Nonlinear Mixed Effects Models Theory

Nonlinear mixed effects models are similar to linear mixed effects models with the difference being that the function under consideration f(x, 0) is nonlinear in the model parameters 0. Population pharmacokinetics (PopPK) is the study of pharmacokinetics in the population of interest and instead of modeling data from each individual separately, data from all individuals are modeled simultaneously. To account for the different levels of variability (between-subject, within-subject, interoccasion, residual, etc.), nonlinear mixed effects models are used. For the remainder of the chapter, the term PopPK will be used synonymously with nonlinear mixed effects models, even though the latter covers a richer class of models and data types. Along with PopPK is population pharmacodynamics (PopPD), which is the study of a drug s effect in the population of interest. Often PopPK and PopPD are combined into a singular PopPK-PD analysis. 

The primary goal of PopPK is to obtain a model relating concentration to dose and individual covariates. A PopPD model then relates drug concentrations to 

Reprinted and modified with permission from Tett, S., Holford, N.H., and McLaehlan, A.J. Population pharmacokinetics and pharmacodynamics An underutilized resource. Drug Information Journal (1998) 32 693-710. Copyright 1998, Drug Information Association. 

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To get at the question of overall influence, the matrix of structural model parameters and variance components was subjected to principal component analysis. Principal component analysis (PCA) was introduced in the chapter on Nonlinear Mixed Effects Model Theory and transforms a matrix of values to another matrix such that the columns of the transformed matrix are uncorrelated and the first column contains the largest amount of variability, the second column contains the second largest, etc. Hopefully, just the first few principal components contain the majority of the variance in the original matrix. The outcome of PC A is to take X, a matrix of p-variables, and reduce it to a matrix of q-variables (q < p) that contain most of the information within X. In this PC A of the standardized parameters (fixed effects and all variance components), the first three principal components contained 74% of the total variability in the original matrix, so PCA was largely successfully. PCA works best when a high correlation exists between the variables in the original data set. Usually more than 80% variability in the first few components is considered a success. 

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