test_that("readme model equivalent", { patient_data <- data.frame(ID=1, TIME=c(0.0,1.0,14.0), DV=c(NA,25.0,5.5), AMT=c(2000,0,0), DUR=c(0.5,NA,NA), EVID=c(1,0,0), CLCREAT=80, WT=65) mod_run001 <- function() { ini({ THETA_Cl <- 4.0 THETA_Vc <- 70.0 THETA_Ka <- 1.0 ETA_Cl ~ 0.2 ETA_Vc ~ 0.2 ETA_Ka ~ 0.2 prop.sd <- sqrt(0.05) }) model({ TVCl <- THETA_Cl TVVc <- THETA_Vc TVKa <- THETA_Ka Cl <- TVCl*exp(ETA_Cl) Vc <- TVVc*exp(ETA_Vc) Ka <- TVKa*exp(ETA_Ka) K20 <- Cl/Vc Cc <- centr/Vc d/dt(depot) = -Ka*depot d/dt(centr) = Ka*depot - K20*centr Cc ~ prop(prop.sd) }) } f <- poso_estim_map(patient_data, mod_run001) expect_equal(f$eta, c(ETA_Cl = 0.601903430923289, ETA_Vc = -0.429173629074746, ETA_Ka = 0.127847428673983), tolerance=1e-4) }) test_that("mod_amikacin_Burdet2015", { skip_on_cran() mod_amikacin_Burdet2015 <- function() { ini({ THETA_Cl=4.3 THETA_Vc=15.9 THETA_Vp=21.4 THETA_Q=12.1 ETA_Cl + ETA_Vc + ETA_Vp + ETA_Q ~ c(0.1, 0.01 , 0.05 , 0.01 , 0.02 , 0.2 , -0.06 , 0.004, 0.003, 0.08) add_sd <- 0.2 prop_sd <- 0.1 }) model({ centr(0) = 0 TVCl = THETA_Cl*(CLCREAT4H/82)^0.7 TVVc = THETA_Vc*(TBW/78)^0.9*(PoverF/169)^0.4 TVVp = THETA_Vp TVQ = THETA_Q Cl = TVCl*exp(ETA_Cl) Vc = TVVc*exp(ETA_Vc) Vp = TVVp*exp(ETA_Vp) Q = TVQ *exp(ETA_Q) ke = Cl/Vc k12 = Q/Vc k21 = Q/Vp Cp = centr/Vc d/dt(centr) = - ke*centr - k12*centr + k21*periph d/dt(periph) = + k12*centr - k21*periph # Cp ~ add(add_sd) + prop(prop_sd) + combined1() }) } df_patientA <- data.frame(ID=1,TIME=c(0,1,6), DV=c(NA,58,14), EVID=c(1,0,0), AMT=c(2000,0,0), DUR=c(0.5,NA,NA), CLCREAT4H=50,TBW=62,PoverF=169) patA_map <- poso_estim_map(dat=df_patientA, prior_model=mod_amikacin_Burdet2015) expect_equal(patA_map$eta, c(ETA_Cl = 0.449952188793169, ETA_Vc = 0.273058665000001, ETA_Vp = 0.70615858706018, ETA_Q = -0.138843327030614), tolerance=1e-4) cmin <- poso_time_cmin(dat=df_patientA, prior_model=mod_amikacin_Burdet2015, tdm = TRUE, target_cmin = 2.5) expect_equal(cmin$time, 33.9, tolerance=0.1) map_dose <- poso_dose_conc(dat=df_patientA, prior_model=mod_amikacin_Burdet2015, tdm=TRUE, time_c = 35, #target concentration at t = 35 h time_dose = 34, #dosing at t = 34 h duration = 0.5, target_conc = 80) expect_equal(map_dose$dose, 2447.917, tolerance = 1) map_interval <- poso_inter_cmin(dat=df_patientA, prior_model=mod_amikacin_Burdet2015, dose = map_dose$dose, duration = 0.5, target_cmin = 2.5) expect_equal(map_interval$interval, 38.57782, tolerance=0.1) }) test_that("mod_vancomycin_Goti2018", { skip_on_cran() mod_vancomycin_Goti2018 <- function() { ini({ THETA_Cl <- 4.5 THETA_Vc <- 58.4 THETA_Vp <- 38.4 THETA_Q <- 6.5 ETA_Cl ~ 0.147 ETA_Vc ~ 0.510 ETA_Vp ~ 0.282 add.sd <- 3.4 prop.sd <- 0.227 }) model({ centr(0) = 0; TVCl = THETA_Cl*(CLCREAT/120)^0.8*(0.7^DIAL); TVVc = THETA_Vc*(WT/70) *(0.5^DIAL); TVVp = THETA_Vp; TVQ = THETA_Q; Cl = TVCl*exp(ETA_Cl); Vc = TVVc*exp(ETA_Vc); Vp = TVVp*exp(ETA_Vp); Q = TVQ; ke = Cl/Vc; k12 = Q/Vc; k21 = Q/Vp; Cc = centr/Vc; d/dt(centr) = - ke*centr - k12*centr + k21*periph; d/dt(periph) = + k12*centr - k21*periph; d/dt(AUC) <- Cc Cc ~ add(add.sd) + prop(prop.sd) + combined1() }) } df_patientB <- data.frame(ID=1,TIME=c(0.0,13.0,24.2,48), DV=c(NA,12,NA,9.5), AMT=c(2000,0,1000,0), DUR=c(2,NA,2,NA), EVID=c(1,0,1,0), CLCREAT=65,WT=70,DIAL=0) patB_map <- poso_estim_map(dat=df_patientB, prior_model=mod_vancomycin_Goti2018) AUC_map_first_dose <- patB_map$model$AUC[which(patB_map$model$time == 24)] expect_equal(AUC_map_first_dose, 337.8963, tolerance=1) AUC_map_second_dose <- patB_map$model$AUC[which(patB_map$model$time == 48)] - AUC_map_first_dose AUC_map_second_dose expect_equal(325.3071, AUC_map_second_dose, tolerance=1) a <- poso_dose_auc(dat=df_patientB, prior_model=mod_vancomycin_Goti2018, tdm=TRUE, time_auc=24, #AUC24 time_dose = 48, #48 h: immediately following the last observation duration=2, #infused over 2 h target_auc=400) expect_equal(a$dose, 1411.593, tolerance=1) # could possibly use steady state flags instead; regardless: a2 <- poso_dose_auc(dat=df_patientB, prior_model=mod_vancomycin_Goti2018, time_auc=24, starting_time=24*9, interdose_interval=24, add_dose=10, duration=2, target_auc=400) expect_equal(a$dose, 1198.267, tolerance=1) dur <- poso_dose_auc(dat=df_patientB, prior_model=mod_vancomycin_Goti2018, time_auc=24, starting_time=24*9, interdose_interval=24, add_dose=10, duration=24, target_auc=400) expect_equal(1198.923, dur$dose, tolerance=1) }) if(Sys.getenv("POSOLOGYR_DEV_MACHINE")=="TRUE"){ #skip on CRAN or github actions test_that("warfarin example", { mod_warfarin_nlmixr <- function() { ini({ THETA_ktr=0.106 THETA_ka=-0.087 THETA_cl=-2.03 THETA_v=2.07 THETA_emax=3.4 THETA_ec50=0.00724 THETA_kout=-2.9 THETA_e0=4.57 ETA_ktr ~ 1.024695 ETA_ka ~ 0.9518403 ETA_cl ~ 0.5300943 ETA_v ~ 0.4785394 ETA_emax ~ 0.7134424 ETA_ec50 ~ 0.7204165 ETA_kout ~ 0.3563706 ETA_e0 ~ 0.2660827 cp.sd <- 0.144 cp.prop.sd <- 0.15 pca.sd <- 3.91 }) model({ ktr <- exp(THETA_ktr + ETA_ktr) ka <- exp(THETA_ka + ETA_ka) cl <- exp(THETA_cl + ETA_cl) v <- exp(THETA_v + ETA_v) emax = expit(THETA_emax + ETA_emax) ec50 = exp(THETA_ec50 + ETA_ec50) kout = exp(THETA_kout + ETA_kout) e0 = exp(THETA_e0 + ETA_e0) ## DCP = center/v PD=1-emax*DCP/(ec50+DCP) ## effect(0) = e0 kin = e0*kout ## d/dt(depot) = -ktr * depot d/dt(gut) = ktr * depot -ka * gut d/dt(center) = ka * gut - cl / v * center d/dt(effect) = kin*PD -kout*effect ## cp = center / v pca = effect cp ~ add(cp.sd) + prop(cp.prop.sd) pca ~ add(pca.sd) }) } warf_01 <- data.frame(ID=1, TIME=c(0.0,0.5,1.0,2.0,3.0,6.0,9.0,12.0,24.0,24.0,36.0, 36.0,48.0,48.0,72.0,72.0,96.0,120.0,144.0), DV=c(0.0,0.0,1.9,3.3,6.6,9.1,10.8,8.6,5.6,44.0,4.0,27.0, 2.7,28.0,0.8,31.0,60.0,65.0,71.0), DVID=c("cp","cp","cp","cp","cp","cp","cp","cp","cp","pca", "cp","pca","cp","pca","cp","pca","pca","pca","pca"), EVID=c(1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0), AMT=c(100,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0)) map_warf_01 <- poso_estim_map(warf_01,mod_warfarin_nlmixr) expect_equal(c(ETA_ktr = -0.434704890568383, ETA_ka = -0.694024512420889, ETA_cl = 0.823372753994899, ETA_v = -0.0230522657927063, ETA_emax = 0.0684548537529647, ETA_ec50 = 0.141904594137433, ETA_kout = -0.198702717691606, ETA_e0 = -0.123821088809355), map_warf_01$eta, tolerance =1e-4) }) }