using Dates
using Pumas
using PumasUtilities
using CairoMakie
using DataFramesMeta
using PharmaDatasets
Fitting models with Pumas
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:
- proportional error model
- 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
- Define a model. It can be a
PumasModelor aPumasEMModel. - Define a
SubjectandPopulation. - Fit your model.
- Perform inference on the model’s population-level parameters (also known as fixed effects).
- 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).
- Model diagnostics and visual predictive checks.
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.
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 endPumasModel
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.
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(...)
...
endTo 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:
RealDomainfor scalar parametersVectorDomainfor vectorsPDiagDomainfor positive definite matrices with diagonal structurePSDDomainfor general positive semi-definite matrices
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.
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
endWe 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
endHere 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.
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.
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])
endWe 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
endWe specify one ODE per line inside the @dynamics block. The syntax is:
Compartment' = transformation * CompartmentThis 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.
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) * CentralIf you are using the aliases, don’t forget to adjust the variables’ naming in the @pre block accordingly.
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)
endNote 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)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.
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.
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
endPumasModel
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
endPumasModel
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 Populationtrue
pop2 isa Populationtrue
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.
Don’t forget to check the Data Wrangling - Reading and Writing Data tutorial.
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 theDataFrame.time: specifies the time column of theDataFrame.amt: specifies the amount column of theDataFrame.evid: specifies the event unique ID (EVID) column of theDataFrame.
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)| 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)| 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 |
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:
- Pumas model.
- a
Population. - a named tuple of the initial parameter values.
- 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))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)
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).
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)| 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)| 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.
For instance, one common band for the confidence intervals is 90%:
infer(fit_additive; level = 0.90)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.
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)| 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)| 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"),
)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.
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.