanistic Pseudomonas
aeruginosa bacterial-kill PKPD (susceptible / resting compartments from
Bulitta 2010)
|
|
Colistin
(Plachouras 2009)
|
Two-compartment population PK model for colistin methanesulfonate (CMS,
prodrug) and one-compartment model for the formed colistin (active
metabolite) in critically ill adults receiving 3 MU q8h IV CMS for
multidrug-resistant Gram-negative infections (Plachouras 2009). Colistin
metabolite parameters are apparent values scaled by the unknown fraction
(fm) of CMS that forms colistin (CL_col is CL/fm; Vc_col is V/fm).
|
|
Concizumab
(Yuan 2019)
|
QSP. Systems PK/PD model for concizumab (humanized anti-TFPI IgG4)
describing binding to both membrane-bound TFPI (mTFPI; non-linear
clearance via receptor-mediated endocytosis) and soluble TFPI (sTFPI;
linear clearance via FcRn-recycled pinocytosis) in a minimal
physiologically-based PK framework with two nested endothelial endosome
compartments. Parameter values for 70 kg adult humans (Yuan 2019 Tables
1-2); the paper also tabulates monkey and rabbit parameter sets.
|
|
ConestatAlfa
(Farrell 2013)
|
One-compartment population PK model with Michaelis-Menten elimination
for intravenous recombinant human C1 inhibitor (rhC1INH; conestat alfa;
Ruconest) in healthy volunteers and adolescent / adult patients with
hereditary angioedema (Farrell 2013). Total functional plasma C1INH is
modelled as the sum of an estimated endogenous baseline (separate
baselines for healthy volunteers and HAE patients) plus exogenously
administered rhC1INH, with the endogenous production rate derived from
the Michaelis-Menten elimination at baseline so the no-dose steady state
is preserved. Allometric power scaling of central volume on body weight
(exponent 0.612).
|
|
Corifollitropin
alfa (Zandvliet 2016)
|
One-compartment subcutaneous population pharmacokinetic model for
corifollitropin alfa (a long-acting recombinant gonadotrophin) in women
undergoing controlled ovarian stimulation (Zandvliet 2016). Pooled
analysis of 2557 evaluable women from five phase II and III trials
(single SC doses of 60-180 ug). Corifollitropin alfa is absorbed
first-order from a subcutaneous depot into a one- compartment central
pool with first-order elimination; body weight is the major covariate,
with allometric (WT/60)^exponent power effects on apparent clearance and
apparent volume. Apparent bioavailability is modulated by body-mass
index, race (Asian and Black indicators vs Caucasian reference), and
remains anchored at F = 1. The model jointly describes total FSH
immunoreactivity by adding an endogenous follicle stimulating hormone
(FSH) compartment whose pre-dose steady-state baseline is FSHbaseline
and whose synthesis is set to zero from corifollitropin administration
onwards (per the paper’s structural model). Total FSH immunoreactivity
(IU/L) equals SCALE * corifollitropin concentration (ng/mL) plus the
endogenous FSH compartment value, where SCALE is fixed at 6.11 IU/L per
ng/mL from an upstream analysis. Trial- specific multiplicative effects
on the FSH immunoreactivity prediction (1.26 for trial 06029 and 1.12
for trial 38825) are exposed via binary study indicators that default to
zero for general simulation use.
|
|
Cotadutide
qsp (Bosch 2024)
|
QSP. 4GI quantitative systems pharmacology model (glucose, insulin,
GLP-1, glucagon, GIP) coupled to a one-compartment first-order-
absorption cotadutide PK model in adults with type 2 diabetes mellitus
(Bosch 2024). Cotadutide is a dual GLP-1/glucagon receptor agonist; in
vivo EC50s for cotadutide on each receptor are derived from the in vitro
EC50 ratio vs the endogenous ligand (Eq 1). The drug’s
free-fraction-corrected central concentration drives four saturable Emax
effects on the system: (1) stimulation of glucose- dependent insulin
secretion via GLP-1R, (2) inhibition of meal- glucose absorption via
GLP-1R, (3) inhibition of glucagon production via GLP-1R, and (4)
stimulation of glucose production via GCGR. A fifth Emax inhibits
endogenous active GLP-1 production (Eq 3). The placebo arm’s
lifestyle-change effect on fasting plasma glucose is modelled as an
inverse Bateman attenuation of endogenous glucose production (Eq 2).
Cotadutide PK structure and typical values are fixed from the upstream
popPK analysis of Guan et al. 2022 (KA=0.343 1/h, CL=1.04 L/h, V=18.7
L). All 4GI system- specific disposition and effect parameters are fixed
from the upstream 4GI model of Bosch et al. 2022; meal-effect, baseline,
lifestyle and EMAX_5/EC50_5S parameters were re-estimated against the
cotadutide MAD/Ph2a dataset (NCT02548585; n=51, T2DM). Five outputs:
plasma glucose (mmol/L), insulin (pmol/L), GLP-1 (pmol/L), glucagon
(pmol/L) and GIP (pmol/L), each with proportional residual error.
Individual fasting plasma glucose enters via the FPG covariate; meal
glucose enters as dosing events on the glucose-gut compartment. Defaults
are T2DM; healthy-volunteer parameter set from Bosch 2022 is given in
source-trace comments. No IIV is encoded (sequential model fit with
individual PK / glucose- baseline inputs from Guan 2022 and the observed
dataset).
|
|
Crisantaspase
(Sassen 2017)
|
Two-compartment population PK model for intravenous Erwinia asparaginase
(crisantaspase; Erwinase) in pediatric acute lymphoblastic leukemia
patients, with allometric scaling on clearance and volumes and a higher
first-month clearance (Sassen 2017).
|
|
Crizotinib
mouse (Yamazaki 2008)
|
Preclinical (athymic mouse; GTL16 gastric carcinoma or U87MG
glioblastoma xenograft). Integrated PK + cMet phosphorylation
(effect-compartment link model) + exponential tumor-growth-inhibition
(TGI) model for orally administered crizotinib (PF02341066), an
ATP-competitive cMet receptor tyrosine kinase inhibitor. PK is
one-compartment first-order absorption with a fixed 0.8 h lag, fitted by
naive-pooled analysis (dose-group-specific estimates due to nonlinear
kinetics; the encoded set is Study 2 at 50 mg/kg). The cMet
phosphorylation response is the Sheiner 1979 link model with E0, Emax,
and Hill coefficient all fixed at 1 (Imax 1/(1 + Ce/EC50) form). The
tumor-growth model is exponential, with the growth rate inhibited by the
plasma concentration via a sigmoidal Imax 1/(1 + Cc/EC50_tumor) function
(Emax fixed at 1; the saturable tumor-volume capacity term TG50 was
rejected by the authors as TG50 >> Tmax). Default TGI parameters
reproduce the GTL16 fit; the U87MG variant (kin_tumor=0.0134,
kout_tumor=0.00236, EC50_tumor=94.1 ng/mL) is documented in
population$notes and demonstrated in the validation vignette.
|
|
CyaaE7
(ParraGuillen 2013)
|
Preclinical (mouse, female C57BL/6 with subcutaneous TC1 tumor
expressing HPV E7). Semi-mechanistic K-PD tumor-growth-dynamics model of
single-dose CyaA-E7 cancer vaccine: a virtual vaccine compartment feeds
a two-compartment transit chain to a vaccine-elicited inhibitory signal
SVAC that reduces tumor size via a second-order k3 * SVAC * tumor_size
term, inhibited by a Hill-function regulator REG driven by tumor size; a
binary mixture covariate MIX_VAC_RELAPSE gates the SVAC degradation rate
(k2 = 0 for cure, k2 = k1 for relapse).
|
|
Cyclophosphamide
mouse (Campagne 2019)
|
Preclinical (mouse). Plasma and brain/tumor extracellular-fluid (ECF)
population PK model for cyclophosphamide (CTX) and its sequential
metabolites 4-hydroxy-cyclophosphamide (4OH-CTX) and
carboxyethylphosphoramide mustard (CEPM) in female CD-1 nude mice
(non-tumor-bearing and orthotopic Group 3 medulloblastoma G3MB),
following a single 130 mg/kg intraperitoneal dose of cyclophosphamide
(Campagne 2019). Three sequential two-compartment plasma sub-models are
linked by full (Fm = 1) conversion CTX -> 4OH-CTX -> CEPM (so
reported CL and V for the two metabolites are apparent CL/F and V/F);
each compound additionally has a one-compartment brain/tumor ECF
sub-model linked to its plasma central via influx (CLin) and efflux
(CLef) clearances driven by the unbound plasma concentration FU x Cp.
ECF volume fixed at 0.001 L/kg (Stewart 2010, ref 26 of source). No
covariate effects retained; pooled fit across non-tumor-bearing and G3MB
mice.
|
|
Cyclosporin
(Debord 2001)
|
Two-compartment population PK model for oral cyclosporin microemulsion
(Neoral) in stable renal transplant recipients (Debord 2001), with a
gamma-distribution absorption (Savic 2007 analytical transit-compartment
form) feeding the central compartment directly, F fixed to 1, and
population typical values derived from the means of the 21
individually-fitted patients in Table I of the paper.
|
|
Cyclosporine
(Philippe 2015)
|
Pediatric PK-PD-time-to-event model for oral cyclosporine in children
with severe aplastic anemia (Philippe 2015). PK is a two-compartment
model with first-order absorption, lag time, and linear elimination;
absorption parameters (F, Tlag, ka) are fixed from the literature, and
V1, V2, Cl, Q are allometrically scaled to body weight (reference 34 kg;
fixed exponents 0.75 on clearance and 1 on volume). The pharmacodynamic
interface model (Eq. 5) describes an effective concentration Ce driven
by the predicted trough concentration Ctrough, with production active
only when Ctrough lies inside an effective range (lower bound gamma1 =
87 ng/mL, upper bound gamma2 = 120 ng/mL) and first-order elimination at
rate alpha. The instantaneous hazard of neutrophil response (Eq. 6) is
lambda(t) = lambda0 * (1 + slope * Ce); cumhaz and sur are exposed as
derived outputs. In this implementation the predicted Cc (multiplied by
1000 to convert mg/L to ng/mL) is used as the Ctrough input to the
interface model; see vignette Assumptions and deviations for the full
justification.
|
|
Cysteamine
(Belldina 2003)
|
Two-compartment population PK model with first-order oral absorption and
an absorption lag, sequentially linked to a one-compartment effect-site
PD model with fractional inhibitory Emax (Hill = 1) for white-blood-cell
cystine content reduction by cysteamine in 11 paediatric and young-adult
patients (age 3-15 y, weight 14.3-60.2 kg) with nephropathic cystinosis
at steady state on cysteamine bitartrate (Cystagon) approximately every
6 hours. PK and PD parameters in the source paper were estimated as
individual NONMEM fits per subject and summarised as arithmetic mean /
geometric mean / median / min / max across the 11 patients (Tables 2 and
3); this package encodes the arithmetic means as the typical values,
with linear allometric weight scaling fixed at exponent 1.0 to reflect
the paper’s per-kg parameterisation of all clearance and volume terms.
Dose is in mg cysteamine bitartrate salt (MW 227.24 g/mol); the model
converts internally to plasma cysteamine in micromolar (free-base
moiety, MW 77.15 g/mol, the measured analyte). PD output cystine is
white-blood-cell cystine content in nmol cystine per mg protein.
|
|
Dabigatran
(Liesenfeld 2013)
|
Two-compartment population PK model for oral dabigatran (after
dabigatran etexilate prodrug) in seven end-stage renal disease (ESRD)
subjects undergoing intermittent hemodialysis, with first-order
absorption, absorption lag, an apparent total body clearance (renal +
non-renal), and an apparent dialysis clearance described by the Michaels
equation as a function of blood and dialysate flow rates and a
hemodialyzer mass transfer-area coefficient (Liesenfeld 2013).
|
|
Dabigatran
aPTT (Liesenfeld 2006)
|
Pharmacodynamic model for the prolongation of activated partial
thromboplastin time (aPTT) by dabigatran in orthopaedic surgery patients
receiving oral dabigatran etexilate after total hip replacement
(Liesenfeld 2006 BISTRO I PK-PD analysis). The concentration-aPTT
relationship combines a linear and an Emax model; the baseline aPTT and
the maximum nonlinear effect Emax both decline with time since surgery
via a proportional inhibitory Emax form sharing a single ET50. Covariate
analysis retained no demographic, comedication, or laboratory variables.
The 2006 paper does not develop a PK model; the PK component embedded
here is the Liesenfeld 2013 two-compartment dabigatran disposition with
all PK thetas fixed so the model is self-contained for simulation. The
2013 PK was fit in end-stage renal-disease subjects and will
overestimate dabigatran exposure for the 2006 BISTRO I
orthopaedic-surgery population; users targeting BISTRO I-style scenarios
should override the PK thetas or supply observed concentrations to the
PD layer.
|
|
Dabigatran
ECT (Liesenfeld 2006)
|
Pharmacodynamic model for the prolongation of ecarin clotting time (ECT)
by dabigatran in orthopaedic surgery patients receiving oral dabigatran
etexilate after total hip replacement (Liesenfeld 2006 BISTRO I PK-PD
analysis). The concentration-ECT relationship is a single linear
function whose slope decays exponentially from an initial value SLO0 to
a final value SLO_F with rate constant KM; the baseline ECT also
declines with time-since-surgery via a proportional inhibitory Emax
form. Covariate analysis retained no demographic, comedication, or
laboratory variables. The 2006 paper does not develop a PK model; the PK
component embedded here is the Liesenfeld 2013 two-compartment
dabigatran disposition with all PK thetas fixed so the model is
self-contained for simulation. The 2013 PK was fit in end-stage
renal-disease subjects and will overestimate dabigatran exposure for the
2006 BISTRO I orthopaedic- surgery population; users targeting BISTRO
I-style scenarios should override the PK thetas or supply observed
concentrations to the PD layer.
|
|
Daclizumab
(Othman 2014)
|
Two-compartment population PK model with first-order subcutaneous
absorption and lag time for daclizumab high-yield process (HYP) in
healthy volunteers (Othman 2014)
|
|
Daclizumab
cd25 (Diao 2016)
|
Sigmoidal Emax PK/PD model of CD25 receptor occupancy on peripheral CD4+
T cells following subcutaneous daclizumab high-yield process (HYP) in
adults with relapsing-remitting multiple sclerosis (Diao 2016). The PD
output is the percentage of CD4+ T cells staining positive for
unoccupied CD25 (i.e., the unbound CD25 fraction). The PK backbone is
the two-compartment, first-order SC absorption + lag model from Othman
2014 (file inst/modeldb/specificDrugs/Othman_2014_daclizumab.R), copied
verbatim with weight-based allometric scaling.
|
|
Daclizumab
cd56bright (Diao 2016)
|
Indirect-response PK/PD model of CD56 bright natural killer (NK) cell
expansion following subcutaneous daclizumab high-yield process (HYP) in
adults with relapsing-remitting multiple sclerosis (Diao 2016).
Daclizumab HYP serum concentration stimulates the zero-order production
rate (Kin) of CD56 bright NK cells (% of all lymphocytes) via a
saturable Smax function; first-order elimination rate Kout is fixed by
the median baseline. The PK backbone is the two-compartment, first-order
SC absorption + lag model from Othman 2014 (file
inst/modeldb/specificDrugs/Othman_2014_daclizumab.R), copied verbatim
with weight-based allometric scaling.
|
|
Daclizumab
treg (Diao 2016)
|
Sigmoidal Emax PK/PD model of regulatory T cell (Treg) reduction
following subcutaneous daclizumab high-yield process (HYP) in adults
with relapsing-remitting multiple sclerosis (Diao 2016). The PD output
is the percentage of Treg (CD4+ CD127low/- Foxp3+) among all CD4+ T
cells; daclizumab HYP serum concentration drives a maximum 60% reduction
via a sigmoidal Emax function. The PK backbone is the two-compartment,
first-order SC absorption + lag model from Othman 2014 (file
inst/modeldb/specificDrugs/Othman_2014_daclizumab.R), copied verbatim
with weight-based allometric scaling.
|
|
Dactinomycin
(Mondick 2006)
|
Three-compartment intravenous population PK model for actinomycin-D
(dactinomycin) in 33 pediatric and young-adult patients (1.58-20.3
years) with Wilms’ tumor or rhabdomyosarcoma. All disposition parameters
are allometrically scaled by total body weight, normalized to a
reference weight of 70 kg, with theory-based fixed exponents (0.75 on
clearances, 1.0 on volumes; not explicitly stated in the abstract).
Inter-individual variability was reported only for V1 (54.4% CV) and CL
(57.2% CV); residual error and the remaining IIV terms (V2, V3, Q2, Q3)
were not reported in the source conference abstract and are encoded as
fixed(0). Mondick 2006 (PAGE 15 Abstr 938).
|
|
Dalteparin
(Schoemaker 1996)
|
One-compartment population PK/PD model for the low molecular weight
heparin dalteparine (trade name Fragmin) in healthy volunteers, fitted
simultaneously to intravenous and subcutaneous administration data
(Schoemaker & Cohen 1996, Example 3 / Table 4). The kinetic
sub-model is a one-compartment IV bolus / first-order SC absorption
disposition with an estimated constant basal anti-Xa activity (extending
the Schoemaker 1996 Example 2 enoxaparine model with a depot compartment
and bioavailability). The pharmacodynamic sub-model links anti-Xa
activity (Cc) to activated partial thromboplastin time (APTT) through an
exponential concentration-effect relationship parameterised by I10 (the
anti-Xa activity increment required to produce a 10% increase in APTT).
Common kinetic parameters are shared between IV and SC routes within
each subject; only F (bioavailability) and ka (absorption rate) differ
between routes. Validation of this model and the companion enoxaparine
PK model share a single vignette.
|
|
Dapagliflozin
(vanderWalt 2013)
|
Semi-mechanistic joint parent-metabolite population PK model for
dapagliflozin and its inactive UGT1A9 glucuronide metabolite
dapagliflozin 3-O-glucuronide (D3OG, identified as M15 in
chromatography) in healthy adults, T2DM subjects with normal or impaired
renal function, and patients with hepatic impairment (van der Walt
2013). Parent: 2-compartment disposition with first-order absorption fed
by a Savic 2007 transit-compartment chain (continuous N estimated
alongside MTT) and a logit bioavailability anchor; three parallel parent
elimination pathways are estimated separately as renal excretion of
unchanged dapagliflozin (CLP_renal, proportional to baseline creatinine
clearance), metabolic formation of D3OG (CLP_M15), and metabolic
clearance to unmeasured metabolites (CLP_other, allometrically scaled
like CLP_M15). Metabolite: 1-compartment with renal elimination CLM
proportional to creatinine clearance. Plasma observations only are
emulated here – the source paper also fitted urine dapagliflozin and
D3OG concentrations simultaneously with a replicate residual-error
structure; see the validation vignette for the urine and
replicate-residual deviations. Covariates: creatinine clearance (CRCL;
IBW-corrected, mL/min) on CLP_M15, CLP_renal, and CLM; AGE on CLP_other;
Child-Pugh Class C (HEPIMP_SEV) on CLP_M15 and V2M; Child-Pugh Class B
or C (HEPIMP_MODSEV) on V3P and CLM; female sex (SEXF) on total CLP and
on CLM; allometric WT scaling on CLP_M15, CLP_other, V2P, V3P, V2M.
|
|
Dapsone
(Gatti 1996)
|
One-compartment population PK model with first-order oral absorption and
first-order elimination for dapsone 100 mg twice weekly oral
Pneumocystis carinii pneumonia prophylaxis in 53 HIV-infected adults
(Gatti 1996). Apparent clearance CL/F and apparent central volume V/F
are scaled multiplicatively by concomitant rifampin co-administration
(shared 69.6% increase on both parameters, reflecting a first-pass /
bioavailability effect). Apparent absorption rate constant Ka is scaled
multiplicatively by total serum bilirubin (per-mg/dL fractional
decrease). IIV on CL/F (35% CV) and Ka (85% CV); V/F inter-individual
variability was found non-significant after covariate inclusion and
dropped from the final model. Residual-error magnitudes were not
reported in the publication; propSd and addSd are FIXED at 0 in this
packaged model so users must supply their own residual error to run any
stochastic VPC – see the validation vignette’s Errata section.
|
|
Dapsone
(Hall 2017)
|
One-compartment population PK model with first-order oral absorption for
dapsone in healthy US adults across a wide weight range; covariate
effects on Ka, CL, and Vc are encoded via the published MARS
piecewise-linear basis functions of weight, age, and blood urea nitrogen
(Hall 2017).
|
|
Daptomycin
(Garonzik 2016)
|
In vitro (Staphylococcus aureus USA300, methicillin-resistant CA-MRSA
reference strain). Mechanism-based mathematical pharmacodynamic (MBM)
model of daptomycin time-kill activity in supplemented Mueller-Hinton
broth with 0%, 10%, 30%, 50%, or 70% v/v heat-inactivated human serum.
The bacterial population is split into three subpopulations of
decreasing daptomycin susceptibility (susceptible, intermediate,
resistant), each described by two states (state 1 vegetative, state 2
replicating; six bacterial compartments total). Replication of state 2
cells back into state 1 is gated by a successful-replication probability
(REP = 2 x Plateau, with Plateau saturating at a maximum CFU/mL CFUm),
and the vegetative-to-replicating transition k12 is modulated by an
exponential lag-phase term (Eq 3) and a saturable carrying-capacity term
(Eq 7) parameterised by Imax_k12 and IC50_k12. Daptomycin acts on each
subpopulation via two mechanisms: a Hill-type stimulation of the
probability of death (STI; reduces successful replication via IREP = 1 -
STI) and a Hill-type direct killing of bacteria (Kill); the relative
balance of the two is the dominant pharmacodynamic feature, with SC50
(0.05 mg/L) much lower than KC50 (4.8 mg/L). The intermediate and
resistant subpopulations share the same SC50 and KC50 but have reduced
Smax and Kmax (Smax_r and Kmax_r fixed to 0) and the resistant
subpopulation has a slower vegetative-to-replicating transition (FR_K12r
= 0.0442). Protein binding by human serum is encoded as an ‘active
fraction’ factive(HS) multiplying the total static daptomycin
concentration to give an effective drug concentration DAP_EF; the active
fraction takes five experimental levels (factive = 1 at 0% HS, then
0.346, 0.284, 0.239, 0.252 at 10%, 30%, 50%, 70% HS). The model is
in-vitro PD only – there is no human PK component; daptomycin is dosed
once at t = 0 into the dap compartment and is chemically stable in the
medium for the 24-h experiment. Random effects (eta) are NOT present:
the paper reports replicate-level experimental fits with additive plus
small-count Poisson residual error on log10 CFU/mL.
|
|
Daratumumab
(Xu 2020)
|
Two-compartment population PK model for intravenous daratumumab
(anti-CD38 IgG1k) in adults with multiple myeloma, with parallel linear
and Michaelis-Menten eliminations from the central compartment. The
maximum velocity of the saturable (target-mediated) elimination decays
mono-exponentially from its baseline value at first-order rate KDES,
mimicking depletion of the CD38 target over weekly 16 mg/kg therapy (Xu
2020 MMY1001 D-Kd / D-KRd cohorts).
|
|
Daratumumab
qsstmdd (Li 2021)
|
Two-compartment semi-mechanistic target-mediated drug-disposition (TMDD)
population PK model for IV daratumumab (anti-CD38 IgG1) in adults with
multiple myeloma, with parallel non-specific linear clearance and
CD38-mediated saturable clearance under the quasi-steady-state (QSS)
approximation of Gibiansky 2008. The TMDD/QSS form supersedes an earlier
empirical Michaelis-Menten parameterisation with time-dependent Vmax:
receptor (CD38) turnover and complex internalisation reproduce
mechanistically the observed Vmax time-dependency. PAGE 29 (2021)
abstract II-52 by Li, Perez Ruixo, Zhou, Perez Ruixo, and Dosne (Janssen
R and D, Beerse). Distinct from Xu 2020 daratumumab, which uses the
empirical 2-cmt parallel-linear / time-dependent Vmax form.
|
|
Darbepoetin
(Takama 2007)
|
Two-compartment intravenous population PK model for darbepoetin alfa in
Japanese adult haemodialysis (HD) and peritoneal dialysis (PD) patients
with an additive endogenous erythropoietin baseline concentration
(Takama 2007). Body weight enters as a linear-deviation effect (centred
on 54 kg) on clearance and central volume; peritoneal-dialysis modality
adds a +17% multiplicative increment to central volume relative to the
HD reference.
|
|
Darbepoetin
alfa (Agoram 2006)
|
Two-compartment population PK model with first-order subcutaneous
absorption for darbepoetin alfa in healthy adult subjects (Agoram 2006).
Both IV and SC routes are supported. SC bioavailability is a linear
function of the SC dose amount (in ug). Body weight modifies clearance
and central volume via a normalized power model (reference 70 kg);
subject age modifies the absorption rate constant via a normalized power
model (reference 47 years, the development-cohort mean). Total measured
serum concentration is the sum of the simulated darbepoetin alfa and an
individual-specific endogenous-erythropoietin (eEPO) constant that the
ELISA assay cross-detects. Exponential (log-normal) residual error.
|
|
Dasabuvir
(Mensing 2017)
|
Two-compartment population PK model for oral dasabuvir in HCV genotype-1
infected adults receiving the 3D regimen (Mensing 2017). First-order
absorption, linear elimination, combined proportional + additive
residual error, IIV on CL/F only. The author’s final model retained
cirrhosis, gender, creatinine clearance, and body weight as significant
covariates on CL/F (and age, body weight on Vc/F and Vp/F), but the
paper does not publish point estimates for these covariate coefficients
(only graphical exposure-ratio forest plots in Figure 2); the
implemented model is the structural typical-value model with covariate
coefficients omitted (documented in covariatesDataExcluded).
|
|
Datopotamab
(Hong 2025)
|
Coupled population PK model for datopotamab deruxtecan (Dato-DXd,
anti-TROP2 antibody-drug conjugate) and its released payload DXd in
adults with advanced solid tumors (Hong 2025). Dato-DXd disposition is a
two-compartment model with parallel linear (CL_lin) and Michaelis-Menten
(Vmax / Km) elimination from the central compartment. DXd is a
one-compartment model whose formation rate equals the total Dato-DXd
elimination rate (linear + nonlinear) scaled by the molecular-weight
ratio (493.5 / 150000) and a time-and-cycle-dependent drug-to-antibody
ratio DAR(tad, CYCLE) = 4 * (0.25 + 0.75 * exp(-beta * tad)) * (1 if
CYCLE = 1 else Factor1). Body weight is included as a mechanistic
covariate with a fixed allometric exponent of 0.75 on Dato-DXd linear
clearance and estimated exponents on Dato-DXd volumes (paper Eq. 8-10)
and on DXd CL/Vc (Eq. 14-15).
|
|
Daunorubicin
(Bogason 2011)
|
Two-compartment population PK model for daunorubicin (DNR) in adults
with acute myeloid leukaemia, with baseline white blood cell count as a
covariate on central volume of distribution (Bogason 2011)
|
|
Daunorubicin
(Varatharajan 2016)
|
Population PK model for IV daunorubicin (Dnr) and its primary
carbonyl-reductase metabolite daunorubicinol (DOL) in adult de novo
acute myeloid leukaemia (AML) patients (Varatharajan 2016). Each
component (parent and metabolite) is described by an independent
two-compartment disposition parameterised on apparent clearance, central
volume, and the inter-compartmental rate constants K12 and K21.
Daunorubicin is converted to daunorubicinol via parent elimination (the
model assumes the fraction metabolised fm = 1, so the published DOL CL
and V are ‘apparent’ values that absorb fm). No covariates were retained
in the final structural model; demographic / pharmacogenetic
associations in the paper are reported on post hoc empirical-Bayes
estimates rather than as fixed-effects covariate parameters.
|
|
Daunorubicin
liposomal (Hempel 2003)
|
One-compartment IV-infusion population PK model for total daunorubicin
(free plus liposome-encapsulated) following liposomal daunorubicin
(Daunoxome) in paediatric and adolescent oncology patients (Hempel
2003). Clearance and volume of distribution scale linearly with total
body weight (CL = theta_CL * WT; V = theta_V * WT, i.e. the source
paper’s per-kg parameterisation with allometric exponent fixed to 1 and
no reference-weight normalisation). The final model (Table 2 model 15)
retains inter-individual variability on CL (51% CV) and V (27% CV),
inter-occasion variability on CL (16.7% CV) – documented but NOT encoded
structurally here, per the Andrews 2017 / Brooks 2021 nlmixr2lib
precedent for IOV without an operational occasion column – and a
proportional residual error (22%). Distinct from
Varatharajan_2016_daunorubicin (free daunorubicin + daunorubicinol
metabolite in adult AML).
|
|
Decitabine
(Han 2015)
|
Two-compartment IV population pharmacokinetic model coupled with two
parallel Friberg-style myelosuppression PD chains (absolute neutrophil
count, ANC, and platelet count, PC) for decitabine post-transplant
maintenance in adult Korean patients with higher-risk myelodysplastic
syndrome or secondary acute myeloid leukemia (Han 2015). The platelet
feedback baseline rises asymptotically over cycles per the paper’s IMP /
IMK extension (BASE_P_t = BASE_P + IMP * (1 - exp(-IMK * t))); the
neutrophil chain uses a time-invariant baseline. PK parameters are
body-surface-area-normalized (per m^2): doses must be supplied in mg/m^2
and central-compartment concentrations are returned in mg/L (= ug/mL =
1000 ng/mL). PD outputs ANC and PLT are in 10^9 cells/L.
|
|
Deferiprone
(Bellanti 2014)
|
One-compartment population PK model for the oral iron chelator
deferiprone in healthy adult subjects, with first-order absorption,
absorption lag time, and a binary sex effect on the apparent volume of
distribution (Bellanti 2014).
|
|
Deferoxamine
(Bellanti 2015)
|
Indirect-response disease model for serum ferritin in chronic
transfusional iron overload (beta-thalassaemia major) with proportional
deferoxamine effect on ferritin degradation rate. Two-compartment 8-h
SC-infusion deferoxamine PK (literature-derived) enters as a
time-varying steady-state concentration covariate; the ferritin
compartment captures the baseline turnover (Kin, Kout), the
disease-status-modulated transfusion-driven production (CRT), and the
chelator effect (1 + DFO) on Kout.
|
|
Degarelix
(Tornoe 2006)
|
Population PK/PD model of the hypothalamic-pituitary-gonadal (HPG) axis
after repeated subcutaneous (s.c.) injections of the GnRH receptor
blocker degarelix in prostate-cancer patients. PK is a two-compartment
disposition model with two parallel first-order absorption routes from a
self-forming s.c. depot: a rapid release (fraction Fr via ka,fast) and a
prolonged slow release ((1 - Fr) via ka,slow). The packaged values
correspond to the 40 mg/mL dose-concentration arm of Tornoe 2007 Table 3
(Fr_40, F_40 and t_1/2,slow,40); the 20 and 60 mg/mL alternatives are
tabulated in the validation vignette. PD is a four-state HPG-axis
feedback model (feedback compartment F, LH pool P, LH, testosterone Te)
with sigmoidal Imax inhibition of LH pool release by degarelix and a
positive interaction (F) from the feedback compartment on LH synthesis
and release; testosterone secretion is stimulated by LH via a sigmoidal
Emax model. ke_LH, ke_F, lambda, LH_base and Te_base are the
degarelix-study-specific values from Table 4.
|
|
Desmopressin
(Agerso 2004)
|
Three-compartment population PK model for intravenous desmopressin with
simultaneous plasma and urinary-amount outputs. Systemic clearance is
split into renal and non-renal components, each modulated linearly by
creatinine clearance (CRCL), in healthy subjects and patients with
varying degrees of renal impairment (Agerso 2004).
|
|
Desmopressin
(Schutte 2018)
|
Two-compartment apparent population PK model describing the time profile
of endogenous factor VIII coagulant activity (FVIII:C) following a
desmopressin (DDAVP) administration in nonsevere haemophilia A patients
(Schutte 2018; final covariate model with FVIII-recent on baseline
FVIII, V1 and CL). Desmopressin is the administered intervention; the
apparent PK parameters describe the resulting endogenous FVIII:C release
as if it were a unit-dose drug input (the source paper fixed the dose to
unity because no FVIII concentrate was infused).
|
|
Dexamethasone
rat (Li 2012)
|
Preclinical (rat). Mechanism-based PK/PD model for CYP3A1/2 induction by
dexamethasone (DEX, single 100 mg/kg ip dose) in male Sprague-Dawley
rats. PK is a two-compartment mammillary model with zero-order ip
absorption of duration T0 directly into the central compartment (no
first-order rate constant; CL/F, Q/F, Vc/F, Vp/F all reported as
kg-normalised apparent values). PK BSV is exponential and is retained
only on Q/F (all other PK BSVs were not significant). The PD cascade
describes CYP3A1 and CYP3A2 induction at three molecular levels: (1)
mRNA dynamics use an indirect-response (Dayneka-style) model in which a
Hill-type fractional occupancy of CYP3A DNA-responsive elements by the
DEX-PXR complex (FO = Cp^gamma / (SC50^gamma + Cp^gamma)) drives a
stimulation signal Si,0 = Smax * FO that flows through a per-isoform
chain of transit compartments with mean transit time tau (one
compartment for CYP3A1, eight compartments for CYP3A2) before
stimulating mRNA synthesis as d/dt(mRNAi) = kin,i * (1 + Si,ni) - kout,i
* mRNAi. (2) Protein dynamics translate mRNA to CYP3A protein via
d/dt(CYP3Ai) = ksyn,i * mRNAi^mi - kdeg,i * CYP3Ai, where the
per-isoform amplification factor mi is a paper-mechanistic power
exponent on mRNA. (3) Enzyme activity (rate of 6beta-hydroxytestosterone
formation) is the algebraic linear combination EA = alpha * CYP3A1 +
beta * CYP3A2 with per-isoform turnover-number rates alpha and beta
(pmol 6beta-OHT / min / pmol CYP3A). The PK and PD layers were fit
sequentially in NONMEM 7.1.2 with FOCE+I, the PK model first then the PD
layers simultaneously with PK fixed. Three PD layers were fit by the
naive pool approach (each animal contributed one PD observation per time
point), so no PD IIVs are present. Numbers of transit compartments (n1 =
1, n2 = 8) are paper-mechanistic fixed structural integers.
|
|
Dexmedetomidine
(Perez-Guille 2018)
|
Two-compartment IV population PK with sigmoidal Imax PD on heart rate
(HR) and mean arterial pressure (MAP) fractional responses for
dexmedetomidine in Mexican Mestizo children (2-18 y) undergoing
ambulatory surgery, with a priori allometric scaling on CL and Q
(exponent 0.75) and V1 and V2 (exponent 1) at a 70 kg reference weight
(Perez-Guille et al. 2018, Tables 2 and 3, allometric model)
|
|
Dexmedetomidine
(Smuszkiewicz 2017)
|
Two-compartment population PK model for intravenous dexmedetomidine
continuous infusion in adult ICU patients undergoing analgosedation
(Smuszkiewicz 2017). 27 medical and surgical ICU patients (17 male, 10
female; median age 59.5 y, median weight 75 kg) received continuous
infusions of 0.1-1.5 ug/kg/h for 23.7-102 h. Age, sex, body weight,
infusion duration, pretreatment SOFA score, and inotrope use were
screened as covariates but none reached statistical significance, so the
final model contains no covariate effects. IIVs on Vc, CL, Vp, and Q are
diagonal (no clear correlations). Proportional residual error.
|
|
Dexmedetomidine
(Talke 2018)
|
Three-compartment IV population PK plus effect-compartment sigmoid Emax
PD model for dexmedetomidine-induced peripheral vasoconstriction (ADC
units from finger photoplethysmography) in healthy adult volunteers,
with a priori allometric body-weight scaling on CL, Q2, Q3 (exponent
0.75) and V1, V2, V3 (exponent 1) at a 70 kg reference weight (Talke and
Anderson 2018, Tables 3 and 4)
|
|
Dexmedetomidine
piglet (Ezzati 2014)
|
Preclinical (newborn piglet). One-compartment IV population PK model of
dexmedetomidine in a piglet perinatal-asphyxia model with therapeutic
hypothermia (Ezzati 2014). Clearance scales allometrically with body
weight (Holford exponent 0.75) standardised to 70 kg, decreases with
body temperature centred at 37 C (Ftemp), and is multiplied by a
paper-specific factor FAED (= 0.558) in the post-hypoxic-ischemic state;
volume scales allometrically with weight (exponent 1).
|
|
Dextroamphetamine
(Castelli 2022)
|
One-compartment population PK model for dextroamphetamine transdermal
system (d-ATS) in adults and children with ADHD (Castelli 2022 APNA
poster), with sequential zero- and first-order absorption (zero-order
release over duration D1 into depot, then first-order Ka into central),
power-law body-weight scaling on CL/F (exponent 0.47), V/F (0.53), and
Ka (-0.29) at an assumed 70 kg reference, independent IIV on CL/F, V/F,
Ka, and D1, bioavailability anchored at F = 1, and residual error not
reported in the conference poster (encoded fixed at 0; see vignette
Errata).
|
|
Dextromethorphan
(TerHeine 2014)
|
Semi-physiological eight-compartment population PK model for
dextromethorphan and its three phase I metabolites (dextrorphan,
3-methoxymorphinan, 3-hydroxymorphinan) in adult breast-cancer patients
receiving chronic oral tamoxifen, used as a dual CYP2D6 / CYP3A
phenotypic probe (single 30 mg oral dose). Pre-systemic and systemic
metabolism are integrated via a hypothetical hepatic metabolism
compartment in rapid (quasi-steady-state) equilibrium with the
dextromethorphan central compartment; the algebraic hepatic
concentration drives parallel CYP2D6 (dextromethorphan ->
dextrorphan) and CYP3A (dextromethorphan -> 3-methoxymorphinan)
formation steps. Subsequent CYP3A-mediated conversion of dextrorphan and
CYP2D6-mediated conversion of 3-methoxymorphinan both feed the terminal
3-hydroxymorphinan pool, which is eliminated by a single clearance to
other species. All metabolite apparent volumes are fixed to 419 L
(Abduljalil 2009 literature value) for identifiability. Individual
post-hoc CYP2D6 (CL_CYP2D6,1) and CYP3A (CL_CYP3A,1) clearances serve as
the phenotypic probe covariates used downstream by the companion
tamoxifen / endoxifen model (TerHeine_2014_tamoxifen).
|
|
Dha
ring early (Cao 2017)
|
In vitro (P. falciparum 3D7 laboratory strain, early-ring-stage
parasites). Dynamic stress PD model from Cao 2017 capturing the delayed
dihydroartemisinin (DHA) killing effect observed in tightly
age-synchronized parasite cultures; one of four stage-specific NLME fits
in Table 1 (early-ring stage corresponds to 2 h post-infection per the
Klonis 2013 experimental design that supplied the viability data). The
killing rate k = kmax(S) * C^hill / (Kc(S)^hill + C^hill) is modulated
by a dynamic stress variable S(t) that accumulates while drug
concentration C exceeds C* = 0.1 nM (dS/dt = lambda(1 - S)) and
resets toward zero otherwise. Stress-dependent kmax(S) = alphaS and
Kc(S) = beta1*(1 - S) + beta2 (paper eq 7 and 8). DHA concentration
evolves in the central compartment with first-order decay (default kdrug
= log(2)/8 /h for in vitro experiments; override for in vivo
simulations). Parasite count N(t) is normalized to N(0) = 1, so the
deterministic parasites state IS the surviving viability
fraction (paper eq 17). See modellib(‘Cao_2017_dha_ring_mid’),
modellib(‘Cao_2017_dha_troph_early’),
modellib(‘Cao_2017_dha_troph_late’) for the other three stage-specific
fits combined in the in vivo PK-PD simulation of Fig 6.
|
|
Dha
ring mid (Cao 2017)
|
In vitro (P. falciparum 3D7 laboratory strain, mid-ring-stage
parasites). Dynamic stress PD model from Cao 2017 capturing the delayed
dihydroartemisinin (DHA) killing effect; one of four stage-specific NLME
fits in Table 1 (mid-ring stage corresponds to 7.5 h post-infection).
Mid-ring is the slowest-accumulating stage (half-life of the unstressed
state ~1.86 h) and exhibits the strongest delay in the drug
concentration-killing rate curve (Fig 3, Fig 4A). The killing rate k =
kmax(S) * C^hill / (Kc(S)^hill + C^hill) is modulated by a dynamic
stress variable S(t) that accumulates while drug concentration C exceeds
C* = 0.1 nM (dS/dt = lambda(1 - S)) and resets toward zero
otherwise. Stress-dependent kmax(S) = alphaS and Kc(S) = beta1*(1 -
S) + beta2 (paper eq 7 and 8). DHA concentration evolves in the central
compartment with first-order decay (default kdrug = log(2)/8 /h for in
vitro experiments; override for in vivo simulations). Parasite count
N(t) is normalized to N(0) = 1, so the deterministic
parasites state IS the surviving viability fraction (paper
eq 17). See modellib(‘Cao_2017_dha_ring_early’),
modellib(‘Cao_2017_dha_troph_early’),
modellib(‘Cao_2017_dha_troph_late’) for the other three stage-specific
fits combined in the in vivo PK-PD simulation of Fig 6.
|
|
Dha
troph early (Cao 2017)
|
In vitro (P. falciparum 3D7 laboratory strain, early-trophozoite-stage
parasites). Dynamic stress PD model from Cao 2017 capturing the delayed
dihydroartemisinin (DHA) killing effect; one of four stage-specific NLME
fits in Table 1 (early-trophozoite stage corresponds to 24 h
post-infection). The killing rate k = kmax(S) * C^hill / (Kc(S)^hill +
C^hill) is modulated by a dynamic stress variable S(t) that accumulates
while drug concentration C exceeds C* = 0.1 nM (dS/dt = lambda(1 -
S)) and resets toward zero otherwise. Stress-dependent kmax(S) =
alphaS and Kc(S) = beta1*(1 - S) + beta2 (paper eq 7 and 8).
Trophozoite stages have substantially higher maximum killing rate alpha
than ring stages (Fig 4B), reflecting greater drug susceptibility once
stress has accumulated. DHA concentration evolves in the central
compartment with first-order decay (default kdrug = log(2)/8 /h for in
vitro experiments; override for in vivo simulations). Parasite count
N(t) is normalized to N(0) = 1, so the deterministic
parasites state IS the surviving viability fraction (paper
eq 17). See modellib(‘Cao_2017_dha_ring_early’),
modellib(‘Cao_2017_dha_ring_mid’), modellib(‘Cao_2017_dha_troph_late’)
for the other three stage-specific fits combined in the in vivo PK-PD
simulation of Fig 6.
|
|
Dha
troph late (Cao 2017)
|
In vitro (P. falciparum 3D7 laboratory strain, late-trophozoite-stage
parasites). Dynamic stress PD model from Cao 2017 capturing the delayed
dihydroartemisinin (DHA) killing effect; one of four stage-specific NLME
fits in Table 1 (late-trophozoite stage corresponds to 34 h
post-infection). The killing rate k = kmax(S) * C^hill / (Kc(S)^hill +
C^hill) is modulated by a dynamic stress variable S(t) that accumulates
while drug concentration C exceeds C* = 0.1 nM (dS/dt = lambda(1 -
S)) and resets toward zero otherwise. Stress-dependent kmax(S) =
alphaS and Kc(S) = beta1*(1 - S) + beta2 (paper eq 7 and 8). DHA
concentration evolves in the central compartment with first-order decay
(default kdrug = log(2)/8 /h for in vitro experiments; override for in
vivo simulations). Parasite count N(t) is normalized to N(0) = 1, so the
deterministic parasites state IS the surviving viability
fraction (paper eq 17). See modellib(‘Cao_2017_dha_ring_early’),
modellib(‘Cao_2017_dha_ring_mid’), modellib(‘Cao_2017_dha_troph_early’)
for the other three stage-specific fits combined in the in vivo PK-PD
simulation of Fig 6.
|
|
Diazepam
(Ku 2018)
|
Two-compartment population PK model for intravenous diazepam in children
aged 3 months to 18 years treated for status epilepticus. Clearance,
central volume, inter-compartmental clearance, and peripheral volume
scale allometrically with total body weight referenced to a 70 kg adult
(fixed exponents 0.75 on CL and Q; 1 on V1 and V2). IIV is estimated on
CL and V1 only; IIV on Q and V2 was held fixed at 0 in the final model
to avoid >50% shrinkage. Proportional residual error.
|
|
Diclofenac
(Standing 2008)
|
One-compartment population PK model for oral diclofenac suspension in
children and adult volunteers (Standing 2008): two parallel
transit-absorption arms (Savic 2007 analytical input form) feeding two
depot compartments that each absorb into a single central disposition
compartment with linear elimination. Allometric weight scaling on
clearance and volume to a 70 kg reference. Captures the double-peak
absorption profile common to immediate-release diclofenac. Separate
proportional residual error for paediatric and adult cohorts. Source
paper additionally fits between-occasion variability (BOV) on CL/F (20%)
and Vd/F (93%) – BOV is not implemented in this nlmixr2 model file
because it requires an OCC column in the user dataset; users who want
BOV can add an etalcl_bov / etalvc_bov occasion-level random effect
themselves.
|
|
Didanosine
(Hirt 2009)
|
One-compartment population PK model for didanosine (ddI) administered
once daily as buffered chewable Videx tablets in West African
HIV-1-infected children; first-order absorption with ka fixed at 4 1/h,
additive residual error, exponential IIV on CL/F and Vc/F with
off-diagonal covariance
|
|
Digoxin
(Jelliffe 2014)
|
Two-compartment population PK/PD model of digoxin in adults with
first-order oral absorption, creatinine-clearance-dependent renal
elimination, and a peripheral effect compartment normalized per body
weight (Jelliffe et al. 2014, Ther Drug Monit; structural parameters
carried from Reuning et al. 1973).
|
|
Digoxin
(Zhou 2010)
|
One-compartment first-order oral absorption population PK model of
digoxin in older Chinese patients (Zhou 2010, Acta Pharmacol Sin);
concomitant spironolactone, body weight, and serum creatinine modify
Cl/F via multiplicative linear-deviation terms.
|
|
Dihydroartemisinin
(Tarning 2012)
|
One-compartment population PK model for oral dihydroartemisinin (parent
drug, dosed as a fixed-dose tablet co-formulated with piperaquine) in 24
pregnant (second / third trimester) and 24 matched non-pregnant women
with uncomplicated malaria on the Thai-Myanmar border (Tarning 2012
AAC). Transit-compartment absorption with 7 fixed transit compartments
(ktr = (n+1)/MTT with n=7); drug-transit rate is set equal to the
absorption rate from the last transit to central (single estimated ktr).
Allometric scaling of CL/F (exponent 3/4) and V/F (exponent 1) on body
weight centered at the cohort median 48.5 kg. F fixed at 1 with
log-normal IIV (CV 30.3%); proportional pregnancy effect on F (-37.5%)
and linear effect of log10 admission parasitaemia on F (+27.8% per log10
unit centered at 3.98). IIV on V/F (12.8% CV); between-occasion
variability (BOV across 3 dose occasions) on MTT (50.9% CV) multiplexed
by the OCC indicator. Additive residual on natural-log concentrations
(sigma = 0.580), encoded as proportional residual on the
linear-concentration scale per Kloprogge 2018 lumefantrine precedent.
Companion file Tarning_2012_piperaquine.R models the co-administered
piperaquine arm.
|
|
Dilmapimod
(Yang 2016)
|
Three-compartment IV population PK model for dilmapimod (SB-681323, a
p38 MAPK inhibitor) coupled with an empirical indirect-response model
for the inflammatory biomarker C-reactive protein (CRP) in severe-trauma
adults at risk for acute respiratory distress syndrome (Yang 2016). BMI
is a power covariate on CL and Q2. No statistically significant
dilmapimod effect on CRP was retained in the final PD model, so the CRP
component is an empirical post-injury production-decline /
first-order-loss profile that is decoupled from dilmapimod exposure
(Yang 2016 Results section 3.3.1).
|
|
Docetaxel
(Koolen 2010)
|
Five-compartment population PK model for intravenous and oral docetaxel
with concomitant oral ritonavir in 36 adults with advanced cancer.
Docetaxel: depot + single transit (Savic-style; ktr = 2/MAT) + three
disposition compartments (central, peripheral1, peripheral2) with
Bruno-style 3-compartment IV disposition (V_central, V_peripheral1,
V_peripheral2; Q1 central-peripheral1, Q2 central-peripheral2).
Clearance is parameterised via a well-stirred hepatic-extraction model
(Wilkinson 1975) so that elimination is driven by intrinsic clearance
CLi modulated by ritonavir plasma concentration via competitive
inhibition (Ki = 0.028 ug/mL); CL = Q_hep * CLi / (CLi + Q_hep) with
Q_hep fixed at 80 L/h. Hepatic bioavailability F_hep = Q_hep / (CLi +
Q_hep) multiplies the depot -> transit transition to encode oral
first-pass extraction. Gut bioavailability F_gut switches between F_doc
= 0.19 (no ritonavir) and F_RTV = 0.39 (concomitant ritonavir, gated by
the binary covariate CONMED_RTV). Polysorbate-80-driven micelle
sequestration after IV docetaxel is encoded by a route-dependent central
volume (V_central_iv = 9.8 L vs V_central_po = 44 L; gated by the binary
per-dose-record covariate ROUTE_IV). Embedded one-compartment
first-order-absorption ritonavir PK (depot_rtv + central_rtv) carries
fixed typical-value parameters from Kappelhoff 2005 (CL/F = 10.5 L/h,
V/F = 96.6 L, ka = 0.871 1/h, Tlag = 0.778 h) so that the ritonavir
concentration that drives docetaxel CLi-inhibition is simulated within
this single model file (modellib(‘Kappelhoff_2005_ritonavir’) is the
upstream source). Inter-individual variability on CLi,0, V_central_iv,
V_central_po, MAT, F_depot (shared between F_doc and F_RTV), and Ki;
correlated etas for CLi,0 ~ V_central_iv (rho = 0.446). Proportional
residual error is encoded at the final-model typical value (32%); the
source paper’s separately-estimated higher 63% proportional RUV for the
first 4 hours after oral administration is documented in the validation
vignette’s Assumptions and deviations section. Inter-occasion
variability on CLi,0 (22%), MAT (52%), and F_RTV (44%) reported in the
source is not propagated – see vignette Assumptions and deviations.
|
|
Docetaxel
(Ozawa 2007)
|
Three-compartment IV PK coupled with a modified Friberg-style
semimechanistic-physiological PK/PD model for docetaxel-induced
neutropenia in Japanese cancer patients (Ozawa 2007). The PD layer
extends Friberg 2002 with an additional zero-order input compartment
that captures the transient ANC increase attributable to dexamethasone
premedication; alpha-1 acid glycoprotein modulates the linear
drug-effect slope on the proliferating compartment via a power-law form.
Per-subject baseline ANC is supplied as a covariate and is used to
initialise the proliferation, transit, and circulating compartments.
|
|
Docetaxel
(Puisset 2007)
|
Friberg-style semi-mechanistic myelosuppression PD model for
docetaxel-induced neutropenia in adult cancer patients (Puisset 2007).
PD-only: docetaxel plasma concentration is supplied as the time-varying
CP_MGL covariate (mg/L) and drives a linear drug effect E_drug = Slope *
CP_MGL on the proliferating compartment. The five-compartment Friberg PD
chain (one proliferating pool, three transit compartments, one
circulating ANC compartment) and feedback (Circ0 / circ)^gamma reproduce
the structure of Friberg LE et al. (2002) J Clin Oncol 20(24):4713-4721.
Three covariates retained in the published final covariate model act
multiplicatively on Slope: alpha-1 acid glycoprotein (AAG) as a power
form (AAG / 1.29)^(-0.72), prior chemotherapy >= 2 lines
(PRIOR_CHEMO_LINES_GE2) as a 1.69-fold multiplier, and treatment centre
Toulouse vs Paris (STUDY_TOULOUSE) as a 1.82-fold multiplier (the centre
effect is acknowledged by the authors to most likely reflect a
between-centre HPLC-assay bias on docetaxel concentration rather than a
clinical PD covariate). The upstream docetaxel PK was held fixed at
Baille 1997 / Bruno 1996 individual posthoc profiles during the
published PD fit; users couple this model with their preferred docetaxel
popPK (e.g. modellib(‘Ozawa_2007_docetaxel’) or
modellib(‘Netterberg_2017_docetaxel’)) to drive CP_MGL.
|
|
Docetaxel
(Rietveld 2025)
|
Integrated plasma + tumour population PK model for docetaxel (DTX)
delivered as CPC634, a core-crosslinked polymeric micelle that
covalently entraps DTX via a pH-responsive sulfone-ester linker
(Rietveld 2025). Released / conventional DTX is described by a canonical
three-compartment IV plasma model (central, peripheral1, peripheral2;
CL, Vc, Q1, Vp1, Q2, Vp2). Unreleased DTX (still bound to CPC634) is
described by a two-compartment plasma model on the paper-specific
compartments entrapped + peripheral_entrapped with linear elimination
CLcpc and intercompartmental clearance Qcpc. Release of DTX from CPC634
in plasma is time-dependent: six first-order release rates K122 / K123 /
K124 / K125 / K126 / K12 active in the post-dose time windows 0-0.5 /
0.5-1 / 1-2 / 2-6 / 6-168 / 168+ hours (paper Methods 2.6 + Figure 1A).
The two tumour-tissue states tumor_entrapped (unreleased DTX in tumour)
and tumor_released (released DTX in tumour) are connected to plasma by
an influx parameter Kbtn (unreleased DTX, one-way plasma -> tumour)
and an in/efflux balance parameter KbtDTX (released DTX), and to each
other by the tumour-local release rate KrelT; both share the same tumour
distribution volume VcT (paper Methods 2.7). Inter-individual
variability on CL (released-DTX clearance), Vcpc (CPC634 central
volume), and K122 (first-window release rate). Additive-on-log residual
error (equivalent to proportional in linear space) estimated separately
for the four therapeutically relevant observation streams (released-DTX
plasma, unreleased-DTX plasma, released-DTX tumour, total-DTX tumour).
Pragmatic deviations from the published model: (1) the $MIXTURE on Qcpc (subpopulation 1, P = 0.69, Qcpc1 =
0.00122 L/h; subpopulation 2, Qcpc2 = 0.00769 L/h) is encoded as a
typical value at the dominant subpopulation 1 (Qcpc = Qcpc1); the
minority Qcpc2 = 0.00769 L/h is documented in the vignette Assumptions
and deviations section and can be plugged in by overriding lqcpc <-
log(0.00769) at simulation time. (2) The 89Zr-CPC634 radiotracer arm of
the PICCOLO PET imaging study (compartments 6 and 7 in the supplement;
fast-loss rate K002 = 0.336 1/h active in the first 2 h after the 89Zr
dose) is omitted -- the radiotracer arm shared the unreleased DTX
disposition parameters (Vcpc / VPcpc / Qcpc / CLcpc) so it added no
structural information beyond what entrapped already carries. See the
vignette Assumptions and deviations section. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Wojciechowski_2022_domagrozumab.html">Domagrozumab
(Wojciechowski 2022)</a> </td>
<td style="text-align:left;"> Quasi-steady-state TMDD
population PK/PD model for domagrozumab (anti-myostatin IgG1) in healthy
adult volunteers and pediatric patients with Duchenne muscular dystrophy
(Wojciechowski 2022): two-compartment IV/SC drug disposition with
parallel linear and Michaelis-Menten elimination, a
synthesis-degradation total-myostatin compartment with drug-mediated
internalization, and a study-population covariate (DIS_DMD) shifting
myostatin baseline and turnover. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Diep_2026_donidalorsen.html">Donidalorsen
(Diep 2026)</a> </td>
<td style="text-align:left;"> Two-compartment population PK and
indirect-response PD model for the GalNAc3-conjugated antisense
oligonucleotide donidalorsen targeting prekallikrein (PKK) mRNA, fit to
pooled data from phase 1 to phase 3 studies in healthy volunteers and
patients with hereditary angioedema (Diep 2026). First-order SC
absorption with categorical covariates on ka (arm vs abdomen/thigh
injection site; autoinjector vs vial drug presentation), allometric
scaling of CL/F, Vc/F, Q/F, and Vp/F on total body weight with
paper-estimated exponents, multiplicative disease-status effects on Vc/F
and Q/F, full 5x5 omega block on PK random effects, and an
indirect-response model with donidalorsen-driven inhibition of PKK
production carrying multiplicative disease-status effects on baseline
PKK and IC50. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/AbdulAziz_2016_doripenem.html">Doripenem
(AbdulAziz 2016)</a> </td>
<td style="text-align:left;"> Two-compartment IV population PK
model for doripenem in 12 Malaysian critically ill adults with sepsis
receiving 500 mg as a 1-hour infusion every 8 hours (Abdul-Aziz 2016).
Reported on free (unbound) doripenem; observed total concentrations were
corrected by multiplying by 0.90 to account for ~10% protein binding.
Body-weight allometric scaling is fixed (0.75 on CL/Q, 1 on V1/V2,
reference 70 kg); Cockcroft-Gault creatinine clearance has an
exponential effect on CL centred at the cohort mean 82.5 mL/min.
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Lee_2017_doripenem.html">Doripenem
(Lee 2017)</a> </td>
<td style="text-align:left;"> One-compartment IV-infusion
population PK model for doripenem in 37 Korean adults with acute
infections (pyelonephritis, intra-abdominal infection, neutropenic
fever) and CLCR ranging 20-50 or >50 mL/min (Lee 2017). Clearance and
central volume scale linearly with body weight (CL/WT = 0.109 L/h/kg,
V/WT = 0.280 L/kg at WT=70 kg, CLCR=57 mL/min); CL additionally scales
by a power exponent on Cockcroft-Gault creatinine clearance (raw mL/min,
reference 57). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Kuchimanchi_2024_dostarlimab.html">Dostarlimab
(Kuchimanchi 2024)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model for dostarlimab (anti-PD-1 IgG4) with sigmoid I_max time-dependent
clearance, fitted to GARNET (advanced solid tumours) plus RUBY Part 1
(primary advanced or recurrent endometrial cancer with
carboplatin-paclitaxel) data (Kuchimanchi 2024) </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Melhem_2022_dostarlimab.html">Dostarlimab
(Melhem 2022)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model for dostarlimab (anti-PD-1 IgG4) with time-dependent (sigmoid
I_max) clearance in adults with advanced solid tumours (Melhem 2022)
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Kunarajah_2017_doxorubicin.html">Doxorubicin
(Kunarajah 2017)</a> </td>
<td style="text-align:left;"> Population PK/PD model for IV
doxorubicin (3-compartment) with first-order metabolism to doxorubicinol
(1-compartment) and a cardiac troponin I (cTnI) turnover sub-model in
paediatric oncology patients (Kunarajah 2017). Body surface area enters
as a linear factor on every clearance and volume parameter; age enters
as an additional power factor on doxorubicin clearance. The cTnI
turnover sub-model is driven by a saturable Emax stimulation of cTnI
synthesis by the combined doxorubicin + doxorubicinol plasma
concentration, with the cTnI baseline shifted linearly by the prior
cumulative anthracyclines dose received by the patient before the first
dose analysed. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/PerezBlanco_2016_doxorubicin.html">Doxorubicin
(PerezBlanco 2016)</a> </td>
<td style="text-align:left;"> Joint population PK model for IV
doxorubicin (DOX, 3-compartment) and its active C-13 alcohol metabolite
doxorubicinol (DOXol, 2-compartment) in adult patients with
non-Hodgkin's lymphoma receiving R-CHOP chemotherapy (Perez-Blanco
2016). DOX was administered as a 0.5-h IV infusion at the protocol dose
of 50 mg/m^2. The fraction Fm = 0.22 of total DOX clearance is routed to
DOXol formation; the remaining (1 - Fm) fraction represents non-DOXol
elimination pathways. The five volumes of distribution (V1/V2/V3 for DOX
and V4/V5 for DOXol) were held fixed during estimation: the DOX volumes
to the Kontny 2013 (doi:10.1007/s00280-013-2261-3) adult-reference
values, and the DOXol volumes to the values obtained from a sensitivity
analysis carried out for that purpose. No covariates were retained in
the final model; bilirubin and AST showed an influence on CL and CLm but
the OFV decrease was not statistically significant. Residual variability
is proportional for both DOX and DOXol. This was the first published
two-compartment DOXol popPK model. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Hopkins_2017_doxycycline.html">Doxycycline
(Hopkins 2017)</a> </td>
<td style="text-align:left;"> Two-compartment oral population
PK model for doxycycline with two transit absorption compartments,
fat-free-mass allometric scaling (CL exponent 0.75, V exponent 1.0,
reference 70 kg FFM), and Doryx tablet (reference) / Doryx MPC
delayed-release tablet / Doryx capsule formulation effects on relative
bioavailability and absorption rate, plus a food (fed-status) effect on
relative bioavailability and a formulation-dependent food effect on
transit rate, plus a 14.4% increase in CL for female sex. Pooled from
eight phase 1 healthy-volunteer trials (n = 178). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Foo_2016_droperidol.html">Droperidol
(Foo 2016)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model with first-order absorption for intramuscular droperidol in 41
acutely agitated adults presenting to the emergency department (Foo
2016). Absorption rate constant ka and its IIV are fixed (ka = 10 1/h,
omega_ka^2 = 1) because the available samples did not characterise
absorption. A single shared random effect drives both CL and Vc (Table 2
footnote a: 'The same random effect was used for both Vc and CL'); Q and
Vp have no IIV. No covariates were retained -- coingestion of alcohol
was screened but not associated with CL or Vc, and patient weight was
not available (Methods). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Kovalenko_2016_dupilumab.html">Dupilumab
(Kovalenko 2016)</a> </td>
<td style="text-align:left;"> Dupilumab exploratory population
PK model (Kovalenko 2016; 2-cmt with parallel linear + Michaelis-Menten
elimination) </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Kovalenko_2020_dupilumab.html">Dupilumab
(Kovalenko 2020)</a> </td>
<td style="text-align:left;"> Dupilumab PK model (Kovalenko
2020) </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Zhang_2021_dupilumab.html">Dupilumab
(Zhang 2021)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model for dupilumab in adult and adolescent patients with asthma (Zhang
2021), with first-order SC absorption and parallel linear plus
Michaelis-Menten elimination from the central compartment. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Kovalenko_2020_dupilumab.html">Dupilumab
base (Kovalenko 2020)</a> </td>
<td style="text-align:left;"> Dupilumab primary base population
PK model from Kovalenko 2020 (Model 3): 2-compartment with parallel
linear + Michaelis-Menten elimination and a 3-transit-compartment SC
absorption chain; fit to Phase 3 atopic-dermatitis data with only body
weight as a covariate of central volume. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Kovalenko_2020_dupilumab.html">Dupilumab
covariate (Kovalenko 2020)</a> </td>
<td style="text-align:left;"> Dupilumab primary covariate
population PK model from Kovalenko 2020 (Model 4): 2-compartment with
parallel linear + Michaelis-Menten elimination and a
3-transit-compartment SC absorption chain; fit to Phase 3
atopic-dermatitis data with body weight + albumin on Vc and BMI + EASI +
race (White) on the linear elimination rate. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Ogasawara_2020_durvalumab.html">Durvalumab
(Ogasawara 2020)</a> </td>
<td style="text-align:left;"> Two compartment PK model of
durvalumab (anti-PD-L1) in patients with hematologic malignancies
(Ogasawara 2020) </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Gisleskog_1999_dutasteride.html">Dutasteride
(Gisleskog 1999)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model for dutasteride (GI198745, a dual type-1/type-2 5-alpha-reductase
inhibitor) in healthy male volunteers after single oral doses, with
first-order absorption, an absorption lag-time, and parallel linear
(CL_l) plus Michaelis-Menten (Vmax / Km) elimination from the central
compartment (Gisleskog 1999). All volumes and clearances are apparent
(oral, no IV reference); bioavailability is assumed dose-independent.
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Keizer_2011_E7820.html">E7820
human (Keizer 2011)</a> </td>
<td style="text-align:left;"> Population PK/PD model for the
alpha2-integrin inhibitor E7820 in patients with advanced solid tumors
or lymphoma (Keizer 2011 clinical column). One-compartment oral PK with
first-order absorption (PK structure and parameter values inherited from
an earlier phase I popPK analysis of the same study and reproduced in
Keizer 2011 Table II; the absorption model was simplified from the
original turnover-absorption form to a first-order form to ease
multi-dose simulations). PD is an indirect-response (turnover) model for
alpha2-integrin expression on platelets, with an Emax inhibition
function (Emax fixed at 1, Hill exponent gamma fixed at 1) acting on the
input rate kin. BSV is reported on baseline integrin expression and on
drug sensitivity (IC50). No tumor-growth submodel is included in the
clinical analysis (Keizer 2011 Figure 3 caption: 'The clinical model had
the same structure, but did not incorporate a sub-model for tumor
size'). Parameter values from Keizer 2011 Tables II (clinical PK) and
III (clinical integrin PD). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Keizer_2011_E7820.html">E7820
mouse (Keizer 2011)</a> </td>
<td style="text-align:left;"> Preclinical (mouse, female nude
with subcutaneous KP-1 pancreatic-carcinoma xenograft). Sequential
PK/PD/tumor-growth model for the alpha2-integrin inhibitor E7820 (Keizer
2011). Stage 1: one-compartment oral PK with first-order absorption,
per-kg parameterisation. Stage 2: indirect-response (turnover) model for
alpha2-integrin expression on platelets, with an Emax inhibition
function (Emax fixed at 1, Hill exponent gamma fixed at 1) acting on the
input rate kin. Stage 3: exponential tumor growth on diameter with an
initial-slow-growth term (1 - exp(-beta*t)) gating the growth rate, and
a sigmoidal Emax inhibition driven by relative alpha2-integrin
inhibition ((I_base - integrin)/I_base) with Hill coefficient fixed at
5. Parameters from Keizer 2011 Tables II (preclinical PK), III
(preclinical integrin PD), and IV (tumor growth). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Niebecker_2015_edoxaban.html">Edoxaban
(Niebecker 2015)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model with first-order absorption and a lag time for edoxaban in adults;
pooled phase 1 healthy volunteers (13 studies) and Hokusai-VTE phase 3
patients with deep-vein thrombosis or pulmonary embolism (Niebecker
2015). Apparent clearance is split into a non-renal component and a
piecewise-linear renal component driven by creatinine clearance, with a
phase-3 patient effect on the upper-CLcr slope and on Q/F. Asian race
increases Vc/F; concomitant P-glycoprotein inhibitors increase phase-1
CL/F and F. The fed-state study 6 has a slower ka and higher non-renal
CL/F (FED covariate). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Stein_2018_mAb_nonlinear_PK.html">Efalizumab
(Stein 2018)</a> </td>
<td style="text-align:left;"> Two-compartment QSS TMDD
typical-value fit for efalizumab (anti-CD11a mAb) used to illustrate the
critical concentration (Ccrit) for nonlinear PK (Stein and Peletier 2018
Table 1) </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Bienczak_2016_efavirenz.html">Efavirenz
(Bienczak 2016)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model for oral efavirenz in African children (Bienczak 2016), with Savic
2007 transit-compartment absorption (NN = 25 fixed transit compartments
and a separate first-order absorption step ka from the depot to the
central compartment), oral bioavailability fixed to 1 (no intravenous
data), Anderson-Holford allometric scaling of all clearance and volume
parameters to a 15.4 kg reference child (exponents 0.75 on CL and Q, 1.0
on Vc and Vp), and a composite CYP2B6 516G>T (rs3745274) | 983T>C
(rs28399499) SNP-vector effect on apparent oral clearance that
distinguishes six metabolic subgroups (516GG|983TT extensive metabolizer
reference, 516GG|983TC and 516GT|983TT intermediate, 516TT|983TT and
516GT|983TC slow, 516GG|983CC ultra-slow). Encoded as log-ratio
multiplicative shifts on the 516GG|983TT EM reference so the single
etalcl IIV applies uniformly on the log-CL scale across all six
SNP-vector subgroups. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Dhoro_2015_efavirenz.html">Efavirenz
(Dhoro 2015)</a> </td>
<td style="text-align:left;"> One-compartment population PK
model for oral efavirenz in HIV-positive and HIV/TB co-infected adults
in Zimbabwe (Dhoro 2015), with apparent clearance CL/F stratified by
CYP2B6 983T>C (CYP2B6*18, rs28399499) genotype and multiplicative
fractional covariate effects of CYP2B6 516G>T (CYP2B6*6, rs3745274)
genotype, body weight, and sex on CL/F. Absorption rate constant ka and
apparent volume V/F are fixed from the upstream Nyakutira 2008
Zimbabwean cohort. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Heathman_2024_efavirenz.html">Efavirenz
(Heathman 2024)</a> </td>
<td style="text-align:left;"> Population pharmacokinetic model
for efavirenz (EFV) and its 8-hydroxy- and 7-hydroxy-metabolites in 135
healthy volunteers receiving a single 600 mg dose followed by 17 days of
600 mg/day (4594 plasma concentration samples). Each of EFV, 8-OH EFV,
and 7-OH EFV is a 2-compartment model with the metabolite central volume
fixed equal to that of EFV (lack of identifiability). EFV absorption is
sequential zero- (D1 = 1.74 h) plus first-order (KA = 0.165/h). Two
independent enzyme-turnover models drive CYP2B6 and CYP2A6
autoinduction: R(t) = kout * (1 + Emax * Cc_EFV / (EC50 + Cc_EFV));
dE/dt = R(t) - kout * E; E(0) = 1. CYP2B6 modulates the EFV-to-8-OH
formation arm (CL-EFV,2B6 = 3.64 L/h; Emax-2B6 = 15.5; EC50-2B6 = 32000
nM = 10.10 mg/L) and the 8-OH-onward CYP2B6 arm (CL-8OH,2B6 = 0.758
L/h); CYP2A6 modulates the EFV-to-7-OH formation arm (CL-EFV,2A6 =
0.0947 L/h; Emax-2A6 = 4.22; EC50-2A6 = 12500 nM = 3.95 mg/L). UGT2B7
elimination arms (CL-EFV,UGT = 0.0504 L/h; CL-8OH,UGT = 5.44 L/h) and
the 7-OH total clearance (CL-7OH = 3.39 L/h) are not autoinduced. CYP2B6
phenotype reduces the EFV-to-8-OH formation arm by 9.72% (IM) / 9.06%
(PM, encoded as canonical CYP2B6_SM) and reduces the CYP2B6 Emax by
53.5% (IM) / 93.2% (PM); NM (extensive metabolizer) is the reference. PM
subjects show essentially no autoinduction (effective Emax-2B6 ~ 1.05)
and accumulate over 2-3 weeks. IIV is exponential on PK parameters
(estimated for most; 15.1% CV fixed for several); residual variability
is proportional for all three analytes (25.8% / 28.0% / 29.9% CV).
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Hirt_2009_efavirenz.html">Efavirenz
(Hirt 2009)</a> </td>
<td style="text-align:left;"> One-compartment population PK
model with first-order absorption and elimination for once-daily oral
efavirenz (EFV) in treatment-naive HIV-1-infected West African children
(Hirt 2009). CL/F and V/F scale linearly with body weight (shared
allometric exponent fixed at 1) and CL/F additionally varies with
postnatal age via a power covariate centred at the cohort median 6.35
years (signed exponent -0.535, so apparent clearance decreases with
age); the inter-individual variability of V/F is forced to perfect
correlation with the eta of CL/F and is constructed as vc_eta_scale *
etalcl (the K parameter in Hirt 2009 Table 2); multiplicative residual
error. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Luo_2016_efavirenz.html">Efavirenz
(Luo 2016)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model with first-order absorption and elimination for oral efavirenz in
pediatric HIV-1-infected patients (Luo 2016). Capsule / capsule-sprinkle
formulation; body weight is a power covariate on CL/F, Vc/F, and Ka with
reference 20 kg. The adult cohort (n = 24 healthy adults) and
oral-solution formulation (study-specific Frel) reported in the same
paper are documented in the validation vignette but not encoded as
separate sub-models. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Mukonzo_2009_efavirenz.html">Efavirenz
(Mukonzo 2009)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model for single-dose oral efavirenz in 121 healthy Ugandan adults, with
sequential zero-order followed by first-order absorption to the central
compartment. Apparent oral clearance CL/F is reduced by 21% in
homozygous CYP2B6*6 (rs3745274 T/T) and by 20% in homozygous CYP2B6*11
(rs35303484 G/G) carriers (multiplicative fractional effects). Relative
bioavailability Frel is increased by 26% in ABCB1 rs3842 mutant carriers
(heterozygote or homozygote). Apparent peripheral volume Vp/F is
2.08-fold higher in women than in men. Concentrations are reported in
mg/L (1 mg/L efavirenz = 3.168 micromol/L). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Olagunju_2018_efavirenz.html">Efavirenz
(Olagunju 2018)</a> </td>
<td style="text-align:left;"> One-compartment population PK
model for oral efavirenz in HIV-positive pregnant women (Olagunju 2018),
with composite CYP2B6 516G>T (rs3745274) and 983T>C (rs28399499)
metaboliser status (slow / intermediate / fast) as a categorical
covariate on CL/F and fixed-exponent allometric body-weight scaling on
CL/F and V/F. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Robarge_2017_efavirenz.html">Efavirenz
(Robarge 2017)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model for a single 600 mg oral dose of efavirenz in 73 HIV-seronegative
adult volunteers (Robarge 2017), with parallel zero- and first-order
absorption (independent lag times t_lag1 and t_lag2, zero-order duration
D2), allometric fat-free-mass scaling on CL/F (exponent 3/4, fixed),
allometric fat-mass scaling on Vp/F (exponent 1, fixed), and CYP2B6
metaboliser status (normal / intermediate / slow) reducing CL/F by 0%,
25% and 51% respectively. Bioavailability is fixed to F = 1 (no IV
reference formulation); the first-order absorption fraction F1 = 0.414
was estimated and the zero-order fraction F2 = 1 - F1 = 0.586 was
assigned by mass balance. All absorption-related typical values (F1,
t_lag1, K_a, t_lag2, D2) were estimated in an interim model and then
fixed prior to covariate evaluation; the IIVs on those absorption
parameters were re-estimated in the final model. Block-structured
between-subject variability is estimated on (CL/F, Q/F, V_p/F) with
correlations rho(CL/F, V_p/F) = 0.196 and rho(Q/F, V_p/F) = 0.849;
rho(CL/F, Q/F) was fixed at 0. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Salem_2014_efavirenz.html">Efavirenz
(Salem 2014)</a> </td>
<td style="text-align:left;"> One-compartment population PK
model for oral efavirenz in HIV-1-infected children (Salem 2014).
Allometric body-weight scaling on apparent clearance (fixed exponent
0.75) and apparent volume of distribution (fixed exponent 1.0)
referenced to 70 kg; sigmoid Emax maturation of CL/F with postnatal age
(TM50 = 4.6 months, Hill = 3.4); 51% reduction in CL/F for CYP2B6-516
T/T homozygotes; Emax maturation of relative bioavailability for the
oral liquid (suspension or solution) formulations vs the capsule
reference (mature F = 0.79; TM50 = 10.6 months; Hill fixed at 1).
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Sanchez_2011_efavirenz.html">Efavirenz
(Sanchez 2011)</a> </td>
<td style="text-align:left;"> One-compartment population
PK/pharmacogenetic model for oral efavirenz in Caucasian HIV-infected
adults (Sanchez 2011), with GGT, CYP2B6*6 genotype (linked 516G>T +
785A>G), and ABCC4 (MRP4) 1497C>T carrier covariate effects on
apparent oral clearance CL/F. Absorption rate ka fixed at 0.3 h^-1
(sparse TDM data could not estimate it); no covariate effect on V/F.
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Jansson_2008_eflornithine.html">Eflornithine
rat (Jansson 2008)</a> </td>
<td style="text-align:left;"> Preclinical (rat,
Sprague-Dawley). Stereoselective two-enantiomer population PK model of
racemic eflornithine after single oral or IV doses in male
Sprague-Dawley rats (Jansson 2008). Each enantiomer (L = active, D)
carries its own 2-compartment disposition (CL, Vc) with shared Q and Vp
from the IV fit; oral absorption is modeled with a shared Savic 2007
transit-compartment chain (continuous number of compartments via
Stirling approximation) feeding per-enantiomer depots that drain to
central via saturable Michaelis-Menten kinetics (Tmax, Kt).
Bioavailability differs between enantiomers and shifts upward at the
highest oral dose level (3000 mg/kg) via a categorical indicator.
Racemic plasma concentration is the algebraic sum Cc_rac = Cc_l + Cc_d.
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/DoldanMartelli_2013_EGF_IFN_chimera.html">EGF
IFN chimera (DoldanMartelli 2013)</a> </td>
<td style="text-align:left;"> In vitro (Daudi human Burkitt
lymphoma cell line). Mechanistic kinetic model of an EGF-IFNalpha-2a
chimeric ligand binding to EGFR and IFN receptor on the cell membrane:
sequential two-subunit engagement, receptor lateral diffusion, and
internalization (Doldan-Martelli 2013). Default parameters are wild-type
IFN chimera in Daudi-EGFR cells (overexpressing EGFR ~300x parental);
k2on / k2off can be overridden for K133A and R144A IFN mutants, and R1_0
/ R2_0 for parental Daudi cells (see vignette). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Ide_2020_elotuzumab.html">Elotuzumab
(Ide 2020)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model for elotuzumab (anti-SLAMF7 humanized IgG1) in Japanese and
non-Japanese patients with multiple myeloma (Ide 2020); parallel linear
and Michaelis-Menten elimination from the central compartment plus
second-order target-mediated elimination from the peripheral compartment
driven by a non-renewable target pool, with time-varying serum M protein
on Vmax. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Farrell_2014_eltrombopag.html">Eltrombopag
(Farrell 2014)</a> </td>
<td style="text-align:left;"> Population PK/PD model for
eltrombopag in healthy male volunteers (single dose) and adult patients
with chronic liver disease (CLD; multiple daily doses) (Farrell 2014).
Two-compartment apparent disposition with dual sequential first-order
absorption: Ka1 acts on the depot from the end of the absorption lag
time (ALAG1) until time MTIME after the dose, and Ka2 acts thereafter.
CL/F is reduced in females, in East Asian subjects, and in CLD patients
with a linear-in-Child-Pugh-score gradient (HEPIMP_CP_SCORE >= 5).
Vc/F is approximately three-fold higher in South/Central Asian subjects.
Platelet dynamics use a four-compartment lifespan model (three maturing
precursor pools feeding the circulating-platelet pool) with linear
stimulation of precursor production by plasma eltrombopag; the slope
SLOP is 34% lower in East Asian CLD patients. PD parameters are
CLD-specific (median baseline platelet 41 Gi/L). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Goggin_2004_emfilermin.html">Emfilermin
(Goggin 2004)</a> </td>
<td style="text-align:left;"> One-compartment population PK
model for subcutaneous emfilermin (recombinant human leukaemia
inhibitory factor, r-hLIF) in healthy postmenopausal women and in
infertile women undergoing in vitro fertilization and embryo transfer
(IVF-ET) (Goggin 2004). Absorption is zero-order (D1 = 0.84 h,
invariant, no IIV) directly into the central compartment, followed by
first-order elimination. Apparent clearance CL/F is decreased by 35% in
IVF-ET patients (typical 37 L/h) relative to healthy postmenopausal
women (typical 57 L/h). Apparent volume V/F is linear in body weight on
the natural scale: V/F = 235 L at the median 62 kg, increasing or
decreasing by 6.7 L/kg (~29% per 10 kg) -- an absolute-linear covariate
form, not log-multiplicative. Inter-individual variability is log-normal
on CL/F (17% CV) and V/F (28% CV); inter-occasion variability is
log-normal on V/F (23% CV) across three protocol-defined occasions
(first dosing day = 1, intermediate dosing days = 2, last dosing day =
3). Residual error is proportional (20% CV). Studied weight range was
48-83 kg; the linear V/F-WT term is extrapolation-unsafe below ~27 kg
where the typical V/F would become negative. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Yoneyama_2017_emicizumab.html">Emicizumab
(Yoneyama 2017)</a> </td>
<td style="text-align:left;"> One-compartment population PK
model with first-order subcutaneous absorption and elimination for
emicizumab (ACE910), a bispecific anti-FIXa/FX humanized monoclonal
antibody mimicking the cofactor function of activated factor VIII, in
healthy male adult volunteers (Japanese and Caucasian) and Japanese male
adult/adolescent patients with severe hemophilia A with or without
factor VIII inhibitors (Yoneyama 2017). Body-weight allometric exponents
are fixed (0.75 on CL/F, 1 on Vd/F) per Yoneyama 2017 Methods.
Anti-emicizumab neutralizing antibody (ADA_POS) increases CL/F by a
factor of exp(2.01) and the effect onsets 33.4 days post the first SC
dose (NONMEM MTIME parameterisation). The companion repeated
time-to-event (RTTE) bleeding-hazard model from Yoneyama 2017 Section
2.4 is not included here; nlmixr2lib does not currently support TTE
models. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Baron_2016_empagliflozin.html">Empagliflozin
(Baron 2016)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
with lagged first-order absorption for empagliflozin in patients with
type 2 diabetes (T2DM), coupled with two indirect-response PK/PD models
for fasting plasma glucose (FPG) and glycated hemoglobin (HbA1c). The
drug effect on FPG elimination is driven by steady-state AUC (AUCss =
DOSE_EMPA_MGD * 1e6 / MW / CL) via an Emax function (Gmax, AUC50); FPG
in turn drives HbA1c production with a boundary-condition baseline
(HbA1climit). Pooled popPK/PD analysis of 4065 T2DM patients (PK n =
2761 active) from two phase I, four phase II, and four phase III studies
(Baron 2016 Diabetes Therapy). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Johnston_2019_empagliflozin.html">Empagliflozin
(Johnston 2019)</a> </td>
<td style="text-align:left;"> Exposure-response (PD-only) model
for the effect of empagliflozin on HbA1c in patients with type 1
diabetes mellitus (T1DM) on background insulin therapy (M-EASE-2;
Johnston 2019). A direct-response Emax function of individual
steady-state empagliflozin AUC (AUC_EMPA, supplied as a per-subject
covariate column from an upstream popPK analysis -- Mondick 2018 plus
EASE-2 / EASE-3 data-on-file) reduces the model-predicted baseline
HbA1c, with an additional linear placebo drift over time. Full covariate
model on baseline HbA1c, Emax, and placebo (sex, insulin delivery type,
body weight, eGFR, baseline insulin daily dose, and -- on Emax only --
baseline HbA1c). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Valade_2014_emtricitabine.html">Emtricitabine
(Valade 2014)</a> </td>
<td style="text-align:left;"> Two-compartment oral population
PK model for emtricitabine (FTC) in HIV-infected pregnant and
non-pregnant women, with first-order absorption and elimination.
Creatinine clearance (Cockcroft-Gault, raw mL/min) on apparent oral
clearance via the power model CL/F = 22.3 * (CRCL/135)^0.33 captures the
18% CL/F increase observed during pregnancy as a manifestation of the
pregnancy-associated 50% rise in estimated glomerular filtration rate;
pregnancy itself, gestational age, age, weight, serum creatinine and
co-medication were screened but not retained after CLcr inclusion
(Valade 2014, BJCP). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Valade_2015_emtricitabine.html">Emtricitabine
(Valade 2015)</a> </td>
<td style="text-align:left;"> Two-compartment oral population
PK model for emtricitabine (FTC) in HIV-1-infected men on combined
antiretroviral therapy, with an asymmetric effect compartment of
negligible volume describing seminal plasma distribution via distinct
blood-plasma-to-seminal-plasma transfer rate (k1e) and seminal-plasma
elimination rate (ke1) constants (Valade 2015, EVARIST ANRS-EP 49 study)
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Barras_2009_enoxaparin.html">Enoxaparin
(Barras 2009)</a> </td>
<td style="text-align:left;"> Two-compartment first-order
absorption population PK model of anti-factor Xa activity in 118 adults
(PE / DVT / ACS / atrial fibrillation) receiving subcutaneous enoxaparin
treatment doses (1 mg/kg BID by total or lean body weight, 1.5 mg/kg BID
for LBW-based obese dosing) under conventional vs
lean-body-weight-and-renal-function individualised dosing (Barras 2009
randomised controlled trial). CL is a composite renal + non-renal model
with LBW substituted into the Cockcroft-Gault CrCl equation; central
volume scales linearly with LBW. The paper additionally reports a
three-category proportional-odds bleeding / bruising adverse-event PD
model with logit(P[S<=1]) = 2.83 - 2.75*(Age/61) - 0.536*(cAUC/23)
and logit(P[S<=2]) = logit(P[S<=1]) + 2.05, driven by patient Age
and cumulative AUC (cAUC) of anti-Xa activity from first dose to event.
The proportional-odds PD layer is NOT encoded in this model file -- it
requires canonical parameter names for cumulative-logit /
proportional-odds PD models that are not yet registered in
references/parameter-names.md. The PD equation is reproduced in the
validation vignette, where it is applied deterministically to cAUC
values derived from the simulated PK profile (see vignette Source trace
and Assumptions and deviations sections). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Berges_2007_enoxaparin.html">Enoxaparin
(Berges 2007)</a> </td>
<td style="text-align:left;"> Two-compartment first-order
absorption population PK model of anti-factor Xa activity in elderly
patients (>75 years) receiving prophylactic subcutaneous enoxaparin
4000 IU once daily (Berges 2007 PROPHRE.75 study) </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Feng_2006_enoxaparin.html">Enoxaparin
(Feng 2006)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model for enoxaparin in adult inpatients receiving continuous
intravenous infusion (CII) or subcutaneous (SC) dosing (Feng 2006)
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Green_2003_enoxaparin.html">Enoxaparin
(Green 2003)</a> </td>
<td style="text-align:left;"> Two-compartment first-order-input
population PK model for subcutaneous enoxaparin in adults treated at the
Royal Brisbane Hospital for acute coronary syndrome, deep vein
thrombosis, pulmonary embolism, or DVT prophylaxis (Green & Duffull
2003). Anti-Xa activity is the observation; lean body weight (LBW; James
1976 formula) is the size descriptor on clearance and total body weight
is the size descriptor on the central volume. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Green_2005_enoxaparin.html">Enoxaparin
(Green 2005)</a> </td>
<td style="text-align:left;"> Two-compartment, first-order
absorption population PK model for subcutaneously administered
enoxaparin (anti-Xa activity) in 38 adults with acute coronary syndromes
and a wide range of renal function (Green 2005). Total clearance is the
sum of a renal arm scaled linearly to estimated creatinine clearance
(CRCL, Cockcroft-Gault with ideal body weight; reference 80 mL/min) and
a covariate-free non-renal arm: CL = 0.681 * (CRCL / 80) + 0.229 L/h.
Central volume of distribution scales linearly with total body weight
(reference 80 kg): Vc = 5.22 * (WT / 80) L. A constant basal anti-Xa
activity (49.9 IU/L) is added to the model prediction to represent
endogenous and assay-baseline anti-Xa activity, per the Schoemaker
parameterisation referenced in the paper. Inter-individual variability
is log-normal on total CL, Vc, Q, and basal anti-Xa activity (paper
Table 2 Covariate Model). Residual error is combined additive (52.4
IU/L) plus proportional (20.0 percent CV) on observed anti-Xa
concentrations. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Oualha_2018_enoxaparin.html">Enoxaparin
(Oualha 2018)</a> </td>
<td style="text-align:left;"> Population PK model for
subcutaneous enoxaparin in 22 children during the first post-operative
week after paediatric liver transplantation (Oualha 2018).
One-compartment open model with first-order absorption (ka fixed at 1/h)
and first-order elimination, measured as anti-Xa activity (target
0.2-0.4 IU/mL). Apparent clearance CL/F is allometrically scaled by
pre-operative bodyweight BWPREOP (fixed exponent 0.75); apparent central
volume V/F is allometrically scaled (fixed exponent 1) by a time-varying
post-operative bodyweight BW(t) that captures peri-operative fluid
resuscitation followed by post-operative diuresis: BW(t) = (BWPREOP +
PFA/1000) * (1 - (1 - fbw) * t^hill_bw / (tbw50^hill_bw + t^hill_bw)).
Bodyweight-evolution parameters fbw / hill_bw / tbw50 are jointly
estimated with the enoxaparin PK and carry their own between-subject
variability. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/SanchezPena_2005_enoxaparin.html">Enoxaparin
(SanchezPena 2005)</a> </td>
<td style="text-align:left;"> One-compartment population
pharmacokinetic model of anti-factor Xa activity after intravenous
enoxaparin in 546 adults undergoing elective percutaneous coronary
intervention (Sanchez-Pena 2005). The IV bolus is modelled as a brief
zero-order input phase of duration T0 with linear elimination. Body
weight is the only retained covariate, applied as estimated allometric
exponents on clearance (0.9) and volume (0.7) with reference 75 kg. A
fixed basal anti-Xa activity (0.0725 IU/mL) is added to the dose-driven
concentration to account for the endogenous pre-dose background measured
by the chromogenic anti-Xa assay. Doses must be entered in IU (1 mg
enoxaparin = 100 IU anti-Xa); the typical 0.5 mg/kg clinical dose
corresponds to 3830 IU for a 76 kg patient. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Schoemaker_1996_low_molecular_weight_heparin_modeling.html">Enoxaparin
(Schoemaker 1996)</a> </td>
<td style="text-align:left;"> One-compartment population PK
model with intravenous bolus input and an estimated constant basal
anti-Xa activity for the low molecular weight heparin enoxaparine (trade
name Clexane) in healthy volunteers (Schoemaker & Cohen 1996,
Example 2 / Table 3, Solution 2). Enoxaparin amount in the central
compartment plus an additive endogenous baseline reproduces the
lingering low post-dose anti-Xa activity that would otherwise force a
second compartment if pre-value subtraction were applied; the authors
recommend the basal-activity formulation over the competing
two-compartment model (Solution 1, Table 2) because it matches the dose
/ AUC clearance estimate from the upstream Stiekema 1993 paper. Anti-Xa
activity is the surrogate concentration measure; doses are in anti-Xa IU
and concentration is in IU/mL. Validation of this model and the
companion dalteparin PK/PD model share a single vignette. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Csajka_2005_ephedrine_caffeine.html">Ephedrine
caffeine (Csajka 2005)</a> </td>
<td style="text-align:left;"> Mechanistic simultaneous
population PK model for co-administered ephedrine, its N-demethylation
metabolite norephedrine, and caffeine in healthy adults after single
oral doses (Csajka 2005). Caffeine is described by a 1-compartment
first-order-absorption model with a fractional decrease in apparent
clearance during oral contraceptive therapy. Ephedrine uses a
1-compartment depot + central + cumulative-urine model with an
absorption lag time, renal clearance, and saturable Michaelis-Menten
conversion to norephedrine; norephedrine is carried as a
pseudo-concentration state because its volume of distribution V_NE is
unidentifiable, so the reported parameter is the compound Vmax/V_NE and
the norephedrine elimination is first order. The interaction term
reproduces the paper's indirect-action absorption model (equation
10b/10e final form): the caffeine amount in the absorption compartment
depresses ephedrine ka by an asymptotic fraction d, with caffeine acting
as the f(C) inhibitor on its own absorption-compartment amount.
Parameter values are the pharmaceutical-formulation defaults from Table
3; herbal-formulation alternatives (bioavailability F_E,herbal = 0.78
instead of F_E,pharm = 0.59, plus a 22.2-min caffeine absorption lag)
are documented in inline comments and can be applied by overriding
lfdepot and ltlag_caf at simulation time. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Sarashina_2005_epinastine.html">Epinastine
(Sarashina 2005)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model with first-order absorption for oral epinastine in healthy adults
and paediatric atopic dermatitis patients (Sarashina 2005), with
linear-in-WT CL/F and V1/F plus food-status and formulation covariate
effects </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Abboud_2009_epinephrine.html">Epinephrine
(Abboud 2009)</a> </td>
<td style="text-align:left;"> One-compartment population PK
model for intravenous epinephrine (adrenaline) infusion in adults with
septic shock, with a constant endogenous epinephrine production rate
(R0) feeding the central compartment and body weight and SAPS II
severity score as power covariates on clearance (Abboud 2009).
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Oualha_2014_epinephrine.html">Epinephrine
(Oualha 2014)</a> </td>
<td style="text-align:left;"> Population PK/PD model for
continuous IV epinephrine in critically ill children following
cardiopulmonary bypass for repair of congenital heart defects (Oualha
2014). One-compartment open PK with first-order elimination plus an
endogenous zero-order production rate q0 and circulating-volume-anchored
Vc = 0.08*WT; allometric scaling of CL and q0 on body weight (exponents
fixed to 3/4). Hemodynamic Emax sub-models for heart rate (HR) and the
stroke-volume * systemic-vascular-resistance product (SV*SVR) with age
power effects on basal HR and SV*SVR and a RACHS-1 categorical effect on
SV*SVR_max. Glucose/lactate turnover sub-model: epinephrine stimulates
the zero-order plasma glucose production rate via an Emax function;
plasma lactate is produced at the rate of glucose elimination and itself
follows first-order elimination. kGLY and kLAC are derived at steady
state (Eq. 12-13). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Diep_2022_eplontersen.html">Eplontersen
(Diep 2022)</a> </td>
<td style="text-align:left;"> Two-compartment population PK and
indirect-response PD model for the GalNAc3-conjugated antisense
oligonucleotide eplontersen targeting transthyretin (TTR) mRNA, fit to
pooled data from two phase 1 studies in healthy volunteers (Diep 2022).
First-order SC absorption with site-specific typical ka (arm vs
abdomen), allometric scaling on CL by lean body mass, on Vc/Q/Vp by
total body weight, and an indirect-response model with
eplontersen-driven inhibition of TTR production. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/PerezRuixo_2008_epoetinAlfa.html">EpoetinAlfa
(PerezRuixo 2008)</a> </td>
<td style="text-align:left;"> Population PK/PD model for
subcutaneous recombinant human erythropoietin (rHuEPO / epoetin alfa) in
healthy adult male volunteers (Perez-Ruixo 2008). PK is the
Olsson-Gisleskog 2007 prior (two-compartment with linear +
Michaelis-Menten elimination and dual subcutaneous absorption: a fast
sequential zero-order infusion into the depot of duration D1 feeding
first-order absorption ka into central, plus a slower zero-order direct
infusion into central of duration D2 after lag time tlag2;
dose-dependent absolute bioavailability F = F0 +
Emax(F)*Dose/(ED50(F)+Dose)). Endogenous EPO is maintained at the
baseline BSL by a constant input rate kEPO derived from the steady-state
balance against linear + MM elimination (equation 4). The PD layer is
the maturation-structured cytokinetic model D: rHuEPO stimulates the
progenitor production rate kin*C/(SC50+C) into a 10-stage bone-marrow
precursor age chain (transfer rate Np/Tp), which feeds a 10-stage
circulating reticulocyte age chain whose transfer rate (NR/TR)*(S0/SM)
is inhibited by a 5-stage signal transduction (transit time tau) driven
by C/(EC50+C). Output RET = sum of reticulocyte compartments reproduces
the percentage of reticulocytes in % units. No demographic covariate
effects were retained in either layer. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Hayashi_1998_epoetinBeta.html">EpoetinBeta
(Hayashi 1998)</a> </td>
<td style="text-align:left;"> One-compartment population PK
model for subcutaneous recombinant human erythropoietin (epoetin beta)
in healthy adult male Japanese volunteers with a constant endogenous EPO
production rate carrying a fixed circadian sinusoid (acrophase near
midnight) feeding the central compartment, and body weight as a power
covariate on apparent absorption rate ka and apparent central volume
V/F, plus serum creatinine and age as power covariates on the
elimination rate constant k_e (reparameterised here onto canonical CL/F
so the k_e covariates ride on CL/F together with the V/F weight
exponent); apparent V/F and E/F throughout because bioavailability was
not separately estimable from this SC-only study (Hayashi 1998).
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Kawamura_2018_eribulin.html">Eribulin
(Kawamura 2018)</a> </td>
<td style="text-align:left;"> Three-compartment IV PK driver
coupled with a Friberg-style semi-mechanistic PD model for
eribulin-induced neutropenia in Japanese patients with recurrent or
metastatic breast cancer (Kawamura 2018). Plasma eribulin concentrations
are produced by a 3-compartment model with linear elimination from the
central compartment whose parameters are FIXED from the Majid 2014 popPK
analysis (reproduced verbatim in Kawamura 2018 section 2.3): CL depends
on body weight (allometric 0.75), serum albumin, alkaline phosphatase,
and total bilirubin; V1, V2, V3 scale linearly with body weight; Q2 and
Q3 scale allometrically with body weight. The PD layer (proliferation +
three transit compartments + circulating neutrophils + feedback) is
estimated on 401 patients / 5199 ANC measurements (Table 2): MTT = 104.5
h, Kprol = 0.0377 /h, Kout = 0.0295 /h, Gamma = 0.203, Slope = 0.0413
mL/ng (linear drug effect). Serum albumin influences Kprol (negative
exponent), MTT (positive exponent), and Kout (positive exponent); a
binary low-baseline-ANC indicator (BNEU3 = 1 when baseline ANC <
3000/uL) multiplies Kprol. IIV is reported on Kprol, Kout, and Slope (no
IIV on MTT or Gamma). Additive residual error on circulating ANC (sigma
= 1.15 cells/nL = 1150 cells/uL). Eribulin doses must be supplied in
milligrams of eribulin-FREE-BASE equivalent (1.4 mg/m^2 mesilate = 1.23
mg/m^2 free base, conversion factor 1.23/1.4). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/vanHasselt_2015_eribulin.html">Eribulin
(vanHasselt 2015)</a> </td>
<td style="text-align:left;"> Disease-progression (DP) model
for prostate-specific antigen (PSA) dynamics in metastatic
castration-resistant prostate cancer (CRPC) patients treated with
eribulin mesilate (van Hasselt 2015). K-PD framework: the per-dose
predicted eribulin AUC enters a single transient drug-effect compartment
depot_kpd that decays with rate KP (fixed to 6000 /day so the effect is
nearly instantaneous after each dose); PSA evolves under a first-order
growth rate KG counteracted by an inhibition rate KD0 multiplied by the
K-PD state depot_kpd and an exponentially decaying resistance factor
exp(-k_res*t). PSA0, KD0, KG, k_res have correlated lognormal IIV;
proportional residual error on PSA (log-transform-both-sides). Prior
taxane treatment (binary PRIOR_TAXANE) multiplies PSA0; cumulative
number of days of prior taxane treatment (continuous PRIOR_TAXANE_DAYS)
enters KD0 as (1 + NTRT/720)^theta. The companion parametric Weibull
survival sub-model fit in R survreg is documented in the vignette but
not encoded here (not an ODE / nlmixr2 structure). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Eyler_2014_ertapenem.html">Ertapenem
(Eyler 2014)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model for intravenous ertapenem in critically ill adults with acute
kidney injury receiving continuous venovenous hemodialysis (CVVHD) or
hemodiafiltration (CVVHDF). PK is parameterised on unbound drug; total
serum concentrations are reconstructed via a single-site saturable
albumin-binding equation Cb = Bmax * Cu / (KD + Cu). Systemic (body)
clearance and a separate dialytic clearance arm are estimated as primary
parameters; the dialytic arm is added to body clearance only while the
CRRT circuit is running, gated by the time-varying RRT_HEMODIAL_ACTIVE
covariate. Eyler 2014, n = 8 subjects, single 1 g IV dose over 30 min.
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Lakota_2018_ertapenem.html">Ertapenem
(Lakota 2018)</a> </td>
<td style="text-align:left;"> Three-compartment population PK
model for ertapenem in adults across a wide range of body sizes (Lakota
2018) </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Nielsen_2011_antibacterial_efficacy.html">Erythromycin
(Nielsen 2011)</a> </td>
<td style="text-align:left;"> In vitro (Streptococcus pyogenes
M12 NCTC P1800). Semimechanistic PKPD model of erythromycin time-kill
kinetics; two-stage bacterial life-cycle (proliferating drug-sensitive S
and non-growing drug-insensitive R) with sigmoidal Emax killing of S via
an effect compartment; first-order drug elimination (ke set per in vitro
kinetic-system flow rate); drug-specific degradation kdeg fixed at zero.
Parameter values are from the combined static and dynamic estimation in
Table 3. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Areberg_2006_escitalopram.html">Escitalopram
(Areberg 2006)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model with first-order absorption and lag time for escitalopram in
healthy and hepatic-impaired adults (Areberg 2006) </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/PerezRuixo_2020_esketamine.html">Esketamine
(PerezRuixo 2020)</a> </td>
<td style="text-align:left;"> Joint three-compartment
esketamine + two-compartment apparent noresketamine population PK model
with a hepato-portal first-pass compartment (well-stirred model) and
three parallel absorption routes (intranasal direct,
intranasal-swallowed via PO depot, and PO solution via PO depot)
developed from 9784/9397 esketamine/noresketamine plasma observations in
820 healthy volunteers and patients with treatment-resistant depression
receiving intranasal, intravenous, and oral esketamine (Perez-Ruixo
2020). Asian race decreases esketamine kel (x0.36) and noresketamine
apparent CLn/F (x0.81); Japanese race increases the
nasal-cavity-absorbed fraction FRn (x1.34); and hepatic blood flow Qh
declines linearly by 2.19 L/h per year of age above 60. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Fang_2010_etanercept.html">Etanercept
(Fang 2010)</a> </td>
<td style="text-align:left;"> One-compartment population PK
model for rhTNFR-Fc (recombinant human TNF receptor-Fc fusion protein;
etanercept-class molecule from Celgen Bio-Pharmaceutical) with
first-order subcutaneous absorption, absorption lag time, and linear
elimination in healthy Chinese volunteers (single SC doses 12.5-50 mg)
and Chinese male patients with ankylosing spondylitis (multiple SC doses
25 mg BIW or 50 mg QW) (Fang 2010). Female sex is the typical-value
reference: males have 0.655x lower CL/F. Single-dose administration is
the typical-value reference: multi-dose administration in AS patients
has 0.674x lower apparent bioavailability F. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Horita_2018_ethambutol.html">Ethambutol
(Horita 2018)</a> </td>
<td style="text-align:left;"> Two-compartment population
pharmacokinetic model with zero-order absorption (lag time + zero-order
duration) and first-order elimination for oral ethambutol in Ghanaian
children with active tuberculosis (Horita 2018); allometric weight
scaling on CL/F, Q/F, V1/F, V2/F with non-canonical estimated exponents
(0.382, 0.474, 0.228, 0.858) normalised to the cohort median 14.3 kg.
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Jonsson_2011_ethambutol.html">Ethambutol
(Jonsson 2011)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model for oral ethambutol in adult South African pulmonary tuberculosis
patients (Jonsson 2011), with one transit compartment preceding
first-order absorption, allometric scaling on clearance (3/4) and volume
(1) terms relative to a 50 kg reference, an HIV-status effect on
bioavailability (15.4% reduction), and 4-occasion inter-occasion
variability on apparent oral clearance. Parameter values are taken from
the publication's Table 2 (NONMEM final estimates column); see
inst/modeldb/ddmore/Jonsson_2011_ethambutol_ddmore.R for the
DDMoRE-bundle replicate of the same fit. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Nemoto_2017_ethanol.html">Ethanol
(Nemoto 2017)</a> </td>
<td style="text-align:left;"> Bayesian population PK model for
orally ingested ethanol (alcohol) in 34 healthy Japanese adults (Nemoto
2017). One-compartment model with first-order absorption and
Michaelis-Menten elimination; covariates: sex, age, body weight, ALDH2
and ADH1B genotypes. Final model fit by a fully conditional MCMC
Bayesian analysis with informative priors derived from Seng et al. 2014
(Chinese + Indian cohort). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Ye_2017_ethaselen.html">Ethaselen
(Ye 2017)</a> </td>
<td style="text-align:left;"> Preclinical (mouse, BALB/c nude
with A549 NSCLC xenograft). Integrated dose-biomarker-response PD model
for the thioredoxin reductase (TrxR) inhibitor ethaselen (Ye et al.
2017). The TrxR biomarker is described by an indirect-response (IDR)
turnover in which the zero-order production Kin is linearly amplified by
the instantaneous natural tumor growth rate (linear correction factor
gamma1) and the first-order degradation Kout is increased by a sigmoidal
Emax function of the current administered ethaselen dose (Smax, SC50,
Hill = gamma2). Tumor volume follows a smooth exponential-to-linear
growth law (paper Eq 5: dX/dt = 2*lambda0*lambda1*X / (lambda1 +
2*lambda0*X)) tempered by a zero-order Emax killing rate driven by the
TrxR-inhibition ratio P = 1 - TrxR_treatment / TrxR_control (paper Eq
7). The control TrxR trajectory is carried internally as a shadow state
(trxr_ctrl) so P is defined per-subject without requiring an external
control-arm simulation. No pharmacokinetic compartment is included; the
paper acknowledges ethaselen plasma concentrations were not measured.
The current daily dose enters the model through the time-varying
covariate DOSE (mg/kg/day), which the published study toggles between 0
(vehicle / off-treatment) and one of {36, 72, 108} mg/kg/day for days
0-9 (oral gavage QD x10 d). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Moein_2022_etrolizumab.html">Etrolizumab
(Moein 2022)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model for etrolizumab with first-order SC absorption and time-decreasing
clearance in adults with moderately-to-severely active ulcerative
colitis (Moein 2022) </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/deWit_2016_everolimus.html">Everolimus
(deWit 2016)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model with first-order oral absorption for everolimus 10 mg once-daily
in 40 adult patients with advanced thyroid carcinoma (de Wit 2016).
Bioavailability F is structurally fixed at 1 (absolute F unknown), so
reported CL, V1, Q, and V2 are apparent (oral / F). Allometric scaling
on apparent clearance (exponent 0.75) and apparent central volume
(exponent 1.0) using a 70 kg reference weight per the Anderson and
Holford theory cited by the paper. Apparent peripheral volume V2/F was
held fixed at 400 L in the final model. Bioavailability is multiplied by
0.792 in subjects who carry at least one ABCB1 TTT haplotype (CYP3A /
P-gp efflux marker). Inter-occasion variability on F captures the
day-1-vs-day-15 sampling occasion contrast (CV 19.2%). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/TerHeine_2018_everolimus.html">Everolimus
(TerHeine 2018)</a> </td>
<td style="text-align:left;"> Semi-mechanistic two-compartment
population PK model for everolimus in pooled adult oncology (metastatic
thyroid or breast cancer) and renal transplant patients (ter Heine
2018). Oral absorption is modelled with a chain of four transit
compartments parameterised by the mean absorption time MAT and the Savic
2007 convention ktr = (n + 1) / MAT (n = 4 transit compartments).
Hepatic disposition uses a well-stirred liver model: hepatic plasma flow
QHP = QH * (1 - HCT); hepatic extraction EH = fu * CLint / (QHP + fu *
CLint) with FIXED unbound fraction fu = 0.27; oral bioavailability F = 1
- EH and systemic plasma clearance CLH = QHP * EH. Volume parameters
(VC, VP) and flow parameters (QH = 90 L/h FIXED, Q) are allometrically
scaled to fat-free mass FFM at a 57.2 kg reference (equivalent to a 70
kg, 1.80 m adult male) with theory-based exponents 0.75 on flows and 1.0
on volumes (Anderson and Holford). Concomitant high-dose oral
prednisolone (PRED_DOSE >= 20 mg/day, a CYP3A4 inducer) increases
apparent CLint by 31%. Modelled plasma concentrations were derived
externally from observed whole-blood concentrations and HCT via a
Langmuir-plus-linear erythrocyte binding model (Bmax = 0.964 mg/L, Kd =
0.0920 mg/L, Kns = 0.153); the vignette uses the same back-calculation
to compare simulated plasma concentrations against the paper's
whole-blood trough targets. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Pu_2021_evinacumab.html">Evinacumab
(Pu 2021)</a> </td>
<td style="text-align:left;"> Population PK/PD model for
evinacumab in healthy volunteers and adults / pediatric patients with
homozygous familial hypercholesterolemia (Pu 2021): two-compartment PK
with first-order SC absorption (with lag time) and parallel linear plus
Michaelis-Menten elimination from the central compartment, linked to a
Type 1 indirect-response model for low-density lipoprotein cholesterol
(LDL-C) where evinacumab inhibits LDL-C production. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Kuchimanchi_2018_evolocumab.html">Evolocumab
(Kuchimanchi 2018)</a> </td>
<td style="text-align:left;"> One-compartment population PK
model for evolocumab with first-order SC absorption and parallel linear
plus Michaelis-Menten (target-mediated) elimination from the central
compartment, in healthy adults and patients with hypercholesterolemia
(Kuchimanchi 2018) </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Kuchimanchi_2018_evolocumab.html">Evolocumab
ldlc (Kuchimanchi 2018)</a> </td>
<td style="text-align:left;"> Joint population PK + static
Emax-on-AUC exposure-response model for evolocumab LDL-C lowering in
adults with hypercholesterolemia (Kuchimanchi 2018). The PK layer (Table
3) is the one-compartment model with parallel linear and
Michaelis-Menten elimination and SC bioavailability from the companion
Kuchimanchi_2018_evolocumab.R file. The PD layer (Table 4) is an
algebraic Emax model linking AUC over weeks 8-12 of dosing to the mean
week-10-and-12 LDL-C reduction, with statin / ezetimibe / HeFH covariate
effects on baseline LDL-C, a statin covariate effect on Emax, and a
regimen-effect multiplier on EC50 distinguishing once-monthly (QM) from
once-every-2-weeks (Q2W) dosing. AUC of evolocumab is integrated inside
an extra rxode2 state over the 56-84-day window; the LDLC observable is
meaningful only at t >= 84 (vignette documents the time-window
discipline). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Valle_2005_exemestane.html">Exemestane
(Valle 2005)</a> </td>
<td style="text-align:left;"> Three-compartment population PK
with first-order absorption + lag time, coupled to an indirect-response
PD model on plasma estrone sulphate (E1S), for oral exemestane (25 mg
single dose) in healthy postmenopausal women. Crossover study comparing
a sugar-coated tablet (SCT) under fasting versus an extemporaneous
tablet-suspended-in-water suspension under fasting versus a SCT taken
after a standard high-fat breakfast. Disposition is independent of
formulation and food; absorption rate ka and apparent bioavailability F
depend on formulation (suspension: ka 7.6 vs SCT 2.35 1/h, F 1.2x) and
on the high-fat meal (ka 1.13 1/h, F 1.6x). Exemestane inhibits E1S
synthesis via a sigmoid Imax function with IC50 22.1 pg/mL and Hill
coefficient 1.73. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Cirincione_2017_exenatide.html">Exenatide
(Cirincione 2017)</a> </td>
<td style="text-align:left;"> Population PK model for exenatide
immediate-release (Cirincione 2017): two-compartment, parallel linear
and Michaelis-Menten elimination, sequential zero-order then saturable
first-order absorption after SC dosing. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Cirincione_2017_exenatide_er.html">Exenatide
er (Cirincione 2017)</a> </td>
<td style="text-align:left;"> Population PK model for
extended-release (ER) microsphere SC exenatide in patients with type 2
diabetes (Cirincione 2017 AAPS J): two-compartment disposition with
three parallel SC-absorption processes (initial first-order release plus
two Savic 2007 analytical transit-compartment chains for the second- and
third-phase microsphere release) and parallel linear plus saturable
Michaelis-Menten elimination. Disposition parameters (CL, Q, Vc, Vp,
Vmax, Km) and the eGFR-on-CL and WT-on-Vc covariate effects are fixed
from the IR companion model (Cirincione 2017 BJCP). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Ng_2018_exendin939.html">Exendin939
(Ng 2018)</a> </td>
<td style="text-align:left;"> Two-compartment
intravenous-infusion population PK model for exendin-(9-39) in patients
with congenital hyperinsulinism (Ng 2018). Pooled paediatric (neonates
and children) and adult cohort with allometric scaling fixed at 0.75 on
CL and Q and 1.0 on Vc and Vp (reference WT 70 kg); inter-individual
variability retained only on CL. Residual variability follows the NONMEM
Poisson error model (Var(Y|F) = F * sigma^2), encoded as a power-error
with fixed exponent 0.5. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Brekkan_2016_factorIX.html">FactorIX
(Brekkan 2016)</a> </td>
<td style="text-align:left;"> Three-compartment population PK
model for plasma-derived factor IX (FIX) activity in patients with
moderate or severe haemophilia B, developed by Brekkan et al. 2016 to
support pharmacokinetic dose individualisation. Disposition is described
by linear three-compartment kinetics with intravenous input and
first-order elimination from the central compartment; allometric
body-weight scaling on CL/Q (0.75) and V1/V2/V3 (1.0) is fixed with a
reference weight of 70 kg, and an endogenous baseline FIX activity is
estimated as a structural parameter. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Koopman_2023_factorix.html">Factorix
(Koopman 2023)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model for recombinant factor IX-Fc fusion concentrate (rFIX-Fc,
eftrenonacog alfa) in haemophilia B patients aged 2-71 years (Koopman
2023) </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Nestorov_2014_factorviii.html">Factorviii
(Nestorov 2014)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model for recombinant factor VIII Fc fusion protein (rFVIIIFc,
efmoroctocog alfa) in previously treated patients with severe hemophilia
A (Nestorov 2014; final covariate model with VWF on CL and WT and HCT on
V1) </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Chelle_2019_factorviii_fanhdi.html">Factorviii
fanhdi (Chelle 2019)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model for Fanhdi/Alphanate (plasma-derived factor VIII concentrate,
Grifols) in hemophilia A patients pooled from 12 hemophilia centers in
the WAPPS-Hemo platform (Chelle 2019). Final model has fat-free mass
(FFM) as a power-form covariate on CL, V1, and V2, and a
piecewise-linear age effect on CL above the median age of 25 years;
between-subject variability is a BLOCK(2) on CL and V1 with correlation
0.797; residual error is proportional only. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Farrell_2012_farletuzumab.html">Farletuzumab
(Farrell 2012)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model for farletuzumab (humanized IgG1 anti-folate-receptor-alpha
monoclonal antibody) with first-order linear elimination after IV
infusion in women with advanced epithelial ovarian cancer (Farrell
2012). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/HillMcManus_2017_febuxostat_lesinurad.html">Febuxostat
lesinurad (HillMcManus 2017)</a> </td>
<td style="text-align:left;"> Semi-mechanistic dual-drug PKPD
model for the impact of non-adherence to febuxostat (xanthine oxidase
inhibitor) plus lesinurad (URAT1 uricosuric) urate-lowering therapy in
gout; combines published 2-compartment first-order absorption PK for
each drug with a 4-compartment xanthine / uric-acid PD system
(Hill-McManus 2017) </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Back_2018_fenofibrate.html">Fenofibrate
(Back 2018)</a> </td>
<td style="text-align:left;"> Mechanism-based oral absorption /
disposition model for fenofibrate (parent) and fenofibric acid (active
form, measured analyte) in healthy Korean adults under fasted,
standard-meal, and high-fat-meal conditions. Three drug compartments
(stomach -> duodenum -> central) coupled to a 2-compartment
calorie sub-model (stomach -> duodenum) via a bile-acid-driven
coupling: the combined fenofibrate-metabolism /
fenofibric-acid-absorption rate constant km&a is multiplied by (1 +
Ebile * calories_in_duodenum), and a time-varying gastric emptying rate
constant kg is multiplied by (1 + Efood) for the first 6.94 h after a
meal. Meal-type-specific shifts on Vc/F encode the additional
bioavailability change between fasted, standard, and high-fat meals.
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Bista_2015_fentanyl.html">Fentanyl
(Bista 2015)</a> </td>
<td style="text-align:left;"> One-compartment population PK
model for transdermal fentanyl (Durogesic patch) in adult cancer
patients with first-order absorption from the patch and allometric
body-weight scaling on CL/F and V/F (Bista 2015) </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Oosten_2016_fentanyl.html">Fentanyl
(Oosten 2016)</a> </td>
<td style="text-align:left;"> One-compartment population PK
model for fentanyl administered by continuous subcutaneous infusion and
transdermal matrix patch in adult cancer patients, with separate
first-order absorption for each route, transdermal lag time, allometric
body-weight scaling on CL/F and V/F (V/F fixed at 280 L), IIV on Ka (sc
and td), F (td), and CL/F, IOV on transdermal Ka multiplexed by
occasion, and proportional residual error (Oosten 2016). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Laffont_2025_opioid_overdose_reversal_simulation.html">Fentanyl
iv (Mann 2022)</a> </td>
<td style="text-align:left;"> Three-compartment IV fentanyl
population PK with a first-order biophase (effect-site) equilibrium
compartment, used as the agonist input layer of the Mann 2022
translational opioid-overdose model. Parameter values are the Algera
2021 popPK fit re-tabulated in Mann 2022 Supplement 1 Table S1
(intravenous fentanyl, healthy opioid- naive and chronic opioid-user
volunteers pooled, n = 30). Allometric scaling: CL and
inter-compartmental clearances on (WT/70)^0.75, volumes on (WT/70).
Outputs plasma concentration Cc in ng/mL and effect-site Ce in both
ng/mL and pM for downstream consumption by the Mann 2022 mu-opioid
receptor binding model. Intended for use as the IV-fentanyl agonist
input in a simulated overdose-rescue chain; no residual error is
reported in the source supplement. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Plock_2014_ferumoxytol.html">Ferumoxytol
(Plock 2014)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model with Michaelis-Menten elimination for IV ferumoxytol in healthy
adults and adults with chronic kidney disease (Plock 2014). Encodes the
typical non-dialysing-patient form; the haemodialysis-driven
time-varying central volume (VSLOPE) and the within-session weight-loss
effect on V1 (WLO) are described in the vignette but not enabled in this
model file. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Harrold_2020_filgrastim_ars.html">Filgrastim
(Harrold 2020)</a> </td>
<td style="text-align:left;"> Semi-mechanistic population PK /
absolute-neutrophil-count / overall-survival model for subcutaneous
filgrastim treatment of hematopoietic syndrome of acute radiation
syndrome (HS-ARS) in adult and pediatric humans. PK is one-compartment
(subcutaneous depot -> central drug amount) with target-mediated
disposition through quadratic-equilibrium free / bound filgrastim
partitioning against the time-varying G-CSF receptor pool. PD is a
5-stage granulopoiesis cascade (progenitor stem -> mitotic stem ->
two precursor stages -> circulating neutrophils); bound drug
stimulates receptor production (ST1) and transit between bone-marrow
stages (ST2). Acute radiation effect is a kinetic-pharmacodynamic depot
(depot_kpd) seeded by the radiation dose in Gy that decays first-order
at rate kpde and kills the mitotic-stem stage at rate kpdkill * kpd ^
gamma; gamma depends on the radiation dose rate via a Hill-type function
gamma = tgamma * DR / (DR + dr50). Overall survival is integrated as a
Cox cumulative hazard (cumhaz_os) on a Box-Cox transformation of an
effect-compartment ANC. All structural and IIV parameters fixed at the
values from Harrold 2020 Table 2 (granulopoiesis values from Melhem 2018
popPK / ANC in healthy adults and chemotherapy-induced neutropenia;
radiation / OS values scaled from rhesus-macaque NHP study with kpde and
kpdkill multiplied by 0.72 to match the human LD50 and the kpdkill IIV
omega halved per Harrold 2020 Methods 1.3 to address NHP-data sparsity).
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Kim_2017_fimasartan.html">Fimasartan
(Kim 2017)</a> </td>
<td style="text-align:left;"> Population PK-PD model for
fimasartan (an angiotensin II receptor blocker) in healthy adult Korean
men and men with mild or moderate hepatic impairment (Kim 2017). Plasma
fimasartan is described by a 2-compartment model with parallel
mixed-input absorption: a first-order arm with rate Ka and absorption
lag time LAG (fraction F1 = (1 - alpha) * F of the dose) running in
parallel with a zero-order arm of virtual duration D2 (fraction F2 =
alpha * F of the dose), where the total relative bioavailability F is
fixed at 0.18 in healthy subjects (Kim 2008) and incremented to 0.18 +
IL1 in mild and 0.18 + IL2 in moderate hepatic impairment to capture the
markedly higher Cmax observed in cirrhotic patients via reduced
first-pass extraction and intrahepatic shunting. The PD model describes
systolic and diastolic blood pressures as indirect-response (turnover)
compartments with zero-order synthesis Kin inhibited by fimasartan via a
sigmoid-Imax function E(C) = 1 - Emax * Cc / (EC50 + Cc) and first-order
loss Kout = Kin / Base; the steady-state baseline rides a fixed cosinor
circadian rhythm Bsl(t) = MESOR * (1 + Amp1% * cos(2*pi*(t - AC1)/24) +
Amp2% * cos(2*pi*(t - AC2)/12)) with amplitudes and phases inherited
from Park 2014 (healthy Korean reference). EC50 is stratified by
hepatic-impairment severity: for SBP, healthy versus any-impairment
pooled (mild + moderate); for DBP, healthy + mild versus moderate alone,
reflecting the contrasting impact of hepatic dysfunction on the two
pressure outputs. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Taubert_2018_finafloxacin.html">Finafloxacin
(Taubert 2018)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model for finafloxacin (a novel fluoroquinolone with enhanced
antibacterial activity at acidic pH) with linear elimination, parallel
first-order plus zero-order oral absorption (each with its own
absorption lag time), an additive renal + non-renal clearance
decomposition, and a cumulative-urinary excretion compartment. Built
from pooled data of 266 subjects across three trials: 127 healthy
volunteers (Trial I oral 25-1,000 mg/day; Trial II IV 200-1,000 mg/day)
and 139 patients with complicated urinary tract infections (Trial III IV
800 mg/day, 60-min infusions). Covariates: body surface area on the
central volume of distribution (power form, exponent 1.50, reference
1.829 m^2) and healthy / patient cohort status (DIS_HEALTHY) on both the
renal and non-renal clearance arms. The paper-reported total apparent
clearance (20.9 L/h healthy; -29% in patients) and population-specific
fraction renally excreted (FER1 = 0.40 healthy, FER2 = 0.21 patient) are
re-parameterised into the canonical lcl_renal + lcl_nonren additive
decomposition; the typical values are anchored to DIS_HEALTHY = 0
(patient reference) per the inst/references/covariate-columns.md
DIS_HEALTHY convention. The IIV translation between the paper and the
re-parameterised forms is documented in the validation vignette
Assumptions and deviations (Taubert 2018). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Eissing_2024_finerenone.html">Finerenone
(Eissing 2024)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model with a 4-transit-compartment delayed first-order absorption for
finerenone in adults with chronic kidney disease and type 2 diabetes
(FIGARO-DKD final PK model; Eissing 2024) </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Goulooze_2022_finerenone.html">Finerenone
(Goulooze 2022)</a> </td>
<td style="text-align:left;"> Population PKPD turnover model
for serum potassium response to finerenone in patients with chronic
kidney disease and type 2 diabetes (FIDELIO-DKD Phase III).
Indirect-response model with an Emax effect of finerenone steady-state
AUC on the potassium dissipation rate Kout, with a linear annual
disease-progression slope on serum K (different typical value for
active-treatment vs placebo arms). Finerenone PK is upstream (van den
Berg 2022) and reduced here to AUCss = DOSE / CL with typical apparent
clearance 28.0 L/h. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/vandenBerg_2021_finerenone.html">Finerenone
(vandenBerg 2021)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model for oral finerenone (Bayer BAY 94-8862, a non-steroidal selective
mineralocorticoid receptor antagonist) in adults with chronic kidney
disease and type 2 diabetes, developed on n=2284 subjects / 5057 sparse
PK observations from the FIDELIO-DKD Phase III trial (NCT02540993).
Absorption is modelled via a chain of four sequential first-order steps
(depot + three transit buffers, all at common rate Ka = 22.5 1/h, mean
transit time MTT = n_steps / Ka = 0.178 h with the depot counted as the
first compartment in the chain) preceded by a fixed 0.215 h absorption
lag time; the central-peripheral disposition is two-compartment with the
peripheral volume fixed equal to the central volume Vp/F = Vc/F (ratio
fixed at 1). Covariates retained in the final model are body weight and
Korean ethnicity on Vc/F; time-varying eGFR-CKD-EPI, body height, serum
creatinine, smoking status (current or former vs never), long-term
(>=50% of treatment period) SGLT2 inhibitor use, gamma
glutamyl-transferase, and a two-tier CYP3A4-inhibitor coadministration
categorisation (strong/moderate/weak inhibitor >=50% of treatment
period vs any other inhibitor exposure) on CL/F; with each of the CL/F
covariates (except GGT) ALSO applied inversely to the relative
bioavailability F1 in the paper's NONMEM control stream (so the
covariate appears on both CL/F and F simultaneously, the net effect on
steady-state AUC scales as 1 / covariate-factor^2 and the net effect on
Cmax scales as 1 / covariate-factor). Inter-individual variability is a
2x2 block on CL/F and Vc/F (omega^2 0.0961 / 0.104, covariance 0.0442,
correlation ~0.44); no IIV on Ka or absorption. Residual error is
proportional (sigma^2 = 0.313, propSd = sqrt(0.313) ~= 0.5595).
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Landersdorfer_2007_flucloxacillin.html">Flucloxacillin
(Landersdorfer 2007)</a> </td>
<td style="text-align:left;"> Three-compartment population PK
model for IV flucloxacillin in healthy adult volunteers (Landersdorfer
2007) with linear renal and non-renal elimination. The structural model
splits total clearance into a renal arm (CL_R = 5.37 L/h) and a
non-renal arm (CL_NR = 2.73 L/h); their sum reproduces the derived total
clearance CL_T = 8.10 L/h reported in Table 2. The renal arm also drives
a cumulative urinary excretion compartment that the paper fits jointly
with plasma. Distribution uses a shallow peripheral (V_2 = 2.61 L,
CLic_shallow = 15.3 L/h) and a deep peripheral (V_3 = 2.17 L, CLic_deep
= 1.23 L/h); central volume V_1 = 4.79 L. Between-subject variability is
reported as a full 5x5 variance-covariance matrix (Table 3, natural-log
scale) on CL_R, CL_NR, V_1, V_2, V_3; no BSV is included on the
inter-compartmental clearances. Residual error is combined additive +
proportional on both plasma concentrations (9.4% CV, 0.155 mg/L) and
cumulative urinary amounts (20.9% CV, 1.04 mg). The 5-min infusion
duration used in the study is supplied via dose records (DUR / RATE)
rather than as a model parameter. No structural covariates were
retained: the cohort was 10 healthy Caucasian adults (5 M / 5 F, weight
52-83 kg, age 23-34 years) and demographics are not used inside the
model. Monte Carlo dose-attainment simulations in the paper (continuous,
4-h, 0.5-h infusions) reuse these PK parameters together with 96%
protein binding. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Han_2013_fluconazole.html">Fluconazole
(Han 2013)</a> </td>
<td style="text-align:left;"> One-compartment IV population PK
model for fluconazole in adult burn-ICU patients with suspected or
confirmed Candida infection, with a piecewise CL covariate model that
switches between a fixed CRRT-cohort CL and a Cockcroft-Gault-CrCl /
postburn-recency / sepsis-shifted non-CRRT CL plus an additive WT /
edema / postburn-recency model on volume (Han 2013) </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Leroux_2018_fluconazole_micafungin.html">Fluconazole
(Leroux 2018)</a> </td>
<td style="text-align:left;"> One-compartment population PK
model of intravenous fluconazole in preterm and term neonates with
suspected or proven systemic candidiasis (Leroux 2018), with linear
current-weight scaling of CL and V. Typical-value structural model only:
the source paper and Data S1 supplement (goodness-of-fit plots only) do
not report inter-individual variability magnitudes, residual error
structure, or a maturation covariate functional form, so IIV and RUV are
encoded as fixed(0) and no postmenstrual / corrected gestational age
effect is encoded. See vignette Errata. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/McLachlan_1996_fluconazole.html">Fluconazole
(McLachlan 1996)</a> </td>
<td style="text-align:left;"> One-compartment population PK
model for fluconazole in adults with HIV/AIDS, fit to 770 plasma
concentrations from 113 male subjects pooled across an
intensive-sampling sub-study (Study 1, n=13, 12-17 samples per dose) and
a sparse routine-care sub-study (Study 2, n=100, single sample per
subject). Oral capsules (Diflucan, 50-800 mg) and 50 mg per 15 min IV
infusions are described by a single linear central compartment with
first-order absorption from a depot and zero-order input during IV
infusion. The final NONMEM clearance model is an additive
intercept-plus-slopes regression on Cockcroft-Gault creatinine clearance
(raw, not BSA-normalized) and absolute CD4+ T-lymphocyte count: CL (L/h)
= 0.25 + 0.0057 * CLcr (mL/min) + 0.00068 * CD4 (cells/mm^3); volume of
distribution, absorption rate, and bioavailability are not modulated by
covariates. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Momper_2016_fluconazole.html">Fluconazole
(Momper 2016)</a> </td>
<td style="text-align:left;"> One-compartment population PK
model for fluconazole with first-order oral absorption and IV
administration in extremely premature infants with birth weights <
750 g (Momper 2016) </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Patel_2011_fluconazole.html">Fluconazole
(Patel 2011)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model for intravenous fluconazole in 10 critically ill anuric adults
receiving continuous venovenous hemodiafiltration (CVVHDF) (Patel 2011).
Total fluconazole clearance from the central compartment is partitioned
into a CVVHDF-route arm (CL_CVVHDF, 1.66 L/h typical, encoded as
lcl_renal) and a non-CVVHDF arm (CL_NCVVHDF, 1.01 L/h typical, encoded
as lcl_nonren) that are fitted simultaneously to the plasma
concentration-time profile and the cumulative amount of fluconazole in
the CVVHDF effluent. Dialysis-filter membranes in use for more than 48
hours reduce CVVHDF efficiency to 36.8 percent of the fresh-filter
baseline (FILT_AGE_HI indicator on the CL_CVVHDF arm, multiplicative
effect 0.368, bootstrap 95 percent confidence interval 0.326 to 0.426;
informed by 1 of 10 patients with a > 48 h filter). Input into the
central compartment is zero-order over an estimated infusion duration D1
(typical 0.689 h, near the 60-min nominal infusion). No subject-level
covariates (age, total body weight, sex, APACHE II score) reached the
OFV-3.84 retention threshold on CL, Vc, Q, or Vp, so no demographic
covariates are encoded in this file. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Wade_2008_fluconazole.html">Fluconazole
(Wade 2008)</a> </td>
<td style="text-align:left;"> One-compartment intravenous
population PK model for fluconazole in preterm and term infants
(gestational age 23-40 weeks, postnatal age <120 days) with
allometric body weight on CL and V (fixed exponents 0.75 and 1.0,
reference 1 kg), power effects of gestational age at birth (reference 26
weeks) and postnatal age (reference 2 weeks) on CL, and an on/off power
effect of serum creatinine on CL gated when SCR > 1 mg/dL (Wade
2008). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Watt_2015_fluconazole.html">Fluconazole
(Watt 2015)</a> </td>
<td style="text-align:left;"> One-compartment population PK
model for intravenous fluconazole in critically ill children (1 day to
17 years; n=40) supported with extracorporeal membrane oxygenation
(ECMO) or matched non-ECMO controls (Watt 2015). Clearance scales
linearly with body weight and is modulated by serum creatinine via a
power function (CREAT/0.4)^-0.29 centered at the cohort median initial
SCR of 0.4 mg/dL; allometric 3/4- power scaling on CL was tested and
rejected (delta-OFV +9.7) so a linear weight scaling was retained.
Central volume scales linearly with body weight and is increased
1.39-fold in subjects on ECMO support via a multiplicative power factor
1.39^ECMO_STATUS. Proportional residual error (15.3% CV); diagonal Omega
with IIV on CL (33.2% CV) and V (22.2% CV) only -- the paper retained
the proportional-only error model after showing the
proportional-plus-additive form could not precisely estimate the
additive component. Used by the authors to derive dosing recommendations
for invasive candidiasis prevention (12 mg/kg loading then 6 mg/kg
daily) and treatment (35 mg/kg loading then 12 mg/kg daily) in children
on ECMO. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Polito_2016_fludrocortisone.html">Fludrocortisone
(Polito 2016)</a> </td>
<td style="text-align:left;"> One-compartment population PK
model for oral fludrocortisone with first-order absorption, an
absorption lag time, and first-order elimination, estimated in 14 adults
with septic shock (out of 21 enrolled; 7 had undetectable plasma
concentrations) receiving a single 50 ug oral dose of fludrocortisone
acetate via naso-gastric tube (Polito 2016). The Simplified Acute
Physiology Score II (SAPS II) is retained as a positive power covariate
on both apparent oral clearance CL/F (exponent 0.019) and absorption lag
time Tlag (exponent 0.036), normalised to the cohort median SAPS II =
53. Inter-individual variability is exponential on every PK parameter
(ka, V/F, CL/F, Tlag) with a diagonal OMEGA matrix; residual error is
proportional. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Kumpulainen_2010_flurbiprofen.html">Flurbiprofen
(Kumpulainen 2010)</a> </td>
<td style="text-align:left;"> Three-compartment population PK
model with a separate cerebrospinal-fluid (CSF) compartment for
flurbiprofen in 64 healthy children aged 3 months to 13 years
(Kumpulainen 2010). Two parallel absorption routes: oral syrup via an
absorption compartment with lag time (K12) and a single first-order ka,
and IV flurbiprofen axetil prodrug via a separate dosing compartment
that converts to flurbiprofen with a first-order rate constant (K42).
Plasma kinetics scaled allometrically by weight (exponents fixed at 0.75
for CL and 1 for all volumes, including the CSF volume held fixed at
0.15 L/70 kg per literature). The paper's QCSF + UPTK parameterisation
is encoded as canonical influx / efflux clearances clin = QCSF * UPTK
and clef = QCSF, with fraction unbound (fu) gating only the
central-to-CSF flux. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Zhang_2018_flurbiprofen.html">Flurbiprofen
(Zhang 2018)</a> </td>
<td style="text-align:left;"> One-compartment IV population PK
plus Holford-Sheiner effect-compartment for cerebrospinal fluid (CSF)
disposition of flurbiprofen, the active metabolite of flurbiprofen
axetil, in Chinese adults with postoperative pain receiving 1 mg/kg IV
flurbiprofen axetil (Zhang 2018, Tables 1-2, Eq. 3 covariate form).
Final-model typical values CL = 1.55 L/h, Vd = 7.91 L, plasma-CSF
equilibration rate Ke = 0.0015/h; linear-multiplicative covariate
effects of weight and height on Ke centered on the population medians
(68.5 kg, 165 cm). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Weber_2015_fluticasone_inhaled.html">Fluticasone
inhaled (Weber 2015)</a> </td>
<td style="text-align:left;"> Semi-mechanistic. Population PK
model for inhaled fluticasone propionate (FP) in healthy adult
volunteers (Weber 2015), used for Monte-Carlo simulation of PK-based
bioequivalence trials. Separate central (LC1 -> LC2) and peripheral
(LP1 -> LP2) lung deposition compartments hold undissolved drug
particles (LC1, LP1) and dissolved drug (LC2, LP2); mucociliary
clearance kmuc removes undissolved particles from central lung regions
only; dissolved drug is absorbed into a two-compartment systemic
disposition with central-to-peripheral rate constants k12 and k21. Each
administration splits across LC1 (bioavailability flung * fc) and LP1
(bioavailability flung * (1 - fc)); the remaining (1 - flung) fraction
is assumed to have negligible oral bioavailability. F_Lung and F_C are
logit-transformed; all other parameters are log-transformed. Structural
parameters and BSV were taken from the validated FP inhalation model of
Weber and Hochhaus 2013 (reference 13 of Weber 2015); BOV on F_Lung,
F_C, and kmuc described as a paper-specific extension for
crossover-trial simulation is NOT encoded in this model file (see
vignette Assumptions and deviations). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Geldof_2008_fluvoxamine_rat.html">Fluvoxamine
rat (Geldof 2008)</a> </td>
<td style="text-align:left;"> Preclinical (rat, male Wistar).
Non-linear pharmacokinetic brain distribution model for fluvoxamine in
plasma, brain extracellular fluid (ECF) and total brain tissue, fit by
Geldof et al. (2008, Pharm Res 25(4):792-804) using simultaneous
analysis of microdialysate ECF (n = 26 rats, frontal-cortex CMA/12
probe) and total brain tissue (n = 35 rats, destructive brain sampling)
after a single 30 min IV infusion of 1, 3.7 or 7.3 mg/kg fluvoxamine.
The structural model is a three-compartment plasma disposition (central
+ 2 peripherals, with PK parameters fixed at the mean post-hoc estimates
from the upstream Geldof 2007 rat population PK model, Table I
'Microdialysis + brain sampling' row) coupled to a single-state lumped
brain compartment (brain_total) whose dynamics follow dCT/dt = kin*Cp -
kout*CSP (paper Eq 10), with the shallow perfusion-limited CSP and deep
brain CDB (= ECF) concentrations recovered algebraically at every time
step from CT via the rapid-equilibrium saturable-efflux quadratic (paper
Appendix Eq 47). The single lumped efflux parameter N***max (NstarMax in
this file) and C50 govern the saturation of the active (Pgp /
MRP-mediated) removal flux from the deep brain back to the shallow
brain. Inter-individual variability is on kin and kout only, with the
correlation reported in Table II. The proportional residual error
sigma^2 = 0.042 is shared between the ECF (Cecf) and total- brain
(Cbrain) observations per Table II. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Rose_2016_follitropin_delta.html">Follitropin
delta (Rose 2016)</a> </td>
<td style="text-align:left;"> One-compartment population PK
model for FE 999049 (recombinant human FSH; INN follitropin delta) with
first-order subcutaneous absorption through a single transit compartment
and first-order elimination, in 27 healthy pituitary-suppressed female
subjects after a single subcutaneous dose of 37.5-450 IU (2.2-26.3 ug).
Body weight enters as an allometric covariate on apparent clearance
(exponent 0.75) and apparent volume of distribution (exponent 1) with
reference weight 65 kg. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Zufferey_2018_fondaparinux.html">Fondaparinux
(Zufferey 2018)</a> </td>
<td style="text-align:left;"> Parametric time-to-event model
for major bleeding after major orthopaedic surgery under fondaparinux
thromboprophylaxis (POP-A-RIX 2.5 mg once daily and PROPICE 1.5 mg once
daily pooled cohorts; n = 1393, 64 adjudicated bleeding events). The
hazard is hz(t) = h0(t) * exp(beta1*SEX + beta2*AUCinf/8.5 +
beta3*LBM/44), with gamma-shaped baseline h0(t) =
theta1*theta2*(t-theta3)*exp(-theta2*(t-theta3)) for t > theta3 and 0
otherwise (lag time theta3 ~= 17.6 h, peak ~4 days post-surgery). AUCinf
is derived inside the model from daily dose and clearance using the
paper's PK equation CL = 0.34 * (CRCL/60)^0.485 * exp(eta)
(lean-body-weight Cockcroft-Gault CrCl). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Fisher_2008_fosamprenavir.html">Fosamprenavir
(Fisher 2008)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model with first-order absorption for orally administered fosamprenavir
(FPV), measured as the active amprenavir (APV) metabolite, in
HIV-1-infected pediatric patients aged 4 weeks to 18 years (Fisher
2008). Allometric scaling on apparent clearance (CL/F, Q) at a fixed
exponent of 0.75 and on apparent volumes (V2/F, V3) at a fixed exponent
of 1.0 (reference 70 kg). Apparent CL/F is reduced ~60% by concomitant
ritonavir (RTV) co-administration (maximal CYP3A4 inhibition assumed at
the RTV doses used), and is further modified by a piecewise
age-maturation factor (linearly declining additive offset for AGE <=
2*AG50, zero above), by sex (lower in females), by race (separate
multipliers for Black and for the non-Black non-White composite vs the
White reference), and by a power effect of serum alpha-1-acid
glycoprotein (AAG, centred at 0.77 g/L). Apparent V2/F also carries a
power effect of AAG. Bioavailability is anchored on suspension-under-fed
conditions (F=1), with a separate relative bioavailability for the
tablet formulation (F_tab) and a separate relative bioavailability for
the suspension administered fasted (F_food,sus). Inter-occasion
variability on CL/F (~34% CV) reported by the source poster is NOT
structurally encoded here (no operational occasion column is defined for
the model-library use case); downstream users who want to simulate IOV
can add an OCC indicator and a per-occasion eta in rxode2. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Weatherley_2018_fosdagrocorat.html">Fosdagrocorat
(Weatherley 2018)</a> </td>
<td style="text-align:left;"> Simultaneous parent-metabolite
population PK model for oral fosdagrocorat (PF-04171327, a
phosphate-ester prodrug of the dissociated glucocorticoid receptor
agonist PF-00251802) in adult rheumatoid-arthritis patients receiving
stable background methotrexate (Weatherley 2018). The prodrug is fully
cleaved by alkaline phosphatase in the gut wall before absorption; only
the active Metabolite-1 (PF-00251802) and its circulating N-oxide
Metabolite-2 (PF-04015475) are modelled. Metabolite-1 is described by a
two-compartment disposition (apparent CL, V2, Q, V4 fixed at 209 L) with
first-order absorption (K12) and bioavailability F1 fixed at 1 (apparent
F absorbed via the prodrug-to-Metabolite-1 conversion). Metabolite-2 is
described by a one-compartment disposition (apparent Vm, CLm) with Fm
fixed at 1 (assumed 100 percent molar conversion of Metabolite-1 to
Metabolite-2). Standard allometric weight scaling is fixed on
Metabolite-1 disposition (exponent 0.75 on CL and Q; exponent 1.00 on V2
and V4); body-weight scaling on Metabolite-2 CLm is estimated as a
power-form covariate (exponent 0.450) and no weight effect is applied to
Vm (rejected in stepwise covariate testing). Retained covariates on
Metabolite-1 CL are female-vs-male (-26.8 percent) and a small linear
age effect (-0.00633 L/h per year above 40). Retained covariates on
Metabolite-2 CLm are female-vs-male (-34.1 percent) and body weight.
Inter-individual variability is reported on Metabolite-1 CL (33 percent
CV) and absorption rate K12 (249 percent CV), and on Metabolite-2 Vm (44
percent CV) and CLm (26 percent CV). The publication's interoccasion
variability on Metabolite-1 F1 (23.8 percent CV across dosing occasions)
is encoded here as IIV on F1 because nlmixr2lib simulation does not
carry an occasion column; this approximation is documented in the
vignette Assumptions section. Residual error is combined additive plus
proportional on the linear-concentration scale separately for each
analyte (Metabolite-1 proportional 19.9 percent + additive 0.305 ng/mL;
Metabolite-2 proportional 7.8 percent + additive 0.10 ng/mL).
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Shoji_2017_fosdagrocorat_oc.html">Fosdagrocorat
oc (Shoji 2017)</a> </td>
<td style="text-align:left;"> Kinetic-pharmacodynamic (K-PD)
model for serum osteocalcin (OC) bone-formation biomarker following
once-daily oral fosdagrocorat (PF-04171327, a dissociated agonist of the
glucocorticoid receptor) or oral prednisone comparator in adults with
rheumatoid arthritis on background methotrexate (Shoji 2017). Sister
model to Shoji_2017_fosdagrocorat_p1np: identical K-PD structure
(virtual K-PD depot with zero-order Input mg/week and first-order KDE;
sigmoid Emax inhibition of biomarker synthesis with Hill coefficient
fixed to 1; empirical dose-and-time-dependent rebound multiplier;
additive placebo-period slope). For the OC fit Shoji 2017 fixed KDE to
the P1NP-derived estimates and fixed Imax to 1 for both drugs, and used
independent (not block) IIV on KDE, EDK50, and BL. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Shoji_2017_fosdagrocorat_p1np.html">Fosdagrocorat
p1np (Shoji 2017)</a> </td>
<td style="text-align:left;"> Kinetic-pharmacodynamic (K-PD)
model for serum amino-terminal propeptide of type I collagen (P1NP)
bone-formation biomarker following once-daily oral fosdagrocorat
(PF-04171327, a dissociated agonist of the glucocorticoid receptor) or
oral prednisone comparator in adults with rheumatoid arthritis on
background methotrexate (Shoji 2017). A virtual K-PD depot for the drug
(zero-order Input mg/week, first-order elimination KDE) feeds a sigmoid
Emax inhibition of biomarker synthesis (Hill coefficient fixed to 1);
the synthesis rate carries an empirical dose-and-time-dependent rebound
multiplier and an additive linear placebo-period slope captures the
methotrexate-only time trend. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Gibiansky_2005_fospropofol.html">Fospropofol
(Gibiansky 2005)</a> </td>
<td style="text-align:left;"> Joint two-compartment fospropofol
(GPI 15715, AQUAVAN) prodrug + intermediate delay compartment +
two-compartment propofol active-metabolite population PK model in adults
receiving IV bolus AQUAVAN for procedural sedation (Gibiansky 2005,
ASCPT poster, colonoscopy sedation Phase II study). The model assumes
complete metabolism of GPI 15715 to propofol via systemic
alkaline-phosphatase hydrolysis; the intermediate compartment captures
the appearance delay between GPI 15715 elimination from plasma and the
corresponding rise in propofol concentration. Lean body mass (LBM,
reference 55 kg) was retained as a linear-fractional covariate on GPI
15715 central volume Vc_GPI, GPI 15715 metabolic clearance CL_GPI, and
propofol central volume Vc_PR; fentanyl premedication exposure, age,
sex, and other demographics/laboratory covariates were tested but not
retained. Propofol Vc_PR (6.91 L) was fixed as the data were
insufficient for joint estimation with CL_PR (the model is identifiable
on CL_PR = K10_PR * Vc_PR = 4.53 L/min). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Fiedler-Kelly_2019_fremanezumab.html">Fremanezumab
(Fiedler-Kelly 2019)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model for fremanezumab (anti-CGRP IgG2 delta-a/kappa mAb) with
first-order SC absorption, absorption lag time, and route-specific
central volume / residual error supporting both IV and SC administration
in healthy adults and adults with chronic or episodic migraine
(Fiedler-Kelly 2019). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/FiedlerKelly_2020_fremanezumab_cm.html">Fremanezumab
cm (FiedlerKelly 2020)</a> </td>
<td style="text-align:left;"> Population PD exposure-response
model relating fremanezumab average plasma concentration (Cav) to
monthly moderate-to-severe headache days in adults with chronic
migraine. Placebo time-course is a Hill (sigmoid) function in months and
the drug effect is a power function of Cav centered on the population
median Cav. Fitted to 5312 monthly observations from 1361
chronic-migraine patients pooled across the LBR-101-021 phase 2b and
TV48125-CNS-30049 phase 3 studies (Fiedler-Kelly 2020). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/FiedlerKelly_2020_fremanezumab_em.html">Fremanezumab
em (FiedlerKelly 2020)</a> </td>
<td style="text-align:left;"> Population PD exposure-response
model relating fremanezumab average plasma concentration (Cav) to
monthly migraine days in adults with episodic migraine. Placebo
time-course is an exponential growth in months (predicted reduction =
exp(exponent * t)) and the drug effect is an Emax/EC50 of Cav scaled by
individual baseline migraine days. Fitted to 4444 monthly observations
from 1142 episodic-migraine patients pooled across the LBR-101-022 phase
2b and TV48125-CNS-30050 phase 3 studies (Fiedler-Kelly 2020).
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Yoshioka_2018_FXa_inhibitors_mbma.html">FXa
inhibitors mbma (Yoshioka 2018)</a> </td>
<td style="text-align:left;"> MBMA. PT-ratio-driven logistic
event-rate model for direct oral factor Xa inhibitors (rivaroxaban,
apixaban, edoxaban) in non-valvular atrial fibrillation. Inputs a
population-mean prothrombin-time ratio (PTR) supplied per observation
time; outputs per-arm probability of ischemic stroke/SE (p_isse) and of
major bleeding (p_mb), plus a derived per-arm mortality probability. Fit
by NONMEM 7.3 to per-arm event counts from 5 large RCTs (Yoshioka 2018;
57,655 patients). Suitable for simulating per-arm summary outcomes only;
the upstream popPK -> PT-ratio layer for each FXa inhibitor is out of
scope and PTR must be supplied externally. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Kielbasa_2020_galcanezumab.html">Galcanezumab
(Kielbasa 2020)</a> </td>
<td style="text-align:left;"> One-compartment population PK
model for galcanezumab (humanized IgG anti-CGRP mAb) with first-order SC
absorption, linear elimination, and allometric body weight scaling on
CL/F (Kielbasa 2020) </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Caldes_2009_ganciclovir.html">Ganciclovir
(Caldes 2009)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model for ganciclovir after IV ganciclovir and oral valganciclovir
administration in solid organ transplant patients infected with
cytomegalovirus, with first-order absorption, lag time,
logit-transformed bioavailability, and creatinine-clearance scaling on
CL (Caldes 2009) </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Chen_2021_ganciclovir.html">Ganciclovir
(Chen 2021)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model for oral ganciclovir (the active metabolite of valganciclovir) in
adult Chinese renal allograft recipients (Chen 2021), with first-order
absorption after a lag time and a linear creatinine-clearance effect on
apparent oral clearance (CL/F). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Koloskoff_2025_ganciclovir.html">Ganciclovir
(Koloskoff 2025)</a> </td>
<td style="text-align:left;"> Indirect-response viral turnover
PD model for cytomegalovirus (CMV) viral load decline in pediatric
solid-organ and hematopoietic-stem-cell transplant recipients receiving
(val)ganciclovir (Koloskoff 2025). The model treats the q12h-interval
ganciclovir AUC (AUC_0-12) as a time-varying covariate input AUC_GCV
that stimulates first-order viral degradation through an Emax-EC50
relationship. The upstream popPK that produces AUC_0-12 (Franck 2021
Bayesian estimator) is NOT included here; AUC_GCV must be supplied per
record by the user, either from the Franck 2021 model or any other AUC
source. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Perrottet_2009_ganciclovir.html">Ganciclovir
(Perrottet 2009)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model for ganciclovir (administered as oral valganciclovir prodrug) in
adult solid-organ transplant recipients (Perrottet 2009) </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Grimm_2023.html">Gantenerumab
(Grimm 2023)</a> </td>
<td style="text-align:left;"> Gantenerumab PK model in
cynomolgus monkeys (Grimm 2023): two-compartment plasma PK with brain
extracellular distribution across six brain regions (brain_cerebellum,
brain_hippocampus, brain_striatum, brain_cortex, choroid plexus, CSF).
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/VanWart_2004_garenoxacin.html">Garenoxacin
(VanWart 2004)</a> </td>
<td style="text-align:left;"> One-compartment population
pharmacokinetic model with first-order absorption and first-order
elimination for oral garenoxacin (a des-F(6) quinolone) in adults with
community-acquired respiratory tract infections (Van Wart 2004); CL/F
covariates are creatinine clearance, ideal body weight, age, obesity (WT
> 130% IBW), and concomitant pseudoephedrine; V/F covariates are body
weight and male sex. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Smythe_2013_gatifloxacin.html">Gatifloxacin
(Smythe 2013)</a> </td>
<td style="text-align:left;"> One-compartment population PK
model for oral gatifloxacin in adult African pulmonary tuberculosis
patients co-administered rifampin, isoniazid, and pyrazinamide (Smythe
2013). Savic transit-compartment absorption (analytical form, N = 12.6,
MTT = 0.65 h) feeds first-order absorption into a one-compartment
disposition model. Apparent oral clearance is split into a GFR-mediated
component scaled linearly with Cockcroft-Gault creatinine clearance and
a non-GFR (other) component scaled allometrically with fat-free mass
(FFM, Janmahasatian formula); apparent volume is scaled linearly with
FFM. Age, sex, and HIV status modify the absorption rate constant.
Relative bioavailability is fixed at 1 on the first dose and 11.7% lower
at steady state. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Jiang_2008_gemcitabine.html">Gemcitabine
(Jiang 2008)</a> </td>
<td style="text-align:left;"> Population PK model for
intravenous gemcitabine and its primary inactive metabolite
2',2'-difluorodeoxyuridine (dFdU) in 94 adult patients with cancer
pooled from three clinical studies (Jiang 2008 Br J Clin Pharmacol
65(3):326-333). Both gemcitabine and dFdU are described by a
two-compartment model with first-order elimination, joined by a
first-order formation step. The fraction of gemcitabine converted to
dFdU (F) is not identifiable, so dFdU parameters are apparent (CL/F,
Q/F, Vc/F, Vp/F); the NONMEM ADVAN6 parent-metabolite encoding treats
the total gemcitabine clearance as the apparent formation flux into the
dFdU central compartment. Retained covariates after forward inclusion /
backward elimination (Table 4): estimated creatinine clearance on
apparent dFdU clearance via a linear-additive scaling CL_dFdU/F = 0.04 *
(1 + 0.48 * CRCL/70); body surface area (power exponent 0.93, reference
1.73 m^2), oxaliplatin co-administration order (multiplicative factors
0.65 when gemcitabine is given first and 0.54 when oxaliplatin is given
first), and a non-small-cell lung cancer indicator (multiplicative
factor 1.24) on apparent dFdU central volume. Residual error is
proportional for both analytes. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Landersdorfer_2009_gemifloxacin.html">Gemifloxacin
(Landersdorfer 2009)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model for gemifloxacin in healthy adults with first-order absorption +
lag time, additive renal (filtration + saturable Michaelis-Menten
tubular secretion with competitive probenecid inhibition) and non-renal
clearance, and treatment-arm-static probenecid effects on absorption
rate, absorption lag, and non-renal clearance (Landersdorfer 2009
gemifloxacin / probenecid DDI study). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Bijleveld_2016_gentamicin.html">Gentamicin
(Bijleveld 2016)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model of intravenous gentamicin in term neonates with hypoxic-ischaemic
encephalopathy undergoing controlled hypothermia (Bijleveld 2016), with
fixed allometric body-weight scaling (exponents 0.75 on CL and Q, 1 on
Vc and Vp), an estimated gestational-age power effect on CL, and a
categorical post-rewarming (study-day-5, > 96 h PNA) multiplicative
increase in CL. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Bijleveld_2017_gentamicin.html">Gentamicin
(Bijleveld 2017)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model of intravenous gentamicin in (pre)term neonates with suspected or
proven Gram-negative sepsis (Bijleveld 2017), with fixed allometric
body-weight scaling (exponents 0.75 on CL and Q, 1 on Vc and Vp) and an
estimated postmenstrual-age power effect on CL. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Frymoyer_2013_gentamicin.html">Gentamicin
(Frymoyer 2013)</a> </td>
<td style="text-align:left;"> One-compartment IV population PK
model for gentamicin in 29 term neonates with hypoxic ischemic
encephalopathy (HIE) receiving therapeutic hypothermia (Frymoyer 2013),
with fixed allometric birth-weight scaling (exponent 0.75 on CL, 1 on
Vc, reference 3.3 kg) and a power effect of serum creatinine on PNA day
1 on CL (reference 0.9 mg/dL). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Fuchs_2014_gentamicin.html">Gentamicin
(Fuchs 2014)</a> </td>
<td style="text-align:left;"> Two-compartment IV population PK
model for gentamicin in 1449 preterm and term neonates (Fuchs 2014) with
fixed allometric body-weight scaling (0.75 on CL/Q, 1 on Vc/Vp), linear
centred-on-median effects of gestational age on CL and Vc, postnatal age
on CL, and dopamine co-administration on CL. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Hodiamont_2017_gentamicin.html">Gentamicin
(Hodiamont 2017)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model of intravenous gentamicin in critically ill adult ICU patients
(Hodiamont 2017) estimated without retained covariates, with correlated
between-subject variability on CL and central volume V1, combined
additive plus proportional residual error, and substantial
inter-occasion variability on CL and V1 reported in the source
(documented in the vignette assumptions, not encoded structurally).
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Llanos_2017_gentamicin.html">Gentamicin
(Llanos 2017)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model of gentamicin in pediatric oncology patients with febrile
neutropenia (Llanos-Paez 2017) </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Llanos-Paez_2017_gentamicin.html">Gentamicin
(Llanos-Paez 2017)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model for gentamicin in pediatric oncology patients (Llanos-Paez 2017
AAC) extended with a renal-cortex accumulation compartment and an Emax
model of relative renal-function reduction (Llanos-Paez 2017 AAPS J).
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Llanos-Paez_2020_gentamicin.html">Gentamicin
(Llanos-Paez 2020)</a> </td>
<td style="text-align:left;"> Two-compartment IV population PK
model for gentamicin in pediatric oncology and nononcology patients
(Llanos-Paez 2020); body composition is described by normal fat mass
(NFM = FFM + Ffat * (TBW - FFM)) with separate Ffat estimates for CL
(0.48) and V1 (0.10) and Ffat fixed to 0 for Q and V2; CL is driven by
Holford 2017 GFR-maturation (PMA-based Hill function) and a power ratio
of age/sex-matched physiological mean serum creatinine (Ceriotti 2008)
over individual SCR; oncology cohort has 15.4% lower V1 and 32.1% lower
Q than nononcology. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/MedellinGaribay_2015_gentamicin.html">Gentamicin
(MedellinGaribay 2015)</a> </td>
<td style="text-align:left;"> Two-compartment IV population PK
model for gentamicin in infants 1-24 months (Medellin-Garibay 2015) with
linear body-weight scaling on CL and central volume Vc and an additive
(CLCR/75)-driven term on CL; intercompartmental clearance Q and
peripheral volume Vp are not weight-scaled in the published
parameterisation. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Mohamed_2012_gentamicin.html">Gentamicin
(Mohamed 2012)</a> </td>
<td style="text-align:left;"> In vitro (Escherichia coli ATCC
25922). Semi-mechanistic PKPD model of gentamicin bactericidal activity
with adaptive resistance: drug-susceptible growing bacteria
(bact_growing) plus insusceptible resting bacteria (bact_resting), with
a binding model (ar_off / ar_on) by which gentamicin reduces its own
Emax. Fit jointly to static and dynamic in-vitro time-kill curves.
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Sampson_2014_gentamicin.html">Gentamicin
(Sampson 2014)</a> </td>
<td style="text-align:left;"> One-compartment IV population PK
model of gentamicin in term neonates with hypoxic-ischaemic
encephalopathy undergoing whole-body hypothermia, as reported (model
originally developed by Frymoyer 2013; this model file reproduces the
parameter values stated by Sampson 2014 during the model's external
predictive-performance evaluation). Allometric body-weight scaling on CL
(fixed exponent 0.75) and linear body-weight scaling on V (exponent 1)
referenced to a 3.3 kg neonate, with a power effect of serum creatinine
on CL (exponent -0.566); inter-individual variability on CL only and
proportional residual error. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Staatz_2005_gentamicin_vancomycin.html">Gentamicin
(Staatz 2005)</a> </td>
<td style="text-align:left;"> Two-compartment IV population PK
model for gentamicin in adult cardiothoracic-surgery patients with
unstable renal function (Staatz 2005). Clearance scales linearly with
raw Cockcroft-Gault creatinine clearance centred at the population
baseline median (63 mL/min); central and peripheral volumes scale
linearly with body weight; intercompartmental clearance is a population
constant. Operator-resolved sidecar (request-001) replaced the paper's
Wahlby 2004 baseline-CrCl + change-from-baseline (BCOV+DCOV)
decomposition with the simpler CrCl-only covariate form to avoid adding
a new canonical baseline-CrCl column; for stable-CrCl subjects the
published final-model parameters reproduce the paper's CL exactly
because DCOV is zero (see vignette Errata). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Thomson_2003_gentamicin.html">Gentamicin
(Thomson 2003)</a> </td>
<td style="text-align:left;"> One-compartment population PK
model of intramuscular gentamicin in African infants with suspected
severe sepsis (Thomson 2003). The 8 mg/kg i.m. dose is modelled as an IV
bolus into the central compartment because first-order absorption could
not be characterised from the sparse 1 h / next-morning sampling (the
paper documents that ka estimates were poorly identified and absorption
appeared complete by 1 h). Apparent clearance scales linearly with body
weight and as a power function of (postnatal age + 1 day) normalised to
the cohort median + 1 day; apparent volume of distribution scales
linearly with body weight relative to the cohort median 3 kg. Reported
CL and V are apparent values (CL/F, V/F) because all doses were
administered by intramuscular injection and bioavailability could not be
estimated. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Veinstein_2013_gentamicin.html">Gentamicin
(Veinstein 2013)</a> </td>
<td style="text-align:left;"> One-compartment population PK
model for intravenous gentamicin in critically ill adult ICU patients
with acute kidney injury undergoing 4-hour intermittent hemodialysis
(n=10, all male; 6 mg/kg infused over 30 min, with hemodialysis starting
30 min after the end of the infusion; Veinstein 2013). Disposition is
parameterised in terms of non-hemodialysis (interdialytic body)
clearance, an additive hemodialysis-arm clearance, and volume of
distribution. The dialysis arm is gated on/off by the time-varying
RRT_HEMODIAL_ACTIVE covariate. Body weight enters the model as a linear
(exponent = 1) structural scaler on all three parameters because the
published Table 4 estimates are reported per kg; weight was tested as an
explicit covariate on V and not retained. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Wahlby_2004_time_varying_covariates.html">Gentamicin
(Wahlby 2004)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model for intravenous gentamicin in 210 cancer patients, demonstrating
Wahlby 2004's extended covariate-model formulation in which the within-
and between-subject components of a time-varying covariate are entered
as separate model terms. Final-model clearance depends on baseline
creatinine clearance (CRCL_BASE) and the time-varying
delta-from-baseline (CRCL - CRCL_BASE); central volume depends on
baseline body surface area (BSA_BASE) and the time-varying albumin (ALB)
ratio (ALB/34)^-0.41. Underlying structural PK (compartment count,
IIV/residual-error structure) follows Rosario et al. 1998 (Br J Clin
Pharmacol 46:229-236). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Kelman_1984_gentamicin.html">Gentamicin
glasgow (Kelman 1984)</a> </td>
<td style="text-align:left;"> One-compartment population PK
model for gentamicin in neonates and very young infants (Kelman 1984,
Glasgow I cohort; n=43, postnatal age 2-120 days, body weight 0.8-3.7
kg). Clearance is a linear-additive function of body weight, postnatal
age, and serum creatinine (paper Equation 4, Model 1: CL = theta1*WT +
theta2*AGE + theta3*CREAT); volume of distribution is proportional to
body weight (Equation 5: V = theta4*WT). Encoded from Kelman 1984 Table
2 Model 1 (FULL model, paper's best by NONMEM objective function).
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Kelman_1984_gentamicin.html">Gentamicin
manchester1 (Kelman 1984)</a> </td>
<td style="text-align:left;"> One-compartment population PK
model for gentamicin in neonates and young infants (Kelman 1984,
Manchester I cohort; n=32, postnatal age 1-153 days, body weight 1.6-9.1
kg). Clearance is a linear-additive function of body weight, postnatal
age, and serum creatinine (paper Equation 4, Model 1: CL = theta1*WT +
theta2*AGE + theta3*CREAT); volume of distribution is proportional to
body weight (Equation 5: V = theta4*WT). Encoded from Kelman 1984 Table
3 Model 1 (FULL model, paper's best by NONMEM objective function for
this cohort). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Kelman_1984_gentamicin.html">Gentamicin
manchester2 (Kelman 1984)</a> </td>
<td style="text-align:left;"> One-compartment population PK
model for gentamicin in older children and adolescents (Kelman 1984,
Manchester II cohort; n=68, age 6 months-15 years, body weight 5.7-62
kg). Clearance is a linear-additive function of body weight, age (in
years), and serum creatinine (paper Equation 4, Model 1: CL = theta1*WT
+ theta2*AGE + theta3*CREAT); volume of distribution is proportional to
body weight (Equation 5: V = theta4*WT). Encoded from Kelman 1984 Table
4 Model 1 (FULL model, paper's best by NONMEM objective function for
this cohort). For Manchester II the paper's theta2 coefficient is in L/h
per year (sign negative), implying age units are years rather than the
days used in the Glasgow I and Manchester I cohorts; encoded here with
the canonical AGE-in-years covariate. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Cao_2013_gevokizumab.html">Gevokizumab
(Cao 2013)</a> </td>
<td style="text-align:left;"> Second-generation minimal
physiologically-based PK (mPBPK) model for gevokizumab in adults (Cao
2013 Model A; clearance from plasma) </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Ayyar_2024_givosiran.html">Givosiran
(Ayyar 2024)</a> </td>
<td style="text-align:left;"> Mechanistic translational PK
model for the GalNAc-siRNA givosiran (Ayyar & Song 2024)
parameterized for human (70 kg adult). 22-ODE system covering SC depot,
central plasma (parent + AS(N-1)3' active metabolite), competitive ASGPR
receptor binding (free target, parent-target complex, metabolite-target
complex), receptor-mediated hepatocyte internalization, endolysosomal
sequestration / degradation / endosomal escape, free cytoplasmic siRNA,
RISC-loaded siRNA (combined parent + metabolite), kidney vascular and
tissue distribution with a deep bound pool and GFR elimination - for
parent and metabolite. Pharmacodynamic ALAS1 mRNA silencing (rat-only in
the paper) is not included in the human parameterization. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Fostvedt_2021_glasdegib.html">Glasdegib
QTcF (Fostvedt 2021)</a> </td>
<td style="text-align:left;"> Population PD model for glasdegib
concentration-driven prolongation of the QT interval corrected for heart
rate using Fridericia's formula (QTcF) in 70 adult patients with
advanced cancer pooled from two phase 1 dose-escalation trials (B1371001
in hematologic malignancies; B1371002 in solid tumors). The
exposure-response form is a linear mixed-effects model: QTcF = theta1 +
theta2 * (CP_GLASDEGIB_NGML / 1000) + eta1 + W * eps, with an additive
random effect on the intercept (eta1 ~ N(0, omega2_1)) and a
'thetarized' additive residual error (W is a fitted scalar; eps ~ N(0,
1)). The covariate analysis (age, sex, study) retained no covariates; a
random effect on the slope was considered and dropped because shrinkage
exceeded 20%. PD-only model: plasma glasdegib concentration is supplied
as a time-varying covariate CP_GLASDEGIB_NGML (ng/mL). The slope is
reported in the source publication on the microgram-per-mL scale (4.3
msec per microgram per mL) which is equivalent to 0.0043 msec per ng/mL;
this file keeps the slope in the paper's microgram-per-mL form and
applies the unit conversion `CP_GLASDEGIB_NGML / 1000` inside model().
The source publication does not fit a population PK model; users wishing
to drive the PD model from a simulated PK source must supply their own
concentration trajectory (no glasdegib popPK model exists in the
nlmixr2lib registry). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Fostvedt_2021_glasdegib.html">Glasdegib
QTcS (Fostvedt 2021)</a> </td>
<td style="text-align:left;"> Population PD model for glasdegib
concentration-driven prolongation of the QT interval corrected for heart
rate using a population- specific Fridericia-style correction factor
(QTcS; beta estimated at 0.312 in this cohort versus the fixed beta =
1/3 of QTcF) in 70 adult patients with advanced cancer pooled from two
phase 1 dose- escalation trials (B1371001 in hematologic malignancies;
B1371002 in solid tumors). The exposure-response form is the same linear
mixed-effects model as the companion QTcF extraction: QTcS = theta1 +
theta2 * (CP_GLASDEGIB_NGML / 1000) + eta1 + W * eps, with additive
random intercept (eta1 ~ N(0, omega2_1)) and a 'thetarized' additive
residual error (W is a fitted scalar; eps ~ N(0, 1)). Covariate analysis
(age, sex, study) retained no covariates; a random effect on the slope
was considered and dropped because shrinkage exceeded 20%. PD-only
model: plasma glasdegib concentration is supplied as a time-varying
covariate CP_GLASDEGIB_NGML (ng/mL). The slope is reported in the source
publication on the microgram-per-mL scale (4.31 msec per microgram per
mL); this file keeps that scaling and applies the unit conversion
`CP_GLASDEGIB_NGML / 1000` inside model(). The source publication does
not fit a population PK model; users wishing to drive the PD model from
a simulated PK source must supply their own concentration trajectory (no
glasdegib popPK model exists in the nlmixr2lib registry). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Rambiritch_2016_glibenclamide.html">Glibenclamide
(Rambiritch 2016)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model with first-order oral absorption for glibenclamide in poorly
controlled South African adults with type 2 diabetes (Rambiritch 2016).
All disposition parameters are apparent (CL/F, Vc/F, Vp/F, Q/F); F is
not estimated. Concentration data were log-transformed prior to NONMEM
fitting (LTBS), giving an effectively proportional residual error in
linear space. No covariate effects were retained in the final model.
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Bosch_2024_glp1ra_bodyweight.html">Glp1ra
bodyweight (Bosch 2024)</a> </td>
<td style="text-align:left;"> QSP. GLP-1R agonist body
composition model (Bosch 2024) extending the Hall 2009 three-compartment
energy-balance model with (1) an inverse-Bateman lifestyle-change effect
on energy intake, (2) a body-weight-dependent activity effect on
physical activity energy expenditure for studies that included weight
management and intensive behavioural treatment, and (3) a GLP-1R agonist
drug effect driven by the in-vitro EC50- normalised free drug
concentration, with a time-dependent tolerance term that shifts the
in-vivo EC50 upward. Liraglutide and semaglutide PK are encoded inline
as fixed one-compartment first-order absorption models (parameters from
the Bosch 2024 supplement S10 reproducing FDA clinical pharmacology
review (liraglutide, 17 Dec 2018) and Carlsson Petri et al. 2018
(semaglutide); both PK paths share the body composition machinery, and
the total normalised free concentration drives the GLP-1R effect so a
user simulating a single drug doses to that drug's depot only. Body
weight (kg) and percent change from baseline are the primary observation
outputs. Initial conditions are derived from baseline body weight, BMI,
age, sex and height via the Jackson body-fat regression and the Mifflin
resting-metabolic-rate equation; baseline energy intake is set to
maintain steady state at PAL = 1.6 (low-active-to-active). 11 active
ODEs (3 macronutrient stores, 2 extracellular-water states, lipolysis
diet target, adaptive thermogenesis, plus 2 first-order PK chains for
each drug). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Bosch_2025_glp1ra_hba1c.html">Glp1ra
hba1c (Bosch 2025)</a> </td>
<td style="text-align:left;"> QSP. Integrated glucose-red blood
cell-HbA1c (IGRH) sub-model from the Bosch 2025 4GI-HbA1c systems
framework, used to predict long-term HbA1c response from a time-varying
plasma glucose driver in adults with type 2 diabetes mellitus receiving
GLP-1R / GLP-1R + glucagon receptor agonists (cotadutide, liraglutide).
The model is a 24-state transit chain (12 unglycated red blood cell age
cohorts + 12 glycated cohorts; NC = 12 transit compartments per Bosch
2025 supplement model code S2) with a glucose-concentration-dependent
shortening of the RBC life span; the HbA1c output is the percentage
glycated fraction of the total RBC pool. All structural parameters are
fixed from the Lledo-Garcia 2013 / Kjellsson 2015 IGRH publications and
held constant during the Bosch 2025 calibration; only the residual error
and the IIV on the RBC life span were estimated on the cotadutide Ph2a
HbA1c dataset (Bosch 2025 Table 2, third-block 'IGRH model'). Plasma
glucose drive is supplied as the time-varying regressor GLU in mmol/L
(linearly interpolated by rxode2 between dataset rows) and the
per-subject baseline glucose anchor FPG is in mmol/L; both are converted
to mg/dL inside model() to match the published IGRH parameterisation (KG
in dL/mg/day, reference glucose 149 mg/dL = 8.27 mmol/L). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Kimura_2023_glucarpidase.html">Glucarpidase
(Kimura 2023)</a> </td>
<td style="text-align:left;"> Modified Michaelis-Menten PK/PD
simulation model for glucarpidase (CPG2) rescue after high-dose
methotrexate (Kimura 2023). MTX disposition is 2-compartment IV with
renal-only first-order elimination (Kr fixed at ~10% of literature total
MTX CL from Fukahara 2008); the remaining elimination is captured by a
saturable hydrolysis term coupled to a 1-compartment IV CPG2
disposition. All structural parameters are literature-sourced point
values (no estimation in the source paper). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Cao_2013_GNbAC1.html">GNbAC1
(Cao 2013)</a> </td>
<td style="text-align:left;"> Second-generation minimal
physiologically-based PK (mPBPK) model for GNbAC1 in adults (Cao 2013
Model A; clearance from plasma) </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Chen_2022_guselkumab.html">Guselkumab
(Chen 2022)</a> </td>
<td style="text-align:left;"> One-compartment population PK
model with first-order SC absorption for guselkumab (anti-IL-23 human
IgG1 lambda mAb) in patients with active psoriatic arthritis (DISCOVER-1
and DISCOVER-2 phase 3 trials; Chen 2022) </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Yao_2018_guselkumab.html">Guselkumab
(Yao 2018)</a> </td>
<td style="text-align:left;"> One-compartment population PK
model with first-order SC absorption and first-order elimination for
guselkumab (anti-IL-23 p19 human IgG1-lambda mAb) in adults with
moderate-to-severe plaque psoriasis (pooled phase 2 X-PLORE and phase 3
VOYAGE 1 / VOYAGE 2 trials; Yao 2018) </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Franken_2017_haloperidol.html">Haloperidol
(Franken 2017)</a> </td>
<td style="text-align:left;"> One-compartment population PK
model for haloperidol in 28 terminally ill adult palliative-care
patients (Franken 2017). Two parallel first-order absorption routes
(oral and subcutaneous) with route-specific absorption rate constants
fixed from literature (Ka oral = 0.236 1/h, Ka SC = 20 1/h derived from
intramuscular Tmax = 20 min). Oral bioavailability F = 0.861 is
estimated; SC F is assumed to be 1. IIV is included on F, CL, and Vd;
the IIV on F and CL was 99% correlated and is encoded with correlation
fixed to unity (BLOCK pattern). Residual variability is additive on
log-transformed concentrations (LTBS). Covariate analysis (body weight,
age, sex, primary diagnosis, plasma creatinine, urea, bilirubin, GGT,
ALP, ALT, AST, CRP, albumin, concomitant CYP2D6 / CYP3A inducers and
inhibitors, time-to-death) did not retain any covariate in the final
model. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/PillaReddy_2013_panss_subscales.html">Haloperidol
panss subscales (PillaReddy 2013)</a> </td>
<td style="text-align:left;"> Population pharmacokinetic /
pharmacodynamic (PK/PD) model for haloperidol against the three PANSS
subscales (positive, negative, general) in adults with schizophrenia
from Pilla Reddy 2013 Part II (pooled dataset of 1338 placebo-treated
patients with subscale data available for n=741 of them; 12
industry-sponsored Phase II/III trials between 1989 and 2009 plus one
open-label study). The PK sub-model uses the haloperidol structural
model inherited from Part I (PMID 23473810): a simplified
one-compartment representation parameterised with the typical apparent
oral clearance CL/F = 88 L/h, apparent central volume Vc/F = 669 L, and
first-order absorption rate ka = 0.23 1/h reported in Part I Table 2
(Pilla Reddy 2012a originally described the haloperidol PK as
two-compartment with Q/F = 233 L/h and Vp/F = 2500 L; the
one-compartment simplification preserves the steady-state average
concentration Css = Dose / (CL * tau) used as the PD driver and is
documented as a deliberate Part II simplification in the vignette
Assumptions and deviations). The PD sub-model has three outputs that
share the Weibull placebo time-course form Pplacebo = Pmax * (1 -
exp(-(t/TD)^POW)) but each subscale carries its own placebo baseline,
Pmax, TD, and POW (Pilla Reddy 2013 Part II Table 1) and haloperidol's
own Emax / EC50 / KT triplet per subscale (Part II Table 2). The
combined PANSS subscale prediction is BASL * (1 - Pplacebo) * (1 -
Drug), where Drug = Emax * Cc / (EC50 + Cc) * (1 - exp(-KT * t)) with
the KT delay capturing the onset time to the maximum drug effect.
Concentration drives the PD with a steady-state assumption: the paper
uses Css from the PK model and feeds it into the Emax equation; in the
rxode2 implementation Cc is the time-varying plasma concentration
derived from the one-compartment ODE, which is approximately constant at
steady state for the once- and twice-daily regimens studied here. An
exponential time-to-event dropout sub-model with subscale- and
drug-specific baseline hazards (Part II Table 4) is reported in the
paper but is not encoded in this nlmixr2lib model body; the dropout
parameters are documented in population$dropout_model and
discussed in the vignette.
|
|
Higenamine
(Feng 2012)
|
Population PK/PD model for intravenous higenamine in 10 healthy Chinese
subjects (Feng 2012). Two-compartment disposition with Michaelis-Menten
(saturable) elimination from the central compartment, plus a
direct-effect Emax sub-model for the cardiovascular-stress heart-rate
response (E = E0 + Emax * Cc / (EC50 + Cc)). No demographic covariates
were retained in the final model (sex, height, weight, BMI, and age were
graphically screened but did not influence PK or PD).
|
|
HL2351
(Ngo 2020)
|
Population PK model for HL2351 (hIL-1Ra-hyFc, ~97 kDa) in healthy adult
Korean men: a quasi-steady-state target-mediated drug disposition
(QSS-TMDD) model coupled with FcRn-mediated recycling. The
injection-site depot feeds a separate distribution space where free drug
equilibrates with FcRn (QSS dissociation constant AKSS1, total FcRn
AFcRn_t); free drug moves to the central compartment either directly
(Ka2) or by FcRn-mediated recycling of the FcRn-drug complex (Krec). In
the central compartment free drug equilibrates with IL1R (QSS
dissociation constant KSS2, total IL1R CIL1R_t), is taken up back to the
distribution space (Kup), exchanged with one peripheral compartment
(Q/F), and eliminated linearly (CL/F). The IL1R-drug complex degrades at
Kdeg2. All drug amounts and concentrations are in nmol / nmol/L; convert
mg dosing using molecular weight 97 kDa (1 mg HL2351 = approximately
10306 nmol).
|
|
HuHMFG1
(Royer 2010)
|
Two-compartment population PK model with linear elimination for HuHMFG1
(AS1402), a humanised anti-MUC1 monoclonal antibody, in patients with
metastatic breast cancer; serum AST enters the typical clearance
equation additively (Royer 2010)
|
|
Hydroxyurea
(Dong 2016)
|
One-compartment population PK model for oral hydroxyurea in pediatric
patients with sickle cell anaemia (Dong 2016, HUSTLE trial NCT00305175;
n = 96 children aged 1.2-16.6 years on a 20 mg/kg starting dose, all
African-American). Saturable Michaelis-Menten elimination from the
central compartment (Vmax 490 mg/h per 70 kg, Km fixed at 25 mg/L based
on a prior report) with allometric scaling of Vmax (exponent 0.75 fixed)
and apparent central volume V/F (exponent 1.0 fixed) on total body
weight (reference 70 kg). Cystatin C is a power-model covariate on Vmax
(exponent -0.509, reference 0.74 mg/L), and was the only covariate
retained over serum creatinine, eGFR, and direct 99mTc-DTPA-measured
GFR. Oral absorption is described by a Savic 2007 transit-compartment
chain (NN = 12.4 transit compartments fitted, MTT = 0.158 h) feeding a
depot with first-order absorption Ka = 8.19 /h. Residual error is
combined additive (0.117 mg/L) and proportional (39.7% CV).
|
|
Hydroxyurea
(Paule 2011)
|
Two-compartment population PK + indirect-response PD models for
hydroxyurea (HU) in adults with sickle cell anemia (Paule 2011):
bicompartmental oral PK with first-order absorption and elimination,
allometric scaling on CL/F and Vc/F; turnover models for HbF percentage
and mean corpuscular volume (MCV) where HU inhibits the elimination rate
of each PD response.
|
|
Ibandronate
(Pillai 2004)
|
Kinetic-pharmacodynamic (K-PD) model for ibandronate (a
nitrogen-containing bisphosphonate) suppression of urinary C-telopeptide
of type-I collagen (uCTX) in postmenopausal women with osteoporosis. A
virtual K-PD effect compartment receives the administered dose and
decays at rate KDE, producing a dose-driving rate (DODR = KDE * central
* F) that inhibits the uCTX synthesis rate KS via a sigmoid Emax
(inhibition-fraction form). uCTX follows an indirect-response
synthesis-degradation turnover (KS, KD). A multiplicative placebo
disease-progression drift (1 + SLOPE * t) and a calcium + vitamin D
supplementation suppression term (1 - VIT * [1 - exp(-KVIT * t)]) modify
the observed uCTX. The supplementation indicator CONMED_CAVITD also
switches KDE between the no-supplement (0.112 /day) and with-supplement
(0.014 /day) typical values. The model handles intravenous and oral
routes via the bioavailability factor F (default F=1 for IV; oral users
override lfdepot to log(0.008) for 2.5 mg oral or log(0.007) for 20 mg
oral, both fixed from a separate absolute-bioavailability study).
|
|
Ibuprofen
(Hirt 2008)
|
One-compartment population PK model with linear elimination for
intravenous ibuprofen-lysine (15-min infusion) administered for closure
of patent ductus arteriosus in preterm neonates (Hirt 2008). Total-body
clearance increases with postnatal age via a power function (CL = 9.49
mL/h x (PNA / 96.3 h)^1.49) anchored at the cohort median PNA of 96.3 h;
the apparent volume of distribution is not influenced by postnatal age,
gestational age, body weight, Apgar score, or baseline serum sodium /
creatinine / albumin / urine output. Exponential inter-individual
variability on CL and V; proportional residual error. The PK-PD link
reported by the authors (AUC1D > 600 mg L^-1 h or AUC3D > 900 mg
L^-1 h associated with >= 91% PDA closure) is illustrated in the
validation vignette rather than carried in this model file.
|
|
Iclaprim
(Lodise 2018)
|
Two-compartment IV-infusion population PK model for iclaprim, a
bacterial dihydrofolate reductase inhibitor, in adult patients with
complicated skin and skin-structure infections from the pooled ASSIST-1
and ASSIST-2 phase 3 trials (Lodise 2018). Structural typical-value
equations are additive-linear (NONMEM theta-sum form rather than power
form): central volume V1 carries a body-weight slope; clearance CL
carries age + sex (male shift) + sampling-occasion (day 1-2 vs day 4 +/-
1) shifts; peripheral volume V2 has no covariates; inter-compartmental
clearance Q carries a severe-cSSSI-infection shift. Block-correlated
log-normal IIV on V1, CL, V2 was retained in the source paper but only
diagonal CV% values are tabulated – off-diagonal covariances are not
reported and are implemented here as diagonal-only (documented in the
vignette Assumptions and deviations section). Combined proportional +
additive residual error.
|
|
Ifosfamide
(Brain 2008)
|
Joint population PK / PD model for ifosfamide in adults with advanced
solid tumours (Brain 2008, n=17, single-agent ifosfamide 9 g/m^2 per
cycle by either 3 h x 3 daily or 72 h continuous infusion, n=1
randomised crossover, NONMEM VI FOCE INTERACTION). One-compartment
ifosfamide PK with Kerbusch 2000-style autoinduction of clearance via a
relative enzyme-pool state (drug inhibits enzyme degradation), three
coupled apparent-volume metabolite states (4-hydroxy-ifosfamide,
3-dechloroethyl-ifosfamide, 2-dechloroethyl-ifosfamide), an
indirect-response model for urinary beta-2-microglobulin (BMG, renal
tubular toxicity) with linear stimulation of production by parent
ifosfamide concentration, and a five-compartment Friberg-style
myelosuppression chain for absolute neutrophil count (ANC) with linear
inhibition of proliferation by parent ifosfamide concentration and
(CIRC0 / circ)^gamma feedback. No covariates were retained in the final
model (one outlier patient on carbamazepine was excluded prior to the
final analysis).
|
|
Ifosfamide
(Kerbusch 2000)
|
One-compartment population PK model for ifosfamide with autoinduction of
CYP3A4-mediated metabolism implemented as ifosfamide-driven inhibition
of enzyme-pool degradation (no lag time); estimated in 15 adults with
soft tissue sarcoma receiving 9 or 12 g/m^2 as a 72-h continuous IV
infusion.
|
|
Il12
(ParraGuillen 2013)
|
Preclinical (mouse, female C57BL/6 with subcutaneous MC38 tumor).
Applicability re-fit of the Parra-Guillen 2013 semi-mechanistic K-PD
tumor-growth-dynamics model to a single dose of murine IL-12 delivered
by hydrodynamic plasmid injection. Structural equations are identical to
the CyaA-E7 build (ParraGuillen_2013_cyaaE7); cell-line and
immunotherapeutic-kinetics parameters (Ts0, lambda, k1, REG50) are
re-estimated against the Medina-Echeverz 2014 dataset, while vaccine-
efficacy and regulator-shape parameters (k3, k4, gamma) and the mixture
probability P(1) = 0.844 are carried fixed from the CyaA-E7 fit.
|
|
Iloperidone
(Pei 2016)
|
Population PK model for iloperidone and its two major plasma metabolites
P-88 (M1, contributes to the therapeutic profile via D2 / 5-HT2A binding
affinity comparable to the parent) and P-95 (M2, CYP2D6-mediated
hydroxylation metabolite, pharmacologically less active) in 70 Chinese
patients with schizophrenia or schizoaffective disorder receiving oral
iloperidone 12-24 mg/day twice daily (Pei 2016). One-compartment
first-order absorption (Ka FIXED at 2.26 1/h, estimated in a separate
forward analysis of healthy-volunteer concentration-time data digitised
from Pei 2016 ref [23] and fixed for the patient model to stabilize
absorption identification under sparse sampling) and first-order
parallel-pathway elimination of iloperidone via three rate constants:
K20 (other elimination pathways), K23 (formation of M1), and K24
(formation of M2). Each metabolite then occupies its own one-compartment
model with FIXED apparent volume V3 = V4 = 10 L (the fractions of
iloperidone converted to each metabolite are not identifiable from the
cohort because no co-administered tracer was available, so K23, K30 and
K24, K40 are estimated against the FIXED apparent metabolite volume per
Methods) and first-order elimination (K30 for M1, K40 for M2).
Inter-occasion variability was retained on K20 in the published final
model but is NOT carried as a separate eta in this nlmixr2lib extraction
(see Errata in the validation vignette). Mass units (mg) rather than
molar units are used per the source’s convention because the molecular
weights of iloperidone (427.3 g/mol), M1 (429.4 g/mol), and M2 (429.2
g/mol) are within 0.5%. CYP2D6*10 (rs1065852) polymorphism affects both
metabolite formation rate constants: T/T homozygotes have K23 1.34-fold
the C/C + C/T pooled reference; C/T heterozygotes and T/T homozygotes
have K24 reduced to 0.693 and 0.492 of the C/C wild-type reference
respectively.
|
|
Imatinib
(Chien 2022)
|
Two-compartment population PK model for oral imatinib in healthy adult
volunteers (Chien 2022); first-order absorption preceded by a Savic
2007-style analytical transit-compartment chain (mean transit time and
number of transit compartments estimated), first-order elimination, and
an OMEGA BLOCK between the IIV on CL and V1 motivated by their estimated
correlation r > 0.9. No covariates were retained in the final model.
|
|
Imatinib
(Schindler 2017)
|
Joint tumor-dynamics PD model for imatinib-treated GIST liver metastases
(Schindler 2017). Three size metrics (maximum transaxial diameter MTD in
mm, software-segmented actual volume Vactual in mL, calculated
ellipsoidal volume Vellipsoid in mL) follow a logistic tumor-growth
model with a linear DOSE-dependent shrinkage term and a mono-exponential
drug-effect washout (resistance development). Tumor density (Hounsfield
units) follows an indirect-response model in which imatinib linearly
stimulates the loss rate. Each subject can carry up to two liver lesions
(lesion 1 has the larger baseline by convention); the binary covariate
MIX_LARGE_BASE selects between a mixture subpopulation with larger
lesion baselines (MIX_LARGE_BASE = 1, P = 0.348) and a smaller-baseline
subpopulation (MIX_LARGE_BASE = 0). Drug exposure enters via the daily
dose normalized to the median 400 mg, so DOSE is supplied as a
per-record time-varying covariate (in mg/day). The OS and PFS
time-to-event arms of the source publication are not encoded as ODE
compartments here (see vignette Assumptions and deviations).
|
|
Imetelstat
(GonzalezSales 2024)
|
Three-compartment population PK model for imetelstat (GRN163L), a 13-mer
N3’-P5’ thio-phosphoramidate oligonucleotide telomerase inhibitor, fit
to 4375 plasma concentrations from 424 adults with hematologic
malignancies (lower-risk MDS, myelofibrosis, multiple myeloma, ET/PV,
CLD) or solid tumors who received IV imetelstat 0.4-11.7 mg/kg weekly to
every-4-weeks (Gonzalez-Sales 2024). Imetelstat is described by a
two-compartment nonlinear disposition model with saturable
binding/distribution to a peripheral binding (BIND) compartment (Snoeck
1999 / Peletier 2017 parameterisation): free drug binds reversibly to a
target pool with capacity Bmax (Kon, Koff); bound drug is internalised
to a deep peripheral tissue (Kint) and returns to central as free drug
(Kback); free drug also undergoes linear elimination from central (CL).
Theory-based allometric exponents for body weight (1 on Vc, 0.75 on CL,
-0.25 on Kback) are fixed. Final covariates: sex, dose, time, and MF /
MM malignancy on CL; sex and MM malignancy on Vc; MF malignancy and
baseline spleen volume on Bmax. The time effect encodes a hyperbolic
decay of baseline CL: CL(t) = CL * t50_cl_time / (t + t50_cl_time).
|
|
Iminobiotin
(Admiraal 2023)
|
Two-compartment IV population PK model for 2-iminobiotin (2-IB, a
selective neuronal nitric oxide synthase inhibitor) in adults after
out-of-hospital cardiac arrest, with a power-model eGFR-on-clearance
covariate effect.
|
|
Imipenem
(Couffignal 2014)
|
Two-compartment IV population PK model for imipenem in 51 critically ill
adult ICU patients with suspected ventilator-associated pneumonia due to
Gram-negative bacilli (Couffignal 2014). All patients received imipenem
as a 0.5 h IV infusion every 8 hours; the protocol dose (500, 750 or
1000 mg) was chosen by Cockcroft-Gault creatinine clearance per the
European Medicine Agency renal-adjustment table. Central clearance
scales as a power of measured 4-hour creatinine clearance (reference
86.4 mL/min, the cohort median); central volume scales jointly with
total bodyweight (reference 77 kg) and serum albumin (reference 18 g/L).
The model was fitted in Monolix 4.1.2 using the SAEM algorithm with
M3-equivalent BQL handling.
|
|
Imipenem
(Lamoth 2009)
|
One-compartment IV population PK model for imipenem in adult febrile
neutropenic patients with hematological malignancies (Lamoth 2009).
Total clearance is the additive sum of a non-renal arm and a renal arm
linear in Cockcroft-Gault GFR; the central volume of distribution scales
linearly with total body weight referenced to 70 kg. A single log-normal
inter-individual variability term is applied multiplicatively to the
total clearance (TVCL = CL_nonren + CL_renal * GFR / 100), and residual
error is proportional.
|
|
Imipenem
amikacin PA001 (Yadav 2017)
|
In vitro (static-concentration time-kill). Mechanism-based PK/PD
(Bulitta life-cycle growth) model of bacterial killing and resistance
for imipenem combined with amikacin against carbapenem- and
amikacin-resistant clinical Pseudomonas aeruginosa isolate FADDI-PA001
(MIC_IPM = 32 mg/L, MIC_AMK = 32 mg/L). Three pre-existing bacterial
subpopulations with signal-molecule growth inhibition and
aminoglycoside-mediated outer-membrane permeabilisation (mechanistic
synergy)
|
|
Imipenem
amikacin PA088 (Yadav 2017)
|
In vitro (static-concentration time-kill). Mechanism-based PK/PD
(Bulitta life-cycle growth) model of bacterial killing and resistance
for imipenem combined with amikacin against carbapenem- and
tobramycin-resistant clinical Pseudomonas aeruginosa isolate FADDI-PA088
(MIC_IPM = 16 mg/L, MIC_AMK = 4 mg/L). Three pre-existing bacterial
subpopulations with signal-molecule growth inhibition and
aminoglycoside-mediated outer-membrane permeabilisation (mechanistic
synergy)
|
|
Imipenem
tobramycin PA001 (Yadav 2017)
|
In vitro (static-concentration time-kill). Mechanism-based PK/PD
(Bulitta life-cycle growth) model of bacterial killing and resistance
for imipenem combined with tobramycin against carbapenem- and
amikacin-resistant clinical Pseudomonas aeruginosa isolate FADDI-PA001
(MIC_IPM = 32 mg/L, MIC_TOB = 4 mg/L). Three pre-existing bacterial
subpopulations with signal-molecule growth inhibition and
aminoglycoside-mediated outer-membrane permeabilisation (mechanistic
synergy)
|
|
Imipenem
tobramycin PA022 (Yadav 2017)
|
In vitro (static-concentration time-kill). Mechanism-based PK/PD
(Bulitta life-cycle growth) model of bacterial killing and resistance
for imipenem combined with tobramycin against carbapenem-resistant and
aminoglycoside-resistant clinical Pseudomonas aeruginosa isolate
FADDI-PA022 (MIC_IPM = 16 mg/L, MIC_TOB = 8 mg/L). Three pre-existing
bacterial subpopulations with signal-molecule growth inhibition and
aminoglycoside-mediated outer-membrane permeabilisation (mechanistic
synergy)
|
|
Imipenem
tobramycin PA088 (Yadav 2017)
|
In vitro (static-concentration time-kill). Mechanism-based PK/PD
(Bulitta life-cycle growth) model of bacterial killing and resistance
for imipenem combined with tobramycin against carbapenem- and
aminoglycoside-resistant clinical Pseudomonas aeruginosa isolate
FADDI-PA088 (MIC_IPM = 16 mg/L, MIC_TOB = 32 mg/L). Three pre-existing
bacterial subpopulations with signal-molecule growth inhibition and
aminoglycoside-mediated outer-membrane permeabilisation (mechanistic
synergy)
|
|
Immunoglobulin
(Cheng 2026)
|
Two-compartment population PK model for intravenous immunoglobulin
(IVIG) replacement therapy in pediatric primary-immunodeficiency and
secondary-antibody-deficiency patients (Cheng 2026)
|
|
Imr687
(Byrne 2022)
|
One-compartment population PK model with first-order absorption for
IMR-687 (a selective PDE9 inhibitor) in healthy subjects and patients
with sickle cell disease (SCD), coupled with a repeated time-to-event
(RTTE) exposure-response model for vaso-occlusive crisis (VOC) events.
The PD hazard uses a saturable (Michaelis-Menten) drug effect on a
constant baseline hazard. The model supports forward simulation of
typical-value PK and cumulative-VOC hazard at any once-daily dose; the
published covariate effects (body weight on CL/F and V/F; capsule
formulation, capsule daily dose, and high-fat meal on absorption) are
NOT encoded because the source conference poster reports the covariate
point estimates without the functional forms or reference values needed
to apply them.
|
|
Indacaterol
(Renard 2011)
|
MBMA. Study-level Bayesian Emax meta-analysis of trough FEV1
dose-response to once-daily inhaled indacaterol in adults with
moderate-to-severe chronic obstructive pulmonary disease (COPD), pooled
from 11 placebo-controlled trials (7,476 patients; indacaterol doses
18.75 to 600 ug once daily). Algebraic Emax dose-response on
placebo-corrected steady-state trough FEV1 (mL); the model is
constrained to a null response at dose = 0 because the source data are
contrasts to placebo. The original Bayesian analysis included
between-study (delta_i) and between-arm-within-study (gamma_ij) random
effects on Emax with unif(0, 0.25) priors; the paper reports only the
posterior means of the structural Emax and ED50, not the random-effect
posterior summaries, comparator mean effects (formoterol, salmeterol,
tiotropium), or a per-observation residual sigma. The model file
therefore encodes the indacaterol-only structural Emax curve with
between-study and between-arm variances fixed to zero following the
Vargo 2014 MBMA precedent. Suitable for simulating typical-trajectory
study-arm-mean trough FEV1 improvement vs placebo at steady state (Week
2 to Month 6); not suitable for individual-subject simulation.
|
|
Indinavir
(Csajka 2004)
|
One-compartment first-order-absorption population PK model for oral
indinavir 800 mg three-times-daily (alone) or 800 mg twice-daily with
low-dose ritonavir in HIV-infected adults; concomitant ritonavir, sex,
and body weight enter apparent oral clearance as multiplicative
covariate effects (Csajka 2004).
|
|
Indinavir
(Kappelhoff 2005)
|
One-compartment first-order-absorption popPK model for oral indinavir in
HIV-1-infected adults, with multiplicative covariate effects of
concomitant ritonavir (CL/F x 0.354) and concomitant NNRTI
(efavirenz/nevirapine; CL/F x 1.41) on apparent clearance and of female
sex on apparent bioavailability (F x 1.48). A 0.485 h absorption
lag-time is applied only when ritonavir is co-administered (Kappelhoff
2005).
|
|
Infliximab
(Berends 2019)
|
Two-compartment TMDD-QSS population PK/target-dynamics model of
infliximab and free TNF in adults with moderate-to-severe ulcerative
colitis (Berends 2019)
|
|
Infliximab
(Faelens 2021)
|
One-compartment IV population PK model of infliximab in adults with
moderate-to-severe ulcerative colitis (Faelens 2021 adapted model;
baseline-covariate-only re-fit of Dreesen 2019)
|
|
Infliximab
(Fasanmade 2009)
|
Two-compartment population PK model of infliximab (anti-TNF-alpha) in
patients with ulcerative colitis (Fasanmade 2009)
|
|
Infliximab
(Frymoyer 2017)
|
Two-compartment population PK model of intravenous infliximab in
children and adults with Crohn’s disease (Frymoyer 2017; structural
model and parameter values from the Fasanmade et al. REACH + ACCENT I
analysis reproduced in Frymoyer 2017 Methods)
|
|
Infliximab
(Hanzel 2021)
|
Two-compartment population PK model of subcutaneous and intravenous
infliximab CT-P13 (biosimilar) in adults with Crohn’s disease and
ulcerative colitis (Hanzel 2021)
|
|
Inotuzumab
(Wu 2024)
|
Two-compartment population PK model for inotuzumab ozogamicin in
pediatric and adult patients with relapsed/refractory B-cell precursor
acute lymphoblastic leukemia (BCP-ALL) and adult patients with B-cell
non-Hodgkin’s lymphoma (NHL); linear plus time-dependent
(target-mediated) clearance with covariate effects on CL_SS, Vc,
CL_TIME, and kdes (Wu 2024, ITCC-059 pediatric trial pooled with 11
adult studies).
|
|
Interferon
alfa 2b (Chatelut 1999)
|
One-compartment population PK model for subcutaneous alpha-2b interferon
(Intron A) in adults with chronic hepatitis C virus infection (Chatelut
1999), with sequential zero-order then first-order absorption (a
fraction Fz of the bioavailable dose is absorbed at zero-order over
duration tk0, the remaining (1 - Fz) is absorbed at first-order rate ka
after tk0) and first-order elimination. Apparent oral clearance CL/F is
reduced by 63.8% in chronic-haemodialysis patients relative to patients
with normal renal function (RRT_HEMODIAL_STATUS = 1 vs 0); apparent
central volume of distribution V/F scales linearly with body surface
area (BSA). Proportional residual error.
|
|
InterferonAlfa2a
(Jeon 2013)
|
Joint PK-PD model for a sustained-release subcutaneous formulation of
interferon alfa-2a (SR-IFN-alpha) and the serum neopterin response in
healthy adult male volunteers (Jeon 2013). Pharmacokinetics:
one-compartment with first-order elimination and a parallel mixture of
zero- and first-order absorption. A fraction Fz = exp(RF)/(1 + exp(RF))
of the dose is absorbed by a zero-order process with duration D2
entering the central compartment directly; the remaining 1 - Fz is
absorbed by a first-order process (rate Ka) from a depot compartment
with lag time ALAG, accounting for the second concentration peak
observed around 100 h post-injection. Pharmacodynamics:
indirect-response (turnover) model for serum neopterin (baseline BASE =
Kin/Kout) with a single transit compartment placed between the stimulus
and the observed neopterin, delaying the neopterin response through mean
transit time MTT. The drug stimulates the zero-order production rate of
neopterin through a sigmoid Emax function E(C) = EMAX * C^GA /
(EC50(t)^GA + C^GA), where EC50 is time-dependent and increases
monotonically over time as EC50(t) = ECB * (1 + CA * (1 - exp(-CB * t)))
– an empirical saturation device that captures the observed loss of the
neopterin dose-response between groups (9, 18, 27, 36 MIU) over the
0-264 h observation window. No covariate effects were retained in the
final model. Doses are entered in MIU (10^6 IU); the published apparent
clearance (CL/F = 12.2 L/h) and apparent volume of distribution (V/F =
691 L) match values previously reported for IFN-alpha in healthy
subjects (Reference [19] of Jeon 2013). The model uses an explicit
specific-activity conversion (1 MIU = 4 ug = 4e6 pg, from the WHO
IFN-alpha-2a International Standard at 2.5e8 IU/mg) so the doses in user
data can be entered in MIU and the simulated Cc is returned in pg/mL.
The specific-activity conversion is not stated in the paper itself; it
is documented in the validation vignette’s Assumptions and deviations
section.
|
|
Ipatasertib
(Yoshida 2021)
|
Joint parent + metabolite population pharmacokinetic model for oral
ipatasertib (AKT kinase inhibitor under development for breast and
prostate cancer) and its primary active metabolite M1 (G-037720) in 342
adult patients with cancer from five Phase 1 and 2 studies (Yoshida
2021). Each analyte is described by a 3-compartment disposition model
with sequential zero-order then first-order absorption from its own
depot. The two depots receive the oral parent dose simultaneously (the
user supplies one event per depot with the same amount and time); both
bioavailability anchors are fixed at F = 1 because absolute parent F and
the fraction of parent metabolised to M1 are not separately identifiable
from oral data alone, and the apparent M1 absorption parameters (kf,
Dur, F) subsume formation, first-pass survival, and metabolite
bioavailability per the source. Retained parent covariates: power effect
of age on apparent CL/F, linear-additive effect of abiraterone
coadministration on apparent CL/F, power effect of body weight on
apparent F, and a +20.1% multiple-dose increment in apparent F
representing CYP3A auto-inhibition by ipatasertib. Retained metabolite
covariates: power effects of body weight on apparent V3 and Q3 of M1, a
+33.1% multiple-dose increment in apparent F_M1, and an additional
+61.5% abiraterone-by-multiple- dose effect on apparent F_M1. The paper
fitted parent and metabolite in TWO SEPARATE NONMEM runs (Yoshida 2021
Discussion); this file collapses them into one rxode2 model with NO
mechanistic fractional-conversion linkage, mirroring the paper’s
simulation strategy. See vignette Assumptions and deviations.
|
|
Ipilimumab
(Feng 2014)
|
Two-compartment population PK model for intravenous ipilimumab
(anti-CTLA-4 IgG1) in patients with unresectable stage III or IV
melanoma (Feng 2014)
|
|
Ipilimumab
(Sanghavi 2020)
|
Two-compartment population PK model for intravenous ipilimumab
(anti-CTLA-4 IgG1) with time-varying clearance via a sigmoid emax
function in patients with advanced solid tumors receiving ipilimumab
alone or in combination with nivolumab (Sanghavi 2020)
|
|
Isatuximab
(Brillac 2025)
|
Two-compartment population PK model with linear elimination for
isatuximab in pediatric and adult patients with relapsed/refractory
acute leukemias (Brillac 2025)
|
|
Isatuximab
(Fau 2020)
|
Two-compartment population PK model for intravenous isatuximab
(anti-CD38 IgG1) in adults with relapsed/refractory multiple myeloma,
with parallel time-varying linear and Michaelis-Menten eliminations from
the central compartment (Fau 2020). The linear clearance follows a
sigmoidal Emax decay from baseline to steady state; the magnitude of the
decay differs by multiple-myeloma immunoglobulin type.
|
|
Isavuconazole
(Desai 2016)
|
Two-compartment population PK model for isavuconazole (administered as
the prodrug isavuconazonium sulfate) in healthy adults and adults with
mild (Child-Pugh A) or moderate (Child-Pugh B) hepatic impairment,
following single 100 mg oral or 2-h intravenous doses (Desai 2016).
Weibull absorption for the oral route; hepatic-impairment-group-specific
typical CL and Q; linear BMI effect on peripheral volume.
|
|
Isoniazid
(Horita 2018)
|
Two-compartment population pharmacokinetic model with first-order
absorption and linear elimination for oral isoniazid in Ghanaian
children with active tuberculosis (Horita 2018); NAT2 slow-vs-nonslow
acetylator phenotype on apparent oral clearance with separate
typical-value clearances and separate IIV omegas; allometric weight
scaling on CL/F and Q/F (fixed 0.75) and V1/F and V2/F (fixed 1.0)
normalised to the cohort median 14.3 kg.
|
|
Isoniazid
(Seng 2015)
|
Parent + two-metabolite population pharmacokinetic model for oral
isoniazid (INH), acetylisoniazid (AcINH), and isonicotinic acid (INA) in
33 healthy Asian adults (Seng 2015; Singapore single-dose 300 mg oral
INH study with crossover rifampin / efavirenz arms). Two-compartment INH
disposition with first-order absorption, linked to a two-compartment
AcINH disposition and a one-compartment INA disposition; metabolite
formation splits via the fraction-of- clearance parameters F_AcINH (INH
-> AcINH) and F_INA (AcINH -> INA), with the complementary (1 -
F_AcINH) routing INH directly to INA. The NAT2-derived acetylator
phenotype (rapid / intermediate / slow) selects between three
typical-value INH clearances (65.2 / 32.6 / 6.52 L/h at 63 kg).
Creatinine clearance enters as a power- law covariate on AcINH clearance
with exponent 0.4 referenced to the cohort median 113 mL/min. All
clearance and volume terms are allometrically scaled by total body
weight (0.75 exponent on clearance, 1.0 on volume) with reference weight
63 kg. AcINH and INA central volumes are fixed at 17 L (apparent central
volume of AcINH from Boxenbaum & Riegelman 1976) to keep the
metabolite model identifiable in the absence of intravenous data.
|
|
Isoniazid
(Wilkins 2011)
|
Two-compartment population pharmacokinetic model for oral isoniazid in
South African pulmonary tuberculosis patients (Wilkins 2011; 235
patients, 2352 plasma concentrations). First-order absorption with an
absorption lag time, first-order elimination, and allometric scaling on
all clearance and volume terms (WT exponent 0.75 on CL and Q, exponent 1
on Vc and Vp, reference weight 70 kg). A two-class mixture model on
apparent clearance characterises the bimodal isoniazid elimination
phenotype that arises from N-acetyltransferase-2 (NAT2) polymorphism:
typical CL/F is 21.6 L/h in fast eliminators (13.2 % of subjects) and
9.70 L/h in slow eliminators (86.8 %). Two covariate effects were
retained: female sex reduces Vc/F by 10.3 % and HIV-positive comorbidity
reduces CL/F by 17.4 %. Inter-individual variability is reported on
CL/F, Vc/F, Q/F, relative bioavailability F, and lag time;
inter-occasion variability on ka (90.1 %) and F (8.4 %) is not
propagated – see the validation vignette Assumptions and deviations
section for the single-occasion approximation.
|
|
Itraconazole
(Abuhelwa 2015)
|
Population PK model for oral itraconazole and its active metabolite
hydroxy-itraconazole in healthy adults (Abuhelwa 2015). Two-compartment
parent with 4-transit-compartment Savic-style absorption and a
one-compartment hydroxy-itraconazole metabolite eliminated by mixed
linear and Michaelis-Menten kinetics. Encodes the SUBA-itraconazole vs
Sporanox formulation effect on relative bioavailability (with
formulation-dependent scaling of the F variability) and the
fed-vs-fasted effect on both relative bioavailability and the
transit-absorption rate constant; the metabolic conversion ratio fm is
assumed = 1 so all parent clearance becomes metabolite, and the
metabolite CL/V are apparent values scaled by the unknown fm.
|
|
Itraconazole
(Hennig 2006)
|
Population PK model for oral itraconazole and its active metabolite
hydroxy-itraconazole in paediatric cystic-fibrosis and
bone-marrow-transplant patients (Hennig 2006). One-compartment parent +
one-compartment metabolite with first-order absorption, first-order
metabolic conversion (fm fixed to 1), allometric weight scaling on
parent CL/F (0.75) and Vd/F (1.0), and formulation-specific ka and
relative bioavailability for capsule vs oral solution.
|
|
Itraconazole
(Hennig 2007)
|
Two-compartment population PK model for oral itraconazole and its
one-compartment hydroxy-itraconazole metabolite in adult cystic fibrosis
patients (Hennig 2007), with first-order absorption from a depot,
formulation-specific absorption rate constants and bioavailability for
capsule vs. oral solution selected by the binary FORM_CAPSULE covariate,
and a single absorption lag-time shared across both formulations. The
fraction of itraconazole metabolised to hydroxy-itraconazole is fixed to
1; metabolite parameters are reported as CL_m/(Ff_m) and
V_m/(Ff_m).
|
|
Ixazomib
(Gupta 2015)
|
Three-compartment population pharmacokinetic model for the oral
proteasome inhibitor ixazomib (MLN9708) developed from pooled data of
226 adult patients with advanced multiple myeloma, lymphoma, or solid
tumours across four phase I dose-escalation studies (Gupta 2015).
Combined intravenous and oral data are described by a three-compartment
model with first-order absorption and linear elimination; IV and oral
data share the same disposition kinetics. Inter-individual variability
is estimated on clearance, central volume V2, the second peripheral
volume V4, absorption rate constant Ka, and bioavailability F; IIV on
Q3, V3, and Q4 was fixed to zero. Body surface area on V4 (reference
1.90 m^2, exponent 2.3) is the only retained covariate; weight, age,
gender, race, creatinine clearance, ALT, AST, albumin, and bilirubin had
no clinically relevant effect on ixazomib pharmacokinetics. Residual
error is additive on log-transformed concentration (NONMEM Y = LOG(F) +
EPS(1)) which maps to a proportional error in linear concentration
space. This analysis supported the switch from BSA-based to fixed (4 mg)
dosing in subsequent ixazomib clinical studies.
|
|
Ixazomib
(Gupta 2017)
|
Three-compartment population pharmacokinetic model for the oral
proteasome inhibitor ixazomib (Ninlaro) in 755 adult patients with
multiple myeloma, lymphoma, solid tumours, or light-chain amyloidosis
pooled across ten phase I, I/II, and III trials including TOURMALINE-MM1
(Gupta 2017). First-order linear absorption with a 13 min lag time
describes oral dosing; intravenous and oral data share the same
disposition kinetics. Inter-individual variability is estimated on
clearance, bioavailability F, and the second peripheral volume V4, with
a strong (82%) correlation between log CL and log F. Body surface area
on V4 (reference 1.87 m^2, exponent 2.06) is the only retained
covariate; sex, age, race, mild/moderate renal impairment, mild hepatic
impairment, smoking status, and CYP-modulatory concomitant medications
had no clinically relevant effect on systemic exposure. Residual error
is additive on log-transformed concentration with a
time-after-dose-varying standard deviation declining exponentially from
SD1 = 1.90 to SD0 = 0.46 with rate KSD = 0.84/h (Karlsson 1995 model 3).
|
|
Ixekizumab
(Jackson 2022)
|
Two-compartment linear population PK model for subcutaneous ixekizumab
in paediatric patients with moderate-to-severe plaque psoriasis
(IXORA-PEDS; Jackson 2022)
|
|
Ketoprofen
(Park 2001)
|
One-compartment oral PK plus Holford-Sheiner effect-compartment for
synovial fluid disposition of ketoprofen in adults with arthritis at
steady state on 100 mg oral twice-daily dosing (Park 2001 Tables 2-3,
Eq. 1; effect-compartment elimination rate keo = 0.16 1/h, peak
synovial:plasma ratio 0.77 with 3.1 h time lag).
|
|
Ketorolac
(Valitalo 2017)
|
Three-compartment population PK model for IV ketorolac in adults,
jointly fit to R-ketorolac and S-ketorolac plasma concentrations after
racemic IV dosing in women at delivery, postpartum women, nonpregnant
women, and men (Valitalo 2017 BJCP). Body-weight allometric scaling on
clearance and volumes (reference 71 kg) plus proportional
pregnancy-at-delivery and male-sex effects on clearance (and
pregnancy-at-delivery on volumes), shared between enantiomers.
|
|
Lamivudine
(Archary 2019)
|
One-compartment population PK model for lamivudine in severely
malnourished HIV-infected children (Archary 2019); CL/F matures with age
via a sigmoid Emax function, Vc/F decreases linearly with serum
triglyceride, and ka steps up between day 1 and day 14 of antiretroviral
treatment
|
|
Lamivudine
(Bouazza 2010)
|
Two-compartment population PK model for once-daily oral lamivudine in
HIV-infected West African children (Bouazza 2010); allometric weight
scaling on CL/F, Q/F, Vc/F, and Vp/F with reference body weight 16.8 kg,
and absorption rate constant Ka structurally fixed to the disposition
distribution-phase eigenvalue (Ka = alpha = 0.71 1/h) from the
literature
|
|
Lamivudine
(Bouazza 2011)
|
Two-compartment oral popPK model for lamivudine in HIV-infected children
from neonates to adolescents (Bouazza 2011)
|
|
Lamivudine
(Moore 1999)
|
One-compartment population PK model for oral lamivudine in
HIV-1-infected adults pooled from the NUCA3001 and NUCA3002 phase III
trials (Moore 1999); CL/F scales with a Cockcroft-Gault-style renal
function index ((140 - AGE)/(CREAT * 100), * 0.85 if female) raised to
an estimated power and with linear body weight, V/F and ka carry no
covariates
|
|
Lamotrigine
(He 2012)
|
One-compartment population PK model for oral lamotrigine in Chinese
paediatric patients with epilepsy aged 0.5-17 years (He 2012).
First-order absorption with Ka fixed at 1.0 1/h and bioavailability
fixed at 1 (lamotrigine steady-state trough therapeutic-drug-monitoring
data, which do not identify Ka or F), and first-order elimination from a
single central compartment. Apparent oral clearance is scaled by an
estimated power of total body weight (exponent 0.635) and modified
exponentially by concomitant antiepileptic comedication: valproate
(CONMED_VPA) reduces CL, while the enzyme-inducers carbamazepine
(CONMED_CBZ) and phenobarbital (CONMED_PB) increase CL. Apparent central
volume is fixed at 16.7 L at the 27.87 kg reference weight, scaled
linearly with total body weight (allometric exponent fixed at 1.0).
|
|
Lamotrigine
(Hussein 1997)
|
One-compartment population PK model for oral lamotrigine monotherapy in
adults and adolescents newly diagnosed with epilepsy; apparent oral
clearance carries a first-order auto-induction term that decays toward a
steady-state value over treatment duration and a multiplicative race
effect for Asians vs Caucasians; apparent volume of distribution and
absorption rate constant are time-invariant with no covariate effects
retained in the final model (Hussein 1997).
|
|
Lampalizumab
(Le 2015)
|
Combined ocular-serum target-mediated drug-disposition (TMDD) model with
quasi-steady-state binding approximation for intravitreally administered
lampalizumab (anti-complement factor D Fab) and total complement factor
D (CFD) in adults with geographic atrophy secondary to age-related
macular degeneration. Vitreous humor is the dosing compartment (depot)
and the site of drug-target binding; aqueous humor lampalizumab and
aqueous humor total CFD observations are derived from vitreous via
constant partition coefficients; serum lampalizumab is the central
elimination compartment with linear first-order clearance. Age and
female sex modify ocular and systemic elimination rates respectively (Le
2015 Table 1, Eq. 1-7).
|
|
Landiolol
(Kunisawa 2015)
|
Two-compartment intravenous population PK model with lag time for
landiolol hydrochloride (an ultra-short-acting cardioselective
beta1-adrenergic receptor blocker) in adult patients with peripheral
arterial disease undergoing peripheral arterial surgery, with linear
body-weight normalization on CL, Vc, Q and Vp (Kunisawa 2015)
|
|
Lanreotide
(Buil-Bruna 2015)
|
One-compartment population PK model with parallel first- and zero-order
subcutaneous absorption for lanreotide Autogel/Depot in patients with
gastroenteropancreatic neuroendocrine tumors (Buil-Bruna 2015). A linear
effect of body weight on apparent clearance and a small categorical
effect of sex on the first-order absorbed fraction are retained;
absolute bioavailability F is not identifiable and is structurally
anchored at 1, so apparent CL/F and Vd/F are reported. Concentrations
are predicted in ng/mL; residual error is additive on the
log-transformed observations (LTBS), mapped to proportional in linear
space.
|
|
Lansoprazole
(Sakurai 2007)
|
Two-compartment population PK model for intravenously administered
lansoprazole in 56 healthy Japanese adult males (Sakurai 2007). Volumes
(V1, V2) and clearances (CL, Q) scale linearly with body weight via
per-kg reference values; systemic clearance is stratified by CYP2C19
metabolizer phenotype using two binary indicators (homoEM reference;
heteroEM and PM groups carry multiplicative factors of 0.612 and 0.212
respectively). Inter-individual variability is log-normal on V1, CL, V2
(no IIV on Q); residual error is combined proportional plus additive.
|
|
Lebrikizumab
(Zhu 2017)
|
Lebrikizumab population PK model (Zhu 2017): two-compartment model with
first-order absorption after SC dosing in adults with moderate-to-severe
asthma.
|
|
Lenvatinib
(Gupta 2016)
|
Three-compartment population PK model for lenvatinib in healthy subjects
and patients with cancer (Gupta 2016). Simultaneous first-order plus
zero-order oral absorption into the central compartment, linear
elimination, and covariate effects of body weight (allometric on CL/F
and Q/F with exponent 0.75 and linear on V/F), CYP3A4 inducers (+30
percent on CL/F), CYP3A4 inhibitors (-7.8 percent on CL/F), serum
albumin < 30 g/L (-16.3 percent on CL/F), alkaline phosphatase >
ULN (-11.7 percent on CL/F), healthy-subject cohort (+15 percent on CL/F
vs cancer patients), and capsule vs tablet formulation (relative
bioavailability 0.896).
|
|
Levalbuterol
(Jaworowicz 2006)
|
Two-compartment population PK model for (R)-albuterol following inhaled
levalbuterol (90 ug) or racemic albuterol (180 ug) via a
hydrofluoroalkane metered-dose inhaler in pediatric (4-11 years) and
adult (12-81 years) asthma patients. First-order absorption, linear
elimination, body-weight effects on apparent clearance (linear-additive)
and central volume (power), and a pediatric-vs-adult split on absorption
rate. The reference parameters are the Adult / Study 051-353 /
single-dose levalbuterol-visit values (bioavailability anchor F1 = 1).
|
|
Levamisole
(KreeftmeijerVegter 2015)
|
One-compartment oral PK model for levamisole in 38 children with
steroid-sensitive nephrotic syndrome (Kreeftmeijer-Vegter 2015, EudraCT
2005-005745-18). First-order absorption, first-order elimination,
allometric scaling of CL/F (exponent 0.75) and V/F (exponent 1) to 70
kg, and a linear proportional age effect on CL/F centred on the
population median age of 6.28 years (-10.1% per additional year). The
typical ka (1.2 1/h) was fixed in the final model with IIV retained. IIV
on V/F was modelled as perfectly correlated with IIV on CL/F (single eta
scaled to V/F), encoded here as a full omega block with covariance equal
to sqrt(var_CL * var_V).
|
|
Levetiracetam
(Shin 2017)
|
One-compartment population PK model for levetiracetam in Korean neonates
with seizures (Shin 2017). Structural parameters (V, CL) reported on a
per-kg-body-weight basis (linear scaling by body weight). Drug
absorption was not modelled because trough-style sampling between 6 and
23 hours after dose did not capture the absorption phase; intravenous
and oral doses are therefore modelled as bolus inputs directly into the
central compartment with bioavailability fixed at 1.
|
|
Levetiracetam
(Wang 2012)
|
One-compartment population PK model for levetiracetam (LEV) in Chinese
pediatric epilepsy patients (Wang 2012). First-order oral absorption and
linear elimination (NONMEM ADVAN2 TRANS2). Body weight is the only
retained covariate; it enters CL/F as a power-style allometric term with
reference weight 25 kg (cohort median).
|
|
Levocetirizine
(Hussein 2005)
|
One-compartment population PK model with first-order absorption and
first-order elimination for orally administered levocetirizine in atopic
young children (12-48 months, 8-20 kg) receiving 0.125 mg/kg twice-daily
levocetirizine (administered as 0.25 mg/kg twice-daily racemic
cetirizine) for 18 months in the ETAC study (Hussein 2005). CL/F and V/F
are linear functions of body weight (CL/F = 0.244 + 0.0442 * WT L/h; V/F
= 0.639 * WT L). The absorption rate constant ka is parameterised as ka
= theta_ka + CL/V to guard against flip-flop kinetics, with theta_ka =
1.140 1/h and CL/V contributing on average less than 5% to ka. Residual
variability is additive with two concentration-dependent magnitudes:
53.5 ng/mL for Cc <= 400 ng/mL and 316 ng/mL for Cc > 400 ng/mL
(the 400 ng/mL threshold was selected by sensitivity analysis and has no
clinical or therapeutic implication). Bioavailability is anchored at F =
1 here; the paper additionally estimated F_noncomp = 0.281 applied to
12% of records flagged as suspected noncompliance and recorded in the
vignette Assumptions and deviations.
|
|
Levofloxacin
(Denti 2018)
|
Two-compartment population PK model for oral levofloxacin in South
African children with multidrug-resistant tuberculosis (MDR-TB) disease
or exposure (Denti 2018; n = 109; median age 2.1 yr; median weight 12.4
kg). First-order absorption with an absorption lag time, allometric
scaling fixed to 0.75 on CL / Q and 1 on Vc / Vp with the
population-median 12 kg as the reference weight, and a Hill-type
maturation function on CL driven by postmenstrual age (PMAGE_50 = 10.6
mo, gamma = 3.39; PMAGE = postnatal age + 9 mo assuming term gestation).
Covariate effects: HIV-positive children have 15.9% lower CL;
nasogastric-tube (NGT) administration shortens the absorption lag time
by 85.6% relative to the oral reference. F is fixed at 1; the additive
residual error is fixed at 20% of the LLOQ (0.0160 mg/L).
|
|
Levofloxacin
rat (Hurtado 2014)
|
Preclinical (rat). Three-compartment population PK model for unbound
levofloxacin in plasma and prostate interstitial fluid in male Wistar
rats after a single 7 mg/kg IV bolus, with simultaneous fitting of total
plasma concentrations (central, Vc) and free prostate ISF concentrations
measured by microdialysis (effect compartment, apparent volume V3* =
V_prostate / fu_prostate). Prostate kinetics are asymmetric: uptake from
central is first-order (k13), efflux back to central combines a linear
first-order term (k31) with a saturable Michaelis-Menten efflux (Vmax,
kM) consistent with active transporter involvement. The standard central
<-> peripheral1 disposition uses macro-constants CL, Q, Vc, Vp
(Hurtado 2014).
|
|
Ligelizumab
(Bienczak 2025)
|
Two-compartment population PK model for ligelizumab in adolescent and
adult patients with chronic spontaneous urticaria and healthy adult
volunteers (Bienczak 2025)
|
|
Linagliptin
(Retlich 2015)
|
Two-compartment population PK model with concentration-dependent
(saturable) binding of linagliptin to dipeptidyl peptidase-4 in both
central and peripheral compartments, coupled with a population sigmoid
Emax PK/PD model relating total linagliptin plasma concentration to
plasma DPP-4 activity, in adults with type 2 diabetes mellitus (Retlich
2015 Tables 4 and 5).
|
|
Linagliptin
(Tadayasu 2014)
|
Two-compartment target-mediated drug disposition population PK model for
linagliptin with quasi-equilibrium concentration-dependent binding to
DPP-4 in both the central and peripheral compartments, coupled with an
occupancy-based DPP-4-inhibition pharmacodynamic model (DPP-4 inhibition
= Emax * Cbound/BMAX in the central compartment), in Japanese patients
with type 2 diabetes mellitus (Tadayasu 2014 Table 3).
|
|
Linezolid
(Schmidt 2009)
|
In vitro (Staphylococcus aureus MRSA strain OC2878). Mechanism-based PD
model of bacterial-killing time-kill curves for linezolid, the
first-in-class FDA-approved oxazolidinone (Schmidt 2009).
Susceptibility-based two-subpopulation structure: an active
self-replicating susceptible pool with logistic carrying-capacity limit
and a dormant persister pool that is insusceptible to killing;
first-order S->P conversion (P->S held fixed at 0), natural-death
loss from both pools, exponential turn-on of growth and of drug-induced
killing, and Emax killing of the susceptible subpopulation by the
antibiotic. Linezolid was experimentally stable over 24 h so the
published model carries kdeg = 0; for dynamic syringe-replacement
experiments the user supplies the dilution-equivalent rate (~log(2)/5
1/h for a t1/2 ~ 5 h linezolid regimen) via rxSolve(…, params = c(kdeg =
…)). The same joint fit is shared with Schmidt_2009_rwj416457 (only EC50
and kdeg differ).
|
|
Linezolid
(Tsuji 2017)
|
Population PK/PD model for linezolid in hospitalized adult and pediatric
patients with MRSA or gram-positive cocci infections (Tsuji 2017). PK is
a two-compartment model with first-order oral absorption and an additive
renal-plus-non-renal clearance structure (CL = CL_nonren + CL_renal *
RF, where RF = CrCl / 100 mL/min/70 kg standardized to 70 kg by
allometry); plasma total and unbound concentrations are modelled
simultaneously with an estimated fraction-unbound (FU = 0.823) linking
the two. PD is a Friberg-style semi-mechanistic platelet turnover model
(one proliferating compartment, three transit compartments, one
circulating compartment) with an empirical (PLTZERO/PLT)^gamma feedback
term and a published mixture model of two thrombocytopenia mechanisms:
linear inhibition of platelet synthesis (PDI, 97% of patients, SLOPE on
RFORM) and saturable stimulation of platelet elimination (PDS, 3% of
patients, Emax on Kcirc), selected per subject by the binary covariate
MIX_PDI.
|
|
Liraglutide
(CarlssonPetri 2021)
|
Liraglutide PK model in adolescents (Carlsson Petri 2021)
|
|
Lisinopril
(Thomson 1989)
|
One-compartment population PK model for oral lisinopril (an ACE
inhibitor) at steady state in elderly and renal-disease hypertensive
adults (Thomson 1989). First-order absorption with apparent clearance
CL/F driven by body weight, serum creatinine, age, and a binary
compensated-cardiac-failure indicator; apparent volume V/F and
absorption rate ka are population means without retained covariate
effects.
|
|
Lopinavir
(Archary 2018)
|
One-compartment first-order-absorption population PK model for oral
lopinavir/ritonavir in severely malnourished HIV-infected children, with
FFM allometric scaling and a linear total-cholesterol effect on apparent
clearance (Archary 2018).
|
|
Lopinavir
(Crommentuyn 2005)
|
One-compartment first-order-absorption population PK model for oral
lopinavir co-administered with ritonavir in 122 HIV-1-infected adults on
BID lopinavir/ritonavir 400-666/100-166 mg. Apparent oral clearance CL/F
follows an inverse-saturable function of per-subject ritonavir AUC over
the 12 h dosing interval (CONMED_RTV_AUC_12h, mg*h/L, computed from the
upstream Kappelhoff 2005 ritonavir popPK model) plus a pooled +39% NNRTI
co-medication factor (efavirenz or nevirapine, encoded as the
CONMED_NNRTI class indicator). IIV is estimated on ka, CL/F, and V/F as
a full 3x3 correlated block; residual error is combined additive plus
proportional. The reported IOV on relative bioavailability F (17.5% CV)
is NOT encoded structurally (Brooks 2021 precedent); downstream users
who want IOV can add an OCC covariate and a per-occasion eta in rxode2
(Crommentuyn 2005).
|
|
Lopinavir
(Jullien 2006)
|
One-compartment population PK model for oral lopinavir (boosted with
ritonavir) in HIV-infected children from birth to 18 years, with the
absorption and elimination rate constants constrained to a single shared
rate constant k = CL/F divided by V/F (Jullien 2006, simplified
parameterisation per Wahlby 2002). Body weight is allometrically scaled
on CL/F and V/F (reference 27 kg), nevirapine coadministration increases
CL/F by 34%, and male sex increases CL/F by 39% in children older than
12 years.
|
|
Lopinavir
(Schipani 2012)
|
Population PK model for boosted lopinavir (lopinavir/ritonavir 400/100
mg) in HIV-infected adults from the Liverpool Therapeutic Drug
Monitoring Registry. One-compartment with first-order absorption;
apparent clearance is modified additively by body weight (deviation from
median 72 kg) and by SLCO1B1 521T>C (rs4149056) genotype, encoded via
the paired SLCO1B1_HAP15_HET / SLCO1B1_HAP15_HOM indicators (the source
paper genotyped only 521T>C so 5- and 15-haplotype carriers
are pooled, per the canonical’s documented pooling rule).
|
|
Lopinavir
placental (Fauchet 2015)
|
One-compartment first-order-absorption population PK model for total
lopinavir in HIV-infected pregnant and nonpregnant women with a
maternal-to-fetal effect-compartment placental-transfer chain and a
downstream fetal-to-amniotic-fluid distribution-and-elimination chain; a
39% pregnancy effect is applied multiplicatively to apparent maternal CL
(Fauchet 2015 MFLA submodel).
|
|
Lopinavir
ritonavir (Zhang 2012)
|
Simultaneous integrated population pharmacokinetic model of oral
lopinavir (LPV, parent) and ritonavir (RTV, sibling-drug suffix _rtv) in
21 HIV-infected South African adults with and without concomitant
antitubercular rifampicin (Zhang 2012). Structure: LPV one-compartment
with first-order absorption (ka 0.991 1/h) and LPV CL/F dynamically
inhibited by RTV plasma concentration via a sigmoid Imax (Imax = 0.953,
IC50 = 0.0351 mg/L); RTV two-compartment with a Savic transit-
compartment absorption chain (NN = 2.03, MTT = 1.44 h) feeding RTV depot
at rate ktr = (NN+1)/MTT and absorbed to RTV central at ka_rtv = 3.28
1/h. Allometric scaling fixed at the Holford / Anderson literature
values: fat-free mass (Janmahasatian) drives CL/F (exponent 0.75) and
total body weight drives Vc/F and Vp/F (exponent 1.0). Rifampicin
(CONMED_RIF) increases LPV CL/F by 71.0% and RTV CL/F by 36.0%, reduces
LPV F by 20.0% and RTV F by 45.0% (at the 100 mg reference RTV dose),
and the RTV F when on rifampicin scales upward with RTV dose at 8.1% per
10 mg above the 100 mg reference (saturation of first-pass metabolism /
P-gp self-inhibition; identifiable only within the RIF-coadministered
arm of the source study). Diurnal variation is encoded via the
simulation convention t = clock-hours- from-midnight: doses given during
the overnight window (clock 20:00 to 08:00) carry +42.0% (LPV) and
+45.0% (RTV) relative bioavailability vs morning doses, and oral CL/F of
both drugs is reduced by 32.7% overnight.
|
|
Lopinavir
ritonavir (Zhang 2013)
|
Integrated population PK model for lopinavir (1-compartment, first-order
absorption) and ritonavir (2-compartment, transit-chain absorption with
N=2 transit compartments) co-administered to HIV-infected adults (n=21)
and children (n=74; 35 of whom received rifampicin-based antitubercular
treatment). Ritonavir plasma concentration inhibits lopinavir apparent
clearance via a sigmoidal Emax DDI (Emax=0.82, EC50=0.098 mg/L,
Hill=2.8). Rifampicin coadministration increases apparent clearance and
reduces relative bioavailability of both drugs, with separate magnitudes
for adults vs children. Ritonavir dose (mg/kg) drives a linear increase
in relative bioavailability of both drugs; lopinavir-on-adults is the
only dose-effect cell not supported by the data. Diurnal variation is
encoded as a step function with overnight reduction in apparent
clearance (adults 51%, children 27%) and increased bioavailability at
the evening lopinavir dose for adults (+19%). Allometric scaling on
apparent CL/Q (exponent 0.75) and apparent V/Vp (exponent 1) with
reference body weight 65 kg (Zhang 2013).
|
|
Lopinavir
ritonavir pedi (Zhang 2012)
|
Integrated one-compartment popPK model for oral lopinavir (LPV) and
ritonavir (RTV) in 74 HIV-infected children (6 months to 4.5 years)
treated with LPV/r oral solution with or without concomitant
rifampicin-based antitubercular treatment (Zhang 2012). LPV uses a
one-compartment model with first-order absorption; RTV uses a one-
compartment model with a Savic-style 10-transit-compartment absorption
chain followed by a separate first-order absorption step from the last
transit to central. Apparent CL/F and V/F are allometrically scaled to
the cohort median 10 kg with fixed exponents 0.75 / 1. The dynamic
LPV-RTV interaction is encoded as direct sigmoid-Emax inhibition of LPV
apparent clearance by RTV plasma concentration (Emax = 0.9 fixed, EC50 =
0.0519 mg/L). Lopinavir bioavailability is modulated by concomitant
rifampicin-based antitubercular treatment (-83.2% at the
no-extra-ritonavir reference) and by the concomitant ritonavir dose in
mg/kg (+2.1% per mg/kg above the 3 mg/kg reference). Ritonavir apparent
clearance is +50% in subjects on rifampicin-based antitubercular
treatment. Both drugs share random effects modelled as log-normal
between- subject variability with selected inter-occasion variabilities
folded in as BSV-equivalent (see vignette Assumptions and deviations).
Residual error is proportional on the linear scale (implemented via
NONMEM exponential error on log-transformed data).
|
|
Lopinavir
unbound (Fauchet 2015)
|
One-compartment first-order-absorption population PK model for lopinavir
in HIV-infected pregnant and nonpregnant women parameterised on the
unbound fraction, with total LPV reconstructed from a linear HSA binding
term plus a saturable single-site AAG binding term (Fauchet 2015 unbound
submodel).
|
|
LorenzosOil
(Ahmed 2016)
|
Population pharmacodynamic model of Lorenzo’s oil effect on plasma C26:0
in asymptomatic boys with X-linked adrenoleukodystrophy: inhibitory
fractional Emax model relating observed plasma erucic acid concentration
to plasma C26:0. The paper does not develop a PK model for erucic acid;
observed erucic acid plasma concentration is supplied as a time-varying
covariate.
|
|
Lumefantrine
(Hietala 2010)
|
Population PK model for oral lumefantrine (LUM) in 50 Tanzanian children
(ages 1-10 years, weights 8-30 kg) with uncomplicated Plasmodium
falciparum malaria treated with the standard six-dose weight-based
Coartem (artemether 20 mg + lumefantrine 120 mg per tablet) regimen at
0, 8, 24, 36, 48, and 60 hours (Hietala 2010). One-compartment
disposition with first-order absorption preceded by an absorption lag
time. The paper tested co-administration with full-fat (3.4%) cow’s milk
as a categorical covariate on the PK parameters of LUM; the effect did
not improve the model fit and is not encoded here (Discussion: ‘the
resulting number of doses actually administered with an adequate amount
of milk may have been too small to allow the detection of a
difference’). All PK parameters are reported per kg body weight (linear
weight normalisation applied inside model()).
|
|
Lumefantrine
(Hoglund 2015)
|
Joint parent-metabolite population PK model for oral lumefantrine and
its major oxidative metabolite desbutyl-lumefantrine in 89 HIV-infected
Ugandan adults receiving artemether-lumefantrine (Coartem) with or
without concomitant antiretroviral therapy (efavirenz, nevirapine, or
lopinavir/ritonavir) (Hoglund 2015). 1-transit-compartment absorption
with ka = ktr feeds a 2-compartment lumefantrine disposition; complete
in-vivo conversion of lumefantrine to a 1-compartment
desbutyl-lumefantrine disposition with stoichiometric molar conversion.
Relative bioavailability F is anchored at 1 (fixed) with log-normal IIV
(47.4 % CV). Three antiretroviral drug-drug interactions are encoded as
linear-deviation effects on parent clearance and on bioavailability:
efavirenz increases LF CL/F by 72.6 %, lopinavir/ritonavir decreases LF
CL/F by 62.1 % and increases desbutyl-lumefantrine CL/F by 392 %,
nevirapine decreases relative bioavailability by 24.8 %. IIV is retained
on LF CL, the mean transit time, and the relative bioavailability F.
NONMEM additive residual error on log-transformed concentrations is
encoded as a proportional residual in linear concentration space for
both parent and metabolite.
|
|
Lumefantrine
(Kay 2020)
|
Two-compartment population PK model for oral lumefantrine in 277 HIV-
infected and HIV-uninfected Ugandan children (3 months to ~10 years)
with uncomplicated malaria receiving artemether-lumefantrine alone or
with concomitant ART (efavirenz, lopinavir/ritonavir, or nevirapine)
(Kay 2020, ASTMH poster 2167). First-order absorption (depot ->
central) feeds a 2-compartment lumefantrine disposition (central +
peripheral1). Body-weight allometric scaling enters on all clearance and
volume terms with a fixed volume exponent of 1 and a piecewise
age-dependent clearance exponent (0.75 for age >60 mo, 0.9 for
>24-60 mo, 1.0 for >3-24 mo, 1.2 for <=3 mo). Age also enters
as a covariate on relative bioavailability F (younger children have
reduced F). Three ART drug-drug interactions are encoded as linear-
deviation effects on apparent oral clearance CL/F and on first-order
absorption KA: efavirenz, lopinavir/ritonavir, and nevirapine. Diagonal
IIV is retained on CL/F, V2/F, Q/F, V3/F, and KA. The NONMEM
additive-on-log-scale residual is encoded as a proportional residual in
linear concentration space (consistent with the related Hoglund 2015
Ugandan-adult lumefantrine model).
|
|
Lumefantrine
(Kay 2022)
|
Population PK model for oral lumefantrine in 277 Ugandan children (186
HIV-uninfected, 178 HIV-infected on efavirenz-, nevirapine-, or
lopinavir/ritonavir-based antiretroviral therapy plus daily
trimethoprim-sulfamethoxazole prophylaxis) ages ~2 months to 8.6 years
treated with six-dose weight-based Coartem Dispersible (20 mg artemether
+ 120 mg lumefantrine per tablet) for uncomplicated Plasmodium
falciparum malaria (Kay 2022). Two-compartment disposition with
first-order absorption. Body-weight fixed effects scale all clearance
and volume terms with a reference weight of 15 kg; volumes use an
allometric exponent of 1, clearances use an age-dependent exponent (1.2
for age <= 3 months, 1.0 for >3 to 24 months, 0.9 for >24 to 60
months, 0.75 for >60 months) from Anderson & Holford 2009 (paper
ref 34). A power-form age effect on relative bioavailability captures
reduced lumefantrine bioavailability in young children (F = (age_months
/ 50)^0.204). Concomitant antiretroviral therapy enters as
mutually-exclusive linear-deviation effects on apparent oral CL/F and
ka: efavirenz increases CL/F by 98.2% and ka by 48.4%,
lopinavir/ritonavir decreases CL/F by 51.4% and ka by 21.2%, nevirapine
has no statistically significant effect (both CIs cross zero). Q/F IIV
is fixed at 15.9% CV; the remaining four structural parameters carry
estimated log-normal IIV (104%, 112%, 127%, and 16.9% CV for CL/F, V2/F,
V3/F, and ka respectively). NONMEM proportional residual error on linear
concentration (sigma^2 = 0.200, 44.7% CV).
|
|
Lumefantrine
(Kloprogge 2013)
|
Population PK model for oral lumefantrine in pregnant and non-pregnant
women with uncomplicated Plasmodium falciparum malaria in Uganda after
the standard fixed-dose oral artemether-lumefantrine treatment
(Kloprogge 2013). Flexible five-compartment transit absorption chain
into a two-compartment disposition model with relative bioavailability
F1 fixed at 1, log-normal IIV on CL / Vp / MTT / F, and covariate
effects of pregnancy on intercompartmental clearance (-36.5%,
categorical) and body temperature on mean absorption transit time
(+16.5% per degC over 36.0-39.8 degC, linear-deviation centered at the
cohort median 36.9 degC).
|
|
Lumefantrine
(Kloprogge 2015)
|
Simultaneous parent + active-metabolite (desbutyl-lumefantrine, DLF)
population PK model for oral lumefantrine in 116 pregnant women (second
or third trimester) with uncomplicated Plasmodium falciparum malaria on
the Thailand-Myanmar border treated with the standard fixed-dose
artemether-lumefantrine regimen (Kloprogge 2015). First-order absorption
with lag time into a two-compartment LF disposition with relative
bioavailability F fixed at 1 and Box-Cox-transformed IIV on F (Box-Cox
shape -0.394 not encoded – see Errata); DLF is formed mole-for-mole from
LF central elimination (linear drug-metabolite chain, fraction
metabolised assumed = 1) and disposes through its own two- compartment
chain with apparent CL/F = 197 L/h and Vc/F = 6,490 L. Retained
covariates: estimated gestational age (power on LF ka, linear-deviation
on LF Q/F, both centered on the cohort median 22.8 weeks) and admission
parasitaemia (log10-exponential on DLF CL/F, centered on cohort median
log10(3,260) = 3.513). Venous-only residual error encoded;
capillary-residual variance components and capillary conversion factors
(LF 0.878, DLF 0.464) NOT encoded – see Errata. Time-to-event PD layer
(Gompertz hazard with E_max LF effect on recrudescent malaria, Table 4)
NOT encoded – see Errata. Parameter values from Kloprogge 2015 Table 2.
|
|
Lumefantrine
(Kloprogge 2018)
|
Population PK model for oral lumefantrine in 1,347 patients (children,
non-pregnant adults, and second-/third-trimester pregnant women) from 26
studies in 12 African, Oceanian, and Southeast Asian countries with
uncomplicated Plasmodium falciparum malaria treated with the standard
fixed-dose artemether-lumefantrine regimen (Kloprogge 2018 PLOS
Medicine). Two-compartment disposition with first-order absorption; F
fixed at 1 with log-normal IIV (Box-Cox shape -0.343 on the F IIV
departure from log-normal not reproduced here – see Errata); allometric
scaling of CL/F and Q/F (power 3/4) and of Vc/F and Vp/F (power 1) on
body weight centered at the model-building median 42 kg; dose-saturable
absorption on F with Dose50 = 3.86 mg/kg; exponential effect of log10
admission parasitaemia on F centered at log10(15,800/uL) = 4.2
(coefficient -0.643 per log10 unit); proportional pregnancy effect on ka
(+35.2% in second and third trimester). IIV on Vc/F (CV 144%) and F (CV
70.3%); additive log-scale residual SD 0.323.
|
|
Lumefantrine
(Mosha 2014)
|
Population PK model for oral lumefantrine in 33 pregnant (2nd or 3rd
trimester) and 22 non-pregnant women with uncomplicated Plasmodium
falciparum malaria in Rufiji, Tanzania after standard fixed-dose
artemether-lumefantrine (Mosha 2014). One-compartment disposition with
first-order absorption and ka fixed at 0.54 1/h. Relative
bioavailability F1 is fixed at 1 (structural anchor) with a categorical
pregnancy effect of -33% on F1 (linear-deviation form) and log-normal
IIV around the typical F1 (65% CV). The published model used a logit
transformation on individual F1 to constrain individuals to (0, 1); this
encoding uses log-normal IIV on F (matching the established Kloprogge
2013 / 2018 lumefantrine precedents in nlmixr2lib). Structural CL and Vc
do not carry IIV in the final model; the F1 IIV absorbs the joint CL/Vc
variability via the AUC = D x F / CL relationship. The
desbutyl-lumefantrine (DLF) metabolite arm of the published joint model
is not encoded; see the validation vignette for the rationale.
|
|
Lumefantrine
(Simpson 2013)
|
In vitro (P. falciparum). Sigmoid Emax inhibition model of lumefantrine
effect on hypoxanthine uptake by clinical Plasmodium falciparum isolates
from the Thai-Myanmar border (Shoklo Malaria Research Unit, 1993-2005),
with pfmdr1 genotype covariate effects on EC50. The ‘subject’ in the
NLME framework is a parasite isolate (n=324 isolates with lumefantrine
data). STIM_LUMEFANTRINE_NM is the per-well drug concentration in the in
vitro hypoxanthine-uptake-inhibition assay; the model has no PK and no
time evolution. E0 and Emax are fixed per Simpson 2013 Table 3 footnote.
|
|
Lumiracoxib
rat (VasquezBahena 2009)
|
Preclinical (rat). Two-compartment population PK plus indirect-response
PK/PD model for the antinociceptive effect of oral lumiracoxib in
carrageenan-induced thermal hyperalgesia in female Wistar rats
(Vasquez-Bahena 2009). PK: first-order absorption with lag time and
dose-dependent relative bioavailability. PD: time-variant (gamma
function) carrageenan-induced COX-2 synthesis with first-order COX-2
degradation; lumiracoxib reversibly inactivates COX-2 via a competitive
binding model (COX-2_act = KD * COX-2 / (KD + Cp)). The level of
inflammatory mediators (MED) equals the active COX-2 amount and drives
the paw withdrawal latency response LT = LT0 / (1 + MED).
|
|
Lumiracoxib
rat (VelezdeMendizabal 2012)
|
Preclinical (rat). Semi-mechanistic PD model of the formalin-induced
antinociceptive response to lumiracoxib in adult female Wistar rats
(Velez de Mendizabal 2012). No PK measurements were made: lumiracoxib
was tracked through two virtual compartments – intraplantar local
(lumxLocal) and intrathecal central (lumxCns) – each decaying
monoexponentially at first-order rates K_D_Local and K_D_CNS from a
bolus equal to the administered dose (10, 30, 100, or 300 ug per route).
The biphasic formalin-induced nociceptive response (flinch count per
1-min window) is modeled as the sum of an early phase PN1, a
monoexponential decay from an initial pain load PN1_0 with rate K_PN1
(insensitive to lumiracoxib), and a delayed phase PN2 built from
upregulated COX-2 in the local and CNS compartments. Both COX-2 species
are taken proportional to a pain-mediator signal MED whose time course
is the analytical Erlang-transit kernel of Savic 2007 (MED0 = 1; chain
length NC = 6.5; transit rate K_TR = 0.233 min^-1), and the
proportionality constants theta_COX2_L / theta_COX2_CNS scale MED to
flinch units in the local and CNS arms respectively. Lumiracoxib
inhibits upregulated COX-2 in each arm via E = 1 / (1 + LUMX) with an
implicit IC50 of one dose unit (an IC50 parameter was tested and found
not significant). Model is the second-pass selection (Table I of Velez
de Mendizabal 2012); the IC50, delayed-COX-2, and Emax variants were
rejected during model development.
|
|
Luspatercept
(Chen 2020)
|
One-compartment population PK model for luspatercept (activin receptor
type IIB / IgG1 Fc-fusion) in adults with anemia due to myelodysplastic
syndromes (Chen 2020), with first-order subcutaneous absorption,
first-order linear elimination parameterised in CL/F and V1/F, body
weight + age + baseline albumin power covariates on CL/F, and body
weight + baseline albumin power covariates on V1/F.
|
|
M3g
rat (Xie 2000)
|
Preclinical (rat, male Sprague-Dawley). Blood-brain barrier (BBB)
distributional model for morphine-3-glucuronide (M3G) in rat as
published by Xie et al. (2000, Br J Pharmacol): a one-compartment plasma
PK driven by an unbound systemic clearance CL_u = 3.8 mL/min from the
paper’s Model A, coupled to a two-compartment brain model (brain 1 =
sampled brain extracellular fluid via striatal microdialysis, brain 2 =
deeper redistribution compartment) with asymmetric BBB exchange
(separate unbound influx CL_u,in and efflux CL_u,out across the BBB) and
a symmetric intercompartmental clearance Q_br between the two brain
compartments. The model captures a probenecid-sensitive organic-anion
transport contribution to BBB influx: CL_u,in is 1.55-fold higher under
co-administered probenecid (CONMED_PROBENECID = 1) while CL_u,out, Q_br,
and the two brain volumes are unchanged.
|
|
Mab
mpbpk human (Muliaditan 2025)
|
Human-scaled. Translational minimal physiologically based
pharmacokinetic (mPBPK) model for transferrin-receptor (TfR) mediated
brain delivery of monoclonal antibodies, projected forward from the
cynomolgus monkey fit Muliaditan_2025_mab_mpbpk_nhp by replacing the
Bloomingdale 2017 NHP physiology with the human physiology (Muliaditan
2025 Supplementary Table S1, human column), allometrically scaling the
bsAb-TfR internalization rate kint by (70/6.2)^(-0.25) = 0.546 (paper
Methods: standard rate-constant exponent -0.25), and recalibrating the
luminal BCSFB unbound TfR baseline uTFR0_BCSFB to be 3-fold higher than
the NHP estimate (0.256 -> 0.768 nM) per the paper Results. The other
TfR- related parameters (TfRpt, uTFR0_BBB, FACQ_BECF, TfRtotn, ktrans,
kdeg_uTfR_BBB, kdeg_uTfR_BCSFB, FACBR) are assumed identical to the NHP
estimates per paper Methods. Per-compound TfR binding parameters (kon_T,
koff_T) MUST be set per simulated antibody from biophysical measurements
(paper Table S2); the default ini() encodes kon_T = 0 (non-TfR control
IgG). For trontinemab in human, the paper reports KD,TfR = 131 nM
(versus 249 nM in NHP) with kon_T = 1.0548 nM^-1 h^-1 and koff_T =
138.24 h^-1 (Table S2, Grimm 2023 column for human). Clinical validation
in the paper was against single ascending doses 0.1-7.2 mg/kg IV
trontinemab in healthy human subjects (NCT04023994; Grimm 2023).
|
|
Mab
mpbpk nhp (Muliaditan 2025)
|
Preclinical (cynomolgus monkey). Translational minimal physiologically
based pharmacokinetic (mPBPK) model for transferrin-receptor (TfR)
mediated brain delivery of monoclonal antibodies in non-human primates.
26-compartment NONMEM ADVAN8 structure combining the Bloomingdale 2017
mAb mPBPK framework (plasma, tissue vascular / endosomal / interstitial
/ FcRn, brain vascular, BBB endosomal (unbound + FcRn-bound), brain ISF,
BCSFB endosomal (unbound + FcRn-bound), CSF, lymph, with FcRn recycling)
and the Chang 2022 whole-body-plasma + brain-vascular + ISF + neuronal
TfR binding with empirical TMDD-style elimination of the bsAb-TfR
complex (kint). Two TfR binding sites on the brain barriers (luminal
BBB, luminal BCSFB) transcytose bound complex into the abluminal side
(brain ISF and CSF respectively), where it may dissociate or be
degraded. Parameters were fit to 395 plasma, 81 CSF, and 102 brain mean
concentrations digitised from eight literature studies in cynomolgus
monkey (7 non-TfR mAbs + 10 anti-TfR bsAbs with KD,TfR 36-1900 nM). The
kint mixture (POP1 fast 0.0329 h^-1 fraction 0.437; POP2 slow 0.0125
h^-1) is selected per subject via the MIX_FAST_ELIM covariate (1 = POP1,
0 = POP2). Per-compound TfR binding parameters (kon_T, koff_T) are NOT
estimated population values - they are set per simulated antibody from
biophysical measurements (paper Table S2); the default ini() encodes
kon_T = 0 (non-TfR control IgG). Plasma observation is TOTAL drug (free
+ TfR-bound complex), CSF observation is unbound CBCSF, brain
observation is whole-brain homogenate (simplified volume-weighted
average across BBB + ISF + BCSFB endosomal spaces, scaled by the
estimated FACBR correction factor 0.05). No inter-individual variability
was estimated (dataset was mean digitised profiles).
|
|
Magnesium
sulfate (Easterling 2018)
|
One-compartment population PK model of magnesium sulfate (MgSO4-7H2O)
with intravenous administration and an endogenous baseline magnesium
term added to the administered drug, in pregnant women with severe
preeclampsia comparing continuous IV infusion vs serial IV bolus dosing
(Easterling 2018).
|
|
MagnesiumSulfate
(Salinger 2013)
|
One-compartment population PK model of magnesium sulphate (MgSO4-7H2O)
with first-order intramuscular absorption, IV dosing into the central
compartment, and an endogenous baseline magnesium term added to the
administered drug, in pregnant women with pre-eclampsia (Salinger 2013).
|
|
Maraviroc
(Chan 2008)
|
Two-compartment population PK meta-analysis model for oral maraviroc
(CCR5 antagonist) in healthy volunteers and asymptomatic HIV-infected
adults, with hepatic-extraction-ratio parameterisation of clearance,
dose-dependent absorption (sigmoid-Emax F_ABS and power-function ka),
food effect on both, Asian-race covariates on hepatic extraction /
peripheral volume / inter-compartmental clearance, an age effect on Q,
and a TAD-dependent residual error (Chan 2008)
|
|
Maraviroc
(Davis 2008)
|
Concentration-QT mixed-effects regression model relating single-dose
oral maraviroc plasma concentrations to individual heart-rate-corrected
QT intervals in healthy adult male and female volunteers (Davis 2008).
No structural pharmacokinetic component is fit: the model is the
one-stage NONMEM mixed-effects regression of observed QT on observed RR
interval and observed maraviroc plasma concentration (Cp), with a
fractional female-sex multiplier on the population QT intercept, a
population QT/RR correction-factor exponent (Fridericia-style), and a
linear concentration-QT slope. The single-dose population slope estimate
(0.970 us mL/ng, 95% CI -0.571 to 2.48) was not significantly different
from zero across the studied concentration range up to 2363 ng/mL. For
simulation, supply observed or simulated maraviroc plasma concentration
as the time-varying covariate CP_MVC_NGML and the RR interval as RR.
Interoccasion variability on the QT intercept reported by the paper
(13.4 ms^2) is not encoded (Hong_2015_moxifloxacin precedent: nlmixr2lib
has no idiomatic IOV encoding for distributed models).
|
|
Maraviroc
(Rosario 2008)
|
Two-compartment population PK model with first-order absorption and lag
time for maraviroc (CCR5 antagonist) coupled with a direct Emax CCR5
receptor occupancy model in healthy adults and HIV-1-positive patients
(Rosario 2008). PK is parameterised with dose-dependent relative
bioavailability F1 and dose-dependent elimination rate constant K across
six dose groups (3, 10, 25, 100 (reference), 300 mg b.i.d. and 600 mg
q.d.); receptor occupancy on CD4 T cells is modelled as Occ = E0 + Emax
* Cp / (KD + Cp) with a background binding baseline.
|
|
Maraviroc
iv (Weatherley 2009)
|
Four-compartment IV maraviroc population PK in 20 healthy young adult
males receiving 3, 10, or 30 mg as a 1-hour IV infusion (Weatherley
& McFadyen 2009 Br J Clin Pharmacol). NONMEM ADVAN7 + FOCE-I fit to
log- transformed plasma concentrations from study A4001009 only.
Exponential inter-subject variability on CL, V1, V2, Q3 and V3;
proportional residual error (additive on the log scale). No dose effect
on clearance over the 3-30 mg range. This file extracts only the IV
disposition analysis (paper Analysis 1, Table 3); the paper’s two
companion analyses (sigmoid Emax NAUC meta-regression of oral phase 1
data, and the S-PLUS closed-form mass balance model) are not ODE PK
models and are described in the vignette but not implemented here.
|
|
Matuzumab
(Kuester 2008)
|
Two-compartment population PK model for matuzumab (humanised anti-EGFR
IgG1 monoclonal antibody) in adults with advanced carcinoma (Kuester
2008), with parallel first-order linear and Michaelis-Menten elimination
from the central compartment; body weight on linear CL and central
volume.
|
|
Mavrilimumab
(Stein 2018)
|
Two-compartment QSS TMDD typical-value fit for mavrilimumab (anti-GM-CSF
receptor mAb) used to illustrate the critical concentration (Ccrit) for
nonlinear PK (Stein and Peletier 2018 Table 1)
|
|
MBG453
(Xu 2023)
|
Two-compartment population PK model for sabatolimab (MBG453, anti-TIM-3
IgG4) with parallel linear and Michaelis-Menten elimination from the
central compartment, fit to pooled adult patients with advanced solid
tumors and hematologic malignancies (Xu 2023).
|
|
MEDI528
(Cao 2013)
|
Second-generation minimal physiologically-based PK (mPBPK) model for
MEDI-528 in adults (Cao 2013 Model A; clearance from plasma)
|
|
Medi7836
(Hood 2021)
|
Population PK-PD binding model for MEDI7836 (anti-IL13 IgG1 lambda-YTE
mAb) in healthy adult males (Hood 2021): two-compartment SC PK with
first-order absorption, ADA-on-CL covariate, plus IL13 turnover, fixed
Kon/Koff binding to MEDI7836:IL13 complex, complex distribution sharing
CL/Q/V3 with parent drug, and a serum PD observation modelled as the
molar sum of free IL13 and a small fraction of complex.
|
|
Mefloquine
(Hoglund 2018)
|
Population PK model for oral mefloquine in Burmese adults with
uncomplicated Plasmodium falciparum malaria treated with the standard
3-day artesunate-mefloquine combination (Hoglund 2018).
One-transit-compartment absorption with ka = ktr feeds a two-compartment
disposition model. No covariates were retained in the final model:
body-weight allometric scaling (fixed exponents 0.75 / 1.0), sex,
admission parasitaemia, and validated molecular markers of mefloquine
and artemisinin resistance (pfmdr1, pfcrt, atp6, pfk13) were tested in a
step-wise covariate search but did not significantly improve the model.
Relative bioavailability F is implicitly 1 (the paper tested adding an
estimated F with IIV and excluded it from the final model). NONMEM
additive residual error on the log-transformed observation is encoded
here as a proportional residual in the linear concentration space.
|
|
Mefloquine
(Ramharter 2019)
|
Population PK model for the two mefloquine enantiomers and their
carboxy-metabolite carboxymefloquine (CMQ) in pregnant African women
receiving intermittent preventive treatment for malaria (Ramharter 2019,
MIPPAD trial, Gabon). Each parent enantiomer ((+)-mefloquine = ’_r’ =
(11R, 2’S); (-)-mefloquine = ’_s’ = (11S, 2’R)) follows a
two-compartment disposition with first-order oral absorption.
Carboxymefloquine (’_cmq’) is formed molar 1:1 from both parents via the
apparent parent clearance and follows a two-compartment disposition; its
first-order clearance is autoinduced by CMQ plasma concentration via a
two-stage RNA + enzyme-pool turnover model (precursor1 = enzymatic-RNA
precursor pool, precursor2 = metabolizing enzyme pool; both kdeg-driven,
both at unit steady state in the absence of CMQ; CMQ clearance scales
linearly with precursor2). A shared body-weight allometric exponent acts
on the central volume of each parent enantiomer (reference 55 kg). The
split-dose IPTp regimen (REGIMEN_SPLIT = 1: 7.5 mg/kg on two consecutive
days) carries a small (+5%) bioavailability increment relative to the
single-dose regimen (REGIMEN_SPLIT = 0: 15 mg/kg on day 1).
|
|
Mefloquine
(Simpson 2013)
|
In vitro (P. falciparum). Sigmoid Emax inhibition model of mefloquine
effect on hypoxanthine uptake by clinical Plasmodium falciparum isolates
from the Thai-Myanmar border (Shoklo Malaria Research Unit, 1993-2005),
with pfmdr1 genotype covariate effects on EC50. The ‘subject’ in the
NLME framework is a parasite isolate (n=460 isolates with mefloquine
data). STIM_MEFLOQUINE_NM is the per-well drug concentration in the in
vitro hypoxanthine-uptake-inhibition assay; the model has no PK and no
time evolution. E0 and Emax are fixed per Simpson 2013 Table 3 footnote.
|
|
Melphalan
(Nath 2007)
|
Two-compartment IV population PK model for melphalan in paediatric blood
or marrow transplant recipients (Nath 2007). Structural CL is a linear
additive function of body weight, prior-carboplatin therapy, and
99mTc-DTPA-tracer-measured GFR; central volume Vc is a linear additive
function of body weight; intercompartmental rate constants k12 and k21
are estimated directly (not as Q/Vc and Q/Vp).
|
|
Melphalan
total (Nath 2010)
|
Two-compartment IV-infusion population PK model for total plasma
melphalan in adults with multiple myeloma undergoing high-dose therapy
and autologous stem-cell transplant (Nath 2010); additive non-renal +
renal CL with hematocrit, fat-free mass, and creatinine-clearance
covariates.
|
|
Melphalan
unbound (Nath 2010)
|
Two-compartment IV-infusion population PK model for unbound
(ultrafiltrate) plasma melphalan in adults with multiple myeloma
undergoing high-dose therapy and autologous stem-cell transplant (Nath
2010); additive non-renal + renal CL with hematocrit, fat-free mass, and
creatinine-clearance covariates.
|
|
Mepolizumab
(Cao 2013)
|
Second-generation minimal physiologically-based PK (mPBPK) model for
mepolizumab in adults (Cao 2013 Model A; clearance from plasma)
|
|
Mercaptopurine
(Hawwa 2008)
|
Population PK / pharmacogenetic model for oral 6-mercaptopurine (6-MP)
and its two active intracellular metabolites 6-thioguanine nucleotides
(6-TGNs) and 6-methylmercaptopurine nucleotides (6-mMPNs) measured in
erythrocytes (RBCs) of 19 paediatric patients (n = 75 samples; 150
concentrations) with acute lymphoblastic leukaemia receiving maintenance
chemotherapy at a target oral dose of 75 mg/m^2/day. The structural
model is a one-compartment first-order absorption + first- order
elimination model for 6-MP whose plasma concentration is NOT observed;
transformation of bioavailable 6-MP into the two RBC metabolites occurs
at a common metabolic rate constant kme = 0.78 * k20 (78% of total 6-MP
elimination), with the fractional split between metabolites governed by
FM3 (the fractional metabolic transformation of 6-MP into 6-TGNs; the
complementary fraction 1 - FM3 goes to 6-mMPNs). The fixed structural
anchors ka = 1.3 1/h, F = 0.22, k20 = 0.53 1/h, and the kme : k20 ratio
of 0.78 are taken from the prior 6-MP literature (Hawwa 2008 cites Zimm
1983 and Lennard 1990; values listed in Methods page 4 of the British
Journal of Clinical Pharmacology article). The apparent distribution
volume of 6-MP central and of each metabolite compartment is not
identifiable from the RBC sampling design and is fixed to 1 L by the
ADVAN6 implementation convention used by Hawwa 2008 (analogous to Urien
2005 capecitabine; see vignette Errata for the dimensional-analysis
discussion). The only estimated structural parameters are FM3, CL_6TGNs,
and CL_6mMPNs; the only retained covariates are TPMT genotype (any
TPMT3 mutation, pooled binary) on FM3 (theta = 2.56) and body
surface area (m^2) on the apparent clearance of 6-TGNs as a power-law
(theta = 1.16, anchored to BSA = 1 m^2). IIV is estimated only on the
two metabolite clearances; no IIV on FM3 was estimable.
|
|
Meropenem
(Bergen 2017)
|
In vitro (hollow-fiber infection model). Mechanism-based PK/PD
(life-cycle growth) model of meropenem bacterial killing and resistance
against Pseudomonas aeruginosa 1280 (meropenem MIC 0.25 mg/L) across
simulated critically ill patient renal-function profiles (augmented
renal clearance, normal, and impaired). The bacterial population is
split into three pre-existing subpopulations of decreasing meropenem
susceptibility (susceptible, intermediate, resistant), each described by
two states (state 1 preparing for replication, state 2 immediately
before replication; six bacterial compartments total). Meropenem acts
via inhibition of successful bacterial replication (a Hill-type Inh_Rep
function per subpopulation; no direct killing term). The intermediate
and resistant subpopulations have higher IC50_Rep and steeper or
shallower Hill coefficients than the susceptible subpopulation; the
susceptible subpopulation has Imax_Rep and Hill fixed to 1. Meropenem
disposition in the HFIM is a fixed-half-life first-order decline
parameterised from the upstream popPK model (Mattioli 2016, reference 20
in the source paper); the default half-life is 1.1 h (normal renal
function); 0.6 h (augmented renal clearance) and 4.0 h (impaired renal
function) are obtained by overriding thalf_mem at simulation time. No
patient covariates and no random effects: this is the typical-value MBM
fit (Bergen 2017 Table 3) to the simultaneous P. aeruginosa 1280 HFIM
data across the three renal-function scenarios and four dosing regimens
(2, 1, or 0.5 g q8h plus 1 g q12h for impaired).
|
|
Meropenem
(Germovsek 2018)
|
One-compartment plasma + CSF (two-state) IV population PK model for
meropenem in neonates and young infants (<=90 days) with late-onset
sepsis and/or meningitis (Germovsek 2018; NeoMero-1 and NeoMero-2
studies). Plasma CL and Vc are allometrically scaled to body weight
(fixed exponent 0.632 on CL, 1.0 on Vc) with a fixed Rhodin-style
postmenstrual-age maturation Hill function on CL and a power covariate
of (CREAT_REF / CREAT) on CL; an additional CSF compartment with fixed
Vcsf = 0.15 L/70 kg and estimated inter-compartmental clearance CL_CSF
carries a logit-scale CSF penetration fraction (typical 8.4 %) modulated
by CSF total protein concentration.
|
|
Meropenem
(Hanberg 2018)
|
Two-compartment IV population PK model for meropenem in critically ill
adults receiving venovenous or venoarterial extracorporeal membrane
oxygenation (ECMO) treatment, with simultaneous fitting of plasma
concentrations (central compartment Ac/Vc) and free subcutaneous
adipose-tissue (SCT) concentrations sampled by microdialysis (peripheral
compartment Ap/Vp scaled by an estimated fraction unbound in tissue
f_u,tissue = 0.79). Elimination clearance is a direct linear function of
the patient’s estimated creatinine clearance (eCLCr, Cockcroft-Gault,
raw mL/min) via CL_i = CLfrac * eCLCr_i with CLfrac = 0.0460 L/h per
(mL/min); 9 of 10 patients were also on continuous renal replacement
therapy so eCLCr partly reflects the CRRT contribution (Hanberg 2018).
|
|
Meropenem
(Padari 2012)
|
One-compartment IV population PK model for meropenem in
very-low-birth-weight neonates (gestational age <=32 weeks, birth
weight <1,500 g; n=19; Padari 2012). Vss scales linearly with current
body weight; CL follows the Rhodin (2009) fixed renal-maturation
function (allometric exponent 0.75 on CL, Hill-type postmenstrual-age
maturation with TM50 = 47.7 weeks and Hill = 3.4); serum creatinine,
postnatal age, and gestational age were screened and did not improve fit
and are not retained.
|
|
Meropenem
(Shekar 2014)
|
Two-compartment IV population PK model for meropenem in critically ill
adult patients on extracorporeal membrane oxygenation (ECMO) and
historical critically ill control patients with sepsis, with a piecewise
covariate on clearance that switches between a fixed RRT-cohort CL and a
Cockcroft-Gault-CrCL-driven non-RRT CL (Shekar 2014)
|
|
Meropenem
(Ulldemolins 2015)
|
One-compartment IV population PK model for meropenem in 30 critically
ill adults with septic shock and continuous renal replacement therapy
(Ulldemolins 2015). Clearance is the sum of a constant CRRT-mediated
baseline (3.68 L/h at zero residual diuresis) and an additive linear
contribution from 24-hour residual diuresis (0.22 L/h per 100 mL/24h);
central volume scales with body weight by power exponent 2.07 around the
population-median 73 kg. CRRT intensity, blood flow, filter type, and
serum albumin were tested but not retained.
|
|
Meropenem
(Wittau 2015)
|
Two-compartment intravenous population PK model for meropenem in
morbidly obese adults (Wittau 2015). Allometric scaling on fat-free mass
with a reference FFM of 53 kg. Unbound meropenem concentrations in
subcutaneous tissue and peritoneal fluid are described as the plasma
concentration multiplied by the site-to-plasma AUC ratios FSC and FPF
(the final model assumed very rapid equilibration with plasma, so SC and
PF are not carried as separate ODE states).
|
|
Meropenem
ciprofloxacin (Rees 2018)
|
In vitro (hollow-fiber infection model). Mechanism-based PK/PD
(life-cycle growth) model of bacterial killing and resistance for
meropenem plus ciprofloxacin against hypermutable Pseudomonas aeruginosa
CW44, with three pre-existing subpopulations and subpopulation plus
mechanistic synergy
|
|
Meropenem
tobramycin PAO1 (Landersdorfer 2018)
|
In vitro (Pseudomonas aeruginosa PAO1 wild-type). Mechanism-based PK/PD
(life-cycle growth) model of bacterial killing and resistance for
meropenem plus tobramycin, with three pre-existing subpopulations
(susceptible, MEM-resistant/TOB-intermediate,
MEM-intermediate/TOB-resistant) and mechanistic synergy via
tobramycin-induced outer-membrane permeabilisation of meropenem
|
|
Meropenem
tobramycin PAOmutS (Landersdorfer 2018)
|
In vitro (Pseudomonas aeruginosa PAOdelta-mutS hypermutable strain).
Mechanism-based PK/PD (life-cycle growth) model of bacterial killing and
resistance for meropenem plus tobramycin, with three pre-existing
subpopulations (susceptible, MEM-resistant/TOB-intermediate,
MEM-intermediate/TOB-resistant) and mechanistic synergy via
tobramycin-induced outer-membrane permeabilisation of meropenem
|
|
Metformin
(Chae 2012)
|
One-compartment population PK model with first-order absorption for oral
metformin in healthy Korean adults, coupled to a three-transit Sun-Jusko
signal-transduction PD model for the antihyperglycaemic effect (Chae
2012). Plasma drug concentration in the central compartment drives a
Hill-type stimulation function DR = Emax * Cp^r / (EC50^r + Cp^r) that
initiates a cascade of three secondary-messenger transit compartments
(M1 -> M2 -> M3) with shared mean transit time tau. The third
messenger M3 is the measured percent change in plasma glucose from
baseline relative to a sugar-bolus control arm. Creatinine clearance
enters CL/F as a power covariate with reference 106.5 mL/min and
exponent 0.782.
|
|
Metformin
(Choi 2018)
|
Two-compartment population PK model for oral metformin in 36 healthy
adult Korean men from a phase I single-dose 2-way crossover
bioequivalence study comparing a single-agent metformin tablet against a
metformin-containing fixed-dose combination (FDC) tablet (Choi 2018).
The absorption process is parallel mixed-input: fraction F1 of the dose
is absorbed first-order from the depot compartment (rate Ka), and
fraction (1-F1) is absorbed zero-order directly into the central
compartment over duration D2 with lag time ALAG2. Formulation enters as
a binary covariate (FORM_FDC) with multiplicative power-style effects on
Ka (Ka_FDC = 0.83 * Ka_single-agent) and on relative bioavailability F
(F_FDC = 0.94 * F_single-agent = 0.94). IIV on CL/F, Vc/F (correlated,
rho 0.225), and Ka; proportional residual error only.
|
|
Metformin
(vanRongen 2018)
|
One-compartment population PK model for oral metformin in 22 overweight
and obese Caucasian adolescents (van Rongen 2018). First-order
absorption into a single central compartment with apparent oral
clearance (CL/F) and apparent oral volume of distribution (V/F). Total
body weight (TBW) enters linearly on CL/F with reference 75.8 kg (study
median): CL/F = 1.17 * (1 + 0.0138 * (TBW - 75.8)) L/min. Proportional
residual error; IIV on CL/F, V/F, and ka.
|
|
Methotrexate
(Joerger 2006)
|
Population PK model for methotrexate (MTX) and its principal circulating
metabolite 7-hydroxy-methotrexate (7-OH-MTX) in adult cancer patients
receiving high-dose intravenous MTX therapy (Joerger 2006). Joint parent
+ metabolite model: linear 3-compartment MTX (central + two peripheral
compartments) with first-order elimination from the central compartment,
feeding a linear 2-compartment 7-OH-MTX disposition through a fixed
metabolic fraction of 10 percent. Additive-linear covariate effects of
baseline creatinine clearance (Cockcroft-Gault, raw mL/min, truncated at
140), concurrent benzimidazole-class proton-pump-inhibitor comedication,
and prior NSAID administration on both MTX and 7-OH-MTX total clearance.
|
|
Methotrexate
(Ruhs 2012)
|
PK/PD model of methotrexate (MTX) and homocysteine (HCY) after high-dose
MTX treatment in children with acute lymphoblastic leukemia (Ruhs 2012).
Two-compartment IV PK for MTX with linear BSA scaling on CL, V1, Q, V2
(theta values reported per m^2 BSA in the paper) and a power effect of
the age- and gender-adjusted serum creatinine ratio (CREAT_REF / CREAT)
on CL (Eq. 1); coupled to a single-compartment indirect response model
for HCY where MTX inhibits the HCY elimination rate kout via an inverse
Emax function (Emax fixed to 1) and the typical HCY baseline depends
linearly on age. IOV reported in the paper on CL (17.15% CV) and HCYBL
(23.83% CV) across the window and four consolidation HDMTX
administrations is not encoded in the model file (only between-subject
IIV is carried).
|
|
Methotrexate
(Taylor 2020)
|
Three-compartment population PK model for intravenous high-dose
methotrexate (5 or 8 g/m^2 over 24 h IV infusion) in pediatric NOPHO
ALL2000 / ALL2008 patients with acute lymphoblastic leukemia;
BSA-normalized PK parameters (reference 1.73 m^2) and a time-varying
serum creatinine power effect on clearance (reference 29 umol/L)
implemented as the default population PK model behind the MTXPK.org
clinical decision support tool (Taylor 2020)
|
|
Methoxsalen
blood (Billard 1995)
|
Three-compartment intravenous population PK model for 8-methoxypsoralen
(8-MOP, methoxsalen) whole blood concentrations in healthy adult
volunteers receiving 5/10/15 mg over 60 min (Billard 1995)
|
|
Methoxsalen
plasma (Billard 1995)
|
Three-compartment intravenous population PK model for 8-methoxypsoralen
(8-MOP, methoxsalen) plasma concentrations in healthy adult volunteers
receiving 5/10/15 mg over 60 min (Billard 1995)
|
|
Methylphenidate
(Teuscher 2015)
|
Pediatric population PK model for methylphenidate hydrochloride
extended-release multilayer beads (MPH-MLR, Aptensio XR) after a single
oral dose, parameterized as a two-input, one-compartment,
first-order-elimination structure: a fast-release (IR) depot delivers a
fraction F1 of dose with first-order absorption rate Ka1, a slow-release
(ER) depot delivers the remaining 1 - F1 with first-order rate Ka2 after
an absorption lag tlag, and the central compartment eliminates linearly
via clearance CL and apparent volume V. Body weight enters CL via a
power covariate CL = CL_TV * WT^theta (Eq 4). Between-individual
variability is retained on CL and V; IIV on Ka1, Ka2, F1, and tlag was
not in the final pediatric fit (Table 1). The companion
exposure-response analysis maps simulated Cmax to change-from-baseline
ADHD-RS-IV total score via the Emax model E = Emax * Cmax / (EC50 +
Cmax) with Emax = -34.96 and EC50 = 5.77 ng/mL (Table 2); the PD step
lives outside the ODE system because the published mapping uses a
per-period Cmax, not the instantaneous central concentration. The
vignette reproduces the full PK simulation, NCA, and Cmax-to-ADHD-RS-IV
exposure-response.
|
|
Metoprolol
(Eugene 2016)
|
One-compartment population PK model for oral metoprolol tartrate with
first-order absorption and lag time in elderly inpatients with multiple
comorbidities; sex as the only covariate on apparent clearance (Eugene
2016).
|
|
Metronidazole
(CohenWolkowiez 2012)
|
One-compartment IV population PK model for metronidazole in preterm
infants (Cohen-Wolkowiez 2012). Clearance scales linearly with body
weight (reference 1.5 kg) and as a power function of postmenstrual age
(reference 32 weeks); central volume scales linearly with body weight.
|
|
Metronidazole
(Suyagh 2011)
|
One-compartment population PK model for intravenous metronidazole in 32
preterm neonates receiving treatment of or prophylaxis against
necrotising enterocolitis, with dried-blood-spot HPLC sampling (Suyagh
2011). Clearance is described by an allometric 3/4-power scaling on body
weight (reference 1.0 kg) and a linear postmenstrual- age maturation
term centred at 30 weeks; volume of distribution is proportional to body
weight. The publication is open access only at the abstract level, so
inter-individual variability on CL and V and the residual-error
magnitude are FIXED at 0 here; users running stochastic VPCs must supply
their own variability terms (see the validation vignette’s Errata
section).
|
|
MHD
rat (Clinckers 2008)
|
Preclinical (rat). Population PK model for 10,11-dihydro-10-hydroxy-
carbamazepine (MHD), the active metabolite of oxcarbazepine, in male
Wistar rat plasma and hippocampal extracellular fluid (Clinckers 2008).
One-compartment central disposition (V2) with combined zero-order
(fraction F1 of dose over duration D2) and lagged first-order (1 - F1,
ka with lag ALAG1) absorption after intraperitoneal bolus, coupled to a
biophase / effect compartment (V3) reached via inter-compartmental rate
constants k23 and k32. Acute focal pilocarpine-induced seizure activity
and local intrahippocampal verapamil (efflux-transporter blockade) each
shrink the biophase volume (V3a -> V3b under seizure; V3a -> V3c
under verapamil); plasma kinetics are unaffected.
|
|
MI
219 (Zou 2012)
|
Predicted-human two-compartment IV PK model for MI-219 (a small-molecule
HDM2/p53 inhibitor) in adults, with parameters projected from
NONMEM-based interspecies allometric scaling of single-dose IV plasma
profiles in rats (5 mg/kg), beagle dogs (2 mg/kg), and cynomolgus
monkeys (10 mg/kg). Linear elimination from the central compartment;
mouse data were excluded from the joint NONMEM fit because the mouse
profile was not superimposable on the other species under Wajima /
Dedrick normalisation. The model file encodes the predicted human
typical values at a 70 kg reference body weight (Zou 2012 Table 5,
NONMEM column).
|
|
Micafungin
(Leroux 2018)
|
One-compartment population PK model of intravenous micafungin in preterm
and term neonates with suspected or proven systemic candidiasis (Leroux
2018), with linear current-weight scaling of CL and V. Typical-value
structural model only: the source paper and Data S1 supplement
(goodness-of-fit plots only) do not report inter-individual variability
magnitudes, residual error structure, or the functional form /
coefficient of the corrected-gestational-age effect on CL that the paper
mentions, so IIV and RUV are encoded as fixed(0) and the CGA covariate
is omitted. See vignette Errata.
|
|
Micafungin
(Martial 2017)
|
Two-compartment population PK model for IV micafungin in adult
intensive-care-unit patients with suspected or proven fungal infection
(Martial 2017). Body-weight allometric scaling (fixed exponents 0.75 on
CL and Q, 1 on V1 and V2; 70 kg reference), log-normal IIV on CL and V1
(encoded as diagonal; the source reports a qualitative non-zero
correlation but no numerical covariance), and a proportional residual
error. No covariates were retained in the final model (only weight via
the a-priori allometric structure).
|
|
Midazolam
(Brill 2014)
|
Three-compartment population PK model for midazolam with two equalized
peripheral volumes and a three-transit-compartment first-order oral
absorption chain (Ka = Ktr), supporting oral and intravenous dosing, in
20 morbidly obese patients (mean total body weight 144 kg, range
112-186; mean BMI 47, range 40-68) and 12 non-obese healthy volunteers
(mean total body weight 76 kg, mean BMI 22). Total body weight enters as
a linear covariate on central volume (reference 127 kg) and a power
covariate on peripheral volume (reference 127 kg); morbid-obesity status
(BMI > 40) shifts oral bioavailability up and the transit absorption
rate down.
|
|
Midazolam
(Franken 2017)
|
Joint parent-metabolite population PK model for midazolam, its primary
active metabolite 1-OH-midazolam (1-OH-M), and the secondary metabolite
1-OH-midazolam-glucuronide (1-OH-MG) in 45 terminally ill adult
palliative-care patients (Franken 2017). Midazolam: one-compartment
disposition with two parallel first-order absorption routes (oral and
subcutaneous bolus) using route-specific absorption rate constants fixed
from literature (Ka oral = 5.5 1/h, Ka SC = 10 1/h); oral
bioavailability F is estimated and SC F assumed = 1. 1-OH-M: one
compartment, central volume fixed equal to midazolam V, clearance
estimated. 1-OH-MG: one compartment, clearance and volume estimated. All
inter-compartment fluxes carry the parent / metabolite signal in
midazolam-equivalent mass units (concentrations were adjusted to
midazolam equivalents via molecular weight per Methods). Midazolam
clearance depends on serum albumin (power form, reference 25 g/L) and
1-OH-MG clearance depends on eGFR (standard four-variable MDRD, power
form, reference 104 mL/min/1.73 m^2). IIV on midazolam CL was correlated
with oral F (rho fixed to unity per Results); other IIVs are
independent. Residual variability is additive on log-transformed
concentrations (LTBS) for all three analytes; a cross-output residual
correlation noted in Methods is not encoded in this nlmixr2 port (see
vignette Assumptions and deviations).
|
|
Midazolam
(Janssen 2017)
|
One-compartment population PK model for intravenous midazolam used as a
CYP3A metabolic-phenotyping probe in 10 men with metastatic
castration-resistant prostate cancer (Janssen 2017 Table 2A). Each
patient received a single 2.5 mg IV midazolam bolus 1-7 days before
their scheduled cabazitaxel infusion; the empirical Bayes estimates of
individual midazolam clearance from this fit are then used as covariate
input to the companion Janssen 2017 cabazitaxel model (see
modellib(‘Janssen_2017_cabazitaxel’)).
|
|
Midazolam
(vanRongen 2015)
|
Joint parent-and-sequential-metabolites population PK model for
intravenous midazolam, its primary CYP3A oxidative metabolite
1’-hydroxymidazolam (1-OH-midazolam), and the downstream phase-II
1’-hydroxymidazolam glucuronide (1-OH-midazolam glucuronide) in 19
overweight and obese adolescents (12.5-18.9 years, body weight 62-149.8
kg) undergoing surgery (van Rongen 2015). Two-compartment disposition
for midazolam (central + peripheral) routes the entire elimination
clearance CL1 to 1-OH-midazolam formation. 1-OH-midazolam is described
by a one-compartment model with apparent volume of distribution fixed at
0.9 times the midazolam central volume (Mandema 1992); the entire
1-OH-midazolam clearance CL3 is routed to 1-OH-midazolam glucuronide
formation. 1-OH-midazolam glucuronide is described by a two-compartment
model with renal elimination clearance CL4. Total body weight (TBW)
enters the peripheral volume of distribution of midazolam as a power
function with reference 104.7 kg (cohort median) and estimated exponent
X = 1.68; no other covariate effect was retained. Concentrations are
modeled in umol/L throughout (paper Methods), so dosing is in umol;
dose_umol = dose_mg * 1000 / MW_midazolam where MW_midazolam = 325.77
g/mol.
|
|
Midazolam
(vanRongen 2017)
|
Two-compartment population PK model for midazolam in 19 obese
adolescents (12-18.9 years, total body weight 62-149.8 kg, BMI 24.8-55
kg/m^2) and 20 morbidly obese adults (26-57 years, total body weight
112.3-186.3 kg, BMI 39.9-67.6 kg/m^2), with a five-transit-compartment
first-order oral absorption chain (Ka = Ktr) supporting oral and
intravenous dosing (van Rongen 2017 Final model, Table 2). Study
population (adolescent vs morbidly obese adult) separates clearance into
two cohort-specific values (CL_104.7 kg in adolescents with an estimated
TBW power on top, CL fixed-across-WT in morbidly obese adults). The same
V_141.8 kg central value of the peripheral compartment is shared between
cohorts but TBW power scaling applies only to morbidly obese adults.
Central volume, inter-compartmental clearance Q, transit-absorption rate
Ka = Ktr, and oral bioavailability F are shared across both cohorts.
Oral data were collected only in morbidly obese adults; adolescents
received only IV bolus doses.
|
|
Midazolam
children adolescents (Cella 2012)
|
Two-compartment population PK model for midazolam in children and
adolescents (Cella 2012 Model 2), IV bolus only, with per-kg linear
scaling of the central volume and a linear normalisation of the
peripheral volume by age (months) at a 74-month reference. Cohort of 18
paediatric oncology patients (ages 3.2 to 16.2 years, body weights 12.6
to 60.1 kg) dosed at 0.12 mg/kg IV before invasive procedures. Fitted
with informative priors from De Wildt 2002 via the NONMEM PRIOR /
Wishart subroutine.
|
|
Midazolam
infants adults (Cella 2012)
|
Two-compartment population PK model for midazolam in infants, toddlers,
and adults (Cella 2012 Model 1), with first-order absorption supporting
intravenous and oral dosing, body-weight allometric scaling of clearance
(exponent fixed to 0.75 at a 70 kg reference), per-kg linear scaling of
the central volume, and a constant peripheral volume. Pooled cohort of
23 infants and toddlers in a paediatric surgical ICU and 34 healthy
adult volunteers.
|
|
Midazolam
pbpk (Brussee 2018)
|
PBPK (semi-physiological; well-stirred liver + Qgut gut wall) population
PK model for midazolam and its primary metabolite 1-OH-midazolam in 37
preterm neonates (gestational age 26-34 weeks, body weight 0.770-2.030
kg at the time of dosing). Distinguishes first-pass CYP3A-mediated
metabolism in the gut wall (Qgut model) and liver (well-stirred model)
from systemic hepatic elimination of the metabolite. Tissue volumes
(V_h, V_pv, V_gw) and hepatic blood flow Q_h are allometrically scaled
from a term-neonate reference (Bjorkman 2005) by body weight with fixed
exponents (1 for volumes, 0.75 for flow); intestinal length scales as
2.736 * WT[g]^0.512 cm (Struijs 2009) so the Qgut hybrid flow varies
with body size. Supports oral administration (depot, full first-pass
through gut wall and liver) and IV (dose directly to central; no
first-pass).
|
|
Miglustat
(Hajjar 2018)
|
Two-compartment population PK model for oral miglustat (AT2221;
N-butyl-1-deoxynojirimycin) administered as a pharmacological chaperone
for cipaglucosidase alfa in adult patients with Pompe disease (Hajjar
2018 ACCP poster, phase 1/2 study ATB200-02 / NCT02675465). Absorption
is described by a sequential zero-order release into the depot (duration
D1 = 0.459 h) followed by first-order absorption (Ka = 0.485 /h) into
the central compartment. Apparent disposition parameters (CL/F = 8.55
L/h, Vc/F = 36.3 L, Q/F = 3.16 L/h, Vp/F = 45.6 L) are reported at the
70 kg reference body weight and allometrically scaled with exponents
0.75 fixed on clearances and 1 fixed on volumes. Bioavailability F is
not estimable from oral-only data and is anchored at 1 (apparent CL/F
and V/F parameterisation). Residual error is proportional (variance
0.0408, SD 0.202 on the linear-scale concentration).
|
|
Miltefosine
(Dorlo 2008)
|
Two-compartment population PK model with first-order oral absorption and
linear elimination for miltefosine in 31 Dutch military personnel with
Old World (Leishmania major) cutaneous leishmaniasis contracted in
Afghanistan (Dorlo 2008), treated with oral miltefosine 50 mg three
times daily (150 mg/day, median 1.76 mg/kg/day) for 28 days with
post-treatment follow-up to a maximum of 202 days. CL/F, Vc/F, Q/F, and
Vp/F are estimated apparent parameters; relative bioavailability F is
unidentifiable from oral-only data and is structurally fixed at 1.
Inter-individual variability is log-normal on ka, CL/F, and Vc/F
(diagonal in this implementation; see Assumptions in the vignette for
the unreported CL/Vc correlation noted by the authors). IIV on Q/F and
Vp/F was not estimable from the data. Residual error is proportional
(31.5% CV). No covariate effects were retained in the final model. This
is the structural model later re-used as the base PK structure in Dorlo
2017 visceral-leishmaniasis miltefosine work.
|
|
Miltefosine
(Dorlo 2017)
|
Two-compartment population PK model with first-order oral absorption for
miltefosine in 95 Eastern African adults and children (>=7 years)
with visceral leishmaniasis (Dorlo 2017), enrolled across three
treatment centres in Kenya and Sudan and randomised to either a 28-day
monotherapy regimen of oral miltefosine 2.5 mg/kg/day or a 10-day oral
miltefosine 2.5 mg/kg/day arm combined with a single 10 mg/kg liposomal
amphotericin B IV dose on day 1. CL/F, Q/F, Vc/F, and Vp/F are
allometrically scaled on fat-free mass (exponents 0.75 and 1.0;
reference FFM 53 kg). Relative bioavailability is structurally fixed at
100% from the end of the initial reduced absorption window onwards, and
reduced by a typical 74.3% during the window itself (0 < t <= 7
days for monotherapy, 0 < t <= 1 day for the combination arm); the
duration is regimen-dependent via the MIL_REGIMEN indicator. The
combined-error residual model is proportional (31.0%) with additive
component fixed at 0.001 ug/mL.
|
|
Miridesap
(Sahota 2015)
|
Target-mediated drug disposition (TMDD) PK/PD model for CPHPC
(miridesap, GSK2315698, Ro 63-8695) and serum amyloid P (SAP) in healthy
volunteers (study CPH113776) and patients with systemic amyloidosis
(study CPH114527). Two-compartment PK for CPHPC (IV plus first-order
subcutaneous depot); two-compartment turnover model for SAP with
first-order endogenous production and elimination; bimolecular CPHPC +
free SAP -> complex binding treated as effectively irreversible (KOFF
set to zero because the complex internalisation rate is much faster than
the dissociation rate). Final-model covariates (Sahota 2015 Eq. 1 and
Eq. 2): creatinine clearance modifies CPHPC clearance below an 80 mL/min
threshold; hepatic amyloid involvement multiplies SAP intercompartmental
clearance Q4; whole-body amyloid load (categorical 0-3) multiplies SAP
peripheral volume V4 in two cumulative steps; biological sex multiplies
baseline plasma SAP.
|
|
Mirikizumab
(Chua 2025)
|
Two-compartment population PK model for mirikizumab (anti-IL-23p19 IgG4
mAb) in patients with moderately-to-severely active Crohn’s disease
(Chua 2025 VIVID-1 phase 3)
|
|
Mitoxantrone
human pbpk (An 2012)
|
Human-scaled simulation. Semi-mechanistic whole-body PBPK model 3 for
mitoxantrone (Novantrone) in adult cancer patients after a single 12
mg/m^2 IV bolus, projected forward from the mouse fit in
An_2012_mitoxantrone_mouse_pbpk (An and Morris 2012, AAPS J). Same
topology as the mouse model: seven physiological tissue compartments
(central plasma plus six perfusion-limited well-stirred organs - lung,
heart, spleen, liver, kidney, brain) and a permeability-limited
remainder compartment lumping muscle, fat, bone, and skin and resolving
into an interstitial (is_remainder) and an intracellular (int_remainder)
subspace coupled by a permeability-surface area product. Plasma unbound
fraction fu = 0.2, DNA dissociation constant K_DNA = 0.0013 uM,
protein-binding dissociation constant K_macro = 1.44 uM, and per-organ
T_macro are carried over from the mouse fit as cross-mammalian constants
(paper Methods). Per-organ T_DNA values are replaced with the human
DNA-content literature values reported in Table III: lung and spleen DNA
use the literature rapidly- perfused-organ value (15 uM); brain T_DNA is
the mouse-derived value (0.10 uM); the remainder T_DNA uses the
literature slowly-perfused- organ value (4.5 uM). The remainder
ISF/intracellular split is assumed to follow the mouse proportion 33/67
(Table I) applied to the human remainder volume V_other = 62 L. Hepatic
and renal intrinsic clearances are derived from clinical CL_H = 19
L/h/m^2 and CL_R = 2.7 L/h/m^2 (Ehninger 1990 ref 6) via the
well-stirred rearrangement Clint = Q_H * CL / (fu * Q_H - fu * CL)
yielding Clint_H = 250 L/h and Clint_R = 27 L/h. PS_remainder is
allometrically scaled from the mouse value PS = 1.44 mL/min via PS = A *
M^0.75 (Kawai 1998 ref 28) giving PS = 31.1 L/h. The model is a
typical-value forward simulation; there is no IIV and no residual error
from the paper.
|
|
Mitoxantrone
mouse pbpk (An 2012)
|
Preclinical (mouse). Semi-mechanistic whole-body PBPK model 3 for
mitoxantrone (Novantrone) in male ND4 Swiss Webster mice (24-32 g) after
a single 5 mg/kg intravenous bolus (penile vein) (An and Morris 2012,
AAPS J). Seven physiological tissue compartments: central plasma plus
six perfusion-limited well-stirred organs (lung, heart, spleen, liver,
kidney, brain), with a permeability-limited remainder compartment that
lumps muscle, fat, bone, intestine, and skin and resolves into an
interstitial (is_remainder) and an intracellular (int_remainder)
subspace coupled by a permeability- surface area product PS. Hepatic and
renal elimination act on the unbound cellular concentration of liver and
kidney via well-stirred intrinsic clearances Clint_H and Clint_R.
Saturable tissue binding to DNA (capacity T_DNA, affinity K_DNA) and
macromolecular protein (capacity T_macro, affinity K_macro) is encoded
as a Cp-dependent effective tissue:plasma partition coefficient
Kp_eff(Cp) that varies instantaneously with plasma concentration (Eqs.
9-11 of the paper). Plasma unbound fraction is fixed to 0.2; tissue
binding affinities are shared across all organs. The model is intended
for typical- value simulation of mouse plasma and tissue
concentration-time profiles.
|
|
Mizoribine
(Honda 2006)
|
One-compartment oral PK model for mizoribine in healthy Caucasian male
volunteers (Honda 2006); first-order absorption with a fixed
absorption-lag time, apparent volume of distribution V/F linear in body
weight, apparent oral clearance CL/F linear in Cockcroft-Gault
creatinine clearance (CLcr), and additive residual error on the
serum-concentration scale.
|
|
MK3577
(Peng 2014)
|
Semi-mechanistic PD model for the glucagon receptor antagonist MK-3577
(Merck) in healthy male subjects undergoing a glucagon challenge (Peng
2014). Glucose / glucagon / insulin homeostasis is described with
constant endogenous baselines Gss, Iss, GNss; glucose has central +
peripheral distribution plus an effect compartment for delayed
regulation of glucose production. MK-3577 drives an inhibitory Imax
model on the glucagon-stimulation of glucose production (Imax,MK =
0.961, IC50,MK = 13.9 nM) and a stimulatory Emax model on glucagon
secretion (Emax,MK = 0.788 FIX, EC50,MK = 575 nM FIX) for the
prechallenge compensatory feedback. Sandostatin (octreotide) PK is
modeled with literature CL / V (0.121 L/kg/h, 0.194 L/kg) and inhibits
endogenous insulin (IC50,S2 = 0.921 ng/mL) and glucagon (IC50,S1 = 5.50
ng/mL) secretion at a fixed Imax of 1. The MK-3577 PK layer is NOT
modeled here because the absorption rate ka, apparent volume V/F, and
molecular weight for the mg-to-nM conversion are not reported in the
on-disk paper or its tables; users supply the MK-3577 plasma
concentration as a time-varying covariate column CP_MK3577_NM (nM) per
the standing operator decision (extract PD layer only; PK supplied
externally). See vignette Assumptions and deviations for the gap.
|
|
MK3577
t2dm (Peng 2014)
|
T2DM-patient adaptation of the Peng 2014 semi-mechanistic glucose /
glucagon / insulin model with MK-3577 as the glucagon receptor
antagonist (Peng 2014 Fig. 1b and ‘CTS Method for T2DM Patients’). Three
structural changes vs. the healthy model: (1) GPRG1 = 0 (glucose
self-regulation of GPROD is fully compromised in T2DM, matching Silber
2007); (2) CL_GI is scaled to 11% of the healthy value (lead- compound
finding); (3) baseline glucose is elevated by a fold factor theta with
typical value fixed at 1 (i.e., baseline FPG is 2 x healthy G_SS) and
IIV fixed at 51% CV based on lead-compound data. The new T2DM baselines
for insulin (I_SSP) and glucagon (GN_SSP) are derived from theta via
Peng 2014 Eqs. 7-10 (insulin: I_SSP = I_SS * (1+theta)^IPRG; glucagon:
closed-form rearrangement of Eqs. 9 and 10 conditioned on the
T2DM-scaled CL_GI). The effect compartment for glucose negative feedback
is omitted because GPRG1 = 0 makes its contribution vanish; the
Sandostatin compartment is also omitted because the T2DM phase IIa CTS
used in Peng 2014 had no glucagon challenge – only endogenous
homeostasis under multi-day MK-3577 dosing. The MK-3577 PK layer is NOT
modeled here for the same reason as the healthy model (ka, V/F, MW not
in the on-disk PDF); users supply the time-varying MK-3577 plasma
concentration via CP_MK3577_NM (nM). See vignette Assumptions and
deviations.
|
|
Modafinil
(Wu 2012)
|
Joint parent + metabolite population pharmacokinetic model for oral
modafinil and its principal carboxylic-acid metabolite modafinil acid
(2-[(diphenylmethyl)sulfonyl]acetic acid) in 49 healthy volunteers from
five major ethnic groups of China (Han, Mongolian, Korean, Uygur, Hui)
under a single 200 mg oral dose (Wu 2012). Four-compartment NONMEM
ADVAN6 / L2 structure: GI depot with first-order absorption (ka),
two-compartment modafinil disposition (apparent CL/F, Vc/F, Q/F, Vp/F),
and a one-compartment modafinil acid disposition (apparent CL3/F1F2,
V3/F1F2). All modafinil elimination is treated as forming modafinil acid
at the apparent-parameter level because F2 (the absolute
modafinil-to-acid metabolic-conversion fraction) is not identifiable
from oral plasma data alone; F2 is absorbed into the apparent acid
parameters. Sex acts on CL/F, Q/F, and Vp/F of modafinil; ethnicity acts
on Vc/F of modafinil (Korean and Hui share a single composite
multiplier; Mongolian and Uygur each have their own) and on CL3/F1F2 of
modafinil acid (Han and Mongolian share the reference; Korean has its
own multiplier; Uygur and Hui share a composite multiplier).
|
|
Mogamulizumab
(Mukai 2019)
|
Two-compartment population PK model for mogamulizumab in adults with
cutaneous T-cell lymphoma or adult T-cell lymphoma (Mukai 2019)
|
|
Monalizumab
(Hwang 2023)
|
Two-compartment population PK model for monalizumab (anti-CD94/NKG2A
IgG4) in patients with advanced solid tumors or squamous cell carcinoma
of the head and neck (Hwang 2023)
|
|
Moroctocog
(Abrantes 2017)
|
Two-compartment population PK model for factor VIII activity (IU/dL)
following intravenous administration of moroctocog alfa
(B-domain-deleted recombinant FVIII, marketed as ReFacto, ReFacto AF and
Xyntha) in patients with moderate to severe hemophilia A; pooled
analysis of 754 patients across 13 clinical trials over 20 years
(Abrantes 2017). The exogenous-drug component is added to a constant
endogenous-baseline FVIII activity (severe-subpopulation typical value,
0.474 IU/dL; the paper’s full model is a two-class mixture, see vignette
deviations). Clearance and inter-compartmental clearance scale
allometrically with body weight at theory-based exponent 0.75; central
and peripheral volumes share an estimated allometric exponent 0.812.
Clearance has a piecewise-linear age effect (increasing from birth to 1
year of age, then decreasing into adulthood; centered at 20 years), a
+166% inhibitor (ADA_POS) effect, and a -34.7% study B1831090 effect.
The peripheral volume is +88.4% larger in Black subjects.
Bioavailability F carries multiplicative covariate effects for product
(1.38x for Xyntha vs ReFacto), assay (-39.0% for OSA central, -14.6% for
OSA local laboratory) following Abrantes 2017 Table 2 footnote g.
Proportional residual error is 19.2% (CSA reference) and switches to
26.9% (+40.3%) for OSA-assayed samples.
|
|
Morphine
(deHoogd 2017)
|
Joint parent-metabolite population PK model for morphine and its two
glucuronide metabolites (M3G, M6G) in 20 morbidly obese adults
(post-gastric-bypass) and 20 healthy adult volunteers (de Hoogd 2017).
Morphine: three-compartment IV model with total body weight (TBW)
covariate on the second peripheral volume V5M. Non-glucuronide morphine
clearance is structurally fixed at 35% of total morphine CL in a 70-kg
healthy adult. M3G and M6G are each one-compartment models fed by
formation-delay transit chains (n = 5 for M3G, n = 2 for M6G); VM3G =
VM6G is a structural equality. TBW covariates apply to CLF M6G, the M3G
transit rate Ktr, M3G elimination CL, and M6G elimination CL, all
power-form normalised to a reference of 98.5 kg (population median).
Proportional residual error is reported separately for the healthy-
volunteer cohort and the morbidly obese cohort, selected via the binary
indicator DIS_OBESE_MORBID.
|
|
Morphine
(Elkomy 2015)
|
Joint parent-metabolite population PK model for morphine and its two
glucuronide metabolites M3G and M6G in 20 infants and young children (3
days - 5.4 years; 3.1 - 18.5 kg) after congenital heart surgery (Elkomy
2015 AAPS J). Morphine: linear two- compartment IV disposition with
allometric body-weight scaling (CL and CLD with exponent 0.75 FIXED; VC
and VP with exponent 1.0 FIXED) normalised to a reference of 6 kg (study
median). Each metabolite is modeled as a morphine-driven intermediate
effect compartment (rate constant Kint chasing morphine plasma
concentration via dCint/dt = Kint * (Cc - Cint)) feeding an empirical
Emax transduction where metabolite concentration = Mmax * Cint / (Cint50
+ Cint). Estimated glomerular filtration rate (Schwartz formula) is a
covariate: Kint scales linearly with GFR/70 and Mmax scales as 70/GFR
(both exponents FIXED at +/-1 per the paper’s covariate analysis).
Between-subject random effects on Kint, Mmax, and Cint50 are SHARED
across the M3G and M6G channels (one eta per group; Table II). Doses are
administered as nmol of morphine equivalents (one nmol of clinical
morphine sulfate yields two nmol of free morphine); concentrations are
output in nmol/L (nM) for morphine, M3G, and M6G.
|
|
Morphine
(Franken 2015)
|
Joint parent-metabolite population PK model for morphine and its two
glucuronide metabolites (M3G, M6G) in 47 terminally ill adult palliative
care patients (Franken 2015). Morphine: two-compartment disposition with
three parallel first-order absorption routes (subcutaneous bolus,
immediate-release oral liquid, controlled-release oral tablet) using
route-specific fixed absorption rate constants; oral bioavailability F
is estimated (SC F assumed 1). M3G and M6G are each one-compartment
models fed by fixed-fraction transformation of morphine clearance (Fm1 =
0.55 for M3G, Fm2 = 0.10 for M6G, both fixed from literature). Morphine
clearance decreases exponentially as time-to-death (TTD, days)
approaches zero. Metabolite clearance depends on estimated glomerular
filtration rate (eGFR, MDRD four-variable formula) and serum albumin via
shared power-form covariate exponents. Residual variability was reported
as additive error on the log-transformed observation (LTBS).
|
|
Morphine
(Pierre 2017)
|
Joint parent-metabolite population PK model for IV morphine and its
primary glucuronide metabolite morphine-3-glucuronide (M3G) in 14
healthy adults and 7 patients with biopsy-confirmed nonalcoholic
steatohepatitis (NASH) following a single 5 mg morphine sulfate IV
infusion (Pierre 2017). Morphine is described by a three-compartment
disposition (central + two peripherals) with parallel renal (CL_M_R) and
non-renal (CL_M_NR) clearances; the entire non-renal clearance is
assumed to lead to M3G formation via a single liver transit compartment
with first-order rate constant k_trans. M3G is described by a
one-compartment model with a single total clearance (CL_M3G). Cumulative
urinary morphine and M3G amounts are tracked as elimination-amount
compartments. Total body weight enters all CL/Q and V parameters a
priori with fixed allometric exponents (0.75 and 1, respectively)
referenced to 70 kg. The NASH severity score (NASF; combined NAFLD
activity score and fibrosis staging, 0-12) is the only additional
covariate retained in the final model; it acts on M3G clearance through
a linear effect on the natural logarithm of (NASF / 4) for NASF >= 4
and is identically zero for NASF < 4 so that healthy and benign-NAFLD
subjects (NASF < 5) recover the typical CL_M3G.
|
|
Moxifloxacin
(Colin 2014)
|
Three-compartment population PK model for moxifloxacin in post-bariatric
(roux-en-y gastric bypass) volunteers (Colin 2014): linear first-order
absorption (no lag, no transit) into a central compartment with two
peripheral compartments, allometric scaling on lean body mass (exponent
0.75 on all CL terms and 1 on all volumes, reference LBM 60 kg), and
inter-individual variability on ka, central volume, and clearance.
Single 400 mg oral and 400 mg 1-h IV infusion doses are fit
simultaneously with an implicit bioavailability of 1.
|
|
Moxifloxacin
(Hong 2015)
|
Sequential population PK + PD (QT-interval) model for single-dose oral
moxifloxacin (400 mg or 800 mg, Avelox tablets) in healthy adult Korean
male volunteers (Hong 2015): a two-compartment first-order absorption PK
model with a lag time and a dose-dependent absorption rate constant
(different Ka for 400 mg vs 800 mg), followed by an individually
corrected QT-interval PD model that adds two mixed-effect cosine
circadian components (24 h and 6 h), a first-order-decaying placebo
(water-intake) effect, and an Emax drug effect on QT prolongation.
|
|
Moxifloxacin
(Landersdorfer 2009)
|
Population PK model for oral moxifloxacin bone penetration
(Landersdorfer 2009): two-compartment plasma disposition with
first-order absorption from a gut depot, plus two paper-mechanistic bone
matrix compartments (cortical and cancellous bone) connected to the
central compartment by fixed transfer rate constants. The bone
tissue:serum equilibrium concentration ratio is captured by the
multiplicative scale terms fcortical and fcancellous on the cortical and
cancellous bone observations. Disposition parameters were MAP-Bayesian
estimated against Simon 1997 priors; bone-penetration scale terms used
noninformative priors. Single 400 mg oral dose in 24 adults undergoing
total hip replacement; serum and femoral bone samples (cortical +
cancellous, head + neck) collected 2 to 7 hours post-dose.
|
|
Moxifloxacin
(Nielsen 2011)
|
In vitro (Streptococcus pyogenes M12 NCTC P1800). Semimechanistic PKPD
model of moxifloxacin time-kill kinetics; two-stage bacterial life-cycle
(proliferating drug-sensitive S and non-growing drug-insensitive R) with
sigmoidal Emax killing of S via an effect compartment; first-order drug
elimination (ke set per in vitro kinetic-system flow rate);
drug-specific degradation kdeg fixed at zero. Parameter values are from
the combined static and dynamic estimation in Table 3.
|
|
MRNA3927
(Attarwala 2023)
|
Preclinical (mouse, rat, cynomolgus monkey; allometrically scalable to
humans). Translational semi-mechanistic PK and PK/PD model for
mRNA-3927, an LNP-encapsulated dual mRNA encoding propionyl-CoA
carboxylase (PCC) subunits PCCA and PCCB. PK: 3-compartment
plasma1-tissue-plasma2 redistribution (V shared between the two plasma
compartments; V and V2 fixed at the mouse reference and scaled
allometrically) with body-weight allometric scaling of clearances (mouse
reference 0.025 kg; estimated exponents cla on CL12/CL32 and clb on
CL23/CL20). PD: liver PCC protein 2-compartment indirect-response model
driven by an effect compartment linked to plasma mRNA, with synthesis
linear in effect-compartment mRNA concentration and first-order
degradation. Three downstream biomarkers (2-methylcitrate,
3-hydroxypropionate, C3/C2 carnitine ratio) follow direct sigmoidal Imax
suppression by liver PCC protein with Imax fixed at 0.999.
|
|
MTMSATrp
mouse (Niloy 2026)
|
Preclinical (mouse). One-compartment population PK model for MTMSA-Trp,
a novel mithramycin analogue investigated for Ewing sarcoma, in female
athymic nu/nu mice following single IV bolus doses of 0.3, 1, 3, 5, or
10 mg/kg. First-order elimination from the central compartment with an
empirical power-function effect of dose on apparent clearance (CL
decreases with increasing dose; reference dose 3 mg/kg, exponent beta =
-0.30). Parameters are expressed in per-kg body-weight units (mL/h/kg
for CL, mL/kg for V) so the dose record carries the per-kg dose directly
(mg/kg) without an explicit body-weight covariate. Parameter values from
Niloy 2026 Table 1 (final model).
|
|
Mu
receptor binding (Mann 2022)
|
QSP. Competitive mu-opioid receptor binding kinetics layer of the Mann
2022 translational opioid-overdose model. Tracks the fraction of
receptors bound by an opioid agonist (RL_op) and by an opioid antagonist
(RL_antag) under simultaneous exposure to both ligands. All 12 ligands
characterised by Mann 2022 Supplement 1 Table S2 are carried inline as
fixed parameters (Kon in pM^-n s^-1, Koff in s^-1, slope n unitless);
the OPIOID_ID and ANTAGONIST_ID integer covariates select which ligand
occupies each binding slot at simulation time, so the same compiled
model can simulate any agonist-antagonist pair from the Table-S2 panel
without re- instantiation. Ligand effect-site concentrations enter the
model as the time-varying covariate columns L_OPIOID_pM and
L_ANTAGONIST_pM, typically piped from the PK layer in a composed chain
(e.g., Mann_2022_fentanyl_iv or Mann_2022_carfentanil_iv for the opioid
slot; Laffont_2024_naloxone or Laffont_2024_nalmefene for the antagonist
slot).
|
|
Mycophenolic
acid (Barau 2012)
|
One-compartment population PK model for mycophenolic acid (MPA, active
moiety of mycophenolate mofetil MMF) after oral MMF dosing in paediatric
liver transplant recipients (Barau 2012). First-order absorption and
first-order elimination, with diagonal (uncorrelated) inter-individual
variability on ka, CL/F, and V/F and proportional residual error. Two
covariates are retained in the final model: a linear-with-age effect on
ka of the form ka_TV = 3.9 - 2.2 * (AGE / 8.65 years), so ka declines
from 3.9 1/h at AGE = 0 to 1.7 1/h at the cohort median age of 8.65
years; and a power-on-binary effect on V/F of the form V/F = 64.7 L *
2.3^POSTTX_EARLY, where POSTTX_EARLY = 1 within the first 6 months
post-transplant (POD <= 180 days) and 0 thereafter, so V/F is 64.7 L
in the stable post-transplant period and 148.8 L in the immediate
post-transplant period (paper attributes the volume increase to the
higher unbound MPA fraction associated with low serum albumin in the
immediate post-transplant period). Apparent clearance CL/F = 12.7 L/h
carries no retained covariate effect in the final model. Enterohepatic
recirculation, the MPAG metabolite compartment, and protein binding are
not modelled here – the paper attributes the absence of secondary peaks
to surgical removal of the gallbladder in the liver-transplant
recipients.
|
|
Mycophenolic
acid (deWinter 2009)
|
Semi-mechanistic competitive-protein-binding population PK model for
mycophenolic acid (MPA, the active moiety of mycophenolate mofetil MMF)
and its glucuronide metabolite MPAG in adult renal transplant recipients
(de Winter 2009). Free MPA (fMPA) follows a two-compartment disposition
with first-order oral absorption (lag-time TLAG; fixed ka = 4.00 1/h);
free MPAG (fMPAG) follows a one-compartment disposition. Both species
bind competitively to a saturable plasma protein binding pool with
capacity BMAX and species-specific association / dissociation rate
constants k24 / k42 (MPA) and k56 / k65 (MPAG). The fMPAG-to-gallbladder
transport rate constant k57 drives enterohepatic recirculation: fMPAG
accumulates in a gallbladder compartment and empties into the fMPA
central compartment during a fixed window (TGB to TGB+DGB post-dose) at
rate constant k72, completing the EHC loop. Three covariates: a power
effect of creatinine clearance (CRCL) on CL fMPAG (exponent 1.36; CRCL
reference 45 mL/min); a power effect of plasma albumin (ALB) on BMAX
(exponent 1.39; ALB reference 0.5 mmol/L); and a multiplicative
power-form effect of cyclosporine cotreatment (CONMED_CSA) on k57
(multiplier 0.002, reducing EHC by ~99.8% under cyclosporine vs the
tacrolimus reference). Total MPA (tMPA) and total MPAG (tMPAG) plasma
concentrations are reported as the sum of the unbound and bound
concentrations of each species. Dosing is BID by default (tau = 12 h
hardcoded in model() for the gallbladder-emptying window).
Concentrations are in molar units (umol/L) per the source paper’s choice
to analyse MMF / MPA / MPAG on a molar basis (MMF MW 433.5; MPA MW
320.3; MPAG MW 496.5).
|
|
Mycophenolic
acid (Dong 2014)
|
Population PK-PD model for oral mycophenolic acid (MPA, the active
moiety of mycophenolate mofetil MMF) in paediatric renal transplant
recipients in the early post-transplant period (Dong 2014).
Two-compartment disposition with a Savic 2007-style
8-transit-compartment absorption chain followed by a first-order
absorption step from depot to central; dose-dependent relative
bioavailability described by a power function of dose per body surface
area (DBSA) with reference 450 mg/m^2; estimated body-weight exponent of
0.31 on CL/F (not the canonical allometric 0.75). The PD layer links MPA
plasma concentration to inosine monophosphate dehydrogenase (IMPDH)
activity in peripheral blood mononuclear cells via a simplified
inhibitory Emax model with Emax fixed at 0 (i.e., complete inhibition
achievable in the limit of high MPA concentration).
|
|
Mycophenolic
acid (Frymoyer 2013)
|
Population PK model for unbound mycophenolic acid (MPA, the active
moiety of mycophenolate mofetil MMF) in adult allogeneic haematopoietic
cell transplantation (alloHCT) recipients (Frymoyer 2013).
Two-compartment disposition with first-order absorption and linear
elimination; oral bioavailability F = 0.560. Absorption lag time follows
a two-class mixture: Group 1 (no delay, ALAG = 0, 91 % of subjects) and
Group 2 (delayed absorption, ALAG = 1.96 h, 9 % of subjects), gated by
the latent MIX_LAGGED_ABS class indicator. Creatinine clearance
(Cockcroft-Gault with ideal body weight, NOT BSA-normalized) is the only
retained covariate, entering CL as a power scaling (CRCL / 86
mL/min)^0.207. Inter-individual variability is log-normal on all
structural parameters and on F; residual error is proportional. Doses
are MPA-equivalent (mg) – MMF mass must be converted externally via F_MW
= 0.739 (oral) or 0.682 (IV) per Frymoyer 2013 Methods.
|
|
Mycophenolic
acid (Jiao 2008)
|
Population PK model with enterohepatic circulation (EHC) for
mycophenolic acid (MPA) and its 7-O-glucuronide metabolite (MPAG) in
healthy Chinese male volunteers after a single 500 mg oral dose of
mycophenolate mofetil (MMF, Cellcept). Five-compartment chain model
(Figure 2 of Jiao 2008): a gastrointestinal depot, a two-compartment MPA
disposition (central + peripheral), a one-compartment MPAG disposition
(central_mpag), and a gallbladder accumulation compartment
(gallbladder_mpag). First-order absorption with an absorption-lag time.
Complete (fm = 1, fixed) one-pass conversion of MPA to MPAG by
glucuronidation; MPAG is renally cleared in parallel with biliary
excretion into the gallbladder. EHC is encoded as time-gated bolus
releases of the gallbladder pool back into the GI depot at two
postprandial meal times (4 and 10 h post-dose, study-1 design), with
rate constant k51 acting over a 0.01 h window; the recycled MPAG is
reabsorbed via the same first-order ka as the oral dose. The fraction of
MPAG biliary-routed at the branch is encoded as EHCP = k45 / (k40 +
k45). Body-weight scaling: paper Eq 5 (linear-proportional ‘slope
without intercept’) with reference 65.5 kg applied to CL_MPA/F, Q/F, and
V_3/F via fixed allometric exponent 1. Cross-parameter IIV linkage:
eta(CL_MPAG/F) = psi_q_cl_mpag * eta(Q/F) reproduces the paper’s joint
eta structure where psi_q_cl_mpag is the paper’s ‘q’ parameter. UGT1A9
polymorphisms were screened but not retained in the final model (no
significant effect).
|
|
Mycophenolic
acid (Sherwin 2012)
|
Pediatric / adolescent enterohepatic-recirculation population PK model
for mycophenolic acid (MPA) and its main inactive metabolite
7-O-MPA-glucuronide (MPAG) in patients with childhood-onset systemic
lupus erythematosus (cSLE) on oral mycophenolate mofetil (MMF) (Sherwin
2012; n = 19, age 10-28 years). Absorption uses a Savic 2007
transit-compartment chain (number of compartments NN = 8.2 estimated,
mean transit time MTT = 1.1 h estimated) feeding the gut compartment,
which delivers MPA into the central compartment at a fixed first-order
absorption rate constant Ka = 1.5 1/h. MPA follows two-compartment
disposition (CL1/F, V3/F central; CL2/F, V4/F peripheral). The fraction
FM of total MPA elimination is converted to MPAG (FM fixed at 0.85; the
remaining 0.15 is metabolism to AcMPAG, not contained in the model).
MPAG follows one-compartment disposition with V_MPAG fixed equal to V3
MPA and apparent renal clearance CLM/F. Total MPAG elimination is
partitioned into renal ((1 - FMPAG) fraction) and biliary (FMPAG = 0.65
fraction, fixed). Biliary MPAG enters a gallbladder compartment that
empties to the gut during fixed meal-time windows (1-2 h and 4-6 h
post-dose); only a fraction EHC = 0.35 (fixed) of the emptied
gallbladder content is reabsorbed (the rest is excreted in feces). Upon
return to the gut compartment MPAG is reconverted to MPA and re-enters
the absorption pathway via Ka, generating the characteristic secondary
peak. The model() block hardcodes the BID dose interval (tau = 12 h) so
the meal-time windows recur each interval; CL1/F, V3/F, CL2/F, V4/F, and
CLM/F carry exponential IIV (paper-reported CV%). Inter-individual
variability and residual error follow the source Table 3. No covariates
entered the final model: bodyweight, age, sex, race, ethnicity, and
disease duration were screened and rejected (see
covariatesDataExcluded). Dose unit is MPA-mass-equivalent mg (MMF mg x
0.739 by molecular-weight ratio MPA/MMF = 320.3 / 433.5).
|
|
Mycophenolic
acid (Yu 2017)
|
Two-compartment population pharmacokinetic model with first-order oral
absorption (no lag) for mycophenolic acid (MPA, the active component of
mycophenolate mofetil, MMF) in Chinese adult renal transplant recipients
(Yu 2017). Apparent clearance CL/F follows a linear-additive covariate
model in body weight and serum creatinine (CL/F = 0.0916 * BW + 0.0417 *
Scr + 7.98 L/h); apparent central volume V1/F follows a linear-additive
covariate model in the UGT2B7 211G>T (rs7438135) genotype (V1/F =
14.7 + 7.72 * UGT2B7 L) where the paper’s ordinal genotype code maps
211GT to 1, 211GG to 2, and 211TT to 3. Residual error is combined
proportional plus additive on plasma MPA. Interoccasion variability
(13.7% CV on CL/F and V1/F) reported by the paper is documented in the
vignette but not encoded in this typical-value model because
Karlsson-Sheiner IOV requires per-occasion etas and an OCC data column;
the IIV-only encoding remains usable for typical-value and IIV-only
simulations.
|
|
Mycophenolic
acid (Zeng 2010)
|
Two-compartment population PK model with first-order absorption for
mycophenolic acid (MPA, the active moiety of mycophenolate mofetil MMF)
in children and young people undergoing blood or marrow, kidney, and
liver transplantation (Zeng 2010, Br J Clin Pharmacol). Both intravenous
(2 h infusion to the central compartment) and oral (depot with
first-order absorption rate ka and bioavailability F) routes were
modelled jointly. Apparent clearance CL/F (combined IV/oral typical
value) varies linearly with body weight via (1 + theta_WT * WT/27.9)
where 27.9 kg is the cohort median, and additively with concomitant
calcineurin-inhibitor type via (1 + theta_CYTA * CYTA): CYTA = 0 on
ciclosporin (the reference; n = 23) and CYTA = 1 on tacrolimus (n = 15)
(Zeng 2010 Table 2 model 4). Ciclosporin inhibits MRP2-mediated biliary
efflux of MPAG and thus suppresses enterohepatic recirculation of MPA,
so paediatric MPA CL/F is approximately 2.5x higher under ciclosporin
(CYTA = 0; multiplier 1.0) than under tacrolimus (CYTA = 1; multiplier 1
+ (-0.60) = 0.40). Inter-individual variability is diagonal on CL, ka,
and F; residual error is exponential (log-normal) with SD 0.48 on the
log scale. Inter-occasion variability of 5.8% CV on CL/F reported in
Zeng 2010 Table 3 (with occasion defined as 7 days in patients on daily
MMF) is NOT encoded structurally here because the model-library use case
does not define an operational occasion column; downstream users who
want to simulate IOV can add an OCC indicator and a per-occasion eta in
rxode2.
|
|
Mycophenolic
acid (Zhao 2010)
|
Two-compartment population PK model for mycophenolic acid (MPA, the
active moiety delivered as oral mycophenolate mofetil MMF) in children
with idiopathic nephrotic syndrome (Zhao 2010). First-order absorption
(ka = 5.16 1/h) with absorption lag time (tlag = 0.215 h) into a central
compartment. Apparent oral clearance CL/F (typical value 9.7 L/h at the
cohort medians WT = 23.5 kg, ALB = 38.6 g/L) is modeled with two
covariates: a power effect of body weight on CL/F with exponent 0.753
referenced to 23.5 kg (close to allometric but estimated, not fixed),
and an unusual linear-in-ratio effect of serum albumin in the form CL/F
= q1 * (WT/23.5)^q2 * [1 - q3 * (ALB/38.6)] with q1 = 22.5 L/h, q2 =
0.753, q3 = 0.570 (higher serum albumin reduces apparent CL/F,
consistent with stronger MPA-albumin binding in nephrotic patients with
restored albumin). Apparent central V1/F = 22.3 L; apparent peripheral
V2/F was fixed at 250 L (estimation between 100 and 600 L was
non-identifiable; the fixed value lies in the range reported for adult
transplant cohorts). Apparent inter-compartment clearance Q/F = 18.8
L/h. Exponential inter-individual variability is estimated on lag time,
V1/F, Q/F, and CL/F (no IIV on ka or V2/F). A proportional residual
error (44.6%) on MPA plasma concentration completes the model. Dosing in
this packaged form is in mg of MMF; the MMF-to-MPA hydrolysis is
implicit in the apparent bioavailability F.
|
|
Nab
paclitaxel (Chen 2014)
|
Three-compartment population PK with saturable (Michaelis-Menten)
distribution between the central and first peripheral compartments and
saturable elimination from the central compartment, coupled with a
Friberg-style 5-compartment semi-mechanistic PD model for
paclitaxel-induced neutropenia, fit to 150 adult patients with advanced
solid tumors who received nab-paclitaxel (Abraxane) 80-375 mg/m^2 as a
30-minute IV infusion (Chen 2014). The first peripheral compartment
exchanges with central via the saturable Vmtr / Kmtr process; the second
peripheral compartment exchanges via linear intercompartmental clearance
Q2. Baseline albumin lowers the maximal elimination rate VMEL via a
power-form covariate; advanced age (>= 65 years) potentiates the
linear Slope of paclitaxel-driven inhibition of the proliferating
neutrophil precursor pool, and baseline albumin also modifies the
baseline ANC via a power-form covariate. PK observation is plasma
paclitaxel concentration (ug/L = ng/mL); PD observation is absolute
neutrophil count (10^9 cells/L).
|
|
Nalmefene
(Kyhl 2016)
|
Population PK model for nalmefene in healthy volunteers (Kyhl 2016):
two-compartment model with first-order absorption after oral dosing,
separate absorption rates for tablet and solution formulations, and a
link to mu-opioid receptor occupancy.
|
|
Nalmefene
(Laffont 2024)
|
Population PK model for intranasal (IN) nalmefene HCl in healthy adult
volunteers (Laffont 2024): two-compartment model with linear
elimination, parallel zero-order plus lagged first-order absorption, and
allometric body-weight scaling on apparent clearance.
|
|
Naloxone
(Laffont 2024)
|
Population PK model for intranasal (IN) naloxone HCl in healthy adult
volunteers (Laffont 2024): two-compartment model with linear elimination
and parallel zero-order plus lagged first-order absorption; Q/F and Vp/F
fixed to literature values from Yassen 2007.
|
|
Naltrexone
bupropion (Sharma 2018)
|
Dose- and time-dependent population pharmacodynamic (DTPD) body-weight
model for the naltrexone/bupropion fixed-dose combination (Contrave) in
obese and overweight adults under lifestyle intervention, based on 4591
subjects pooled from six Contrave clinical trials (placebo and
active-treatment arms). Indirect-response body-weight model with linear
NHANES-derived disease progression, inverse-Bateman
lifestyle-intervention stimulation of body-weight loss (kout), and a
combined Emax dose- and time-dependent inhibitory drug effect; diabetes
(T2DM) and race covariates on key parameters. Does not include the
linked Markov dropout layer (Tr10, Tr01, Tr12, Tr02) of Table 3, and
does not include the PPPD concentration-driven variant (whose underlying
naltrexone/bupropion PopPK model is an unpublished internal Takeda
report).
|
|
Naproxcinod
(Bjornsson 2011)
|
Joint population PK / pain intensity (PI) / informative-dropout model
for naproxen following oral administration of naproxcinod (a naproxen
nitrate ester prodrug), naproxen, or placebo after wisdom-tooth
extraction (Bjornsson 2011, 242 patients with moderate-to-severe
post-surgical dental pain). PK: one-compartment disposition of unbound
naproxen with parallel Savic transit-compartment absorption chains for
naproxcinod (MTT 1.77 h, NN 3.58) and naproxen (MTT 0.500 h, NN 4.23)
feeding a shared central compartment. Total naproxen is computed from
unbound via a saturable albumin-binding equation Ctot = Cu + Bmax * Cu /
(Km + Cu) (Bmax = 643 umol/L, Km = 0.549 umol/L). Relative
bioavailability of naproxen via naproxcinod vs naproxen is 59.7%. PD:
pain intensity on a 100-mm visual analogue scale modeled as PI(t) =
PI_baseline * (1 - placebo(t)) * (1 - drug(t)), where placebo(t) = Pmax
* (1 - exp(-kpl * t)) (Pmax 20.2%, kpl 0.237 /h; additive IIV on Pmax
allows individual PI to either decrease or increase from baseline) and
drug(t) is a sigmoid Emax function of unbound naproxen with Emax fixed
at 1, EC50 0.135 umol/L, and Hill exponent 1.61. TTE: rescue-medication
request modeled as a Weibull hazard (lambda 0.00999, alpha 0.729) with
log-linear covariate effects of PI(t) and (PI_baseline - 55) on the
slope of PI(t); the hazard is set to zero for t < 1.5 h to reflect
the protocol’s rescue-medication abstention window.
|
|
Naproxen
mbma (Boucher 2018)
|
MBMA. Model-based meta-analysis longitudinal time-course Emax model for
the Western Ontario and McMaster Universities (WOMAC) pain score (0-10
scale) in adults with osteoarthritis, fitted to study-arm-mean data from
18 randomized double-blind placebo-controlled trials of naproxen vs
placebo (12 flare designs, 6 non-flare). The WOMAC pain response over
time follows a three-parameter Emax model in time: pain = E0 + Emax *
time / (ET50 + time), where ET50 is the time to half-maximal effect.
Flare design shifts both baseline E0 and Emax; naproxen treatment shifts
Emax and shortens ET50 (faster onset: ET50 0.21 week vs placebo 0.69
week). Between-study variability is carried as study-arm-level random
effects on E0 (SD 0.62) and Emax (SD 0.74); the residual describes
study-arm-mean variability weighted by each arm’s observed standard
error (sigma fixed to 1). Suitable simulation scope is study-arm-mean
WOMAC pain time-course, NOT individual-patient pain scores. Parameter
values are the NONMEM column of Table 2 (the same model was fit in
NONMEM, BUGS, and R with closely agreeing estimates).
|
|
Necitumumab
(Long 2017)
|
Two-compartment population PK model for necitumumab in cancer patients
(Long 2017), with IV infusion input and parallel linear plus
Michaelis-Menten (target-mediated) elimination from the central
compartment and allometric weight scaling on CL, Q, V1, and V2.
|
|
Nelfinavir
(Hirt 2006)
|
Population PK model for oral nelfinavir and its active metabolite M8
(hydroxy-tert-butylamide) in 182 pediatric HIV-1 infected children aged
3 days to 17 years (Hirt 2006). One-compartment model for nelfinavir
(depot + central) with first-order absorption (Ka) and linear
elimination via apparent total clearance CL_T/F; the active metabolite
M8 is described by a single compartment (central_m8) with apparent
volume FIXED to 1 L (not identifiable). Only the fraction F_MT (~2.5%)
of nelfinavir’s total clearance enters M8; the remainder is lost to
non-M8 elimination pathways. Body-weight scaling is linear (per-kg
parameterisation of V/F and CL/F); both V/F and CL/F decrease with age
via a shared power exponent of -0.29 relative to the median age 8.2
years. M8 elimination rate KM0 is increased ~1.9-fold by concomitant
administration of an enzyme-inducing NNRTI (efavirenz or nevirapine,
pooled under the indicator CONMED_NNRTI_IND consistent with the paper’s
finding that the two drugs’ inducer effects on KM0 were not
significantly different and the two were never administered
simultaneously). Inter-individual variability on V/F, CL/F, and KM0;
correlation 0.45 between IIVs on CL/F and KM0; additive residual error
in mg/L for each output.
|
|
Nelfinavir
(Hirt 2007)
|
Six-compartment population pharmacokinetic model for nelfinavir and its
M8 metabolite describing placental transfer from maternal plasma into
umbilical (cord) plasma and amniotic fluid (Hirt 2007). Oral nelfinavir
is absorbed first-order with a lag time into the maternal central
compartment. Nelfinavir is then (i) eliminated, (ii) converted to M8 in
a maternal M8 compartment, and (iii) transferred to a cord nelfinavir
compartment. M8 is eliminated from the mother and transferred to a cord
M8 compartment. Both nelfinavir and M8 transfer from cord to amniotic
fluid and are eliminated from amniotic fluid by first-order rate
constants. The distribution volume of M8 in the mother and the volumes
of all cord and amniotic-fluid compartments were not estimable and are
fixed at 1 L per the paper. Covariate effects: day-of-delivery indicator
increases maternal nelfinavir CL and V each by 92 percent and gates a
body-weight effect on CL within the delivery cohort only (reference 73
kg, exponent 2.81); pregnancy increases M8 elimination by 67 percent;
body weight scales M8 elimination on the full database (reference 63 kg,
exponent 1.41); concomitant NNRTI use increases M8 elimination by 148
percent.
|
|
Nevirapine
(Bienczak 2016)
|
One-compartment population PK model for oral nevirapine in African
children (Bienczak 2016) with three-transit-compartment absorption,
semi-mechanistic well-stirred hepatic extraction (Gordi-style) splitting
oral bioavailability into a pre-hepatic component FpreH (age-driven
exponential maturation toward an older-child reference fixed to 1) and a
hepatic component FH derived algebraically from intrinsic clearance
CLint via FH = QH / (QH + fu * CLint), allometric scaling of CLint and
Vc to median weight 14.5 kg and of hepatic plasma flow QH to a 70 kg
reference, CYP2B6 516G>T | 983T>C metabolizer-status (EM / IM / SM
/ USM) effects on CLint, and a 29% diurnal-variation cosine on CLint
with zenith at noon.
|
|
Nevirapine
(Schipani 2011)
|
One-compartment population PK model for oral nevirapine in HIV-infected
adults (Schipani 2011), with CYP2B6 516G>T (rs3745274) and 983T>C
(rs28399499) genotype and body-weight covariate effects on CL/F.
Covariate effects are additive on linear-scale CL/F per the published
equation.
|
|
Nevirapine
(Svensson 2012)
|
One-compartment population PK model for oral nevirapine in HIV-infected
South African adults (Svensson 2012, the multi-source ‘mega-model’
integration paper) with first-order absorption through two transit
compartments (Savic 2007 parameterisation, ktr = (NTRANS+1)/MTT shared
across all transit-rate steps), a two-population mixture on apparent
oral clearance CL/F (fast eliminators 3.12 L/h at 82.7% probability vs
slow eliminators 1.45 L/h at 17.3% probability, the slow class
associated by the paper Discussion with CYP2B6 516TT homozygotes),
Anderson-Holford allometric scaling (fat-free mass at exponent 0.75 for
CL/F with reference FFM 42 kg corresponding to a 70 kg / 1.6 m woman,
body weight at exponent 1 for V/F with reference WT 70 kg, both
exponents fixed), a fed/fasted binary covariate on absorption mean
transit time MTT (2.46 h fed vs 0.596 h fasted, a 4.1-fold slowing of
absorption with food) and a concomitant tuberculosis-treatment
(rifampicin + isoniazid +/- ethambutol) effect on bioavailability F (39%
decrease; F = 0.613 when on TB treatment vs F = 1.0 reference, with an
additional 34.1% between-subject variability specific to the
TB-treatment effect). Residual error is proportional (8.41% CV).
|
|
Nicorandil
(Iida 2008)
|
Two-compartment IV PK plus inhibitory Emax PD plus asymptotic-
exponential disease-progression population PKPD model for nicorandil in
acute heart failure (AHF) patients with pulmonary artery wedge pressure
(PAWP, mmHg) as the haemodynamic biomarker (Iida 2008 model 10). Five
clinical studies pooled: 11 healthy volunteer subjects (concentration
only) and 94 AHF patients (concentration plus PAWP), 618 nicorandil and
559 PAWP observations. Allometric size scaling with a 70 kg reference
(exponent 0.75 on CL and Q per paper Equation 5; canonical exponent 1.0
on V1 and V2 per Holford 1996). AHF-vs-healthy disease cohort modifies
all four PK parameters multiplicatively (FCL = 1.94, FV1 = 1.39, FQ =
0.519, FV2 = 4.06; paper Table 2). PD layer: inhibitory Emax model on
plasma concentration (no effect compartment, paper Results paragraph
‘Pharmacodynamic analysis’), summed with an asymptotic-exponential
disease- progression term that decreases PAWP from a baseline S0 to a
steady-state Sss with half-life Tprog. Inhibitory maximum Emax = -11.7
mmHg, EC50 = 423 ng/mL, S0 = 25.6 mmHg, Sss = 19.5 mmHg, Tprog = 5.83 h.
Bootstrap median final estimates.
|
|
NicotinicAcid
rat (Ahlstrom 2010)
|
Preclinical (rat). PK/PD feedback model for nicotinic acid (NiAc) and
non-esterified fatty acids (NEFA) in male Sprague-Dawley rats following
IV infusions. NiAc disposition is a two-compartment model with two
parallel capacity-limited (Michaelis-Menten) elimination processes
(likely glycine conjugation and amidation) plus endogenous synthesis.
NEFA turnover is described by an inhibitory drug-mechanism function
(Hill-Imax, with Imax fixed at 1) acting on the formation of NEFA,
coupled to a moderator feedback chain of 8 transit compartments
(precursor1..precursor8): the first compartment inhibits NEFA formation
amplified by exponent p and the last compartment stimulates NEFA loss. A
NiAc-independent capillary release rate kcap sets the lower
physiological limit of NEFA in plasma. All structural parameters are
body-weight-normalized (per kg). Parameter values from Ahlstrom 2010
Tables 1 (NiAc PK) and 2 (NEFA PD).
|
|
Nimotuzumab
(Castro-Surez 2020)
|
Semi-mechanistic two-compartment QSS TMDD population PK model for
nimotuzumab (anti-EGFR humanized IgG1) in adults with autosomal dominant
polycystic kidney disease (Castro-Suarez 2020); EGFR binding represented
in both central (Rtot) and peripheral (Rtotp) compartments under
quasi-steady-state, plus a turnover mediator that stimulates
non-specific clearance via a sigmoid Emax of free central nimotuzumab.
|
|
Nintedanib
(Schmid 2017)
|
Population pharmacokinetic model of nintedanib and its main hydrolytic
metabolite BIBF 1202 (Schmid 2017): a one-compartment first-order
absorption + lag parent (nintedanib) jointly fit with a one-compartment
first-order absorption + lag metabolite (BIBF 1202) coupled to the
parent via a fixed fractional formation-during-elimination term (kmet =
CL/V2 * ffM) and a fixed V3/V2 volume ratio inherited from rat IV data.
The 1191-patient pooled data set spans four trials in NSCLC (Reck 2011
NSCLC phase II, LUME-Lung 1, LUME-Lung 2) and IPF (TOMORROW). Covariates
include allometric body weight on CL, linear age on F1, smoking-status
on F1, ethnic-origin composite (Indian/Chinese/Taiwanese vs Korean vs
reference) on F1, study-group effects on F1 and ka, and on the
metabolite side body weight on F2 with ethnic-origin (Indian alone,
non-Indian Asian) on F2, ECOG status, LDH (hockey-stick), study-group
effect on ka2, and NSCLC histology on ka2.
|
|
Nipocalimab
(Valenzuela 2025)
|
Integrated PK/RO/IgG/MG-ADL QSS TMDD model for nipocalimab in healthy
adults and generalized myasthenia gravis (Valenzuela 2025)
|
|
Nirsevimab
(Clegg 2024)
|
Two-compartment population PK model for nirsevimab in preterm and term
infants (Clegg 2024)
|
|
Nisin
amikacin (Landersdorfer 2013)
|
In vitro (methicillin-resistant Staphylococcus aureus USA300).
Mechanism-based pharmacodynamic model for nisin plus amikacin in a 48-h
static-concentration time-kill assay (S-ADAPT and NONMEM analyses;
subpopulation synergy concept). Six pre-existing bacterial populations
crossing nisin (susceptible Nis-S, intermediate Nis-I, resistant Nis-R)
with amikacin (susceptible Ami-S, resistant Ami-R) susceptibility, each
following a Bulitta two-state life-cycle growth model (state 1 ->
state 2 -> 2state 1 with replication rate k21 fixed). Nisin kills
with a second-order function (k2Cnis) and amikacin with a
saturating Hill function; a saturating carrying-capacity replication
factor (REP = 2*CFUmax/(CFUmax + CFUall)) caps the population. Nisin-
and amikacin-cross-resistant populations carry reduced biofitness
(multiplicative growth-rate factor fk12). Nisin and amikacin
concentrations are external time-varying inputs (covariates Cnis and
Cami); the model contains no human PK component.
|
|
Nisin
linezolid (Landersdorfer 2013)
|
In vitro (methicillin-resistant Staphylococcus aureus USA300).
Mechanism-based pharmacodynamic model for nisin plus linezolid in a 48-h
static-concentration time-kill assay (S-ADAPT and NONMEM analyses;
subpopulation synergy concept). Three pre-existing bacterial populations
(Nis-S/Lin-S, Nis-I/Lin-S, Nis-R/Lin-I), each following a Bulitta
two-state life-cycle growth model. Nisin kills with a second-order
function (k2Cnis); linezolid inhibits protein synthesis (turnover of
a protein pool P), which (i) raises Inh_Rep = 1 - P and therefore
reduces successful replication for the Lin-S populations and (ii)
inhibits the slow state 1 -> state 2 growth-rate transition via a
steep Hill function (Inh_k12) in all three populations. The Nis-R/Lin-I
population has no Inh_Rep effect (only Inh_k12). A saturating
carrying-capacity replication factor (REP = 2CFUmax/(CFUmax +
CFUall)) caps the population. Nisin and linezolid concentrations are
external time-varying inputs (covariates Cnis and Clin); the model
contains no human PK component.
|
|
Nivolumab
(Bajaj 2017)
|
Two-compartment population PK model for nivolumab (anti-PD-1 IgG4) with
time-varying clearance (sigmoid Emax) in patients with advanced solid
tumors (Bajaj 2017)
|
|
Nivolumab
(Zhang 2019)
|
Two-compartment population PK model with time-varying clearance for
intravenous nivolumab (anti-PD-1 IgG4) in adults with advanced solid
tumors, alone or in combination with ipilimumab or chemotherapy (Zhang
2019)
|
|
Norepinephrine
(Oualha 2014)
|
Population PK/PD model for continuous IV norepinephrine in hypotensive
critically ill children (Oualha 2014). One-compartment open PK with
first-order elimination plus an endogenous zero-order production rate q0
and circulating-volume-anchored Vc = 0.08 * WT; allometric scaling of CL
and q0 on body weight (exponents fixed to 3/4). Emax PD sub-model on
mean arterial pressure (MAP) with a power-of-postmenstrual-age effect on
basal MAP0 and a categorical organ-dysfunction-count effect on the
maximal drug-induced MAP increase dMAP (32 mmHg for <=3 dysfunctions
vs 12 mmHg for >=4).
|
|
Nusinersen
(Luu 2017)
|
Four-compartment population PK model for nusinersen (antisense
oligonucleotide) following intrathecal administration in pediatric
patients with spinal muscular atrophy (Luu 2017): a CSF + CNS-tissue
subsystem (intrathecal bolus enters the CSF) coupled by a unidirectional
CSF-to-plasma transport to a plasma + systemic-tissue subsystem, with
baseline body weight as a power covariate on CL_p and V_CSF and a linear
covariate on V_p.
|
|
Nutlin3a
(Zhang 2011)
|
Preclinical (mouse). Whole-body PBPK model for nutlin-3a (MDM2
inhibitor) in adult C57BL/6 mice after intravenous and oral
administration (Zhang et al. 2011, DMD). Thirteen physiological tissue
compartments (adipose, adrenal gland, bone marrow, brain, intestine +
lumen, liver, lung, muscle, retina, spleen, vitreous, residual
diffusion-limited tissue + residual vascular space) with arterial and
venous blood pools (75/25 split of total blood volume).
Perfusion-limited tissues use a partition coefficient K_i; the eye is
modelled as retina + vitreous coupled by a permeability-surface-area
product PA_VIT; the residual compartment is diffusion-limited (5%
vascular space, 95% tissue, coupled by PA_RES). Elimination is combined
linear (hepatic, k_e) and saturable Michaelis-Menten (arterial,
V_max/K_m). Oral absorption is first-order from an intestinal lumen
depot. Plasma protein binding is reported (B_max = 286 uM, K_A = 0.085
1/uM, Langmuir form) but is only used for an unbound-concentration
derivation that the paper applies to tissue exposure / IC50 comparisons,
not to the elimination ODEs; the ODE system operates on total
concentrations. The model is intended for typical-value simulation.
|
|
Obinutuzumab
(Gibiansky 2014)
|
Two-compartment population PK model of obinutuzumab (GA101,
glycoengineered type II anti-CD20 mAb) in adults with chronic
lymphocytic leukemia (CLL) or non-Hodgkin lymphoma (NHL); clearance is
the sum of a time-independent component CL_inf and a mono-exponentially
decaying time-dependent component CL_Texp(-kdestime), with
histology (CLL / BCL / DLBCL / MCL), baseline tumor size, body weight,
and sex as covariates (Gibiansky 2014).
|
|
Ofatumumab
(Yu 2022)
|
Population PK / B-cell-count model for subcutaneous ofatumumab in adults
with relapsing multiple sclerosis (Yu 2022)
|
|
Ofloxacin
(Chigutsa 2012)
|
Two-compartment population PK model for oral ofloxacin in South African
adults with multidrug-resistant tuberculosis (MDR-TB) (Chigutsa 2012; n
= 65; pooled Cape Town and Durban cohorts). Savic 2007
transit-compartment absorption chain (number of transit compartments NN
= 6 estimated). Total apparent oral clearance is an additive sum of two
routes: a glomerular-filtration component scaling linearly with
creatinine clearance (CrCl computed by a lean-body-weight modification
of the Cockcroft-Gault equation; reference 68 mL/min), and an
extraglomerular component (active tubular secretion + minor biliary
excretion) allometrically scaled to total body weight (exponent 0.75
fixed, reference 70 kg). Central volume is allometrically scaled to lean
body mass (exponent 1 fixed, reference 46 kg LBM); peripheral volume to
total body weight (exponent 1, reference 70 kg); intercompartmental
clearance to total body weight (exponent 0.75, reference 70 kg). Mean
transit time is 2.4-fold longer when ofloxacin is administered after a
meal (Cape Town cohort, FED = 1) than fasted (Durban cohort, FED = 0). F
is fixed at 1; residual error is combined additive (0.6 mg/L) and
proportional (9.6%).
|
|
Olanzapine
panss subscales (PillaReddy 2013)
|
Population PK/PD model for olanzapine against the three PANSS subscales
(positive, negative, general) in adults with schizophrenia from Pilla
Reddy 2013 Part II. The PK sub-model is the one-compartment olanzapine
structural model from Part I (PMID 23473810) Table 2: first-order
absorption ka = 0.30 1/h, apparent oral clearance CL/F = 21.8 L/h,
apparent central volume of distribution Vc/F = 700 L. The PD sub-model
has three outputs that share the Weibull placebo time- course form
Pplacebo = Pmax * (1 - exp(-(t/TD)^POW)) but each subscale carries its
own placebo Pmax, TD, POW (Part II Table 1) and olanzapine’s own Emax /
EC50 / KT triplet per subscale (Part II Table 2). The KT for olanzapine
PANSS positive and general (0.048 and 0.035 1/day) is the
common-across-atypical-antipsychotic value (Part II Methods); the KT for
the negative subscale (0.028 1/day) was estimated separately per drug.
Olanzapine was numerically superior to the other SGAs for the negative
subscale (Emax = 0.33 vs 0.14-0.17 for the other SGAs; Part II Results),
making this a clinically meaningful subscale- specific comparison. The
exponential time-to-event dropout sub-model from Part II Table 4 is
documented in population$dropout_model but is
not encoded in this model body. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Johnson_2011_olanzapine_rat.html">Olanzapine
rat (Johnson 2011)</a> </td>
<td style="text-align:left;"> Preclinical (rat).
Mechanism-based hybrid physiology-based population PK-PD model for
olanzapine and striatal dopamine D2 receptor occupancy (D2RO) in rats
(Johnson 2011). Plasma PK is a 2-compartment model fitted across IP, SC,
and IV routes in Wistar / Sprague-Dawley rats (single dose 0.01-40
mg/kg, pooled from 12 studies, n = 283); the absorption rate constant
was not estimable, so all routes deposit drug directly into the central
compartment, and the intraperitoneal bioavailability FIP is estimated
(about 64%) with an 87% CV log-normal IIV. SC and IV bioavailability are
fixed at 1. The brain submodel adds a brain-vascular compartment (Vbv,
fed by cerebral blood flow CLbv from systemic central) and a brain-
extravascular compartment (Vbev, fed across the BBB by an estimated
clearance CLbev applied to the unbound concentration on each side via
fixed fu_plasma and fu_brain). D2 receptor occupancy in striatum is the
reduced model published by the authors (Bmax dropped per their
sensitivity analysis): dRO/dt = kon * Cfree_bev * (1 - RO) - koff * RO,
with kon = koff/Kd and Cfree_bev = fu_brain * (Cbev in nM), so the
binding kinetics are driven by the free brain-extravascular
concentration converted to nM via the olanzapine molecular weight
(312.43 g/mol). All structural parameters are body-weight-normalised
(per kg). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Mo_2018_olaratumab.html">Olaratumab
(Mo 2018)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model with linear clearance for olaratumab in patients with advanced or
metastatic cancer (Mo 2018) </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Borghardt_2016_olodaterol.html">Olodaterol
(Borghardt 2016)</a> </td>
<td style="text-align:left;"> Population PK model for inhaled
and intravenous olodaterol (long-acting beta-2-adrenergic receptor
agonist) in 148 healthy adult volunteers from three Phase I trials
(Borghardt 2016). Four-compartment systemic disposition (central + 3
peripheral) fitted to IV plasma + urine data, with two parallel
first-order elimination processes from the central compartment: renal
(cl_renal) and nonrenal (cl_nonren). For inhaled administration via the
Respimat inhaler, three parallel first-order absorption depots (slow,
intermediate, fast) feed the central compartment, with absorption
half-lives of 21.8 h, 2.00 h, and 0.268 h respectively. The pulmonary
bioavailable fraction (49.4% of the nominal ex-mouthpiece dose) is split
across the three depots by two logit-transformed proportionality
parameters. Smoking is a covariate on the slow and fast absorption rate
constants (active smokers vs ex-smokers and never-smokers pooled).
Systemic disposition parameters were estimated from IV data and fixed
when fitting the inhalation data. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Kretsos_2014_olokizumab.html">Olokizumab
(Kretsos 2014)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
with linear elimination and SC first-order absorption (depot, central,
peripheral1) plus effect-compartment fractional sigmoid Imax PD model
for C-reactive protein (CRP) suppression in mild-to-moderate rheumatoid
arthritis patients receiving single-dose IV or SC olokizumab (anti-IL-6
monoclonal antibody, IgG4, CDP6038). Final-analysis estimates from
Kretsos et al. 2014 Table 1 (Final column), pooling first-in-human
(healthy volunteers, Hickling 2011) and first-in-patient (Cohorts 1+2,
n=27 active-treatment subjects) data. The PK observation model adds a
per-subject endogenous anti-IL-6 baseline ('endo') as an additive offset
on the observed OKZ concentration. Body weight was reported as a
significant covariate on CL and central volume (paper Discussion) but
its functional form / exponents were not reported in main text or
supplement; the body-weight covariate effect is omitted here -- see
vignette Assumptions. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Kunisawa_2014_olprinone.html">Olprinone
(Kunisawa 2014)</a> </td>
<td style="text-align:left;"> Two-compartment intravenous
population PK model for olprinone (a phosphodiesterase III inhibitor) in
healthy adult Japanese male volunteers with body-weight normalization on
CL, Vc, Q and Vp (Kunisawa 2014) </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Hayashi_2007_omalizumab.html">Omalizumab
(Hayashi 2007)</a> </td>
<td style="text-align:left;"> Mechanism-based binding
population PK/PD model for omalizumab and IgE in Japanese atopic-asthma
patients (Hayashi 2007). Three serum entities (free omalizumab, free
IgE, and the omalizumab-IgE complex) each carry their own clearance and
volume of distribution and are coupled through instantaneous-equilibrium
binding (law of mass action) with a concentration-dependent dissociation
constant. Body weight modifies omalizumab CL and Vd; baseline IgE
modifies IgE CL and IgE production rate. Subcutaneous absorption is
first-order. Disposition parameters are reported as apparent (divided by
SC bioavailability f). Three observed quantities: total omalizumab
(ug/mL), total IgE (ng/mL), and free IgE (ng/mL). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Lowe_2009_omalizumab.html">Omalizumab
(Lowe 2009)</a> </td>
<td style="text-align:left;"> Mechanism-based binding
population PK/PD model for omalizumab and free / total IgE in 1928
patients (1781 with severe persistent allergic asthma across four Phase
III studies plus 152 healthy atopic volunteers in a single-dose
bioequivalence study; Lowe 2009). Three serum entities (free omalizumab,
free IgE, and the omalizumab-IgE complex) each carry their own clearance
and apparent volume of distribution and are coupled through
instantaneous-equilibrium binding (law of mass action) with a
baseline-IgE-dependent dissociation constant that further varies with
the instantaneous total-omalizumab-to-total-IgE molar ratio. Body weight
modifies all clearances, all volumes, and the IgE production rate via
allometric power covariates centred at 70 kg; baseline IgE modifies CL
of free IgE, IgE production rate, and Kd via power covariates centred at
365 ng/mL. Subcutaneous absorption is first-order. Disposition
parameters are reported as apparent (divided by SC bioavailability f).
Extends Hayashi 2007 (modellib('Hayashi_2007_omalizumab')) with (i) IIV
on Kd, (ii) baseline IgE as a covariate on Kd, and (iii) bodyweight
covariates on the IgE production and clearance parameters. Three
observed quantities: total omalizumab, total IgE, and free IgE (all in
ng/mL). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Zhu_2023_omalizumab_pediatric.html">Omalizumab
pediatric (Zhu 2023)</a> </td>
<td style="text-align:left;"> Population pharmacodynamic
indirect-response (IDR Type IV) model for forced expiratory volume in 1
second (FEV1, percent predicted on a 0-1 fractional scale) driven by
serum free IgE in pediatric patients (6-11 years) with moderate to
severe persistent inadequately controlled allergic asthma treated with
omalizumab (Zhu 2023). PD-only -- free IgE concentration enters as the
exogenous time-varying covariate IGE_FREE (per-FEV1-observation
interpolated value, ng/mL). Adapted from the adult/adolescent IgE-FEV1
model (Lowe et al. 2009) with simplifications for the sparser pediatric
data: observed baseline FEV1 per subject, common IIV magnitude on Imax
and FEV1max, and Hill coefficient gamma fixed at 9. The estimated IC50
in pediatrics (39.4 ng/mL) is higher than in adults/adolescents (19.8
ng/mL); the model still supports the 25 ng/mL free IgE target
underpinning the Xolair dosing table. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Mensing_2017_3D_HCV_regimen.html">Ombitasvir
(Mensing 2017)</a> </td>
<td style="text-align:left;"> One-compartment population PK
model for oral ombitasvir in HCV genotype-1 infected adults receiving
the 3D (paritaprevir/ritonavir + ombitasvir + dasabuvir) +/- ribavirin
regimen (Mensing 2017). First-order absorption, linear elimination,
combined proportional + additive residual error, IIV on CL/F only. The
author's final model retained cirrhosis, gender, age, and body weight as
significant covariates on CL/F (and age, body weight on Vc/F), but the
paper does not publish point estimates for these covariate coefficients
(only graphical exposure-ratio forest plots in Figure 2); the
implemented model is the structural typical-value model with covariate
coefficients omitted (documented in covariatesDataExcluded). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Solana_2014_omeprazole.html">Omeprazole
(Solana 2014)</a> </td>
<td style="text-align:left;"> Two-compartment
intravenous-infusion population PK model for omeprazole in 40 critically
ill children (Solana 2014), with fixed Anderson-Holford allometric
body-weight scaling on all four disposition parameters (exponents 0.75
on CL and Q, 1.00 on Vc and Vp; reference 70 kg). Between-patient
variability was retained on CL only; residual error is proportional.
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Zhao_2018_omeprazole.html">Omeprazole
(Zhao 2018)</a> </td>
<td style="text-align:left;"> Population PK-pharmacogenetic
model for oral omeprazole and its two metabolites 5-hydroxy-omeprazole
and omeprazole sulfone in Caucasian neonates and young infants (Zhao
2018). One-compartment parent disposition with first-order absorption
(Ka modulated by ABCB1 C3435T genotype) is followed by parallel
formation into two one-compartment metabolites with apparent volume
V_M/F fixed to 1 L; the omeprazole-to-5-hydroxy-omeprazole formation
clearance (CLOMZ-M1) is modulated by CYP2C19 metabolizer phenotype (poor
/ intermediate / extensive-or-ultrarapid) and a postnatal-age power
function, while the omeprazole-to-omeprazole-sulfone formation clearance
(CLOMZ-M2) and the metabolite apparent eliminations carry no covariates.
Linear omeprazole elimination was estimated as negligible (< 0.0001
L/h) and is therefore not included in the final structural model.
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/deAlwis_1998_ondansetron.html">Ondansetron
(deAlwis 1998)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model with zero-order intravenous-infusion input for ondansetron in
pooled paediatric, young-adult, elderly, and aged subjects (de Alwis
1998). The paper uses an empirical additive linear-regression covariate
model in the 1990s NONMEM tradition (Maitre 1991 three-step approach):
clearance CL and inter-compartmental clearance CLd are sex-stratified
with separate male and female intercepts and slopes; the central volume
V1 has a body-weight slope only; the steady-state volume Vss has
body-weight and age slopes; the peripheral volume Vp is derived as Vss -
V1. Inter-individual variability is diagonal log-normal on CL, V1, Vss,
and CLd. Proportional residual error is stratified across five
paper-defined study sub-populations (young healthy volunteers 18-41 y,
elderly healthy volunteers 61-75 y, aged healthy volunteers >= 75 y,
paediatric cancer patients receiving chemotherapy, paediatric patients
receiving general anaesthesia), switched at runtime via the canonical
AGE / DIS_HEALTHY / DIS_CANCER_PED covariates. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Wang_2020_ontamalimab.html">Ontamalimab
(Wang 2020)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model for ontamalimab (SHP647), a fully human IgG2 anti-MAdCAM-1
monoclonal antibody, in adults with moderate-to-severe ulcerative
colitis or Crohn's disease (Wang 2020), with first-order SC absorption,
absorption lag time, parallel linear and Michaelis-Menten elimination
from the central compartment, and allometric weight scaling on CL, Vc,
Q, Vp, and Vmax. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Zhang_2022_ormutivimab.html">Ormutivimab
(Zhang 2022)</a> </td>
<td style="text-align:left;"> Time-dependent population
pharmacodynamic emax model for rabies virus neutralizing antibody (RVNA)
activity after rabies vaccination in healthy Chinese adults, with a
categorical drug-product covariate that contrasts Ormutivimab (rHRIG, a
recombinant human anti-rabies IgG1 monoclonal antibody) against
plasma-derived human rabies immunoglobulin (HRIG) (Zhang 2022). Output
Cc is neutralizing antibody activity in IU/mL measured by the rapid
fluorescent focus inhibition test (RFFIT). The published Y1
two-compartment PK overlay for the passive-antibody component of the
combined drug+vaccine groups (E = Y1 + Y2) is NOT included here because
the seven structural PK constants (Ka, V1, V2, K10, K12, K21, C0) are
not reported anywhere on disk; see the vignette's Assumptions and
deviations section for the omitted-component audit trail. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Chairat_2016_oseltamivir.html">Oseltamivir
(Chairat 2016)</a> </td>
<td style="text-align:left;"> Joint population pharmacokinetic
model for oral oseltamivir (parent) and its active antiviral metabolite
oseltamivir carboxylate in 12 obese (BMI >= 30 kg/m^2) and 12
non-obese (BMI < 30 kg/m^2) healthy Thai adult volunteers (Chairat
2016 BJCP). First-order absorption (ka) into a one-compartment parent
(OS) disposition, an intermediate metabolism compartment delaying
carboxylate appearance (rate km), and a one-compartment oseltamivir
carboxylate (OC) disposition. Relative oral bioavailability F is fixed
to unity with interindividual variability on F absorbing absorption
differences. Creatinine clearance computed using Janmahasatian fat-free
mass (CLCR(FFM); raw Cockcroft-Gault with FFM substituted for total body
weight) is a linear covariate on CL/FOC, centred at the population
median CLCR(FFM) of 73 mL/min (3.84% increase per 10 mL/min increase).
Obesity itself was not a retained covariate in the formal model.
Residual error is additive on log-transformed concentrations of OS and
OC (encoded here as a log-normal residual on Cc and Cc_oc). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Kamal_2013_oseltamivir.html">Oseltamivir
(Kamal 2013)</a> </td>
<td style="text-align:left;"> Joint parent-metabolite
population PK model for oral oseltamivir (prodrug, OP) and its active
metabolite oseltamivir carboxylate (OC) in 390 subjects aged 1 to 78
years pooled from 13 clinical trials (healthy adults,
influenza-inoculated and naturally infected adults, healthy geriatric
subjects, renally impaired adults, and healthy and infected pediatric
subjects 1 to 18 years). Oseltamivir is described by a two-compartment
model with first-order absorption and first-order conversion to OC
(CLp/F treated as the OP-to-OC conversion clearance under the assumption
of complete metabolism; <5% of prodrug is excreted unchanged
renally). OC is described by a one-compartment model with first-order
elimination. All clearance and volume terms are apparent (conditioned on
oral bioavailability F; OC terms additionally on the fraction
metabolized fm, assumed 1). Covariates: body weight as a power function
on OP CLp/F, OC CLm/F, and OC Vcm/F (allometric-style exponents
estimated, not fixed); creatinine clearance (BSA-normalized to 1.73 m^2)
as a power function on OC CLm/F; and age as a linear (additive) term on
OC Vcm/F. Inter-individual variability is exponential on all seven
structural parameters, with two off-diagonal covariances (CLp/F with
CLm/F, and Vp/F with Vcm/F). Residual error is proportional only for
oseltamivir (40.5% CV reduced CCV model) and combined additive plus
proportional for OC (14.0% CV proportional + 17.9 ng/mL additive SD).
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Kamal_2015_oseltamivir.html">Oseltamivir
(Kamal 2015)</a> </td>
<td style="text-align:left;"> Mechanistic drug-disease
(viral-dynamics) model of influenza-virus progression and oseltamivir
antiviral effect in adults with experimental and naturally-acquired
influenza A (H1N1) virus infection (Kamal 2015). Builds on the Baccam et
al. (2006) target-cell-limited viral-dynamics framework: uninfected
target respiratory epithelial cells (target_cells) are infected by free
virus (virus) at second-order rate beta_inf; infected cells
(infected_cells) produce virus at rate p_prod per cell per day and die
at rate delta_clr; free virus is cleared at rate c_clr. Oseltamivir
inhibits viral production through an inhibitory Hill function acting on
log10(p) (Equation 4 of Kamal 2015), parameterised so Emax is the
maximum log10-fold reduction of p and ED50 is the dose producing a
2-fold (50%) reduction of p on the linear scale. Dose enters via the
per-record DOSE covariate (mg per administered oseltamivir dose; 0
during placebo or outside the treatment window); no oseltamivir
pharmacokinetics are modelled. Initial conditions are fixed per Baccam
et al. (2006): target_cells(0) = 4e8 epithelial cells (from a 160 cm^2
upper-respiratory-tract surface area and 2e-11 to 4e-11 m^2 per
epithelial cell), infected_cells(0) = 0, and virus(0) = 10^0.25
TCID50/mL (the viral-titer lower limit of quantification, used as the
inoculation viral titer). The viral load viralLoad (TCID50/mL of nasal
wash, canonical PD-output name) is the single observed output with
proportional residual error, equivalent to the paper's log10-transformed
additive-error model. The three viral-dynamics compartments are declared
paper-specific (see paper_specific_compartments). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Standing_2012_oseltamivir.html">Oseltamivir
(Standing 2012)</a> </td>
<td style="text-align:left;"> Population PK model for oral
oseltamivir and its active metabolite oseltamivir carboxylate in preterm
and term neonates and infants (Standing 2012). One-compartment parent +
one-compartment metabolite with first-order absorption, an empirical
transit compartment delaying first-pass metabolite appearance,
well-stirred-model hepatic first-pass conversion (FM derived from CLI /
liver-blood-flow FQ), and physiologically scaled clearances combining
(WT/70)^0.75 allometry with a Rhodin 2009 renal-maturation Hill sigmoid
on CLU/CLM and a fitted HCE1 Hill sigmoid (PM50 86.1 wk, Hill 3.17) on
intrinsic clearance CLI. Volumes (VD, VDM) and liver blood flow (FQ)
fixed from external references. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Brown_2017_osimertinib.html">Osimertinib
(Brown 2017)</a> </td>
<td style="text-align:left;"> Joint two-compartment population
PK model for osimertinib (AZD9291) and its active metabolite AZ5104 in
advanced non-small cell lung cancer (NSCLC) patients pooled with healthy
volunteers (Brown 2017). First-order oral absorption into a parent
(osimertinib) compartment is followed by a second compartment (AZ5104)
in series; the fraction of parent eliminated as AZ5104 is fixed at 0.25
per the publication. Body weight (allometric on parent CL/F and Vc/F and
on AZ5104 CL/F), serum albumin (power on parent Vc/F), healthy-volunteer
disease state (linear factor on both parent and AZ5104 CL/F), and
ethnicity (Chinese, Japanese, Asian-other, and non-Asian non-Caucasian
linear factors on AZ5104 CL/F) were retained as significant covariates.
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Valenzuela_2011_oxaliplatin.html">Oxaliplatin
(Valenzuela 2011)</a> </td>
<td style="text-align:left;"> Population PK/PD model for
hyperthermic intraperitoneal oxaliplatin (HIO) and induced neutropenia
in 30 adults with peritoneal carcinomatosis after cytoreductive surgery
(Valenzuela 2011). PK: peritoneum-as-depot first-order absorption
(parameterized in the paper as peritoneum-to-plasma clearance Qa and
peritoneum volume Va = vd, with ka = Qa/Va as a secondary parameter)
feeding an open two-compartment plasma disposition; bioavailability F
was fixed to 1 so Cl/F, Vc/F, Q2/F, Vp/F are apparent. PD: Friberg
semi-mechanistic myelosuppression chain (one proliferating compartment
plus three transit compartments feeding circulating ANC) with a linear
drug effect Edrug = alpha * Cc on the proliferation rate and a
(Circ0/Circ)^gamma feedback amplification; MTT was fixed at 118 h and
the circulating-cell elimination rate constant kCirc was fixed at 0.07
per h (both from Friberg 2002). No subject covariates were retained in
the final model; ten demographic and biochemistry covariates were
screened graphically and showed no correlation with PK/PD parameters.
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Rodrigues_2017_oxcarbazepine.html">Oxcarbazepine
(Rodrigues 2017)</a> </td>
<td style="text-align:left;"> Parent-metabolite population PK
model for oral oxcarbazepine (OXC) and its active monohydroxy derivative
(MHD) in epileptic children aged 2-12 years (Rodrigues 2017).
Two-compartment OXC + one-compartment MHD with first-order absorption,
complete metabolic conversion (Fm fixed to 1), reversible MHD-to-OXC
back-transformation (KBT), empirical allometric weight scaling on
CL_OXC/F, Vc_OXC/F, CL_MHD/F, and Vc_MHD/F (no scaling on Q_OXC/F or
Vp_OXC/F), and a 29.3% increase in MHD clearance under concomitant
enzyme-inducing antiepileptic drugs. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Stocker_2012_oxypurinol.html">Oxypurinol
(Stocker 2012)</a> </td>
<td style="text-align:left;"> One-compartment population PK
model for oxypurinol (the active metabolite of allopurinol) in adults
with gout (Stocker 2012). First-order formation from allopurinol (Kfm
taken as the apparent first-order absorption rate into the central
compartment), one-compartment distribution, and first-order elimination.
Apparent clearance (CL/Fm) is modified by raw Cockcroft-Gault creatinine
clearance based on lean body weight (CRCL), concomitant any-class
diuretic use (CONMED_DIUR; thiazide / furosemide / spironolactone
pooled), and concomitant probenecid use (CONMED_PROBENECID), each via a
linear-deviation multiplicative factor. Apparent volume (V/Fm) is
allometrically scaled on lean body weight (LBW) with the volume exponent
held fixed at the theoretical value of 1.0. The dose entered into the
model is the oxypurinol-equivalent dose, taken as 0.9 x allopurinol dose
per the paper's prior published assumption. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Berges_2015_ozanezumab.html">Ozanezumab
(Berges 2015)</a> </td>
<td style="text-align:left;"> Two-compartment IV population PK
plus effect-compartment sigmoid Emax PKPD model for the proportion of
skeletal-muscle membrane Nogo-A co-localized with ozanezumab in adults
with amyotrophic lateral sclerosis (ALS), based on the GlaxoSmithKline
first-in-human study NCT00875446 (Berges 2015, Table 2) </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Takeuchi_2023_ozoralizumab.html">Ozoralizumab
(Takeuchi 2023)</a> </td>
<td style="text-align:left;"> One-compartment population PK
model with first-order absorption for subcutaneous ozoralizumab
(anti-TNF VHH NANOBODY) in Japanese patients with rheumatoid arthritis
(Takeuchi 2023) </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/deJonge_2005_paclitaxel.html">Paclitaxel
(deJonge 2005)</a> </td>
<td style="text-align:left;"> Semi-mechanistic population
pharmacokinetic model for orally administered paclitaxel formulated in
Cremophor EL (CrEL) and coadministered with cyclosporin A in adult
cancer patients. Free paclitaxel in the gastrointestinal tract (depot)
absorbs first-order (kabs) into a two-compartment plasma disposition
(central + peripheral1; linear elimination CL/F, volume V/F,
intercompartmental clearance Q derived from the paper's k23 = Q/Vc and
k32 = Q/Vp). A second GI-tract paclitaxel pool (`bound`) holds drug
encapsulated in CrEL micelles; the depot <-> bound equilibrium is
governed by a single rate constant keq whose forward binding rate scales
with the GI-tract CrEL amount (`cremophor`), which itself decays
first-order with rate kcrem. Bioavailability F1 is fixed at 1 with
log-normal between-subject variability; the paper found no
dose-dependence in F. Inter-occasion variability on CL collapses to
between-subject variability in this packaged form because the source
dataset's occasion column is not encoded -- see vignette Assumptions and
deviations. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Wahlby_2004_time_varying_covariates.html">Paclitaxel
myelosuppression (Wahlby 2004)</a> </td>
<td style="text-align:left;"> Semi-mechanistic Friberg-Karlsson
myelosuppression PD model for paclitaxel-induced neutropenia in 45
cancer patients, demonstrating Wahlby 2004's extended covariate-model
formulation. Final-model adds a time-varying bilirubin (TBILI) effect on
mean transit time and a per-occasion delta-from-baseline-bilirubin
effect on the linear drug-effect Slope, with inter-individual
variability in the delta-bilirubin-Slope coefficient (Wahlby 2004 Eq 3
demonstrated). Paclitaxel PK is supplied via per-subject empirical-Bayes
columns (CL_INDIV, VC_INDIV, VP_INDIV) following the Friberg 2002
paclitaxel convention; users can also pair this PD model with the
Friberg_2002_paclitaxel PK structure directly via the modellib registry.
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/PillaReddy_2013_panss_subscales.html">Paliperidone
panss subscales (PillaReddy 2013)</a> </td>
<td style="text-align:left;"> Population PK/PD model for
paliperidone extended release against the three PANSS subscales
(positive, negative, general) in adults with schizophrenia from Pilla
Reddy 2013 Part II. The PK sub-model is the one-compartment paliperidone
structural model from Part I (PMID 23473810) Table 2 with the sequential
zero-order plus first-order absorption simplified to first-order only
(the ER absorption profile is approximately steady at steady state
because the OROS-extended- release tablet is dosed once daily):
first-order absorption ka = 0.57 1/h, apparent oral clearance CL/F =
14.1 L/h, apparent central volume of distribution Vc/F = 475 L. The PD
sub-model has three outputs that share the Weibull placebo time-course
form Pplacebo = Pmax * (1 - exp(-(t/TD)^POW)) but each subscale carries
its own placebo Pmax, TD, POW (Part II Table 1) and paliperidone's own
Emax / EC50 / KT triplet per subscale (Part II Table 2). The KT for
paliperidone PANSS positive and general (0.048 and 0.035 1/day) is the
common-across-atypical- antipsychotic value; the KT for the negative
subscale (0.13 1/day) was estimated separately per drug. The lag time
ALAG1 = 0.67 h and the zero-order absorption duration DUR = 23.6 h
reported in Part I Table 2 for paliperidone ER are not encoded here
because the Css used by the PD model is approximately invariant to
within-dose absorption details at steady state. The exponential
time-to-event dropout sub-model from Part II Table 4 is documented in
population$dropout_model but not encoded in the model body.
|
|
Palivizumab
(Robbie 2012)
|
Two-compartment population PK model for palivizumab (anti-RSV humanized
IgG1 kappa mAb) with first-order IM absorption in adults and children
(Robbie 2012)
|
|
PAmAb
(Cao 2013)
|
Second-generation minimal physiologically-based PK (mPBPK) model for
PAmAb in adults (Cao 2013 Model A; clearance from plasma)
|
|
Pantoprazole
(Pettersen 2009)
|
Two-compartment population PK model for intravenous pantoprazole in 20
paediatric intensive-care patients aged 10 days to 16.4 years (Pettersen
2009). Pantoprazole is given as a zero-order infusion (15-30 min) into
the central compartment with first-order elimination. Body-weight
allometric scaling is fixed (0.75 on CL/Q, 1 on Vc/V2, reference 20 kg).
Clearance is further modified by age (power on AGE/5 years), and three
binary clinical covariates retained at the forward-selection /
backward-elimination step: systemic inflammatory response syndrome
(DIS_SIRS), concomitant CYP2C19-inhibitor coadministration
(CONMED_CYP2C19_INH, pooling fluconazole, voriconazole, and isoniazid),
and clinically defined hepatic dysfunction (HEPIMP, paediatric criterion
TBILI >= 4 mg/dL OR ALT > 2x ULN for age). Each of the three
indicators reduces pantoprazole CL by 62.3%, 65.8%, and 50.5%
respectively when present alone. The reference subject is a 20 kg /
5-year-old paediatric ICU patient without SIRS, hepatic dysfunction, or
CYP2C19 inhibitor coadministration.
|
|
Paracetamol
(Anderson 1998)
|
One-compartment oral PK model for paracetamol (acetaminophen) with an
explicit cerebrospinal-fluid (CSF) equilibration compartment in nine
ventilator-dependent children (5 months to 12 years) with indwelling
ventricular drains for raised intracranial pressure (Anderson 1998
NONMEM fit, Table 3). First-order absorption, single nasogastric dose of
40 mg/kg paracetamol elixir, plasma + CSF sampled hourly for 4 h and
2-hourly through 10 h. CSF concentration follows the plasma
concentration with first-order equilibration rate keq = ln(2)/teq and
steady-state ratio PC = Ccsf/Cc. Parameters are standardized to a 70 kg
adult using fixed allometric exponents (0.75 on CL, 1 on V, 0.25 on the
equilibration half-time teq; keq therefore scales with exponent -0.25).
The published equation 2 for residual error var = SF^2 * (C^PWR + V) is
unconventional and the NONMEM PWR and V terms are not reported;
placeholder additive residual SDs are used so the model simulates
plausibly (see vignette Errata).
|
|
Paracetamol
(Krekels 2015)
|
Parent-and-metabolites population PK model for intravenous paracetamol
(administered as the prodrug propacetamol; doses expressed as
paracetamol equivalents) and its glucuronide and sulphate phase-II
conjugates in 54 preterm and term neonates and infants (Krekels 2015).
One-compartment plasma disposition for paracetamol with three parallel
elimination pathways from the central compartment: glucuronide formation
(CL_gluc), sulphate formation (CL_sulf), and unchanged renal excretion
(CL_renal). Each metabolite distributes into a one-compartment plasma
space whose volume is fixed at 18% of the parent volume (Vc_gluc =
Vc_sulf = 0.18 * Vc, based on the previously reported adult paracetamol
model in Allegaert et al. and adult literature). The two metabolites
share a common urinary excretion rate constant kE_met = mf * kE_renal,
where kE_renal = CL_renal / Vc is the parent unchanged-renal rate
constant and mf (multiplication factor) is estimated to be 11.3.
Cumulative urinary amounts of parent paracetamol and the two metabolites
are tracked as elimination-amount compartments and exposed as
additive-error observations. Bodyweight enters linearly on Vc (and so on
the metabolite volumes by inheritance), on the glucuronide formation
clearance (CL_gluc), and on the unchanged renal clearance (CL_renal);
the sulphate formation clearance (CL_sulf) scales with bodyweight as a
power with an estimated exponent of 1.40. No postnatal age,
postmenstrual age, sex, term-vs-preterm, or study-protocol covariate was
retained in the final model, and no time-varying (up-regulation)
component was detected on the glucuronidation pathway. Parameter values
reported throughout (mL/min/kg, L/kg) are per-kg quantities; individual
structural parameters are obtained in model() by multiplying by body
weight in kg (linear) or body weight in kg raised to n (power).
|
|
Paracetamol
(Wattanakul 2016)
|
Two-compartment population PK model for paracetamol (acetaminophen)
administered as a single 600 mg dose by either intramuscular injection
(zero-order absorption over DUR_IM) or oral syrup (first-order
absorption with rate constant ka) in 21 adult Thai patients with
uncomplicated Plasmodium falciparum malaria and fever > 38 C
(Wattanakul 2016). Intramuscular bioavailability is fixed to F_IM = 1;
the relative oral bioavailability is F_PO = 0.844 (95% CI 0.682-0.951).
The depot compartment carries oral doses (f(depot) = F_PO) while
intramuscular doses target central with rate = -2 to invoke the modeled
dur(central) = DUR_IM. No covariates were retained: allometric scaling
on body weight did not improve the fit and a stepwise covariate search
(age, AST, ALT, bilirubin, BUN, creatinine, sex, hemoglobin,
parasitaemia, systolic BP, temperature) found no significant effect at p
< 0.05. Inter-individual variability for V_C and DUR_IM was estimated
below 1% CV and fixed to zero in the source paper without changing the
OFV; this model omits the corresponding etas accordingly.
|
|
Paracetamol
(Wu 2025)
|
Parent-and-three-metabolites population PK model for intravenous and
rectal paracetamol (PCM) and its glucuronide (PCM-GLU), sulfate
(PCM-SULF), and combined oxidative metabolites (PCM-cysteine +
PCM-mercapturate, PCM-OXI, denoted with the canonical cysmer suffix)
from preterm and term neonates through infants, children, and adults (Wu
2025). Two-compartment plasma disposition for parent PCM with three
parallel formation clearances and parallel renal elimination of
unchanged parent; one-compartment plasma disposition for each metabolite
with renal elimination expressed as a fraction of glomerular filtration
rate (GFR). The preterm-and-term-neonate-to-adult (PTNA) maturation
equation (Wu 2024) is applied to each formation clearance and to a
separate PCM-SULF renal-secretion clearance; an additional adult-only
correction factor scales the renal clearance of PCM-GLU in subjects
>= 18 years. Rectal absorption parameters (Ka, Tlag, F) are fixed
from Wang 2014.
|
|
Paritaprevir
(Mensing 2017)
|
One-compartment population PK model for oral paritaprevir (co-dosed with
ritonavir) in HCV genotype-1 infected adults receiving the 3D regimen
(Mensing 2017). First-order absorption with a fixed absorption lag time,
linear elimination, additive residual error on log-transformed
concentrations (encoded as log-normal Cc ~ lnorm(expSd)), IIV on CL/F
only. The author’s final model retained cirrhosis, gender, age, opioid
use, and antidiabetic-agent use as significant covariates on CL/F (and
age, body weight on Vc/F), but the paper does not publish point
estimates for these covariate coefficients (only graphical
exposure-ratio forest plots in Figure 2); the implemented model is the
structural typical-value model with covariate coefficients omitted
(documented in covariatesDataExcluded).
|
|
Paroxetine
(Kim 2015)
|
One-compartment population PK model with first-order absorption for
paroxetine (SSRI antidepressant) in Korean adults with major depressive
disorder or anxiety disorder receiving therapeutic drug monitoring (Kim
2015).
|
|
Patritumab
(Lee 2023)
|
Integrated population PK model for the conjugated (anti-HER3-ac-DXd) and
unconjugated payload (DXd) of patritumab deruxtecan (HER3-DXd, U3-1402,
anti-HER3 antibody-drug conjugate) in adult cancer patients (Lee 2023
ACoP poster). anti-HER3-ac-DXd disposition is a two-compartment model
with three parallel elimination pathways from the central compartment: a
transient time-decaying linear clearance CL_t(time) = CL_T * exp(-Kdes *
time), a non-specific time-dependent linear clearance CL_ns(time) that
declines sigmoidally from CL_ss * (1 + Emax) at time = 0 to CL_ss at
infinity via a Hill function CL_ns(time) = CL_ss * (1 + Emax * T50^hill
/ (T50^hill + time^hill)), and a Michaelis-Menten saturable clearance
CL_mm = Vmax / (Km + Cc). DXd is a one-compartment model with parallel
linear and Michaelis-Menten elimination; its formation rate equals the
sum of the three anti-HER3-ac-DXd elimination rates each scaled by a
dimensionless fractional-conversion factor Frac_ns / Frac_t / Frac_mm
(Frac_ns fixed at 1 as the identifiability anchor).
|
|
Patritumab
(Lu 2022)
|
Joint two-analyte population PK model for patritumab deruxtecan
(HER3-DXd, an anti-HER3 antibody-drug conjugate) in adults with
HER3-expressing solid tumors (Lu 2022). DXd-conjugated antibody (intact
ADC) is described by a 2-compartment model with parallel linear and
Michaelis-Menten clearance. Released unconjugated DXd (MAAA-1181a,
exatecan-derivative payload) is described by a 1-compartment model with
linear clearance and a first-order, time-dependent release rate driven
by the level of DXd-conjugated antibody in the central compartment,
scaled by the molecular-weight ratio MW_DXd/MW_DXdAb and a
payload-to-intact-drug ratio PIR modulated by a cycle-1-vs-later
(factor1) and a within-cycle exponential (factor2) modifier.
|
|
Pazopanib
(Ouerdani 2015)
|
Semi-mechanistic tumour growth and angiogenesis-inhibition (TGI) model
for pazopanib in renal-cell carcinoma patients (Ouerdani 2015 clinical
fit): logistic tumour growth (state tumor_size) limited by a separately
tracked vasculature-determined carrying capacity (state
carrying_capacity), with antiangiogenic and cytotoxic drug effects
parameterised as power functions of per-period mean AUC_PAZO and an
exponentially declining resistance on the cytotoxic effect. The
empirical exponent on capacity growth (n) is fixed at 0.5 for the
clinical fit (vs 1 in the paired mouse model) to better describe the
tumour-regrowth and long-term-antiangiogenic phases observed in
patients.
|
|
Pazopanib
mouse (Ouerdani 2015)
|
Preclinical (mouse, CB-17 SCID with CAKI-2 renal-cell carcinoma
xenografts). Semi-mechanistic tumour growth and angiogenesis-inhibition
(TGI) model for pazopanib (Ouerdani 2015): logistic tumour growth (state
tumor_size) limited by a separately tracked vasculature-determined
carrying capacity (state carrying_capacity), with an antiangiogenic drug
effect on carrying-capacity loss (power form in AUC_PAZO) and a putative
cytotoxic drug effect on tumour decay (exponentially declining
resistance, no AUC effect after the cytotoxic exponent was fixed to 0).
|
|
Pefloxacin
(Wahlby 2004)
|
One-compartment population PK model for intravenous 1-hour pefloxacin
infusions in 74 critically ill adults, demonstrating Wahlby 2004’s
extended covariate-model formulation. Final-model clearance carries
time-varying CRCL (with inter-individual variability in the CRCL effect
coefficient, Eq 3), per-subject baseline total bilirubin BIL_BASE
(replaces BIL), age, centre indicator, and per-subject baseline weight
WT_BASE (replaces WT, with a saturating ‘up to median weight’ qualifier
per Methods). Central volume retains the upstream Karlsson 1993 (ref
[10]) WT/CRCL/BIL effects unchanged. Underlying structural PK comes from
Karlsson MO, Sheiner LB. The importance of modeling interoccasion
variability in population pharmacokinetic analyses. J Pharmacokin
Biopharm 1993;21(6):735-750 (not on disk in this worktree).
|
|
Pegfilgrastim
(Brekkan 2018)
|
Bidirectional population PK/PD model for pegfilgrastim (PG) in healthy
volunteers after single 6 mg subcutaneous doses. PK is one-compartment
with sequential zero- and first-order absorption (zero-order input rate
R1 into depot followed by first-order Ka into central), and parallel
elimination via a linear ANC-dependent pathway (cl_anc * ANC) and a
saturable non-specific Michaelis-Menten pathway (Vmax / Km). PD is a
Friberg/Quartino-style maturation cascade (4 transit compartments +
circulating compartment) with the production rate set by baseline ANC
and a fixed 7-hour circulating neutrophil half-life, plus three Emax
drug effects: proliferation (scaling production), maturation (scaling
transit rate ktr), and a margination effect on circulating-pool
clearance kcirc that is parameterised by scaled Emax,prol and EC50
(Emax,Scale = 0.0622, EC50,Scale = 0.477).
|
|
Peginesatide
(Naik 2013)
|
Two-compartment population PK/PD model for peginesatide in adult chronic
kidney disease (CKD) patients (Naik 2013). PK: first-order subcutaneous
absorption with saturable Michaelis-Menten elimination and fixed
inter-compartmental clearance. PD: modified precursor-dependent lifespan
indirect-response (LIDR) model of hemoglobin (1 progenitor compartment +
7 red-blood-cell aging compartments) with a peginesatide Emax
stimulation on progenitor production and an empirical exponential
downward-drift factor on the progenitor-to-RBC transit.
|
|
Peginterferon
alfa 2a (Bi 2017)
|
One-compartment population PK model with first-order absorption for
peginterferon alfa-2a in adult patients with chronic hepatitis B (Bi
2017). Creatinine clearance (Cockcroft-Gault, mL/min, not
BSA-normalized) modifies clearance via a power form, and body mass index
modifies central volume via a power form. Exponential IIV on CL, V, and
Ka; combined proportional + additive residual error on plasma
concentration.
|
|
Peginterferon
alfa 2b (Gupta 2006)
|
One-compartment population PK model with first-order subcutaneous
absorption for peginterferon alfa-2b (PEG-Intron) in adult patients with
chronic myelogenous leukaemia (Gupta 2006). Apparent clearance declines
over treatment time via an Emax-type function CL(t) = CL0 / (1 + (t /
T50)^beta) with beta fixed to 1 in the final model, so CL(t) = CL0 / (1
+ t / T50). Cockcroft-Gault creatinine clearance modifies baseline
clearance via a power form. Exponential IIV on CL0, T50, and V;
proportional residual error on plasma concentration.
|
|
Peginterferon
beta 1a (Hu 2017)
|
One-compartment population PK model for peginterferon beta-1a in adults
with relapsing multiple sclerosis (Hu 2017). First-order SC absorption
with the absorption rate constrained above the elimination rate to avoid
flip-flop kinetics. BMI is a covariate on both clearance and volume of
distribution.
|
|
Pembrolizumab
(Ahamadi 2017)
|
Two-compartment population PK model for pembrolizumab (humanized
anti-PD-1 IgG4 monoclonal antibody) with allometric scaling and
covariate effects of sex, albumin, tumor type, ECOG performance status,
prior ipilimumab status, eGFR, and baseline tumor burden, in adults with
advanced solid tumors (Ahamadi 2017, KEYNOTE-001/-002/-006)
|
|
Pembrolizumab
(Elassaiss-Schaap 2017)
|
Two-compartment population PK model with parallel linear and
Michaelis-Menten clearance plus a direct-response Imax PK/PD model on
the ex vivo IL-2 stimulation ratio (PD-1 target engagement) for IV
pembrolizumab (anti-PD-1 IgG4 mAb) in adults with advanced solid tumors
(Elassaiss-Schaap 2017, KEYNOTE-001 parts A, A1, A2).
|
|
Pembrolizumab
(Lindauer 2017)
|
QSP / mini-PBPK. Translational semi-mechanistic PK/PD/TGI model for the
anti-PD-1 monoclonal antibody pembrolizumab in advanced melanoma.
Couples a two-compartment plasma PK (parallel linear + Michaelis-Menten
clearance, human PK substituted from Elassaiss-Schaap 2017 KEYNOTE-001)
to a Shah-Betts (2012) physiologic tumor tissue compartment (vascular,
endosomal, interstitial sub-spaces with FcRn recycling), mechanistic
pembrolizumab-PD-1 binding in both blood and tumor, an indirect-response
positive feedback that upregulates tumor PD-1 expression when the
complex forms, and a Simeoni-type tumor-growth model in which the
antitumor effect is a power function of the tumor receptor occupancy.
Mouse-derived parameter estimates plus three human melanoma growth-rate
scenarios (slow/medium/fast) and two kill-rate scaling options
(allometric / growth-proportional) are tabulated in Lindauer 2017 Table
1 and Table S3; the default human parameterisation here is medium growth
with allometric kill-rate scaling (the central reference scenario).
|
|
Penciclovir
(Ogungbenro 2009)
|
Two-compartment population PK model with first-order absorption and lag
time for penciclovir in pooled adults and children (Ogungbenro 2009).
Famciclovir is the oral prodrug of penciclovir; both oral famciclovir
and intravenous penciclovir doses are described jointly (six clinical
studies, 69 subjects of whom 23 are children, 160 occasions, 1676 plasma
penciclovir observations). Allometric body-weight scaling with reference
70 kg (exponent 0.75 shared on CL and Q, exponent 1.0 shared on V1 and
V2), an empirical piecewise age effect on CL with separate K parameters
for AGE < 40 years (rising-with-youth limb) and AGE >= 40 years
(declining-with-elderly limb), and a power function of creatinine
clearance on CL with reference 100 mL/min (Cockcroft-Gault, raw mL/min).
Inter-individual variability on ka, CL, V1 (fixed at omega^2 = 0.003),
V2, and Q; combined proportional plus additive residual error (additive
variance fixed at 0.01 mg2/L2).
|
|
Penicillin
G (Muller 2007)
|
Two-compartment IV bolus population PK model for penicillin G
(benzylpenicillin) in 20 very preterm neonates with gestational age less
than 32 weeks studied on day 3 of life (Muller 2007). Clearance is
linearly scaled to current body weight with reference 1.195 kg (cohort
mean); central volume, peripheral volume, and intercompartmental
clearance are not weight-scaled in the final model.
|
|
Penicillin
G (Padari 2018)
|
Two-compartment IV population PK model for penicillin G
(benzylpenicillin) in preterm and term neonates (Padari 2018; pooled
with Metsvaht 2007 GA <=28 wk cohort). CL and Q are allometrically
scaled to body weight (fixed exponent 0.75) with a fixed Rhodin-style
postmenstrual-age (PMA) sigmoidal renal-maturation function on CL; Vc
and Vp are allometrically scaled (fixed exponent 1.0).
|
|
PenicillinG
cattle (Li 2014)
|
Preclinical (cattle). Three-compartment population pharmacokinetic model
for penicillin G in cattle, with four parallel first-order absorption
depots covering intramuscular penicillin sodium, intramuscular procaine
penicillin, subcutaneous procaine penicillin, and oral procaine
penicillin (the oral depot feeds the liver compartment directly), plus
separate liver and kidney tissue compartments connected to the central
compartment by inter-compartmental clearance; pooled meta-analysis of
100 cattle from 30 published studies and FARAD records (Li 2014).
|
|
PenicillinG
swine (Li 2014)
|
Preclinical (swine). Three-compartment population pharmacokinetic model
for penicillin G in swine, with two parallel first-order absorption
depots covering intramuscular penicillin potassium and intramuscular
procaine penicillin, plus separate kidney and muscle tissue compartments
connected to the central compartment by inter-compartmental clearance;
pooled meta-analysis of 89 pigs from 13 published studies and one
unpublished FDA dataset (Li 2014).
|
|
Pertuzumab
(Garg 2014)
|
Two-compartment population PK model with first-order linear elimination
from the central compartment for intravenous pertuzumab (PERJETA) in
patients with a variety of HER2-targeted solid tumors (Garg 2014)
|
|
Pertuzumab
(Wang 2021)
|
Two-compartment population PK model with first-order subcutaneous
absorption and bioavailability for pertuzumab (Perjeta) administered
either intravenously or as the fixed-dose combination subcutaneous
formulation with trastuzumab (PH FDC SC) in patients with HER2-positive
early breast cancer in the FeDeriCa study (Wang 2021)
|
|
Pexidartinib
(Yin 2020)
|
Two-compartment population PK model for oral pexidartinib
(CSF1R/KIT/FLT3 inhibitor) in healthy subjects and adult patients with
tenosynovial giant cell tumour (TGCT) or other advanced solid tumours
(Yin 2020). Absorption is sequential zero-order deposition into a depot
(duration D1, lag time ALAG1) followed by first-order absorption (KA)
into the central compartment, with linear elimination from central.
Apparent clearance CL/F scales allometrically on (WT/80)^0.75 and is
additionally modified by piecewise power effects of CRCL (active only
when CRCL < 90 mL/min), AST (active only when AST > 80 U/L), and
total bilirubin (active only when TBILI > 20.5 umol/L), plus
multiplicative effects for Asian race (1.27x), healthy-participant
cohort (1.26x; the Phase 1 healthy-subject studies), and female sex
(0.869x). Apparent central and peripheral volumes Vc/F and Vp/F scale on
(WT/80)^1; apparent inter-compartmental clearance Q/F scales on
(WT/80)^0.75. Relative bioavailability of the Phase 1 formulation is
fixed at 0.855 vs the Phase 3 / commercial reference formulation.
Inter-individual variability is a 3x3 block on log(CL,Vc,Vp),
independent diagonals on log(KA) and log(Q), and a
Phase-1-formulation-specific IIV on the F1 bioavailability anchor. The
published inter-occasion variability (5 occasions on KA, 10 occasions on
F1) is not encoded structurally here (following the Andrews 2017 /
Brooks 2021 tacrolimus precedent for the model-library use case where no
operational occasion column is defined). Residual error is proportional
with separate magnitudes for patient samples (29.7% CV) and
healthy-subject samples (19.6% CV), switched per-subject by the
DIS_HEALTHY indicator.
|
|
PF
06939999 (Guo 2022)
|
Population PK/PD model for PF-06939999 (a small-molecule PRMT5
inhibitor) in 28 adults with advanced solid tumors enrolled in the
dose-escalation part of NCT03854227. PK is a two-compartment model with
first-order absorption (CL/F, V1/F, Q/F, V2/F, Ka). Plasma SDMA (the PD
biomarker for PRMT5 inhibition) is modelled by an indirect-response
model with saturable Imax inhibition on zero-order SDMA production
(Kin/Kout), the log-transformed SDMA observation taking an additive
(log-normal) residual error. Platelet count is described by the Friberg
semi-mechanistic myelosuppression model (proliferating cells plus three
transit compartments feeding a circulating compartment) with a linear
drug effect Slope*Cc on the proliferation rate and feedback
(Circ0/circ)^gamma.
|
|
PF00821385
dog (Langdon 2010)
|
Preclinical (beagle dog). Translational popPK-PD model for PF-00821385,
a Pfizer HIV-1 gp120 cell-fusion inhibitor candidate (molecular weight
440.49 g/mol) studied in conscious freely-moving Beagle dogs. PK is a
one-compartment disposition model with first-order oral absorption; PD
describes heart rate as the sum of (a) a typical-value baseline HR with
log-normal inter-subject variability, (b) a 24-h cosine circadian rhythm
with typical-value amplitude and a log-normal inter-subject variable
peak time, and (c) a linear drug effect on free plasma concentration
with no IIV. The PD-slope SLOPE = 1.76 bpm per micromolar free drug is
from Langdon 2010 Table 1; plasma unbound fraction fu = 0.64 is FIXED
via back-calculation from the published unbound vs total Cmax ratio at
20 mg/kg oral (paper Introduction); see vignette Errata. PK and PD were
fit sequentially in NONMEM VI using FOCE INTER with individual Bayesian
post hoc PK estimates serving as input to the PD model.
|
|
PF00821385
human (Langdon 2010)
|
First-in-human popPK-PD model for PF-00821385, a Pfizer HIV-1 gp120
cell-fusion inhibitor candidate (molecular weight 440.49 g/mol),
developed in 24 healthy male volunteers from a single-ascending-dose
study (Langdon 2010 Tables 2 and Figure 3). PK is a two-compartment
model with first-order oral absorption and an additive residual error on
the log-transformed plasma concentrations (i.e., a log-normal residual).
PD describes supine pulse rate as the sum of (a) a typical- value
baseline rate with log-normal inter-subject variability, (b) a 24-h
cosine circadian rhythm with typical-value amplitude and log- normal
inter-subject variable peak time, and (c) a linear drug effect on free
plasma concentration with no IIV. The PD-slope SLOPE = 0.76 bpm per
micromolar free drug is from Langdon 2010 Table 2; plasma unbound
fraction fu = 0.64 is FIXED via back-calculation from the canine
toxicology Cmax data (see vignette Errata). The PD layer was fit
sequentially to individual Bayesian post hoc PK estimates from the
population PK fit (NONMEM VI with FOCE INTER; 500-iteration
nonparametric bootstrap for SE / CI).
|
|
PF04236921
(Li 2018)
|
Integrated population PK and indirect-response PK/PD model for the
anti-interleukin-6 monoclonal antibody PF-04236921 in healthy volunteers
and adults with rheumatoid arthritis, Crohn’s disease, or systemic lupus
erythematosus (Li 2018). Two-compartment IV/SC PK with first-order
absorption and linear elimination from the central compartment;
disease-stratified linear clearance and PD parameters; PF-04236921
inhibits the zero-order CRP synthesis rate of an indirect-response
model.
|
|
PF04455242
human (Chang 2011)
|
Two-compartment population PK and reduced direct-response PD model for
PF-04455242 (kappa opioid receptor antagonist) in healthy adult
volunteers (Chang 2011). PK is fit with zero-order oral absorption
(duration D1) and lag time (ALAG1) into the central compartment;
residual error uses the log-transform-both-sides (lognormal) form. PD is
the reduced antagonism model (Eq. 11/12) that replaces the spiradoline
PK with a deterministic Weibull-scaled placebo prolactin profile and
predicts the time-matched prolactin response under PF-04455242
antagonism. Simulation time t = 0 must be aligned with the IM
spiradoline challenge dose; PF-04455242 is dosed earlier (typically t =
-1 h in the proof-of-mechanism study).
|
|
PF04455242
rat (Chang 2011)
|
Preclinical (Sprague-Dawley rat). Competitive antagonism PK-PD model of
PF-04455242 (kappa opioid receptor antagonist) on spiradoline-induced
plasma prolactin elevation. One-compartment first-order absorption PK
for both spiradoline (KOR agonist challenge) and PF-04455242, with a
dose-dependent absorption rate constant for PF-04455242 (1.64 /h at 3.2
mg/kg SC, 0.385 /h at 10 mg/kg SC). Direct-response sigmoid Emax PD:
prolactin = baseline + Emax * Csp^gamma / ((EC50 * (1 + Cpf/Ki))^gamma +
Csp^gamma) with competitive antagonism of the spiradoline-induced rise
by PF-04455242. Spiradoline plasma compartments are declared via
paper_specific_compartments rather than registering a new sibling-drug
suffix; see Errata in the vignette for the rationale.
|
|
PF04878691
(Jones 2011)
|
Two-compartment population pharmacokinetic model with first-order oral
absorption and time-varying clearance for the toll-like-receptor-7
(TLR7) agonist PF-04878691 in healthy male and female adult volunteers
(Jones 2011 BJCP, Phase 1 multiple-dose escalation study, twice-weekly
oral doses of 3, 6, or 9 mg over 2 weeks). Observed plasma exposure
increased over the dosing period inconsistently with the 12-16 h
terminal half-life; a standard linear time-invariant two-compartment
model over-estimated Cmax on day 1 and under-estimated exposure on day
11. The clearance was therefore parameterised with an exponentially
decaying time-dependent component superimposed on a steady-state arm:
CL(t) = CL_SS + CL_TIME * exp(-kdeg * TAFD), where TAFD is the time
after first dose. Reparameterised from the paper’s CLF (final = CL_SS)
and CL0 (initial = CL_SS + CL_TIME). The hypothesised mechanism for the
time-varying clearance is IFN-mediated CYP1A2 inhibition by the
TLR7-induced interferon response (Discussion). All disposition
parameters are reported per kilogram body weight (paper: doses were
body-weight-normalised so estimated PK parameters carry per-kg units);
WT is therefore a required covariate. No other covariates retained.
|
|
PF04878691
lymphocyte (Jones 2011)
|
Coupled PK + indirect-response pharmacodynamic model for absolute
lymphocyte count during oral PF-04878691 (TLR7 agonist) administration
in healthy adult volunteers (Jones 2011 BJCP). PK is the two-compartment
time-varying clearance model from the companion file
Jones_2011_PF04878691.R (Table 1; all PK structural parameters and IIVs
fixed at the published Table 1 values so the PK forcing function is the
published popPK profile). Drug stimulates the re-distribution (loss) of
lymphocytes through a power function on kout: dLYMPH/dt = kin - kout *
(1 + slope * Cc^gamma) * LYMPH, with baseline lymphocyte count rbase =
kin / kout so that kin = rbase * kout (Jones 2011 Methods / Table 3
lymphocyte model). The typical Emax indirect-response model could not
adequately identify the parameters given the limited number of dose
levels studied, so the Emax * Cc^gamma / (EC50^gamma + Cc^gamma) drug
effect was replaced with the power function slope * Cc^gamma (Methods
‘Population PK-OAS and PK-lymphocyte models’).
|
|
PF04878691
oas (Jones 2011)
|
Coupled PK + indirect-response pharmacodynamic model for the
2’,5’-oligoadenylate synthetase (OAS) gene-expression fold change during
oral PF-04878691 (TLR7 agonist) administration in healthy adult
volunteers (Jones 2011 BJCP). PK is the two-compartment time-varying
clearance model inherited from the companion file
Jones_2011_PF04878691.R (Table 1; all PK structural parameters and IIVs
fixed at the published Table 1 values so the PK forcing function is the
published popPK profile). Drug stimulates the production of OAS through
a power function: dOAS/dt = kin * (1 + slope * Cc^gamma) - kout * OAS,
with baseline OAS fold change rbase = kin / kout so that kin = rbase *
kout (Jones 2011 Methods / Tables 2 OAS model). The typical Emax
indirect-response model could not adequately identify the parameters
given the limited number of dose levels studied, so the Emax * Cc^gamma
/ (EC50^gamma + Cc^gamma) drug effect was replaced with the power
function slope * Cc^gamma (Methods ‘Population PK-OAS and PK-lymphocyte
models’). The OAS observation is unitless (fold change from baseline).
|
|
PF04878691
viralLoad (Jones 2011)
|
Combined PK + OAS + HCV viral RNA pharmacodynamic chain for oral
PF-04878691 (TLR7 agonist) used to predict the antiviral efficacy of
PF-04878691 in chronic hepatitis C (HCV) patients (Jones 2011 BJCP
Figure 10 simulation). PK is the two-compartment time-varying clearance
model from Jones_2011_PF04878691.R (Table 1; all PK structural
parameters fixed at the published Table 1 values plus the IIVs on CL_SS
and ka). The PF-04878691 OAS indirect-response sub-model is the same as
Jones_2011_PF04878691_oas.R (Table 2; OAS in fold-change units, baseline
rbase_oas = 0.96, drug stimulates production through slope * Cc^gamma).
The OAS-viral-load relationship was fit on TLR9-agonist (CPG-10101) data
in HCV patients (Jones 2011 Table 4) and is assumed transferable to
PF-04878691 under the paper’s explicit translation assumption that ‘both
TLR7 and TLR9 work through the same pathway’. The viral-load model is an
inhibitory sigmoid Imax driven by the change in OAS from baseline
expressed as a fold change oas_fc_above = oas(t) / rbase_oas - 1, so at
the OAS baseline the viral-load deviation from BASE is zero. The viral
RNA observation (vload) is in log10 copies/mL.
|
|
Phenobarbital
(Grasela 1985)
|
One-compartment population PK model for phenobarbital in preterm
neonates (Grasela & Donn 1985), derived from routine clinical data
via NONMEM.
|
|
Phenytoin
(Hennig 2015)
|
One-compartment population PK model for phenytoin in critically ill
children with a linear partition coefficient describing protein binding
to albumin (Hennig 2015).
|
|
Phenytoin
(Tanaka 2012)
|
Two-compartment population PK model for phenytoin after IV fosphenytoin
sodium administration in Japanese healthy volunteers and adult /
pediatric patients (Tanaka 2012). The fosphenytoin compartment converts
first-order (K12) to the phenytoin central compartment; phenytoin is
cleared from central and exchanges with a peripheral compartment via Q.
|
|
Phenytoin
(Yukawa 1990)
|
Steady-state Michaelis-Menten population PK model for phenytoin in 334
Japanese epilepsy outpatients on chronic oral phenytoin (Yukawa 1990
Model 2). Covariate effects on Vmax (allometric body weight,
co-anticonvulsants) and Km (age <15 yr, co-anticonvulsants);
dose-dependent powder bioavailability.
|
|
Piperacillin
(Boer-Perez 2026)
|
One-compartment population PK model for piperacillin in preterm and term
neonates with severe infections (Boer-Perez 2026); body-weight
allometric scaling, sigmoidal postmenstrual-age maturation on CL fixed
from Rhodin 2009, and a power effect of serum creatinine on CL.
|
|
Piperacillin
(Bulitta 2007)
|
Two-compartment first-order IV population PK model for piperacillin in 8
adult cystic-fibrosis patients and 26 adult healthy volunteers receiving
4 g piperacillin as a 5-min intravenous infusion (Bulitta 2007). Lean
body mass (LBM) is the size descriptor with allometric scaling
(exponents 0.75 on CL and Q, 1.0 on V1 and V2; LBM_STD = 53 kg). A
cystic-fibrosis disease-state indicator multiplicatively scales V1 and
V2 via fcyf_vss^DIS_CF (fcyf_vss = 0.926), with fcyf_cl^DIS_CF retained
on CL at its boundary estimate of 1.00 for model-form traceability.
|
|
Piperacillin
(Bulitta 2010)
|
Three-compartment population PK model for piperacillin in healthy adult
volunteers after a single intravenous infusion, with first-order
non-renal clearance and parallel first-order plus mixed-order
(Michaelis-Menten) renal elimination, allometrically scaled to 70 kg; a
urine compartment accumulates the renally excreted amount (Bulitta 2010
Model 3, final model, NONMEM estimates)
|
|
Piperacillin
(CohenWolkowiez 2014)
|
One-compartment population PK model for piperacillin in premature and
term infants under 61 days postnatal age (Cohen-Wolkowiez 2014); linear
body-weight scaling on CL and V (fixed exponent = 1) and a power effect
of postmenstrual age on CL.
|
|
Piperacillin
(Jeon 2014)
|
Two-compartment IV population PK model for piperacillin in 50 Korean
adult burn-ICU patients receiving piperacillin-tazobactam 4.5 g (4 g
piperacillin + 0.5 g tazobactam) every 8 h as a 30-min infusion (Jeon
2014)
|
|
Piperacillin
(Landersdorfer 2012)
|
Three-compartment population PK model for piperacillin in healthy adult
volunteers after intravenous infusion, with parallel first-order plus
mixed-order (Michaelis-Menten) renal clearance and first-order non-renal
clearance; a urine compartment accumulates the renally excreted amount
(Landersdorfer 2012 Model 3, the final model)
|
|
Piperacillin
(Nichols 2016)
|
One-compartment population PK model for piperacillin in critically ill
children (1-9 years) receiving extended-infusion piperacillin-tazobactam
(Nichols 2016); IV zero-order input, first-order elimination, and a
linear-additive effect of body weight on CL centered at the cohort
median 18 kg.
|
|
Piperacillin
(ObrinkHansen 2015)
|
Two-compartment population PK model for piperacillin in critically ill
adults with septic shock (Obrink-Hansen 2015); linear first-order
elimination with an additive linear effect of plasma creatinine on
clearance, IIV on CL and central volume, and a proportional residual
error.
|
|
Piperaquine
(Hoglund 2012)
|
Population PK model for oral piperaquine in pregnant and non-pregnant
Sudanese women with uncomplicated Plasmodium falciparum malaria (Hoglund
2012). Three-transit-compartment absorption (ka = ktr) into a
three-compartment disposition model. Body weight is the only retained
covariate, applied as an allometric function on all clearances (fixed
exponent 0.75) and volumes (fixed exponent 1.0). Relative
bioavailability F is fixed at 1. The final model retains BSV on CL and
F, treats MTT between-occasion variability as forward-simulation IIV,
and uses an additive residual on the log-transformed observation
(proportional in linear concentration space).
|
|
Piperaquine
(Hoglund 2017)
|
Population PK model for oral piperaquine in adults, children, and
healthy volunteers across 11 pooled clinical studies (Hoglund 2017;
individual-participant-data meta-analysis, n = 728). Two-transit-
compartment absorption with kA = kTR feeding a three-compartment
disposition model. Allometric body weight scaling on all clearances
(fixed exponent 0.75) and volumes (fixed exponent 1.0) with reference
weight 54 kg. Enzyme maturation function on elimination clearance
(Hill-type sigmoid with MF50 = 0.575 y, Hill = 5.51). Dose-occasion
effect adds 23.7% to relative bioavailability per consecutive dose.
Bioavailability anchored at 1 with IIV. Predictions are venous plasma
piperaquine base concentrations (ng/mL); a separately estimated
capillary-to-venous scale of 106% is documented but not applied because
only venous output is simulated.
|
|
Piperaquine
(Tarning 2008)
|
Population PK model for oral piperaquine in Burmese and Karen adults and
children with uncomplicated Plasmodium falciparum malaria (Tarning
2008). Two-compartment disposition with first-order absorption (no lag)
and elimination from the central compartment. Body weight is the only
retained covariate: a linear (1 + theta * (WT - 48)) effect on apparent
oral clearance CL/F and on apparent central volume of distribution Vc/F,
centred on the cohort median of 48 kg. The combined three-dose and
four-dose Artekin regimens were pooled; no treatment-regimen effect was
retained. Exponential IIV on all five disposition / absorption
parameters. Residual error is proportional in linear concentration space
(the source paper fit an additive error on natural-log-transformed
concentrations).
|
|
Piperaquine
(Tarning 2012)
|
Three-compartment population PK model for oral piperaquine in 24
pregnant (second / third trimester) and 24 matched non-pregnant women
with uncomplicated malaria treated with the fixed-dose oral
dihydroartemisinin-piperaquine combination once daily for 3 days
(Tarning 2012 AAC). Transit-compartment absorption with 5 fixed transit
compartments (ktr = (n+1)/MTT with n=5); the drug-transit rate is set
equal to the absorption rate from the last transit to central (single
estimated ktr). F fixed at 1; CL/F and F carry proportional pregnancy
effects (+45.0% on CL/F and +46.8% on F). IIV on CL/F (21.5% CV) and
Vc/F (39.5% CV); between-occasion variability (BOV across 3 dose
occasions) on MTT (45.8% CV) and F (56.3% CV) multiplexed by the OCC
indicator. Additive residual on natural-log concentrations (sigma =
0.285), encoded as proportional residual on the linear-concentration
scale per Kloprogge 2018 lumefantrine precedent. Companion file
Tarning_2012_dihydroartemisinin.R models the co-administered
dihydroartemisinin arm.
|
|
Piperaquine
(Tarning 2014)
|
Population PK model for oral piperaquine in adults with uncomplicated
Plasmodium falciparum malaria in Thailand (Tarning 2014; n = 30, fed vs
fasting parallel design). Three-transit-compartment absorption (ka =
ktr) feeding a three-compartment disposition model. Allometric
body-weight scaling on all clearances (fixed exponent 0.75) and volumes
(fixed exponent 1.0); 70 kg reference. Linear dose-occasion effect on
relative bioavailability (+25.3% per consecutive dose, OCC = 1, 2, 3).
Linear age effect on the first peripheral volume of distribution (+4.10%
per year of age). Relative bioavailability anchored at 1 with
between-dose-occasion variability (no BSV in the final model).
Concomitant low-fat food was tested as a covariate but was not retained
in the final model.
|
|
Pitavastatin
(Kakara 2014)
|
PD-only indirect-response Imax model for LDL-cholesterol lowering by
pitavastatin (Kakara 2014). One LDL-C compartment with zero-order
synthesis Kin inhibited by Imax * DOSE / (ID50 + DOSE), where DOSE is
the current daily pitavastatin dose (mg/day) supplied as a time-varying
covariate column. An additive 0.109 contribution to the inhibition
fraction is applied when ezetimibe is coadministered (CONMED_EZE = 1).
The LDL-C synthesis-elimination loop is set up at steady state by
enforcing Kin = Baseline * Kout (Kout derived inside model() as Kin /
Baseline). Baseline LDL-C is age-scaled as 152 * (AGE/62)^(-0.240). Imax
(0.567), Kin (32.8 mg/dL/day), Baseline (152 mg/dL), the age power
exponent (-0.240), the ezetimibe INH contribution (0.109), and the IIV
magnitudes are shared with Kakara_2014_atorvastatin and
Kakara_2014_rosuvastatin (one joint NONMEM 7.2 FOCE-INTER fit across 378
patients). Pitavastatin ID50 = 0.860 mg per Kakara 2014 Table 2.
|
|
Polatuzumab
(Lu 2019)
|
Integrated two-analyte population PK model of polatuzumab vedotin
(anti-CD79b vc-MMAE antibody-drug conjugate) in adults with non-Hodgkin
lymphoma (Lu 2019). The antibody-conjugated MMAE (acMMAE) is described
by a two-compartment model with three parallel elimination pathways from
the central compartment: a slowly-time-decaying nonspecific linear
clearance (CL_NS, sigmoidal Hill decline with cycle), a rapidly-decaying
linear clearance (CL_t, mono-exponential decline), and a saturable
Michaelis-Menten clearance (CL_MM). All three acMMAE pathways feed
unconjugated MMAE formation in the central MMAE compartment with
relative conversion fractions FRAC_NS, FRAC_NS x FRAC_CLT, and FRAC_NS x
FRAC_MM, modulated by a time-dependent multiplier (1 + FRAC_T x
exp(-alpha x t)) on FRAC_NS that captures the cycle-over-cycle decline
in MMAE formation. Unconjugated MMAE is described by an apparent
two-compartment model with parallel linear (CL_MMAE) and
Michaelis-Menten (Vmax_MMAE / KSS) elimination from its central
compartment. Modeled in MMAE-equivalent micrograms (pola dose in ug/kg x
weight in kg x 3.65 x 718 / 145001 -> MMAE-equivalent ug administered
to the acMMAE central compartment), with concentrations in ng/mL = ug/L.
The Asian-race indicator on acMMAE Vc (e_asian_vc = 0.929, i.e., 7.1%
lower V1 in Asian patients) is retained from the Lu 2019 final model and
was subsequently re-quoted and assessed as not clinically meaningful in
the Shi 2020 ethnicity-sensitivity analysis (PMID 32770353) of the same
upstream popPK model.
|
|
Polatuzumab
neuropathy (Lu 2017)
|
Time-to-event hazard model for the onset of grade >= 2 peripheral
neuropathy (PN) during polatuzumab vedotin treatment in adults with
relapsed/refractory B-cell non-Hodgkin lymphoma (Lu 2017). The PN hazard
is driven by a hypothetical effect compartment receiving plasma
antibody-conjugated MMAE (acMMAE) with first-order distribution k1e in
and ke0 = k1e out, modulated by a Weibull time function on the
drug-effect potency (alpha drug-effect, beta shape) and by twelve
baseline-covariate proportional-hazard terms (age, body weight, sex,
active grade 1 PN at baseline, prior radiotherapy, prior vinca alkaloid,
prior platinum-based chemotherapy, rituximab combination, tumor
histology DLBCL vs other-non-FL, baseline tumor sum of products of
perpendicular diameters, baseline serum albumin). The acMMAE plasma
driver is inlined from the published Lu 2019 integrated two-analyte
popPK (acMMAE side only; see Lu_2019_polatuzumab.R) per the standing
policy of reusing a published same-drug PK when the originally-used PK
source (Lu 2015 ASCPT poster, unpublished) is not on disk. Both the
instantaneous hazard and the cumulative hazard / survival outputs are
exposed for direct VPC simulation of the Kaplan-Meier curve.
|
|
Polymyxin
AB3070294 (Cheah 2016)
|
In vitro (Acinetobacter baumannii AB307-0294; clinical heteroresistant
isolate). Mechanism-based PK/PD model for polymyxin B and colistin
against A. baumannii in a dynamic one-compartment in vitro infection
model (IVM). Identical structural model to
Cheah_2016_polymyxin_ATCC19606 (three bacterial subpopulations
bact_s/bact_r/bact_d with logistic carrying capacity, Bulitta 2010
lipid-A receptor-occupancy submodel, Hill-function killing,
single-compartment adaptive-resistance turnover, IVM one-compartment
PK); strain-specific parameter values from Cheah 2016 Table 1 column
AB307-0294. Fitness cost G_inhib_max was not estimated for this strain
(Table 1 ‘NE’) so f_cost is held at 0. SC50 is inherited as a FIXED
proxy from Bulitta 2015 (Cheah 2016 does not report it); see vignette
Errata for the full inheritance list.
|
|
Polymyxin
ATCC19606 (Cheah 2016)
|
In vitro (Acinetobacter baumannii ATCC 19606; heteroresistant reference
strain). Mechanism-based PK/PD model for polymyxin B and colistin
against A. baumannii in a dynamic one-compartment in vitro infection
model (IVM). The bacterial system is partitioned into three
subpopulations – polymyxin-susceptible (bact_s, CFU_S in the paper),
constitutively polymyxin-resistant (bact_r, CFU_R; killing rate fixed at
zero), and dormant or extremely slowly replicating cells (bact_d, Pop_D;
nonobservable on viable-count plates) – with a logistic carrying
capacity CFU_max constraining the total observable population and a
first-order bidirectional transition between susceptible and dormant
states (k_SD, k_DS). Polymyxin in the IVM reservoir (central
compartment) follows one-compartment first-order kinetics (CL_IVM,
V_IVM) with simulated elimination half-life 11.6 h. Polymyxin
target-site binding follows the Bulitta 2010 lipid-A LPS
receptor-occupancy model: competitive displacement of bound divalent
cations (Ca2+ and Mg2+) by polymyxin gives F_bound_cations (Eq 4), and a
Hill function of the unoccupied fraction (Hill_binding, EC50) gives
F_polymyxin_eff (Eq 5). The effective polymyxin concentration
C_polymyxin_eff is the F_polymyxin_eff-weighted reservoir concentration
divided by (1 + R_adaptive) to encode adaptive resistance attenuation
(Eq 6). Bacterial killing is a Hill function of C_polymyxin_eff (Eq 7;
Kill_max fixed at 100/h, Hill_killing, KillC50). Adaptive resistance
R_adaptive is a single-compartment turnover whose driver Stim is a
Hill-1 of raw reservoir polymyxin concentration (Eq 8; S_max fixed at
300, SC50 inherited from Bulitta 2015 since Cheah 2016 does not report
it), with rate constant k_adapt (Eq 9). For ATCC 19606 the fitness cost
G_inhib_max was not estimated by the authors (Table 1 ‘NE’) so f_cost is
held at 0. Observation is the log10 of the drug-free agar viable count
CFU_S + CFU_R (Eq 11). The model has no inter-experiment IIV
(typical-value fit per strain) and the residual error is set to a tiny
fixed value because Cheah 2016 does not report it – see vignette Errata
for the full inheritance / approximation list.
|
|
Polymyxin
FADDIAB008 (Cheah 2016)
|
In vitro (Acinetobacter baumannii FADDI-AB008; clinical heteroresistant
isolate; loss-of-LPS resistance mechanism). Mechanism-based PK/PD model
for polymyxin B and colistin against A. baumannii in a dynamic
one-compartment in vitro infection model (IVM). Identical structural
model to Cheah_2016_polymyxin_ATCC19606 (three bacterial subpopulations
bact_s/bact_r/bact_d with logistic carrying capacity, Bulitta 2010
lipid-A receptor-occupancy submodel, Hill-function killing,
single-compartment adaptive-resistance turnover, IVM one-compartment
PK); strain-specific parameter values from Cheah 2016 Table 1 column
FADDI-AB008. For this strain the experimental data supported inclusion
of a fitness cost f_cost on susceptible replication (Eq 10): G_inhib_max
= 0.994 (Table 1). SC50 is inherited as a FIXED proxy from Bulitta 2015
(Cheah 2016 does not report it); see vignette Errata.
|
|
Polymyxin
FADDIAB030 (Cheah 2016)
|
In vitro (Acinetobacter baumannii FADDI-AB030; clinical
polymyxin-susceptible isolate without heteroresistance). Mechanism-based
PK/PD model for polymyxin B and colistin against A. baumannii in a
dynamic one-compartment in vitro infection model (IVM). Identical
structural model to Cheah_2016_polymyxin_ATCC19606 (three bacterial
subpopulations bact_s/bact_r/bact_d with logistic carrying capacity,
Bulitta 2010 lipid-A receptor-occupancy submodel, Hill-function killing,
single-compartment adaptive-resistance turnover, IVM one-compartment
PK); strain-specific parameter values from Cheah 2016 Table 1 column
FADDI-AB030. For this strain the experimental data supported inclusion
of a fitness cost f_cost on susceptible replication (Eq 10): G_inhib_max
= 0.991 (Table 1). Also notable for this strain: a very steep
Hill_killing of 19.5 (Table 1), reflecting near-switchlike polymyxin
killing once C_eff approaches KillC50. SC50 is inherited as a FIXED
proxy from Bulitta 2015 (Cheah 2016 does not report it); see vignette
Errata.
|
|
Ponezumab
(Nicholas 2009)
|
Two-compartment intravenous population PK model for PF-04360365
(ponezumab), a humanized anti-amyloid IgG2 delta-a monoclonal antibody,
in adults with mild-to-moderate Alzheimer’s disease; allometric
body-weight scaling with estimated exponents on every disposition
parameter and a full 4x4 inter-individual block on (CL, V1, V2, Q)
(Nicholas 2009 preliminary popPK)
|
|
Posaconazole
(Kohl 2010)
|
One-compartment population PK model for prophylactic oral posaconazole
in adult allogeneic stem cell transplant recipients with hematological
malignancies (Kohl 2010); ka fixed, age and concurrent diarrhea as
covariates.
|
|
Posaconazole
(vanIersel 2018)
|
Population PK model for the delayed-release solid oral tablet
formulation of posaconazole in adult healthy volunteers and patients at
high risk for invasive fungal disease (van Iersel 2018). One-compartment
disposition with sequential zero-order then first-order absorption: each
oral dose loads into the depot compartment as a zero-order infusion of
duration D1, after which depot drains to central with first-order rate
constant ka and central eliminates with first-order rate constant CL/V.
The random effect on D1 is the same as the random effect on ka
multiplied by a correlation factor (cor_kad1 = -0.586). Covariates
retained in the final model are body weight on relative bioavailability
(allometric power exponent), tablet formulation A/B versus C/D on
bioavailability, AML/MDS disease state on bioavailability, fed status on
absorption rate, and single-dose-versus-multiple-dose record indicator
on clearance. Residual variability is log-additive with separate
magnitudes for phase 1 versus phase 3 studies.
|
|
Posdinemab
(PerezRuixo 2025)
|
Mechanism-based population PK-PD model with full TMDD for the anti-tau
monoclonal antibody posdinemab in serum, CSF, and ISF (Perez-Ruixo
2025): two-compartment serum disposition with linear elimination,
distribution into a CSF compartment and a downstream ISF compartment,
explicit second-order binding of free posdinemab to free p217+tau in CSF
and to tau seeds in ISF, internalization of free target and drug-target
complex, and Alzheimer’s-disease-vs-healthy effect on baseline p217+tau.
|
|
Pozelimab
(Lin 2024)
|
Two-compartment two-binding-site TMDD-QE population PK model of total
pozelimab and total C5 in healthy volunteers, adults with paroxysmal
nocturnal hemoglobinuria, and pediatric and adult patients with CHAPLE
disease (Lin 2024)
|
|
Pravastatin
(Ide 2009)
|
Population PK model for orally administered pravastatin with
enterohepatic circulation (Ide 2009) in healthy Japanese male
volunteers. Absorption is described by an Erlang chain of 8 transit
compartments (N_depot = 8); disposition is one-compartment central with
a gallbladder recirculation compartment whose release is gated by the
gallbladder-emptying time tg (continuous filling from central via k12
for t < tg, gated release to central via k21 for t >= tg)
producing the characteristic second-peak phenomenon. SLCO1B1 *15
haplotype carrier status (paired heterozygote / homozygote indicators)
increases relative oral bioavailability Frel multiplicatively (1.50x and
1.95x respectively). Gastric conversion of pravastatin to its inactive
3’alpha-isopravastatin (RMS-416) is highly variable; the source paper
corrected for this by using an apparent dose (actual dose x Fa, where Fa
= AUCpra / (AUCpra + AUCrms)) as the model input, so the packaged model
fixes the depot bioavailability anchor at the population-mean Fa = 0.571
derived from Table II mean AUC values.
|
|
Pregabalin
(Shoji 2011)
|
One-compartment population PK model for pregabalin in adults (Shoji 2011
BJCP; pooled healthy volunteers, subjects with impaired renal function,
and patients with post-herpetic neuralgia or diabetic peripheral
neuropathy from 14 clinical trials). CL/F is proportional to
Cockcroft-Gault creatinine clearance (capped at an estimated break
point) with an additional ideal-body-weight power effect. V/F depends on
ideal body weight, body mass index, age, and sex. Absorption rate and
lag-time are reduced by a high-fat meal at the time of dosing. Combined
proportional + additive residual error is stratified by
healthy-vs-patient status.
|
|
Pregabalin
rat binary (Bender 2009)
|
Preclinical (rat). Two-compartment population PK model for pregabalin in
male Sprague-Dawley rats following a 2 h intravenous infusion (4 or 10
mg/kg/h) in a chronic- constriction-injury (CCI) neuropathic-pain model,
with the concomitant administration of sildenafil encoded as a BINARY
presence indicator (CONMED_SILDENAFIL). Sildenafil presence reduces
pregabalin clearance by a fixed fraction (theta_SLD = 0.302, i.e. 30.2%
reduction) per the paper’s discrete-covariate parameterisation; the
alternative continuous saturable-metabolite parameterisation is encoded
in the companion file Bender_2009_pregabalin_rat_smetab.R. Crossover
design with two occasions per rat (Day 1 / Day 4 with a washout) carries
between-occasion variability on CL and Vc multiplexed by the OCC
indicator. Parameter values from Bender 2009 Table IV (Binary Sildenafil
Covariate column).
|
|
Pregabalin
rat smetab (Bender 2009)
|
Preclinical (rat). Two-compartment population PK model for pregabalin in
male Sprague-Dawley rats following a 2 h intravenous infusion (4 or 10
mg/kg/h) in a chronic- constriction-injury (CCI) neuropathic-pain model,
with the concomitant administration of sildenafil encoded as a
CONTINUOUS saturable inhibition driven by the time-varying plasma
concentration of sildenafil’s active N-methyl metabolite (SLDM).
Effective CL = theta_CL * (1 - SLDM / (theta_SLD + SLDM)) with theta_SLD
= 1350 ng/mL acting as the IC50 of metabolite-driven inhibition.
Statistically the preferred parameterisation in the paper (delta-OFV =
-42.6 vs the no-covariate base; the simpler binary form is in the
companion file Bender_2009_pregabalin_rat_binary.R with delta-OFV =
-8.5). Crossover design with two occasions per rat (Day 1 / Day 4 with a
washout) carries between-occasion variability on CL and Vc multiplexed
by the OCC indicator. Parameter values from Bender 2009 Table IV
(Continuous Sildenafil Metabolite Covariate column).
|
|
Pregnancy
pbpk caffeine (Gaohua 2012)
|
PBPK (whole-body, 14-compartment pregnancy p-PBPK adapted from the
Simcyp Simulator version 11 full-PBPK platform). Caffeine (CYP1A2
substrate) disposition in healthy Caucasian women aged 20-40 years, with
gestational-age-dependent maternal physiology and hepatic CYP1A2
activity. The 14 ODE compartments are arterial blood, venous blood,
lung, adipose, bone, brain, heart, kidney, gut, liver, muscle, skin,
spleen, and a lumped fetoplacental unit (fetus + placenta + amniotic
fluid + membranes + umbilical cord) per Gaohua 2012 Figure 1; the uterus
and mammary glands are merged into the muscle compartment, so muscle
volume and flow are computed as the residual that balances total body
weight and cardiac output during pregnancy. Time-varying physiology
(cardiac output, body weight, plasma / RBC volumes, hematocrit, serum
albumin, skin / adipose / renal / fetoplacental blood flows, and CYP1A2
/ CYP2D6 / CYP3A4 enzyme activities) follows the polynomial formula X =
X0 * (a0 + a1GA + a2GA^2 + a3*GA^3) in Table 2; the
fetoplacental volume follows the Gompertz curve in Eq. 1. Drug-specific
values for fa, Fg, ka, fu, B:P, basal CL_int,H, the CYP fractional
contributions A_1A2 / A_2D6 / A_3A4, and the 12 tissue:plasma partition
coefficients (Rodgers and Rowland) are from Tables 3-4. Set covariate GA
= 0 to simulate the non-pregnant reference woman; values 0 < GA <
40 simulate any gestational stage. The model is a perfusion-limited
typical-value PBPK forward simulation; the paper added no IIV or
residual-error model.
|
|
Pregnancy
pbpk metoprolol (Gaohua 2012)
|
PBPK (whole-body, 14-compartment pregnancy p-PBPK adapted from the
Simcyp Simulator version 11 full-PBPK platform). Metoprolol
(predominantly CYP2D6 substrate; minor CYP3A4 contribution) disposition
in healthy Caucasian women aged 20-40 years, with
gestational-age-dependent maternal physiology and hepatic CYP2D6 /
CYP3A4 activity. The 14 ODE compartments are arterial blood, venous
blood, lung, adipose, bone, brain, heart, kidney, gut, liver, muscle,
skin, spleen, and a lumped fetoplacental unit (fetus + placenta +
amniotic fluid + membranes + umbilical cord) per Gaohua 2012 Figure 1;
the uterus and mammary glands are merged into the muscle compartment, so
muscle volume and flow are computed as the residual that balances total
body weight and cardiac output during pregnancy. Time-varying physiology
(cardiac output, body weight, plasma / RBC volumes, hematocrit, serum
albumin, skin / adipose / renal / fetoplacental blood flows, and CYP1A2
/ CYP2D6 / CYP3A4 enzyme activities) follows the polynomial formula X =
X0 * (a0 + a1GA + a2GA^2 + a3*GA^3) in Table 2; the
fetoplacental volume follows the Gompertz curve in Eq. 1. Drug-specific
values for fa, Fg, ka, fu, B:P, basal CL_int,H, the CYP fractional
contributions A_1A2 / A_2D6 / A_3A4, and the 12 tissue:plasma partition
coefficients (Rodgers and Rowland) are from Tables 3-4. Set covariate GA
= 0 to simulate the non-pregnant reference woman; values 0 < GA <
40 simulate any gestational stage. The model is a perfusion-limited
typical-value PBPK forward simulation; the paper added no IIV or
residual-error model.
|
|
Pregnancy
pbpk midazolam (Gaohua 2012)
|
PBPK (whole-body, 14-compartment pregnancy p-PBPK adapted from the
Simcyp Simulator version 11 full-PBPK platform). Midazolam (CYP3A4
substrate) disposition in healthy Caucasian women aged 20-40 years, with
gestational-age-dependent maternal physiology and hepatic CYP3A4
activity. The 14 ODE compartments are arterial blood, venous blood,
lung, adipose, bone, brain, heart, kidney, gut, liver, muscle, skin,
spleen, and a lumped fetoplacental unit (fetus + placenta + amniotic
fluid + membranes + umbilical cord) per Gaohua 2012 Figure 1; the uterus
and mammary glands are merged into the muscle compartment, so muscle
volume and flow are computed as the residual that balances total body
weight and cardiac output during pregnancy. Time-varying physiology
(cardiac output, body weight, plasma / RBC volumes, hematocrit, serum
albumin, skin / adipose / renal / fetoplacental blood flows, and CYP1A2
/ CYP2D6 / CYP3A4 enzyme activities) follows the polynomial formula X =
X0 * (a0 + a1GA + a2GA^2 + a3*GA^3) in Table 2; the
fetoplacental volume follows the Gompertz curve in Eq. 1. Drug-specific
values for fa, Fg, ka, fu, B:P, basal CL_int,H, the CYP fractional
contributions A_1A2 / A_2D6 / A_3A4, and the 12 tissue:plasma partition
coefficients (Rodgers and Rowland) are from Tables 3-4. Set covariate GA
= 0 to simulate the non-pregnant reference woman; values 0 < GA <
40 simulate any gestational stage. The model is a perfusion-limited
typical-value PBPK forward simulation; the paper added no IIV or
residual-error model.
|
|
PRO95780
(Cao 2013)
|
Second-generation minimal physiologically-based PK (mPBPK) model for
PRO95780 (drozitumab) in adults (Cao 2013 Model A; clearance from
plasma)
|
|
Propofol
(Chi 2018)
|
Two-compartment population PK model for propofol target-controlled IV
infusion in Chinese adults with hepatic insufficiency undergoing
elective liver transplantation, with additive body-weight effect on
clearance and power Child-Turcotte-Pugh score effect on peripheral
volume (Chi 2018 final regression model). Typical-value-only model: the
source paper reports the six final-model THETAs but provides no OMEGA
(IIV), no SIGMA (residual error), and no GOF / VPC, so all etas are
fixed at zero and no residual error term is included. See vignette
Assumptions and deviations for the resulting limitations on VPC-style
validation and the recommendation to consult the
modellib(‘Ye_2012_propofol’) companion (when extracted) for a
fully-reported 3-compartment propofol popPK fit in a larger
Chinese-multicenter cohort that shares the Chi 2018 first author.
|
|
Propofol
(Diepstraten 2013)
|
Three-compartment intravenous population PK model for propofol in
morbidly obese and nonobese adults, adolescents, and children
(Diepstraten 2013 meta-analysis of five previously published studies; N
= 94 patients, TBW 37-184 kg, age 9-79 years). Final model E in Table 3:
total body weight scales clearance allometrically with an estimated
exponent and scales the slow inter-compartmental clearance Q3 linearly;
age modifies clearance via a bilinear function centered at 41 years with
separate slopes below and above the breakpoint. Inter-individual
variability on CL, V1, V3, and Q3 (log-normal) and proportional
intra-individual error on log-transformed concentrations.
|
|
Propofol
(Koo 2012)
|
Pharmacodynamic sigmoid Emax model for the probability of recovery of
consciousness (ROC) versus propofol effect-site concentration (Ce,
ug/mL) during emergence from propofol-remifentanil
target-controlled-infusion (TCI) general anesthesia in 94 ASA I-II adult
patients undergoing elective minor eye or ENT surgery (Koo 2012). Age
modulates both the effect-site concentration at 50% probability of ROC
(Ce50) and the Hill exponent lambda via linear-additive age-centred
forms Ce50 = 1.15 - 0.0128 * (AGE - 43) and lambda = 9.69 - 0.141 * (AGE
- 43). Inter-individual variability is log-normal on Ce50 (CV 26.0%);
IIV on lambda was dropped from the final model. Propofol PK is not fit
in the source paper – the per-record effect-site propofol concentration
is supplied as the time-varying covariate CEFFECT (driven by the
Schnider 1998/1999 TCI controller in the source study; Keo = 0.459
/min). NONMEM Bernoulli LAPLACE likelihood in the source paper; this
implementation exposes the typical-value probability of ROC with a
placeholder additive residual error (see vignette Assumptions and
deviations), following the Shin_2014_sevoflurane.R precedent from the
same Yonsei research group.
|
|
Propofol
(Przybylowski 2015)
|
Three-compartment IV population PK plus effect-compartment sigmoidal
Emax PD model for propofol in adult ASA III cancer patients undergoing
major lung surgery under propofol-fentanyl total intravenous anesthesia
(Przybylowski 2015; N = 23). The PD response is the AAI (A-line
ARX-Index) auditory-evoked-potential depth-of-anesthesia index with the
maximum effect fixed to 1 and the pretreatment baseline fixed to 87 from
a prior study. Inter-individual variability was estimated on Vc, CL, and
the deep-compartment intercompartmental clearance Q2 for PK and on Ce50,
gamma (Hill), and ke0 for PD; IIV on Vt1, Q1, Vt2 was fixed to 0 (data
uninformative). No demographic, biochemical, or hemodynamic covariates
were retained in the final model (Results).
|
|
Propofol
(Wang 2012)
|
Three-compartment intravenous population PK model for propofol across
the human life-span (Wang 2012; 174 subjects pooled across seven
previously published studies covering preterm and term neonates,
infants, toddlers, children, adolescents, and adults; body weight
0.68-122.7 kg, age 1 day-81 years). Final ‘bodyweight-dependent exponent
(BDE)’ model (Model IV / Final PK model, Table IV): clearance is scaled
by total body weight via a power function whose exponent k changes
sigmoidally with body weight from k0 = 1.34 at a theoretical 0 kg to k0
- kmax = 0.55 at large body weights, with k50 = 3.78 kg and a Hill
coefficient gamma = 5.24 governing the steepness of the decline. The
slow inter-compartmental clearance Q3 and the second peripheral volume
V3 scale linearly with body weight (BW/70); the first peripheral volume
V2 scales as (BW/70)^0.55; the fast inter-compartmental clearance Q2 is
independent of body weight. The central volume V1 = 7.58 L is constant
for subjects with postnatal age >= 100 days and scales linearly as V1
* (BW/70) for younger subjects. Inter-individual variability
(log-normal) was retained on CL, V1, V2, V3, and Q3; no IIV on Q2.
Additive residual error on log-transformed concentrations was used,
equivalent to a proportional error on the linear concentration scale.
|
|
Propofol
human (Knibbe 2005)
|
Two-compartment intravenous population PK model for propofol in a 70 kg
adult human, projected from male Wistar rat (0.25 kg) parameters via the
allometric power model with literature exponents 0.75 for clearances and
1 for volumes. Parameter values are taken from Knibbe 2005 Table 3
(column ‘Scaled for humans (70 kg)’); inter- and intra-individual
variability are inherited from the rat fit (Table 3, column ‘Observed in
the rat (250 g)’) per the Methods text ‘these human scaled
pharmacokinetic parameters, together with … intra- and interindividual
variabilities estimated in the rat were used to simulate propofol
concentrations’. The companion file Knibbe_2005_propofol_rat.R carries
the rat-side parameters used as the scaling anchor. Knibbe 2005
demonstrated that concentrations simulated from this scaled-human model
agreed (r^2 = 0.83, P < 0.0001) with concentrations observed in
long-term-sedated critically ill patients (Figure 2).
|
|
Propofol
rat (Knibbe 2005)
|
Preclinical (rat). Two-compartment intravenous population PK model for
propofol in male Wistar rats following a single 30 mg/kg bolus delivered
over 5 min, as reported in Table 3 (column ‘Observed in the rat (250
g)’) of Knibbe 2005. The underlying NONMEM fit was performed by Knibbe
et al. (reference 11 of the paper) on 19 whole-blood samples from each
of 22 chronically instrumented rats; Knibbe 2005 reproduces those rat
point estimates and uses them as the species anchor for an allometric
scaling to humans (see the companion model file
Knibbe_2005_propofol_human.R, which carries the human-projected
parameters from Table 3 column ‘Scaled for humans (70 kg)’). Log-normal
inter-individual variability on CL, V1, Q, V2 and a constant-CV
proportional intra-individual residual error model.
|
|
Propofol
sheep (Ngamprasertwong 2016)
|
Preclinical (sheep). Maternal-fetal population PK model of propofol in
mid-gestational pregnant Dorset ewes (Ngamprasertwong 2016; N = 8
ewe-fetus pairs at 110-125 days gestation; term ~147-150 days).
Two-compartment maternal disposition (central + peripheral1) linked to a
single fetal compartment via a reversible inter-compartmental clearance
QM-F; fetal clearance was tested but estimated near zero (<0.001
L/min, RSE >100%) and set to zero in the final model. Maternal
clearance scales with heart rate via the normalised power model CL =
theta1 * (HR/158)^theta2; no other covariate (gestational age, body
weight, blood pressure, uterine blood flow) reached statistical
significance. Inter-individual variability was estimated on CL and QM-F;
IIV on Vc, Q, Vp, and VFetus was fixed to zero in the source and is
omitted here. Residual error is purely proportional, with separate
variances for maternal-ewe and fetal observations.
|
|
Propranolol
(DelFrari 2018)
|
One-compartment population PK model for oral propranolol in infants
(aged 50-243 days, 3.6-9.7 kg) with proliferative Infantile Hemangiomas
(Del Frari 2018). First-order absorption and first-order elimination;
apparent oral clearance CL/F scales with body weight using a fixed
allometric exponent of 0.75 and a reference weight of 6.3 kg (the median
weight pooled across visits D1-D84). Apparent volume V/F has no
covariate effect (the paper tested but did not retain weight on V/F).
Between-subject variability is retained on CL/F and Ka only; BSV on V/F
was dropped from the final model (large 95% CI including 0 and 62.3%
eta-shrinkage). Residual error is proportional.
|
|
Propranolol
(Takechi 2018)
|
One-compartment first-order absorption population PK model for oral
propranolol in Japanese infants with infantile hemangioma (35-150 days
postnatal age), with fixed allometric body-weight scaling and a power
effect of postnatal age on apparent oral clearance; the companion
logistic-regression PD model relating exposure (AUC), treatment
duration, and gestational age to treatment-success probability is
reproduced in the validation vignette.
|
|
PropyleneGlycol
(DeCock 2012)
|
One-compartment population PK model for intravenous propylene glycol
(PG) excipient exposure in preterm and term neonates receiving
paracetamol-PG or phenobarbital-PG (De Cock 2012).
|
|
Pyrazinamide
(Alsultan 2017)
|
One-compartment population pharmacokinetic model with first-order
absorption and first-order elimination for oral pyrazinamide in adults
with drug-susceptible pulmonary tuberculosis (Alsultan 2017); body
weight is an allometric covariate on CL/F and V/F (fixed exponents 0.75
and 1) and biological sex is an exponential covariate on V/F
|
|
Pyrazinamide
(Chirehwa 2017)
|
One-compartment population PK model with Savic-style transit-compartment
absorption (NN = 28) for oral pyrazinamide in HIV/TB-coinfected adults
on the WHO four-drug fixed-dose combination (Chirehwa 2017); fat-free
mass (Janmahasatian formula) drives fixed allometric scaling of CL/F
(exponent 0.75) and V/F (exponent 1.0) referenced to a 42 kg subject,
and CL/F increases linearly by 14.3% from day 1 to day 29 of treatment,
attributed to rifampin-mediated enzyme induction.
|
|
Pyrazinamide
(Horita 2018)
|
One-compartment population pharmacokinetic model with three-compartment
transit absorption followed by first-order absorption and first-order
elimination for oral pyrazinamide in Ghanaian children with active
tuberculosis (Horita 2018); allometric weight scaling on V/F (estimated
exponent 0.677) and CL/F (estimated exponent 0.735) normalised to the
cohort median 14.3 kg.
|
|
Pyrimethamine
(Karunajeewa 2009)
|
Population PK model for pyrimethamine (PYR) in 60 Papua New Guinean
women (30 pregnant, second or third trimester; 30 age-matched
nonpregnant controls) given a single oral 1,500 mg sulfadoxine / 75 mg
pyrimethamine dose for intermittent presumptive treatment of malaria in
pregnancy (Karunajeewa 2009). Two-compartment disposition with
first-order absorption and no lag, fit as a separate NONMEM dataset from
the parent SDOX/NASDOX dataset. Allometric scaling at reference WT = 70
kg is applied to all apparent volumes (exponent 1) and all apparent
clearances (exponent 0.75). Pregnancy is the only retained covariate; it
enters as additive terms on apparent CL/F (+0.439 L/h/70 kg), Vc/F (+76
L/70 kg) and Vp/F (+98 L/70 kg). Between-subject variability on CL/F,
Vc/F and Vp/F is correlated (3x3 block, correlations 0.797 / 0.756 /
0.731 from Table 4); BSV on Q/F and ka is independent. The companion
model for the co-administered sulfadoxine plus its NASDOX metabolite is
shipped as ‘Karunajeewa_2009_sulfadoxine’ (separate NONMEM dataset, fit
independently in the source publication).
|
|
Pyronaridine
(Ayyoub 2016)
|
Pooled population PK model of oral pyronaridine in 349 pediatric malaria
patients (0.51-15 years, 6.8-56.2 kg) from one phase II and five phase
III studies of the pyronaridine-artesunate fixed-dose combination
(Pyramax). Two-compartment disposition with first-order absorption and
first-order elimination from the central compartment. Body weight enters
as fixed allometric scaling (exponent 0.75 on CL/F and Q/F, 1.00 on V2/F
and V3/F, centred on a 20 kg reference). Age enters as a power covariate
on the peripheral volume V3/F (exponent 0.624, centred on a 7 yr
reference). Formulation (1 = pediatric granule sachet, 0 = tablet)
increases the absorption rate Ka by 1.63-fold over the tablet baseline.
Residual error is additive on the natural-log concentration scale
(equivalent to proportional in linear space). Dose is encoded as
pyronaridine base in mg (paper Methods: pyronaridine tetraphosphate
doses are multiplied by 0.57 prior to modeling).
|
|
Quinidine
(Fattinger 1991)
|
Two-compartment population PK model for oral quinidine in adults treated
for supraventricular or ventricular arrhythmias (Fattinger 1991).
Zero-order absorption from the gastrointestinal tract with
formulation-specific absorption duration: immediate-release quinidine
sulphate (Chinidin sulfuricum) with a typical absorption duration of
1.37 h, and slow-release quinidine bisulphate (Kinidin duriles) with a
typical absorption duration of 6.0 h and a 1.36-fold higher relative
bioavailability versus quinidine sulphate. Apparent total clearance is
the sum of a renal arm proportional to creatinine clearance
(proportionality 0.0566 L/h per mL/min) and a non-renal arm of 12.6 L/h
that is halved to 6.8 L/h in patients with severe heart failure or
severe liver failure. Apparent central volume is 161 L.
Inter-compartmental clearance Q is 12.6 L/h and peripheral volume V2 is
66.7 L. Inter-individual variability is assigned to total clearance
(40.2% CV), central volume (75.6% CV), and the quinidine sulphate
absorption duration (49.4% CV); residual variability is proportional
(22% CV).
|
|
Quinidine
(Westerhout 2013)
|
Preclinical (rat, male Wistar WU). Systems-based pharmacokinetic (SBPK)
model for quinidine intra-brain distribution following IV infusion, fit
jointly to unbound plasma, brain parenchymal extracellular fluid (brain
ECF), CSF in the lateral ventricle (CSF_LV) and cisterna magna (CSF_CM),
and end-of-experiment total (deep) brain concentrations, with
simultaneous mechanistic state compartments for CSF in the combined
third + fourth ventricles (CSF_TFV) and the subarachnoid space (CSF_SAS)
carrying the ventricular CSF flow from LV through SAS back to systemic
plasma at the fixed physiological rate Q_CSF = 2.2 uL/min, plus a
brain-ECF-to-CSF_LV flow at Q_ECF = 0.2 uL/min (Westerhout 2013, J
Pharmacokinet Pharmacodyn). Two systemic peripheral compartments
(V_PER1, V_PER2) with inter-compartmental clearances Q_PL-PER1,
Q_PL-PER2 carry the multi-exponential plasma decline. P-glycoprotein
(P-gp) activity (binary indicator CONMED_TARIQUIDAR = 0 control / 1
tariquidar-inhibited) modulates the systemic elimination CL_E (1.9-fold
increase when P-gp is active per Table 4) and every transfer clearance
between plasma and the brain compartments: passive influx into each
brain compartment is reduced when P-gp is active (influx hindrance,
subtractive) and passive efflux is increased (efflux enhancement,
additive). At the BCSFB level, P-gp acts as an efflux transporter at the
LV (CL_LV-PL,P-gp estimated to 0 in the combined model, with the
P-gp-mediated component carried by CL_PL-LV,P-gp) and is absent at the
CM (both P-gp components fixed to 0 in the combined model). The
plasma-to-TFV transfer clearance is structurally assumed equal to
plasma-to-LV (no TFV microdialysis sampling). Parameter values are the
paper’s preferred ‘efflux enhancement + influx hindrance’ (combined)
SBPK model from Table 4, column 3 (OFV = 17,969); the two alternative
P-gp mechanism variants (efflux-enhancement-only, OFV = 18,105;
influx-hindrance-only, OFV = 18,030) and the simpler preliminary
compartmental model (Table 3) are discussed in the validation vignette
but not extracted as separate model files.
|
|
Quinidine
QT (Shin 2006)
|
Population pharmacodynamic Emax model for quinidine-induced QTc
prolongation in 24 healthy Korean (12 M / 12 F) and 13 healthy Caucasian
(7 M / 6 F) adults following a single 20 min IV infusion of quinidine
gluconate 4 mg/kg (base). The Emax form is QTc(t) = E0 + DeltaEmax * Cc
/ (EC50 + Cc) with E0 modulated by sex (additive +34 ms in females;
reference category = male) and DeltaEmax modulated by ethnicity
(multiplicative x1.26 in Caucasians; reference category = Korean) plus
an additive +106 ms interaction in Caucasian females only. EC50 = 3.13
uM (= 1.0155 mg/L using quinidine MW 324.42 g/mol). Source publication
does not fit a popPK model; the PK driver in this file is a
typical-value 1-compartment IV approximation with CL = 0.3 L/h/kg and Vc
= Vss = 2.5 L/kg derived from the pooled NCA summary statistics in Shin
2006 Table 2 (see vignette Errata).
|
|
Quinidine
rat (Syvanen 2012)
|
Preclinical (rat, male Sprague-Dawley). Two-compartment plasma + brain
extracellular fluid (ECF) population PK model for quinidine in rats with
hippocampal microdialysis sampling, fit jointly to plasma, brain ECF,
and end-of-experiment total brain concentrations (Syvanen 2012). The
plasma 2-cmt system (central V1 / peripheral V2) couples to a brain ECF
compartment V_Br via asymmetric BBB clearances (Q_in = f1 * Q_out into
brain, Q_out out of brain, Q_out FIXED at 10.8 mL/min from the paper’s
bootstrap-stability analysis). A third observed output, total brain
tissue concentration Cbrain_deep, is modelled as an algebraic
equilibrium multiple of brain ECF (Cbrain_deep = f2 * Cbrain_csf)
because the paper could not estimate separate rate constants for the
deep brain compartment. Two binary covariates: CONMED_TARIQUIDAR (15
mg/kg IP tariquidar pre-administered 30 min before quinidine, a
selective P-glycoprotein inhibitor) modifies CL, Q_out, Q_in, and f2;
DIS_POSTSE_KAINATE (1 week post-kainate-induced status epilepticus, rat
temporal-lobe-epilepsy paradigm) modifies CL, V2, and V_Br.
|
|
Quinine
(Kloprogge 2014)
|
Population PK model for oral quinine in pregnant women with
uncomplicated Plasmodium falciparum malaria in Uganda (Kloprogge 2014).
First-order absorption into a two-compartment disposition model with
allometric body-weight scaling on clearance and intercompartmental
clearance (power 2/3) and on apparent volumes (power 1), centered at the
cohort typical weight of 56 kg. Relative bioavailability F is fixed at 1
with log-normal IIV; a linear covariate effect of time-varying
parasitaemia (per log10 parasites/uL, last-observation-carried-forward)
increases F by 38.9% per log10 parasitaemia, and an exponential effect
of admission body temperature decreases elimination clearance by ~21.6%
per degC (centered at the cohort median 37.2 degC).
|
|
Quinine
(LeJouan 2005)
|
Population PK model for oral quinine in Cameroonian children (aged
0.55-6.7 years) with uncomplicated Plasmodium falciparum malaria (Le
Jouan 2005). One-compartment with first-order absorption, time-varying
free fraction fu = 0.15 + 0.001(t - 36) anchored at the literature
value fu(t=36 h) = 0.15 (Babalola 1989) and clamped to its t = 72 h
value beyond the studied window, and linear-in-body-weight apparent
clearance CL/F = fu 0.53 * WT and apparent volume V/F = fu * (57 +
3.8 * WT). Doses are oral quinine base in mg.
|
|
Quinine
rat (Sheng 2016)
|
Preclinical (rat). Two generalized Poisson (2GP) mixture PD model for
bimodal lick-count data from rodent brief-access taste aversion (BATA)
experiments with quinine hydrochloride dihydrate; the drug effect enters
via a sigmoid emax on a logistic-transformed mixing probability between
a low-count and a right-truncated high-count generalized-Poisson
distribution. The fitted compound is quinine HCl dihydrate used as a
model bitter stimulus. STIM_QUININE_MM is the applied sipper-tube
concentration (mM); there is no PK ODE and no time evolution (each
record is an 8-second presentation).
|
|
Radiation
radiosensitizer mouse (Cardilin 2018)
|
Preclinical (mouse, FaDu head-and-neck xenograft). Tumor growth
inhibition model for combination therapy with ionizing radiation and a
radiosensitizer (linear-quadratic radiation kill with a
damage-compartment transit chain, driven by a one-compartment
radiosensitizer PK).
|
|
Raltegravir
(ArabAlameddine 2012)
|
Two-compartment first-order-absorption population PK model for oral
raltegravir (RAL) in 145 HIV-positive adults and 19 healthy volunteers,
with two HIV-status-specific absorption rate constants (ka HIV+ slower
than HIV-), HIV-status-specific proportional residual error, a fixed
reference bioavailability F=1 for healthy volunteers, and an estimated
relative bioavailability for HIV+ subjects modified linearly by sex
(female +55%), atazanavir coadministration (+39%), and total bilirubin
centered at 30 umol/L (+36% per doubling), plus a -59% race effect on
the central volume of distribution for Caucasian relative to
non-Caucasian subjects (Arab-Alameddine 2012).
|
|
Raltegravir
(Lee 2016)
|
Population PK model for oral raltegravir (a UGT1A1 phenotyping probe)
and its glucuronide metabolite in 24 East Asian patients with advanced
solid tumours receiving FOLFIRI chemotherapy (Lee 2016). Raltegravir
absorption is described with a depot, a single transit compartment (the
paper estimates a non-integer NN = 1.07 in the Savic 2007 transit-chain
framework; the packaged model approximates this with one explicit
transit compartment), and a one-compartment central compartment with
first-order elimination (CL/F, V/F). Raltegravir glucuronide is
described by a one-compartment metabolite compartment (central_gluc)
with V_GLU fixed at 1 L (a structural identifiability anchor) and a
first-order metabolite clearance CL_GLU. The formation rate constant
kmet maps to the source paper’s FMET, which the authors define as the
formation rate of glucuronide divided by V_GLU; with V_GLU fixed at 1 L,
kmet has units 1/h and drives dA_gluc / dt = kmet * V_GLU *
C_RAL_central - CL_GLU * C_gluc. Bioavailability F is fixed at 1 (single
oral dose; absolute F not identifiable). IIV is reported on CL/F, MTT,
F, V/F, kmet (FMET), and CL_GLU with a single off-diagonal covariance
between CL/F and V/F (correlation 0.567). The residual error was
reported as additive on log-transformed observations for both
raltegravir and glucuronide, which maps to a proportional residual on
the linear-concentration scale. No baseline covariates (age, sex,
weight, body surface area, serum albumin / creatinine / bilirubin /
liver enzymes, ethnicity, or UGT1A1 * 6 / * 28 / * 60 and CYP3A5 * 3
genotypes) were retained in the final model.
|
|
Raltegravir
(Wang 2011)
|
Population PK model for plasma and intracellular (PBMC) raltegravir
after a single 400 mg oral dose in six healthy male Singaporean
volunteers (Wang 2011). Plasma PK is described by a one-compartment
model with first-order elimination preceded by a chain of two transit
compartments between depot and central (Kappelhoff 2005
transit-absorption parameterisation: MAT = (n + 1) / ktr with n = 2
transit compartments). Bioavailability F is implicit in the apparent
CL/F and V/F. Intracellular (PBMC) raltegravir is described as an
empirical partition of the predicted plasma concentration via the
paper’s accumulation ratio ACR (point estimate 11.2%) with its own
inter-individual variability and exponential residual error (Wang 2011
Eq.: C_IC,obs = ACR * C_plasma,pred * exp(eps_IC)). The packaged model
maps ACR to the canonical paper-named bare parameter frac
and its log-transformed primary lfrac. No baseline
covariates were retained in the final model. Note that the paper’s term
‘accumulation ratio’ is a misnomer in the conventional sense – ACR <
1 means raltegravir does NOT accumulate intracellularly, consistent with
simple diffusion of unbound drug into PBMCs (the authors’ Conclusions).
|
|
Raltitrexed
(Blair 2004)
|
Three-compartment population PK model for intravenous raltitrexed
(Tomudex) in adult patients with advanced solid tumours, with
linear-additive covariate effects of Cockcroft-Gault creatinine
clearance on CL and of body weight and serum albumin on central volume
(Blair 2004)
|
|
Ranibizumab
(Mulyukov 2018)
|
Indirect-response PK/PD model of intravitreal ranibizumab on
best-corrected visual acuity (SCORE_BCVA, ETDRS letters) in
anti-VEGF-naive adults with neovascular age-related macular degeneration
(Mulyukov 2018). SCORE_BCVA is driven by an indirect-response ODE in
which drug concentration stimulates the SCORE_BCVA production rate (kin)
through a Michaelis-Menten-like term with a time-dependent maximum
effect emax(t) = emax_ss + demax_0 * exp(-kemax * t). The PK is a fixed
first-order vitreous-elimination placeholder (kel = 0.077/day, vitreous
volume = 4 mL, no IIV) borrowed from a previous population PK analysis
(reference 20 of the paper) because vitreous PK data were not collected
in the development studies.
|
|
Ranitidine
(Hawwa 2013)
|
One-compartment population PK model for ranitidine in critically ill
children (n = 78, age 15 days to 15.5 years, weight 1.3 to 47 kg)
receiving oral and/or intravenous bolus doses for stress-ulcer or GORD
prophylaxis. First-order absorption with allometric scaling of clearance
(fixed exponent 0.75) and central volume (fixed exponent 1.0) to a 70 kg
adult. Cardiac failure or cardiac surgery (pooled binary indicator)
multiplicatively reduces clearance by 53.7%. IIVs on absorption rate
constant and bioavailability were dropped during model building so the
model could minimize; only CL and V carry IIV. Proportional residual
error (Hawwa 2013).
|
|
RBP
7000 (Ivaturi 2017)
|
Integrated population pharmacokinetic / PANSS pharmacodynamic model for
the once-monthly long-acting subcutaneous Atrigel formulation of
risperidone (RBP-7000, Indivior) in 337 adults with acute schizophrenia
treated with two SC injections (90 mg or 120 mg) 28 days apart in a
Phase 3 registration trial (NCT02109562). The PK sub-model is the
empirical dual-absorption structure inherited from the upstream RBP-7000
SAD and MAD studies (Gomeni 2013; Laffont 2014, 2015): a fast
first-order absorption rate ka1 from the SC depot to the risperidone
central compartment captures the rapid release from the injection site,
while a 5-compartment transit chain with rate constant ktr feeds a slow
first-order absorption rate ka2 from the terminal transit compartment
into central, mimicking the slow sustained release from the solidified
ATRIGEL implant. Systemically available risperidone is distributed to a
single peripheral compartment (rate constants krrp and krpr), eliminated
by non-metabolite routes (krel), and partly converted to its equipotent
9-hydroxyrisperidone metabolite at rate kr9; the metabolite is described
by a one-compartment model with first-order elimination (k9el) and an
apparent volume of distribution constrained equal to the central volume
of the parent V because VM was not identifiable. CYP2D6 intermediate and
poor metabolizers (vs the extensive / inconclusive reference) have 76
and 94 percent lower metabolite formation rate, respectively. Plasma
concentrations of risperidone and 9-OH-risperidone are converted to
total active moiety in risperidone-equivalent units by AM =
[risperidone] + [9-OH-risperidone] * 410/426 (molecular-weight
correction). The PANSS PD sub-model combines a Weibull-shaped placebo
response (PMAX, TPROG, POW), an additive linear-drift term (DRIFT) that
captures the improvement-then-worsening pattern observed in some
individuals, and an Emax model relating total active moiety to relative
PANSS decrease, with drug and placebo effects entering additively per
Predicted PANSS = BSL * (1 - PMAX * (1 - exp(-(T/TPROG)^POW)) - Emax *
AM / (EC50 + AM)) + DRIFT * T (T in weeks). The proportional-odds CGI-S
sub-model of Table 4 is documented in the vignette but not implemented
here because rxode2’s additive residual / d/dt() ODE pipeline does not
natively express ordinal-logistic observation likelihoods; see the
vignette Assumptions and deviations.
|
|
Remifentanil
(Yang 2017)
|
One-compartment population PK model for continuous intravenous
remifentanil infusion in critically ill adults receiving venoarterial
extracorporeal membrane oxygenation (VA-ECMO), with sex and
centrifugal-pump rotational speed as covariates on clearance (Yang
2017).
|
|
Respiratory
physiology (Mann 2022)
|
QSP. Magosso / Ursino respiratory and cerebrovascular physiology with
Mann 2022 extensions for opioid-induced ventilatory depression and
cardiovascular-collapse / cardiac-arrest dynamics. Encodes the 11-state
physiological submodel from the FDA delaymymod.c implementation, plus
the cardiac-arrest event rule (PaO2 below 15 mm Hg sustained 220 s ->
cardiac output decays toward 0.01 L/min). The CAR (fraction of opioid
receptors bound by an agonist) input drives reductions in wakefulness
drive (W - Wmax * CAR^P3) and chemoreflex drives (factor 1 - CAR^P1).
The Spencer dissociation algebra for blood gas exchange is carried
inline. The original FDA implementation uses delay- differential
equations for peripheral and central chemoreflex filtering with delays
of roughly K_Dp/(Qb+Qt) ~ 7 s and K_Dc/(Qb+Qt) ~ 11 s; this model
deploys the limit of zero delay (Plag_X = X, Clag_X = X), which
preserves the steady-state structure and longer-time-scale overdose
dynamics but does not reproduce the second-scale delay artefacts of the
original. Composes downstream of Mann_2022_mu_receptor_binding
(CAR_OPIOID input).
|
|
RFIXFc
(Diao 2014)
|
Three-compartment population PK model for recombinant factor IX Fc
fusion protein (rFIXFc, eftrenonacog alfa) in patients with severe to
moderate haemophilia B aged 12-77 years (Diao 2014). Disposition is
described by linear three-compartment kinetics with intravenous input
and first-order elimination from the central compartment; body weight is
the only retained covariate, scaling CL and V1 with estimated power
exponents (not the canonical 0.75 / 1) and a reference weight of 73 kg.
|
|
Rfxiii
cyno (Dodds 2005)
|
Preclinical (cynomolgus monkey). Three-state mechanistic population PK
model for recombinant Factor XIII A2 dimer (rA2) administered IV bolus,
with endogenous constant-influx production of A2 dimer and B monomer,
mass-action association A2 + 2 B -> A2B2 heterotetramer following the
1A2 + 2B -> 1A2B2 stoichiometry, first-order elimination of each
species, and three ELISA assay outputs (total A2 = A2 + A2B2; A2B2
tetramer; free B) with proportional + proportional + additive residual
error. Parameters are weight-normalised throughout (mass / kg).
Estimated in NONMEM V (Dodds 2005).
|
|
Rg7652
(Budha 2015)
|
Population PK/PD model for RG7652 (an anti-PCSK9 monoclonal antibody) in
healthy hypercholesterolemic subjects (Budha 2015): one-compartment PK
with first-order SC absorption and combined linear plus Michaelis-Menten
elimination from the central compartment, linked to a Type 3
indirect-response model for serum low-density lipoprotein cholesterol
(LDL-C) in which RG7652 stimulates LDL-C degradation through an Emax
function.
|
|
Ribavirin
(Mensing 2017)
|
Two-compartment population PK model for oral ribavirin in HCV genotype-1
infected adults receiving the 3D + ribavirin regimen (Mensing 2017).
First-order absorption, linear elimination, combined proportional +
additive residual error, IIV on CL/F and a shared IIV on Vc/F + Vp/F.
The author’s final model retained cirrhosis, gender, and creatinine
clearance as significant covariates on CL/F (and gender on Vc/F and
Vp/F), but the paper does not publish point estimates for these
covariate coefficients (only graphical exposure-ratio forest plots in
Figure 2); the implemented model is the structural typical-value model
with covariate coefficients omitted (documented in
covariatesDataExcluded). Mensing 2017 reports correlated IIV on CL/F and
Vc/Vp; the correlation coefficient is not given in Table 3, so this
implementation encodes the random effects as independent (a documented
deviation; see vignette Errata).
|
|
Ribavirin
(Mulder 2025)
|
Integrated population PK/PD model for oral ribavirin (RBV) in solid
organ transplant (SOT) recipients with chronic hepatitis E virus (HEV)
infection (Mulder 2025). PK: two-compartment model with first- order
absorption; ka, Vc, Q, and Vp fixed at the Wu 2015 (HCV- patient)
starting-model estimates and CL re-estimated. Covariates carried over
from Wu 2015: allometric weight on Vc (exponent 1.29) and Vp (exponent
0.725) with reference weight 79 kg, and a female- factor 0.732 on Vp.
New covariate estimated on CL: MDRD eGFR with a capped power effect
(exponent 1.32) above an estimated threshold of 57 mL/min/1.73 m^2.
Haemoglobin: indirect-response (kin/kout) on an endogenous Hb pool, with
RBV producing a linear concentration- proportional acceleration of the
haemoglobin loss rate (1 + slope * Cc) so that haemoglobin declines with
increasing RBV exposure; kin is set per subject from the baseline-Hb
covariate HGB_BL so the Hb state is at steady state pre-treatment. Viral
load: target-cell- limited (Baccam / Dahari) model with three
paper-specific compartments (healthy hepatocytes, infected hepatocytes,
virions); RBV inhibits viral replication via an Imax/IC50 sigmoidal Emax
form (Imax = 0.999, IC50 = 1000 ng/L) so production of virions from
infected cells is essentially fully suppressed throughout the observed
RBV concentration range; healthy hepatocyte half-life and the
infected:healthy hepatocyte decay-rate ratio are fixed to the literature
values (Dahari 2007) and the viral elimination rate is estimated.
Initial conditions for the viral compartments are computed at baseline
steady state: H(0) = 1 (arbitrary unit), I(0) = rho = 0.001 (fixed),
V(0) = HEV_VLOAD per subject; the synthesis rates ksyn (healthy), beta
(infection), and p (virion production) are derived inside model() from
these initial conditions and the rate constants so that all three viral
compartments start at baseline steady state. Hb and the three viral
compartments are declared paper_specific_compartments.
|
|
Rifabutin
(Hennig 2015)
|
Two-compartment population pharmacokinetic model for rifabutin with
simultaneous two-compartment metabolite (25-O-desacetyl rifabutin)
modelling in 44 African HIV-infected adults with pulmonary tuberculosis
on 300 mg daily oral rifabutin (Hennig 2015). Body weight allometrically
scaled (a priori; CL exponent 0.75, V exponent 1) on all rifabutin
apparent clearances and apparent volumes; sex effect on rifabutin V/F
(males 1.84-fold higher than females); SLCO1B1 rs11045819
heterozygous-AC genotype increases rifabutin bioavailability F by 30.4
percent relative to homozygous-CC reference. Des-rifabutin parameters
are apparent (with respect to rifabutin F and metabolite-formation
fraction) and were estimated without allometric scaling, with metabolite
Q and peripheral V fixed.
|
|
Rifampicin
(Barnett 2018)
|
One-compartment population PK model with Wilkins/Savic
transit-compartment absorption for a single 600 mg oral dose of
rifampicin in healthy adult males (Barnett 2018), refit from the Wilkins
2008 structural form. The rifampicin model is one of three popPK models
developed jointly in Barnett 2018 to support OATP1B
drug-drug-interaction modeling with coproporphyrin I and rosuvastatin;
the rifampicin compartmental output is the time-varying CRIF input that
drives the competitive OATP1B inhibition term in the sibling
coproporphyrin I and rosuvastatin models.
|
|
Rifampicin
(Chigutsa 2011)
|
Population pharmacokinetic model for oral rifampicin in adults with
sputum-positive pulmonary tuberculosis in South Africa (Cape Town).
One-compartment disposition with a fixed-length Erlang
transit-absorption chain (NN = 19 fixed) feeding the central compartment
via first-order ka. Allometric scaling of CL/F and V/F to a 70 kg
reference body weight with canonical Anderson and Holford (2008)
exponents (0.75 on CL, 1.0 on V; cited as Chigutsa 2011 Methods
reference 3 for the allometric model). Covariate effects: female sex on
V/F (-30%) and on the mean transit time MTT (+30% per Results body text
page 4124 – women have a 30% LONGER absorption delay than men; Table 2
Final-model row prints -30% with a CI bit-identical to the V/F row
immediately above, which is the canonical signature of a typesetting
row-duplication error; per the operator sidecar request-001 directive
the body text +30% is the source of truth); high-dose-band effect on MTT
(-27% for daily doses >= 600 mg vs the 450 mg reference); SLCO1B1
rs4149032 genotype-dependent oral bioavailability F (heterozygous
carriers -18%; homozygous variant carriers -28%; relative to the
homozygous-common-allele wild-type reference). Between-subject
variability (BSV) is carried on F, CL, and MTT with the CL-MTT
correlation block 0.86 from Table 2; within-subject (WSV / IOV)
variability reported in Table 2 is NOT carried (forward-simulation users
do not need the second-occasion IOV layer; see vignette Errata).
Combined additive + proportional residual error.
|
|
Rifampicin
(Clewe 2015)
|
Pharmacometric pulmonary distribution model for rifampicin in adults
without tuberculosis: a one-compartment plasma PK model with
single-transit oral absorption coupled to a Smythe 2012 enzyme-pool
autoinduction structure (MTT, N, EMAX, EC50, kENZ all fixed from the
upstream Smythe 2012 model) plus two effect compartments capturing
distribution from plasma to epithelial lining fluid (ELF) and alveolar
cells (AC); CL/F and Vc/F are FFM-allometrically scaled to 70 kg, the
ELF and AC equilibration rate constants kELF and kAC are fixed to an
equivalent 1-min half-life (instantaneous distribution at the single 4-h
post-dose BAL sampling time), and only the unbound steady-state
ELF/plasma and AC/plasma concentration ratios are estimated (1.28 and
5.5 after correction for the 20% rifampicin plasma free fraction).
|
|
Rifampicin
(Horita 2018)
|
One-compartment population pharmacokinetic model with sequential
zero-order then first-order absorption and first-order elimination for
oral rifampin (rifampicin) in Ghanaian children with active tuberculosis
(Horita 2018); allometric weight scaling on CL/F (fixed 0.75) and V/F
(fixed 1.0) normalised to the cohort median 14.3 kg.
|
|
Rifampicin
(Sloan 2017)
|
One-compartment population PK model for oral rifampin in Malawian adults
with smear-positive pulmonary tuberculosis (Sloan 2017), developed using
a two-stage NONMEM workflow: stage 1 fit a one-compartment + Savic 2007
transit-compartment absorption chain (NN, MTT, Ka) to 47
intensively-sampled patients, then stage 2 fit CL/F and V/F (plus IIVs
and a multiplicative sex effect on CL) to 174 sparsely-sampled patients
with absorption parameters fixed at the stage 1 estimates; F is fixed at
1, between-subject variability is on CL/F, V/F, and (fixed from stage 1)
MTT, and an allometric weight model with fixed exponents 0.75 / 1.0 is
referenced to 70 kg.
|
|
Rifampicin
(Smythe 2012)
|
Semimechanistic population PK / enzyme-turnover autoinduction model for
oral rifampicin in adult tuberculosis patients (Smythe 2012).
One-compartment disposition with single-transit absorption (N = 1 FIX)
feeds the central compartment; rifampicin plasma concentration drives a
nonlinear Emax production-rate increase on a unitary-baseline enzyme
pool, which in turn multiplies apparent oral clearance. CL/F and V/F are
Anderson-Holford normal-fat-mass (NFM) allometrically scaled to a 70-kg
patient with separate estimated Ffat contributions on CL/F and V/F.
HIV-positive status increases V/F by 29.6%. IIV is on CL/F (correlated
with V/F at 91.1%), V/F, and EC50; interoccasion variability is on MTT
and bioavailability F. Residual error is combined additive +
proportional. The same one-compartment + single-transit + autoinduction
structural backbone (and the autoinduction parameters MTT, N, Emax,
EC50, kENZ) is inherited verbatim by Clewe 2015 and Svensson 2016 – see
modellib(‘Clewe_2015_rifampicin’) and
modellib(‘Svensson_2016_rifampicin’).
|
|
Rifampicin
(Svensson 2016)
|
Combined population PK/PD model for rifampicin in adults with
drug-susceptible pulmonary tuberculosis: a one-compartment,
single-transit, oral PK model with first-order
plasma-concentration-driven autoinduction of clearance via an
enzyme-pool turnover (structure from Smythe 2012) linked to the
Multistate Tuberculosis Pharmacometric (MTP) three-state bacterial
disease model (fast-, slow-, and nonmultiplying Mycobacterium
tuberculosis states; structure from Clewe 2016) with rifampicin drug
effects as fixed-at-100% on/off inhibition of fast-multiplying bacterial
growth plus second-order plasma-concentration-driven death of slow- and
nonmultiplying bacteria; all PK parameters and all MTP transfer/growth
rates are fixed to the upstream-paper estimates, while the system
carrying capacity Bmax (with 152% CV IIV) and the two second-order death
rates SDk and NDk are re-estimated against 19 patients from a 1966-1977
Kenyan rifampicin monotherapy trial.
|
|
Rifampicin
(Vinnard 2017)
|
One-compartment population PK model for oral rifampicin in HIV/TB
patients in Botswana (Vinnard 2017), with a Savic 2007 analytical
transit-compartment absorption chain feeding a virtual depot, oral
bioavailability fixed at 1, between-subject variability on CL, F, MTT,
and the (non-integer) number of transit compartments NN, and
inter-occasion variability on F across two sampling visits (pre-ART vs
after approximately 4 weeks of ART).
|
|
Rifampicin
(Wicha 2018)
|
Preclinical-to-clinical translational Multistate Tuberculosis
Pharmacometric (MTP) framework for high-dose oral rifampicin in adults
with pulmonary tuberculosis. The Svensson 2018 HIGHRIF1 plasma PK model
(Erlang transit absorption + Michaelis-Menten clearance + enzyme-pool
autoinduction + dose-dependent bioavailability anchored at 450 mg) is
coupled via the Clewe 2015 epithelial lining fluid (ELF) effect
compartment to a new post-antibiotic-effect (PAE) compartment with
saturable Michaelis-Menten elimination, driving the Clewe 2016
three-state MTP model (fast-, slow-, and nonmultiplying Mycobacterium
tuberculosis substates) at human-specific carrying capacity Bmax =
2.42e8/mL and fast-multiplying growth rate kG = 0.206/day. Time unit is
days; all PK rates from Svensson 2018 (reported in 1/h) and the ELF kELF
from Clewe 2015 are multiplied by 24 to bring to days. All structural
parameters are fixed at the Wicha 2018 Table 1 typical values; only the
Svensson 2018 IIV is carried (IOV is omitted because the EBA forward
simulation models a single 14-day monotherapy course). The model
predicts early bactericidal activity (EBA0-2 / EBA0-5 / EBA0-14) for
clinical rifampicin doses 2.5-50 mg/kg without re-estimating any
parameter from clinical EBA data.
|
|
Rifapentine
(Zvada 2010)
|
Parent-metabolite population pharmacokinetic model for single-dose 900
mg oral rifapentine (RFP) and its primary active metabolite
25-O-desacetyl rifapentine (25-DRFP) in 34 healthy adult male
volunteers, with characterization of food effect on bioavailability for
four meal types (high-fat English breakfast A, low-fat bulky maize
porridge B, high-fat bulky maize porridge with lard C, and low-fat
high-fluid chicken noodle soup D) relative to fasted reference (meal E).
Parent RFP is described by a one-compartment model with Savic transit
absorption (NN = 10.9, MTT = 1.45 h) and a step-function autoinduction
of apparent clearance at MTIME = 43 h (CL1/F = 2.14 to CL2/F = 3.22
L/h). All RFP is assumed to convert to 25-DRFP; metabolite disposition
is two-compartment with its own step-function clearance switch at
MTIME_M = 46.8 h (CLM1/F = 1.81 to CLM2/F = 4.63 L/h). Meal effects
multiply the typical bioavailability via TVF = 1 * (1 + sum of per-meal
fractional changes). Inter-individual variability is a 3x3 block on
CL/F, MTT, and F (correlations rho_F_MTT = 0.65 and rho_CL_MTT = -0.56;
cov(CL, F) assumed 0 since not reported); a single shared eta on CL/F
applies to both CL1 and CL2. Inter-occasion variability (Table 2 IOV
columns) is omitted because nlmixr2lib does not standardize an OCC
encoding; the cross-over IOV magnitudes are noted in the vignette
Errata. Residual variability is combined additive + proportional on
plasma RFP (additive 0.206 mg/L, proportional 10.6%) and on plasma
25-DRFP (additive 0.211 mg/L, proportional 19.1%).
|
|
Rilotumumab
(Zhang 2016)
|
Two-compartment IV population PK model for rilotumumab (fully human
anti-HGF IgG2 monoclonal antibody) in patients with MET-positive gastric
or gastroesophageal-junction adenocarcinoma receiving rilotumumab in
combination with epirubicin / cisplatin / capecitabine (ECX). The
structural model and parameter values were inherited from the previously
developed population PK analysis of rilotumumab (Zhu et al. 2014, J
Pharm Sci 103:328-336); Zhang 2016 reports the typical-value point
estimates and IIV %CV from that prior model and uses it as the reference
for an external visual predictive check assessing whether ECX
co-administration alters rilotumumab PK.
|
|
Rilpivirine
(Aouri 2017)
|
One-compartment population PK model for oral rilpivirine in
HIV-1-infected adults (Aouri 2017), with zero-order absorption from the
gastrointestinal tract directly into the central compartment (duration
D1 = 4 h; derived mean absorption time D1/2 = 2 h), apparent clearance
CL/F = 11.7 L/h, apparent volume of distribution V/F = 401 L, combined
proportional plus additive residual error (21.6% and 9.8 ng/mL), and
inter-individual variability on CL/F only (33% CV). No demographic,
clinical, or genetic covariates (sex, body weight, height, age, race,
AST, ALT, HCV, HBV, comedications, CYP3A422, CYP3A53,
CYP2C192, CYP2C1917, UGT1A128, UGT1A42) were retained
in the final covariate model.
|
|
Risankizumab
(Suleiman 2019)
|
Two-compartment population PK model of risankizumab (anti-IL-23 mAb)
with first-order SC absorption in healthy subjects and patients with
moderate-to-severe plaque psoriasis (Suleiman 2019)
|
|
Risankizumab
(Thakre 2022)
|
Two-compartment population PK model of risankizumab (anti-IL-23 mAb)
with first-order SC absorption in patients with active psoriatic
arthritis (Thakre 2022)
|
|
Risperidone
(Feng 2008)
|
Adult one-compartment parent-plus-metabolite population PK model for
oral risperidone and its active metabolite 9-OH-risperidone in 490
subjects pooled across the CATIE-AD (n = 110, behavioural symptoms of
Alzheimer disease, mean age 78.3 years) and CATIE-SZ (n = 380,
schizophrenia, mean age 40.6 years) trials (Feng 2008). First-order
absorption with Ka fixed at 1.7 1/h into a single central compartment
with first-order elimination; the fraction of risperidone metabolized to
9-OH-risperidone (KF) feeds a single metabolite compartment whose
apparent volume of distribution is set equal to the parent apparent
volume per the paper’s identifiability constraint. A mixture model with
three CYP2D6 metabolizer subpopulations (poor PM, intermediate IM,
extensive EM) yields subpopulation-specific apparent oral clearances
(CL/F) and metabolite formation fractions (KF); CL/F in IM (36 L/h) and
KF in IM (1) are fixed per Table 3 to stabilize the mixture estimation.
Age is the only retained subject-level covariate, acting on
9-OH-risperidone apparent clearance (CLM/F) via a power model with
exponent -0.378 referenced at a nominal median age of 45 years.
Inter-individual variability is reported separately for CL/F in PM and
EM (no IIV is reported for CL/F in IM or for CLM/F), for Ka (despite a
fixed typical value), and for the shared Vd/F; combined
additive-plus-proportional residual error is reported separately for
risperidone and 9-OH-risperidone plasma concentrations.
|
|
Risperidone
(Sherwin 2012)
|
One-compartment parent-plus-metabolite population PK model for oral
risperidone and its active metabolite (+/-)-9-hydroxyrisperidone in 45
children and adolescents (aged 3-18.3 years, 16.8-110 kg) with
neuropsychiatric disorders treated with maintenance oral risperidone
(Sherwin 2012). First-order absorption (Ka fixed) into a single central
compartment with first-order elimination; the fraction of risperidone
metabolized to (+/-)-9-hydroxyrisperidone (KF) feeds a single metabolite
compartment whose apparent volume of distribution is set equal to the
parent apparent volume per Table 2 footnote (a). A mixture model with
three CYP2D6 metabolizer subpopulations (poor PM, intermediate IM,
extensive EM) yields subpopulation-specific apparent oral clearances and
metabolite formation fractions; KF in IM subjects is fixed at 1 to
stabilize the model per the paper’s Mixture Model section. Allometric
scaling (exponent 0.75 for CL/F and CLM/F, exponent 1 for Vd/F,
reference 70 kg) is applied to all three subpopulations’ clearance
estimates and to the shared apparent volume. Inter-individual
variability is reported separately for each subpopulation’s CL/F (PM,
IM, EM), for the metabolite CLM/F, and for the shared Vd/F; a combined
additive-plus-proportional residual error is reported separately for
risperidone and (+/-)-9-hydroxyrisperidone plasma concentrations.
|
|
Risperidone
panss subscales (PillaReddy 2013)
|
Population PK/PD model for risperidone against the three PANSS subscales
(positive, negative, general) in adults with schizophrenia from Pilla
Reddy 2013 Part II. The driving exposure variable is the active moiety
(parent risperidone + the equipotent metabolite 9-hydroxy-risperidone),
following the Part I (PMID 23473810) and Vermeulen 2007 (Eur J Clin
Pharmacol 63:1063-1077) methodology. The PK sub-model is a simplified
one-compartment representation of the active moiety: the published Part
I model for risperidone is a two-compartment parent-plus-metabolite
system with a lag-time and a consecutive zero-then-first-order
absorption process, and clearance stratified by CYP2D6 phenotype (poor /
medium / fast metabolizers). This nlmixr2lib representation uses a
single CL/F that maps a typical oral risperidone dose to the
active-moiety steady-state concentration Css consumed by the PD model:
CL_AM/F = 6.3 L/h (derived from Part II Table 3 effective-dose /
effective-Css pair 0.8 mg/day / 5.3 ng/mL at 30% PANSS reduction, CL/F =
Dose / (Css * tau)), Vc = 144 L (parent central volume from Part I Table
2; approximate active-moiety value), and Ka = 2.37 1/h (parent first-
order rate from Part I Table 2). The zero-order absorption duration DUR
= 0.47 h and lag time ALAG1 = 0.16 h are omitted in this Part-II
simplification (Css is approximately invariant to short-window
absorption details at steady state). The PD sub-model has three outputs
that share the Weibull placebo time-course form Pplacebo = Pmax * (1 -
exp(-(t/TD)^POW)) but each subscale carries its own placebo Pmax, TD,
POW (Part II Table 1) and risperidone’s own Emax / EC50 / KT triplet per
subscale (Part II Table 2). The KT for risperidone PANSS positive and
general subscales (0.048 / 0.035 1/day) was estimated as a common value
across all atypical antipsychotic drugs (Part II Methods, ‘A common
model … was developed for PANSS positive and general scales’); the KT
for the negative subscale (0.16 1/day) was estimated separately per drug
because the cross-drug pooled fit did not converge. The exponential
time-to-event dropout sub-model from Part II Table 4 is documented in
population$dropout_model but is not encoded in this model body.
|
|
Ritonavir
(Kappelhoff 2005)
|
One-compartment population PK model with first-order absorption, an
absorption lag time, and first-order elimination for oral ritonavir in
HIV-1-infected adults (186 patients, 1228 plasma concentrations;
Kappelhoff 2005). Concomitant lopinavir is the only retained covariate
and multiplies apparent oral clearance by 2.72-fold (power form: CL/F =
exp(lcl) * 2.72^CONMED_LPV). Inter-individual variability on apparent
CL/F, V/F, and ka, with correlated etas for V and ka (rho = 0.868).
Residual error has a single 15.4% proportional component and a
mixture-model additive component (subpopulation P1, 64.8% of subjects:
0.0600 mg/L; subpopulation P2, 35.2%: 0.199 mg/L), gated by the binary
covariate MIX_LARGE_RUV. Interoccasion variability on apparent
bioavailability (59.1% in the source) is not propagated – see the
validation vignette Assumptions and deviations section.
|
|
Ritonavir
(Mensing 2017)
|
One-compartment population PK model for oral ritonavir (co-dosed with
paritaprevir as a CYP3A4 pharmacokinetic enhancer) in HCV genotype-1
infected adults receiving the 3D regimen (Mensing 2017). First-order
absorption, linear elimination, combined proportional + additive
residual error, IIV on CL/F only. The author’s final model retained
gender, creatinine clearance, and HCV genotype (1a vs 1b) as significant
covariates on CL/F, but the paper does not publish point estimates for
these covariate coefficients (only graphical exposure-ratio forest plots
in Figure 2); the implemented model is the structural typical-value
model with covariate coefficients omitted (documented in
covariatesDataExcluded).
|
|
Rituximab
(Candelaria 2018)
|
Two-compartment population PK model of rituximab (and its biosimilar
RTXM83) with linear distribution and linear elimination from the central
compartment in patients with diffuse large B-cell lymphoma (DLBCL)
treated with rituximab-CHOP or RTXM83-CHOP (Candelaria 2018; pooled-arm
fit, all 5341 concentrations from both treatment arms)
|
|
Rivaroxaban
(Willmann 2021)
|
Pediatric population PK model for rivaroxaban developed on the
integrated EINSTEIN-Jr phase I / I-II / II / III dataset and interim PK
from part A of the UNIVERSE study (524 children, 1988 plasma
concentrations, age birth to <18 years, body weight 2.7-194 kg).
Two-compartment disposition with first-order absorption and first-order
elimination from the central compartment. Body weight enters as
estimated allometric scaling on CL, Q, Vc, and Vp, centred on the 82.48
kg median of the integrated adult popPK analysis (a shared exponent is
used for Vc and Vp). The undiluted ready-to-use oral suspension has a
lower first-order absorption rate constant ka than the other three
formulations (tablet, granules for oral suspension, and diluted
ready-to-use oral suspension), which share a common ka. Relative oral
bioavailability decreases with dose per body weight following an
exponential function carried over from the integrated adult popPK
analysis (anchored to F1 = 1 at 10 mg / 82.48 kg = 0.1213 mg/kg).
Inter-individual variability is on CL and F1 only (no IIV on Ka, Vc, Vp,
or Q); residual error is proportional. Age, eGFR (Schwartz and Rhodin),
serum creatinine, comedications (CYP3A4 inhibitors / inducers, P-gp
inhibitors), and Fontan status were tested and not retained.
|
|
Rivipansel
(Tammara 2017)
|
Three-compartment IV population PK model for rivipansel in adults and
adolescents with sickle cell disease (SCD) and in healthy adult
volunteers (Tammara 2017). Rivipansel is a pan-selectin antagonist given
as a 20-minute IV infusion; renal excretion of unchanged drug is the
primary clearance mechanism. The integrated population PK model pools
109 subjects across three phase I studies (rivipansel studies 101, 102,
103) and one phase II SCD study (NCT01119833, Telen 2015). Clearance is
a power function of creatinine clearance (CRCL, raw Cockcroft-Gault
mL/min reference 150) with an additive 23.4% shift in the phase II SCD
cohort (STUDY_RIV201) attributed to glomerular hyperfiltration. The
central, first peripheral, and second peripheral volumes share a single
estimated body-weight exponent (0.569, reference 70 kg). The additive
and proportional residual error magnitudes differ between the phase I
and phase II cohorts and are selected per observation via STUDY_RIV201.
|
|
Rocatinlimab
(Okada 2025)
|
Two-compartment population PK model with parallel linear and
time-dependent saturable (Michaelis-Menten) clearance and first-order
subcutaneous absorption for rocatinlimab (anti-OX40 mAb) in adults;
covariates body weight, albumin, plaque-psoriasis disease state, and
healthy-volunteer cohort indicator (Okada 2025)
|
|
Roflumilast
(Facius 2018)
|
Integrated population PK model for oral roflumilast and its primary
active metabolite roflumilast N-oxide in adult patients with severe
chronic obstructive pulmonary disease (COPD) (Facius 2018). The
structural model is the joint parent-metabolite model previously
developed by Lahu 2010 on 21 phase I + 2 phase II/III studies: a
two-compartment parent disposition with first-order absorption and a
shared lag time, and a two-compartment N-oxide disposition with
first-order absorption from a separate pre-systemic dose compartment
(relative bioavailability F5) plus complete first-order conversion from
the parent central compartment. All structural disposition parameters
and the F5 / KAm-to-KAp ratio are fixed to the Lahu 2010 base-model
estimates re-applied to OPTIMIZE via a Bayesian feedback MAXEVAL = 0
step; only the phase II-III dichotomous patient effects (on KA, parent
CL, N-oxide CL, and N-oxide central volume), the covariate effects, the
between-subject variability on parent and N-oxide clearance (with a
Box-Cox-shape transformation), and the log-additive residual errors were
estimated on the combined OPTIMIZE and REACT phase III dataset of 1238 +
461 patients. Covariates retained are body weight on all volume terms
and on N-oxide CL, smoking (current vs not-current) on parent and
N-oxide CL, age on parent and N-oxide CL, and sex on N-oxide CL. tPDE4i
(total phosphodiesterase-4 inhibitory activity), the exposure metric
used in the paper’s downstream PK/adverse-event and PK/time-to-event
models, is a per-dosing-interval summary derived from the predicted
average plasma concentrations and is not embedded in the ODE system; see
the vignette for the derivation.
|
|
Roflumilast
(Lahu 2010)
|
Joint parent-metabolite population PK model for oral roflumilast and its
primary active metabolite roflumilast N-oxide in adult healthy
volunteers and patients with moderate-to-severe COPD (Lahu 2010).
Roflumilast is described by a two-compartment model with first-order
absorption and a lag time; the absolute parent bioavailability is not
identifiable and is fixed at F1 = 1. Roflumilast N-oxide is described by
a one-compartment model with zero-order absorption (duration D1) and a
lag time, with relative bioavailability Frel fixed at 1 for the
null-covariate reference (also non-identifiable). Retained covariates on
roflumilast parameters are food on tlag and ka, sex / smoking /
race-Black / race-Hispanic / COPD on CL, and COPD on V1. Retained
covariates on roflumilast N-oxide parameters are food on D1; age / sex /
smoking / COPD on CL; body weight and COPD on Vd; and age / sex /
race-Black / race-Hispanic on Frel. Inter-individual variability is
reported on parent tlag, ka, CL, V1, Q, V2 (with a Q-V2 covariance) and
on N-oxide D1, CL, Vd (with a full 3x3 covariance block); no IIV is
reported on N-oxide tlag or on Frel. Residual error is proportional on
the linear- concentration scale (additive on the log-transformed
observation) for both observed analytes, fitted on the phase I dataset
(the more data-rich layer).
|
|
Rolofylline
(Stroh 2013)
|
Simultaneous three-output population PK model for IV rolofylline
(adenosine A1 receptor antagonist) and both M1-trans and M1-cis active
hydroxyl metabolites in 36 healthy adult male volunteers after single
1-60 mg IV infusions over 1-2 h (Stroh 2013, study KW-3902 IV-EU01).
Parent rolofylline disposition is two-compartment with linear total
clearance CL1 directing the entire parent loss to metabolite formation;
the fraction FM of formed material is converted directly to M1-cis while
(1 - FM) is converted to M1-trans. M1-trans disposition is
two-compartment with distributional clearance CL4 and an additional
unidirectional stereochemical interconversion clearance CL3 from
M1-trans to M1-cis. M1-cis disposition is one-compartment with
first-order clearance CL5. Random effects were not estimable for parent
and M1-trans distributional clearances (CL2, CL4) or for the M1-cis
central volume (V5) and were fixed to zero per the source. No covariates
were retained: the cohort was a single Phase 1 dose-escalation in white
male volunteers and the paper screened no demographic effects.
Structural identifiability of the final model was confirmed via the
DAISY software tool (Bellu et al.).
|
|
Romiplostim
(Petrov 2024)
|
Population PK/PD model for romiplostim in adults with chronic immune
thrombocytopenia (ITP). One-compartment first-order subcutaneous PK plus
an Emax stimulation of platelet precursor production into a
4-transit-compartment Friberg-style chain feeding circulating platelets,
with first-order platelet degradation. PK/PD backbone is the
healthy-volunteer population PK/PD model (Makarenko 2024); ITP-specific
platelet production (kin) and degradation (kdeg) constants and IIV(kdeg)
come from Petrov 2024 supplement Table S1. Default parameters are
non-splenectomized ITP patients with mechanism 1 (increased platelet
degradation, normal precursor production); see vignette for the other 3
subpopulation variants (non-splenectomized mechanism 2; splenectomized
mechanism 1; splenectomized mechanism 2).
|
|
Romiplostim
(Wang 2010)
|
Population PK/PD model for romiplostim in healthy subjects (Wang 2010
AAPS J). Pharmacodynamics-mediated drug disposition (PDMDD, a TMDD
subtype) two-compartment quasi-equilibrium PK with first-order SC
absorption, parallel linear (kel) and target-mediated (kint)
elimination, coupled to a Krzyzanski-style cytokinetic precursor +
platelet lifespan PD model with NP=10 megakaryocyte and NPLT=10 platelet
age-compartments. Romiplostim free serum concentration stimulates
platelet precursor production via a Hill function (Smax, SC50). The
total c-Mpl receptor concentration is taken proportional to the
circulating platelet count (Rtot = xi * PLT). Wang 2010 fit the model to
MEAN PK and platelet-count data from 32 healthy subjects after single IV
(0.3, 1, 10 ug/kg) or SC (0.1, 0.3, 1, 2 ug/kg) doses; no IIV was
estimated (the population approach failed for this complex model).
|
|
Romosozumab
(Stein 2018)
|
Two-compartment QSS TMDD typical-value fit for romosozumab
(anti-sclerostin mAb) used to illustrate the critical concentration
(Ccrit) for nonlinear PK (Stein and Peletier 2018 Table 1)
|
|
Rosuvastatin
(Barnett 2018)
|
Two-compartment population PK model with first-order oral absorption for
a single 5 mg dose of rosuvastatin in healthy adult males (Barnett
2018), refit from the Tzeng 2008 structural form with simultaneous
plasma + urine fitting. The model includes separable biliary (CLb,RSV)
and renal (CLr,RSV) clearance components from the central compartment,
competitive rifampicin OATP1B inhibition of the biliary clearance via
KiRSV driven by the instantaneous plasma rifampicin concentration, and a
binary RIF-coadministration covariate that captures paper-reported
reductions of V1, V2, and Q during the rifampicin phase (Barnett 2018
Table 1: V1 430 -> 2.98 L, V2 865 -> 128 L, Q 45.3 -> 5.03 L/h
on RIF). Companion to modellib(‘Barnett_2018_coproporphyrin_I’); both
share the rifampicin perpetrator parameterisation in
modellib(‘Barnett_2018_rifampicin’).
|
|
Rosuvastatin
(Kakara 2014)
|
PD-only indirect-response Imax model for LDL-cholesterol lowering by
rosuvastatin (Kakara 2014). One LDL-C compartment with zero-order
synthesis Kin inhibited by Imax * DOSE / (ID50 + DOSE), where DOSE is
the current daily rosuvastatin dose (mg/day) supplied as a time-varying
covariate column. An additive 0.109 contribution to the inhibition
fraction is applied when ezetimibe is coadministered (CONMED_EZE = 1;
estimated on the n=12 rosuvastatin + ezetimibe subgroup in this paper).
The LDL-C synthesis-elimination loop is set up at steady state by
enforcing Kin = Baseline * Kout (Kout derived inside model() as Kin /
Baseline). Baseline LDL-C is age-scaled as 152 * (AGE/62)^(-0.240). Imax
(0.567), Kin (32.8 mg/dL/day), Baseline (152 mg/dL), the age power
exponent (-0.240), the ezetimibe INH contribution (0.109), and the IIV
magnitudes are shared with Kakara_2014_atorvastatin and
Kakara_2014_pitavastatin (one joint NONMEM 7.2 FOCE-INTER fit across 378
patients). Rosuvastatin ID50 = 1.04 mg per Kakara 2014 Table 2.
|
|
Rosuvastatin
(Macpherson 2015)
|
Two-compartment population PK model with first-order oral absorption for
rosuvastatin in pediatric patients (aged 6 to <18 years) with
heterozygous familial hypercholesterolemia (Macpherson 2015 Eur J Clin
Pharmacol). Apparent clearance scales with body weight (estimated power
exponent 0.352, reference 42 kg) and is 1.41-fold higher in males than
females. Residual error is proportional and switches between intensive
and sparse PK sampling phases.
|
|
Rosuvastatin
mbma (Yang 2010)
|
MBMA. Literature-based meta-analysis simple Emax dose-response model for
percentage reduction in low-density lipoprotein cholesterol (LDL-C) from
baseline in adult hypercholesterolemia patients receiving rosuvastatin.
Operates at the study-arm level over 14 dose-ranging trials (46
study-arm-mean effect samples; 9 Western trials and 5 Asian trials,
total N substantially larger than 46 because each arm pools many
patients). Output Cc is the study-arm mean percent LDL-C reduction from
baseline (unsigned: Cc = 50 means a 50 percent reduction). The placebo
intercept E0 (-0.802 percent, a small expected LDL-C increase under
placebo) and the Hill / sigmoidicity exponent (1) are fixed at the
values used by the source paper – E0 from prior literature [Mandema
2005, ref 15] and gamma after the sigmoidal Emax fit produced unstable
estimates. Race (Asian vs Western reference) is the only retained
covariate and acts on ED50: ED50_Asian = ED50_Western * 0.564
(i.e. roughly twofold-lower ED50 in Asians). Between-trial variability
is encoded as a single study-arm-level eta on the predicted output (SD
3.0 percent); residual error is additive (SD 3.1 percent). Baseline
LDL-C was screened but not retained. Suitable simulation scope is
study-arm-mean percent LDL-C reduction, NOT individual-subject LDL-C
trajectories. The model also predicts only the steady-state effect
(paper restricted to arms with at least 4 weeks of treatment).
|
|
Rucaparib
(Wang 2015)
|
Three-compartment IV population PK model coupled to a direct-effect Emax
PK/PD model for inhibition of poly(ADP-ribose) polymerase (PARP-1)
activity in peripheral blood lymphocytes (PBL) by rucaparib (AG-014699 /
PF-01367338) in adult cancer patients (Wang 2015 Phase 1 study
A4991002), with a power covariate effect of baseline PBL PARP activity
on the residual maximum-inhibition parameter Emin.
|
|
Rwj416457
(Schmidt 2009)
|
In vitro (Staphylococcus aureus MRSA strain OC2878). Mechanism-based PD
model of bacterial-killing time-kill curves for RWJ-416457, an
investigational oxazolidinone (Schmidt 2009). Susceptibility-based
two-subpopulation structure: an active self-replicating susceptible pool
with logistic carrying-capacity limit and a dormant persister pool that
is insusceptible to killing; first-order S->P conversion (P->S
held fixed at 0), natural-death loss from both pools, exponential
turn-on of growth and of drug-induced killing, and Emax killing of the
susceptible subpopulation by the antibiotic. Drug concentration in the
Mueller-Hinton broth (MHB) declines first-order at the published
10%-over-24-h degradation rate; for dynamic syringe-replacement
experiments the user adds the dilution-equivalent rate to kdeg via
rxSolve(…, params = c(kdeg = )). The same joint fit is shared
with Schmidt_2009_linezolid (only EC50 and kdeg differ).
|
|
S
ketamine (Flint 2017)
|
Joint two-compartment S-ketamine + one-compartment S-norketamine
population PK model for continuous intravenous S-ketamine infusion
during prolonged sedation in pediatric intensive care patients aged
0.02-12.5 years (Flint 2017). The parent S-ketamine has two-compartment
disposition (CL = 112 L/h, V1 = 7.73 L, Q = 196 L/h, V2 = 545 L at 70
kg) and feeds the active metabolite S-norketamine, modelled as one
apparent central compartment with Clsnk/Fm = 53.2 L/h and Vsnk/Fm = 1 L
(fixed; Fm is not identifiable). Body weight is allometrically scaled
with fixed exponents 0.75 for clearances and 1.0 for volumes referenced
to 70 kg; time after the first S-ketamine dose acts as a linear positive
multiplier on Clsnk (0.870 percent per hour), the only retained
covariate at backward elimination.
|
|
S33138
(Bertrand 2011)
|
Joint parent-metabolite population PK model for the investigational
antipsychotic S33138 (parent) and its active metabolite S35424 in adults
with schizophrenia (Bertrand 2011). The final selected structural model
is a two-compartment back-transformation form with a presystemic dose
apportionment Fp into the parent depot vs (1 - Fp) into the metabolite
depot, a shared first-order absorption rate Ka, and four linear
elimination / interconversion clearances: parent elimination via other
pathways (CLpo), parent-to-metabolite formation (CLpm), metabolite
elimination via other pathways (CLmo), and metabolite
back-transformation to parent (CLmp). The two volumes (parent Vp and
metabolite Vm) are set equal to a single volume V for identifiability
per the source paper. CYP2D6 poor metabolizers carry a 34% decrease in
CLmo (the genetic covariate retained in the final model). Linear
dose-level effects on the bioavailability f and the parent-fraction Fp
are encoded with a 10 mg reference dose. Parameter values are from Table
IV ‘With the genetic covariate’ column (SAEM in MONOLIX, closed-form
coding, N = 99 patients with available CYP2D6 genotyping).
|
|
Sacituzumab
(Sathe 2024)
|
Coupled three-analyte population PK model for sacituzumab govitecan (SG,
the ADC; output Cc), free SN-38 (released payload; output Cc_sn38), and
total antibody (tAB; output Cc_tab) in adults with metastatic
triple-negative breast cancer and other solid tumors (Sathe 2024). All
three analytes are described by two-compartment models with body-weight
allometric scaling. SG carries IIV on CL and a baseline-albumin power
covariate on CL. Free SN-38 is generated from SG by a first-order
release rate KREL with apparent volumes fixed to literature values
(Klein 2002). tAB has time-dependent CL (asymptotic onset, max ~17%
reduction at t1/2 ~48 days), correlated IIV on CL and V1, and covariates
of baseline albumin (CL), tumor type (CL), and sex (V1). Simulation
requires dosing two compartments simultaneously (central and
central_tab) for each SG infusion event.
|
|
SAL003
(Peng 2024)
|
Two-compartment population PK model for SAL003, a novel anti-PCSK9 IgG4
monoclonal antibody, with first-order SC absorption (with lag time),
saturable Michaelis-Menten elimination from the central compartment, and
a body-weight effect on central volume, in Chinese healthy volunteers
and patients with hyperlipidemia (Peng 2024)
|
|
Salbutamol
(Heuberger 2018)
|
Semi-physiological PK simulation model for inhaled and oral salbutamol
with its sulphate metabolite (S-SAL) in adult elite athletes. Eight
compartments (gut, two-compartment parent disposition, parent plasma
metabolite arm, cumulative parent urine, cumulative S-SAL urine,
cumulative urine volume) with allometric scaling on disposition and
physiological scaling on the cardiac-output-driven urine production
rate, synthesised from literature (Auclair 2000 dog model, Morgan 1986
renal CL, Holt 1968 cardiac output, Moerkeberg 2009 haematocrit) and
calibrated to Haase 2009 inhaled-salbutamol data (Heuberger 2018).
|
|
Sapropterin
(Muntau 2017)
|
One-compartment population PK model with first-order oral absorption, an
absorption lag, linear elimination, and an additive endogenous BH4
baseline for sapropterin dihydrochloride in pediatric patients <4
years with BH4-responsive phenylketonuria or mild hyperphenylalaninemia
(Muntau 2017 SPARK trial).
|
|
Sapropterin
(Qi 2014)
|
One-compartment population PK model with first-order oral absorption, an
absorption lag, linear elimination, and an additive endogenous BH4
baseline for sapropterin dihydrochloride in pediatric and adult patients
with phenylketonuria (Qi 2014).
|
|
Saquinavir
(vonHentig 2009)
|
One-compartment first-order-absorption population PK model for oral
ritonavir-boosted saquinavir (1000/100 mg BID) in 136 HIV-1-infected
adults including 13 pregnant women. Apparent oral clearance CL/F is
modulated by two retained covariates: a binary
atazanavir-coadministration indicator (CONMED_ATAZANAVIR; 49 of 136
patients on ATV 300 mg QD) as a power-of-binary multiplier
0.703^CONMED_ATAZANAVIR (30% CL reduction when atazanavir is
coadministered), and the per-subject ritonavir 12 h AUC
(CONMED_RTV_AUC_12h, cohort median 6.70355 mg*h/L) as a normalised power
form (CONMED_RTV_AUC_12h / 6.70355)^(-0.403). Saquinavir formulation
(Invirase hard gel vs Fortovase soft gel) was tested and not retained.
Inter-individual variability is estimated on CL/F (53.1% CV) and V/F
(54.8% CV); IIV on ka was rejected during model building. Residual error
was reported as an additive-error model but the additive SD value is not
reported anywhere in the paper – addSd is encoded as fixed(0) and the
vignette Errata documents the omission (von Hentig & Loetsch 2009).
|
|
Sarilumab
(Xu 2019)
|
Two-compartment population PK model for sarilumab in adults with
rheumatoid arthritis (Xu 2019), with first-order SC absorption and
parallel linear plus Michaelis-Menten (target-mediated) elimination from
the central compartment.
|
|
Sarilumab
anc (Ma 2020)
|
Indirect-response PopPK/PD model for absolute neutrophil count (ANC)
following subcutaneous sarilumab in adults with rheumatoid arthritis (Ma
2020). Sarilumab concentrations drive stimulation of ANC elimination
(margination); PK backbone is Xu 2019.
|
|
Sarilumab
das28crp (Ma 2020)
|
Indirect-response PK/PD model of sarilumab on the 28-joint disease
activity score by C-reactive protein (DAS28-CRP) in adults with
rheumatoid arthritis (Ma 2020). Sarilumab inhibits the DAS28-CRP
production rate (kin) via a sigmoid emax function that includes a
background DMARD placebo component (PLB). The PK driver is the
two-compartment, parallel linear + Michaelis-Menten model of Xu 2019
evaluated at its typical covariate-reference values (adult female, 71
kg, ADA-negative, commercial drug product, ALBR = 0.78, CrCl = 100
mL/min/1.73 m^2, baseline CRP = 14.2 mg/L).
|
|
Scopolamine
(LiemMoolenaar 2011)
|
Two-compartment population PK model for IV scopolamine in healthy adults
(Liem-Moolenaar 2011, Table 2) with ten parallel effect-compartment
linear-concentration-effect PK/PD models for central-nervous-system
endpoints (Table 3): heart rate, saccadic peak velocity, adaptive
tracking, VAS external perception, body sway, VAS alertness, VAS
internal perception, smooth pursuit, VAS feeling high, and finger
tapping (with an additive time-trend on finger tapping). PK was fit to
90 healthy male volunteers given a single 0.5 mg scopolamine i.v.
infusion over 15 minutes; the ten PD endpoints were fit independently as
effect-compartment linear-slope models on the empirical-Bayes individual
PK profiles. PD parameter sets are grouped in Table 3 by equilibration
half-life (heart rate <0.5 h; saccadic peak velocity and adaptive
tracking 1-1.5 h; VAS external, body sway, VAS alertness, VAS internal,
smooth pursuit 2.5-3.5 h; VAS feeling high and finger tapping >8 h).
|
|
Selexipag
(Krause 2017)
|
Joint two-compartment parent + two-compartment metabolite population PK
model for oral selexipag and its active metabolite ACT-333679 in adults
with pulmonary arterial hypertension (Krause 2017, GRIPHON study).
First-order absorption with a fixed 0.668 h absorption lag delivers
selexipag into a two-compartment disposition with linear total clearance
CL/F (apparent total clearance, of which the rate constant kmet
describes the fraction converted to ACT-333679); the metabolite has its
own two-compartment disposition with first-order elimination via km.
Body weight (allometric on V_p/F and CL/F; on V_m/F), total bilirubin
(power on CL/F), sex (multiplicative on km), and a four-level
PAH-comedication categorical (naive / ERA only / PDE5 inhibitor only /
ERA + PDE5 combined; multiplicative on km) were retained as
statistically significant covariates.
|
|
Selumetinib
(Patel 2017)
|
Sequential two-compartment population PK model for oral selumetinib
(AZD6244, ARRY-142886) and its active metabolite N-desmethyl-selumetinib
in adults with advanced solid tumors pooled with children with recurrent
low-grade glioma (Patel 2017). Selumetinib disposition uses sequential
zero-order (release into the gut compartment over duration D1 with lag
ALAG1) and first-order (rate Ka) absorption with bioavailability
anchored at 1 under fasted conditions and reduced by an additive
food-effect coefficient under fed conditions; D1 and ALAG1 carry
additive food-effect coefficients. Body surface area (power on CL/F and
Vc/F), age (power on Vc/F), and alanine aminotransferase (negative power
on CL/F) modify selumetinib parameters; BSA (negative power) modifies
the fraction metabolized to N-desmethyl-selumetinib. The metabolite is
two-compartment with its central volume fixed equal to the parent
central volume to resolve identifiability; metabolite clearance and
intercompartmental clearance are apparent values.
|
|
Semaglutide
(Overgaard 2019)
|
Two-compartment population PK model for subcutaneous semaglutide (GLP-1
receptor agonist) with first-order absorption and first-order
elimination, pooled across nine clinical pharmacology trials in healthy
volunteers and adults with type 2 diabetes (Overgaard 2019).
|
|
Sepantronium
(Aoyama 2012)
|
One-compartment IV population PK model for sepantronium bromide (YM155),
a small-molecule survivin suppressant administered as a 7-day continuous
IV infusion every 21 days, with power-form covariate effects of
creatinine clearance and alanine aminotransferase and proportional
cancer-type effects (hormone-refractory prostate cancer and melanoma vs
non-small cell lung cancer) on clearance, in adults with NSCLC, HRPC, or
unresectable stage III/IV melanoma (Aoyama 2012)
|
|
Sertraline
(Cooper 2015)
|
One-compartment first-order absorption population PK model for
sertraline in overdose (Cooper 2015). Apparent clearance is increased
1.92-fold in subjects who received single-dose activated charcoal; the
model holds relative bioavailability F at 1 and a shifted lag time at 1
h, with between-subject variability on F, ts_lag, ka, Vc, and CL
absorbing the overdose-specific dose-amount and dose-time uncertainty.
|
|
Sevoflurane
(Shin 2014)
|
Pharmacodynamic sigmoid Emax model for the probability of recovery of
consciousness (ROC) vs end-tidal sevoflurane concentration (vol %)
during emergence from general anesthesia in pediatric dental-surgery
patients (Shin 2014). Mentality (intact vs severely mentally disabled,
MENT_DISABLED) stratifies both the concentration at 50% probability of
ROC (C50) and the Hill coefficient. NONMEM Bernoulli likelihood in the
source paper; this implementation exposes the typical-value probability
with a placeholder additive residual error (see vignette Assumptions and
deviations).
|
|
Sglt
qsp (Lu 2014)
|
QSP. Mechanistic systems pharmacology model of renal glucose
reabsorption by SGLT1 and SGLT2 along the proximal tubules in humans,
with optional competitive inhibition by an SGLT2 inhibitor (calibrated
to dapagliflozin; evaluated against canagliflozin). The proximal
convoluted tubules (PCT) are divided into six sub-segments (PCT1-6,
SGLT2-mediated reabsorption) and the proximal straight tubules into
three (PST1-3, SGLT1-mediated). Filtrate drains into a urinary bladder.
Plasma glucose (GLU, mmol/L) and plasma inhibitor (CINH, nmol/L) enter
as time-varying regressors through glomerular filtration. Calibrated by
hand-tuning in Berkeley Madonna v8.3.18 against the DeFronzo et
al. (2013) urinary glucose excretion data; evaluated against Polidori et
al. (2013), Mogensen (1971), and Wolf et al. (2009). 23 ODE states; no
fitted IIV or residual error (typical-individual mechanism model fit to
mean per-step data).
|
|
SHetA2
dog (Sharma 2018)
|
Preclinical (beagle dog). Two-compartment PK model with a 7-compartment
gastrointestinal (GI) transit absorption process for SHetA2 (a flexible
heteroarotinoid anti-cancer / chemoprevention drug) in beagle dogs after
intravenous (5 mg/kg) and oral (100, 400, 1500 mg/kg) administration.
Drug transits through 7 serial GI segments (stomach G1 = depot, then
transit1..transit6 = G2..G7) at a common transit rate kAT; absorption
occurs only from G2 (transit1, rate kA) and G7 (transit6, rate kA2).
Disposition (CL, V1, V2, CLD) is reported as absolute total values for a
typical 6.4-11.2 kg dog, fit by naive-pooled simultaneous IV+oral
least-squares (1/y^2 weighting) in Phoenix WinNonlin. No IIV was
reported. F, kA, kA2, and kAT are all dose-dependent; this file encodes
the 100 mg/kg parameter set (F=11.2%, kA=1.12/h, kA2=0.929/h,
kAT=0.532/h) as the typical value because 100 mg/kg is the new NOAEL
used to derive the first-in-human dose. Higher-dose parameter sets (400
and 1500 mg/kg) are documented in the vignette. Parameter values from
Sharma 2018 Table 3.
|
|
SHetA2
human (Sharma 2018)
|
Allometrically-scaled human (70 kg) projection. Two-compartment
intravenous PK model for SHetA2 (a flexible heteroarotinoid anti-cancer
/ chemoprevention drug) with disposition parameters scaled from
preclinical mouse / rat / dog data via simple allometry (CL = a * BW^b)
on a log-log plot (R^2 = 0.91-0.99 across CL, V1, V2, CLD; Sharma 2018
Fig 5). Clearance uses the maximum-life-span-potential (MLP) correction
to account for SHetA2’s hepatic metabolism (CL_MLP = 17.3 L/h vs 41.0
L/h by simple allometry). The model carries no parametric oral
absorption – the source paper simulated the oral profile (Fig 6)
externally by linking these disposition parameters to the Advanced
Compartmental Absorption and Transit (ACAT) model in GastroPlus 9.5,
because the preclinical kA values did not correlate across species and
could not be projected to humans. The predicted human oral
bioavailability was 18.8% (range 7.4-42%) at 10 mg/kg, very close to the
maximum extent of absorption observed in preclinical species at doses
<100 mg/kg (18.6%). Parameter values from Sharma 2018 Results
(Allometric scaling) and Prediction of human pharmacokinetics.
|
|
SHetA2
mouse (Sharma 2018)
|
Preclinical (mouse, CD2F1 female). Two-compartment PK model with
first-order absorption for SHetA2 (a flexible heteroarotinoid
anti-cancer / chemoprevention drug) in non-tumor-bearing CD2F1 female
mice after intravenous (20 mg/kg) and oral (20, 60 mg/kg)
administration. Disposition (CL, V1, V2, CLD) is reported as absolute
total values for a typical 20-28 g mouse, fit by naive-pooled
simultaneous IV+oral least-squares (1/y^2 weighting) in Phoenix
WinNonlin. No IIV was reported by the authors. Bioavailability F is
dose-dependent (17.7% at 20 mg/kg, 19.5% at 60 mg/kg) but kA is shared
across doses. Parameter values from Sharma 2018 Table 3.
|
|
SHetA2
rat (Sharma 2018)
|
Preclinical (rat, Crl:CD Sprague-Dawley). Two-compartment PK model with
first-order absorption for SHetA2 (a flexible heteroarotinoid
anti-cancer / chemoprevention drug) in Crl:CD (SD) rats after
intravenous (5 mg/kg single dose) and oral (100, 500, 2000 mg/kg/day for
28 days) administration. Disposition (CL, V1, V2, CLD) is reported as
absolute total values for a typical 260-347 g rat, fit by naive-pooled
simultaneous IV+oral least-squares (1/y^2 weighting) in Phoenix
WinNonlin. No IIV was reported. The absorption is slow with flip-flop
kinetics at the higher oral doses; kA was estimated as a single value
across doses (0.0755 1/h) while F is dose-dependent (1.03% at 100 mg/kg,
1.57% at 500 mg/kg, 0.560% at 2000 mg/kg). Parameter values from Sharma
2018 Table 3.
|
|
Sibutramine
(Han 2015)
|
Two-compartment population PK for the active mono-desmethyl metabolite
M1 plus a one-compartment PK for the downstream di-desmethyl metabolite
M2 of the appetite-suppressant prodrug sibutramine, combined with an
asymptotic exposure-response weight-loss PD model in Korean obese adults
with metabolic syndrome. Sibutramine is dosed orally and assumed to
convert entirely to M1 during absorption; M1 is then metabolised
entirely to M2 and M2 is the only elimination pathway. Drug effect
inhibits the rate of weight gain via a sigmoid Emax function of the
steady-state sum AUC of M1 and M2 (AUC_ss,sum, computed from the current
daily dose and the individual M1 and M2 clearances). A constant placebo
effect is acknowledged only in female subjects and scales with
mean-normalised baseline BMI.
|
|
Sifalimumab
(Narwal 2013)
|
Two-compartment population PK model for sifalimumab (anti-IFN-alpha
IgG1) in adult patients with systemic lupus erythematosus (Narwal 2013)
|
|
Sifalimumab
(Zheng 2016)
|
Two-compartment population PK model for sifalimumab (anti-IFN-alpha
human IgG1 monoclonal antibody) in adults with systemic lupus
erythematosus following repeat fixed intravenous doses (Zheng 2016).
|
|
Siltuximab
(Cao 2013)
|
Second-generation minimal physiologically-based PK (mPBPK) model for
siltuximab in adults (Cao 2013 Model A; clearance from plasma)
|
|
Siltuximab
(Nikanjam 2019)
|
Two-compartment population PK model for siltuximab (anti-IL-6) in adults
pooled across healthy volunteers and oncology cohorts including
Castleman’s disease, smoldering multiple myeloma, and other tumor types
(Nikanjam 2019)
|
|
Simvastatin
(Jin 2014)
|
Joint two-compartment population PK model for orally administered
simvastatin (lactone parent) and its active metabolite simvastatin acid
(open beta-hydroxyacid), describing atypical multiple-peak absorption
via three parallel mixed zero-and-first-order absorption processes and
non-equilibrium reversible interconversion between the two species (Jin
2014). The simvastatin lactone is delivered into three depot
compartments with fractional bioavailabilities F1, F2, F3 (sum = 1)
parameterised through two relative-bioavailability constants BA1 and
BA2, each depot has its own first-order absorption rate constant Ka1,
Ka2, Ka3, zero-order infusion duration D1, D2, D3, and absorption
lag-times ALAG1 = 0, ALAG2, ALAG3, the lactone disposes via a
2-compartment system with apparent clearance CL and inter-compartmental
clearance Q, the fraction FM of total parent CL is converted to
simvastatin acid (V_acid central fixed at 1 L for identifiability), and
a reverse clearance Q64 returns acid to the parent central compartment.
Age, body weight, and height were tested as covariates and not retained
in the final model. The source publication analysed data in molar units;
this packaged model preserves that choice – doses are expressed in nmol
and concentrations in nmol/L. The validation vignette demonstrates the
standard milligram-to-nanomole conversion using the simvastatin lactone
molecular weight.
|
|
Sirolimus
(Golubovic 2019)
|
Two-compartment population PK model for sirolimus in adult kidney
transplant recipients on triple immunosuppressive therapy (sirolimus +
mycophenolate mofetil + corticosteroids) developed from routine
therapeutic-drug-monitoring trough data with the NONMEM
informative-prior functionality (Golubovic 2019). Covariate effects on
CL/F: aspartate aminotransferase greater than 37 IU/L as a binary
indicator of elevated liver enzymes (-37 percent multiplicative effect
via power form 0.63^AST_HIGH) and age as a linear-deviation effect on
CL/F with reference age 44 years (coefficient -0.388 on AGE/44,
reproducing the 49 percent CL/F decrease from age 16 to age 64 reported
in the Discussion).
|
|
Sirolimus
(Jiao 2009)
|
One-compartment population PK model for oral sirolimus in Chinese adult
de novo renal transplant recipients on triple immunosuppression with
ciclosporin and corticosteroids (Jiao 2009). First-order absorption with
ka fixed at the literature value 0.752 1/h. Covariate effects on
apparent clearance: linear-deviation effects of total cholesterol and
whole-blood ciclosporin trough concentration centred on the cohort
medians, multiplicative power-form effects of concomitant silymarin and
glycyrrhizin co-therapy in hepatically impaired patients, and a
power-form effect of the current sirolimus daily dose centred at 2 mg.
Apparent volume of distribution carries a linear-deviation effect of
ciclosporin trough concentration.
|
|
Sirolimus
(Wu 2012)
|
Two-compartment population PK model for oral sirolimus with saturable
Michaelis-Menten absorption in patients with advanced cancer (Wu 2012).
Hematocrit power covariate on apparent oral clearance.
|
|
Sirukumab
(Xu 2011)
|
Two-compartment population PK model for sirukumab (anti-IL-6 human IgG1
kappa monoclonal antibody, CNTO 136) in healthy adults following a
single intravenous infusion, with first-order elimination from the
central compartment and allometric body-weight scaling (Xu 2011).
|
|
SKL10406
(Park 2014)
|
Two-compartment first-order oral absorption population PK with
effect-compartment Emax PK-PD model for striatal serotonin transporter
(SERT) occupancy by SKL10406 (a triple monoamine reuptake inhibitor
candidate) in healthy adult volunteers (Park 2014; EME variant, Table 3)
|
|
Snake
venom (Sanhajariya 2018)
|
Exploratory population PK meta-analysis of snake venom in humans
(Sanhajariya 2018): one-compartment model with zero-order input
(duration D1 = 1 h, fixed) and first-order elimination, fit in NONMEM
7.2 to 218 timed venom concentrations from 145 snakebite patients pooled
across 24 published case reports / series. Snake family (Elapidae vs
Viperidae) modifies F1; Viperidae is the reference (F1 = 1, fixed).
Authors describe the model as a preliminary prior for future
snake-envenoming PK modelling; F1 also absorbs the large bite-to-bite
variability in injected venom mass.
|
|
Sodium
nitrite qsp (VegaVilla 2013)
|
QSP. Mechanistic systems pharmacology model of the NO metabolome
(nitrite, nitrate) and methemoglobin (MetHb) in healthy adults receiving
a 48-hour intravenous infusion of sodium nitrite. Nine ODEs covering
plasma/RBC/tissue nitrite and nitrate, MetHb, NO and methemoglobin
reductase activity; nonlinear nitrite/nitrate renal clearance (linear
slope), entero-salivary nitrate-to-nitrite recycling, and
indirect-response stimulation of MetHb reductase. Time in minutes;
amounts in umol; concentrations in umol/L.
|
|
Somatropin
human (Thorsted 2016)
|
Translational (allometrically-scaled rat-to-human) population PKPD model
for recombinant human growth hormone (rhGH / somatropin) in
growth-hormone-deficient adult males. Structural parameter values are
derived from the Thorsted 2016 hypophysectomized-rat PKPD fit by
allometric scaling to a 70 kg reference subject (Table 3 of the source
paper): clearance terms (CL, Q) and Vmax with exponent 0.75;
distribution volumes (Vc, Vp) with exponent 0.9 (the
empirically-selected best-fit exponent for human i.v. data); first-order
absorption rate constants (ka1, ka2) and kout with exponent -0.25; KM
unscaled; Emax and EC50 unscaled. The s.c. absorption model is the
corrected form (Table 3 / Figure 5): bioavailability of the ka2 path
reduced from 0.833 (rat) to 0.500, and one transit compartment added to
the ka1 path. The IGF-1 indirect response uses kin = kout * R0 with R0
fixed to 65 ng/mL (human population mean per Laursen 1996) and is driven
directly by plasma rhGH (no effect-delay chain - the rat CPLAG chain is
intentionally dropped for the human prediction). Bodyweight gain is not
included in the human model. Variability is inherited from the rat PKPD
fit; residual error is fixed at the values used for the human-simulation
validation (Methods).
|
|
Somatropin
rat (Thorsted 2016)
|
Preclinical (hypophysectomized Sprague-Dawley rat). Mixed-effects PKPD
model for recombinant human growth hormone (rhGH / somatropin)
describing PK as a two-compartment model with parallel linear (CL) and
Michaelis-Menten (Vmax, KM) elimination, parallel first-order
subcutaneous absorption (ka1 direct path, ka2 delayed through one
transit compartment, with bioavailabilities F1 and F2), an indirect
response model for IGF-1 induction (stimulation of kin via a
three-compartment effect-delay chain feeding an Emax/EC50 stimulation),
and a linear bodyweight-gain model driven by IGF-1 above baseline.
Reference rat body weight is 0.1 kg (100 g) and the allometric exponents
(0.75 / 1.0) are fixed.
|
|
Sonidegib
(Goel 2016)
|
Two-compartment population PK model for sonidegib (LDE225) in healthy
subjects and patients with advanced solid tumors with first-order
absorption, lag time, linear elimination, and dose-dependent
bioavailability (Goel 2016)
|
|
Sorafenib
(Jain 2011)
|
One-compartment population PK model for orally administered sorafenib in
patients with solid tumours (Jain 2011). Absorption is described by an
Erlang-style chain of four catenary GI transit compartments downstream
of an upstream absorption depot, all linked by a single first-order rate
constant ka (mean absorption transit time MAT = 5 / ka). Enterohepatic
recirculation is modelled by routing a fraction Fent of the drug leaving
the central compartment into a gallbladder reservoir, with periodic
release back to the most distal transit compartment gated by a smooth
Hill switch Ehc = tad^40 / (tad^40 + t’^40), where tad is the time since
the most recent dose; release becomes essentially full once tad exceeds
the gallbladder-emptying onset time t’. The irreversible elimination
rate constant ke equals the biliary excretion rate constant kb (= CL/V)
per the published assumption kb = ke. Body weight is the only retained
covariate (allometric exponent fixed to 1 on V/F, reference weight 80
kg).
|
|
Spectinamide
1810 mouse (Wagh 2021)
|
Preclinical (BALB/c mouse, Mycobacterium tuberculosis infection).
Population PK + PK/PD model for subcutaneous spectinamide 1810 in a
murine TB efficacy / dose-fractionation study. PK is a two-compartment
first-order absorption model with all volumes and clearances expressed
per kg body weight (mg/kg dosing, mg/L plasma); IIV is carried on CL/F
only (13.2% CV in infected animals). PK/PD couples the plasma central
concentration Cc to a hypothetical PAE (post-antibiotic effect)
compartment that tracks Cc whenever Cc exceeds the PAE concentration and
otherwise decays first-order at rate K_PAE; the PAE concentration drives
bacterial killing through a sigmoidal Emax (K_kill_max, EC50, Hill g) on
a one-population logistic-growth Mycobacterium tuberculosis model (K_gs
net growth rate, log10 N_max carrying capacity, log10 baseline CFU at
aerosol infection time). A binary STUDY_WAGH_2 covariate switches
K_kill_max from the study 1 typical value to the study 2 value via a
1.15 multiplicative factor; study-specific log10 CFU residual SDs are
exposed as parameters.
|
|
Sugammadex
rocuronium (Kleijn 2011)
|
Integrated population PK-PD model for sugammadex-mediated reversal of
rocuronium-induced neuromuscular blockade (Kleijn 2011). Both sugammadex
and rocuronium have two-compartment PK from IV bolus dosing into the
central compartment; the sugammadex-rocuronium inclusion complex has its
own two-compartment PK with parameters set equal to free sugammadex (Bom
2002 framework). Complex formation is dynamic with fixed equilibrium
dissociation constant kd = 0.0559 uM and estimated dissociation rate k2
= 0.034 1/min (association k1 = k2 / kd = 0.61 1/(minuM)). The
rocuronium central concentration drives an effect compartment via ke0 =
0.134 1/min; neuromuscular blockade (T4/T1 twitch ratio x 100) follows a
sigmoid Emax form with Emax set equal to E0 so the readout decreases
monotonically from baseline E0 ~ 104 toward 0 as the effect-compartment
rocuronium concentration rises. Sugammadex-mediated reversal enters as
an additional first-order elimination of rocuronium from the effect
compartment driven by the central free-sugammadex concentration (ks =
0.033 1/(minuM)). Both plasma assays measured total drug (free +
complex), so the Cc and Cc_roc outputs return total sugammadex and total
rocuronium. Allometric scaling on all volumes (exponent 1), flows
(0.75), and rate constants (-0.25) at reference WT = 70 kg; sugammadex
CL is NOT allometrically scaled (creatinine-clearance covariate replaces
size scaling). All units are molar inside the model (dose in umol,
concentrations in uM); see vignette for mg-to-umol conversion with
rocuronium MW = 529.78 g/mol and sugammadex MW = 2178.01 g/mol
(octasodium salt).
|
|
Sugemalimab
(Wang 2024)
|
Two-compartment population PK model with sigmoidal-emax time-varying
clearance for intravenous sugemalimab (anti-PD-L1 IgG4) in adults with
advanced solid tumours or lymphomas across nine Phase I-III trials (Wang
2024)
|
|
Sulfadoxine
(Karunajeewa 2009)
|
Population PK model for sulfadoxine (SDOX) and its primary
N-acetylsulfadoxine (NASDOX) metabolite in 60 Papua New Guinean women
(30 pregnant, second or third trimester; 30 age-matched nonpregnant
controls) given a single oral 1,500 mg sulfadoxine / 75 mg pyrimethamine
dose for intermittent presumptive treatment of malaria in pregnancy
(Karunajeewa 2009). SDOX is described by first-order absorption (no lag)
into a 2-compartment disposition with separate non-metabolic clearance
CL/F (renal excretion) and metabolic formation clearance CLM/F that
drains SDOX into a 1-compartment NASDOX disposition. NASDOX elimination
clearance is fixed at 10 times the structural SDOX non-metabolic CL/F
(rapid formation-rate-limited renal excretion of the metabolite, Bell
1985). Allometric scaling is applied to all apparent volumes (exponent
1) and all apparent clearances (exponent 0.75) at reference WT = 70 kg.
Pregnancy is the only retained covariate, entering as an additive term
on the structural SDOX non-metabolic CL/F (+0.0181 L/h/70 kg). The
companion model for the co-administered pyrimethamine is shipped as
‘Karunajeewa_2009_pyrimethamine’ (separate NONMEM dataset, fit
independently in the source publication).
|
|
SulfadoxinePyrimethamine
(deKock 2017)
|
Joint popPK model for the antimalarial fixed-dose combination of
sulfadoxine (1500 mg) and pyrimethamine (75 mg) as intermittent
preventive treatment during pregnancy (IPTp) and after delivery in 98
women from Mali, Mozambique, Sudan, and Zambia (de Kock 2017).
Sulfadoxine has 2-compartment disposition with first-order absorption;
pyrimethamine has 3-compartment disposition with first-order absorption.
Apparent volumes and flow rates are allometrically scaled with total
body weight (exponents 1 and 0.75 respectively, reference WT = 60 kg).
Whole-blood predictions are derived from plasma predictions using
hematocrit and an estimated RBC-to-plasma partition ratio per drug.
Pregnancy effects on apparent CL differ by drug: sulfadoxine uses a
sigmoidal time-after-delivery effect (asymptotic -75.7%, T50 = 6.35
weeks, gamma = 4.90), while pyrimethamine uses a step contrast (+21.2%
postpartum). Pyrimethamine apparent CL is additionally -20.2% in the
Mozambique site. Residual country-specific scaling on the observed
whole-blood concentrations is fitted with Mali as the reference.
|
|
SulfadoxinePyrimethamine
(Odongo 2015)
|
Joint popPK model for the antimalarial fixed-dose combination of
sulfadoxine (1500 mg) and pyrimethamine (75 mg) administered as a single
oral dose for intermittent preventive treatment of malaria during
pregnancy (IPTp) in 34 non-pregnant and 87 pregnant Ugandan women dosed
in the second trimester, of whom 78 were redosed in the third trimester
(Odongo 2015). Each drug is described by a two-compartment model with
first-order absorption and an absorption lag time, with bioavailability
fixed at 1. Covariates on apparent CL/F (additive in L/h): pregnancy
status (both drugs), serum albumin (sulfadoxine only), and subject age
(pyrimethamine only). Covariates on apparent central volume V2/F
(exponential per-unit): gestational age at dose (both drugs) and body
weight (pyrimethamine only). Inter-individual variability is log-normal
and is not estimated on V2/F or V3/F for sulfadoxine, nor on Q/F for
pyrimethamine, in line with the paper’s over-parameterisation control.
|
|
Sumatriptan
(Lee 2015)
|
One-compartment population PK model for oral sumatriptan in healthy
Korean male volunteers (Lee 2015): two parallel absorption routes
(first-order absorption with lag time, and a transit-compartment chain
with the Savic 2007 analytical input form) into a single central
compartment with linear elimination. Captures the multiple-peaks
absorption phenomenon reported in oral sumatriptan.
|
|
Sunitinib
(Ait-Oudhia 2016)
|
Joint population PK/PD model for sunitinib and its equipotent active
metabolite SU12662 in adults with advanced hepatocellular carcinoma
(HCC) receiving 37.5 mg sunitinib PO QD. Parent drug and metabolite each
follow a 2-compartment oral PK structure with first-order absorption;
each oral sunitinib dose deposits Dose into the parent depot and fM *
Dose (fM = 0.21 fixed, Houk 2009) into the SU12662 depot. The active
free (unbound) drug concentration ACub = (1 - fb_D) * Cc + (1 - fb_M) *
Cc_su12662 (fb_D = 0.9, fb_M = 0.95 fixed, free fractions 0.1 and 0.05)
inhibits the zero-order production rate of plasma sVEGFR2, captured with
an indirect-response model dsVEGFR2/dt = kin / (1 + alpha * INH) - kout
* sVEGFR2 with INH = ACub / (kd + ACub) (kd = 4 ug/L fixed, Mendel 2003)
and kin = R0 * kout. Tumor volume follows a first-order growth dTG/dt =
kg * (1 - H(t)) * TG with kg derived from baseline tumor volume by kg =
ln(2) / (114 * TG0^0.14) (Taouli 2005) and H(t) = Imax * dsVEGFR2 /
(dsVEGFR2 + dIC50) with Imax = 1 fixed and dsVEGFR2 = R0 - sVEGFR2(t).
The paper reports a significant covariate effect of the DCE-MRI
volume-transfer constant Ktrans on dIC50 (power coefficient 2.12) but
the cohort-median Ktrans required to centre that effect is not reported
in the paper or supplements on disk; the effect is omitted from model()
and documented in the vignette. A Cox-style time-to-tumor progression
hazard h(t) = b0 * exp(b1 * dAUC24h_sVEGFR2) is described in the paper
but evaluated post-simulation in the vignette, not encoded as an ODE.
|
|
Sunitinib
(vanErp 2010)
|
One-compartment population PK model for oral sunitinib in cancer
patients with a mechanism-specific grapefruit-juice (GJ)
drug-interaction module. Sunitinib is absorbed first-order (ka, tlag)
into a single central compartment with linear elimination (CL/F, Vd/F).
A paper-specific intestinal CYP3A4-activity state (baseline 1, recovery
first-order with t1/2 = 23 h fixed from Greenblatt 2003) is fully
depleted to 0 by each GJ ingestion event. The relative bioavailability
is F = 1 + deltaF * (1 - cyp3a4), so simultaneous GJ + sunitinib intake
gives F = 1.11 (deltaF = 0.11) and the GJ-induced increase in sunitinib
exposure decays back to baseline with the CYP3A4 recovery half-life
(8.9% at 7 h, 5.3% at 24 h, 1.3% at 72 h, 0.07% at 1 week after the last
GJ dose). No covariates were retained in the final model. Eight
metastatic-cancer patients (1 female / 7 male, age 41-78 years) on
chronic sunitinib 25-50 mg once daily contributed 268 plasma
concentrations.
|
|
Sunitinib
(Yu 2015)
|
Integrated semi-physiological population PK model for oral sunitinib and
its equipotent active metabolite N-desethyl sunitinib (SU12662) in adult
cancer patients (n = 70 across three studies). Sunitinib is absorbed
first-order into a hypothetical hepatic enzyme compartment that sits
algebraically in equilibrium with the sunitinib central compartment via
hepatic blood flow Qh (fixed at 80 L/h for a 70 kg subject). Clearance
CL of sunitinib acts at the enzyme site (Cliv = (ka * depot + Qh / Vc *
central) / (Qh + CL)); fraction fm = 0.21 (fixed from Houk 2009) of the
cleared sunitinib appears as SU12662 input into the metabolite central
compartment, the rest is true (non-SU12662) sunitinib clearance. SU12662
follows a 2-compartment disposition with its own central and peripheral
volumes and inter-compartmental clearance. Body-weight allometric
scaling with fixed exponents 0.75 (clearance / flow: CL_sun, Qh,
CL_SU12662, Qi_SU12662) and 1.0 (volumes: Vc_sun, Vc_SU12662,
Vp_SU12662) is applied a priori with reference WT = 70 kg. IIV is
modelled with a 4 x 4 OMEGA BLOCK on Vc_sun, Vc_SU12662, CL_SU12662,
CL_sun with the paper’s reported correlations 0.48, 0.45, 0.53 and
remaining off-diagonals fixed to zero. Per-study residual proportional
error from Yu 2015 Table 2 is simplified to a single propSd /
propSd_su12662 pair populated from the Study 1 sigma^2 estimates (the
largest cohort: 50 patients, 703 samples); the smaller Study 2 + 3
residuals are noted in the vignette.
|
|
Sunitinib
irinotecan mouse (Wilson 2015)
|
Preclinical (mouse with HT-29 colorectal-cancer xenograft). Mechanistic
tumor-growth PD model for the antiangiogenic agent sunitinib (reduces
vascular carrying capacity) combined with the cytotoxic agent irinotecan
(three-stage transit-cell-death chain following Simeoni et al. 2004) and
an empirical interaction term (Wilson 2015 Equation 4) in which the
irinotecan transit-death rate kC depends on the cumulative
pre-irinotecan sunitinib exposure. Drug input is K-PD (no
pharmacokinetic data; each oral sunitinib or 5-min IV irinotecan dose
enters its drug-amount compartment with normalized magnitude 1).
|
|
Sunitinib
OS (Hansson 2013)
|
Parametric overall-survival (Weibull TTE) model in adults with
imatinib-resistant gastrointestinal stromal tumours (GIST) on sunitinib.
The hazard for death is a Weibull baseline (lam_haz, alfa_haz) modulated
log-linearly by the model-predicted relative change in soluble VEGFR-3
(sVEGFR-3) from individual baseline and by observed baseline tumour size
(sum of longest diameters, SLD). The sVEGFR-3 time course is simulated
in-model as a one-compartment indirect-response turnover with
simple-Imax inhibition of Kin driven by the per-cycle exposure summary
auc = DOSE / CLI. A parallel Weibull censoring hazard (lam_cens,
alfa_cens) is included so the model can drive prospective Kaplan-Meier
simulations with censoring per the paper’s published procedure. The
model has no PK ODE and consumes individual posthoc upstream-PD
parameters (BAS_SVEGFR3, MRT_SVEGFR3, EC50_SVEGFR3) and posthoc
upstream-PK clearance (CLI) plus observed baseline tumour size (TUMSZ,
mm) as data covariates. No IIV reported in the source for the OS or
censoring hazard parameters.
|
|
Tacrine
(Holford 1992)
|
Population pharmacodynamic disease-progression model for the cognitive
subscale of the Alzheimer’s Disease Assessment Scale (ADAS-cog, 0-70
score) in patients with probable Alzheimer’s disease treated with
tacrine. Linear disease progression (baseline S0 + alpha*time) with a
tacrine effect on the location of the progression curve (effect
compartment driven by IBW-normalised daily dose rate, no estimable PK
clearance because the response is slow relative to the 2-hour tacrine
plasma half-life) and a placebo effect with asymmetric onset /
elimination / tolerance dynamics (placebo response builds up during
treatment, dissipates after treatment ends, and develops tolerance
during continued treatment). Estimated by Holford and Peace 1992 on 909
patients (5253 ADAS-cog observations) pooled from two clinical trials of
identical design: US protocol 970-01 (n = 632) and French protocol
970-04 (n = 277). The French cohort takes multiplicative scale factors
on baseline status (FS04 = 1.08), placebo potency (Fpp4 = 1.76), and
placebo elimination half-time (Ft1/2el-p4 = 2.78). Inter-individual
variability is correlated across baseline S0, progression rate alpha,
and tacrine potency beta_a (block of three) with diagonal IIV on placebo
potency beta_p; the time constants of the effect compartments are
typical-value only. Residual error is proportional. NOTE: the lead
Holford 1992 PNAS 89:11471-11475 ‘Results and validation’ paper supplies
all parameter values but the exact ODE form of the placebo dynamics is
described in the companion methodology paper (PNAS 89:11466-11470) which
was not available on disk at extraction time; the ODE form here is the
field-standard reconstruction (asymmetric on/off placebo compartment
plus multiplicative tolerance) and is documented in the validation
vignette’s Assumptions and deviations section.
|
|
Tacrolimus
(AbdelJalil 2013)
|
One-compartment population PK model for oral tacrolimus in paediatric
liver transplant recipients (Abdel Jalil 2013), with first-order
absorption (ka fixed at the literature value 4.5 1/h), an apparent
volume of distribution fixed at the literature value 30 L/kg, allometric
(WT/13.2 kg)^0.75 scaling on apparent clearance with the theory-based
exponent fixed, multiplicative exponential effects of time
post-transplantation (days) and CYP3A5*1 carrier status on CL/F,
exponential (log-normal) inter-individual variability on CL/F, and
proportional residual error.
|
|
Tacrolimus
(Andrews 2017)
|
Two-compartment population PK model with first-order absorption and an
absorption lag time for twice-daily oral immediate-release tacrolimus
(Prograft and Modigraf) in paediatric renal transplant recipients during
the first 6 weeks post-transplantation (Andrews 2017). Apparent oral
clearance CL/F and apparent inter-compartmental clearance Q/F scale
allometrically with body weight at a fixed exponent of 0.75 referenced
to a 70 kg adult; apparent central volume V1/F and apparent peripheral
volume V2/F scale at a fixed exponent of 1.0; ka has no body-weight
scaling. CL/F additionally varies with CYP3A5 expresser status (1.04
multiplier for 3/3 or unknown genotype, 1.98 multiplier for
1/1 or 1/3 carriers; pooled with unknown because
Andrews 2017 explicitly groups 3/3 with unknown in the final
equation), donor source (0.74 multiplier for living-donor recipients vs
deceased-donor reference; equivalent to deceased-donor recipients having
~35% higher CL/F), eGFR (power exponent 0.19 centred at the cohort
median 69 mL/min/1.73 m^2 of adapted-Schwartz eGFR), and a piecewise
hematocrit effect (power exponent -0.44 centred at 0.3 L/L applied only
when HCT < 0.3 L/L). Inter-individual variability is diagonal on ka,
CL/F, V1/F, and V2/F. Residual error is a combined additive +
proportional model with separate immunoassay and LC-MS/MS magnitudes
selected by the per-sample IMMUNOASSAY indicator. Inter-occasion
variability (IOV) on CL/F (18% CV) and V2/F (35% CV) reported by Andrews
2017 Table 2 is NOT encoded structurally here (per the Brooks 2021
tacrolimus precedent) – the source paper does not define an operational
occasion column for the model-library use case; downstream users who
want to simulate IOV can add an OCC indicator and a per-occasion eta in
rxode2.
|
|
Tacrolimus
(Antignac 2007)
|
One-compartment population PK model for oral and intravenous tacrolimus
in adult kidney transplant recipients (Antignac 2007). First-order
absorption (ka fixed at 4.5 1/h from Jusko 1995), linear elimination,
simultaneous fit of IV and oral data to estimate bioavailability.
Clearance increases sigmoidally with days postoperation from a baseline
CLmin (at POD = 0) to 2 * CLmin asymptotically, with half-recovery at
TCL50 = 3.81 days and Hill exponent 2.54; clearance is multiplied by (1
+ theta_PRD) when concomitant prednisone dose exceeds 25 mg/day. No
covariates retained on V or F.
|
|
Tacrolimus
(Benkali 2010)
|
Two-compartment population PK model with Erlang-distributed transit
absorption (3 transit compartments) for once-daily extended-release oral
tacrolimus (Advagraf) in stable adult renal transplant recipients more
than 6 months post-transplant who were switched from twice-daily
ciclosporin (Benkali 2010), with a multiplicative CYP3A5*1-carrier
(expresser) effect on apparent clearance and combined additive +
proportional residual error.
|
|
Tacrolimus
(Bergmann 2014)
|
Two-compartment population PK model for oral tacrolimus in adult kidney
transplant recipients (Bergmann 2014), with first-order absorption after
a lag time, allometric (WT/70 kg)^0.75 scaling on apparent clearance,
multiplicative CYP3A5*1-carrier effect on CL/F, linear hematocrit and
post-transplant-day effects on CL/F, linear free prednisolone Cmax
effect on V1/F, correlated inter-individual variability across V1/F, ka,
and V2/F, and proportional residual error.
|
|
Tacrolimus
(Brooks 2021)
|
Two-compartment population pharmacokinetic model for IV
continuous-infusion tacrolimus in pediatric and young adult patients
undergoing allogeneic hematopoietic cell transplantation (Brooks 2021).
Allometric weight scaling on all PK parameters with fixed theoretic
exponents (0.75 on CL and Q, 1.0 on V and V2; reference weight 70 kg); a
structural ratio Fact fixed at 2.0 links Q to CL and V2 to V; and a
multiplicative azole-antifungal (voriconazole or posaconazole) factor of
0.8 on CL captures the CYP3A4/5 inhibitor co-treatment effect.
|
|
Tacrolimus
(Chen 2017)
|
One-compartment population PK model with first-order absorption and
absorption lag for low-dose oral tacrolimus (FK506, Prograf 0.5 mg
capsules) in Chinese adult and paediatric myasthenia-gravis (MG)
patients (Chen 2017). The absorption parameters ka and tlag are fixed at
values obtained from a supplementary dataset of healthy volunteers,
because the sparse-trough MG dataset is not informative about the
absorption phase. Apparent oral clearance CL/F (3.6 L/h typical) is
modulated by hematocrit and blood urea nitrogen through a multiplicative
power-of-covariate-ratio form referenced to cohort medians (HCT median
38.4 %, exponent 4.31; BUN median 4.2 mmol/L, exponent 1.42). Apparent
volume V/F is 1700 L typical with no retained covariate effects
(high-dose IV immunoglobulin treatment was tested as a covariate on V/F
but did not survive backward elimination). Inter-individual variability
is diagonal on CL/F (141.6% CV) and V/F (72.4% CV); no IIV is estimated
on ka or tlag. Residual variability is a pure proportional model (35.8%
CV) on whole-blood tacrolimus concentrations.
|
|
Tacrolimus
(CirrincioneDall 2011)
|
One-compartment population PK model with first-order absorption for oral
tacrolimus in pediatric liver transplant recipients (Cirrincione-Dall
2011 ACOP poster, Metrum Research Group). Apparent oral clearance CL/F
(25.8 L/h at a 70 kg reference) and apparent volume V/F (2490 L at a 70
kg reference) are estimated; allometric body-weight scaling is fixed at
exponent 0.75 on CL/F and 1.0 on V/F. The first-order absorption rate
constant ka is fixed at 4.48 1/h from literature because the sparse
therapeutic-drug-monitoring sampling could not identify it. CL/F
additionally varies (full covariate model) with post-operative day as
(POD/7)^0.409, with CYP3A5 expresser status as 1.24^CYP3A5_EXPR (missing
genotype data imputed as non-expressers), with AST as
(AST/510.5)^-0.0364, with albumin as (ALB/28)^-0.357, with hematocrit as
0.993^HCT (HCT entered as a fraction L/L, not as percent), and with age
as (AGE/2)^-0.0310. Inter-individual random variation on CL/F and V/F
was modeled exponentially with an estimated covariance of the two random
effects per the poster text; the off-diagonal covariance value itself is
not reported in the poster Table 2 so this implementation encodes
uncorrelated diagonal IIVs and documents the gap in the vignette Errata.
Residual error is a combined additive (SD 2.508 ng/mL) + proportional
(SD 0.3674 fraction) model on whole-blood tacrolimus concentrations.
|
|
Tacrolimus
(Dunlap 2025)
|
Two-compartment population pharmacokinetic model for oral
immediate-release tacrolimus in adult allogeneic hematopoietic cell
transplant (allo-HCT) recipients (Dunlap 2025): first-order absorption
with bioavailability fixed at 1; allometric (TBW/70 kg) scaling fixed at
0.75 on CL/F and Q/F and at 1 on V1/F and V2/F; exponential CYP3A5
intermediate / normal metabolizer phenotype effect on CL/F (CYP3A5 IM or
NM have ~2.14-fold higher CL/F than CYP3A5 PM); exponential
reduced-intensity-conditioning effect on CL/F (RIC recipients have ~37%
lower CL/F than myeloablative-conditioning recipients); inter-individual
variability on V1/F, CL/F, and V2/F; and an additive residual error of
2.51 ng/mL on the linear concentration scale.
|
|
Tacrolimus
(Grover 2011)
|
Two-compartment population PK model for oral tacrolimus in adult Native
American kidney transplant recipients (Grover 2011), with first-order
absorption after a lag time, no covariate effects (the Native American
cohort showed no association of age, sex, weight, BMI, or
post-transplant duration with PK parameters), and a placeholder
proportional residual error model (residual error was not reported in
the short communication).
|
|
Tacrolimus
(Hao 2018)
|
One-compartment population PK model with first-order absorption (no lag)
and first-order elimination for twice-daily oral immediate-release
tacrolimus (Prograf) in paediatric nephrotic-syndrome patients aged
2.7-17.3 years (Hao 2018). Apparent oral clearance CL/F scales
allometrically with body weight at a fixed exponent of 0.75 referenced
to a 70 kg adult; apparent volume of distribution V/F scales linearly
with body weight at a fixed exponent of 1.0 referenced to 70 kg; ka has
no body-weight scaling. CL/F additionally varies with CYP3A5 expresser
status (multiplicative factor 1.60 for 1/1 or 1/3
carriers vs the 3/3 nonexpresser reference). Inter-individual
variability is diagonal on ka, V/F, and CL/F (exponential / log-normal
model). Residual unexplained variability is proportional (paper text:
‘The proportional model best described residual variability’; Table 2
reports it under the ‘Residual variability (exponential)’ label, which
is the standard NONMEM additive-on-log-scale parameterisation equivalent
to proportional in linear space).
|
|
Tacrolimus
(JacoboCabral 2015)
|
Two-compartment population PK model for oral tacrolimus in Mexican
paediatric renal-transplant recipients (Jacobo-Cabral 2015): first-order
absorption with a lag time, no allometric scaling, three-level CYP3A5
genotype effect on apparent oral clearance (3/3 reference,
1/3 +50%, 1/1 +93%), formulation-type effects on Ka
and on relative bioavailability F (pooled Prograf + Framebin + Tenacrine
reference vs Limustin generic vs unrecorded), an exponential per-dose
effect on F centred at 2 mg, exponential inter-patient variability on
Ka, V/F and F, and a residual error described in the paper as additive
on the natural-log concentration scale (encoded as proportional residual
error in linear space, which is the standard nlmixr2 equivalent for SD
<= 0.15).
|
|
Tacrolimus
(Ji 2018)
|
One-compartment population pharmacokinetic model for oral tacrolimus in
Korean adult living-donor liver-transplant recipients during the first
14 days post-transplantation (Ji 2018). First-order absorption with ka
fixed at 4.48 1/h from prior reports; CL/F = 6.33 * POD^0.257 multiplied
by a combinational CYP3A5 recipient-and-donor categorical factor (2.314
if both recipient and donor are CYP3A5 expressers; 1.523 if the
recipient is a CYP3A5 expresser and the donor is a nonexpresser; 1.0
otherwise); V/F = 465 * POD^0.322; exponential IIV on CL/F and V/F;
combined proportional + additive residual error on whole-blood
tacrolimus concentration.
|
|
Tacrolimus
(Kassir 2014)
|
Two-compartment population PK model with first-order absorption and an
absorption lag time for twice-daily oral tacrolimus in paediatric liver
transplant recipients (Kassir 2014). Apparent oral clearance CL/F and
apparent inter-compartmental clearance Q2/F scale allometrically with
body weight at a fixed exponent of 0.75 referenced to the cohort median
weight of 20 kg; apparent central volume V1/F and apparent peripheral
volume V2/F scale at a fixed exponent of 1.0 to the same 20 kg
reference; the first-order absorption rate constant ka carries an
allometric exponent of -0.25 per Anderson and Holford theory. Apparent
peripheral volume V2/F was fixed to 290 L during estimation to stabilise
the model (Kassir 2014 Table 4 footnote). Inter-individual variability
is diagonal on CL/F, V1/F, and Q2/F (no IIV on ka, tlag, or V2/F).
Residual error is a proportional model. No covariates beyond body weight
were retained after stepwise covariate analysis – age, sex, type of
transplant, age of liver donor, time post-transplantation, liver
function tests, albumin, renal function (serum creatinine and creatinine
clearance), haematocrit, use of steroids, presence of clinically
relevant CYP3A4 inhibitors, and drug formulation were all screened and
dropped (Kassir 2014 Results ‘Analysis of covariates and sources of
variability’).
|
|
Tacrolimus
(Kim 2018)
|
Integrated population PK model of the tacrolimus (TAC) - mycophenolate
mofetil (MMF) drug-drug interaction in healthy Korean male volunteers
(Kim 2018, final integrated model). TAC follows a two-compartment model
with first-order absorption and a lag time; apparent oral clearance
(CL/F) is increased 1.48-fold in CYP3A5 expressers and is suppressed by
co-administered mycophenolic acid (MPA) through an inverse-exponential
interaction (CL/F = 13.8 / exp(0.0294Cmpa) 1.48^CYP3A5). MPA
(the active moiety of MMF) follows a two-compartment model with
first-order absorption; MPA is metabolised to MPAG (7-O-glucuronide; 85%
of metabolism) and AcMPAG (acyl glucuronide; 15%). MPAG undergoes
enterohepatic recirculation via a gallbladder compartment that empties
into the MPA absorption compartment during a meal-triggered window.
Tacrolimus concentrations are in ng/mL; MPA, MPAG and AcMPAG are in
ug/mL.
|
|
Tacrolimus
(Kirubakaran 2022)
|
Two-compartment population pharmacokinetic model for oral
immediate-release tacrolimus (Prograf) in adult heart transplant
recipients (Kirubakaran 2022): first-order absorption; FFM-allometric
scaling on CL/F and Q/F (exponent 0.75) and on V2/F and V3/F (exponent
1.0); haematocrit power effect on CL/F; and a state-dependent typical
CL/F (without vs with concomitant azole antifungal, 21.1 vs 4.2 L/h)
with a state-dependent CL/F BSV magnitude (61% vs 89.5% CV). Structural
PK was estimated with NONMEM PRIOR (NWPRI) support from the published
Sikma 2017 thoracic-transplant tacrolimus popPK model.
|
|
Tacrolimus
(Lu 2015)
|
Two-compartment population PK model with first-order absorption and lag
time for oral tacrolimus in pooled Chinese healthy volunteers and adult
orthotopic liver-transplant recipients (Lu 2015). Apparent peripheral
volume V3/F is fixed at the healthy-volunteer-only estimate (916 L).
Apparent clearance CL/F is reduced multiplicatively in liver-transplant
recipients and further modulated by an exponential serum ALT effect that
applies only to the transplant cohort.
|
|
Tacrolimus
(Moes 2016)
|
Two-compartment population pharmacokinetic model for oral once-daily
tacrolimus (Advagraf) in stable adult liver transplant recipients (Moes
2016), with first-order elimination from the central compartment and a
delayed first-order absorption phase described by three sequential
transit compartments sharing the absorption rate constant ka, a fixed
oral bioavailability F = 0.23, a categorical donor + recipient
CYP3A53 combination effect on apparent oral clearance (reference
both nonexpressers; donor nonexpresser + recipient 1 carrier +33%;
donor 1 carrier + recipient nonexpresser +33%; both 1 carriers
+71%), independent log-normal IIV on CL, Vc, and ka, and proportional
residual error on whole-blood concentration.
|
|
Tacrolimus
(Passey 2011)
|
Steady-state apparent-clearance regression model for oral tacrolimus
trough concentrations in adult kidney-transplant recipients (Passey
2011). Encoded as a 1-compartment IV continuous-infusion model with a
nominal fixed central volume of distribution: at steady state, Cc =
dose-rate / CL/F is independent of V, so the rxode2 simulation
reproduces the paper’s regression-style trough prediction. Apparent
clearance CL/F is multiplied by five covariate factors: an
ordered-categorical days-post-transplant effect (3-5 = reference, 6-10 =
0.86, 11-180 = 0.71), three-level CYP3A5 genotype (CYP3A53/3 =
reference, CYP3A51/3 = 1.70, CYP3A51/1 = 2.00),
steroid-sparing immunosuppression protocol (0.70), a power-form age
effect ((Age/50)^-0.40), and concomitant calcium channel blocker
coadministration (0.94).
|
|
Tacrolimus
(Prytula 2016)
|
Two-compartment population PK model with first-order absorption and a
fixed absorption lag time for twice-daily oral tacrolimus (Prograft) in
stable paediatric renal transplant recipients at least one year after
kidney transplantation (Prytula 2016). All apparent-PK parameters (CL/F,
Q/F, V1/F, V2/F, ka) scale allometrically with body weight at fixed
exponents (0.75 on CL/F and Q/F, 1 on V1/F and V2/F, -0.25 on ka)
referenced to a 70 kg adult; V2/F is fixed at 1090 L/70 kg during
covariate analysis; CL/F additionally varies with CYP3A51 carrier
status (1+0.45-fold higher in carriers vs 3/3 nonexpressers),
gamma-glutamyltransferase (power -0.21, centred at 13 U/L), and
haematocrit (power -0.59, centred at 0.34); eta_Q is perfectly
correlated with eta_CL and is constructed as iiv_q_scale etalcl
(iiv_q_scale = 2.0; the ‘IIV-CL-Q’ parameter in Table 2);
inter-individual variability is a 3x3 correlated block on (ka, CL/F,
V1/F); proportional residual error.
|
|
Tacrolimus
(Rower 2017)
|
One-compartment population pharmacokinetic model for oral / enteral
tacrolimus in paediatric heart transplant recipients (Rower 2017):
first-order absorption with fixed Ka = 3.43 1/h; AGE power effect on
apparent volume with exponent 0.775 and reference 5.7 years;
creatinine-clearance power effect on apparent elimination rate with
exponent 0.850 and reference 122.4 mL/min/1.73 m^2; concomitant
fluconazole reduces apparent elimination by 34%. Originally
parameterised in NONMEM ADVAN2 TRANS1 on (ke, V); converted here to the
canonical (CL/F, V/F) form via CL/F = ke * V, so the AGE effect
propagates to CL/F with the same exponent as on V/F.
|
|
Tacrolimus
(Storset 2014)
|
Theory-based two-compartment population pharmacokinetic model for oral
tacrolimus in adult kidney-transplant recipients (Storset 2014):
plasma-based disposition with first-order absorption and a lag time,
allometric scaling on fat-free mass, CYP3A5-expresser effects on plasma
clearance and oral bioavailability, a sigmoid-Emax prednisolone-driven
reduction in bioavailability, a first-day-post-transplant
bioavailability spike with subject-level random effect, and a saturable
haematocrit-dependent red-blood-cell-binding equation that maps plasma
concentration to whole-blood concentration.
|
|
Tacrolimus
(Woillard 2011)
|
Two-compartment population PK model with Erlang-distributed transit
absorption (3 transit compartments) for oral tacrolimus in adult renal
transplant recipients pooled across the twice-daily immediate-release
Prograf formulation and the once-daily prolonged-release Advagraf
formulation (Woillard 2011), with multiplicative CYP3A5*1-carrier
(expresser) and power-scaled haematocrit effects on apparent clearance,
multiplicative formulation effects on the Erlang transit rate constant
and on apparent central volume, and combined additive plus proportional
residual error.
|
|
Tacrolimus
(Zhu 2014)
|
Two-compartment population PK model for oral tacrolimus in Chinese adult
liver transplant recipients (Zhu 2014), with first-order absorption, a
power-form joint DOSE x POD covariate effect on apparent clearance,
log-normal IIV on CL/F, V2/F, Q/F, V3/F, and ka, and proportional
residual error. Bioavailability was not estimated; the structural
disposition parameters are apparent values (CL/F, V/F, Q/F).
|
|
Tacrolimus
industry meta (Lu 2019)
|
Industry meta-analysis. Two-compartment population PK model for oral
tacrolimus immediate-release (IR-T; Prograf, twice daily) and
prolonged-release (PR-T; Advagraf / Astagraf XL, once daily)
formulations in adult and paediatric liver, kidney, and heart transplant
recipients (Lu 2019). Pooled individual-patient data from 8 Astellas
Phase II studies (n = 408 patients, 23,176 whole-blood concentration
records). Structural model: first-order absorption with
formulation-dependent Ka (PR-T ~50% slower than IR-T), fixed absorption
lag time, and two-compartment disposition with first-order elimination.
Significant covariates: Asian race on CL/F (+59% vs Whites); log-AST on
CL/F, Vc/F, Vp/F, and F1 (power normalised at LAST = 3.15, i.e., AST ~=
23.3 IU/L); female sex on Vc/F (-44.6% vs males); albumin on Vc/F and
F1; and Asian / Black race on F1 (Asians > Whites > Blacks). Type
of organ transplanted and adult-vs-paediatric population had no
significant effect on PK parameters.
|
|
Tacrolimus
metaanalysis (Nanga 2019)
|
MBMA. Two-compartment population PK meta-model for oral tacrolimus in
solid organ transplantation (Nanga 2019), built from pooled
individual-patient data across 7 historical NONMEM datasets (n = 281
paediatric + adult liver and kidney transplant recipients). Structural
model: first-order absorption with fixed lag time, time-varying
first-order elimination, allometric (WT/50 kg) scaling on apparent
clearance and apparent central volume, multiplicative reduction of CL/F
in hepatic-graft recipients, sigmoidal post-transplant-day recovery of
CL/F, and reduced relative bioavailability for the oral syrup
formulation. The literature-review summary table (Nanga 2019 Table 2: 76
published popPK models) is not used for parameter fitting and is not
reproduced here.
|
|
Tacrolimus
thoracic (Sikma 2020)
|
Two-compartment population pharmacokinetic model for oral whole-blood
tacrolimus in 30 adult thoracic organ transplant recipients (10 heart,
20 lung) during the first 6 postoperative days at the University Medical
Center Utrecht intensive care unit (Sikma 2020 EJDMP). Apparent
clearance CL/F, apparent volumes V1/F and V2/F, inter-compartmental
clearance Q/F, and first-order absorption rate ka are estimated;
bioavailability F is fixed at 1. Only the inter-individual variability
of CL/F was identifiable in the source dataset; all other IIV elements
were not estimated. Inter-occasion (dose-to-dose) variability dominated
the variance structure but is not encoded structurally in this
extraction. No covariates were retained in the final model.
|
|
Tacrolimus
unbound plasma (Sikma 2020)
|
Two-compartment population PK model for whole-blood (Cc), unbound plasma
(Cupc), and total plasma (Ctpc) tacrolimus in 30 adult thoracic-organ
(10 heart + 20 lung) transplant recipients during the first 6
postoperative days (Sikma 2020). First-order oral absorption with ka, F,
and the within-PK fixed-parameter variabilities inherited from a
previously estimated tacrolimus model; non-linear saturable binding of
tacrolimus to erythrocytes (UPC = WBC * Kd / (Bmax * HCT - WBC)) with
the maximum erythrocyte binding capacity Bmax scaled by hematocrit, and
a linear non-specific plasma binding constant Nplasma linking unbound to
total plasma (TPC = Nplasma * UPC).
|
|
Tafenoquine
(Charles 2007)
|
One-compartment first-order-absorption population PK model for oral
tafenoquine in adult Australian soldiers on weekly malaria prophylaxis
(Charles 2007)
|
|
Tafenoquine
(Edstein 2001)
|
One-compartment population PK model for oral tafenoquine in 135 male
Thai soldiers receiving 400 mg base for malaria prophylaxis (monthly
n=104 or weekly n=31). The final model carries correlated IIV on
apparent clearance and apparent volume of distribution (rho ~ 0.71) plus
separate IIV on the first-order absorption rate constant; no covariates
retained (centred age and weight on V/F and a prior-malaria indicator on
CL/F were screened but not deemed to have sufficient clinical impact to
alter the base model).
|
|
Tamibarotene
pediatric (Azechi 2024)
|
Two-compartment population PK model with first-order absorption and an
absorption lag time for oral tamibarotene (synthetic retinoid
RAR-alpha/beta agonist) in pediatric and young-adult patients (4-23
years) with recurrent or refractory solid tumors (Azechi 2024). Apparent
oral clearance CL/F, apparent central volume V1/F, and apparent
peripheral volume V2/F scale linearly with body surface area (BSA)
referenced to the cohort mean of 0.995 m^2 (Table 1);
inter-compartmental clearance Q/F, the absorption rate constant ka, and
the absorption lag time tlag have no covariate effects. tlag was held
fixed at 0.95 h in the published final model (the authors judged the
post-covariate Tlag estimate of ~1.8 h to have low physiological
validity and fell back to the pre-covariate value). Residual error is
proportional with a 42.4% magnitude. The Methods section specifies an
exponential IIV model on all five PK parameters but the paper reports no
per-parameter omega magnitudes and no supplement exists; per operator
decision (sidecar request-001 q1 = A, 2026-06-21) the five eta terms are
encoded as fixed(0) so the published structural IIV declaration is
preserved while remaining faithful to the absence of reported variance
values. See the vignette Assumptions and deviations section for the
resulting limitations on VPC-style validation.
|
|
Tamsulosin
(Tsuda 2010)
|
One-compartment population PK model for oral modified-release tamsulosin
hydrochloride in paediatric patients (2-16 years) with neuropathic and
non-neuropathic bladder (Tsuda 2010), with first-order absorption after
a lag time, allometric (WT/70)^0.75 on apparent clearance and (WT/70)^1
on apparent central volume (allometric exponents fixed at theory
values), a power-form alpha-1-acid glycoprotein (AAG/20 uM) effect on
both CL/F and V/F, correlated inter-individual variability on CL/F and
V/F, independent IIV on ka, and a combined additive + proportional
residual error.
|
|
Taranabant
(Li 2010)
|
Three-compartment population PK model for oral taranabant in healthy and
obese adults (Li 2010)
|
|
Taspoglutide
mbma (Li 2015)
|
MBMA. Coupled PD model-based meta-analysis of taspoglutide (long-acting
human glucagon-like peptide-1 analogue, once-weekly SC) net efficacy on
fasting plasma glucose (FPG) and glycosylated hemoglobin (HbA1c) in type
2 diabetes. Each endpoint is the sum of an exponential-to-asymptote
placebo response (Pmax, Kp) and a saturable Emax drug response (Dmax,
IC50, Kdrug) approached exponentially over time. The FPG drug effect is
driven by the study-arm-mean taspoglutide concentration between weeks 2
and 4 (Cavg; supplied as the METRIC_TASPO_C covariate: 0 / 59.85 / 119.7
pmol/L for placebo / 10 mg / 20 mg QW). The HbA1c drug effect is driven
by the model-predicted drug-induced FPG change (i.e. the
placebo-adjusted FPG response feeds the HbA1c Emax). Estimated on
digitised study-arm-mean PD data from 8 published clinical trials of
taspoglutide monotherapy or add-on therapy in type 2 diabetes (3,702
patients pooled, 8-52 week treatment durations); a ninth trial
(Rosenstock 2013) was held out for external validation. Placebo Pmax and
Kp were fitted on the placebo-only subset first and held fixed in the
final combined PD model. Between-trial variability (ITV) is encoded as
study-level etas (one eta per parameter); the model is suitable for
simulating study-arm-mean PD outcomes and is NOT suitable for
individual-subject simulation. Residual error is a proportional/power
model on each endpoint (the small power-correction term is simplified to
a plain proportional error in this implementation; see vignette
Assumptions and deviations).
|
|
Taurine
rat (Catalan-Latorre 2018)
|
Preclinical (rat). Population PK model for taurine
(2-aminoethylsulphonic acid) in male Wistar rats after IV bolus or oral
gavage administration (1, 10, or 100 mg per animal). Two-compartment
disposition (central and peripheral1) with zero-order endogenous
formation Q0, first-order passive oral absorption ka, first-order
inter-compartmental distribution (K12, K21), and non-linear renal
elimination described as two parallel Michaelis-Menten processes:
saturable tubular secretion (Vms, Kms) and saturable tubular
reabsorption (Vmr, Kmr), with net elimination = secretion -
reabsorption. Oral bioavailability was modelled as 100% (passive
diffusion; not altered by nutritional status). Protein-energy
undernutrition (MAL_NOURISH = 1) reduces the secretion Vmax by 9.4%
relative to well-nourished animals; no other PK parameter depends on
nutritional status. Initial conditions in the central and peripheral
compartments are set from the analytic positive root of the no-dose
steady-state quadratic so that the endogenous taurine concentration is
reproduced at t = 0.
|
|
Tazobactam
(CohenWolkowiez 2014)
|
One-compartment population PK model for tazobactam in premature and term
infants under 61 days postnatal age (Cohen-Wolkowiez 2014); linear
body-weight scaling on CL and V (fixed exponent = 1), and PMA, serum
creatinine and concomitant gentamicin coadministration as covariates on
CL.
|
|
Tazobactam
(Nichols 2016)
|
One-compartment population PK model for tazobactam in critically ill
children (1-9 years) receiving extended-infusion piperacillin-tazobactam
(Nichols 2016); IV zero-order input, first-order elimination, a
multiplicative female-sex effect on CL, and a linear-additive WT effect
on CL centered at the cohort median 18 kg.
|
|
Tefibazumab
(Cao 2013)
|
Second-generation minimal physiologically-based PK (mPBPK) model for
tefibazumab in adults (Cao 2013 Model A; clearance from plasma)
|
|
Teicoplanin
(Wi 2017)
|
Two-compartment IV bolus population PK model for teicoplanin in adult
patients receiving venoarterial extracorporeal membrane oxygenation
(VA-ECMO) for cardiogenic shock, with binary within-subject ECMO
indicators on the central volume of distribution (V1) and
inter-compartmental clearance (Q) and a binary CRRT indicator on the
peripheral volume of distribution (V2) (Wi 2017)
|
|
Teicoplanin
(Zhao 2015)
|
Two-compartment IV-injection population PK model for teicoplanin in 85
children with malignant hematological disease (Zhao 2015). Body weight
enters Vc and Vp with the fixed allometric exponent 1 and enters CL and
Q with the fixed allometric exponent 0.75; Schwartz-formula creatinine
clearance enters CL via a power exponent estimated at 0.606. Reference
subject: WT = 27.1 kg, CRCL = 179 mL/min. The published model was used
to derive age-band mg/kg dosing (18 mg/kg for infants, 14 mg/kg for
children, 12 mg/kg for adolescents) and a patient-tailored daily dose
(target AUC * CL_i) to attain the AUC(0,24 h) target of 750 mg.L/h.
|
|
Telapristone
(Morris 2011)
|
Population PK model for telapristone (CDB-4124, a selective
progesterone-receptor antagonist developed for endometriosis and uterine
fibroids) and its active monodemethylated metabolite CDB-4453 (Morris
2011). Parent is a two-compartment model with first-order oral
absorption (no lag); metabolite is a one-compartment model with apparent
volume V3/F fixed to 1 L for identifiability (Fmet is not separately
identifiable from V3, so the estimated fmetest is interpreted as the
ratio Fmet / V3 in 1/L). A NONMEM $MIXTURE
block splits parent CL/F into a high-CL fast-eliminator subpopulation
(CL/F = 11.6 L/h, population fraction P = 0.251) and a low-CL
slow-eliminator subpopulation (CL/F = 3.34 L/h, P = 0.749); the
mechanism is hypothesized in the Discussion to be polymorphic CYP3A5
activity but not directly tested. The mixture assignment is supplied as
the binary covariate MIX_FAST_ELIM (1 = fast eliminator, 0 = slow
eliminator) drawn per subject from a Bernoulli(0.251). The only retained
clinical covariate is moderate renal impairment (RENALIMP_MOD), which
produces a 74% proportional decrease in the telapristone absorption rate
constant Ka relative to the healthy / mild-renal-impaired reference
cohort. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Mazzocco_2015_temozolomide.html">Temozolomide
(Mazzocco 2015)</a> </td>
<td style="text-align:left;"> Tumour growth inhibition (TGI)
model for low-grade glioma (LGG) treated with first-line temozolomide
chemotherapy (Mazzocco 2015): three tumour-tissue compartments
(proliferative, non-damaged quiescent, damaged quiescent) coupled to a
K-PD virtual drug compartment, with logistic proliferative growth
(carrying capacity K fixed at 100 mm), treatment-induced damage of both
proliferative and quiescent tissues, time-dependent acquired resistance
of the proliferative tissue only, and tumour-genotype covariate effects
of TP53 mutation status on TMZ efficacy and 1p/19q codeletion status on
the damaged-quiescent-to-proliferative repair rate. Observation is mean
tumour diameter (MTD = P + Q + Qp) in millimetres. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Baheti_2011_tenofovir.html">Tenofovir
(Baheti 2011)</a> </td>
<td style="text-align:left;"> Two-compartment
first-order-absorption population PK model for plasma tenofovir (TFV) in
HIV-1-infected adults on once-daily tenofovir disoproxil fumarate (TDF)
coupled with a stimulatory indirect-response (Dayneka 1993) model for
intracellular tenofovir diphosphate (TFV-DP) in peripheral blood
mononuclear cells; plasma TFV drives TFV-DP formation through a
sigmoidal Emax stimulation function. Creatinine clearance enters CL/F
and Vc/F via a power covariate. Fitted sequentially (PK first, PD with
PK individual post-hoc Bayes estimates fixed). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Lu_2016_tenofovir.html">Tenofovir
combined (Lu 2016)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model with first-order absorption and an absorption lag time for
tenofovir (300 mg oral TDF once daily) in HIV-1-uninfected African
adults receiving once-daily preexposure prophylaxis (Lu 2016, Partners
PrEP Study). Combined variant: parameters estimated using a combined
data set in which patient-reported dosing records were replaced with
MEMS electronic adherence monitoring records where available. Absorption
rate constant Ka is fixed at 1.5 /h; absorption lag time ALAG1 = 0.41 h.
Apparent oral clearance (CL/F) carries a power-form covariate effect on
creatinine clearance (raw Cockcroft-Gault, mL/min) centred at the cohort
mean 106 mL/min. Diagonal IIV on CL/F, V1/F, and Ka; combined additive +
proportional residual error. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Chen_2016_tenofovir_emtricitabine.html">Tenofovir
emtricitabine (Chen 2016)</a> </td>
<td style="text-align:left;"> Linked population PKPD model for
daily oral co-administered tenofovir (TFV, given as the prodrug TDF 300
mg = TFV 136 mg) and emtricitabine (FTC 200 mg) in HIV-positive and
HIV-negative adults (Chen 2016 Cell-PrEP study). Each parent drug is
described by a two-compartment first-order-absorption plasma popPK
model. Each parent feeds a hybrid first-order-formation + saturation
link into its intracellular triphosphate anabolite in peripheral blood
mononuclear cells (TFV-DP, FTC-TP), modelled with a two-compartment
'recycle' elimination structure where a fraction R of the eliminated
drug re-enters the central intracellular compartment. Each anabolite
inhibits the zero-order production rate of two endogenous
deoxynucleoside triphosphates via an Emax indirect-response model with
Kout fixed to 1/day and Emax fixed to 1: TFV-DP inhibits dATP and dGTP
(deoxypurines); FTC-TP inhibits dCTP and TTP (deoxypyrimidines). The
dGTP effect waned over time and is described by an additional
1/(1+t^gamma) time factor. Sex is a covariate on FTC plasma Vc/F and
HIV-infection status is a covariate on FTC-TP Kf. Intended for
simulating analog:dNTP molar ratios (TFV-DP:dATP, FTC-TP:dCTP) for
various dosing strategies, e.g., the IPERGAY on-demand PrEP regimen.
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Lu_2016_tenofovir.html">Tenofovir
prdi (Lu 2016)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model with first-order absorption for tenofovir (300 mg oral TDF once
daily) in HIV-1-uninfected African adults receiving once-daily
preexposure prophylaxis (Lu 2016, Partners PrEP Study). PRDI variant:
parameters estimated using patient-reported dosing information with a
steady-state assumption. Apparent oral clearance (CL/F) carries a
power-form covariate effect on creatinine clearance (raw
Cockcroft-Gault, mL/min) centred at the cohort median 106 mL/min.
Diagonal IIV on CL/F only; combined additive + proportional residual
error. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Hamren_2008_tesaglitazar.html">Tesaglitazar
(Hamren 2008)</a> </td>
<td style="text-align:left;"> Mechanistic parent +
acyl-glucuronide population PK model for tesaglitazar (a dual PPAR
alpha/gamma agonist) in 41 adult subjects with varying degrees of renal
function (Hamren 2008). Parent tesaglitazar follows a two-compartment
disposition with first-order oral absorption (ka fixed at 1.5 1/h, F
fixed at 1); renal clearance CLrt = 0.027 L/h directs parent to a
cumulative urine compartment, and metabolic clearance CLmt = 1.91 L/h
generates the acyl glucuronide metabolite. The metabolite follows a
one-compartment disposition (Vcm = 8.5 L) with saturable
Michaelis-Menten renal clearance (Vmax = 0.188 umol/h, Km = 0.041
umol/L) routing to a cumulative urine compartment, linear non-renal
clearance (CLnrm = 1.2 L/h), and biliary excretion (kbm = 11.7 1/h) into
a paper-specific gut compartment. The gut compartment releases
interconverted parent tesaglitazar back into the parent central
compartment at rate kicv = 0.79 1/h, completing the futile-cycle
interconversion loop that the source paper proposes as the mechanism for
increased tesaglitazar exposure in renal-impairment subjects.
Covariates: BSA-normalized renal function CRCL
(iohexol-clearance-measured GFR, mL/min/1.73 m^2; linear centered slope
on CLrt and direct linear normalised scaling on metabolite Vmax),
per-subject free fraction FU (% by ultrafiltration; linear centered
slope on CLmt), sex SEXF (women have 31% lower CLrt than men),
concomitant probenecid CONMED_PROBENECID (75% reduction of both CLrt and
metabolite Vmax), and body weight WT (shared centered linear slope on
Vct and Vpt). Concentrations are molar (umol/L) and amounts are molar
(umol) throughout to match the Michaelis-Menten parameterisation of the
acyl-glucuronide renal elimination; the user converts mg-of-tesaglitazar
doses to umol using the molecular weight of 408.45 g/mol (1 mg = 2.45
umol). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Lehr_2010_tesofensine.html">Tesofensine
(Lehr 2010)</a> </td>
<td style="text-align:left;"> Joint parent (tesofensine) +
metabolite (M1, CYP3A4-formed) population PK and effect-compartment
PK/PD model in mild Alzheimer's disease (Lehr 2010 Phase IIa fit; 62
patients across two 4-week placebo-controlled studies). Parent is
one-compartment with first-order absorption (ka FIXED from upstream
Phase I popPK) and parallel elimination through a metabolite-formation
arm (CL_met = parent -> M1 flux) and a non-formation arm (CL_non-met
= elimination via routes other than M1 formation). M1 is one-compartment
with apparent volume FIXED at 0.768-fold of the parent apparent volume
(mouse-derived ratio, Lehr 2010 ref 17). Tesofensine and M1 each drive
their own effect compartment (shared keo FIXED at a small value,
equivalent to a long effect-equilibration half-life); the combined drug
effect on ADAS-Cog uses an extended Emax with competitive interaction in
which the M1 effect-compartment concentration is divided by 5 to reflect
the in-vivo M1 potency one-fifth that of the parent (Lehr 2010 Methods,
ref 17). The ADAS-Cog observation equals the sum of drug, placebo, and
disease-progression contributions (change from each subject's baseline).
The placebo bi-exponential model (onset rate keq, offset rate kel_pla,
scaling beta_pla) is fully FIXED to literature values from a published
large-AD-cohort placebo model (Lehr 2010 ref 34); the linear
disease-progression slope is FIXED at 6 ADAS-Cog points/year (Lehr 2010
ref 26). Emax is negative (a clinically meaningful ADAS-Cog improvement
is a score reduction); the sign is applied inside model() while |Emax|
is the ini-scale magnitude carried with multiplicative IIV. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Matsumoto_2005_TF_505.html">TF
505 (Matsumoto 2005)</a> </td>
<td style="text-align:left;"> Two-compartment
first-order-absorption population PK model for the oral
5-alpha-reductase inhibitor TF-505 coupled to an indirect-response PD
model for plasma dihydrotestosterone (DHT, expressed as percent of
basal) in which the DHT synthesis rate kin is modulated by a 24-h
circadian cosine; fit to single- and multiple-dose data from healthy
adult male Japanese volunteers (Matsumoto 2005). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Rovei_1982_theophylline.html">Theophylline
(Rovei 1982)</a> </td>
<td style="text-align:left;"> One-compartment oral PK model for
theophylline tablets (Rovei 1982): first-order absorption with lag time
in healthy adult volunteers across single oral doses of 125-500 mg.
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Suda_2008_theophylline.html">Theophylline
(Suda 2008)</a> </td>
<td style="text-align:left;"> Steady-state population PK model
for oral theophylline in 52 Japanese premature neonates and infants with
apnea (Suda 2008). One-compartment first-order absorption structure;
oral clearance CL/F is the only structural parameter the paper estimates
(steady-state trough analysis Css = R / CL/F). Body-weight allometric
scaling and a binary indicator for the Apnecut formulation (vs the
in-house theophylline-alcohol comparator) on CL/F. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Yano_1993_theophylline.html">Theophylline
(Yano 1993)</a> </td>
<td style="text-align:left;"> One-compartment IV-infusion
population PK model for theophylline (Yano 1993 Paper II) in 55 adult
inpatients with stable chronic airway obstruction; clearance and volume
of distribution are log-linear functions of arterial PaCO2 and a binary
hepatic-dysfunction indicator. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/elDesoky_1997_theophylline_pediatric_asthma.html">Theophylline
pediatric asthma (elDesoky 1997)</a> </td>
<td style="text-align:left;"> One-compartment IV PK model for
theophylline in 15 Egyptian pediatric patients (age 2-12 yr, weight
12-30 kg) treated for an acute asthma attack (elDesoky 1997).
Aminophylline given as a 30-min loading infusion (6 mg/kg) followed by
12 hr of continuous maintenance infusion (1 mg/kg/hr); theophylline
concentrations measured at 0.75, 7, and 13.25 hr. Parameter values taken
from the Standard Calculations (SC) column of Table 2, which is
independent of the Bayesian-prior population data and is treated by the
authors as the reference (true) values. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Almquist_2016_ticagrelor.html">Ticagrelor
(Almquist 2016)</a> </td>
<td style="text-align:left;"> Preclinical (mouse, C57Bl/6
male). Mechanistic interaction PK model for ticagrelor, its active
metabolite (TAM, AR-C124910XX), and the ticagrelor-neutralising Fab
antibody fragment MEDI2452 in mouse (Almquist 2016). Three-compartment
disposition for ticagrelor and TAM (shared plasma V, tissue V1, V2; V1
in instantaneous equilibrium with V); MEDI2452 lives in plasma V only
and reversibly binds the free fractions of ticagrelor and TAM with rate
kon and dissociation constant Kd; both free MEDI2452 and the two
MEDI2452-drug complexes are eliminated together at the Fab clearance
Cl_f (no recycling). Naive-pooled fit (no IIV); multiplicative
log-normal residual error on five plasma assays. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/PerezRuixo_2006_tipifarnib.html">Tipifarnib
(PerezRuixo 2006)</a> </td>
<td style="text-align:left;"> Three-compartment population PK
model for oral and IV tipifarnib in healthy subjects and adult cancer
patients (Perez-Ruixo 2006). Sequential zero-order release into the
depot (duration D1) followed by first-order absorption (Ka) into the
central compartment, with absorption lag time, linear elimination, two
peripheral compartments, and bioavailability fixed at 26.7 percent.
Covariate effects retained in the final model are total bilirubin on CL
(power exponent -0.103 centred at 9 umol/L) and body weight on V2
(linear scaling, exponent fixed at 1, centred at 70 kg);
healthy-vs-cancer cohort multipliers apply to CL, V2, Q4, V4, and Ka; a
solution-vs-solid formulation indicator scales D1, Ka, and tlag. The
mixture-model lag-time subpopulation (71.7 percent subpop 1 vs 28.3
percent subpop 2) is collapsed to the typical subpop-1 lag time for
library simulation use; correlated IIVs with paper-reported correlation
1 (Q3-V3, CL-Q4, CL-V4) are encoded as derived etas via the published
variance-expansion factors. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Stein_2019_Tisagenlecleucel.html">Tisagenlecleucel
(Stein 2019)</a> </td>
<td style="text-align:left;"> Cellular kinetic model for
tisagenlecleucel CAR-T cells in pediatric and young adult patients with
relapsed or refractory B-cell acute lymphoblastic leukemia (Stein 2019).
Single-infusion expansion-then-biexponential-decline analytical model:
transgene levels grow exponentially at rate rho up to Tmax, after which
effector cells decline at rate alpha and a fraction FB transitions to
memory cells declining at rate beta. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Budha_2023_tislelizumab.html">Tislelizumab
(Budha 2023)</a> </td>
<td style="text-align:left;"> Three-compartment population PK
model for intravenous tislelizumab (anti-PD-1 IgG4) in patients with
advanced tumors (Budha 2023) </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/McLaughlin_2024_tld_1.html">Tld
1 (McLaughlin 2024)</a> </td>
<td style="text-align:left;"> Joint parent (entrapped) + free +
metabolite (doxorubicinol) population PK model for TLD-1, a novel
small-diameter pegylated liposomal doxorubicin, in 30 adults with
advanced solid tumours (McLaughlin 2024 phase I dose-escalation, SAKK
65/16 / NCT03387917). Structure: one-compartment liposomal-entrapped
reservoir (V1) with linear release into the free-doxorubicin central
compartment (release rate krel = CL1/V1); free doxorubicin disposition
is two- compartment (Vc, Vp, Q) with linear metabolism-to-doxorubicinol
clearance (CL); doxorubicinol is one-compartment with linear elimination
(Vc_doxol, CL_doxol). Body surface area (BSA, reference 1.75 m^2) is the
only retained covariate, entering as a power model on the
free-doxorubicin central (V2 exponent 4.47) and peripheral (V3 exponent
11.5) volumes. Inter-individual variability is fitted on CL1 (release),
V1 (shared-eta scale 0.643 of ome_CL1), CL2 (free->doxol) and CL4
(doxol elimination); inter-occasion variability on CL1, CL2, V1, V2 from
Table 2 is documented but not encoded structurally here (nlmixr2lib has
no canonical occasion-column convention; see Hempel 2003 / Hong 2006
precedents). Residual error is log-transformed-both-sides additive on
the log scale -- equivalent to proportional in nlmixr2's linear space
and encoded here as separate propSd per analyte. Distinct from Hempel
2003 (paediatric liposomal daunorubicin, total drug only) and
Varatharajan 2016 (free daunorubicin + daunorubicinol in adult AML, no
liposomal reservoir). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Hennig_2013_tobra.html">Tobra
(Hennig 2013)</a> </td>
<td style="text-align:left;"> Two-compartment intravenous
population PK model for tobramycin in adults and children with and
without cystic fibrosis (Hennig 2013); fat-free mass allometric scaling
on CL/Q (estimated exponent) and on V1/V2 (linear), sex-specific
reference CL and V1, piecewise-linear age effect on CL with breakpoint
at 18 years, and a power effect of the SCR_mean/SCR ratio on CL.
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Conil_2010_tobramycin.html">Tobramycin
(Conil 2010)</a> </td>
<td style="text-align:left;"> Two-compartment IV population PK
model for tobramycin in adult ICU patients receiving once-daily
aminoglycoside therapy for nosocomial Gram-negative infections (Conil
2010); additive linear covariate effects of Cockcroft-Gault creatinine
clearance and height on CL, with no IIV on Q or V2. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Hennig_2008_tobramycin.html">Tobramycin
(Hennig 2008)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model for once-daily IV tobramycin in paediatric cystic fibrosis
patients (Hennig 2008), with allometric weight scaling on CL, Q, Vc, and
Vper (reference 70 kg, exponent 3/4 for clearances and 1 for volumes),
full-block correlated between-subject variability on CL/Vc/Vper, a fixed
30 min infusion duration into the central compartment, and an estimated
lag time between infusion start and drug entry into the patient's vein.
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Livio_2014_tobramycin.html">Tobramycin
(Livio 2014)</a> </td>
<td style="text-align:left;"> One-compartment population PK
model with first-order absorption for systemic tobramycin released from
an implanted calcium-sulfate bone-graft substitute (Osteoset T) in
adults undergoing orthopedic surgery (Livio 2014); clearance equated to
Cockcroft-Gault creatinine clearance under the assumption that absorbed
tobramycin is exclusively eliminated by glomerular filtration, and
absolute bioavailability differing between the 10 g (262 mg tobramycin)
and 20 g (524 mg tobramycin) Osteoset T cast cohorts. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Ting_2014_tobramycin_inhaled.html">Tobramycin
inhaled (Ting 2014)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model for inhaled tobramycin powder (TIP / TOBI Podhaler) in cystic
fibrosis patients (Ting 2014), with first-order absorption from a depot
compartment and apparent (post-bioavailability) clearance and volumes.
Body mass index (BMI) and baseline FEV1 percent-predicted are power-form
covariates on apparent central volume of distribution (reference 18.8
kg/m^2 and 62.1 % respectively). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Marier_2002_tobramycin_rat_conventional.html">Tobramycin
rat conventional (Marier 2002)</a> </td>
<td style="text-align:left;"> Preclinical (rat).
Two-compartment population PK model for the conventional (non-liposomal)
formulation of tobramycin (Tobi inhalation solution, PathoGenesis) after
a single 1,200 ug intratracheal dose to male Sprague-Dawley rats with
chronic Burkholderia cepacia (strain BC 1368) pulmonary infection.
NONMEM ADVAN4 (depot, central, peripheral) parameterised in
rate-constant form: first-order absorption ka into a lung central
compartment carrying drug amount (not concentration -- volumes of
distribution were not fitted because the dependent variable was the
amount of tobramycin recovered from homogenised lung tissue, calculated
as the measured tissue concentration times the lung volume per animal),
inter-compartmental rate constants k12 and k21 between central and
peripheral, first- order elimination kel from central, and a fitted lung
bioavailability FL accounting for the fraction of the intratracheal dose
actually reaching the lung tissue compartment. Comparator arm for
Marier_2002_tobramycin_rat_liposomal; the conventional formulation shows
faster absorption, faster elimination, and ~8-fold lower lung AUC than
the liposomal formulation in the source paper (Table 1, Results).
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Marier_2002_tobramycin_rat_liposomal.html">Tobramycin
rat liposomal (Marier 2002)</a> </td>
<td style="text-align:left;"> Preclinical (rat).
Two-compartment population PK model for the liposomal formulation of
tobramycin (DPPC:DMPG 10:1 phospholipids, 230-400 nm extruded) after a
single 1,200 ug intratracheal dose to male Sprague-Dawley rats with
chronic Burkholderia cepacia (strain BC 1368) pulmonary infection.
NONMEM ADVAN4 (depot, central, peripheral) parameterised in rate-
constant form: first-order absorption ka into a lung central compartment
carrying drug amount (not concentration -- volumes of distribution were
not fitted because the dependent variable was the amount of tobramycin
recovered from homogenised lung tissue, calculated as the measured
tissue concentration times the lung volume per animal),
inter-compartmental rate constants k12 and k21 between central and
peripheral, first-order elimination kel from central, and a fitted lung
bioavailability FL accounting for the fraction of the intratracheal dose
actually reaching the lung tissue compartment. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Bastida_2018_tocilizumab.html">Tocilizumab
(Bastida 2018)</a> </td>
<td style="text-align:left;"> One-compartment population PK
model for intravenous tocilizumab in adults with rheumatoid arthritis
(Bastida 2018), with parallel first-order linear and Michaelis-Menten
elimination from the central compartment; total body weight and
time-varying C-reactive protein on linear CL. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Frey_2010_tocilizumab.html">Tocilizumab
(Frey 2010)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model for tocilizumab in adults with moderate-to-severe rheumatoid
arthritis (Frey 2010), with parallel first-order linear and
Michaelis-Menten elimination from the central compartment. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Frey_2013_tocilizumab.html">Tocilizumab
(Frey 2013)</a> </td>
<td style="text-align:left;"> Indirect-response PK/PD model of
tocilizumab on the 28-joint Disease Activity Score (DAS28) in adults
with rheumatoid arthritis (Levi/Grange/Frey 2013, OPTION + TOWARD phase
III pool, n = 1703 patients with 12,618 DAS28 observations). Tocilizumab
inhibits the DAS28 production rate kin via a sigmoid emax function whose
driving concentration is the sum of circulating tocilizumab and a
constant DMARD background term expressed in tocilizumab concentration
units. The PK driver is the two-compartment, parallel linear +
Michaelis-Menten model of Frey 2010 (PMID 20097931), reused unchanged
for the exposure-response analysis. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Jorga_2000_tolcapone.html">Tolcapone
fluctuators (Jorga 2000)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model with first-order absorption (no lag) for tolcapone in parkinsonian
patients with fluctuating levodopa response, with effects of lean body
weight and serum protein on clearance, lean body weight and dose group
on central volume, serum albumin and dose group on peripheral volume,
and concomitant food on bioavailability (Jorga 2000, fluctuator dataset,
n=215) </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Jorga_2000_tolcapone.html">Tolcapone
nonfluctuators (Jorga 2000)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model with first-order absorption and absorption lag for tolcapone in
parkinsonian patients with stable (non-fluctuating) levodopa response,
with effects of creatinine clearance on clearance, serum protein on
central volume, and concomitant food on bioavailability (Jorga 2000,
nonfluctuator dataset, n=60) </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Ahmed_2015_topiramate.html">Topiramate
(Ahmed 2015)</a> </td>
<td style="text-align:left;"> Population PK/PD model of
topiramate (TPM) and its acute effect on phonemic generative fluency
(Controlled Oral Word Association, COWA) in healthy adult volunteers
given single oral or intravenous doses of 50-100 mg (Ahmed 2015).
Two-compartment popPK with first-order absorption and elimination, oral
bioavailability ~108%, allometric body-weight scaling on CL/Q (fixed
3/4) and Vc/Vp (fixed 1); separate proportional residual errors for oral
and IV cohorts. PD: COWA = baseline * practice_factor * exp(-KE * Cc),
where the practice factor inflates baseline by 12% beginning with the
fourth (and subsequent) COWA test administration and KE = 0.157 L/mg
gives a 14.5% drop in COWA per 1 mg/L rise in plasma TPM. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Vuu_2016_topiramate_dog.html">Topiramate
dog (Vuu 2016)</a> </td>
<td style="text-align:left;"> Preclinical (dog). Population
two-compartment intravenous PK model for topiramate (TPM) in dogs with
naturally-occurring epilepsy (Vuu 2016). Stable-labelled TPM was given
as a 5-min IV infusion at 10 mg/kg (n = 4) or 20 mg/kg (n = 3); pooled
across the low- and high-dose data, a two- compartment model with
first-order elimination from the central compartment described the
disposition best. Concomitant phenobarbital (CONMED_PB) was identified
as an enzyme-inducer covariate on systemic clearance via an exponential
effect (Cl = tvCl * exp(dCl * CONMED_PB)), yielding a 5.64-fold higher
CL in PB-coadministered dogs. Per-kg structural parameters (Vc, Vp, CL,
Q) are scaled to absolute units by individual body weight (WT, kg)
inside the model; the dose in the event table is therefore absolute mg
(mg/kg dose times WT). IIV is exponential on Vc and CL; residual error
is proportional (~15%). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Leger_2004_topotecan.html">Topotecan
(Leger 2004)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model for oral and intravenous topotecan in adult cancer patients, with
first-order absorption + lag time for the oral route, additive linear
creatinine-clearance plus linear-ordinal WHO performance-status effects
on CL, and linear body-weight effect on the central volume of
distribution (Leger 2004) </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Roberts_2016_topotecan.html">Topotecan
(Roberts 2016)</a> </td>
<td style="text-align:left;"> One-compartment population
pharmacokinetic model for oral topotecan lactone in infants and very
young children with primary central nervous system tumours (Roberts
2016). First-order absorption into a depot compartment is followed by
first-order elimination from a central compartment. Apparent volume of
distribution (V/F) and apparent clearance (CL/F) are scaled by body
surface area as power functions centred on the cohort median (0.57 m^2);
the ABCG2 rs4148157 G>A variant (heterozygous AG or homozygous AA
carriers pooled vs the GG reference) carries an exponential covariate
effect on the absorption rate constant Ka, yielding an approximately
2-fold higher Ka in carriers than in GG homozygotes. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Jeong_2022_torsemide.html">Torsemide
(Jeong 2022)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model for oral torsemide in healthy Korean adult males (Jeong 2022),
with first-order absorption after a lag time, proportional residual
error, and categorical genotype covariates: OATP1B1 *15 haplotype
(intermediate / poor transporter) reduces apparent central volume, and
CYP2C9 extensive-metabolizer phenotype increases apparent oral clearance
and apparent inter-compartmental clearance. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Baverel_2015_tralokinumab.html">Tralokinumab
(Baverel 2015)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model for tralokinumab in adolescent (12-17 y) and adult subjects with
asthma or healthy volunteers (Baverel 2015), with parallel subcutaneous
absorption (first-order with lag plus zero-order over a fixed duration),
allometric body-weight scaling on disposition parameters, and an
additional 15% lower clearance in adolescents. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Soehoel_2022_tralokinumab.html">Tralokinumab
(Soehoel 2022)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model for tralokinumab (Soehoel 2022) in adults with moderate-to-severe
atopic dermatitis, with SC first-order absorption and allometric
body-weight effects. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Dunn_2025_tranexamicAcid.html">TranexamicAcid
(Dunn 2025)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model for tranexamic acid (TXA) with parallel first-order intramuscular
and first-order oral absorption (oral lag time) and first-order
elimination, in pregnant individuals receiving IV, IM, or oral TXA for
prevention or treatment of postpartum hemorrhage (Dunn 2025).
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Bruno_2005_trastuzumab.html">Trastuzumab
(Bruno 2005)</a> </td>
<td style="text-align:left;"> Two-compartment linear population
PK model for intravenous trastuzumab in adults with HER2-positive
metastatic breast cancer (MBC) or advanced solid tumors; covariate
effects of number of metastatic sites (>= 4) and baseline HER2 shed
extracellular domain (ECD) on clearance, and body weight and ECD on
central volume (Bruno 2005, first published trastuzumab popPK).
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/LeTilly_2021_trastuzumab.html">Trastuzumab
(LeTilly 2021)</a> </td>
<td style="text-align:left;"> Two-compartment serum/CSF
population PK model for trastuzumab after intrathecal and intravenous
administration in adults with HER2+ breast cancer leptomeningeal
metastases (Le Tilly 2021); zero-order serum-to-CSF transfer plus
first-order CSF-to-serum return, with a Friberg-style chain of latent
target (HER2) transit compartments and irreversible binding-driven
elimination of trastuzumab in the CSF compartment. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Quartino_2016_trastuzumab.html">Trastuzumab
(Quartino 2016)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model with parallel linear and Michaelis-Menten nonlinear elimination
from the central compartment and first-order subcutaneous absorption
(with bioavailability) for trastuzumab (Herceptin) administered IV or as
a fixed 600 mg manual-syringe SC dose in women with HER2-positive early
breast cancer; covariates body weight (on CL, Vc, Vp) and ALT (on CL)
(Quartino 2016, HannaH study) </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Quartino_2019_trastuzumab.html">Trastuzumab
(Quartino 2019)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model with parallel linear and Michaelis-Menten nonlinear elimination
from the central compartment for intravenous trastuzumab (Herceptin) in
patients with metastatic breast cancer, early breast cancer, advanced
gastric cancer, or other solid tumors (Quartino 2019) </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Reijers_2016_trastuzumab.html">Trastuzumab
(Reijers 2016)</a> </td>
<td style="text-align:left;"> Three-compartment population PK
model with parallel linear and Michaelis-Menten nonlinear elimination
from the central compartment for intravenous trastuzumab in healthy male
volunteers from a phase I biosimilarity trial of the FTMB biosimilar vs
Herceptin reference product (Reijers 2016, combined model on all dose
levels 0.49-6.44 mg/kg); covariates are lean body mass on central volume
of distribution V1 and BMI on the linear elimination rate constant ke.
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/deVriesSchultink_2018_cardiotoxicity.html">Trastuzumab
LVEF (deVriesSchultink 2018)</a> </td>
<td style="text-align:left;"> Effect-compartment PD model for
left-ventricular ejection fraction (LVEF) decline during adjuvant
trastuzumab treatment in HER2-positive early breast cancer (de Vries
Schultink 2018). Trastuzumab pharmacokinetics are an inlined
deterministic forcing function from the previously published Bruno 2005
two-compartment linear popPK (de Vries Schultink 2018 Methods: 'The
trastuzumab PK profiles were obtained using fixed effect parameters from
a previously published PK model for HER2-positive breast cancer patients
[18]'); typical population values plus WT / HER2_ECD / MET_GE4 covariate
effects are retained from Bruno 2005 Table 3. Cardiac damage is
generated by cumulative trastuzumab concentration via an effect
compartment Ceff that integrates plasma Ctrastuzumab and decays at rate
log(2)/T1/2rec; LVEF declines through a sigmoid Emax expression LVEF =
LVEF0 * (1 - Ceff / (Ceff + EC50)), and the EC50 is modulated by the
per-subject peak post-anthracycline troponin T (TROPONIN_T_MAX), with a
higher TROPONIN_T_MAX lowering EC50 and increasing sensitivity to
trastuzumab-induced cardiotoxic decline. Companion file
`deVriesSchultink_2018_anthracycline_troponinT.R` supplies the upstream
K-PD anthracycline-troponin T model whose peak output is used here as a
covariate. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/FehlingKaschek_2019_trastuzumab_skbr3.html">Trastuzumab
skbr3 (FehlingKaschek 2019)</a> </td>
<td style="text-align:left;"> In vitro (SKBR3 cell line).
Mechanistic ODE model of trastuzumab-induced HER2 receptor
internalization with two cell-membrane phenotypes (ruffled vs flat);
Model B of Fehling-Kaschek 2019, no recycling or degradation.
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Yin_2021_trastuzumabDeruxtecan.html">TrastuzumabDeruxtecan
(Yin 2021)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model for intact trastuzumab deruxtecan (T-DXd, DS-8201, anti-HER2
antibody-drug conjugate) with linear elimination and covariate effects
of body weight, albumin, baseline tumor size, sex, and Japan-country
indicator in patients with HER2-positive breast cancer or other
HER2-expressing solid tumors (Yin 2021) </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Lu_2014_trastuzumabemtansine.html">Trastuzumabemtansine
(Lu 2014)</a> </td>
<td style="text-align:left;"> Linear two-compartment population
PK model of trastuzumab emtansine (T-DM1, anti-HER2 antibody-drug
conjugate) with first-order elimination from the central compartment in
patients with HER2-positive locally advanced or metastatic breast cancer
(Lu 2014) </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Bender_2014_trastuzumabEmtansine_mechanistic.html">TrastuzumabEmtansine
mechanistic (Bender 2014)</a> </td>
<td style="text-align:left;"> Mechanistic DAR0-DAR7 catenary
deconjugation PK model for trastuzumab emtansine (T-DM1) in cynomolgus
monkeys (default) and rats (Bender 2014): each DAR moiety distributes
into a shared three-compartment backbone and deconjugates sequentially
toward naked trastuzumab (DAR0); uses five shared upper-chain rate
constants (k7->3) plus separate k_2->1 and k_1->0. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Bender_2014_trastuzumabEmtansine_reduced.html">TrastuzumabEmtansine
reduced (Bender 2014)</a> </td>
<td style="text-align:left;"> Reduced three-compartment
population PK model for trastuzumab emtansine (T-DM1) and naked
trastuzumab (DAR0) in cynomolgus monkeys (default) and rats (Bender
2014): single lumped T-DM1 conjugate species deconjugates into DAR0 via
a single deconjugation clearance; both species share V1/V2/V3 and
distributional clearances. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Hwang_2022_tremelimumab.html">Tremelimumab
(Hwang 2022)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model for tremelimumab (anti-CTLA-4 IgG2 kappa) with regimen-dependent
sigmoidal time-varying clearance in adults with advanced solid tumours,
dosed as monotherapy or in combination with durvalumab (Hwang 2022)
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Danielak_2017_treosulfan.html">Treosulfan
(Danielak 2017)</a> </td>
<td style="text-align:left;"> Two-compartment IV-infusion
population PK model for treosulfan (TREO) in pediatric patients
undergoing conditioning prior to hematopoietic stem cell transplantation
(Danielak 2017). Allometric body-weight scaling normalised to a 70 kg
adult typical value with exponents fixed at 0.75 on CL and 1 on V1 and
V2; Q has no weight covariate. Correlated IIV on CL and V1 (Cl-V1
correlation 0.714); independent IIV on Q. Proportional residual error.
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Park_2014_triflusal.html">Triflusal
(Park 2014)</a> </td>
<td style="text-align:left;"> One-compartment population PK
with first-order metabolite-formation kinetics for the active triflusal
metabolite hydroxy-4-(trifluoromethyl) benzoic acid (HTB) in healthy
Korean male volunteers, with a binary probability PD model for
inhibition of platelet aggregation (IPA). Triflusal is an antiplatelet
prodrug; only HTB is measured analytically. NONMEM ADVAN2 TRANS2 is used
by the source paper -- the canonical depot compartment carries triflusal
and the canonical first-order rate constant (here `lka`) plays the role
of the paper's HTB formation rate constant kf (0.341 1/h). Apparent oral
clearance CL/F (0.200 L/h at 71.65 kg) and apparent oral volume V/F
(8.300 L at 71.65 kg) describe HTB disposition; F absorbs the unknown
fraction of triflusal converted to HTB. Body weight is the only retained
covariate and enters as a power on CL/F (exponent 0.845) and direct
proportionality on V/F (exponent fixed to 1). PD endpoint is binary IPA
= 1 when platelet aggregation < 74% else 0; the instantaneous
probability of IPA is a sigmoid Hill function of HTB concentration,
prob_ipa = Cc^gamma / (EC50^gamma + Cc^gamma), with EC50 = 84.9 ug/mL
and gamma = 19.2 (BSV on gamma fixed to 0). The Hill exponent is very
steep (quantal-like concentration-response). Parameter values from Park
2014 Table 2 Estimates column. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Tornoe_2006_HPG_axis.html">Triptorelin
(Tornoe 2006)</a> </td>
<td style="text-align:left;"> Population PK/PD model of the
hypothalamic-pituitary-gonadal (HPG) axis after a single 3.75 mg
subcutaneous (s.c.) depot injection of the GnRH agonist triptorelin in
healthy adult males. PK is a two-compartment disposition model with a
combined zero-order burst (fraction Fr of dose released over duration t
into central) and a two-step first-order s.c. absorption (lymphatic
delay) for the remaining (1 - Fr) fraction. PD is a four-state HPG-axis
feedback model (feedback compartment F, LH pool P, LH, testosterone Te)
with sigmoidal Emax stimulation of LH pool release by triptorelin and a
negative interaction (F^-1) from the feedback compartment on LH
synthesis and release; testosterone secretion is stimulated by LH via a
sigmoidal Emax model. ke_LH, ke_F, lambda, LH_base, and Te_base are the
triptorelin-study-specific values from Table 4. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Grimm_2023.html">Trontinemab
(Grimm 2023)</a> </td>
<td style="text-align:left;"> Trontinemab PK model in non-human
primates (Grimm 2023): two-compartment plasma PK with Michaelis-Menten
elimination and brain-region effect-compartment distribution
(brain_cerebellum, brain_hippocampus, brain_striatum, brain_cortex,
choroid plexus, CSF). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Pouzin_2022_tusamitamab.html">Tusamitamab
(Pouzin 2022)</a> </td>
<td style="text-align:left;"> Integrated multi-analyte
semi-mechanistic population PK model of tusamitamab ravtansine
(SAR408701, anti-CEACAM5 IgG1-SPDB-DM4 ADC) in adults with advanced
solid tumors (Pouzin 2022): explicit two-compartment disposition for
DAR1-DAR8 ADC species and a separate naked-antibody (NAB) chain sharing
Vc/Vp/Q, irreversible first-order DAR_n -> DAR_(n-1) deconjugation
feeding a one-compartment DM4 catabolite that converts to MeDM4.
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Zuo_2016_UDCA.html">UDCA
(Zuo 2016)</a> </td>
<td style="text-align:left;"> Systems model. Enterohepatic
recirculation of ursodeoxycholic acid (UDCA) and its glycine (GUDCA) and
taurine (TUDCA) conjugates in healthy adults, with adaptation to primary
biliary cirrhosis (PBC). 19 ODEs across stomach, intestine, portal vein,
blood, liver, biliary system, and feces compartments per analyte; oral
square-wave absorption (0.5 h) and meal/snack-modulated
biliary-to-intestinal flux. No IIV or residual error - typical-value
mechanistic simulation only. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Kim_2016_udenafil.html">Udenafil
(Kim 2016)</a> </td>
<td style="text-align:left;"> Parent-metabolite population PK
model for oral udenafil and its active metabolite DA-8164 in healthy
subjects and patients with mild (Child-Pugh A) and moderate (Child-Pugh
B) hepatic impairment (Kim 2016). Two-compartment udenafil with
first-order absorption and an absorption lag time, two parallel
parent-side clearances (CLp/F = non-metabolic apparent clearance, CLpm/F
= apparent formation clearance to DA-8164) feeding a two-compartment
metabolite. Central and peripheral apparent volumes are assumed equal
for parent and metabolite (the fraction metabolised f_m and the
metabolite volume of distribution are not separately identifiable from
this dataset). Mass-balance is preserved by multiplying the formation
flux into the metabolite central compartment by the molecular-weight
ratio Rpm = MW(DA-8164) / MW(udenafil) = 405.4 / 516.66. Prothrombin
time expressed as INR (PT) acts on CLpm/F via a power covariate
normalised to the cohort median 1.13: CLpm/F = theta1 *
(PT/1.13)^theta10 with theta10 = -1.65 (decrease in CLpm/F with
increasing PT). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/AlSallami_2016_unfractionatedHeparin.html">UnfractionatedHeparin
(AlSallami 2016)</a> </td>
<td style="text-align:left;"> One-compartment population PK +
linear pharmacodynamic model for unfractionated heparin (UFH) in
paediatric patients receiving a single high intravenous bolus dose
during cardiac angiography (Al-Sallami 2016). Fat-free mass (FFM) scales
heparin clearance linearly and total body weight (WT) scales the central
volume of distribution linearly. The PD layer is a linear
concentration-effect model relating activated partial thromboplastin
time (aPTT) to plasma heparin concentration (E0 + slope x Cc). The IV
bolus was modelled in the source paper as a 0.1 h zero-order input
(theta_D1 = 0.1 h, fixed); reproduce this in simulation by dosing the
central compartment with rate = -2 to engage the model-defined duration.
PD parameters were estimated sequentially via PPP&D with the PK
parameters fixed at the values reported in Table 2. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Jia_2015_unfractionatedHeparin.html">UnfractionatedHeparin
(Jia 2015)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model with first-order elimination for unfractionated heparin (UFH)
administered as multiple intravenous bolus injections during
cardiopulmonary bypass (CPB) in adult Chinese cardiac surgery patients
(Jia 2015). Plasma UFH exposure was inferred from anti-FIIa chromogenic
activity. No covariates were retained in the final model (age, body
weight, and sex were tested via forward inclusion / backward elimination
and none met the p < 0.001 retention threshold). Concentrations are
reported in IU/mL of anti-FIIa activity; doses are in IU (1 mg UFH = 125
IU). The published model also describes instantaneous neutralization of
central-compartment UFH at protamine sulfate dosing (see vignette for
the simulation pattern); the structural ODEs here are the standard
two-compartment IV bolus form. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Klunder_2017_upadacitinib.html">Upadacitinib
(Klunder 2017)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model with first-order absorption and an absorption lag time for oral
upadacitinib (ABT-494), a selective JAK1 inhibitor, in healthy adults
and adults with rheumatoid arthritis (Klunder 2017, pooled phase I +
phase IIb analysis). Statistically significant covariates retained in
the final model: population (RA vs healthy) on CL/F, sex on CL/F and
Vc/F, baseline creatinine clearance on CL/F (raw Cockcroft-Gault, not
BSA-normalized), and total body weight on Vc/F. ISV is reported
separately for healthy subjects and RA patients on CL/F and Vc/F, and is
encoded here as paired healthy / RA structural means with
cohort-specific log-normal random effects gated by DIS_HEALTHY.
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Aguiar_2021_ustekinumab.html">Ustekinumab
(Aguiar 2021)</a> </td>
<td style="text-align:left;"> Population
pharmacokinetic-pharmacodynamic model for ustekinumab in adults with
Crohn's disease (Aguiar 2021): two-compartment quasi-equilibrium TMDD
model for ustekinumab and the unbound IL-12/IL-23 p40 target, linked to
fecal calprotectin via an indirect-response model with target-driven
stimulation of FC production. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Vezina_2010_valganciclovir.html">Valganciclovir
(Vezina 2010)</a> </td>
<td style="text-align:left;"> One-compartment population PK
model for ganciclovir following oral valganciclovir prophylaxis in
pediatric solid organ transplant recipients at risk for Epstein-Barr
virus disease (Vezina 2010). First-order absorption with no covariates
retained in the final model; doses are mg of valganciclovir uncorrected
for molecular weight, and the apparent CL/F and V/F absorb both oral
bioavailability and the molar conversion from valganciclovir to
ganciclovir. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Vezina_2014_valganciclovir.html">Valganciclovir
(Vezina 2014)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model for ganciclovir after oral valganciclovir prophylaxis in
paediatric and adult solid organ transplant recipients (Vezina 2014).
First-order absorption with fixed lag time and rate, allometric (WT/70
kg) scaling on apparent CL/F and Q/F (exponent 0.75) and on V2/F and
V3/F (exponent 1.0), and a power-form effect of body-weight-adjusted
creatinine clearance on CL/F (reference 60 mL/min). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Williams_2012_valproic_acid_pediatric.html">Valproic
acid pediatric (Williams 2012)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model for valproic acid in pediatric patients with epilepsy (Williams
2012). Allometric weight scaling on CL/Q (fixed 0.75) and Vc/Vp (fixed
1.0); estimated age power (-0.267) on Vc; reference weight 70 kg,
reference age 8.5 years. Default first-order oral absorption is for
divalproex sodium enteric-coated sprinkle (Ka 1.2 1/h, ALAG 1 h, FIXED);
other formulations (syrup K0=410 mg/h, capsule Ka=2 1/h, tablet Ka=4.1
1/h with ALAG=2 h) require overriding lka/ltlag at simulation time.
Direct IV dosing into the central compartment is supported. Residual
error defaults to the TDM-subset proportional SD (CV 34.8%); paper also
reports a TRIAL-subset SD (CV 4.6%) for the IV-infusion subset.
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Kim_2015_valsartan.html">Valsartan
(Kim 2015)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model for valsartan with zero-order absorption in healthy adult Korean
male volunteers (Kim 2015) </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Alqahtani_2018_vancomycin.html">Vancomycin
(Alqahtani 2018)</a> </td>
<td style="text-align:left;"> Two-compartment IV population PK
model for vancomycin used as prophylactic antibiotic in 28 adult
patients undergoing open heart surgery with cardiopulmonary bypass
(Alqahtani 2018). Clearance scales by power exponent with
Cockcroft-Gault creatinine clearance (raw mL/min, reference 83.5) and
serum albumin (g/L, reference 35.5); central volume scales by power
exponent with body weight (kg, reference 79.6). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Buelga_2005_vancomycin.html">Vancomycin
(Buelga 2005)</a> </td>
<td style="text-align:left;"> One-compartment IV
intermittent-infusion population PK model for vancomycin in adult
patients with hematological malignancies (Buelga 2005). CL is a purely
multiplicative function of Cockcroft-Gault creatinine clearance (CL
[L/h] = 1.08 x CLCR [L/h]) and V is a purely multiplicative function of
total body weight (V [L] = 0.98 x TBW [kg]). Exponential
inter-individual variability on CL and V with an estimated CL-V
correlation; additive residual error in mg/L. The AML-1 and AML-2
subpopulation-specific models from the same paper are not packaged here;
only the general final model (Table 4) is implemented. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Chung_2013_vancomycin.html">Vancomycin
(Chung 2013)</a> </td>
<td style="text-align:left;"> One-compartment IV-infusion
population PK model for vancomycin in Korean adults with normal serum
creatinine (Chung 2013). CL and V are described by centered-linear
additive deviations on age, total body weight, serum creatinine (CL
only), and sex, plus a power-law effect of serum cystatin C on CL
(reference 0.91 mg/L, exponent -0.78); cystatin C is the dominant CL
covariate, accounting for ~62% of the inter-individual variability in CL
even within the SCr <= 1.2 mg/dL inclusion window. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Goti_2018_vancomycin.html">Vancomycin
(Goti 2018)</a> </td>
<td style="text-align:left;"> Two-compartment IV population PK
model for vancomycin in hospitalized adults with and without
intermittent hemodialysis (Goti 2018). Volumes scaled allometrically to
body weight (reference 70 kg, fixed linear exponent), CL scaled by
Cockcroft-Gault creatinine clearance with a power exponent (reference
120 mL/min), and intermittent hemodialysis acts as a multiplicative
factor on CL (0.7) and central volume (0.5). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Grimsley_1999_vancomycin.html">Vancomycin
(Grimsley 1999)</a> </td>
<td style="text-align:left;"> One-compartment IV-infusion
population PK model for vancomycin in neonates and young infants
(Grimsley 1999). Developed from routine therapeutic-drug-monitoring data
in 59 neonates (347 concentrations). Clearance scales linearly with body
weight and inversely with serum creatinine concentration (CL = 3.56 * WT
/ CREAT, L/h, WT in kg, CREAT in umol/L); central volume scales linearly
with body weight (V = 0.669 * WT, L/kg). The covariate-coupled CL form
(no separately estimated exponents) is reported by the paper as the
entire structural model. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Ji_2017_vancomycin.html">Vancomycin
(Ji 2017)</a> </td>
<td style="text-align:left;"> One-compartment IV
(intermittent-infusion) population PK model for vancomycin in Chinese
adult patients (Ji 2017). Clearance is scaled by raw Cockcroft-Gault
creatinine clearance (centered linear term, reference 80 mL/min) and by
age (power of (75/age), reference 75 years); the volume of distribution
is a single typical value. Developed from steady-state trough
therapeutic-drug-monitoring data. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Li_2018_vancomycin.html">Vancomycin
(Li 2018)</a> </td>
<td style="text-align:left;"> One-compartment IV-infusion
population PK model for vancomycin in critically ill Chinese ICU
neonates (Li 2018). CL scales allometrically with body weight (reference
2.9 kg, exponent 1.55) and as an inverse power of serum creatinine
(reference 23.3 umol/L, exponent 0.337 on the SCr_ref/SCr ratio). V
scales allometrically with body weight (reference 2.9 kg, exponent
1.05). IIV is on CL only; residual error is proportional. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/MarquesMinana_2010_vancomycin.html">Vancomycin
(MarquesMinana 2010)</a> </td>
<td style="text-align:left;"> One-compartment IV-infusion
population PK model for vancomycin in neonates (Marques-Minana 2010).
Developed from 70 NICU neonates (postmenstrual age 25.1-48.1 weeks;
weight 0.7-3.7 kg). Weight-normalized clearance is linear in
postmenstrual age and increased by concomitant amoxicillin-clavulanic
acid; weight-normalized volume of distribution is decreased by
concomitant spironolactone. Additive interindividual variability on CL
and V per the paper's Step 4 error-model selection; additive residual
error. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Moore_2016_vancomycin.html">Vancomycin
(Moore 2016)</a> </td>
<td style="text-align:left;"> Two-compartment IV population PK
model for vancomycin in adult patients on extracorporeal membrane
oxygenation (ECMO) therapy (Moore 2016). Linear (additive) covariate
effects on CL (Cockcroft-Gault creatinine clearance), Vc, and Vp (body
weight), each centered on the cohort median (CRCL 84 mL/min; WT 95 kg).
Proportional residual error; IIV on CL and Vc only (Q and Vp had no
IIV). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Nielsen_2011_antibacterial_efficacy.html">Vancomycin
(Nielsen 2011)</a> </td>
<td style="text-align:left;"> In vitro (Streptococcus pyogenes
M12 NCTC P1800). Semimechanistic PKPD model of vancomycin time-kill
kinetics; two-stage bacterial life-cycle (proliferating drug-sensitive S
and non-growing drug-insensitive R) with sigmoidal Emax killing of S via
an effect compartment; first-order drug elimination (ke set per in vitro
kinetic-system flow rate); drug-specific degradation kdeg fixed at zero.
Parameter values are from the combined static and dynamic estimation in
Table 3. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Revilla_2010_vancomycin.html">Vancomycin
(Revilla 2010)</a> </td>
<td style="text-align:left;"> One-compartment IV population PK
model for vancomycin in critically ill adult medical ICU patients
(Revilla 2010). Clearance is the sum of a renal arm proportional to
weight-normalised creatinine clearance and a non-renal arm scaling as
AGE^-0.24; central volume of distribution is per kg with a >2-fold
increase when serum creatinine exceeds 1 mg/dL. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Roberts_2011_vancomycin.html">Vancomycin
(Roberts 2011)</a> </td>
<td style="text-align:left;"> One-compartment IV population PK
model for vancomycin administered by continuous infusion in adult septic
critically ill ICU patients (Roberts 2011). Volume of distribution
scales linearly with total body weight (1.53 L/kg); clearance scales
linearly with BSA-normalized 24-hour urinary creatinine clearance
referenced to 100 mL/min/1.73 m^2 (4.58 L/h at the reference).
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Staatz_2005_gentamicin_vancomycin.html">Vancomycin
(Staatz 2005)</a> </td>
<td style="text-align:left;"> One-compartment IV population PK
model for vancomycin in adult cardiothoracic-surgery patients with
unstable renal function (Staatz 2005). Clearance scales linearly with
raw Cockcroft-Gault creatinine clearance centred at the population
median (57 mL/min); volume of distribution scales linearly with body
weight (typical-value reported per kg). Vancomycin did not benefit from
the Wahlby 2004 baseline-CrCl + change-from-baseline (BCOV+DCOV)
decomposition in the paper -- the simpler covariate form was retained as
the final vancomycin model -- so this implementation reproduces the
paper's published vancomycin final model exactly. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Zhao_2014_vancomycin.html">Vancomycin
(Zhao 2014)</a> </td>
<td style="text-align:left;"> One-compartment IV-infusion
population PK model for vancomycin in 70 children with malignant
hematological disease (Zhao 2014). Clearance scales with body weight by
power exponent (reference 20.2 kg, exponent 0.677) and with
Schwartz-formula creatinine clearance by power exponent (reference 191
mL/min/1.73 m^2, exponent 1.03); central volume scales with body weight
by power exponent (reference 20.2 kg, exponent 0.838). Vancomycin
clearance was substantially higher than in pediatric populations without
cancer; the published patient-tailored daily dose is target AUC * CL_i.
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Ravva_2009_varenicline.html">Varenicline
(Ravva 2009)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model with first-order absorption and lag-time for varenicline in adult
smokers (Ravva 2009): apparent clearance scales with creatinine
clearance and race; central volume scales with body weight, age, and
race; peripheral disposition uses fixed allometric exponents on weight.
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Wang_2014_vatalanib.html">Vatalanib
(Wang 2014)</a> </td>
<td style="text-align:left;"> One-compartment population PK
model for oral vatalanib in adults with myelodysplastic syndrome (CALGB
10105); apparent oral clearance carries a first-order auto-induction
term that rises from a pre-induction value toward a steady-state
post-induction value over the first 7 days of therapy, lagged
first-order absorption, log-normal residual error on the
natural-log-transformed concentration; no covariates retained in the
final model (Wang 2014). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Rosario_2015_vedolizumab.html">Vedolizumab
(Rosario 2015)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model for vedolizumab (humanised anti-alpha4-beta7 integrin IgG1
monoclonal antibody) with parallel linear and Michaelis-Menten
elimination in adults with moderately-to-severely active ulcerative
colitis or Crohn's disease and healthy volunteers (Rosario 2015).
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Syvanen_2011_verapamil_rat.html">Verapamil
rat (Syvanen 2011)</a> </td>
<td style="text-align:left;"> Preclinical (rat, male
Sprague-Dawley). Population mixed-effects popPK model for
(R)-[11C]verapamil in plasma and whole-brain PET tissue, fit by Syvanen
et al. (2011, BMC Med Imaging) as part of a PET study comparing
P-glycoprotein (P-gp) functionality at the blood-brain barrier between
kainate-induced post-status-epilepticus rats (n = 22) and saline-treated
controls (n = 20), with paired tariquidar (15 mg/kg IV) vs vehicle
co-administration arms. The structural model is a three-compartment
plasma disposition (central + 2 peripherals) coupled to a
two-compartment brain model (brain_csf = fast-exchange brain compartment
connected to plasma via Qin in / Qout out; brain_deep = deep-brain
compartment exchanging with brain_csf via Qbr). Plasma curves are
complete-metabolite- corrected before fitting, so the model describes
intact (R)-[11C]verapamil kinetics only. Body weight is the only
continuous covariate (allometric on plasma CL, reference weight 0.3084
kg). Tariquidar co-administration multiplies Vp1 by 1.20, Vbr1 by 2.41,
and Qin by 12.0; the kainate-induced post-SE state multiplies Vbr1 by
1.32 (no significant effect on Qin or Qout); both categorical effects
use the paper's theta^COV multiplicative form (Equation 5). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Landersdorfer_2012_vildagliptin.html">Vildagliptin
(Landersdorfer 2012)</a> </td>
<td style="text-align:left;"> Mechanism-based population PK
plus DPP-4 activity model for vildagliptin in patients with type 2
diabetes. Target-mediated drug disposition with capacity-limited
slow-tight binding of vildagliptin to DPP-4 in plasma and tissue and
partial hydrolysis of vildagliptin by DPP-4. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Schmitt_2018_vinflunine.html">Vinflunine
(Schmitt 2018)</a> </td>
<td style="text-align:left;"> Combined population PK / PD model
for IV vinflunine in adult cancer patients (Schmitt 2018, 18 phase I/II
trials, n=372). Four-compartment IV-infusion popPK with creatinine
clearance, body surface area, body weight, and PEGylated liposomal
doxorubicin co-administration covariates, plus a five-compartment
Friberg-style semi-mechanistic myelosuppression PD model for absolute
neutrophil count (proliferation + 3 transit + circulation; linear drug
effect 1 - slope*Cc on proliferation; (circ0/circ)^gamma feedback).
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Cao_2013_visilizumab.html">Visilizumab
(Cao 2013)</a> </td>
<td style="text-align:left;"> Second-generation minimal
physiologically-based PK (mPBPK) model for visilizumab in adults (Cao
2013 Model A; clearance from plasma) </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Lu_2015_vismodegib.html">Vismodegib
(Lu 2015)</a> </td>
<td style="text-align:left;"> Semi-mechanism-based
one-compartment population pharmacokinetic model for vismodegib
(GDC-0449, oral Hedgehog pathway inhibitor) in adults with advanced
solid tumors and healthy volunteers. First-order absorption, first-order
elimination of unbound drug, and saturable fast-equilibrium binding to
alpha-1-acid glycoprotein (AAG) jointly describe total and unbound
plasma vismodegib concentrations. AAG is supplied as a time-varying
covariate (uM); covariates retained on disposition are age (power on
CLunbound, reference 60 years) and body weight (power on Vc, reference
75 kg); formulation (Phase I dry-blend capsule vs Phase II
wet-granulation commercial capsule) and population (healthy volunteer vs
patient) shift Ka and relative bioavailability F (Lu 2015). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Akbar_2025_voriconazole.html">Voriconazole
(Akbar 2025)</a> </td>
<td style="text-align:left;"> One-compartment population
pharmacokinetic model with first-order elimination for intravenous
voriconazole in adult and pediatric Pakistani cancer patients receiving
therapeutic drug monitoring (Akbar 2025); creatinine clearance and
primary cancer diagnosis are covariates on clearance </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Chen_2015_voriconazole.html">Voriconazole
(Chen 2015)</a> </td>
<td style="text-align:left;"> One-compartment population
pharmacokinetic model with first-order elimination for intravenous
voriconazole in Chinese adult critically ill patients with pulmonary
disease (Chen 2015); direct bilirubin enters as a power-form covariate
on clearance. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Friberg_2012_voriconazole.html">Voriconazole
(Friberg 2012)</a> </td>
<td style="text-align:left;"> Integrated population
pharmacokinetic model for voriconazole in children, adolescents, and
adults (Friberg 2012). Two-compartment with first-order oral absorption
and mixed linear plus nonlinear (Michaelis-Menten with time-dependent
Vmax) elimination; allometric scaling on all clearance terms (exponent
0.75) and on volumes (exponent 1.0) with 70 kg reference;
population-specific Vmax,inh, Q, ka, and Alag for children, adolescents,
and adults; CYP2C19 heterozygous extensive or poor metabolizer adults
have fully blocked nonlinear clearance (Vmax,inh = 100%). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Han_2010_voriconazole.html">Voriconazole
(Han 2010)</a> </td>
<td style="text-align:left;"> Two-compartment population
pharmacokinetic model with first-order absorption and first-order
elimination for intravenous and oral voriconazole in adult lung
transplant recipients during the early postoperative period (Han 2010).
Bioavailability is estimated for the oral route. The base structural
model is reported as the primary result; three separate single-covariate
sub-models -- cystic fibrosis (CF) and postoperative time (POT) on
bioavailability, and body weight (WT) on peripheral volume -- are
reported in the paper but were not combined into a final model; the
base-model typical-value parameter estimates are encoded here, and the
three covariate sub-models are reproduced in the validation vignette.
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Karlsson_2009_voriconazole.html">Voriconazole
(Karlsson 2009)</a> </td>
<td style="text-align:left;"> Two-compartment population
pharmacokinetic model with Michaelis-Menten elimination for voriconazole
in pediatric patients aged 2 to <12 years (Karlsson 2009), pooled
from three open-label intravenous and oral studies; first-order oral
absorption with bioavailability, no lag time; all disposition parameters
proportional to body weight; CYP2C19 metabolizer status (heterozygous
extensive metabolizers pooled with poor metabolizers) and alanine
aminotransferase as covariates on clearance; residual error stratified
by CYP2C19 metabolizer group </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Lin_2018_voriconazole.html">Voriconazole
(Lin 2018)</a> </td>
<td style="text-align:left;"> One-compartment population
pharmacokinetic model with first-order absorption for intravenous and
oral voriconazole in Chinese adult renal transplant recipients receiving
therapeutic drug monitoring (Lin 2018); CYP2C19 phenotype enters as a
covariate on clearance, postoperative time as a covariate on oral
bioavailability, and body weight as a power-form covariate on volume of
distribution. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Muto_2015_voriconazole.html">Voriconazole
(Muto 2015)</a> </td>
<td style="text-align:left;"> Two-compartment population
pharmacokinetic model with first-order absorption (lag time, oral
bioavailability) and parallel linear plus time-dependent
Michaelis-Menten elimination for voriconazole in 21 immunocompromised
Japanese pediatric subjects (Muto 2015). Vmax declines with time after
the first dose toward Vmax * (1 - Vmax_inh) with half-time T50; the
maximum inhibition fraction Vmax_inh is fixed to 1 (full inhibition) for
CYP2C19 heterozygous-extensive-metabolizer or poor-metabolizer subjects
and modeled on the logit scale otherwise. Allometric scaling on all
clearances (exponent 0.75) and all volumes (exponent 1) to a 70 kg
reference; oral bioavailability F1 is modeled on the logit scale with a
Manly-transformed log-normal random effect. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Wahlby_2004_time_varying_covariates.html">Voriconazole
(Wahlby 2004)</a> </td>
<td style="text-align:left;"> Pediatric (2-11 years)
two-compartment population PK model for intravenous voriconazole in 35
children, demonstrating Wahlby 2004's extended covariate-model
formulation. All disposition parameters scale linearly with body weight.
Final-model clearance depends on the time-varying log-ratio
(log(ALP/ALP_BASE), 'log(DALKP)' in the source) and on log(ALT) with
individual variability in both covariate-effect coefficients (Wahlby
2004 Eq 3 demonstrated). A binary CYP2C19 non-extensive-metabolizer
indicator (PM + heterozygous-EM versus homozygous-EM) multiplicatively
modifies CL. Underlying structural PK comes from Walsh TJ et al.
(Antimicrob Agents Chemother 2004;48(6):2166-2172) and the Karlsson 1995
(J Pharmacokin Biopharm 1998;26(2):207-246) sigma-IIV residual-error
pattern is approximated in this entry. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Naik_2016_vortioxetine.html">Vortioxetine
(Naik 2016)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model for vortioxetine in adult patients with major depressive disorder
or generalized anxiety disorder, with first-order oral absorption,
region-specific oral clearance, and linear creatinine-clearance and
height effects on CL/F (Naik 2016) </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Huang_2017_vrc01.html">Vrc01
(Huang 2017)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model for VRC01 (HIV-1 broadly neutralizing IgG1 monoclonal antibody) in
healthy adults after IV or SC administration (Huang 2017) </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Huynh_2026_VRC07523LS.html">VRC07523LS
(Huynh 2026)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model with zero-order subcutaneous absorption, allometric weight
scaling, and binary effects of age (adult vs infant) and repeat dosing
for the broadly neutralizing HIV-1 monoclonal antibody VRC07-523LS in
healthy adults and HIV-exposed infants (Huynh 2026). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Savic_2010_warfarin.html">Warfarin
(Savic 2010)</a> </td>
<td style="text-align:left;"> Population PKPD model for orally
dosed warfarin in adult subjects, presented as the worked illustration
of MONOLIX 3.1's SAEM algorithm for ordered-categorical PD data. PK:
one-compartment with first-order absorption and a lag time. PD link:
effect compartment driven by central amount via rate constant ke0. PD
endpoint: a three-category recoding of percent prothrombin complex
activity (PCA) with cutoffs 50% and 33% (Y=0 if PCA > 50%, Y=1 if 33%
<= PCA <= 50%, Y=2 if PCA < 33%), described by a proportional-
odds (cumulative-logit) model with random intercept driven by
effect-site warfarin concentration. The PD categorisation is
acknowledged by the authors (Page 6) as 'done for illustration purpose
only ... not recommended in the real analysis'; this extraction is the
registry's founding example of an ordered- categorical PD likelihood and
the authors' caveat applies. All parameter values are from the MONOLIX
output in Fig. 4. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Xia_2024_warfarin.html">Warfarin
(Xia 2024)</a> </td>
<td style="text-align:left;"> K-PD warfarin PK/PD model for
adult Han Chinese (Alfalfa-Warfarin-PPK/PD; Xia 2024). PK parameters
fixed from the Hamberg model; PD EC50 re-estimated, with VKORC1 -1639
G/A and CYP2C9 *1/*2/*3 allele-specific contributions, body-weight power
scaling, and amiodarone effect on EC50. Two parallel coagulation-factor
transit chains drive INR. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Hamberg_2007_warfarin_pkpd_pgx.html">Warfarin
r (Hamberg 2007)</a> </td>
<td style="text-align:left;"> R-warfarin population PK
(1-compartment, first-order absorption) with age as the only structural
covariate on CL_R (Hamberg 2007). R-warfarin was not found to contribute
(additive or competitive) to the INR PD; the companion file
Hamberg_2007_warfarin_s carries the S-warfarin PK and the INR PD model.
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Hamberg_2007_warfarin_pkpd_pgx.html">Warfarin
s (Hamberg 2007)</a> </td>
<td style="text-align:left;"> S-warfarin population PK
(2-compartment, first-order absorption) coupled to an inhibitory-Emax
INR PD model with two parallel transit-compartment chains (6 + 1)
driving the anticoagulant response (Hamberg 2007). CYP2C9 genotype and
age are predictors for S-warfarin clearance; VKORC1 -1639G>A genotype
is a predictor for INR sensitivity (EC50). R-warfarin is reported
separately (modellib('Hamberg_2007_warfarin_r')). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Zhou_2016_warfarin_vk2.html">Warfarin
vk2 (Zhou 2016)</a> </td>
<td style="text-align:left;"> Two-drug population PK/PD model
for warfarin and intravenous vitamin K2 (menatetrenone) in Japanese
adults with atrial fibrillation undergoing catheter ablation. Warfarin
and vitamin K2 each have a 1-compartment PK with fixed
volumes-of-distribution (Vd1 = 0.183 L/kg for warfarin from Sato 2006;
Vd3 = 0.051 L/kg for vitamin K2 from the Eisai product information) and
fixed warfarin elimination rate (k10 = 0.0129 1/h); only the vitamin K2
elimination rate (k30) and the indirect-response PD parameters (ks, kd,
IC50, Emax, EC50) were estimated from 579 INR observations in 100
patients. Warfarin inhibits clotting-factor synthesis (Emax = 1 -
Cp1/(Cp1 + IC50)) while vitamin K2 stimulates it (1 + Emax_vk2 *
Cp3/(Cp3 + EC50)); a binary renal-impairment indicator (CREAT >= 1.1
mg/dL in men or >= 0.8 mg/dL in women) reduces IC50 to 61.4% of
normal. The model predicts thrombotest (TT, %); INR is recovered from TT
via the Gogstad 1986 quadratic conversion (Equation 4). </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Adams_1998_zalcitabine.html">Zalcitabine
(Adams 1998)</a> </td>
<td style="text-align:left;"> One-compartment
first-order-absorption population PK model for oral zalcitabine (ddC) in
HIV-infected adults (Adams 1998). Apparent clearance (CL/F = 14.8 L/h)
and apparent volume of distribution (V/F = 87.6 L) were estimated from
sparse-sampling clinic data; the absorption rate constant was not
estimable in Adams 1998 (paper Discussion p. 412) and is fixed in this
model to ka = 2.5 /h from primary single-dose PK data (Klecker 1988). No
baseline covariates (age, sex, total body weight, calculated creatinine
clearance, food, concomitant zidovudine) improved the basic fit and none
were retained in the final model. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/deVriesSchultink_2020_zenocutuzumab.html">Zenocutuzumab
(deVriesSchultink 2020)</a> </td>
<td style="text-align:left;"> Two-compartment population PK
model with parallel linear and Michaelis-Menten non-linear elimination
from the central compartment for intravenous zenocutuzumab (MCLA-128), a
bispecific IgG1 (anti-HER2 x anti-HER3) monoclonal antibody, in patients
with various advanced solid tumors (de Vries Schultink 2020) </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/Fauchet_2013_zidovudine.html">Zidovudine
(Fauchet 2013)</a> </td>
<td style="text-align:left;"> One-compartment population PK
model for oral zidovudine (ZDV) and its glucuronide metabolite
3'-azido-3'-deoxy-5'-glucuronylthymidine (G-ZDV) in HIV-1-infected
children, infants, and adolescents (Fauchet 2013, retrospective
Paris-area therapeutic-drug-monitoring cohort, n = 247, age 0.5-18
years). First-order absorption with a fixed ka = 2.86 1/h (inherited
from Panhard 2007) delivers ZDV into a one-compartment central
compartment with apparent total clearance CL_p/F and apparent volume
V/F. The metabolite is described by a single G-ZDV state driven by a
lumped metabolic formation rate constant CL_m/V_m and a first-order
metabolite elimination rate constant k_el. The metabolite distribution
volume V_m is not identifiable from plasma data alone and is set
structurally to 1 L (same convention used by Lee 2016 for raltegravir
glucuronide). Body weight enters as an estimated power-allometric
covariate on CL_p/F (exponent 0.858) and on V/F (exponent 0.534),
centered on the cohort median 32.2 kg; age, sex, dosage form, and
antiretroviral cotreatments (3TC, ddI, ABC, LPV, RTO, NFV, NVP, EFV)
were all tested and none was retained at p < 0.01. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/PiresdeMello_2018_zika_FAV_HFIM.html">Zika
FAV HFIM (PiresdeMello 2018)</a> </td>
<td style="text-align:left;"> In vitro (HUH-7 human hepatoma
cells, hollow-fiber infection model). Refined translational
mechanism-based pharmacodynamic (MBM) model of Zika virus replication
and inhibition by favipiravir (FAV) under dynamic, human-like FAV
concentration-time profiles. Twelve-state model: uninfected host cells
(uninfected) with logistic-growth replication limited by carrying
capacity HOSTmax; five sequential infected host cell stages
(infected1..infected5) representing the delay from infection to virus
release; five intracellular virus transit compartments (vi1..vi5) for
viral maturation; and extracellular virus (vextra) as the observation
output (log10 PFU/mL). FAV inhibits viral RNA release between vi4 and
vi5 via a simple Imax/IC50 inhibition function (Eq 8). FAV concentration
is a time-varying covariate (CONC_FAV_UM) driven externally by the
user-supplied clinical PK profile. Parameters are the HFIM column of
Table 1; drug-effect parameters (Imax_FAV, IC50_FAV) and the additive
residual SD are shared estimates with the parallel plate assay co-fit
reported in the same paper. </td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/PiresdeMello_2018_zika_FAV_IFN_RBV.html">Zika
FAV IFN RBV (PiresdeMello 2018)</a> </td>
<td style="text-align:left;"> In vitro (Vero cells).
Translational mechanism-based pharmacodynamic (MBM) model of Zika virus
replication and inhibition by favipiravir (FAV), interferon alpha (IFN),
and ribavirin (RBV) as monotherapy and in two-drug combinations.
Eight-state model: uninfected (U) and infected (I) host cells, five
intracellular virus transit compartments (vi1..vi5) capturing maturation
delay, and extracellular virus (vextra) as the observation output (log10
PFU/mL). IFN inhibits cellular infection via a sigmoidal Hill function;
FAV and RBV both inhibit the vi4 -> vi5 maturation transit; RBV
additionally causes first-order cytotoxicity to both uninfected and
infected host cells. FAV+RBV antagonism is encoded via a
competitive-interaction factor PSI (= 1 monotherapy, = 1.37
combination). Drug concentrations are static covariates -- the in vitro
experiment fixes nominal concentrations for the 4-day window. All
parameters fixed at the Table 1 point estimates; the between-curve CVs
reported in Table 1 are not encoded as etas (typical-value mechanism).
</td>
</tr>
<tr>
<td style="text-align:left;"> <a
href="https://nlmixr2.github.io/nlmixr2lib/articles/PillaReddy_2013_panss_subscales.html">Ziprasidone
panss subscales (PillaReddy 2013)</a> </td>
<td style="text-align:left;"> Population PK/PD model for
ziprasidone against the three PANSS subscales (positive, negative,
general) in adults with schizophrenia from Pilla Reddy 2013 Part II. The
PK sub-model is the one-compartment ziprasidone structural model from
Part I (PMID 23473810) Table 2: first-order absorption ka = 0.07 1/h,
apparent oral clearance CL/F = 54 L/h, apparent central volume of
distribution Vc/F = 87.5 L. The PD sub-model has three outputs that
share the Weibull placebo time- course form Pplacebo = Pmax * (1 -
exp(-(t/TD)^POW)) but each subscale carries its own placebo Pmax, TD,
POW (Part II Table 1) and ziprasidone's own Emax / EC50 / KT triplet per
subscale (Part II Table 2). The KT for ziprasidone PANSS positive and
general (0.048 and 0.035 1/day) is the
common-across-atypical-antipsychotic value; the KT for the negative
subscale (0.0073 1/day) was estimated separately per drug and is the
slowest of any compared drug, consistent with Part II's report that
ziprasidone has the longest onset for negative symptoms (more than 3
weeks half-time vs 5 days for haloperidol). The exponential
time-to-event dropout sub-model from Part II Table 4 is documented in
population$dropout_model but not encoded in the model body.
|
|
Zolbetuximab
(Yamada 2025)
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Two-compartment population PK model of zolbetuximab (anti-CLDN18.2 IgG1
mAb) with zero-order IV input and time-dependent clearance in patients
with locally advanced unresectable or metastatic
gastric/gastroesophageal junction (G/GEJ) adenocarcinoma (Yamada 2025)
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ZoledronicAcid
(Mori 2018)
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Kinetic-pharmacodynamic (K-PD) PK / bone-turnover-marker / lumbar-spine
BMD model for once-yearly intravenous zoledronic acid (ZOL) 5 mg in
Japanese patients with primary osteoporosis (ZONE study). A virtual
effect-site amount A receives the administered dose and decays
first-order at rate KD; the drug-effect signal KDA enters a
sigmoidal Imax factor with Hill coefficient Gamma and half-effect EKD50
that inhibits the zero-order synthesis Kin of the serum bone-resorption
marker (tartrate-resistant acid phosphatase 5b, TRACP-5b), which is
eliminated first-order at Kout. The observed marker carries a
multiplicative disease-progression / supplementation drift (1 + Slope
t + Emax * t / (T50 + t)) capturing the daily oral calcium +
vitamin D + magnesium supplementation effect pooled with natural
osteoporosis progression (the two effects could not be separated because
all subjects received the supplements). Lumbar-spine BMD follows an
effect-compartment ODE with rate Ke0 whose target is BMD0 + Scale *
(marker - Marker0), where Scale (negative) is the marker-to-BMD
coupling. Baseline TRACP-5b (TRACP5B_BL) enters EKD50, Slope, T50, and
(active-arm-only) Scale as a power-model covariate centred on the cohort
reference 400 mU / dL.
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Zonisamide
(Hashimoto 1994)
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Steady-state Michaelis-Menten population PK model for zonisamide in 68
Japanese epileptic patients (pediatric + adult) on chronic oral
zonisamide. A power-of-weight body-size factor scales both volume of
distribution and Vmax; concomitant carbamazepine multiplicatively
increases Vmax (Hashimoto 1994 Eqs. 1-4).
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