The NLMIXED Procedure

Example 89.1 One-Compartment Model with Pharmacokinetic Data

(View the complete code for this example.)

A popular application of nonlinear mixed models is in the field of pharmacokinetics, which studies how a drug disperses through a living individual. This example considers the theophylline data from Pinheiro and Bates (1995). Serum concentrations of the drug theophylline are measured in 12 subjects over a 25-hour period after oral administration. The data are as follows.

data theoph;
   input subject time conc dose wt;
   datalines;
 1  0.00  0.74 4.02 79.6
 1  0.25  2.84 4.02 79.6
 1  0.57  6.57 4.02 79.6
 1  1.12 10.50 4.02 79.6
 1  2.02  9.66 4.02 79.6
 1  3.82  8.58 4.02 79.6
 1  5.10  8.36 4.02 79.6
 1  7.03  7.47 4.02 79.6

   ... more lines ...   

12 24.15  1.17 5.30 60.5
;

Pinheiro and Bates (1995) consider the following first-order compartment model for these data:

upper C Subscript i t Baseline equals StartFraction upper D k Subscript e Sub Subscript i Subscript Baseline k Subscript a Sub Subscript i Subscript Baseline Over upper C l Subscript i Baseline left-parenthesis k Subscript a Sub Subscript i Subscript Baseline minus k Subscript e Sub Subscript i Subscript Baseline right-parenthesis EndFraction left-bracket exp left-parenthesis minus k Subscript e Sub Subscript i Subscript Baseline t right-parenthesis minus exp left-parenthesis minus k Subscript a Sub Subscript i Subscript Baseline t right-parenthesis right-bracket plus e Subscript i t

where upper C Subscript i t is the observed concentration of the ith subject at time t, D is the dose of theophylline, k Subscript e Sub Subscript i is the elimination rate constant for subject i, k Subscript a Sub Subscript i is the absorption rate constant for subject i, upper C l Subscript i is the clearance for subject i, and e Subscript i t are normal errors. To allow for random variability between subjects, they assume

StartLayout 1st Row 1st Column upper C l Subscript i 2nd Column equals exp left-parenthesis beta 1 plus b Subscript i Baseline 1 Baseline right-parenthesis 2nd Row 1st Column k Subscript a Sub Subscript i 2nd Column equals exp left-parenthesis beta 2 plus b Subscript i Baseline 2 Baseline right-parenthesis 3rd Row 1st Column k Subscript e Sub Subscript i 2nd Column equals exp left-parenthesis beta 3 right-parenthesis EndLayout

where the betas denote fixed-effects parameters and the b Subscript is denote random-effects parameters with an unknown covariance matrix.

The PROC NLMIXED statements to fit this model are as follows:

proc nlmixed data=theoph;
   parms beta1=-3.22 beta2=0.47 beta3=-2.45
         s2b1 =0.03  cb12 =0    s2b2 =0.4 s2=0.5;
   cl   = exp(beta1 + b1);
   ka   = exp(beta2 + b2);
   ke   = exp(beta3);
   pred = dose*ke*ka*(exp(-ke*time)-exp(-ka*time))/cl/(ka-ke);
   model conc ~ normal(pred,s2);
   random b1 b2 ~ normal([0,0],[s2b1,cb12,s2b2]) subject=subject;
run;

The PARMS statement specifies starting values for the three betas and four variance-covariance parameters. The clearance and rate constants are defined using SAS programming statements, and the conditional model for the data is defined to be normal with mean pred and variance s2. The two random effects are b1 and b2, and their joint distribution is defined in the RANDOM statement. Brackets are used in defining their mean vector (two zeros) and the lower triangle of their variance-covariance matrix (a general 2 times 2 matrix). The SUBJECT= variable is subject.

The results from this analysis are as follows.

Figure 18: Model Specification for One-Compartment Model

The NLMIXED Procedure

Specifications
Data Set WORK.THEOPH
Dependent Variable conc
Distribution for Dependent Variable Normal
Random Effects b1 b2
Distribution for Random Effects Normal
Subject Variable subject
Optimization Technique Dual Quasi-Newton
Integration Method Adaptive Gaussian Quadrature


The "Specifications" table lists the setup of the model (Figure 18). The "Dimensions" table indicates that there are 132 observations, 12 subjects, and 7 parameters. PROC NLMIXED selects 5 quadrature points for each random effect, producing a total grid of 25 points over which quadrature is performed (Figure 19).

Figure 19: Dimensions Table for One-Compartment Model

Dimensions
Observations Used 132
Observations Not Used 0
Total Observations 132
Subjects 12
Max Obs per Subject 11
Parameters 7
Quadrature Points 5


The "Parameters" table lists the 7 parameters, their starting values, and the initial evaluation of the negative log likelihood using adaptive Gaussian quadrature (Figure 20). The "Iteration History" table indicates that 10 steps are required for the dual quasi-Newton algorithm to achieve convergence.

Figure 20: Starting Values and Iteration History

Initial Parameters
beta1 beta2 beta3 s2b1 cb12 s2b2 s2 Negative
Log
Likelihood
-3.22 0.47 -2.45 0.03 0 0.4 0.5 177.789945

Iteration History
Iteration Calls Negative
Log
Likelihood
Difference Maximum
Gradient
Slope
1 7 177.7762 0.013697 2.87337 -63.0744
2 11 177.7643 0.011948 1.69814 -4.75239
3 14 177.7573 0.007036 1.29744 -1.97311
4 17 177.7557 0.001576 1.44141 -0.49772
5 20 177.7467 0.008988 1.13228 -0.82230
6 24 177.7464 0.000299 0.83129 -0.00244
7 27 177.7463 0.000083 0.72420 -0.00789
8 31 177.7457 0.000578 0.18002 -0.00583
9 34 177.7457 3.88E-6 0.017958 -8.25E-6
10 37 177.7457 3.222E-8 0.000143 -6.51E-8

NOTE: GCONV convergence criterion satisfied.


Figure 21: Fit Statistics for One-Compartment Model

Fit Statistics
-2 Log Likelihood 355.5
AIC (smaller is better) 369.5
AICC (smaller is better) 370.4
BIC (smaller is better) 372.9


The "Fit Statistics" table lists the final optimized values of the log-likelihood function and information criteria in the "smaller is better" form (Figure 21).

The "Parameter Estimates" table contains the maximum likelihood estimates of the parameters (Figure 22). Both s2b1 and s2b2 are marginally significant, indicating between-subject variability in the clearances and absorption rate constants, respectively. There does not appear to be a significant covariance between them, as seen by the estimate of cb12.

Figure 22: Parameter Estimates for One-Compartment Model

Parameter Estimates
Parameter Estimate Standard
Error
DF t Value Pr > |t| 95% Confidence Limits Gradient
beta1 -3.2268 0.05950 10 -54.23 <.0001 -3.3594 -3.0942 -0.00009
beta2 0.4806 0.1989 10 2.42 0.0363 0.03745 0.9238 3.645E-7
beta3 -2.4592 0.05126 10 -47.97 <.0001 -2.5734 -2.3449 0.000039
s2b1 0.02803 0.01221 10 2.30 0.0446 0.000828 0.05524 -0.00014
cb12 -0.00127 0.03404 10 -0.04 0.9710 -0.07712 0.07458 -0.00007
s2b2 0.4331 0.2005 10 2.16 0.0561 -0.01354 0.8798 -6.98E-6
s2 0.5016 0.06837 10 7.34 <.0001 0.3493 0.6540 6.133E-6


The estimates of beta 1, beta 2, and beta 3 are close to the adaptive quadrature estimates listed in Table 3 of Pinheiro and Bates (1995). However, Pinheiro and Bates use a Cholesky-root parameterization for the random-effects variance matrix and a logarithmic parameterization for the residual variance. The PROC NLMIXED statements using their parameterization are as follows, and results are similar.

proc nlmixed data=theoph;
   parms ll1=-1.5 l2=0 ll3=-0.1 beta1=-3 beta2=0.5 beta3=-2.5 ls2=-0.7;
   s2   = exp(ls2);
   l1   = exp(ll1);
   l3   = exp(ll3);
   s2b1 = l1*l1*s2;
   cb12 = l2*l1*s2;
   s2b2 = (l2*l2 + l3*l3)*s2;
   cl   = exp(beta1 + b1);
   ka   = exp(beta2 + b2);
   ke   = exp(beta3);
   pred = dose*ke*ka*(exp(-ke*time)-exp(-ka*time))/cl/(ka-ke);
   model conc   ~ normal(pred,s2);
   random b1 b2 ~ normal([0,0],[s2b1,cb12,s2b2]) subject=subject;
run;
Last updated: December 09, 2022