Fitting models with Pumas

Author

Jose Storopoli

using Dates
using Pumas
using PumasUtilities
using CairoMakie
using DataFramesMeta
using PharmaDatasets
Caution

Some functions in this tutorial are only available after you load the PumasUtilities package.

In this tutorial we will go through the steps required to fit a model in Pumas.

We’ll show two models:

  1. proportional error model
  2. additive error model

Additionally, we’ll learn how to compare both models and make a decision on which model is more appropriate for the data.

1 Pumas’ workflow

  1. Define a model. It can be a PumasModel or a PumasEMModel.
  2. Define a Subject and Population.
  3. Fit your model.
  4. Perform inference on the model’s population-level parameters (also known as fixed effects).
  5. Predict from a fitted model using the empirical Bayes estimate or Simulate random observations from a fitted model using the sampling distribution (also known as likelihood).
  6. Model diagnostics and visual predictive checks.
Note

Pumas modeling is a highly iterative process. Eventually you’ll probably go back and forth in the stages of workflow. This is natural and expected in Pumas’ modeling. Just remember to have good code organization and version control for all of the workflow iterations.

Tip

Objects of PumasModel are created with the @model macro and they represent NLME models, i.e. models that we fit with iterative maximum likelihood estimates with first order (conditional) dynamics FO/FOCE/LaplaceI.

PumasEMModel are created with the @emmodel macro and they represent SAEM models, i.e. models that we fit using stochastic aproximation of the expectation-maximization estimation method.

1.1 Defining a model in Pumas

To define a model in Pumas, you can use either the macros or the function interfaces. We will cover the macros interface in this lesson.

To define a model using the macro interface, you start with a begin .. end block of code with @model:

my_model = @model begin end
PumasModel
  Parameters:
  Random effects:
  Covariates:
  Dynamical system variables:
  Dynamical system type: No dynamical model
  Derived:
  Observed:

This creates an empty model. Now we need to populate it with model components. These are additional macros that we can include inside the @model definition. We won’t be covering all the possible macros that we can use in this lesson, but here is the full list:

  • @param, fixed effects specifications.
  • @random, random effects specifications.
  • @covariates, covariate names.
  • @pre, pre-processing variables for the dynamic system and statistical specification.
  • @dosecontrol, specification of any dose control parameters present in the model.
  • @vars, shorthand notation.
  • @init, initial conditions for the dynamic system.
  • @dynamics, dynamics of the model.
  • @derived, statistical modeling of dependent variables.
  • @observed, model information to be stored in the model solution.
Note

The model components are marked by special macros. A macro in Julia behaves somewhat like a function and is marked with a @ character. These model components should be placed inside the @model macro.

1.1.1 Model parameters with @param

Ok, let’s start with our model_proportional using the macro @model interface.

First, we’ll define our parameters with the @param macro:

@param begin
    ParameterName ∈ Domain(...)
    ...
end
Tip

To use the “in” (∈) operator in Julia, you can either replace ∈ for in or type \in <TAB> for the Unicode character.

By using the begin ... end block we can specify one parameter per line.

Regarding the Domain(...), Pumas has several types of domains for you to specify in your @param block. Here is a list:

  • RealDomain for scalar parameters
  • VectorDomain for vectors
  • PDiagDomain for positive definite matrices with diagonal structure
  • PSDDomain for general positive semi-definite matrices
Tip

PDiagDomain and PSDDomain are generally used for between-subject variability (BSV) covariance matrices.

By using PDiagDomain we are implying that the BSV are independent, i.e. they are not allowed to have covariance, since the off-diagonal elements are turned off by default.

Whereas, by using PSDDomain we are implying that the BSV are not independent, i.e. they are allowed to have covariance, since we have a full covariance matrix instead of a diagonal one.

Tip

If you don’t specify any arguments inside the domain constructor it will either error (for some domains that have required arguments) or will use the defaults. In the case of the RealDomain() without arguments it just uses the following arguments:

RealDomain(; lower = -∞, upper = ∞, init = 0)
@param begin
    tvcl ∈ RealDomain(; lower = 0) # typical clearance
    tvvc ∈ RealDomain(; lower = 0) # typical central volume of distribution
    Ω ∈ PDiagDomain(2)           # between-subject variability
    σ ∈ RealDomain(; lower = 0)   # residual variability
end
Note

We will be using the convention to name population-specific parameters (also commonly referred to as typical values) as tv*.

For example, typical clearance will be named as tvcl.

1.1.2 Subject parameters with @random

Second, we’ll define our subject-specific parameters (commonly known as our etas, η, or random effects) with the @random macro:

@random begin
    η ~ MvNormal(Ω) # multi-variate Normal with mean 0 and covariance matrix Ω
end

Here we are using the random assignment with the tilde notation, as in η ~ Distribution(...). This means that the parameter η is distributed as some distribution Distribution with certain parameters.

In our case, η comes from a multivariate normal distribution (MvNormal) with a single positional argument Ω which itself is a positive diagonal covariance matrix. This way of instantiating a multivariate normal distribution implies that the mean vector is a vector filled with 0s. Hence, our η is a vector of the same length as Ω’s dimensionality, i.e. vector of length 2.

Tip

You can use any distribution in the @random block. For a full list of distributions, check the Pumas @random documentation.

You don’t need to be constrained to normal or multivariate normal. Don’t forget to check the Beyond Gaussian Random Effects tutorial.

1.1.3 Pre-processing variables with @pre

We can specify all the necessary variable and statistical pre-processing with the @pre macro.

Note

The @pre block is traditionally used to specify the inputs of the Ordinary Differential Equations (ODE) system used for non-linear mixed-effects PK/PD models (NLME).

We can also use @pre to specify variable transformations.

Here, we are defining all the individual PK parameters, i.e. the typical values with the added ηs:

@pre begin
    CL = tvcl * exp(η[1])
    Vc = tvvc * exp(η[2])
end
Note

We will be using the convention to name subject-specific PK parameters (also commonly referred to as individual coefficients or icoefs) with uppercase.

For example, the subject-specific clearance parameter will be named as CL.

1.1.4 Model dynamics with @dynamics

The next block is the @dynamics blocks. Here we specify all of the model’s dynamics, i.e. the ordinary differential equation (ODE) system:

@dynamics begin
    Central' = -CL / Vc * Central
end

We specify one ODE per line inside the @dynamics block. The syntax is:

Compartment' = transformation * Compartment

This means that the rate of change, i.e. the derivative, of the compartment Compartment is equal to a transformation of the current values of the compartment Compartment. It is very similar to the textbook/paper math notation that you see in most pharmacometrics resources.

We can name our compartments whatever we want. In our example, we are naming the central compartment simply as Central.

Tip

You can also use aliases for the most common compartment models as a shortcut. Check the Pumas documentation on the predefined ODEs.

For example, the Central1 alias corresponds to the following @dynamics block:

Central' = -(CL / Vc) * Central

If you are using the aliases, don’t forget to adjust the variables’ naming in the @pre block accordingly.

Note

Under the hood Pumas performs some checks on your ODE system specified in the @dynamics block.

First, Pumas will check if the ODE is linear, and, if possible, will replace your ODE system by a simple matrix exponentiation operation, which is faster than the analytical closed form solution.

Second, Pumas will check if the ODE system is a stiff ODE system, and adjust the numerical solver accordingly.

This means that you don’t need to think about numerical details of your ODE system. Just focus on the dynamics and let Pumas take care of the rest.

1.1.5 Statistical modeling of dependent variables with @derived

Our final block, @derived, is used to specify all the assumed distributions of observed variables that are derived from the blocks above. This is where we include our dependent variable/observation: dv and any other intermediate values that we need to calculate:

@derived begin
    cp := @. 1_000 * Central / Vc # Change of units
    dv ~ @. ProportionalNormal(cp, σ)
end

Note that dv is being declared as following a ProportionalNormal distribution with the same tilde notation ~ as we used in the @random block. It means (much like the mathematical model notation) that dv follows a proportional normal distribution, i.e., a normal distribution whose standard deviation is proportional to its mean. Since dv is a vector of values, we need to broadcast, i.e. vectorize, the operation with the dot . operator:

dv ~ Normal.(μ, σ)

where μ and σ are the parameters that parametrizes the distribution, and in this case are the mean and standard deviation respectively. We can use the @. macro which tells Julia to apply the . in every operator and function call after it:

dv ~ @. Normal(μ, σ)
Note

We are using the @. macro which tells Julia to vectorize (add the “dot syntax”) to all operations and function calls to the right of it.

Additionally, we are also calculating an intermediate variable cp which represents the concentration in plasma.

Here we are using the := assignment, which marks cp as a deterministic intermediate quantity that is only used inside the @derived block. Its value is the Central compartment divided by the individual volume of the Central compartment PK parameter, Vc, scaled by a thousands units. Hence, the multiplication by a 1_000. If we also wanted cp to be returned when simulating from the model, we would define it in a separate @observed block instead.

Tip

In this block we can use all variables defined in the previous blocks, in our example the @param, @dynamics and @pre blocks.

1.1.6 Creating two different Pumas models

We now proceed by creating two different Pumas models. Both of them are 1-compartment IV models, but with different error models.

Note

The additive error model has a parameter σ inside the @derived block that, contrary to the proportional error model, is not multiplied by the mean cp:

dv ~ @. Normal(cp, σ)
model_proportional = @model begin

    @param begin
        # here we define the parameters of the model
        tvcl ∈ RealDomain(; lower = 0) # typical clearance 
        tvvc ∈ RealDomain(; lower = 0) # typical central volume of distribution
        Ω ∈ PDiagDomain(2)           # between-subject variability
        σ ∈ RealDomain(; lower = 0)    # residual variability
    end

    @random begin
        # here we define random effects
        η ~ MvNormal(Ω) # multi-variate Normal with mean 0 and covariance matrix Ω
    end

    @pre begin
        # pre computations and other statistical transformations
        CL = tvcl * exp(η[1])
        Vc = tvvc * exp(η[2])
    end

    # here we define compartments and dynamics
    @dynamics begin
        Central' = -CL / Vc * Central
    end

    @derived begin
        # here is where we calculate concentration and add residual error
        # tilde (~) means "distributed as"
        cp := @. 1_000 * Central / Vc # Change of units
        dv ~ @. ProportionalNormal(cp, σ)
    end
end
PumasModel
  Parameters: tvcl, tvvc, Ω, σ
  Random effects: η
  Covariates:
  Dynamical system variables: Central
  Dynamical system type: Matrix exponential
  Derived: dv
  Observed: dv
model_additive = @model begin

    @param begin
        # here we define the parameters of the model
        tvcl ∈ RealDomain(; lower = 0) # typical clearance 
        tvvc ∈ RealDomain(; lower = 0) # typical central volume of distribution
        Ω ∈ PDiagDomain(2)           # between-subject variability
        σ ∈ RealDomain(; lower = 0)    # residual variability
    end

    @random begin
        # here we define random effects
        η ~ MvNormal(Ω) # multi-variate Normal with mean 0 and covariance matrix Ω
    end

    @pre begin
        # pre computations and other statistical transformations
        CL = tvcl * exp(η[1])
        Vc = tvvc * exp(η[2])
    end

    # here we define compartments and dynamics
    @dynamics begin
        Central' = -CL / Vc * Central
    end

    @derived begin
        # here is where we calculate concentration and add residual error
        # tilde (~) means "distributed as"
        cp := @. 1_000 * Central / Vc # Change of units
        dv ~ @. Normal(cp, σ)
    end
end
PumasModel
  Parameters: tvcl, tvvc, Ω, σ
  Random effects: η
  Covariates:
  Dynamical system variables: Central
  Dynamical system type: Matrix exponential
  Derived: dv
  Observed: dv

1.2 Define a Subject and Population

Once we have our model defined we have to specify a Subject or a Population.

In Pumas, subjects are represented by the Subject type and collections of subjects are represented as vectors of Subjects are defined as Population.

Subjects can be constructed with the Subject constructor, for example:

Subject(; id = 1)
Subject
  ID: 1

We just constructed a Subject that has ID equal to 1 and no extra information.

Since a Population is just a vector of Subjects, we can use a simple map function over the a list of IDs:

pop1 = map(i -> Subject(; id = i), 1:10)
Population
  Subjects: 10
  Observations: 

Or we can construct the vector of Subjects manually:

pop2 = [Subject(; id = 1), Subject(; id = 2)]
Population
  Subjects: 2
  Observations: 
pop1 isa Population
true
pop2 isa Population
true

As you can see a Vector of Subjects will always be a Population.

1.2.1 Reading Subjects directly from a DataFrame

Of course we don’t want to create Subjects and Populations manually. We generally have the data represented in some sort of tabular data format, e.g. CSV or Excel files.

Tip

We can parse a DataFrame into a Population (or Subject in the case of a single subject data) with the read_pumas function.

The read_pumas function accepts as first argument a DataFrame followed by the following keyword arguments:

  • observations: dependent variables specified by a vector of column names, i.e. [:DV].
  • covariates: covariates specified by a vector of column names.
  • id: specifies the unique Subject ID column of the DataFrame.
  • time: specifies the time column of the DataFrame.
  • amt: specifies the amount column of the DataFrame.
  • evid: specifies the event unique ID (EVID) column of the DataFrame.
Tip

The read_pumas function has more keywords arguments and options than described above. Don’t forget to check the Pumas documentation on read_pumas.

1.2.2 The iv_sd_3 dataset

In our example, we’ll be using the iv_sd_3 (intravenous single dose 3) dataset from the PharmaDatasets package. This package has several pharma-related datasets ready to be used in the most common pharmacometrics workflows, such as in our example, PK model fitting.

pkdata = dataset("iv_sd_3")
first(pkdata, 5)
5×9 DataFrame
Row id time cp dv amt evid cmt rate dosegrp
Int64 Float64 Float64? Float64? Float64? Int64 Int64 Float64 Int64
1 1 0.0 missing missing 10.0 1 1 0.0 10
2 1 0.25 239.642 233.091 missing 0 1 0.0 10
3 1 0.5 235.243 270.886 missing 0 1 0.0 10
4 1 0.75 230.925 309.181 missing 0 1 0.0 10
5 1 1.0 226.687 269.433 missing 0 1 0.0 10

Let’s see how many different EVIDs rows we have per subject:

@by pkdata :id begin
    :EVID_0 = count(==(0), :evid)
    :EVID_1 = count(==(1), :evid)
end
last(pkdata, 5)
5×9 DataFrame
Row id time cp dv amt evid cmt rate dosegrp
Int64 Float64 Float64? Float64? Float64? Int64 Int64 Float64 Int64
1 120 24.0 366.994 449.561 missing 0 1 0.0 120
2 120 36.0 147.526 129.685 missing 0 1 0.0 120
3 120 48.0 59.3031 67.6517 missing 0 1 0.0 120
4 120 60.0 23.8389 22.5353 missing 0 1 0.0 120
5 120 71.9 9.65593 14.4299 missing 0 1 0.0 120
Tip

We won’t be covering data wrangling here. Please check the Pumas Data Wrangling tutorials.

As you can see, we have 120 subjects each with one dosing row (evid == 1)and 15 measurement rows (evid == 0).

Each one of the subjets is being given a dose of 10 units intravenous at time 0.

Additionally we have a :dv column with the observations for the measurement rows.

Let’s parse the pkdata DataFrame into a Population with the read_pumas function:

pop = read_pumas(
    pkdata;
    observations = [:dv],
    id = :id,
    time = :time,
    amt = :amt,
    evid = :evid,
)
Population
  Subjects: 120
  Observations: dv

1.3 Fit your model

Now we are ready to fit our model! We already have a model specified, model_proportional and model_additive, along with a Population: pop. We can proceed with model fitting.

Model fiting in Pumas has the purpose of estimating parameters and is done by calling the fit function with the following positional arguments:

  1. Pumas model.
  2. a Population.
  3. a named tuple of the initial parameter values.
  4. an inference algorithm.

1.3.1 Initial Parameter Values

We already covered model and Population, now let’s talk about initial parameter values. It is the 3rd positional argument inside fit.

You can specify you initial parameters as a named tuple. For instance, if you want to have a certain parameter, tvcl, as having an initial value as 1, you can do so by passing it inside a named tuple in the 3rd positional argument of fit:

fit(model, population, (; tvcl = 1.0))
Tip

You can also use the helper function init_params which will recover all the initial parameters we specified inside the model’s @param block.

Let’s define a named tuple with the initial parameters values and name it iparams:

iparams = (; tvcl = 1, tvvc = 10, Ω = Diagonal([0.09, 0.09]), σ = 0.3)
(tvcl = 1, tvvc = 10, Ω = Diagonal([0.09, 0.09]), σ = 0.3)
Note

For Ω, since it lies in the PDiagDomain, we are using a diagonal matrix (created with Diagonal by passing a vector where the components are the diagonal entries) as the initial value.

1.3.2 Inference Algorithms

Finally, our last (4th) positional argument is the choice of inference algorithm.

Pumas has the following available inference algorithms:

  • Marginal Likelihood Estimation:

    • NaivePooled(): first order approximation without random-effects.
    • FO(): first-order approximation.
    • FOCE(): first-order conditional estimation with automatic interaction detection.
    • LaplaceI(): second-order Laplace approximation.
  • Bayesian with Markov Chain Monte Carlo (MCMC):

    • BayesMCMC(): MCMC using No-U-Turn Sampler (NUTS).
Note

We can also use a Maximum A Posteriori (MAP) estimation procedure for any marginal likelihood estimation algorithm. You just need to call the MAP() constructor with the desired marginal likelihood algorithm inside, for instance:

fit(model, population, init_params(model), MAP(FOCE()))

Ok, we are ready to fit our model. Let’s use the FOCE:

fit_proportional = fit(model_proportional, pop, iparams, FOCE())
[ Info: Checking the initial parameter values.
[ Info: The initial negative log-likelihood and its gradient are finite. Check passed.
Iter     Function value   Gradient norm 
     0     1.287102e+04     2.175890e+03
 * time: 0.03278684616088867
     1     9.966790e+03     7.267813e+02
 * time: 4.49578595161438
     2     9.530310e+03     5.388719e+02
 * time: 4.528369903564453
     3     9.441794e+03     1.704334e+02
 * time: 4.559222936630249
     4     9.413161e+03     7.105680e+01
 * time: 4.5901148319244385
     5     9.408707e+03     4.180099e+01
 * time: 4.6199188232421875
     6     9.404627e+03     3.771692e+01
 * time: 4.649850845336914
     7     9.402418e+03     3.621230e+01
 * time: 4.9554970264434814
     8     9.400119e+03     3.839299e+01
 * time: 4.982503890991211
     9     9.396350e+03     7.333659e+01
 * time: 5.009433031082153
    10     9.389051e+03     1.097953e+02
 * time: 5.035399913787842
    11     9.379940e+03     9.319034e+01
 * time: 5.06125283241272
    12     9.376311e+03     2.014382e+01
 * time: 5.086741924285889
    13     9.375988e+03     1.192272e+01
 * time: 5.112061023712158
    14     9.375925e+03     4.549414e+00
 * time: 5.136680841445923
    15     9.375900e+03     4.852128e+00
 * time: 5.1606879234313965
    16     9.375861e+03     4.819367e+00
 * time: 5.1841089725494385
    17     9.375777e+03     4.366774e+00
 * time: 5.208024978637695
    18     9.375687e+03     4.860785e+00
 * time: 5.232075929641724
    19     9.375637e+03     2.345194e+00
 * time: 5.33596396446228
    20     9.375629e+03     4.676142e-01
 * time: 5.35908579826355
    21     9.375628e+03     2.889484e-02
 * time: 5.383975982666016
    22     9.375628e+03     1.919873e-03
 * time: 5.405190944671631
    23     9.375628e+03     1.701306e-04
 * time: 5.424810886383057
FittedPumasModel

Dynamical system type:          Matrix exponential

Number of subjects:                            120

Observation records:         Active        Missing
    dv:                        1799              0
    Total:                     1799              0

Number of parameters:      Constant      Optimized
                                  0              5

Likelihood approximation:                     FOCE
Likelihood optimizer:                         BFGS

Termination Reason:                   GradientNorm
Log-likelihood value:                   -9375.6282

-----------------
       Estimate
-----------------
tvcl    3.8588
tvvc   70.902
Ω₁,₁    0.092943
Ω₂,₂    0.086108
σ       0.20577
-----------------
fit_additive = fit(model_additive, pop, iparams, FOCE())
[ Info: Checking the initial parameter values.
[ Info: The initial negative log-likelihood and its gradient are finite. Check passed.
Iter     Function value   Gradient norm 
     0     1.588465e+08     3.176814e+08
 * time: 1.71661376953125e-5
     1     2.150338e+07     4.299216e+07
 * time: 2.0726051330566406
     2     1.572596e+07     3.143684e+07
 * time: 2.1139981746673584
     3     6.715321e+06     1.341423e+07
 * time: 2.1432089805603027
     4     3.566781e+06     7.116167e+06
 * time: 2.1717419624328613
     5     1.747391e+06     3.476277e+06
 * time: 2.199213981628418
     6     8.864643e+05     1.753370e+06
 * time: 2.2257800102233887
     7     4.469860e+05     8.733525e+05
 * time: 2.2519190311431885
     8     2.293023e+05     4.369527e+05
 * time: 2.2781569957733154
     9     1.203634e+05     2.180736e+05
 * time: 2.303539991378784
    10     6.619611e+04     1.087875e+05
 * time: 2.3293540477752686
    11     3.931783e+04     5.413982e+04
 * time: 2.4347121715545654
    12     2.608031e+04     2.684178e+04
 * time: 2.4609930515289307
    13     1.964043e+04     1.321348e+04
 * time: 2.4884421825408936
    14     1.657783e+04     6.422866e+03
 * time: 2.516494035720825
    15     1.517886e+04     3.049947e+03
 * time: 2.5456180572509766
    16     1.458532e+04     2.325300e+03
 * time: 2.5751709938049316
    17     1.436644e+04     2.248173e+03
 * time: 2.604846954345703
    18     1.430480e+04     2.186338e+03
 * time: 2.6345059871673584
    19     1.429438e+04     2.151376e+03
 * time: 2.666002035140991
    20     1.429364e+04     2.140132e+03
 * time: 2.7631709575653076
    21     1.429360e+04     2.138375e+03
 * time: 2.793706178665161
    22     1.429353e+04     2.136357e+03
 * time: 2.8215491771698
    23     1.429332e+04     2.132626e+03
 * time: 2.84860897064209
    24     1.429278e+04     2.126512e+03
 * time: 2.8755080699920654
    25     1.429138e+04     2.115703e+03
 * time: 2.9037981033325195
    26     1.428779e+04     2.096394e+03
 * time: 2.9330739974975586
    27     1.427867e+04     2.060545e+03
 * time: 2.9645891189575195
    28     1.425620e+04     1.992853e+03
 * time: 3.020660161972046
    29     1.420359e+04     1.867123e+03
 * time: 3.0522921085357666
    30     1.409023e+04     1.653232e+03
 * time: 3.084684133529663
    31     1.386154e+04     1.339477e+03
 * time: 3.117678165435791
    32     1.337973e+04     1.047824e+03
 * time: 3.1494951248168945
    33     1.234246e+04     1.048616e+03
 * time: 3.177751064300537
    34     1.184183e+04     1.347805e+03
 * time: 3.2044410705566406
    35     1.171224e+04     3.358814e+02
 * time: 3.2605719566345215
    36     1.166954e+04     2.657564e+02
 * time: 3.28987717628479
    37     1.165889e+04     2.390139e+02
 * time: 3.3186261653900146
    38     1.165375e+04     2.184673e+02
 * time: 3.347790002822876
    39     1.164756e+04     1.786822e+02
 * time: 3.3770411014556885
    40     1.164727e+04     1.704844e+02
 * time: 3.4001381397247314
    41     1.164727e+04     1.694788e+02
 * time: 3.421220064163208
    42     1.164727e+04     1.693898e+02
 * time: 3.4754221439361572
    43     1.164727e+04     1.689387e+02
 * time: 3.497368097305298
    44     1.164727e+04     1.683480e+02
 * time: 3.519078016281128
    45     1.164726e+04     1.672868e+02
 * time: 3.5403730869293213
    46     1.164723e+04     1.655962e+02
 * time: 3.5618369579315186
    47     1.164717e+04     1.627523e+02
 * time: 3.5833561420440674
    48     1.164700e+04     1.580027e+02
 * time: 3.6287851333618164
    49     1.164657e+04     1.499188e+02
 * time: 3.6515591144561768
    50     1.164548e+04     1.360856e+02
 * time: 3.6748931407928467
    51     1.164284e+04     1.126066e+02
 * time: 3.698850154876709
    52     1.163686e+04     7.456626e+01
 * time: 3.723203182220459
    53     1.162487e+04     8.490769e+01
 * time: 3.747796058654785
    54     1.160831e+04     8.200171e+01
 * time: 3.77309513092041
    55     1.160244e+04     4.624946e+01
 * time: 3.815700054168701
    56     1.160074e+04     3.981731e+01
 * time: 3.8394060134887695
    57     1.160063e+04     3.988132e+01
 * time: 3.8625400066375732
    58     1.160063e+04     3.991070e+01
 * time: 3.885627031326294
    59     1.160063e+04     3.990694e+01
 * time: 3.906947135925293
    60     1.160063e+04     3.989880e+01
 * time: 3.9279510974884033
    61     1.160063e+04     3.988859e+01
 * time: 3.9491629600524902
    62     1.160063e+04     3.987073e+01
 * time: 3.989881992340088
    63     1.160063e+04     3.984255e+01
 * time: 4.012547969818115
    64     1.160063e+04     3.979586e+01
 * time: 4.035676956176758
    65     1.160062e+04     3.971917e+01
 * time: 4.059017181396484
    66     1.160061e+04     3.959099e+01
 * time: 4.082549095153809
    67     1.160058e+04     3.937380e+01
 * time: 4.1060991287231445
    68     1.160050e+04     4.088049e+01
 * time: 4.129709959030151
    69     1.160028e+04     4.454206e+01
 * time: 4.170574188232422
    70     1.159973e+04     5.043192e+01
 * time: 4.194116115570068
    71     1.159828e+04     7.169974e+01
 * time: 4.218058109283447
    72     1.159457e+04     1.160310e+02
 * time: 4.241897106170654
    73     1.158538e+04     1.838059e+02
 * time: 4.265460014343262
    74     1.157006e+04     2.503443e+02
 * time: 4.28922700881958
    75     1.156106e+04     1.394415e+02
 * time: 4.329200983047485
    76     1.155705e+04     5.988143e+00
 * time: 4.352869987487793
    77     1.155702e+04     2.355486e+00
 * time: 4.390573024749756
    78     1.155702e+04     2.292730e+00
 * time: 4.414525032043457
    79     1.155702e+04     2.299113e+00
 * time: 4.434930086135864
    80     1.155702e+04     2.299318e+00
 * time: 4.453514099121094
    81     1.155702e+04     2.299287e+00
 * time: 4.485299110412598
    82     1.155702e+04     2.299071e+00
 * time: 4.520907163619995
    83     1.155702e+04     2.298786e+00
 * time: 4.539241075515747
    84     1.155702e+04     2.298240e+00
 * time: 4.558175086975098
    85     1.155702e+04     2.297292e+00
 * time: 4.578071117401123
    86     1.155702e+04     2.295482e+00
 * time: 4.59843111038208
    87     1.155702e+04     2.291908e+00
 * time: 4.618411064147949
    88     1.155702e+04     2.284384e+00
 * time: 4.6382691860198975
    89     1.155702e+04     2.320393e+00
 * time: 4.675616979598999
    90     1.155702e+04     3.744073e+00
 * time: 4.697018146514893
    91     1.155701e+04     5.931385e+00
 * time: 4.7185211181640625
    92     1.155701e+04     9.009455e+00
 * time: 4.740440130233765
    93     1.155699e+04     1.235685e+01
 * time: 4.761826992034912
    94     1.155696e+04     1.340579e+01
 * time: 4.783529043197632
    95     1.155693e+04     9.114210e+00
 * time: 4.805160045623779
    96     1.155691e+04     2.847107e+00
 * time: 4.841900110244751
    97     1.155691e+04     2.420832e-01
 * time: 4.86201810836792
    98     1.155691e+04     2.009998e-02
 * time: 4.8826069831848145
    99     1.155691e+04     2.987048e-03
 * time: 4.900774955749512
   100     1.155691e+04     9.290978e-05
 * time: 4.918063163757324
FittedPumasModel

Dynamical system type:          Matrix exponential

Number of subjects:                            120

Observation records:         Active        Missing
    dv:                        1799              0
    Total:                     1799              0

Number of parameters:      Constant      Optimized
                                  0              5

Likelihood approximation:                     FOCE
Likelihood optimizer:                         BFGS

Termination Reason:                   GradientNorm
Log-likelihood value:                   -11556.912

------------------
       Estimate
------------------
tvcl     3.7551
tvvc    70.012
Ω₁,₁     0.081125
Ω₂,₂     0.082247
σ      133.36
------------------

We can see that after a model is fitted, it prints a result with a summary and a table of the parameter estimates.

We can also recover the estimates as a named tuple with coef:

coef(fit_proportional)
(tvcl = 3.8587866688936496, tvvc = 70.9016218061435, Ω = [0.09294319989497511 0.0; 0.0 0.08610820075450526], σ = 0.2057694831354882)
coef(fit_additive)
(tvcl = 3.755141948250061, tvvc = 70.01247087341984, Ω = [0.08112540399067107 0.0; 0.0 0.08224660602861458], σ = 133.36190040958877)

Or as a DataFrame with coeftable:

coeftable(fit_proportional)
5×4 DataFrame
Row parameter description constant estimate
String String Bool Float64
1 tvcl tvcl false 3.85879
2 tvvc tvvc false 70.9016
3 Ω₁,₁ Ω₁,₁ false 0.0929432
4 Ω₂,₂ Ω₂,₂ false 0.0861082
5 σ σ false 0.205769
coeftable(fit_additive)
5×4 DataFrame
Row parameter description constant estimate
String String Bool Float64
1 tvcl tvcl false 3.75514
2 tvvc tvvc false 70.0125
3 Ω₁,₁ Ω₁,₁ false 0.0811254
4 Ω₂,₂ Ω₂,₂ false 0.0822466
5 σ σ false 133.362

Here you see the first signs that the additive error model is not a good model for this data. The σ estimate values are off the charts.

1.4 Perform inference on the model’s population-level parameters

Once the model is fitted, we can analyze our inference and estimates.

We use the standard errors (SE) along with the 95% confidence intervals with the infer function:

infer_proportional = infer(fit_proportional)
[ Info: Calculating: variance-covariance matrix.
[ Info: Done.
Asymptotic inference results using sandwich estimator

Dynamical system type:          Matrix exponential

Number of subjects:                            120

Observation records:         Active        Missing
    dv:                        1799              0
    Total:                     1799              0

Number of parameters:      Constant      Optimized
                                  0              5

Likelihood approximation:                     FOCE
Likelihood optimizer:                         BFGS

Termination Reason:                   GradientNorm
Log-likelihood value:                   -9375.6282

------------------------------------------------------
       Estimate    SE          95.0% C.I.
------------------------------------------------------
tvcl    3.8588     0.10912     [  3.6449  ;  4.0727 ]
tvvc   70.902      1.9604      [ 67.059   ; 74.744  ]
Ω₁,₁    0.092943   0.015832    [  0.061913;  0.12397]
Ω₂,₂    0.086108   0.010604    [  0.065325;  0.10689]
σ       0.20577    0.0037734   [  0.19837 ;  0.21317]
------------------------------------------------------
infer_additive = infer(fit_additive)
[ Info: Calculating: variance-covariance matrix.
[ Info: Done.
Asymptotic inference results using sandwich estimator

Dynamical system type:          Matrix exponential

Number of subjects:                            120

Observation records:         Active        Missing
    dv:                        1799              0
    Total:                     1799              0

Number of parameters:      Constant      Optimized
                                  0              5

Likelihood approximation:                     FOCE
Likelihood optimizer:                         BFGS

Termination Reason:                   GradientNorm
Log-likelihood value:                   -11556.912

-------------------------------------------------------
       Estimate     SE         95.0% C.I.
-------------------------------------------------------
tvcl     3.7551     0.13754    [   3.4856 ;   4.0247 ]
tvvc    70.012      2.1774     [  65.745  ;  74.28   ]
Ω₁,₁     0.081125   0.019289   [   0.04332;   0.11893]
Ω₂,₂     0.082247   0.01133    [   0.06004;   0.10445]
σ      133.36       10.536     [ 112.71   ; 154.01   ]
-------------------------------------------------------

Also if you prefer other confidence interval band, you can choose with the keyword argument level inside infer.

Note

For instance, one common band for the confidence intervals is 90%:

infer(fit_additive; level = 0.90)
Caution

We won’t be covering step 5 (predictions and simulations) of the workflow in this tutorial. The focus here is the fitting procedure and model comparisons.

Tip

You can also use the function correlation_diagnostic to print a list of parameter pairs with high or low correlations. The rest of the pairs that were not printed have a medium correlation. You can control the threshold of high correlation with the keyword argument high_cor_threshold, which is 0.7 by default.

correlation_diagnostic(infer_proportional)
Parameter pairs with low correlation (abs. correlation < 0.35): ("tvcl", "tvvc"), ("tvcl", "Ω₁,₁"), ("tvcl", "Ω₂,₂"), ("tvcl", "σ"), ("tvvc", "Ω₁,₁"), ("tvvc", "Ω₂,₂"), ("tvvc", "σ"), ("Ω₁,₁", "Ω₂,₂"), ("Ω₁,₁", "σ"), ("Ω₂,₂", "σ")
correlation_diagnostic(infer_additive)
Parameter pairs with medium correlation (abs. correlation ≥ 0.35 and ≤ 0.7): ("tvvc", "σ")
Parameter pairs with low correlation (abs. correlation < 0.35): ("tvcl", "tvvc"), ("tvcl", "Ω₁,₁"), ("tvcl", "Ω₂,₂"), ("tvcl", "σ"), ("tvvc", "Ω₁,₁"), ("tvvc", "Ω₂,₂"), ("Ω₁,₁", "Ω₂,₂"), ("Ω₁,₁", "σ"), ("Ω₂,₂", "σ")

1.5 Model diagnostics

Finally, our last step is to assess model diagnostics.

1.5.1 Assessing model diagnostics

To assess model diagnostics we can use the inspect function in our fitted Pumas models:

inspect_proportional = inspect(fit_proportional)
[ Info: Calculating predictions.
[ Info: Calculating weighted residuals.
[ Info: Calculating empirical bayes.
[ Info: Evaluating dose control parameters.
[ Info: Evaluating individual parameters.
[ Info: Done.
FittedPumasModelInspection

Likelihood approximation used for weighted residuals: FOCE
inspect_additive = inspect(fit_additive)
[ Info: Calculating predictions.
[ Info: Calculating weighted residuals.
[ Info: Calculating empirical bayes.
[ Info: Evaluating dose control parameters.
[ Info: Evaluating individual parameters.
[ Info: Done.
FittedPumasModelInspection

Likelihood approximation used for weighted residuals: FOCE

inspect will perform the following procedures:

  • model predictions
  • residuals
  • empirical Bayes estimates
  • individual coefficients
  • dose control parameters

Additionally, we can get all of our model metrics, such as AIC, BIC, etc. with the metrics_table function:

metrics_table(fit_proportional)
16×2 DataFrame
Row Metric Value
String Any
1 Estimation Time 5.425
2 Subjects 120
3 Fixed Parameters 0
4 Optimized Parameters 5
5 dv Active Observations 1799
6 dv Missing Observations 0
7 Total Active Observations 1799
8 Total Missing Observations 0
9 Likelihood Approximation FOCE
10 LogLikelihood (LL) -9375.63
11 -2LL 18751.3
12 AIC 18761.3
13 BIC 18788.7
14 (η-shrinkage) η₁ 0.013
15 (η-shrinkage) η₂ 0.024
16 (ϵ-shrinkage) dv 0.061
metrics_table(fit_additive)
16×2 DataFrame
Row Metric Value
String Any
1 Estimation Time 4.918
2 Subjects 120
3 Fixed Parameters 0
4 Optimized Parameters 5
5 dv Active Observations 1799
6 dv Missing Observations 0
7 Total Active Observations 1799
8 Total Missing Observations 0
9 Likelihood Approximation FOCE
10 LogLikelihood (LL) -11556.9
11 -2LL 23113.8
12 AIC 23123.8
13 BIC 23151.3
14 (η-shrinkage) η₁ 0.282
15 (η-shrinkage) η₂ 0.137
16 (ϵ-shrinkage) dv 0.043

As you can the proportional error model has a lower AIC than the additive, hence it should be preferred.

But let’s take a look at visual diagnostics.

1.5.1.1 Goodness of Fit Plots

We can pass any result from inspect to the goodness_of_fit plotting function:

goodness_of_fit(
    inspect_proportional;
    figure = (; size = (1200, 800)),
    axis = (; title = "Proportional Error Model"),
)

goodness_of_fit(
    inspect_additive;
    figure = (; size = (1200, 800)),
    axis = (; title = "Additive Error Model"),
)

Tip

We are using some keyword arguments to customize the plot returned by the goodness_of_fit function.

Please check Pumas’ documentation on plot customization for more details.

The weighted residuals should be standard normally distributed throughout the time and the individual predictions domain.

We see that this is the case for the proportional error model, but certainly not for the additive error model. The additive error model weighted residuals’ variance increases with the individual predictions values.

This is another indicator that the additive error model is not able to capture the data generating process.

Tip

One might also plot a QQ plot to check for normality of the residuals.

1.5.2 Visual Predictive Checks (VPCs)

To conclude, we can inspect visual predictive checks with the vpc_plot() function. But first, we need to generate a VPC object with the vpc() function:

vpc_proportional = vpc(fit_proportional)
[ Info: Continuous VPC
Visual Predictive Check
  Type of VPC: Continuous VPC
  Simulated populations: 499
  Subjects in data: 120
  Stratification variable(s): None
  Confidence level: 0.95
  VPC lines: quantiles ([0.1, 0.5, 0.9])
vpc_additive = vpc(fit_additive)
[ Info: Continuous VPC
Visual Predictive Check
  Type of VPC: Continuous VPC
  Simulated populations: 499
  Subjects in data: 120
  Stratification variable(s): None
  Confidence level: 0.95
  VPC lines: quantiles ([0.1, 0.5, 0.9])

Now, we need to use the vpc_plot function into our newly created VPC object:

vpc_plot(vpc_proportional; axis = (; title = "Proportional Error Model"))

vpc_plot(vpc_additive; axis = (; title = "Additive Error Model"))

As you can see in the VPC plots above, the additive error model performs poorly in the visual predictive checks, and its quantiles even capture negative concentrations.

Hence, this is the final nail in the coffin of the additive error. Ultimately, we should prefer the proportional error model.

2 Conclusion

This tutorial showed how to use fit a PK model in Pumas and how to compare models.

Please try out fit on your own data and model, and reach out if further questions or problems come up.