In general, rxode2 event tables follow NONMEM dataset convention with the exceptions:
cmt
) can be a string/factor
with compartment names
cmt
) can still be a number,
the number of the compartment is defined by the appearance of the
compartment name in the model. This can be tedious to count, so you can
specify compartment numbers easier by using the
cmt(cmtName)
at the beginning of the model.dur
can specify the duration of
infusions;
dur
/amt
are fixed in the input data.rate
/amt
for an
infusion, the bioavailability will change the infusion duration since
rate
/amt
are fixed in the input data.pcmt
,
call
.evid=5
or replace event; This replaces the value of a
compartment with the value specified in the amt
column.
This is equivalent to deSolve
=replace
.evid=6
or multiply event; This multiplies the value in
the compartment with the value specified by the amt
column.
This is equivalent to deSolve
=multiply
.evid=7
or transit compartment model/phantom event. This
puts the dose in the dose()
function and calculates time
since last dose tad()
but doesn’t actually put the dose in
the compartment. This allows the transit()
function to
easily apply to the compartment.Here are the legal entries to a data table:
Data Item | Meaning | Notes |
---|---|---|
id | Individual identifier | Can be a integer, factor, character, or numeric |
time | Individual time | Numeric for each time. |
amt | dose amount | Positive for doses zero/NA for observations |
rate | infusion rate | When specified the infusion duration will be dur=amt/rate |
rate = -1, rate modeled; rate = -2, duration modeled | ||
dur | infusion duration | When specified the infusion rate will be rate = amt/dur |
evid | event ID | 0=Observation; 1=Dose; 2=Other; 3=Reset; 4=Reset+Dose; 5=Replace; 6=Multiply;7=Transit |
cmt | Compartment | Represents compartment #/name for dose/observation |
ss | Steady State Flag | 0 = non-steady-state; 1=steady state; 2=steady state +prior states |
ii | Inter-dose Interval | Time between doses. |
addl | # of additional doses | Number of doses like the current dose. |
Other notes:
evid
can be the classic RxODE (described here) or the
NONMEM
-style evid
described above.NONMEM
’s DV
is not required;
rxode2
is a ODE solving framework.NONMEM
’s MDV
is not required, since it is
captured in EVID
.NONMEM
-compatible data, it can accept
deSolve
compatible data-frames.When returning the rxode2
solved data-set there are a
few additional event ids (EVID
) that you may see depending
on the solving options:
EVID = -1
is when a modeled rate ends (corresponds to
rate = -1
)EVID = -2
is when a modeled duration ends (corresponds
to rate=-2
)EVID = -10
when a rate specified zero-order infusion
ends (corresponds to rate > 0
)EVID = -20
when a duration specified zero-order
infusion ends (corresponds to dur > 0
)EVID = 101, 102, 103,...
These correspond to the
1
, 2
, 3
, … modeled time
(mtime
).These can only be accessed when solving with the option combination
addDosing=TRUE
and subsetNonmem=FALSE
. If you
want to see the classic EVID
equivalents you can use
addDosing=NA
.
To illustrate the event types we will use the model from the original
rxode2
tutorial.
#> rxode2 3.0.3 using 2 threads (see ?getRxThreads)
#> no cache: create with `rxCreateCache()`
## Model from rxode2 tutorial
m1 <- function() {
ini({
KA <- 2.94E-01
CL <- 1.86E+01
V2 <- 4.02E+01
Q <- 1.05E+01
V3 <- 2.97E+02
Kin <- 1
Kout <- 1
EC50 <- 200
## Added modeled bioavaiblity, duration and rate
fdepot <- 1
durDepot <- 8
rateDepot <- 1250
})
model({
C2 <- centr/V2
C3 <- peri/V3
d/dt(depot) <- -KA*depot
f(depot) <- fdepot
dur(depot) <- durDepot
rate(depot) <- rateDepot
d/dt(centr) <- KA*depot - CL*C2 - Q*C2 + Q*C3
d/dt(peri) <- Q*C2 - Q*C3
d/dt(eff) <- Kin - Kout*(1-C2/(EC50+C2))*eff
eff(0) <- 1
})
}
A bolus dose is the default type of dose in rxode2
and
only requires the amt
/dose
. Note that this
uses the convenience function et()
described in the rxode2 event tables
#> -- EventTable with 101 records --
#> 1 dosing records (see x$get.dosing(); add with add.dosing or et)
#> 100 observation times (see x$get.sampling(); add with add.sampling or et)
#> multiple doses in `addl` columns, expand with x$expand(); or etExpand(x)
#> -- First part of x: --
#> # A tibble: 101 x 5
#> time amt ii addl evid
#> [h] <dbl> [h] <int> <evid>
#> 1 0 NA NA NA 0:Observation
#> 2 0 10000 12 2 1:Dose (Add)
#> 3 0.242 NA NA NA 0:Observation
#> 4 0.485 NA NA NA 0:Observation
#> 5 0.727 NA NA NA 0:Observation
#> 6 0.970 NA NA NA 0:Observation
#> 7 1.21 NA NA NA 0:Observation
#> 8 1.45 NA NA NA 0:Observation
#> 9 1.70 NA NA NA 0:Observation
#> 10 1.94 NA NA NA 0:Observation
#> # i 91 more rows
#> i parameter labels from comments are typically ignored in non-interactive mode
#> i Need to run with the source intact to parse comments
There are a few different type of infusions that rxode2
supports:
rate
)dur
)The next type of event is an infusion; There are two ways to specify
an infusion; The first is the dur
keyword.
An example of this is:
ev <- et(timeUnits="hr") %>%
et(amt=10000, ii=12,until=24, dur=8) %>%
et(seq(0, 24, length.out=100))
ev
#> -- EventTable with 101 records --
#> 1 dosing records (see x$get.dosing(); add with add.dosing or et)
#> 100 observation times (see x$get.sampling(); add with add.sampling or et)
#> multiple doses in `addl` columns, expand with x$expand(); or etExpand(x)
#> -- First part of x: --
#> # A tibble: 101 x 6
#> time amt ii addl evid dur
#> [h] <dbl> [h] <int> <evid> [h]
#> 1 0 NA NA NA 0:Observation NA
#> 2 0 10000 12 2 1:Dose (Add) 8
#> 3 0.242 NA NA NA 0:Observation NA
#> 4 0.485 NA NA NA 0:Observation NA
#> 5 0.727 NA NA NA 0:Observation NA
#> 6 0.970 NA NA NA 0:Observation NA
#> 7 1.21 NA NA NA 0:Observation NA
#> 8 1.45 NA NA NA 0:Observation NA
#> 9 1.70 NA NA NA 0:Observation NA
#> 10 1.94 NA NA NA 0:Observation NA
#> # i 91 more rows
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It can be also specified by the rate
component:
ev <- et(timeUnits="hr") %>%
et(amt=10000, ii=12,until=24, rate=10000/8) %>%
et(seq(0, 24, length.out=100))
ev
#> -- EventTable with 101 records --
#> 1 dosing records (see x$get.dosing(); add with add.dosing or et)
#> 100 observation times (see x$get.sampling(); add with add.sampling or et)
#> multiple doses in `addl` columns, expand with x$expand(); or etExpand(x)
#> -- First part of x: --
#> # A tibble: 101 x 6
#> time amt rate ii addl evid
#> [h] <dbl> <rate/dur> [h] <int> <evid>
#> 1 0 NA NA NA NA 0:Observation
#> 2 0 10000 1250 12 2 1:Dose (Add)
#> 3 0.242 NA NA NA NA 0:Observation
#> 4 0.485 NA NA NA NA 0:Observation
#> 5 0.727 NA NA NA NA 0:Observation
#> 6 0.970 NA NA NA NA 0:Observation
#> 7 1.21 NA NA NA NA 0:Observation
#> 8 1.45 NA NA NA NA 0:Observation
#> 9 1.70 NA NA NA NA 0:Observation
#> 10 1.94 NA NA NA NA 0:Observation
#> # i 91 more rows
#> i parameter labels from comments are typically ignored in non-interactive mode
#> i Need to run with the source intact to parse comments
These are the same with the exception of how bioavailability changes the infusion.
In the case of modeling rate
, a bioavailability
decrease, decreases the infusion duration, as in NONMEM. For
example:
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Similarly increasing the bioavailability increases the infusion duration.
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The rationale for this behavior is that the rate
and
amt
are specified by the event table, so the only thing
that can change with a bioavailability increase is the duration of the
infusion.
If you specify the amt
and dur
components
in the event table, bioavailability changes affect the rate
of infusion.
ev <- et(timeUnits="hr") %>%
et(amt=10000, ii=12,until=24, dur=8) %>%
et(seq(0, 24, length.out=100))
You can see the side-by-side comparison of bioavailability changes
affecting rate
instead of duration with these records in
the following plots:
library(ggplot2)
library(patchwork)
p1 <- rxSolve(m1, ev, c(fdepot=1.25)) %>% plot(depot) +
xlab("Time") + ylim(0,5000)
#> i parameter labels from comments are typically ignored in non-interactive mode
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#> i parameter labels from comments are typically ignored in non-interactive mode
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## Use patchwork syntax to combine plots
p1 * p2
You can model the duration, which is equivalent to NONMEM’s
rate=-2
.
ev <- et(timeUnits="hr") %>%
et(amt=10000, ii=12,until=24, rate=-2) %>%
et(seq(0, 24, length.out=100))
ev
#> -- EventTable with 101 records --
#> 1 dosing records (see x$get.dosing(); add with add.dosing or et)
#> 100 observation times (see x$get.sampling(); add with add.sampling or et)
#> multiple doses in `addl` columns, expand with x$expand(); or etExpand(x)
#> -- First part of x: --
#> # A tibble: 101 x 6
#> time amt rate ii addl evid
#> [h] <dbl> <rate/dur> [h] <int> <evid>
#> 1 0 NA NA NA NA 0:Observation
#> 2 0 10000 -2:dur 12 2 1:Dose (Add)
#> 3 0.242 NA NA NA NA 0:Observation
#> 4 0.485 NA NA NA NA 0:Observation
#> 5 0.727 NA NA NA NA 0:Observation
#> 6 0.970 NA NA NA NA 0:Observation
#> 7 1.21 NA NA NA NA 0:Observation
#> 8 1.45 NA NA NA NA 0:Observation
#> 9 1.70 NA NA NA NA 0:Observation
#> 10 1.94 NA NA NA NA 0:Observation
#> # i 91 more rows
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Similarly, you may also model rate. This is equivalent to NONMEM’s
rate=-1
and is how rxode2
’s event table
specifies the data item as well.
ev <- et(timeUnits="hr") %>%
et(amt=10000, ii=12,until=24, rate=-1) %>%
et(seq(0, 24, length.out=100))
ev
#> -- EventTable with 101 records --
#> 1 dosing records (see x$get.dosing(); add with add.dosing or et)
#> 100 observation times (see x$get.sampling(); add with add.sampling or et)
#> multiple doses in `addl` columns, expand with x$expand(); or etExpand(x)
#> -- First part of x: --
#> # A tibble: 101 x 6
#> time amt rate ii addl evid
#> [h] <dbl> <rate/dur> [h] <int> <evid>
#> 1 0 NA NA NA NA 0:Observation
#> 2 0 10000 -1:rate 12 2 1:Dose (Add)
#> 3 0.242 NA NA NA NA 0:Observation
#> 4 0.485 NA NA NA NA 0:Observation
#> 5 0.727 NA NA NA NA 0:Observation
#> 6 0.970 NA NA NA NA 0:Observation
#> 7 1.21 NA NA NA NA 0:Observation
#> 8 1.45 NA NA NA NA 0:Observation
#> 9 1.70 NA NA NA NA 0:Observation
#> 10 1.94 NA NA NA NA 0:Observation
#> # i 91 more rows
#> i parameter labels from comments are typically ignored in non-interactive mode
#> i Need to run with the source intact to parse comments
These doses are solved until a steady state is reached with a constant inter-dose interval.
#> -- EventTable with 101 records --
#> 1 dosing records (see x$get.dosing(); add with add.dosing or et)
#> 100 observation times (see x$get.sampling(); add with add.sampling or et)
#> -- First part of x: --
#> # A tibble: 101 x 5
#> time amt ii evid ss
#> [h] <dbl> [h] <evid> <int>
#> 1 0 NA NA 0:Observation NA
#> 2 0 10000 12 1:Dose (Add) 1
#> 3 0.242 NA NA 0:Observation NA
#> 4 0.485 NA NA 0:Observation NA
#> 5 0.727 NA NA 0:Observation NA
#> 6 0.970 NA NA 0:Observation NA
#> 7 1.21 NA NA 0:Observation NA
#> 8 1.45 NA NA 0:Observation NA
#> 9 1.70 NA NA 0:Observation NA
#> 10 1.94 NA NA 0:Observation NA
#> # i 91 more rows
#> i parameter labels from comments are typically ignored in non-interactive mode
#> i Need to run with the source intact to parse comments
By using the ss=2
flag, you can use the
super-positioning principle in linear kinetics to get steady state
nonstandard dosing (i.e. morning 100 mg vs evening 150 mg). This is done
by:
ev <- et(timeUnits="hr") %>%
et(amt=10000, ii=24, ss=1) %>%
et(time=12, amt=15000, ii=24, ss=2) %>%
et(time=24, amt=10000, ii=24, addl=3) %>%
et(time=36, amt=15000, ii=24, addl=3) %>%
et(seq(0, 64, length.out=500))
library(ggplot2)
rxSolve(m1, ev,maxsteps=10000) %>% plot(C2) +
annotate("rect", xmin=0, xmax=24, ymin=-Inf, ymax=Inf,
alpha=0.2) +
annotate("text", x=12.5, y=7,
label="Initial Steady State Period") +
annotate("text", x=44, y=7,
label="Steady State AM/PM dosing")
#> i parameter labels from comments are typically ignored in non-interactive mode
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You can see that it takes a full dose cycle to reach the true complex steady state dosing.
The last type of steady state that rxode2
supports is
steady-state constant infusion rate. This can be specified the same way
as NONMEM, that is:
ii
=0
ss
=1
rate
>0) or a estimated rate
rate
=-1
.amt
=0
Note that rate
=-2
where we model the
duration of infusion doesn’t make much sense since we are solving the
infusion until steady state. The duration is specified by the steady
state solution.
Also note that bioavailability changes on this steady state infusion
also do not make sense because they neither change the rate
or the duration of the steady state infusion. Hence modeled
bioavailability on this type of dosing event is ignored.
Here is an example:
#> i parameter labels from comments are typically ignored in non-interactive mode
#> i Need to run with the source intact to parse comments
ev <- et(timeUnits="hr") %>%
et(amt=200000, rate=10000/8) %>%
et(0, 250, length.out=1000)
p2 <- rxSolve(m1, ev) %>% plot(C2, eff)
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Not only can this be used for PK, it can be used for steady-state disease processes.
Reset events are implemented by evid=3
or
evid=reset
, for reset and evid=4
for reset and
dose.
ev <- et(timeUnits="hr") %>%
et(amt=10000, ii=12, addl=3) %>%
et(time=6, evid=reset) %>%
et(seq(0, 24, length.out=100))
ev
#> -- EventTable with 102 records --
#> 2 dosing records (see x$get.dosing(); add with add.dosing or et)
#> 100 observation times (see x$get.sampling(); add with add.sampling or et)
#> multiple doses in `addl` columns, expand with x$expand(); or etExpand(x)
#> -- First part of x: --
#> # A tibble: 102 x 5
#> time amt ii addl evid
#> [h] <dbl> [h] <int> <evid>
#> 1 0 NA NA NA 0:Observation
#> 2 0 10000 12 3 1:Dose (Add)
#> 3 0.242 NA NA NA 0:Observation
#> 4 0.485 NA NA NA 0:Observation
#> 5 0.727 NA NA NA 0:Observation
#> 6 0.970 NA NA NA 0:Observation
#> 7 1.21 NA NA NA 0:Observation
#> 8 1.45 NA NA NA 0:Observation
#> 9 1.70 NA NA NA 0:Observation
#> 10 1.94 NA NA NA 0:Observation
#> # i 92 more rows
The solving show what happens in this system when the system is reset at 6 hours post-dose.
#> i parameter labels from comments are typically ignored in non-interactive mode
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You can see all the compartments are reset to their initial values. The next dose start the dosing cycle over.
ev <- et(timeUnits="hr") %>%
et(amt=10000, ii=12, addl=3) %>%
et(time=6, amt=10000, evid=4) %>%
et(seq(0, 24, length.out=100))
ev
#> -- EventTable with 102 records --
#> 2 dosing records (see x$get.dosing(); add with add.dosing or et)
#> 100 observation times (see x$get.sampling(); add with add.sampling or et)
#> multiple doses in `addl` columns, expand with x$expand(); or etExpand(x)
#> -- First part of x: --
#> # A tibble: 102 x 5
#> time amt ii addl evid
#> [h] <dbl> [h] <int> <evid>
#> 1 0 NA NA NA 0:Observation
#> 2 0 10000 12 3 1:Dose (Add)
#> 3 0.242 NA NA NA 0:Observation
#> 4 0.485 NA NA NA 0:Observation
#> 5 0.727 NA NA NA 0:Observation
#> 6 0.970 NA NA NA 0:Observation
#> 7 1.21 NA NA NA 0:Observation
#> 8 1.45 NA NA NA 0:Observation
#> 9 1.70 NA NA NA 0:Observation
#> 10 1.94 NA NA NA 0:Observation
#> # i 92 more rows
In this case, the whole system is reset and the dose is given
#> i parameter labels from comments are typically ignored in non-interactive mode
#> i Need to run with the source intact to parse comments
You may also turn off a compartment, which is similar to a reset event.
ev <- et(timeUnits="hr") %>%
et(amt=10000, ii=12, addl=3) %>%
et(time=6, cmt="-depot", evid=2) %>%
et(seq(0, 24, length.out=100))
ev
#> -- EventTable with 102 records --
#> 2 dosing records (see x$get.dosing(); add with add.dosing or et)
#> 100 observation times (see x$get.sampling(); add with add.sampling or et)
#> multiple doses in `addl` columns, expand with x$expand(); or etExpand(x)
#> -- First part of x: --
#> # A tibble: 102 x 6
#> time cmt amt ii addl evid
#> [h] <chr> <dbl> [h] <int> <evid>
#> 1 0 (obs) NA NA NA 0:Observation
#> 2 0 (default) 10000 12 3 1:Dose (Add)
#> 3 0.242 (obs) NA NA NA 0:Observation
#> 4 0.485 (obs) NA NA NA 0:Observation
#> 5 0.727 (obs) NA NA NA 0:Observation
#> 6 0.970 (obs) NA NA NA 0:Observation
#> 7 1.21 (obs) NA NA NA 0:Observation
#> 8 1.45 (obs) NA NA NA 0:Observation
#> 9 1.70 (obs) NA NA NA 0:Observation
#> 10 1.94 (obs) NA NA NA 0:Observation
#> # i 92 more rows
Solving shows what this does in the system:
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In this case, the depot is turned off, and the depot compartment concentrations are set to the initial values but the other compartment concentrations/levels are not reset. When another dose to the depot is administered the depot compartment is turned back on.
Note that a dose to a compartment only turns back on the compartment that was dosed. Hence if you turn off the effect compartment, it continues to be off after another dose to the depot.
ev <- et(timeUnits="hr") %>%
et(amt=10000, ii=12, addl=3) %>%
et(time=6, cmt="-eff", evid=2) %>%
et(seq(0, 24, length.out=100))
rxSolve(m1, ev) %>% plot(depot,C2, eff)
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To turn back on the compartment, a zero-dose to the compartment or a evid=2 with the compartment would be needed.
ev <- et(timeUnits="hr") %>%
et(amt=10000, ii=12, addl=3) %>%
et(time=6, cmt="-eff", evid=2) %>%
et(time=12,cmt="eff",evid=2) %>%
et(seq(0, 24, length.out=100))
rxSolve(m1, ev) %>% plot(depot,C2, eff)
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